Epilepsy is a brain disorder that causes recurring seizures. It can be the result of a condition such as cerebral palsy or strokes, but there is often no known cause. The symptoms of a seizure can range from simple staring spells to convulsions and loss of consciousness. The seizures can also vary in frequency, although in order to be diagnosed with epilepsy you must have had two unprovoked seizures.
Epilepsy is primarily treated with medications, which are successful in reducing the frequency and severity of seizures in more than half of epilepsy patients. However, even mild seizures can be dangerous if they happen at certain times, such as when you're driving or swimming, and could limit your ability to perform some work activities.
Adults with epilepsy may be eligible for Social Security disability benefits. The Social Security Administration (SSA) evaluates epilepsy according to the type, frequency, duration, and nature of the seizures. Because epilepsy isn't necessarily disabling if it's well-controlled, you will need to prove that your epilepsy interferes with your daily activities even though you've taken anticonvulsant medications as prescribed for at least three months. You'll also need to show that any alcohol or drug use isn't contributing to your medication's lack of effectiveness.
When you file for benefits, a claims examiner, and sometimes a medical consultant, will be assigned to review the evidence and determine if you're eligible for benefits. They will be looking for the following items in your records:
The SSA provides a list of the requirements to qualify for disability benefits based on epilepsy: listing 11.02, for convulsive and nonconvulsive epilepsy.) The criteria you need to meet to qualify under listing 11.02 depend on the type and frequency of your seizures.
You will now need to show that you suffer from:
If you have less frequent seizures, you may be able to qualify if you also have a "marked" (severe) limitation in one of the following areas:
In this case, you must suffer from:
The requirements are a bit different for children with epilepsy; see our article on disability for children with epilepsy for more information.
If you don't quite meet one of the listings above (for example, say you have complex partial seizures once a month,) you could still be eligible for benefits if the symptoms of your epilepsy interfere with your activities to such an extent that there are no jobs that you could safely and consistently perform. When making this determination, your claims examiner will not only analyze your medical condition and symptoms, but will also consider other factors, including:
However, keep in mind that in order to qualify for disability benefits, you need to be unable to perform any work on a full-time basis. Showing that you are unable to do your previous jobs is not sufficient to be awarded benefits.
In general, being older, with less education, and fewer transferable work skills will increase your changes of being awarded benefits. Having additional conditions that negatively affect your ability to work can also increase the likelihood of your application being improved, as will having a treating doctor who's supportive of your claim and willing to provide a comprehensive statement or fill out a questionnaire regarding your inability to work. For more information, see our section on the medical-vocational rules. Also, you may want to read our tips on how to get disability for epileptic seizures.