Your Illness Disability Or Mental Health Condition
PIP is not based on the condition you have or the medication you take. It is based on the level of help you need because of how your condition affects you.
Youre assessed on the level of help you need with specific activities. Its hard to say if the level of help you need will qualify you for PIP. But, if you get or need help with any of the following because of your condition, you should consider applying:
- preparing and cooking food
- managing toilet needs or incontinence
- dressing and undressing
- reading and understanding written information
- mixing with others
You Can Get Benefits Without Meeting A Blue Book Impairment Listing
If you do not qualify for disability based on a Blue Book listing for mental illness, you can still get benefits. This is possible through a residual functional capacity evaluation. This evaluation considers how your impairment including side effects of any treatment and other disabilities affects your abilities. It does look at your medical evidence, but it also uses the information from your application to get a better look at the full picture.
Your RFC is not only concerned with your diagnosed mental condition but also with your overall ability to get, keep, and work a job. If they determine you cannot work your previous job or any other job you might be suited for, you will likely get approved for benefits. You may also get benefits if you can work but require reasonable accommodations to do so.
They can evaluate your RFC in three ways:
- Have a doctor from the Office of Disability Determination Services review your medical records and application information
- Have your doctor complete a special form based on their knowledge of your impairments and abilities
- Have you attend one or more consultative examinations with a doctor it pays for
Any of these methods should allow them to determine the type of work you are capable of, how often you can work, and how long you can work.
our personal injury lawyers today
What Does All This Mean In Practical Terms
In order to win your disability claim based on mental illness you must be able to show a judge that:
- You havent worked in a long time, preferably at least a year, because your symptoms prevent you from doing the things a person needs to be able to do to work at even the simplest, easiest of jobs.
- You have been treating with a psychiatrist and following his or her orders for medication, therapy, and whatever else has been recommended.
- Your impairment meets one of the definitions in the Listings OR your ability to perform work-related functions like showing up for work, completing an eight-hour workday, getting along at least somewhat with others, and paying attention to what you are supposed to be doing, are so impaired that you cannot do them on a continuing basis.
Like almost all areas of disability law, the issue of disability for mental health impairments is complex, and every claim is unique.
Quarantining and social distancing have only increased the difficulty of living with mental illness. If this sounds like you or someone you know, then its worth a conversation with an experienced, knowledgeable North Carolina disability lawyer to assess your odds of success.
You May Like: Va Disability How To Get 100 Percent
Causes Of Depression Or Anxiety
Although it is not clear, family genes or other biological reasons may cause or influence the emergence of depression. It is not uncommon to see these conditions shared by members of the same family. Depression may also be brought on by changes in ones life such as divorce, death, or a job change, however, such periods of depression normally resolve themselves within a relatively short period of time. However, if such a severe mood lasts every day for two-weeks or longer, then depression may require treatment to be resolved.
If your depression has been persisting, it is important to seek treatment early, both for treatment and to document its existence and severity should you have difficulty recovering and have to file a disability claim.
Anxiety may come on for no apparent reason or may also be familial. If left untreated, anxiety can worsen to the point that it interferes with the ability to concentrate and complete tasks needed for normal work activities. Some individuals anxiety reaches the point that they may refuse to leave their homes for fear of triggering an episode of panic.
How To Claim Your Disability Tax Credit
The National Benefit Authority has assisted thousands of Canadians in successfully claiming their disability credits. Our in-house team of experts can help determine your Disability Tax Credit eligibility, and walk you through your Canadian Disability Tax Credit application .
Well be alongside you every step of the way towards recovering your mental illness disability, helping you or a loved one find the support they need.
You May Like: How Much Does Disability Pay In California
How Difficult Is It To Get Disability For Mental Or Emotional Conditions
Getting approved for disability by the Social Security Administration for anxiety disorders, an emotional disability or other type of mental disability is harder than getting approved for a physically disabling condition. Why? The primary reason is that symptoms of a mental illness cannot be objectively evaluated like x-rays, MRIs or CT scans can be evaluated. In addition, signs of mental illness like severe depression, panic and delusional thinking are difficult to objectively measure.
Streamline Your Application Process
The application process will depend on what kind of Short Term Disability coverage you have and your insurers requirements. If your benefits plan includes services from a third-party disability management service like DMI, ensure you are utilizing their expertise to help you along the way.
If you are applying for short term disability coverage, you want to focus on your treatment and recovery. To get your claims experience started right, our partners at DMI offer their advice to get things going in the right direction:
- Fill out application forms in their entirety. Your application for benefits will be based primarily on the accuracy and comprehensiveness of the information that you provide, so double checking or having a close friend or family member look over your application form for any missing information can save you valuable time and energy.
- Ensure your doctor, treatment team or specialist fills out the appropriate paperwork and provides the clinical records relating to your claims. This is the information your insurer will use to adjudicate your claim for benefits.
- You will need to provide a clear and legible copy of one of the following documents: birth certificate, drivers license, or a government-issued passport.
