Claim PIP for Anxiety

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PLEASE NOTE, When you are assessing yourself, the law says that you only count as being able to do something if you can do it safely; to an acceptable standard; repeatedly and in a reasonable time period. Guidance also says that 'pain, fatigue, breathlessness, nausea and motivation' should all be taken into account.

Daily living

1. Preparing food

For example, anxiety or panic can lead to pins and needles in your handles. This might mean you need to use aids to prepare food or that you take much longer to prepare a meal than other people would.

You may be distracted by intrusive thoughts and so need someone to prompt you to complete all the stages of cooking a meal.

1a. Can prepare and cook a simple meal unaided. (0 points)

1b. Needs to use an aid or appliance to be able to either prepare or cook a simple meal. (2 points)

1c. Cannot cook a simple meal using a conventional cooker but is able to do so using a microwave. (2 points)

1d. Needs prompting to be able to either prepare or cook a simple meal. (2 points)

1e. Needs supervision or assistance to either prepare or cook a simple meal. (4 points)

1f. Cannot prepare and cook food. (8 points)

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2. Taking nutrition

For example, you may need someone to supervise you when eating, as you are at risk of choking due to a panic attack.

You may have a poor appetite as a result of anxiety and need someone to prompt you to start eating or to finish your meal.

2a. Can take nutrition unaided. (0 points)

2b. Needs either - (i) to use an aid or appliance to take nutrition; or (ii) supervision to be able to take nutrition; or (iii) assistance to be able to cut up food. (2 points)

2c. Needs a therapeutic source to take nutrition. (2 points)

2d. Needs prompting to be able to take nutrition. (4 points)

2e. Needs assistance to be able to manage a therapeutic source to take nutrition. (6 points)

2f. Cannot convey food and drink to their mouth and needs another person to do so. (10 points)

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3. Managing therapy or monitoring a health condition

For example, you may have medication related to your anxiety that you do not remember to take unless you are prompted by someone else or by an alarm on your phone.

Therapies, such as counselling or CBT, may be undertaken at home by phone or video call. You may need someone to prompt you to participate in these or to support you during the session.

3a. Either - (i) does not receive medication or therapy or need to monitor a health condition; or (ii) can manage medication or therapy or monitor a health condition unaided. (0 points)

3b. Needs any one or more of the following - (i) to use an aid or appliance to be able to manage medication; (ii) supervision, prompting or assistance to be able to manage medication; (iii) supervision, prompting or assistance to be able to monitor a health condition. (1 point)

3c. Needs supervision, prompting or assistance to be able to manage therapy that takes no more than 3.5 hours a week. (2 points)

3d. Needs supervision, prompting or assistance to be able to manage therapy that takes more than 3.5 but no more than 7 hours a week. (4 points)

3e. Needs supervision, prompting or assistance to be able to manage therapy that takes more than 7 but no more than 14 hours a week. (6 points)

3f. Needs supervision, prompting or assistance to be able to manage therapy that takes more than 14 hours a week. (8 points)

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4. Washing and bathing

For example, you may lack motivation to wash/bathe because you sleep poorly or because you feel tense/on edge. You may need prompting to wash or bathe because otherwise you would not think to do it.

If you are distracted by intrusive thoughts or a constant feeling of worry, it may take you more than twice as long to wash yourself as it would take another person who does not have anxiety.

4a. Can wash and bathe unaided. (0 points)

4b. Needs to use an aid or appliance to be able to wash or bathe. (2 points)

4c. Needs supervision or prompting to be able to wash or bathe. (2 points)

4d. Needs assistance to be able to wash either their hair or body below the waist. (2 points)

4e. Needs assistance to be able to get in or out of a bath or shower. (3 points)

4f. Needs assistance to be able to wash their body between the shoulders and waist. (4 points)

4g. Cannot wash and bathe at all and needs another person to wash their entire body. (8 points)

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5. Managing toilet needs or incontinence

For example, your anxiety may lead you to not fully empty your bladder or think that you need the toilet much more regularly than you do. You may need prompting from another person to manage your toilet needs to an acceptable standard.

You may engage in compulsive behaviours around using the toilet, such as repeatedly checking you have cleaned yourself or repeated handwashing. You may need another person to prompt or supervise you to make sure you complete the activity within a reasonable time.

5a. Can manage toilet needs or incontinence unaided. (0 points)

5b. Needs to use an aid or appliance to be able to manage toilet needs or incontinence. (2 points)

5c. Needs supervision or prompting to be able to manage toilet needs. (2 points)

5d. Needs assistance to be able to manage toilet needs. (4 points)

5e. Needs assistance to be able to manage incontinence of either bladder or bowel. (6 points)

5f. Needs assistance to be able to manage incontinence of both bladder and bowel. (8 points)

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6. Dressing and undressing

For example, you may feel anxious about your appearance and need someone to help you choose appropriate clothing for the situation or weather.

