social security disability SSD Disability

A blog by a former social security disability claims examiner about social security disability and SSI Disability issues and questions, but also general, health, and medical news.

Thursday, April 30, 2009

Social Security Disability for Mental Disorders

There is a pervasive social stigma attached to mental disorders in America as well as the rest of the word. Many people do not consider mental disorders disabling at all. In fact, individuals with mental problems are often viewed as lazy or malingering. This, of course, is unsettling since, statistically, so many individuals suffer from mental illness worldwide. In the United States alone, millions suffer from severe mental disorders, syndromes, and diseases that make it all but impossible to function in a normal work environment.

From my experience as a former disability examiner, I found that most individuals who file for disability based upon mental conditions such as depression, bipolar disorder, anxiety, panic attacks, or schizophrenia have significant problems.

Generally, the individuals I came across had a lifetime of problems that culminated with an application for disability. Unfortunately, it is very difficult for individuals who apply for disability based upon a mental condition to win disability from Social Security at the initial claims level, and most will have to pursue the disability appeals process to win their benefits.

The criteria for evaluating most mental disorders tends to be more subjective than objective and there are very few tests (i.e. blood work, x-ray, imaging) to evaluate the severity of an individual’s mental condition. Disability examiners must base their decisions on the clinical notes of mental health professionals, third party questionnaires (all individuals who file for disability with Social Security are asked to list a third person who is familiar with their illness--this person will typically be contacted and asked about the claimant's condition and normal daily routine), and an ADL, or activities of daily living, questionnaire completed by the claimant (the information gathered from the third-party contact also regards activities of daily living).

Frankly, only mental conditions such as mental retardation, memory impairments, or other organic mental disorders can be tested objectively, (testing includes intelligence quotient (IQ) and memory impairment testing).

So do Social Security disability examiners make disability decisions based upon allegations of mental impairments fairly? That may not be possible to answer (for one thing, there are more than 50 DDS agencies and even the individual processing units within them may vary dramatically on how they decide claims), though from my own experience as an examiner I concluded that the answer was no--far too many times I saw cases denied for individuals with well-documented histories of mental impairment that, in my opinion, effectively ruled out the option to work.

Having said that, though, the Social Security disability handbook contains impairment listings for organic mental disorders, schizophrenic along with other paranoid and psychotic disorders, affective disorders (depression, bipolar), mental retardation, anxiety-related disorders, somatoform disorders, personality disorder, substance and addiction disorder, and autistic disorder along with other pervasive development disorders.

Social Security has established evaluation criteria for each of the above mentioned mental impairment listings and if an individual meets or equals the listing criteria they will be approved for disability.

Some individuals who do not meet or equal the criteria established for a mental impairment will still be able to qualify for disability, because their mental residual functional capacity has become so restricted that they are unable to function in a normal work environment. In other words, they will be granted a medical vocational allowance.

The number of initial disability approvals based upon mental impairments is small, and most individual have to pursue their disability allowance through the Social Security appeals process.











Return to:

  • Social Security Disability Secrets
  • Social Security Disability Benefits Questions


    Other Posts

    Filing for Disability - links
    Filing for disability, how to file
    Filing an SSI disability claim for a child
    Filing for disability can be difficult
    Does my condition qualify for disability?
    Requirements to qualify for disability
    How can I tell if I am disabled enough to qualify for disability?

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    Social Security Disability Prior Posts

    Eligibility for disability benefits
    How long does it take for a reconsideration for SSI?
    Requirements for Disability Benefits
    Representative for a Social Security Disability Hearing
    SS Reconsideration
    Social Security Disability - Mental Impairment Qualifications
    Representation for a Social Security Disability or SSI Case
    Social Security Disability Attorney Fee
    Social Security Disability Decision Process
    SSD (Social Security Disability) Reconsideration
    Qualifying for disability on the first application
    Winning your Social Security Disability
    North Carolina Disability Attorney
    Virginia Disability Attorney
    Disability Questions 7
    Disability Questions 8
    Disability Questions Page 9
    Disability Determination for Social Security Disability Benefits
    Social Security Disability Forms and letters
    Social Security Disability Application Interview
    SSD Benefits, Depression, and Mental Testing




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