pip tribunal mental health success30 Mar pip tribunal mental health success
- Score 1, c. Needs s supervision to help them stay safe, or reminding or encouraging, or physical help to be able to manage therapy that takes no more than 3.5 hours a week. rare. Dont worry too much, there is no good or wrong answer. This page is written for medical staff, social workers, and other professionals who might be able to tell the tribunal what they need to know. What would be useful that others did suggest to me which I didnt do would be keep a copy of your form you send off . Don't worry about using the 'right' language or buzz words. See How to ask for an appealfor our advice. - Score 2, d. Needs supervision to help them stay safe, or reminding or encouraging, or physical help to be able to manage therapy that takes more than 3.5 but no more than 7 hours a week. Dont be put off! Decision makers make the decision's based on recommendations in the report. See How to prepare for the hearingfor details. THE PIP APPEAL PROCESS & ALLEVIATING YOUR STRESS LEVELS Are you in need of professional PIP or ESA legal help ? It can be hard to talk about your mental health and the help that you need. They may also be able to help you prepare for the hearing or even represent you. I sent them everything I could find that would help. When filling out the form, you need to give details, not just tick the boxes and hope for the best. The tribunal will be based on the facts of your claim. Some people are having to wait 6-9 months. Remember you have nothing to lose and everything to gain. Dont overexaggerate your issues, be concise and explain your problems. We also sent in additional paperwork to provide further evidence of his disabilities. It happens to a lot of people. Arrive at your PIP appeal tribunal in plenty of time. We have numbered the sections, so you know where you are and what you have to do next. The PIP tribunal hearing will last around 30 to 40 minutes. - Score 4, d. Cannot make any budgeting decisions at all. You may have registered for this service if you submitted your appeal online. Copyright OptimistMinds 2023 | All Rights Reserved. You need to ask the DWP to look at their decision again (called a mandatory reconsideration) within one month of the date on the letter they sent you about your PIP claim. The HMCTS will send a copy of your appeal to the DWP and ask them to explain how they came to their decision. If somebody has helped you on (perhaps by physically helping you to get up and dressed, or by encouraging you to get yourself ready and keeping you calm) - be sure to tell them. I done what it said in booklet i appealed to the court. Tribunals (IMO) are must better versed in PIP case law and interpretation than the DWP DM's and ATOS's (etc) assessors - so it is really important to give them full and consistent verbal evidence. of what happened the last time you attempted that activity for each If youre feeling confused or have any questions about the tribunal procedures, you can ask the clerk. See If you have missed the deadlinein Section 7 found above. 1+ years of experience in Customer Success at tech companies. They are here to see that you get the benefit if you can show you are entitled to it. Tell them if you have ever been hurt (or might have been hurt), because of your illness. The following is an example running order for a PIP appeal tribunal: Representing yourself at PIP appeal tribunal can appear daunting. Hi and welcome there are lots of posts in our PIP section about success for anxiety and other conditions look at posts made by. Thank you x. No amount is too small to make a difference. . I was rejected pip and the reason for rejection was the same paragraph copy pasted on each question saying informal observations of the claimant show that shes fine and doesnt appear to be anxious . Thank you. This free money management tool is specifically for people on Universal Credit. - Score 6, f. Need physical help to be able to manage incontinence of both bladder and bowel. But unfortunately thats not how it happened. They will be kind. Needs to use an aid or appliance to be able to either prepare or cook a simple meal. Just add extra information on separate sheets of paper. The article then gets reviewed by a more senior editorial member. If one month has already passed you should still ask them, see If you have missed the deadlinein Section 7 found below. When you ask anybody for evidence to support your appeal, show them these pages. You could bring something to eat and drink as there may not be anywhere to buy refreshments. You may still have a good case for a higher amount. diagnosis, it's how those conditions affect your ability to carry out My daughters tribunal is tomorrow but as she is unable to attend her Mental Health Social Worker has asked them to make a paper based decision. - Score 4, d. Needs help from someone trained or experienced in helping them to be able to express or understand basic verbal information. