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Bipolar Disorder, Social Security Disability, and Applying for Benefits


Social Security recognizes that bipolar disorder is a severe medical condition that could prevent an individual from performing work activity at the SGA (substantial gainful activity) level. The Social Security definition of disability maintains that a disability is any medically determinable mental or physical condition that has prevented an individual from working and receiving earnings equal to the SGA limit, or is expected to prevent the performance of SGA-level work activity for twelve continuous months, or is expected to result in their death.

The Social Security Disability guidebook evaluates the severity requirements needed to be approved for disability on the basis of bipolar disorder under mental impairment listing 12.04 Affective Disorders, section A 3. The listing requires that an individual have a history of episodic periods, documented by the full symptomatic range of both manic and depressive syndrome symptoms (the current episode may be characterized by either or both syndromes).

This section is found in full at Filing for Social Security Disability or SSI with Bipolar Disorder. For more information on just the condition itself, read below.

Bipolar disorder, previously known as manic-depressive disorder, is a mental illness categorized by cyclic periods of extreme euphoria or mania, most often followed by periods of extreme depression. Bipolar disorder itself is not a solitary mood disorder, but a category of many mood disorders. Since moods are oftentimes up and down for most people, to be diagnosed with bipolar disorder the patient must experience four or five symptoms of mania for at least a week.

There are currently four main classifications of bipolar disorder including Bipolar I, Bipolar II, Bipolar NOS and Cyclothymia. Bipolar I is diagnosed if the patient has one episode of extreme mania, with or without a depressive period. Bipolar II is diagnosed if the patient has a less extreme manic episode, called hypomania, followed by at least one major depressive episode. Cyclothmia is diagnosed when the patient has a history of hypomania along with periods of depressive episodes that are not categorized as majorly depressive. During Cyclothmia a person has less extreme cases of mania and depression, but they are both experienced in a cycling of moods, changing back and forth on a consistent basis. Bipolar Disorder (NOS), meaning Not Otherwise Specified, is the classification used when bipolar disorder is diagnosed, but does not fall into one of the three previous categories.

Bipolar disorder also falls into ‘rapid cycling’, which is when the moods of mania and depression cycle back and forth and ‘mixed effective episodes’, when symptoms of a manic state and depressive state are experienced at the same time.

Symptoms of mania can include rushed speech, short attention span, sleeplessness, racing thoughts, impaired judgment and unusual behavior. Oftentimes when people are experiencing mania they will engage in substance abuse, increased and unsafe sexual activity, aggressiveness and fall into grandiose, delusional ideas about themselves. In later stages of mania the patient may experience psychotic delusions, hallucinations and rage.

Symptoms of depression can include deep sadness, fatigue, isolation, guilt, hopelessness and anxiety. They may also lose sleep, sexual drive, interest in normal activities and appetite. Depressive states are also usually accompanied by social anxiety, chronic pain and lack of motivation. In later stages, those experiencing a depressive state may become suicidal and psychotic.

Symptoms of bipolar disorder usually occur in childhood or late adolescence. Studies suggest that there are many factors that contribute to the disease, from early childhood environment, neurobiology and genetics. The disease is diagnosed after other illnesses are ruled out. It is treated with counseling, therapy and medications such as antipsychotic medications or mood stabilizers. Lithium is the most common medication for bipolar disorder.








Essential Questions

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These pages answer some of the most basic questions for individuals who are considering filing a claim.

Can you get temporary Social Security Disability or SSI benefits?

Permanent Social Security Disability

What is the difference between Social Security Disability and SSI?

Who is eligible for SSI disability?

Can I Be Eligible For SSI And Social Security Disability At The Same Time?

What makes a person eligible to receive disability benefits?

Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?

What happens if I file a disability application and it is denied by a disability examiner or Judge?









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.