SSDI Claim Denials for Mental Health Conditions in Texas

 Posted on October 05, 2023 in Social Security Disability

Many applications for Social Security Disability Insurance benefits based on mental health conditions like depression, anxiety, schizophrenia, and bipolar disorder are initially denied in Texas.

Working with a Texas lawyer who understands the most common reasons for denial and strategies to overcome them through an appeal is essential for eventually securing approval.

Eligibility Criteria for SSDI Benefits

To qualify for SSDI disability benefits from the Social Security Administration, strict criteria must be met. First, the individual must have a diagnosed mental illness that is expected to last for over 12 months or potentially result in death.

The mental health impairment must prevent the person from being able to maintain substantial gainful employment. Onset of the disabling condition must have occurred prior to the claimant reaching full retirement age as defined by the SSA.

Necessary Medical Evidence

Building a strong case for SSDI approval requires submitting thorough medical documentation that makes the argument for the above criteria being met. This includes records from psychiatrists and therapists showing the diagnosis, severity, and all treatments and hospitalizations.

• Written statements detailing how mental illness specifically impacts the ability to perform work duties are key. 
• Cognitive testing results, mental status examination reports, and prescription drug lists also provide validation. 
• A clear work history demonstrating inability to sustain employment due to the condition should be presented.

Top Reasons for Initial Claim Denial

SSDI applications based on mental health disorders are frequently denied because the submitted medical evidence fails to conclusively establish disability existing prior to the claimant’s last date working. Oftentimes there is a perception that job activities could be adapted to accommodate the individual’s functional restrictions. Failure to consistently pursue recommended mental health treatments may also lead to denials. Finally, co-existing drug or alcohol abuse issues that complicate employability can result in rejections.

Appealing and Overcoming Denial

Many people with mental impairment claims in Texas are ultimately approved on appeal when thorough updated documentation is provided. Submitting recent medical records supporting progression of the condition can demonstrate increasing inability to work.

Evidence confirming medications have been fully optimized can show appropriate treatments were followed. Opinions directly from doctors on how the disorder precludes performing full-time work are compelling. Including descriptions of failed attempts to return to work since disability onset also helps win appeals.

Contact a Dallas, TX Social Security Disability Attorney

If you are getting denied for your disability, or you just want help to apply, a Plano, TX social security disability lawyer can walk you through the steps. If you have a disability, we can help you fight for your rights. Call The Law Offices of Coats & Todd at 972-671-9922 for a free case evaluation.