Monday, May 23, 2022

Is Chronic Migraine Classed As A Disability

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Can My Employment Be Terminated If I Am Protected Under The Ada

What Is Chronic Daily Headache | The Disability Real Life | The Treatment Options

There are three circumstances under which an employer covered by the ADA can terminate your employment. These situations are:

  • If the termination is unrelated to your disability, such as a reduction in force
  • If you cannot complete the essential functions of your job, with or without an accommodation
  • If employers are able to demonstrate that you pose a direct threat to health and safety in the workplace, which is very unlikely

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  • WE SERVE THE UNDERSERVED!
  • 15,000+ disabled veterans served in our membership programs since 2016
  • 500,000+ veterans per month utilize our free educational resources
  • We employ > 125 veterans and military spouses in the U.S. 50% of total employees
  • Average VA disability rating increase of > 30%
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While Applying For This Benefit Is Challenging For Those With Migraine The Process Is Getting Better

Getting Social Security Disability Insurance can be difficult for anyone who applies. But for people with migraine, it can be even more challenging. Dr. Robert Shapiro, migraine advocate and professor of neurological sciences at the University of Vermont, says the current process is stacked against those with migraine. Weve been working very hard to try to change all that with some measured success, he says. Its not completely remedied by any means, but its much better today than it was a year ago.

Despite the challenging process, Dr. Shapiro encourages patients to talk about migraine and advocate for themselves so they can receive the support they need. We asked him to walk us through the application process, potential roadblocks and tips to boost your chances of success.

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Patterns Of Depression And Mania

If you have bipolar disorder, you may have episodes of depression more regularly than episodes of mania, or vice versa.

Between episodes of depression and mania, you may sometimes have periods where you have a ânormalâ mood.

The patterns are not always the same and some people may experience:

  • rapid cycling where a person with bipolar disorder repeatedly swings from a high to a low phase quickly without having a ânormalâ period in between
  • mixed state where a person with bipolar disorder experiences symptoms of depression and mania together for example, overactivity with a depressed mood

If your mood swings last a long time but are not severe enough to be classed as bipolar disorder, you may be diagnosed with a mild form of bipolar disorder called cyclothymia.

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F How Do We Document And Evaluate Hiv Infection

» A Husband Response to the Wifes letter who has ...

Any individual with HIV infection, including one with a diagnosis of acquired immune deficiency syndrome , may be found disabled under 14.11 if his or her impairment meets the criteria in that listing or is medically equivalent to the criteria in that listing.

1. Documentation of HIV infection.

a. Definitive documentation of HIV infection. We may document a diagnosis of HIV infection by positive findings on one or more of the following definitive laboratory tests:

HIV antibody screening test , confirmed by a supplemental HIV antibody test such as the Western blot , an immunofluorescence assay, or an HIV-1/HIV-2 antibody differentiation immunoassay.

HIV nucleic acid detection test .

HIV p24 antigen test.

Isolation of HIV in viral culture.

Other tests that are highly specific for detection of HIV and that are consistent with the prevailing state of medical knowledge.

b. We will make every reasonable effort to obtain the results of your laboratory testing. Pursuant to §§ 404.1519f and 416.919f, we will purchase examinations or tests necessary to make a determination in your claim if no other acceptable documentation exists.

c. Other acceptable documentation of HIV infection. We may also document HIV infection without definitive laboratory evidence.

2. Documentation of the manifestations of HIV infection.

c. Other acceptable documentation of manifestations of HIV infection. We may also document manifestations of HIV infection without definitive laboratory evidence.

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How Do I Obtain Workplace Accommodations

Whether you are applying for a job or are now an employee, your employer must provide you with reasonable accommodations if you are a qualified individual with a disability and your employer is covered under the ADA. A reasonable accommodation is defined as a modification or adjustment to your job or work environment that allows you to perform your job functions and provides you with equal employment opportunities.

What She Failed To Prove

Here are some points that could have significantly improved her case and proven that migraine headaches significantly interfered with her major life activity of caring for herself:

  • Because of migraines, Ms. Allen had to go to bed earlier than usual.
  • Ms. Allens migraine medications made her sleep longer than usual.
  • Because of her migraine medication, she woke up later in the morning than usual.
  • Because of having to go to sleep early to relieve her migraines, Ms. Allen was unable to care for herself, stating specific activities that she was unable to perform.
  • On evenings when she had migraines, her ability to care for herself was significantly compromised.