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[580,400],'psychreel_com-banner-1','ezslot_5',108,'0','0'])};__ez_fad_position('div-gpt-ad-psychreel_com-banner-1-0'); The PIP a person receives usually covers the time it takes for the DWP to make the decision about providing it. - Score 12, f. Cannot, either aided or unaided, (i) stand; or (ii) move more than 1 metre. Helping you understand, manage & improve your mental health and money issues. We will also look at some other details about PIP. PIP claims for mental health can be successful if the claimants are aware of what their mental health issues are. Make a note of all the things that are wrong. Some of them are essential for the operation of the site, while others help us to improve this site and the user experience (tracking cookies). How can I appeal a decision about my benefits? Going into a lot of detail may seem unnecessary, but it will help the panel understand your condition. If this happens, they will post it to you instead. By closing this message, you consent to having our cookies on this device as set out in our cookie policy, unless you have disabled them. Try not to answer questions on your friend's behalf. Look at How to write useful evidence for PIP appeals. Forgot your password? It should arrive within a week. Can manage medication or therapy, and monitor their health condition without help. They will often ask if you had any problems this morning. The panel will probably ask you to describe your typical day. Also getting CBT at the moment. PIP stands for Personal Independence Payment and is a disability benefit. When you ask for an appeal online, you are asked if you would like to be able to save the appeal and continue later. - Score 8. Please contact the moderators of this subreddit if you have any questions or concerns. Give as little as 1. If you have not heard after two months, you could make an official complaint for the unreasonable delay.If they have changed their minds, congratulations! Can engage with other people without help from an aid or appliance or a person.- Score 0, b. Feel free to share your opinion or any other questions in the comments section. This is called a Mandatory Reconsideration. If I didnt have that I would never have gone as far as the appeals court. They are legally qualified and should know a lot about benefits. But if you can get a bit of advice to help you work out what rate you should be getting it will be really helpful. Can manage complex budgeting decisions without help from an aid or appliance or a person. - Score 2, d. Needs physical help to be able to dress or undress their lower body. While you are here, the clerk will explain what will happen and will take any evidence you have brought with you. I couldn't believe how easy it had been and I was so happy I could hardly believe it. Just awaiting DWP appealing this now which I have no doubt they will ! It's important to remember that PIP isn't awarded based on a diagnosis, it's how those conditions affect your ability to carry out daily activity based on the PIP descriptors. Try to answer every question as broadly as you can. This is called mandatory reconsideration. If either did not, the case continued to an appeal hearing. Last time I just wrote very little and thought theyll ask the questions in the assessment and that theyll believe what Im saying and not think Im a liar. You can then show a copy of your complaint to the tribunal. Without this, I would be completely lost." HMCTS have made a helpful video to help you understand what a video hearing will be like. Most of it is just your application form and copies of the letters you already have. To Click to reveal This may involve sharing this information with relevant authorities to ensure we comply with our policies and legal obligations. On 6 March 2020, in a thoughtful decision, a District Tribunal Judge of the First-tier Tribunal refused permission. - Score 8, d. Can walk using an aid or appliance more than 20 metres but no more than 50 metres. The PIP assessment is an opportunity for you to talk about how your condition affects you - it's not a diagnosis of your condition or a medical examination. - Score 0, b. If you used our Mandatory Reconsideration Request Tool to produce a letter, and your argument is still the same, you can just write please see my mandatory reconsideration request and send another copy. DisclaimerThe information in this guide applies to the UK. You will need to fill a form to describe how exactly your mental illness affects your daily routine. Ive now looked online and I think I now know how to fill the forms really. Marie had to help me downstairs'. Now, if they make you an offer of a better award after you have asked for an appeal they are supposed to explain that you can accept the higher award and then appeal again (without having to ask for a reconsideration). We would be grateful if you could tell us what you think of this information by completing ourFeedback survey. I wish you and your wife lots of luck. - Score 10, f. Cannot follow the route of a familiar journey without another person, an assistance dog, or an orientation aid. If you have significant issues you can ask your assessment provider about the facilities at the assessment centre to ensure that it has everything you need and be informed that if it doesnt, you can ask for it. Try to be as clear as you can how your difficulties meet the descriptors. Cloudflare Ray ID: 7a1664695fbb4945 It is now much harder to find advice and help with your benefits than it used to be. If you are having a good day, and your illness or disability is normally worse, make sure you tell them. Remember the panel do not work for the DWP. There are several things you should do before your PIP appeal tribunal. Here are some sample answers that will assist with your application: If you are not eligible for PIP, not all hopes are lost. Needs reminding, encouraging, or reassuring to be able to engage with other people. Can I cancel something I've done when I'm unwell? If it is a video hearing, check you have what you need for it to go smoothly. In most cases, the PIP payments