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Can You Get Approved For SSI or SSD Benefits IF You Have A Mental Condition But Do Not Take Medication?

What mental conditions does the Social Security Administration (SSA) consider disabling? You can get approved for SSI or SSD if you have any one of a variety of mental conditions.

For example, you can be approved for SSI or SSD if you have depression, anxiety, bipolar disorder, schizophrenia, post-traumatic stress disorder, learning disabilities, mental retardation, panic attacks, somatoform disorder, organic brain disorders, attention deficit disorder, personality disorder, or any other combination of mental conditions.

The Social Security disability guidebook (a.k.a. the blue book) contains mental impairment listings. These listings provide the medical disability criteria needed to satisfy the SSA severity requirements for receiving disability benefits.

Claimants can be approved for disability benefits by meeting or equaling the requirements of a listing in the blue book, or by successfully passing through the sequential evaluation process, a five step process which seeks to determine whether or not a claimant has a severe impairment that will last at least one full year and which will prevent the performance of substantial and gainful work activity.

What medical evidence is required if you have a mental condition?

Like all disabling conditions, whether they are physical or mental, Social Security requires some type of objective medical evidence to support your allegation of a disabling mental condition. If you are applying for SSI on the basis of a mental condition, it is beneficial to your disability claim if you have a history of continuous treatment for your mental condition from a qualified mental health professional (i.e. a psychiatrist or psychologist).

Generally, Social Security prefers medical information from a treating physician (i.e. counseling notes that contain a diagnosis, prognosis, and response to treatment or any kind of objective mental testing) to make their medical decisions. If you do not have any mental health treatment notes, it is likely that you will have attend a CE, or consultative examination, with a mental health professional who will be paid by the Social Security Administration to:

A) give a status of your mental condition and/or

B) perform objective testing such as intelligence quotient (IQ) testing or memory testing.

Since they are paid for and obtained by Social Security to provide the minimal amount of medical evidence needed for disability examiners to make their disability decision, the consultative examinations rarely result in an approval for SSI or SSD disability benefits. It is simply difficult to ascertain the true limitations of an individual in a one-time, often quick, examination, performed by a doctor who has never previously met the patient and who may have no knowledge of the patient's past medical history.

Having a documented medical history, of course, can also serve to provide a record of prescribed medications and the patient's response to such treatment.

Can you be approved for SSI or SSD disability benefits if you do not take medication or are not compliant with the medication you have been prescribed? While Social Security does not specifically state that you have to be compliant with your medication in order to be approved for SSI or approved for SSD (except in the case of attention deficit disorder), it is my opinion as a former disability examiner that non-compliance with prescribed medication does not help your chances of being approved for SSI or SSD disability.

There is no denying that most people with mental conditions have some improvement in their functional capabilities while following their prescribed treatment. Having said this, though, how medication non-compliance might affect the overall chances of being approved for SSI or SSD varies from disability agency to disability agency, and even from unit to unit within those agencies (each state has at least one DDS agency that processes disability claims for the social security administration: DDS stands for disability determination services).

If you do not take any medication, or are not prescribed medication for your mental condition, it may or may not affect upon your chances of being approved for disability. Some mental conditions cannot be treated with medication.

For example, if your mental condition is organic brain disorder, or mental retardation there are no medications available for treatment. If you have one of these conditions you may vary well be approved for disability benefits even if you are not taking medication.

However, if you are not taking medication and your disabling impairment is depression, anxiety, panic attacks, bipolar disorder, etc., your condition may be considered less debilitating or even non-severe.

Return to:  Social Security Disability Resource Center, or read answers to Questions

Related pages:

Can You Get Approved For SSI or SSD Benefits IF You Have A Mental Condition But Do Not Take Medication?
Will Your Claim for Disability be Handled Differently if it is Based on a Physical or Mental Problem?
Can I Qualify For Disability and Receive Benefits based on Depression?
The Social Security Disability and SSI Process for Mental Claims based on Mental Disorders
When you file for disability and have both Mental and Physical Conditions
What kind of Mental Problems Qualify for Disability?
Are SSI and Social Security Disability Requirements Tougher For Mental Claims?
Social Security Disability, SSI, Mental Disorders, and Functional Limitations
Trying to get disability with meniere's, degenerative disc, ankylosing spondylitis, depression, and anxiety
Tips for veterans filing for Social Security Disability
How long will it take to get a decision on SSD or SSI after a medical examination?
Do you get benefits when Social Security reviews your case?

Information on the following topics can be found here: Social Security Disability Questions and in these subsections:

Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI

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

Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
How to Apply for Disability - What medical conditions can you apply and qualify for?
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?
How to Prove you are disabled and qualify to win disability benefits
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria