SSDRC authored by Tim Moore
Social Security Disability and SSI Questions and Answers
What is the Application Process for Social Security Disability and SSI?
How do you Win Benefits under Social Security Disability or SSI?
If I am determined disabled, how far back will Social Security pay benefits?
How do you prove your disability case if you have a mental condition?
What Can I Do to Improve My Chances of Winning Disability Benefits
Common Mistakes after Receiving a Denial of Social Security Disability or SSI Benefits
How to File for Disability - Tips for Filing
If You Get Approved For SSDI Will You Also Get Medicare?
How much does a Social Security disability attorney get paid?
Social Security Disability SSI Criteria and the Evaluation Process
How long does it take to be approved for SSI or Social Security disability?
What do you Need to Prove to Qualify for Disability Benefits?
Social Security Disability SSI and Fibromyalgia
Social Security Disability SSI and Degenerative Disc Disease
Can I Qualify For Disability and Receive Benefits based on Depression?
More questions about SSD and SSI
What Disabilities Qualify for SSI and Social Security Disability Benefits?
Social Security Disability Status
Social Security Disability Tips — how a claim gets worked on
Social Security Disability, SSI Disability - Terms, Definitions, Concepts
Social Security Disability, SSI, Mental Disorders, and Functional Limitations
How to prove you are disabled
and win disability benefits
Social Security places the heaviest weight on functional limitations that result from the disabling condition rather than simply being diagnosed with the condition. When you consider the Social Security definition of disability, you can see that you can not only file for disability, but also win disability benefits on the basis of a mental disorder or illness...provided that your medical records document that you have sufficient limitations which would rule out the ability to engage in substantial work activity.
Social Security’s evaluation of mental disorders requires A) documentation of a medically determinable impairment (i.e. medical records that contain a diagnosis, medication, response to treatment, etc.), B) a weighing of the limitations imposed upon an individual by their mental illness and how these limitations may affect their ability to work, and C) whether or not the limitations are likely to have lasted, or can be expected to last, twelve continuous months.
When weighing the severity of your mental impairment, Social Security evaluates the affect your illness has on your daily life by considering the following:
1. Your ADLs, or activities of daily living
Activities of daily living might include, but are not limited to adaptive activities such as cooking, cleaning, paying bills, driving a vehicle, caring for your grooming and cleanliness, or performing household chores. Even if you are able to do many of these routine daily activities, Social Security may still find that you have severe limitations performing them if you cannot perform these activities without direct supervision, or in a fitting manner, or on a consistent and routine basis, or without unnecessary interruptions or distractions.
2. Social Functioning
Social functioning is another factor used to determine the impact your mental illness has upon your ability to work. Social functioning refers to your ability to interact appropriately, effectively, and on a sustained basis with others. Examples of social functioning might include being able to get along with family, friends, landlords, coworkers, or supervisors.
If you have a history of altercations, firings, avoidance of interpersonal relationships, social isolation, or fear of strangers, you may have severe limitations in social functioning. You may be able to interact socially with others, communicate clearly, or participate in groups and yet still have significant limitations. Some work situations require that you must interact with the public, respond to persons of authority, or have cooperative behaviors with coworkers.
Social Security does not define severe limitation of social functioning by a specific amount of different behaviors in which social function is impaired but by the character and extent of interference that the behaviors cause with functionality.
3. Concentration, Persistence and Pace
Concentration, persistence and pace are also considered when determining the severity of an individual’s mental impairment. You need to have the ability to maintain concentration, persistence and pace to complete tasks frequently found in work settings in a timely manner. Limitations with regard to concentration, persistence, and pace can be documented by work situations, however they may also be verified through clinical examinations or psychological testing.
While Social Security considers all of the above criteria when making a disability determination based upon mental illness, they still must have medical evidence that documents symptoms, response to treatment, psychological testing (in cases that involve learning disability, mental retardation, etc.), and laboratory findings to make an independent determination. This information should come from psychiatrists, physicians, psychologists, and other acceptable medical professionals who have clinically treated you in their practices or during hospitalizations.
If you have had no mental health treatment in the past ninety days, you may be required to attend a consultative examination with a mental health professional (paid by Social Security) who will conduct either a mental health status evaluation or conduct needed psychological testing. Social Security considers medical treatment records to be current if treatment has occurred within the previous ninety days. If the disability examiner has no current medical treatment records available in the file, they are required to schedule a consultative examination to obtain recent documentation.
Return to: SSDRC, or the Social Security Disability Questions page