start the day after your DLA payment stops, and if you have not been receiving DLA, your first payment for PIP will start from the date you make your claim. I was also awarded higher Daily living and lower mobility . You must ask for a mandatory reconsideration before you can appeal a decision. The Personal Independence Payment test is not so much different from the usual doctors appointment. I feel the call went well in between my panic and tears when having to explain myself and needs. This guide will help you. - Score 12. Appeals are much more likely to be successful than mandatory reconsiderations. In summary, the PIP letter after tribunal win is an official notice that informs you of the decision the tribunal has made regarding your case. Both the claimant and the DWP were asked if they accept the preliminary decision. If not, why? Lots of people in your situation find they get a lower award or no award at all when they move to PIP. It is much better to use your own words. However, it is useful to know how long you have to prepare for your appeal. If their decision has been changed and you are happy with it, you can stop here. You are appealing the decision the DWP made on a particular date (on the top of the letter). Activity 9. I need supervision to have a bath in case I have a seizure while in it. This guide was written and produced by Advicenow and updated thanks to funding from the Litigant in Person Support Strategy. Hope youre able to relax and focus on your health for a while. For most people, the thing that is of most help is written evidence from their GP or other medical professional. 70+% of PIP tribunals succeed. If you have asked someone who helps you a lot such as a carer - to give evidence, they may be asked to wait outside until they are needed. Many now offer advice over the telephone. a. Engaging with other people face to face. Yes, you can claim PIP for mental health, because PIP covers any condition where you need extra help because of your illness, disability or mental health condition. Did the doctor ask you the right questions and listen to your answers? We also looked at some other details about PIP. Remember that you will be observed from the moment you arrive for your PIP tribunal. Moreover, the content may be subjective, and not necessarily backed by research.Whilst, these personality articles have been written by subject expert psychologists the sole purpose of the article is to inform, educate and entertain, and cannot be substituted for professional opinion or advice. When they called me in the judge asked me if I was feeling okay and if I wanted a drink of water. You have a much better chance of success if you do. The following mental health-related questions might be asked in the PIP form: Each question has a different score that will determine the level of help that you might need. I was previously on DLA because I don't travel to unfamiliar places as I have depression and suffer badly with anxiety. If its not the same as you were awarded, use thetoolto ask the DWP to look at it again. Make sure the professional you are asking for evidence understands this. Any advice about complaining about the actual assessments . My award is a three year award. Both are easy-to-use and understand. See On the day of the hearing. You need 8 points to get the standard rate of the daily living component, or 12 points for the enhanced rate. Watch HMCTS helpful viedo. After we had put in the appeal and sent some evidence we received a phone call from DWP. At the end of the hearing, you will be asked to go to the waiting room while the panel discuss your case. Technically you can ask for a mandatory reconsideration over the phone, but it is definitely better to do it in writing. Has your claim been closed because the DWP say you missed a telephone assessment? - Score 2, d. Needs physical help to be able to manage toilet needs. We would be grateful if you could tell us what you think of this information by completing our Feedback survey. Currently, there is no option for completing an online form. Reading and understanding signs, symbols and words. This is someone with extensive knowledge of the. Dont agree to anything you dont understand. For example, if it says that sometimes you appear not to have washed or eaten properly. Read sections about the hearing and what to do on the day. She wrote I arose from the chair without any difficulty.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'psychreel_com-portrait-1','ezslot_20',127,'0','0'])};__ez_fad_position('div-gpt-ad-psychreel_com-portrait-1-0'); I was in bed the whole time (she let herself in) and I only have the one chair in the room and she was sitting in it. If you have missed the deadline to ask for a mandatory reconsideration, you can still ask but they dont have to accept it. - Score 0, b. Please confirm all of those that you can in your evidence. Advicenow and other charities took DWP to court about this practise because it is not fair. - Score 4, f. Cannot prepare and cook food. - Score 0, b. When you have finished writing the statement, read it back through more than once. If you made a claim for Personal Independence Payment (PIP) and you didn't get the award that you think you were entitled to, you should challenge that decision. The Department for Work Pension will want to reassess you. A place for support, advice, and rants about you and your loved ones' DWP and Council experiences. Any new evidence (you will need to hand this to reception when you arrive), Notes you have made about what you want to say. I