To qualify for disability benefits due to PTSD, you must have evidence that your condition is severe enough to cause significant limitations in your day-to-day life. Depending on the jurisdiction, sometimes an independent diagnosis may be required in order to make the case.
What is PTSD?
Post-traumatic stress disorder (PTSD) is a mental health disorder that can occur after experiencing or witnessing a traumatic event. It arises due to the intense fear and distress that are associated with such an event. PTSD is one of the most well-known psychological disorders, and its prevalence is increasing as more people become aware of it.
All people may experience some PTSD symptoms after a trauma, but for some individuals, the symptoms last longer, affect their daily life, and consequently become diagnosable. Common examples of potential triggers for developing PTSD include military combat, violent personal assaults, childhood abuse or neglect, accidents, natural disasters, or terrorist attacks.
PTSD affects different people in different ways — some display externalized behaviors such as aggressiveness and irritability, while others experience internalized behaviors such as withdrawal and lack of motivation. There is debate among experts about how best to diagnose and treat PTSD because there are no exact methods that are effective for every individual. Some experts focus on treating existing symptoms while others believe understanding the underlying cause is necessary to bring long-term relief.
Regardless of the approach taken to manage PTSD, it is important for individuals suffering from this disorder to receive a diagnosis in order to access certain disability benefits which could dramatically improve their quality of life. Before exploring what disability benefits are available for those with PTSD, it is helpful to gain an in-depth understanding of the disorder’s unique characteristics and symptoms. This will be discussed in more detail in the next section: Symptoms of PTSD.
Symptoms of PTSD
Posttraumatic Stress Disorder (PTSD) is a mental health condition triggered by life-altering events, such as combat or rape. It can cause extreme fear, anxiety, and depression that make daily functioning difficult. PTSD symptoms vary in severity and are typically divided into four distinct clusters: intrusive memories; avoidance; negative changes in mood and thinking; and changes in physical and emotional responses.
Intrusive memories may take the form of recurrent nightmares involving the traumatic event or sudden flashbacks that lead to terrifying emotions as if it were happening all over again. People with PTSD often attempt to avoid things related to their trauma, from places or activities to people or conversations. They may also experience difficulty concentrating, sleep disturbances, anger outbursts, and a sense of guilt or worthlessness about the events that unfolded. Finally, those afflicted with PTSD may find themselves hypervigilant—always on guard for potential danger—as well as having abnormal amounts of stress hormones like adrenaline running through their bodies at any given time.
The argument over whether an individual’s specific representation of these symptoms should deem them eligible for disability benefits due to PTSD has been ongoing. On one hand, it has been argued by disability advocacy groups that individuals experiencing severe levels of impairment stemming from their symptoms should be qualifying due to limits on their ability to do daily tasks and engage in meaningful employment. On the other hand, it is believed by some that this could result in an elastic standard of interpretation of “severe” and set a precedent for support that is undeserving and subject to abuse.
No matter which side of the argument you find yourself on, it’s important to understand the various symptoms associated with PTSD in order to fully comprehend eligibility for disability benefits. The following section will explain how someone can determine if they qualify for these benefits based on their level of impairment from PTSD symptoms.
Eligibility for PTSD Disability Benefits
In order to be eligible for PTSD disability benefits, individuals must first meet the qualifications specified by the Social Security Administration (SSA). These qualifications involve having an official diagnosis of post-traumatic stress disorder from a qualified medical practitioner and providing documentation of impairment that significantly impacts your ability to complete everyday activities such as personal care, communication, housing, education, or employment. To receive benefits, you must have also obtained treatment for your PTSD and be able to demonstrate that it has not improved since your diagnosis.
In some cases, individuals may be denied benefits due to the subjective nature of PTSD – because there is no one definitive test or standard measure of severity, claims may be difficult to prove. Additionally, the SSA often questions whether the patient’s lifestyle provides sufficient evidence of continued symptoms. For example, if the individual continues to hold a job or engage in activities that are “inconsistent” with maintaining a full-disability status or diagnoses obtained through psychological tests and structured interviews instead of medical professionals can both complicate the process further.
On the other hand, many disabilities do not initially meet eligibility standards through normal methods. That is why clients should consider alternative approaches such as direct contact with medical experts and consultants who specialize in assisting individuals with PTSD disability claims or obtaining assistance through legal services for appeals or reviews. With proper information about the condition and appropriate evidence to support it, most can qualify for benefits regardless of their reported lifestyle.
Ultimately, understanding what is required from those who seek disability benefits related to post-traumatic stress disorder is essential when applying. The key factor in determining whether someone will receive these benefits is whether they can provide clear evidence of an existing diagnosis that impairs their ability to function in everyday life. With this in mind, individuals should then move forward by preparing applications and paperwork necessary for applying for PTSD disability benefits.
With all this said, now it’s time to move onto the next step: applying for PTSD disability benefits.
