Depression and Social Security Disability Benefits

Ian C. Langtree - Writer/Editor for Disabled World (DW)
Published: 2010/05/04 - Updated: 2024/08/31
Publication Type: Informative
Topic: U.S. Social Security - Publications List

Page Content: Synopsis - Introduction - Main

Synopsis: Article discusses common disabling depression symptoms and how to apply for Social Security benefits if you are disabled by depression. The medical evidence supporting one's argument that he or she may meet these criteria, and therefore qualify for disability benefits, is crucial to obtaining a favorable finding.

Introduction

In some people, depression can be so severe that it renders them unable to hold down a job. If that is the case, someone suffering from depression might have a legitimate claim for Social Security Disability.

Main Item

Depression is one of the most common health conditions in the world. Depression, formally called major depression, major depressive disorder or clinical depression, is a medical illness that involves the mind as well as the body. It affects how you think and behave and can cause a variety of emotional and physical problems. You may not be able to go about your usual daily activities (like work, for example), and depression may make you feel as if life just isn't worth living anymore. Most health professionals today consider depression a chronic illness that requires long-term treatment. Here, the causes, symptoms and treatments for depression, as well as qualifying for Social Security Disability benefits are discussed.

It's not known specifically what causes depression. As with many mental illnesses, it is believed that a variety of biochemical, genetic and environmental factors may cause depression, including neurotransmitter malfunction, hormone imbalance, loss of a loved one, financial problems, and increased stress levels.

While symptoms of depression vary greatly amongst its sufferers, some of the commonly occurring symptoms include the following:

• Loss of interest in normal daily activities.
• Feeling sad, down, and/or hopeless.
• Crying spells for no apparent reason.
• Difficulty sleeping.
• Difficulty making decisions, focusing, and/or concentrating.
• Unintentional weight gain or loss.
• Irritability.
• Restlessness.
• Being easily annoyed.
• Feeling fatigued or weak.
• Feelings of worthlessness.
• Loss of interest in sex.
• Thoughts of suicide or suicidal behavior.
• Unexplained physical problems, such as back pain or headaches.

There are many treatments available for depression. Standard depression treatment options include:

• Medications, such as antidepressants, which can have a wide variety of side effects.
• Psychotherapy; - Electroconvulsive therapy (ECT).
• Brain stimulation.
• Complementary and alternative treatments, such as vagus nerve stimulation, transcranial magnetic stimulation, or deep brain stimulation.

Applying for Social Security Disability Benefits Based on Depression

Social Security Disability Insurance (SSDI) is a federal program designed to pay monetary benefits to qualified applicants who have worked long enough and paid their social security taxes. Based on medical evidence, work history, and education history, the Social Security Administration determines whether or not applicants qualify for benefits and how much each applicant can receive. The Social Security Administration (SSA) sets forth specific criteria when qualifying applicants for benefits. With regard to depression specifically, the medical evidence must be consistent with SSA's classification within the following criteria:

12.04 Affective Disorders:

Characterized by a disturbance of mood, accompanied by a full or partial manic or depressive syndrome. Mood refers to a prolonged emotion that colors the whole psychic life; it generally involves either depression or elation.

The required level of severity for these disorders is met when the requirements in both A and B are satisfied, or when the requirements in C are satisfied.

A. Medically documented persistence, either continuous or intermittent, of one of the following:

1. Depressive syndrome characterized by at least four of the following:

• Anhedonia or pervasive loss of interest in almost all activities.
• Appetite disturbance with change in weight.
• Sleep disturbance.
• Psychomotor agitation or retardation.
• Decreased energy.
• Feelings of guilt or worthlessness.
• Difficulty concentrating or thinking.
• Thoughts of suicide.
• Hallucinations, delusions, or paranoid thinking.

2. Manic syndrome characterized by at least three of the following:

• Hyperactivity.
• Pressure of speech.
• Flight of ideas.
• Inflated self-esteem.
• Decreased need for sleep.
• Easy distractibility.
• Involvement in activities that have a high probability of painful consequences which are not recognized.
• Hallucinations, delusions or paranoid thinking.

3. Bipolar syndrome with a history of episodic periods manifested by the full symptomatic picture of both manic and depressive syndromes (and currently characterized by either or both syndromes);

AND

B. Resulting in at least two of the following:

• Marked restriction of activities of daily living.
• Marked difficulties in maintaining social functioning.
• Marked difficulties in maintaining concentration, persistence, or pace.
• Repeated episodes of de-compensation, each of extended duration.

OR

C. Medically documented history of a chronic affective disorder of at least 2 years' duration that has caused more than a minimal limitation of ability to do basic work activities, with symptoms or signs currently attenuated by medication or psychosocial support, and one of the following:

• Repeated episodes of de-compensation, each of extended duration.
• A residual disease process that has resulted in such marginal adjustment that even a minimal increase in mental demands or change in the environment would be predicted to cause the individual to de-compensate.
• Current history of 1 or more years' inability to function outside a highly supportive living arrangement, with an indication of continued need for such an arrangement.

These criteria are addressed in much more detail by the Social Security Administration (SSA). However, keep in mind that the depression symptoms which meet the criteria for receipt of benefits may develop as a result of the disease process and/or the medications prescribed and used, or the residual effects of procedures used to treat the disease.

The medical evidence supporting one's argument that he or she may meet these criteria, and therefore qualify for disability benefits, is crucial to obtaining a favorable finding. Physicians are considered experts in their field of practice, and their diagnosis, treatment and prognosis concerning a person's condition are key to determining if someone who suffers with depression qualifies for Social Security Disability benefits.

Related Information

• Compassionate Allowances List for Social Security: Social Security Compassionate allowance benefits are fast-tracked for diseases and medical conditions that invariably qualify under the listing of impairments.
• How to Get and Not Lose SSDI: This article outlines how to get SSDI benefits and what can deprive you of the right to receive this money.
• SSDI Claims: Consultative Examinations: Consultative examinations are sometimes requested in an effort to obtain the opinions of outside medical professionals in order to evaluate disability claims.
• Factors For Winning SSDI Claims: Age, Employment, Education: SSDI Judges will consider information into their decision-making process, including your age, your work history background, and your level of education.
• Working After SSDI Approval - Disability Employment: This article reviews the basic social security rules concerning earnings after a finding of disability.
• SSI and SSDI Benefits for Children with Disability: Children who are diagnosed as disabled may be eligible for SSI or SSDI benefits.
• Social Security Video Hearings for Disability Cases: Video hearings may help with the backlog of SSA disability cases caused by increased demand inadequate funding and under-staffing.
• Importance of Medical Records in SSDI Claims: A critical factor involved in evaluating SSDI benefits is medical evidence presented on your behalf.

Author Credentials: Ian was born and grew up in Australia. Since then, he has traveled and lived in numerous locations and currently resides in Montreal, Canada. Ian is the founder, a writer, and editor in chief for Disabled World. Ian believes in the Social Model of Disability, a belief developed by disabled people in the 1970s. The social model changes the focus away from people's impairments and towards removing barriers that disabled people face daily. To learn more about Ian's background, expertise, and achievements, check out his bio.