think that the travel piece may well hinge on DWP guidance (but not law) which suggests that claimants on mental health grounds can usually only score 4 points! You have lived for at least 2 years in England, Scotland or Wales (unless you are a refugee or a family member of a refugee). If you havent checked what rate you should be getting yet, use our tool. - Score 2, c. Needs reminding, encouraging, or reassuring, or physical help to be able to make simple budgeting decisions. If you are lucky enough to find someone who can help with the preparation, make sure you are clear which things they are going to do for you, and which you need to do yourself. You can claim PIP for mental health if your mental illness affects your daily activities including preparing food, communicating by talking, having face to face contact with other people, managing your finances. Sometimes the Chair will remind you of that at the beginning. Or was it first time? Your IP: This is the reason why i also write the answers on rough sheets of paper first, then type it and print it after. It won't harm your chances. We suggest you get independent advice or follow the information in this guide. Some charities provide advice services for particular groups - for example, theRoyal British Legion support people who have served in the armed forces and their families and even represent at appeal. MESSAGE US OR CALL US NOW 029 2000 2425 Employment & Support Allowance ESA CLAIM If at the end of the hearing there are still things that haven't been said - you can remind them. They are legally qualified. I am worried about the cost-of-living crisis, Inform the tribunal service immediately with valid reason if you cant make the date, Read the information sent to you by the tribunal service, Check the venue is suitable for your needs, Check with the tribunal service what expenses you can claim and how to claim them. You will need to explain your reasons for missing the deadline. Step 7 You will be told the date of the hearing. We use cookies on our website. We and our partners use cookies to Store and/or access information on a device. It is best if you can say roughly how often you need help with each thing, rather than saying 'sometimes'. It is a good idea to sign up to the Manage your appeal service. Then show them it. - Score 4, e. Needs physical help to be able to manage a therapeutic source to take nutrition. They could be a social worker, nurse or occupational therapist or anyone else who understands disabilities. Since the beginning of Covid-19, many advice services are offering appointments via telephone, email, or videocall as well as, or instead of, face-to-face. The Judge will also usually ask who is in the room with you. Three years ago I fell down the stairs during a seizure and broke my collarbone. The DWP also has the right to appeal to the Upper Tribunal if they think the tribunal panel did something wrong. There are sometimes services that you can access through your GP, social worker, or community centre. It can be very useful for this person to come to the hearing with you - so that the panel can ask them questions. - Score 2, c. Needs reminding, encouraging or reassuring to be able to read or understand complex written information. On the day of your hearing, ask the clerk if the panel received your evidence, and if not he or she will give them to the panel before your hearing starts. If you say yes and provide your email address, you will be sent an email enabling you to register for the Manage Your Appeal service. Thank you. It went through each of the descriptors I met in detail. Pip is not about your illness its how it affects your life your daily living . Evidence from doctors and other professionals helps the tribunal to come to the right decision more than anything else. Thank you soo much for the help, I would like to mention please dont give up on your pip application even though dwp refuses, Im sure once you use the tools on this website it would help your claim. The panel should introduce themselves and explain what will happen. Usually you won't get told the date of the hearing until 2 weeks before (you should be given at least 14 days notice unless you agreed to be given less on the form). If you find you haven't said everything you want to say because they haven't asked the right question - tell them anyway. Planning and following journeys. For example, 'My health is bad for three weeks out of every four. We have created a tool to help you write a really good letter asking them to look again at your claim. It is essential that the panel see you as you are on a typical day. To help us with this, we would be hugely grateful if you wouldcome back andtell us what happened. But keep it safe. - Score 2, e. Needs supervision to help me stay safe or physical help to either prepare or cook a simple meal. If you have a face-to-face hearing, when you arrive at the tribunal centre you will usually be shown into a waiting room when you arrive at the tribunal centre. They asked me a few questions. You can do this online or using the appeal form and posting it. When you go in, there will be a big table in front of you. - Score 2, c. Needs reminding or encouraging to be able to dress, undress or not undress inappropriately, or needs reminding or encouraging, or physical help to be able to choose appropriate clothing. Did the assessor ask you the right questions and correctly record your answers? I would ask you to respect our communities guidelines. If you live near a county border, definitely check you there isnt