• Menu
  • Skip to right header navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Before Header

Has your disability claim been wrongfully denied or terminated? Call us today for help!  (888) 321-8131

  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
  • YouTube

OLF Ortiz Law Firm National Disability Attorneys

We appeal wrongful long term disability insurance and Social Security Disability denials.

  • ABOUT US
    • Our Team
    • Our Results
    • Areas We Serve
    • Core Values
  • PRACTICE AREAS
    • Initial Application
    • Request for Reconsideration
    • Hearing Before an Administrative Law Judge
  • RESOURCES
    • Top 10 Mistakes That Will Destroy Your Social Security Disability Claim
    • SSD Training Webinar: Knowing What Wins
    • Physical RFC Form
    • Mental RFC Form
  • BLOG
  • Search
  • CONTACT

Mobile Menu

Schedule A Free Consultation Now!

(888) 321-8131

  • ABOUT US
    • Areas We Serve
    • Client Reviews and Video Testimonials
    • Our Team
      • Nick Ortiz
    • Our Office
    • Core Values
    • Referring Attorney Program
  • PRACTICE AREAS
    • Long Term Disability
      • Administrative Appeals
      • Lawsuits
      • Lump-Sum Buyout Offers
    • Social Security Disability Claims
      • Initial Applications
      • Request for Reconsideration
      • Hearing Before an Administrative Law Judge
    • Personal Injury Claims
  • DISABLING CONDITIONS
    • Long Term Disability
    • Social Security Disability
  • INSURANCE CARRIERS
    • Cigna
    • Guardian
    • Hartford
    • Lincoln Financial
    • Matrix Absence Management
    • MetLife
    • Mutual of Omaha
    • Northwestern Mutual
    • New York Life
    • Principal
    • Prudential
    • Reliance Standard
    • Standard
    • Unum
  • RESOURCES
    • Blog
    • Free Downloads
    • Lump Sum Disability Buyout Calculator
    • FAQ: Long Term Disability
    • FAQ: Social Security Disability
    • Abbreviations in Social Security Disability Claims
  • Search
  • CONTACT
  • Facebook
  • LinkedIn
  • Twitter
  • YouTube
You are here: Home / Social Security Disability / Top 4 Reasons You Will Be Denied Disability for Mental Illness

Top 4 Reasons You Will Be Denied Disability for Mental Illness

August 9, 2021 //  by Ortiz Law Firm//  Leave a Comment

Why does mental illness present special obstacles in getting a claim for Social Security disability benefits approved?

In sum, a lack of mental health treatment or treatment notes related to mental illness, not taking medication, and having an episodic mental illness are the most common reasons mental illness Social Security disability claims are denied. The following assessment goes into a little more detail on the specific issues that often cause a claim for Social Security Disability benefits for mental illness to be denied. Here are the top 4 reasons you will be denied disability for mental illness:

Reasons You Can Be Denied Disability for Mental Illness

Poor Treatment Notes

One of the biggest problems we face in a disability claim for a mental illness is the fact that many mental health providers (psychologists, psychiatrists, counselors, etc.) keep relatively poor notes. Sometimes the notes are too abbreviated to collect any useful information from them. Some mental health providers still prefer to keep notes by hand, and at times the medical records will be illegible and impossible to read. 

Your doctor or psychiatrist (or other mental health providers) will sometimes submit a summary of their notes to the claims examiner or the Administrative Law Judge because the notes and medical records from office visits provide little detail with regard to your impairment and related limitations. Medical evidence that is too brief is not helpful to the Social Security Administration (SSA) in evaluating the extent and severity of the underlying mental illness and in trying to determine your eligibility to receive disability benefits.

No Record of Treatment for Mental Illness

All too often we encounter disability claimants who have filed a claim for mental illness, but there is no record of mental health treatment for the condition(s) listed on the disability application. This is especially true in disability claims involving depression.

This is most frequently due to the fact that the claimant’s family care physician has diagnosed depression and prescribed a common anti-depressant. However, the claimant may have never been referred to a mental health specialist like a psychologist or psychiatrist. In such instances, the claimant will often not have sufficient mental treatment records to support the disability claim.

Noncompliance with the Recommended Course of Treatment or Prescribed Medications

In some cases, a mental health provider will recommend a course of treatment like counseling sessions or group therapy, and such recommendations are noted in the claimant’s medical records. However, the records will also note if the claimant refused to attend counseling or failed to show up for group therapy. Later treatment notes will document the fact that the claimant was “non-compliant” with the recommended treatment plan. Make sure you comply with your provider’s treatment plan to give yourself the best chance of being approved for disability benefits.

