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People with an anxiety disorder often have co-occurring mental health problems, such as depression, and this can increase serious risks like suicide. Often severe anxiety disorder symptoms and panic attacks are a warning sign and increase the risk of suicide. The manual wheelchair has been around use for many years and has gone through many changes. The constant feature has been that this chair is self propelled by pushing for the hand edges that surround the wheels. The owner actually pushes the wheels around and around to get in one location to another. In addition to that, the footrests with a manual wheelchair is easy to remove and the user can walk the chair forward together with his feet.