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What Are Some Common Accommodations For Women With Migraines

There are a number of ways that employers can make workplace accommodations for women with migraines. These include:

  • Allowing an employee with migraines to move to a private area of the office where she can adjust the office lighting
  • Minimizing the employees exposure to office noise by situating her work space in a quiet part of the office
  • Providing an employee with a place to retreat to when she is having a migraine
  • Allowing teleworking or flexible schedules
  • Adding filters to fluorescent lights
  • Providing anti-glare filters for computer monitors
  • Providing an environmental sound machine or noise cancelling headsets
  • Providing air purification systems
  • Encouraging employees to voluntarily refrain from wearing fragrances or implementing a fragrance-free policy at the office

For Every 100 Employees

Chronic Daily Headache
are diagnosed by a health care provider
have migraine more than twice a week

Migraine is a leading cause of absenteeism

Migraine should be a top priority for employers and disability insurance companies. It is a significant cause of lost productivity in the workplace.

According to a study done in Canada on 28 000 employees on 16 health conditions, migraine came third for cost related to missed days at work after back pain and mood disorders. Migraine was more costly than asthma, diabetes, cancer and arthritis.

Among Canadian employees, 56% had taken sick days, 23% were on short term disability, and 18% were on long term disability.

Migraine Canada found that only 20% of people with migraine did not miss days of work. 36% missed between 4 and 16 days per year. 25% reported being disabled.

Migraine is a leading cause of presenteeism

A study done in the US on presenteeism showed that migraine was more costly than 20 other conditions including depression, back pain, diabetes and asthma . According to a canadian survey, people with chronic migraine report an average of 40 days of presenteeism per year.

A few statements heard in the clinic include:

I just cant miss work that often. I have to show up.

My co-workers understand, but I feel really bad that I cant do my full part.

I do everything to go to work. I usually pay the price at home, having to rest and catch up. Theres just no weekend for me.

Migraine is stigmatized and not recognized as a medical cause of disability

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Migraine Affects 1 In 7 In The Uk

Over 23% of the adult population in the UK suffers from migraine or other headache disorders. Migraine is therefore common amongst adults in the working age. This condition can have an impact on work life which is both distressing and challenging to cope with.

Migraine is a complex neurological condition with various complicated symptoms that differ from one person to the other. The common symptoms are sensitivity to light, sound and smells, feeling nauseated, vomiting, visual disturbances , dizziness, but the most debilitating is the headache. A typical migraine attack can render a sufferer incapacitated for few hours to a number of days, spending most of their time in dark closed rooms.

For more insight into migraine management read our factsheet .

If you are struggling with migraine at work or already suffer with migraine and are about to start a new job, download our Migraine at work advice sheet. This can help you manage your condition to lessen its impact on your work.

Migraine And Disability Under The Ada

    One of the most memorable legislative achievements during the administration of former President George H. W. Bush was the passing and enactment of the Americans with Disabilities Act of 1990. When Democratic Senator Tom Harkin of Iowa introduced the bill before Congress, he actually used sign language in certain parts for the benefit of his brother, who lives with a hearing disability. This important law essentially prohibits the discrimination of Americans based on their disabilities.

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    Migraine Headaches Are Not An Ada Disability Says Us Court

    If youre in the middle of filing for disability because of migraine headaches, you might want to take some notes: Recently, a US court rejected one migraine patients request to access her ADA rights after losing herjob because of migraines. Why was she rejected, and what could she have differently to sway the judge in her favor? Here are some key points to consider before making your own appeal for disability from chronic migraine headaches.

    How To Claim Pip For Migraines Or Headaches And Get Up To 608 A Month From Dwp

    Pin on MS Warriors!

    You could be eligible for extra financial support if these conditions are impacting on your daily life.

    • 08:04, 21 MAY 2021

    There are several types of headaches, but there are four very common one that most people experience at some point in their life – sinus, tension, cluster and migraine.

    Headaches are classified as either primary or secondary. A primary headache is one that is not caused by another condition or sickness and a secondary headache is due to something else such as an injury, infection, or sickness.

    Causes of primary headaches include stress, sleep deprivation, alcohol, skipped meals, fatigue, and certain processed foods. Secondary headaches are due to another condition, such as an injury, infection, or sickness, and can range from harmless to dangerous.

    In either case, if you are experiencing headaches that occur more often than normal, are more severe than usual, do not improve with over-the-counter medication, or keep you from participating in normal activities, you should see a doctor as soon as possible.

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    And, if persistent headaches, or even dizziness, which often accompany a migraine, are affecting your daily life or your ability to move around outside your home, you may be eligible for additional monthly financial support through a Personal Independence Payment .

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    Can My Employer Refuse To Fulfill My Request For An Accommodation

    Under the ADA, your employer is not required to provide you with an accommodation in two situations: 1) if the employer can demonstrate that the accommodation would be an undue hardship for the company and 2) if the employer can demonstrate that your disability poses a direct threat to the health and safety of individuals in the workplace. Both situations are unlikely to apply to women with migraines.