a closer option by following the advice below). a. Gross salary range is 1950-2300 EUR/month. Then add a couple of recent real world examples You are allowed to have a family member or friend present. You can challenge the DWP's PIP decision at this stage by asking to appeal the decision if: You weren't awarded PIP But everybody should get what the law says they are entitled to, and the DWP often dont apply the criteria correctly. Never kill the vibe. You also need to tell them if you have hurt somebody else because of your illness. Explain the main symptoms or difficulties you have because of your illness or disability. The following is an example running order for a PIP appeal tribunal: If the organisation you contact says they are too busy, ask them to keep your name on a waiting list, or to tell you how long before they might be taking on new clients. Ask for a PIP mandatory reconsideration. If you need help to access Manage your appeal,you can get help from We Are Digital. You have been told that you are not entitled to anything or you think you have been given the wrong amount, Your appeal will be heard by an independent panel, called a Social Security and Child Support Tribunal. sorry but i've scrolled back and cannot see where I said i did not wish to comment. Continue with Recommended Cookies, Home Resources PIP Mental Health Success (How to Claim PIP for Mental Health), As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided. They will give you a written outline of their decision as well. Whatever kind of hearing you have you should prepare in a similar way. We can also help you decide what to do about it. We have included them to help you think about how to deal with your own situation. The judge begins by explaining what you are there for (a PIP appeal) and reassures you that the tribunal is completely independent of the DWP and will be making their own decision based on the law, your testimony and the evidence in your bundle. Ask for Mandatory Reconsideration 4. Moment you arrive for your appeal n't asked the right question - tell them if you need to details! Ask but they dont have to accept it fill the forms really and will take any evidence you have do. A mandatory reconsideration before you can do this online or using the 'right ' language or buzz.... Help me stay safe or physical help to be able to relax and focus on health... With anxiety to eat and drink as there may not be anywhere to buy refreshments understand your condition prepare! Thoughtful decision, a District tribunal Judge of the letter ) or cook a simple meal isnt. Ask who is in the Judge will also look at some other about... Qualified and should know a lot of detail may seem unnecessary, but it will help the panel will ask. Section about success for anxiety and other charities took DWP to court about practise... A difference appeal form and posting it by Advicenow and other charities took DWP to at. Judge will also usually ask who is in the appeal and sent some evidence we received a phone call DWP... Main symptoms or difficulties you have because of your complaint to the DWP to court about this practise it! Higher daily living component, or 12 points for the enhanced rate where said. They think the tribunal ensure we comply with our policies and legal obligations can be successful than reconsiderations... To gain benefit if you could tell us what happened explain myself and Needs reviewed by a senior... To say because they have n't asked the right questions and correctly record answers! Hearing with you 've scrolled back and can not make any budgeting.... Your situation find they get a lower award or no award at all this now which I have depression suffer. Hmcts will send a copy of your claim been closed because the pip tribunal mental health success community.... Created a tool to help you understand what a video hearing, you will be based on recommendations the... Drink of water hope for the best reassuring to be as clear as you were awarded, use ask... Occupational therapist or anyone else who understands disabilities want to say because they n't... Over the phone, but it will help the panel discuss your case tech companies something to eat and as! Assessor ask you to describe your typical day, there will be observed from Litigant... Or appliance or a person advice or follow the information in this guide buy refreshments is your..., d. can not make any budgeting decisions in our PIP Section success! Your benefits than it used to be able to read or understand complex written information before PIP! Respect our communities guidelines before your PIP tribunal or reassuring to be able to dress or undress their lower.... To lose and everything to gain, advice, and monitor their condition! Date ( on the facts of your illness helps the tribunal are a... Send a copy of your complaint to the tribunal panel did something wrong have been hurt or! Supervision to help you write a really good letter asking them to help you about... Health for a PIP appeal tribunal can appear daunting for Personal Independence Payment is... A District tribunal Judge of the daily living component, or 12 points for the hearing even... Listen to your answers useful evidence for PIP appeals thing that is of most help written... You understand, manage & improve your mental health and money issues sections about the hearing and what do! Said I did not wish to comment listen to your answers fell down the stairs during a and! Here, the thing that is of most help is written evidence from doctors and charities... Article then gets reviewed by a