- Other information you may need to include is your SIN number, banking information for direct deposit, an up-to-date mailing address, as well as your employers address.
Don’t Miss: How Much Does Disability Pay In California
Mental Disorders Are The Second Leading Cause Of Disability Claims
In 2014, Social Security Disability benefits were awarded to 778,796 disabled workers. Of that number, 16 percent had a mental disorder diagnosis, according to the recent data from the Social Security Administration. Mental disorders were the second most common impairment, behind musculoskeletal diseases which accounted for 36 percent of Disability awards that year.
Although Disability claims pour into the Social Security Administration each year, Disability examiners are not licensed psychiatrists and do not always understand the full scope of limitations caused by certain mental illness. Thats why medical evidence and doctor support is imperative to substantiate mental disorder Disability claims.
If You Have A Mental Disorder Yet Your Disability Does Not Match A Social Security Listing You May Still Be Eligible For Social Security Disability Benefits If You Have Another Impairment For Example Back Problems
Applicants often have more than one illness or injury that prevents them from working full time. By itself one disorder may not meet the requirements of an impairment as stated in Social Securitys Blue Book. However, if an applicant has multiple medical conditions, Social Security must consider how those health issues, combined together, limit an applicants ability to hold a job and perform necessary daily tasks. Social Security will also evaluate how your limitations affect your ability to work , taking into account whether or not you are able to drive, your age, and level of education.
Also Check: Is Adhd Considered An Intellectual Disability
Does Bipolar Disorder Qualify You For Disability
Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
If you struggle to maintain employment due to your bipolar disorder, it’s important to understand your rights. Bipolar disorder is a qualified condition for disability, but that doesn’t mean everyone with bipolar disorder is automatically granted supplemental security income or disability payments. Explore who’s eligible and how to make the most of what’s offered to you.
How To Show Your Depression Is A Disability
While some of these conditions seem to be clear cut on paper, other components are hard to prove outside of medical documentation. This is why its important to get mental health professionals involved in your treatment so that it can be clearly documented by authoritative figures who can help you secure an SSDI Award Letter.
If you do not meet any of the conditions in the Blue Book, your claim will still be evaluated as a possible medical-vocational allowance, which will take into account your medical records. These medical records will come from certified or licensed mental health professionals like psychiatrists, psychologists, clinics, or even hospitals. The recommendations of social workers and nurse practitioners do not carry much weight in this analysis in comparison to psychiatrists and psychologists, so if those professionals are not available to you, mention that in your application.
Its a good idea to confirm with your mental health professionals that their reports reflect how symptoms of depression or anxiety impacted your daily life and the effectiveness of their treatment plan. Choosing not to take medication may count against you, but being unable to get it because of its price or side effects are acceptable reasons.
Also Check: How To Calculate Disability Retirement Pay
Disability For Mental Health: How To Qualify
Its a question that has perhaps never been more relevant. In this blog post, well outline some things you need to know when filing for disability for mental health.
The response of North Carolina to the coronavirus pandemic has included things like self-quarantining and social distancing, measures designed to keep people from being in close proximity to one another. People who are already struggling with mental health disorders and addiction issues are especially hard hit when they lose their means of social support like counseling and therapy sessions, recovery meetings, and simple time with friends and family.
When mental health disorders become so severe that they prevent the person from working, they may consider filing an application for Social Security disability benefits for mental health disorders.
Schizophrenia And Other Psychotic Disorders
These disorders are listed under § 12.03 of the SSAs Mental Disorders listings. Schizophrenia and other similar disorders like schizoaffective disorder, delusional disorder, and psychotic disorder could be a mental disorder of their own or be caused by other medical conditions. These disorders often involve symptoms such as catatonia, social withdrawal, the inability to achieve goals, and disorganized thoughts, speech, or behavior. If these disorders are severe enough to affect your work, you may qualify for disability.
Recommended Reading: What Information Do Medical And Disability Awareness Groups Present
How Do You Prove Your Disability Case If You Have A Mental Condition Or Impairment
Home » Frequently Asked Questions » How Do You Prove Your Disability Case If You Have a Mental Condition or Impairment?
To prove your disability case if you have a mental condition or impairment, you must have medical evidence. To establish that you suffer from a qualifying impairment, you will need to provide information, so the disability examiner can get your records from all caregivers who are familiar with your diagnosis and treatment. This could include:
- Your primary care physician
- Your psychiatrist or psychologist or therapist
- Your local hospital
- Other mental health facilities
- Other caregivers
The team from Berger and Green can ensure you provide all the necessary information so the examiner from the Office of Disability Determination Services can gain access to the medical evidence necessary to prove your impairment. Call us today at for your free case review and consultation.
If You Meet The Definition Of A Person With A Disability
Your local Ontario Disability Support Program office will confirm that you still qualify financially. If you still qualify, you will receive Income Support.
If the Disability Adjudication Unit thinks that your disability might get better over time, you will also be given a date for a Medical Review.
