I used both the HeadPilot and Pictocom software for my father with ALS. For some time now, he has no longer been able to communicate with us. The combining of the two software solutions has resulted in my father being able to express his own wishes to us (put his back straight, eat, drink , etc.). After a short adjustment period he could even write on a virtual keyboard and therefore communicate and truly share with us. He has regained his sense of humor.