Bipolar disorder is a mental health condition characterized by mood swings ranging from emotional highs (mania or hypomania) to lows (depression). These fluctuations can severely impact daily functioning, making it difficult for individuals to maintain employment and manage routine activities. For those affected, understanding the availability of Social Security Disability (SSD) benefits is important.

Our bipolar disorder Social Security disability lawyers at Pond Lehocky Disability are dedicated to guiding individuals through the complexities of SSD claims, helping them get the support and benefits they deserve.

What Is Bipolar Disorder?

Bipolar disorder, previously called manic-depressive illness, is characterized by severe mood fluctuations that can impact sleep, energy, behavior, judgment, and thoughts. Mania episodes may present with symptoms like:

• Heightened self-esteem
• Reduced sleep needs
• Excessive talking
• Racing thoughts
• Becoming easily distracted
• Partaking in risky behaviors

Conversely, depressive episodes typically involve feelings of sadness, hopelessness, a lack of interest in most activities, fatigue, and sometimes even suicidal ideation. The frequency of episodes varies in severity, with some individuals experiencing extended symptom-free periods and others undergoing quick mood shifts.

Is Bipolar Disorder Eligible for Social Security Disability Benefits?

Yes, individuals with bipolar disorder may qualify for SSD benefits if their condition meets specific criteria outlined by the Social Security Administration (SSA). The SSA’s “Blue Book,” which is the guide used to evaluate disabilities, includes bipolar disorder under section 12.04, addressing depressive, bipolar, and related disorders. To qualify, an individual must provide medical documentation of:

• Manic episodes are characterized by at least three: pressured speech, flight of ideas, increased self-esteem, decreased need for sleep, distractibility, involvement in high-risk activities, or psychomotor agitation.
• Depressive episodes involving at least five of the following: depressed mood, diminished interest in activities, appetite disturbance, sleep disturbance, psychomotor agitation, decreased energy, feelings of guilt or worthlessness, difficulty concentrating, or thoughts of death or suicide.

Additionally, these episodes must result in at least one of the following:

• Marked limitations in concentrating, maintaining pace, applying information, remembering information, interacting with others, or adapting or managing oneself.
• Repeated episodes of decompensation, or rapid deterioration in mental state, each of extended duration.

Alternatively, if the disorder has been medically documented for at least two years and has caused a moderate or higher limitation in the ability to perform basic work activities, with evidence of both:

• Ongoing medical treatment, mental health therapy, psychosocial support(s), or a highly structured setting that reduces the symptoms (or symptom severity) and signs of the mental disorder.
• Marginal adjustment – Having only the minimal capacity to adapt to variations or demands in the environment not already part of daily life.

How the SSA Evaluates Mental Health Conditions Like Bipolar Disorder

The SSA evaluates mental disorders using medical evidence and how significantly the disorder affects a person’s work capabilities. As per SSA guidelines, objective medical evidence from credible sources is needed to confirm a medically determinable mental disorder. They also examine the severity of the disorder and its impact on the individual’s work functioning.

The SSA considers the following aspects of cognitive functioning:

• Understanding, remembering, or applying information includes learning, recalling, and using information to perform work activities.
• Interacting with others pertains to the capacity to relate to and work with supervisors, co-workers, and the public.
• Concentrating, persisting, or maintaining pace: This involves focusing on work activities and staying on task sustainably.
• Adapting or managing oneself refers to regulating emotions, controlling behavior, and maintaining well-being in a work setting.

The SSA uses these criteria to determine the severity of the mental disorder and the degree of its impact on the individual’s ability to perform work-related activities.

What Medical Evidence Do You Need to Support Your Bipolar Disorder SSD Claim?

To substantiate a claim for SSD benefits based on bipolar disorder, comprehensive medical evidence is essential.

• Detailed medical records: Documentation of diagnoses, treatment plans, progress notes, and hospitalizations related to bipolar disorder.
• Treatment history: Records of ongoing therapy, counseling sessions, and prescribed medications.
• Psychological evaluations: Results from mental status examinations, cognitive assessments, and other relevant psychological tests.
• Statements from healthcare providers: Detailed letters or reports from psychiatrists, psychologists, or therapists outlining the severity of the condition and how it impacts day-to-day functioning and work capabilities.

Providing thorough and consistent medical evidence strengthens the claim and assists the SSA in accurately assessing the extent of the disability.

How Long Does It Take to Get a Decision from the SSD?

The processing time for SSD applications can vary. Recent data shows applicants wait over 7 months for an initial SSDI application decision.

What to Do if Your SSD Claim for Bipolar Disorder Is Denied

If an SSD claim is denied, it’s important not to lose hope. Many initial claims are denied, but applicants can appeal the decision. The steps to take include:

1. Requesting Reconsideration: Within 60 days of receiving the denial notice, submit a request for the SSA to review the decision with new evidence or clarifications.
2. Requesting a Hearing Before an Administrative Law Judge (ALJ): If reconsideration is denied, the next step is requesting a hearing before an ALJ, who will review the case in greater detail.
3. Appealing to the Appeals Council: If the ALJ denies the claim, applicants can request a review by the Social Security Appeals Council.
4. Filing a Federal Court Appeal: As a last resort, individuals can take their case to federal court for further review.

The Social Security disability appeals process can be complex, but securing legal representation increases the chances of a successful appeal. Getting assistance early in the process will help avoid common pitfalls and give you the strongest claim possible.

How a Lawyer Can Help with Your Bipolar Disorder Disability Claim

Applying for Social Security disability benefits due to bipolar disorder requires substantial documentation and a strategic approach. An experienced attorney can help by:

• Submitting all necessary medical records and supporting documentation.
• Gathering statements from medical professionals to strengthen the claim.
• Preparing clients for hearings and representing them in front of an ALJ.
• Handling appeals and fighting for rightful benefits if a claim is denied.

A skilled lawyer understands how to navigate SSA guidelines and advocate effectively for individuals struggling with bipolar disorder.

Talk to a Social Security Disability Lawyer if Your Bipolar Disorder Claim Was Denied

Pond Lehocky Disability is committed to securing the highest possible compensation for your injuries, medical expenses, and suffering. With a legacy of 250+ years of legal expertise and over 100,000 successful cases, we’re ready to fight for you. Schedule your free consultation today at 1-800-568-7500 or via our contact form.