    1. What Is an Undue Hardship?

    The ADA defines as undue hardship for employers as a situation that would be unduly costly, extensive, substantial or disruptive, or would fundamentally alter the nature or operation of the business. An employers size, financial resources, or the nature of the operations may be factors in determining whether an accommodation represents an undue hardship.

    Employers may wrongly believe that workplace accommodations are too expensive, which is often untrue for women with migraines. In fact, 57 percent of accommodations for migraines do not cost anything, and the remaining changes typically cost $500 or less.

    2. What Is a Direct Threat?

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    The Social Security Administration Doesnt List Migraines As A Disability

    The SSA has a comprehensive list of disabilities, including the criteria to qualify for each one. Itâs formally titled Disability Evaluation Under Social Security but more commonly referred to as the Blue Book .

    Migraine does not appear in the Blue Book. But before you stop reading and throw in the towel, know that this doesnât mean you canât get benefits. It just means you have to work harder to prove why you need them.

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    What Is Chronic Migraine

    Chronic migraine is defined as having headache on at least 15 days per month, with eight of these having migraine symptoms, for at least three months. People who have fewer headache days with migraine symptoms have episodic migraine.

    If you have chronic migraine your symptoms may include:

    • frequent headache
    • increased sensitivity to light, sound or smells
    • nausea
    • vomiting .

    Other symptoms include aura , dizziness and vertigo .

    How To Apply For Disability Benefits With Migraines

    Brain Foundation 2016 – Dr Susan Tomlinson

    When youre ready to apply, just in mind that the review process will take some time and that the application is only the first step. Youll receive functional report questionnaires in the mail that you must fill out and get back to the SSA quickly. This is usually just 10 days from the date they were mailed to you.

    Since your migraines may make it hard for you to read, write, or concentrate, consider preparing for these questionnaires in advance, and be sure to ask for help if you need it. An SSA representative, a friend or family member, or a Social Security disability advocate or attorney can assist you.

    You can ready yourself for the functional report by writing down notes about your daily challenges and struggles. Make a list of the tasks you have to ask others to help with when you have a migraine. These may include everything from washing your hair and preparing food to shopping for groceries and running other errands. Keep track of how often you have attacks and how long they put you out of commission. Your notes can be invaluable cheat sheets when it comes time to fill out questionnaires.

    Your medical records are a primary source of details for the SSA when determining eligibility as well. Although the SSA has no disability listing for migraines and therefore no clear list of essential medical evidence, they generally need to see the following for a migraine application:

    • your diagnosis, symptoms,

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    Migraine Workplace Discrimination: What Can I Do If My Employer Refuses To Provide Me With An Accommodation

    If your accommodation request is denied, you should first ask your employer for the reason it was denied. Perhaps the medical information you provided did not support your need for an accommodation or the employer felt the accommodation you requested was unreasonable.

    If the request is denied for unknown reasons, the next step is to go up the chain of command in your company and be sure to carefully document your interactions. However, if you are not successful working within your organizations chain of command, there are other steps you can take. The first is to file a complaint, referred to as a discrimination charge, with the U.S. Equal Employment Opportunity Commission or with your states enforcement agency. If the EEOC dismisses your charge, you then have the option of filing a lawsuit against your employer.

    The Disability Benefits Application Process

    How to apply

    When youâre ready, you can complete the application online. You can also visit your local SSA office if youâd rather do it in person. The advantage of doing it online is that you can do it from anywhere, start immediately rather than needing to schedule an appointment , and save the application and come back later.

    Once submitted, the SSA will review it and let you know their decision. Note that it can take three to five months to receive the final decision.

    What happens if you get approved for disability benefits

    Well, first of all, thatâs great! We hope things get easier for you from here on out.

    One important thing to know is that there are generally limitations on how much youâll be able to work and how much income youâre allowed to make to continue receiving your benefits .

    Qualifying for disability may also allow you to receive a check that helps cover your main living expenses like rent, bills, and groceries. If your migraines impact you so badly that you canât work a full-time job or consistently have to miss shifts, then this lifts a huge financial burden off your shoulders.

    As you can see, itâs unfortunately a little complex and not as straight-forward as we all might like.

    What happens if you donât get approved

    America filed appeals several times because she kept getting denied. Eventuallyâa year after she first appliedâshe got her court date with the judge .

    What you should know about the Americans With Disability Act

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    Is It My Responsibility To Inform An Employer If I Need An Accommodation

    Yes. If you are applying for a job or are an existing employee, it is your responsibility to inform your employer if you need an accommodation. Begin with an informal discussion with your supervisor or a member of the human resources department, if your office has such a department. It is also important to follow up with a request in writing that documents your functional limitations. If you do not provide your employer with this documentation, you may not be entitled to the accommodation.

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