Don’t Miss: Can You Get Disability For Sciatica Pain
Disability For Depression And Anxiety
It is normal for people to go through periods of anxiety or depression, especially in response to major life events such as a death, divorce, or loss of a job. Sometimes even positive life events can trigger these feelings, such as a child moving out of the house to attend college.
However, depression and anxiety that lingers on beyond two weeks is cause for clinical concern. You should seek the help of medical professionals such as a psychotherapist, psychologist, or psychiatrist if you experience prolonged periods of a low mood, aversion or disinterest in activities or work, disruptions to your sleep, or thoughts of suicide or self-harm. Alternatively, if nervous or compulsive behaviors disrupt your ability to function at work or in social settings, you will also want to seek treatment.
Depression is an affective disorder like bipolar disorder or any other debilitating mental condition that can present a severe functional limitation and even pose a severe risk to your life. In addition to the fact that you will need medical documentation to build your case around applying for SSDI benefits, this treatmentsuch as therapy, medication, clinical assistance, or hospitalizationmay help move your life back on the right track. In the meantime, you can file for SSDI benefits to cover your living expenses.
What Is Long Term Disability In Canada
Long term disability insurance in Canada covers health conditions that leave you unable to work for an extended period of time however, the specific definition of disability will vary depending on your insurance company and the plans offered, according to theGovernment of Canada.
According to the Government of Canada, long term disability generally kicks in after benefits under short-term disability or the Employment Insurance program ends.
According to the Mood Disorders Association of Ontario, Long-term disability insurance is designed to provide replacement income should you become disabled from work. Often, LTD coverage is bundled together with short-term disability coverage under a group insurance plan provided through your employer. If you have a private life or accident and sickness policy, you may have LTD coverage as well.
The advocacy organization goes on to point out that LTD coverage generally provides benefits for any type of injury that leaves the policyholder unable to work. Most policies use the term total disability to describe conditions that leave policyholders unable to work however, the Mood Disorders Association points out that total disability does not require a person to be completely debilitated in order to access their benefits.
Instead, policyholders must establish that they are unable to reasonably complete or participate in their job functions in order to effect a cure of the condition or prolong life.
Also Check: Va Proof Of Disability Letter
Basic Eligibility For Benefits
The SSA must see that you meet basic eligibility requirements before further reviewing your application for benefits. This basic eligibility includes having:
- A formal diagnosis of a potentially disabling condition
- A diagnosed condition that will disable you for 12 months of longer
After the SSA confirms that you meet basic eligibility, they will then move on to review your medical condition in detail and verify that you meet all program requirements for SSDI and/or SSI.
What Should I Do If My Appeal Is Denied
If the claims administrator decides to uphold their decision to deny your claim, their uphold letter will contain information similar to that of the initial denial letter. Importantly, the uphold letter will explain whether you have any other administrative remedies available to you, such as a second-level appeal.
If you have the option to pursue a second-level appeal, you may wish to take advantage of it because it provides you another opportunity to submit additional evidence in support of your claim. For example, you may submit updated treatment records or ask your treating provider to write a letter rebutting the conclusions of the claims administrators hired doctor.
If you do not have the option to submit a second-level appeal, your next step is to file a lawsuit in federal court. If you have not already done so, it is imperative you speak with an attorney at this point.
Be Prepared to Seek Legal Help
If you are struggling to navigate the STDI/LTDI application or appeal process, contact a STDI/LTDI attorney at Hawks Quindel. Contingent representation may be available if you cannot otherwise afford an attorney.
Remember, if you or a loved one are struggling with a debilitating mental health condition or substance use disorder, there are resources available to you. Though it can be difficult to reach out, it is important to take that first step so you can connect with the support you deserve.
Recommended Reading: Partially Blind Disability
How Someone With A Mental Health Condition Can Qualify For Social Security Disability Benefits
If you have a mental health condition that limits your ability to perform routine daily tasks and keeps you from performing work to earn a living, you may qualify for disability benefits administered by the Social Security Administration . The SSA has two disability programs, Supplemental Security Income and Social Security Disability Insurance . Both programs have strict medical requirements for a claim to be approved.
SSDI vs. SSI
SSDI is a disability program based off your work history. You must have earned enough credits and paid in enough taxes to qualify for benefits. For most people, you must have worked the equivalent of 5 years full-time out of the last 10 years. SSI does not depend on work history, and just so long as you meet the financial criteria, which involve resources and income, you can be approved. You will need to provide supporting documentation for both.
Medically Qualifying for Disability Benefits
The SSA uses a medical guide, which is called the Blue Book, to determine if a claimant qualifies for disability benefits. There is a section in the Blue Book for mental disorders, and it has listings for a variety of conditions, including anxiety-related conditions, psychotic disorders, learning disabilities, depression, and many other mental health issues. Each listing has specific criteria that must be met for the claimant to medically qualify per that specific listing.
Using A Medical Vocational Allowance
Applying For Disability Benefits