In other instances, the medical records will show that a claimant has been diagnosed with a specific mental impairment and has been prescribed medication for the illness, but records may further note that the claimant has not taken the medication. This is a particularly large problem for mental disability claims because the Social Security Administration (SSA) focuses on what a claimant is still able to do despite the limitations of his or her condition. A claimant’s limitations cannot be accurately measured if the patient is not taking his or her medications as prescribed, and the chance of being approved for benefits decreases dramatically.

Why is medical non-compliance an issue for some disability claimants? Sometimes it is due to the cost of care or medication. Unfortunately, the SSA is not typically concerned with whether or not a claimant can afford care or medication. 

If you cannot afford recommended care or medications, inform the claims handler or Judge that this is the reason that you don’t take the medication prescribed for your mental illnesses. According to SSA rules and regulations, an excuse such as this should be an acceptable nonmedical excuse for failing to take medication. If the SSA can help you find free medication, however, this will no longer be a valid excuse. For more information and help with your claim, see our article on failing to follow the prescribed treatment plan.

Lack of Duration

Some Social Security Disability claims are denied on the basis of duration. This means that a disability examiner or ALJ has concluded that the applicant’s condition has not lasted for at least one year or is not expected to last for one year. This is especially problematic in a disability claim with a medical condition that has a tendency to “cycle” (where the condition switches between getting better and getting much worse with regularity). This is an issue in both claims based on a mental condition (like bipolar disorder) and in claims involving a physical disorder (such as lupus).

Improve Your Chances of Being Approved by Working with a Social Security Disability Lawyer

Due to the challenges described above, many people seek legal advice and choose to hire a disability lawyer to represent them in their disability benefits claim with the Social Security Administration. If you are unable to work or your doctor has recommended that you file a claim for disability benefits we can help. Nick A. Ortiz is a Board-Certified Social Security Disability attorney that represents the disabled nationwide.

We assist Social Security Disability claimants during the trial phase, which means from the initial application through a hearing before an Administrative Law Judge (ALJ). If you need to apply for Social Security Disability or appeal a denied claim for benefits, we can help. We will make sure your application for benefits and any appeals are filed as quickly as possible.

We will not only assist you in obtaining all of your medical evidence – we also prepare custom medical source statements that are specific to your mental health condition. If you would like to learn more about how an experienced disability attorney can help with your disability benefits claim, we encourage you to call our office at (888) 321-8131 to schedule your free consultation.

FacebookTweetPinLinkedInPrintEmail

Category: Social Security Disability

Recent Posts

  • Can Your Long-Term Disability Insurance Company Force You to Use a Social Security Disability Claims Service? 
  • Court Ruled In Favor of Unum Under Deferential Standard of Review
  • Unum Should Have Ordered an IME to Determine if Disability Was Mental or Physical
  • Opening an Encrypted CD from the SSA
  • Marselle v. Unum – Kentucky District Court Finds Unum Made a “Reasoned Determination”
Previous Post: « Top 10 Reasons Your Long-Term Disability Claim Will Be Denied or Terminated
Next Post: Top 10 Mistakes Social Security Disability Claimants Make »

Reader Interactions

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Primary Sidebar

Disability Academy

Watch the Knowing What Wins Training Webinar

Top Ten Mistakes That Will Destroy Your Social Security Disability Claim

View All Social Security Disability Resources

Complete This CONFIDENTIAL Form or Call (866) 480-3440 for a FREE Case Evaluation

0 of 350
GET HELP NOW

Nick represents the essence of right attitude and masterful use of attention to detail.

Cearon M.
https://youtu.be/3_sfwSkG0pI

View All Testimonials

Learn More About Social Security Disability

  • Areas We Serve
  • Frequently Asked Questions
  • Denials and Appeals
  • Common Mistakes
  • Insider Tips
  • Non-Medical Eligibility
  • Conditions That May Qualify
  • Social Security Disability Blog

Footer

Location

ORTIZ LAW FIRM
(888) 321-8131

316 S Baylen St
Ste 590
Pensacola, FL 32502
Monday - Thursday: 9:00 AM - 5:00 PM Friday: 9:00 AM - 2:00 PM
Saturday - Sunday: Closed

Our Team

  • Nick Ortiz
  • Jessica Ortiz
  • Dawn Keller
  • Tory Nelson

Practice Areas

  • Long Term Disability Insurance and ERISA Disability Insurance Claims
  • Social Security Disability Claims
  • Personal Injury Claims
  • Facebook
  • LinkedIn
  • Twitter
  • YouTube

Site Footer

©2023 Ortiz Law Firm, All Rights Reserved. Reproduced with Permission | Disclaimer | Privacy Policy

Share this ArticleLike this article? Email it to a friend!

Email sent!