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The Effects of Fear and Anxiety on Moving around Outdoors
Individuals who cannot move around outdoors because of fear and anxiety are entitled to lower rate of the mobility component, if the fear and anxiety is caused by a mental disability.
Example: a child who is entitled to the lower rate of the mobility component because her fear and anxiety are symptoms of her mental disability
Katarina is 15 and has Obsessive Compulsive Disorder (OCD). Katarina’s OCD means that she is hyper-aware of coming into contact with germs. This fear worsens outdoors, especially when she is in large crowds of people.
Katarina is able to move around outdoors but cannot do so without guidance and supervision from a family member. This is because they are able to keep her calm when she becomes agitated. This involves helping Katarina avoid crowded places or coaxing her if crowds are unavoidable.
The case manager determines that Katarina is entitled to the lower rate of the mobility component of CDP. This is because the guidance and supervision Katarina requires is because of fear and = anxiety which are symptoms of OCD.
Example: a child who is entitled to the lower rate of the mobility component because of fear and anxiety related to a mental disability and other mobility needs
Arthur is 14 and has a heart condition which causes severe shortness of breath. Instances of severe breathlessness occur frequently, often caused by minimal exercise like taking the short walk to school.
Arthur also has agoraphobia. He is not able to leave his home unless another person is with him to provide guidance and supervision. This is because he can become highly agitated when he has to move around outdoors. He is also afraid of collapsing due to shortness of breath. This has led to panic attacks in the past. Arthur requires constant reassurance or he will become extremely anxious when outdoors.
The case manager determines that Arthur is entitled to the lower rate of the mobility component of CDP. Arthur’s fear and anxiety are symptoms of his agoraphobia which is a mental disability. He also requires supervision to make sure he does not collapse when outdoors due to minimal exercise.
Example: a child who is not entitled to the mobility component because her fear and anxiety are related to her physical disability but are not symptoms of a mental disability
Natalie is 11 years old and has epilepsy. She is able to manage her condition with the help of her parents. She does not need guidance or supervision when moving around outdoors most of the time.
Natalie had a seizure while outside 2 months ago and injured herself when she fell. She is now very anxious about going outside and stays close to her parents when she has to leave their home. Natalie’s parents also keep a closer eye on her because of her fall. However, Natalie is still able to move around outdoors without guidance or supervision.
The case manager determines that Natalie is not entitled to the lower rate of the mobility component of CDP. This is because Natalie’s fear and anxiety are not symptoms of a mental disability, even though they are linked to her epilepsy.