If you have anxiety associated with your appearance, you may prefer to stay in the same clothes in which you feel comfortable. You may need someone to prompt you to change your clothing.

6a. Can dress and undress unaided. (0 points)

6b. Needs to use an aid or appliance to be able to dress or undress. (2 points)

6c. Needs either - (i) prompting to be able to dress, undress or determine appropriate circumstances for remaining clothed; or (ii) prompting or assistance to be able to select appropriate clothing. (2 points)

6d. Needs assistance to be able to dress or undress their lower body. (2 points)

6e. Needs assistance to be able to dress or undress their upper body. (4 points)

6f. Cannot dress or undress at all. (8 points)

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7. Communicating

For example, you may experience selective mutism when extremely anxious. You may need someone else to help you to interpret your non-verbal cues and communicate them as speech.

7a. Can express and understand verbal information unaided. (0 points)

7b. Needs to use an aid or appliance to be able to speak or hear. (2 points)

7c. Needs communication support to be able to express or understand complex verbal information. (4 points)

7d. Needs communication support to be able to express or understand basic verbal information. (8 points)

7e. Cannot express or understand verbal information at all even with communication support. (12 points)

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8. Reading and understanding signs, symbols and words

For example, you may be able to read and understand information but take more than twice as long to do so as someone who does not have anxiety because you have difficulties with your concentration.

8a. Can read and understand basic and complex written information either unaided or using spectacles or contact lenses. (0 points)

8b. Needs to use an aid or appliance, other than spectacles or contact lenses, to be able to read or understand either basic or complex written information. (2 points)

8c. Needs prompting to be able to read or understand complex written information. (2 points)

8d. Needs prompting to be able to read or understand basic written information. (4 points)

8e. Cannot read or understand signs, symbols or words at all. (8 points)

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9. Engaging with other people face to face

For example, anxiety about social situations may lead to you avoiding them unless you are prompted by another person to engage.

You may be able to engage socially with others but only in a very specific context, such as when undertaking a hobby you are interested in.

9a. Can engage with other people unaided. (0 points)

9b. Needs prompting to be able to engage with other people. (2 points)

9c. Needs social support to be able to engage with other people. (4 points)

9d. Cannot engage with other people due to such engagement causing either - (i) overwhelming psychological distress to the claimant; or (ii) the claimant to exhibit behaviour which would result in a substantial risk of harm to the claimant or another person. (8 points)

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10. Making budgeting decisions

For example, you may worry excessively about making mistakes when making a purchase in a shop and so need someone to help you with simple budgeting decisions.

Someone else may have to set up bill payments for you or organise your household budget because you find that trying to do this yourself triggers your anxiety.

10a. Can manage complex budgeting decisions unaided. (0 points)

10b. Needs prompting or assistance to be able to make complex budgeting decisions. (2 points)

10c. Needs prompting or assistance to be able to make simple budgeting decisions. (4 points)

10d. Cannot make any budgeting decisions at all. (6 points)

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Mobility activities

11. Planning and following journeys

For example, you may not be able to plan a journey within a reasonable time because of worrying about possible triggers, obstacles or dangers that could arise on the route.

Due to forgetfulness, you may take wrong turnings when walking/driving or miss your stop when on public transport unless you have someone to prompt you about this.

11a. Can plan and follow the route of a journey unaided. (0 points)

11b. Needs prompting to be able to undertake any journey to avoid overwhelming psychological distress to the claimant. (4 points)

11c. Cannot plan the route of a journey. (8 points)

11d. Cannot follow the route of an unfamiliar journey without another person, assistance dog or orientation aid. (10 points)

11e. Cannot undertake any journey because it would cause overwhelming psychological distress to the claimant. (10 points)

11f. Cannot follow the route of a familiar journey without another person, an assistance dog or an orientation aid. (12 points)

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12. Moving around

We don’t think that anxiety alone affects your physical ability to stand and move. But if you have other conditions that affect this, then take these into account when choosing the correct descriptor.

12a. Can stand and then move more than 200 metres, either aided or unaided. (0 points)

12b. Can stand and then move more than 50 metres but no more than 200 metres, either aided or unaided. (4 points)

12c. Can stand and then move unaided more than 20 metres but no more than 50 metres. (8 points)

12d. Can stand and then move using an aid or appliance more than 20 metres but no more than 50 metres. (10 points)

12e. Can stand and then move more than 1 metre but no more than 20 metres, either aided or unaided. (12 points)

12f. Cannot, either aided or unaided, (i) stand; or (ii) move more than 1 metre. (12 points)

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Claim PIP for Anxiety

1. Preparing food

2. Taking nutrition

3. Managing therapy or monitoring a health condition

4. Washing and bathing

5. Managing toilet needs or incontinence

6. Dressing and undressing

7. Communicating

8. Reading and understanding signs, symbols and words

9. Engaging with other people face to face

10. Making budgeting decisions

11. Planning and following journeys

12. Moving around

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