How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay

Seeing alcohol and drug use or abuse sends up a red flag for disability examiners

Imbedded into the social security administration's disability evaluation system is a concept known as DAA materiality, DAA standing for drug and alcohol abuse. What it essentially means is this: if a patient/claimant has a condition (e.g. liver problems, disabling depression, bipolar issues) and it's clear from a reading of the medical records that the condition, subsequent to the discontinued use of alcohol or drugs, would improve to the extent that the condition would no longer have a disabling effect, then the individual's drug or alcohol abuse would be considered material to the case.

Another way of putting it would be: "Hey, you caused your condition and if you stopped using drugs or alcohol, you'd be able to work a job".

Immateriality is, of course, the flip side of the coin. In other words, if a claimant's condition would not improve regardless of whether or not they continued or discontinued their use of substances, the substance use/abuse would be considered "immaterial". Another way of putting it would be: "Your condition exists, it will exist even if you continue to use, and, for all practical purposes, your continued use just doesn't matter, as far as the evaluation of your disability case is concerned".

The issue of materiality versus immateriality is probably a little easier when it comes to evaluating physical allegations, such as liver disease. But apply the concept to mental impairments and things aren't so cut and dry.

Which brings me to Bipolar disorder. In my last post, I voiced my opinion that the Social Security Disability system probably doesn't know it's head from it's @#&bleep*&^ when it comes to rendering disability determinations on the basis of bipolar. However, when the issue of drug and alcohol use or abuse rears its head in a case, it can become even more problematic.

Why is this? Well, as I said before, Disability Determination services examiners aren't exactly well versed in the particulars of bipolar disorder (or any other physical or mental condition, for that matter). What examiners ARE fairly well trained to do is look for kernels of information in a claimant's medical records. And that includes instances of subtance use or abuse.

What happens when a disability examiner finds a mention of usage in a claimant's medical records, such as etoh (alcohol) or cannibis (pot) use/abuse? It sends up a red flag that must be addressed and weighed.

This is fine, of course, because it's completely fair to consider how and to what extent a claimant's condition has been affected by an external substance. The problem with the process here, however, goes back to the fact that disability examiners know little about bipolar disorder. Bipolar individuals who are plagued by thoughts that simply will not stop racing around in their heads may sometimes seek out substances as a means of finding relief and escape.

Fortunately, most disability examiners are familiar with the concept of self-medication. However, will an examiner who is reading an incident (in a claimant's records) of a bipolar episode, with which alcohol use has been associated, be able to discern whether or not the incident was the result of self-medication? Doubtful. Will the DDS psychological consultant who oversees the examiners mental write-ups be able to discern this? Coin toss.

Think about it. Individuals will often be treated by a psychiatrist for years before the psychiatrist GETS the diagnosis right. So, are we supposed to really believe that some DDS psychological consultant---who spends 30 minutes tops glossing over someone's records and an examiner's writeup---can really understand what is happening with a bipolar patient.

Let me say some particularly nasty words about DDS mental consultants. Though many of them are fine and competent individuals, many are also hacks who sought refuge in a state office, rather than devote themselves to the full rigors of practice. I've seen some of them turn down individuals with IQ's in the low fifties. And I've seen many claimants with schizophrenia and bipolar disorder receive E3 durational denials. What's that? This will sound particularly stupid to a long time sufferer of bipolar. It means that the condition is not expected to last at least as long as 12 months (the necessary minimum for Social Security Disability and SSI benefits).

The stupidity of this, of course, is quite amazing. Bipolar is not a durational condition like a broken leg or a sprained wrist. It exacerbates and remisses and tends to slide back and forth on a spectrum between the manic and depressive poles.

So, what's my point in this post? I'm not sure. It would probably be best, certainly, if minor incidents of substance use (e.g. drinking a single can of beer over the weekend) did not receive the attention of social security because this can send up a flag. And considering the shortcomings of the system, you don't want to send up flags. Of course, I am not advocating anything with regard to what information you pass on to your general practitioner, psychologist, or psychiatrist. But just remember: once something makes it into your medical records, it is there to stay.

Essential Questions

What is the Social Security Disability SSI list of impairments?

Can you work while getting or applying for Disability?

How Often Does Social Security Approve Disability The First Time You Apply?

Tips for getting Social Security Disability or SSI benefits approved

What medical conditions will get you approved for disability?

What kind of Mental Problems Qualify for Disability?

Receiving a Disability Award Letter

Conditions Social Security will recognize as a disability

Previously answered questions regarding SSD and SSI

Applying for disability in your state

Most popular topics on SSDRC.com

Social Security Disability SSI Questions

The listings, list of disabling impairments

Can a mental illness qualify you for disability?

Disability Lawyers prevent unnecessary denials

How much Social Security Disability SSI back pay?

How to apply for disability for a child or children

Filing a Social Security Disability SSI application

Filing for disability - when to file

How to apply for disability - where to apply

Qualifications for disability benefits

How to Prove you are disabled and Win your Disability Benefits

Qualifying for Disability - The Process

How to get disability for depression

Getting disability for fibromyalgia

SSI disability for children with ADHD

What is the Application Process for Social Security Disability and SSI?

Common Mistakes to avoid after being denied for Disability

Social Security Disability SSI Exam tips

More Social Security Disability SSI Questions

Social Security Disability SSI definitions

What makes you eligible for Social Security Disability or SSI?

New and featured pages on SSDRC.com

Who can help me file for disability?

Related pages:

Partial disability benefits
Social Security Disability hearing decision time
Disability requirements and how to file in Texas
Tips, how to apply for disability
Applying for Disability - Rules and Requirements
Disability attorneys and RFC forms
Social Security Disability, long term disability, and offset
Disability applications can be denied for failure to cooperate
How long does a request for a disability hearing appeal take?
To win Disability benefits, you may have to appeal a denial
Medical conditions for which you can file and apply for disability

These pages provide answers to basic questions about pursuing disability benefits

What Mental Problems Qualify for Disability?
Disability for a mental condition
Tips for Filing for disability
Financial Help Filing For Disability
Checklist for filing for disability, SSI or SSD
Qualifying for disability benefits, how to qualify for SSD or SSI
Filing a disability application: the steps
Disability award notice, how long it takes to get benefits
How to Apply for Disability - Where do I go?
What makes you eligible to get disability?
How to check my disability claim status?
Can a disability attorney speed up a disability case?
SSI disability Award Letter
How long to get approved for disability?
How to apply for disability benefits
How long does disability back pay take?
What are qualifications for getting disability?
What medical conditions can you file disability for?
Disability Lawyer help questions
Social Security Attorneys, Disability Representatives

For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.

The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.

To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.