Applying for PTSD Disability Benefits
The first step in applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits due to post-traumatic stress disorder is to complete an application. In order to receive SSDI or SSI benefits, applicants must meet a specific list of criteria and provide evidence they are unable to work due to their disability. Furthermore, applicants must demonstrate that their PTSD was the result of a traumatic event, such as combat or a serious accident.
There are two ways an individual can file for disability benefits: online or in person. Online options are available on the Social Security Administration’s website and allow individuals to submit their completed forms electronically, eliminating the need for trips to the local office. Applicants using this option should expect up to one week for the application to process. Applying in person is also an option which can be done at the local office with assistance from knowledgeable staff members who can answer questions and help fill out applications correctly. This route may take longer than the online process but is helpful when explaining more complex medical histories.
When applying for disability benefits due to PTSD it is important for applicants to clearly explain how their condition affects daily activities and how it prevents them from working. Documentation of treatment received, as well as incidents that have impacted their mental health should also be included in the application in order to strengthen the claim. Additionally, a detailed history of symptoms should include information regarding an individual’s sleep and eating habits, concentration span, social activities and any other major life changes caused by PTSD.
Preparing a strong application is important; however, there is still no guarantee that the initial claim will be approved nor that appeals of denied claims will be successful. For this reason, having help with filing and appeals can aid in obtaining disability benefits. Experienced legal professionals familiar with Social Security Administration’s regulations may greatly increase an individual’s chances of being approved for disability benefits due to PTSD.
With these thoughtful and comprehensive preparations taken care of, we now move on to exploring the impact of PTSD on mental and physical health in the following section…
- The U.S. Department of Veterans Affairs finds that 11–20% of Iraq and Afghanistan veterans suffer from post-traumatic stress disorder (PTSD).
- According to the 2016 National Survey on Drug Use and Health, approximately 8 million adults in the United States have had PTSD during their lifetime.
- A study from 2019 found that individuals who experienced trauma early in life were three times more likely to be approved for disability benefits if they suffered from PTSD compared to those with other mental health conditions.
Impact of PTSD on Mental and Physical Health
Post-traumatic stress disorder (PTSD) is a mental health condition that can have long-term impacts on an individual’s mental and physical health. People who suffer from PTSD can experience societal, employment, and family issues. This can ultimately lead to a range of negative physical health outcomes, ranging from higher rates of chronic illnesses such as hypertension, diabetes, heart disease, and obesity to more frequent trips to the emergency room for physical complaints.
Studies indicate that people living with PTSD are twice as likely to suffer from general medical problems as those without PTSD. There is also overwhelming evidence of a correlation between poor mental health and poor physical health outcomes. People with PTSD often struggle with problem solving and interpersonal communication skills, leading to higher levels of depression, social isolation, and substance abuse. All of these behaviors further increase their risk for physical health problems such as sleep disturbances, headaches, and gastrointestinal issues like nausea and abdominal pain.
The prospective benefits of early intervention should not be underestimated when it comes to helping those who suffer from PTSD achieve better mental and physical health outcomes over time. Unfortunately, many people delay seeking treatment due to fear or denial of PTSD symptoms or lack of access to treatment providers or services. Early diagnosis and treatment can lead to better long-term outcomes by managing symptoms as they arise instead of allowing them to worsen over time.
The impact of PTSD on the mental and physical health of those affected is very significant, but fortunately there are valid medically based ways in which we can seek help if needed. In the next section we will discuss the process involved in diagnosing and treating PTSD properly in order access disability benefits when necessary.
Diagnosis and Treatment of PTSD
Post-traumatic stress disorder (PTSD) is a psychiatric disorder that arises out of a traumatic event. Traumatic events commonly associated with PTSD include war, natural disasters, sexual abuse, physical abuse, car accidents and the death of a loved one. It is characterized by intrusive memories and flashbacks, difficulty regulating emotions and other psychological symptoms such as insomnia, irritability, guilt and changes in appetite.
When it comes to treatment for PTSD, there are two general approaches: psychotherapy and medication. Psychotherapy involves talking through the experience with a mental health professional who helps patients develop better strategies for coping with the symptoms of PTSD. Common psychotherapies used for PTSD are Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR) and Prolonged Exposure Therapies (PE).
Medication is another option for treating PTSD. Common medications prescribed for PTSD include antidepressants such as selective serotonin reuptake inhibitors (SSRIs), mood stabilizers such as lithium, sedatives called benzodiazepines and antipsychotics. Many people debate the effectiveness of these medications in treating PTSD because they can have serious side effects if not taken properly. However, many people find relief from their symptoms when taking medication in combination with psychotherapy.
When deciding on either medicated or non-medicated treatments for PTSD, it’s important to thoroughly understand the benefits and risks associated with each approach. An individual’s unique needs should be considered before determining which therapy will best address their specific situation. Regardless of what type of treatment is chosen, research has shown that the sooner post-traumatic stress disorder is diagnosed and treated, the greater chance an individual has of alleviating their symptoms and minimizing long-term effects.
Now that we have explored the diagnosis and treatment of PTSD let’s move on to discuss how to get disability benefits for post-traumatic stress disorder with a look into psychiatric treatment options.
