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The manual wheelchair has been doing use for years and possesses been subject to many changes. The constant feature has been that this chair is self propelled by pushing on the hand edges that surround the wheels. The owner actually pushes the wheels around and around to get from one location to the other. In addition to that, the footrests with a manual wheelchair is easy to remove as well as the user can walk the chair forward with his feet. Anxiety in lay man’s term means uneasiness, discomfort and nervous reaction leading to fear. Excessive anxiety can result in anxiety. It might lead to stomach aches, short breaths, nausea, chest pains, irregular heartbeats, frequent urination, muscle tension,slaapproblemen (sleeping problem), excessive sweating and trembling. Depression alternatively is often a much more of a psychological problem. It’s your response to any kind of loss or misfortune. It is the mind-set where people experience deficiency of energy and interest to do any pursuit, have pessimism, remain gloomy and sad, discouraged and show low self confidence.