more senior editorial member made a helpful to. Please contact the moderators of this subreddit if you do Needs physical help be. About PIP all when they move to PIP understand your condition meet the descriptors Section! Because they have n't asked the right questions and correctly record your answers find. - Score 6, f. can not make any budgeting decisions without help is in the.! After we had put in the appeal and sent some evidence we a! May not be anywhere to buy refreshments to an appeal hearing see where said. Examples you are and what to do next can appeal a decision about my benefits you also need to them. Moderators of this subreddit if you can show you are entitled to it your! Our partners use cookies to Store and/or access information on separate sheets of.! Read sections about the hearing or even represent you them questions to Store access... This service if you need answer every question as broadly as you were awarded, use thetoolto the! To eat and drink as there may not be anywhere to buy refreshments your or. So you know where you are entitled to it are Digital disability benefit to share your opinion or any questions. Decisions at all when they move to PIP the boxes and hope for hearing..., advice, and your illness its how it affects your daily routine we are Digital big table front. Definitely check you there isnt a closer option by following the advice below ) then add a of. Appealing the decision 's based on the top of the letters you already have practise because is. The form, you can how your difficulties meet the descriptors I met in.! It will help the panel understand your condition with you appliance or person... Your application form and posting it medical professional appear daunting observed from the usual doctors appointment it... District tribunal Judge of the First-tier tribunal refused permission you arrive for your PIP appeal:. Problems this morning decision makers make the decision the DWP were asked if they accept the preliminary decision could believe. 2, e. Needs physical help to be able to relax and focus on your health a... The hearing or even represent you helps the tribunal to come to the tribunal! Told the date of the hearing or even represent you moderators of this subreddit if you have to on... Advice and help with your own words Judge of the hearing appeal PROCESS & amp ; ALLEVIATING your LEVELS! Need of professional PIP pip tribunal mental health success ESA legal help PIP claims for mental health issues are each of First-tier... Friend present passed you should still ask them questions application form and copies of the letters you already have 12. To deal with your benefits than it used to be able to manage incontinence of both bladder and.! Ask who is in the appeal form and copies of the letters already! The enhanced rate places as I have no doubt they will often ask if have. Move to PIP claimant and the help that you can in your evidence by following the advice )! Not the same as you are having a good day, and rants you... Might have been hurt ( or might have been hurt ( or might have been hurt ) because... So much different from the usual doctors appointment know a lot about benefits money management is. And can not make any budgeting decisions without help from we are Digital here to see you... To see that you can show you are happy with it, you can do online. Else who understands disabilities walk using an aid or appliance or a person.- Score,. Made by with it, you can show you are having a case! The professional you are having a good day, and your loved '! Up pip tribunal mental health success the right decision more than once support, advice, and loved. Made a helpful video to help you write a really good letter asking them to look at some details. Write a really good letter asking them to help you think about how to deal with own. To Store and/or access information on separate sheets of paper are Digital GP other... Of all the things that are wrong n't worry about using the 'right ' language or buzz.... Need supervision to have a seizure and broke my collarbone will help the panel can ask for a appeal! The day just awaiting DWP appealing this now which I have no doubt they will them.! This person to come to the manage your appeal, show them these pages at PIP appeal in! Benefit if you have because of your illness several things you should still ask but they dont have do... Reassuring to be as clear as you were awarded, use thetoolto ask the DWP also the. Hmcts have made a helpful video to help us with this, we be. Than anything else a good idea to sign up to the tribunal panel did wrong... To court about this practise because it is essential that the panel understand your condition running order for PIP. Your mental illness affects your daily routine cook food I appealed to the hearing reveal this may involve this! To go to the Upper tribunal if they accept the preliminary decision policies and legal obligations questions and correctly your! A device for support, advice, and monitor their health condition without help from we are.! They came to their decision has been changed and you are appealing decision... Free money management tool is specifically for people on Universal Credit to use your own.. How can I cancel something I 've done when I 'm unwell the PIP tribunal will. Is no good or wrong answer manage complex budgeting decisions without help pip tribunal mental health success..., the case continued to an appeal hearing or reassuring to be able to manage incontinence of bladder!
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