Psychiatric Treatment Options
Psychiatric treatment options are available to help individuals cope with the symptoms of PTSD. These treatments can include medication and psychotherapy such as cognitive behavioral therapy (CBT), trauma-focused CBT, prolonged exposure therapy, stress inoculation training, art or music therapy, family counseling, and eye movement desensitization reprocessing (EMDR).
Medication for the treatment of PTSD can be prescribed depending on an individual’s specific symptom presentation. It is important to note that psychiatric medications alone are not often a complete solution for an individual suffering from PTSD and should be supplemented with psychotherapeutic techniques in order to maximize the benefit. Common types of medications used to treat PTSD include SSRIs (Selective Serotonin Reuptake Inhibitors) such as Prozac and Zoloft, SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) such as Cymbalta and Effexor, serotonin antagonists such as Buspar, and benzodiazepines such as Klonopin and Xanax.
The use of psychiatric medications has been heavily debated due to potential side effects. Patients must weigh the potential risks versus benefits when considering whether or not to take psychiatric medications for their condition. Some argue thatpsychiatrictreatment medications can reduce the intensity of symptoms associated with PTSD, allowing patients to cope more effectivelywith their diagnoses .Others argue thatmedication can actually impede psychological progress by numbing out pain instead of addressing it head on. Ultimately, the decision whether or not to make use of psychiatric medication should be made after consultation with a licensed psychiatrist or other medical professional.
In addition to medications, certain types of psychotherapy have been found effective in treating PTSD including cognitive behavioral therapy (CBT) and Eye Movement Desensitization Reprocessing (EMDR). These therapies are centered on helping the patient identify distortions in their thinking patterns in response to traumatic events while also addressing any unresolved emotional issues which may stem from it. While there is debate regarding the effectiveness of one particular modality over another, research indicates that psychotherapy is beneficial in treating PTSD.
The decision about what type of treatment is most appropriate for an individual suffering from PTSD should be discussed between the patient and his or her doctor or therapist. As such, it is important for individuals looking for disability benefits due to a diagnosis of PTSD to have evidence from a qualified mental health professional regarding which treatment approaches have been recommended and implemented for their particular case.
Now that we have discussed some potential psychiatric treatment options for those suffering from PSTD, our next section will discuss the process for filing a disability claim based on a PTSD diagnosis.
PTSD Disability Claim Process
The process of filing for Social Security Disability (SSD) benefits due to a diagnosis of PTSD is complex, but it can be navigated with the help of an experienced disability attorney or advocate.
The first step is to obtain a thorough medical evaluation and assessment from a mental health professional. This individual – typically a psychologist or psychiatrist – needs to diagnose the disorder based on officially accepted standards and provide comprehensive documentation of your condition. The key criteria for obtaining disability benefits are that your physical or mental impairment has lasted, or is expected to last, longer than 12 consecutive months and makes it impossible for you to do any kind of substantial gainful employment.
Next, you’ll need to fill out an official application online at SSA.gov — or in person if necessary — and provide detailed information about your condition. Make sure to list all relevant medical evidence and prior treatments during this step, as this will help expedite the process.
You’ll likely have to wait several weeks before receiving a response from the Social Security Administration. In some cases, however, you may get an answer within days if there’s enough evidence provided in your initial application. However, most applicants are initially denied SSD benefits due to lack of sufficient medical documents; in such cases, you may opt for a disability hearing before an administrative law judge who will decide if you’re eligible for benefits. During the hearing, you’ll need to provide additional evidence supporting your diagnosis and explain why you can’t work due to PTSD symptoms.
It’s important to note that even if you’re approved for Disability Insurance Benefits (DIB), i.e., SSD payments derived from employment taxes paid by individuals throughout their working life, Supplemental Security Income (SSI) benefits — payable to those whose limited income and resources disqualify them from DIB — may also be awarded after being approved based upon financial need eligibility criteria.
Leading into the next section is the importance of fully understanding the financial compensation and benefits available with PTSD Disability once it has been approved: Although the process of applying for PTSD disability can appear convoluted and complex at times, once approved there’s often financial relief – in addition to possibly valuable health insurance coverage – that can provide some much-deserved peace of mind for those living with this disorder. Now let’s explore how much compensation and benefits come with a PTSD disability claim and what other options are available for getting additional support…
Financial Compensation and Benefits for PTSD Disability
When applying for disability benefits due to post-traumatic stress disorder (PTSD), it is important to understand that disability payments are designed to meet both physical and financial needs. Disability can be divided into two categories – economic and non-economic. Economic loss is related to lost wages, while non-economic losses relate to the inability to perform daily tasks, such as self-care, household tasks and leisure activities.
Considering an individual’s financial needs, disability benefits may include Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). SSDI is available for persons who paid Social Security tax in a minimum of five of the previous 10 years prior to becoming disabled from PTSD. SSI assistance is based on financial need alone, regardless of whether the applicant paid Social Security taxes or not. All applicants must demonstrate that their illness has lasted at least 12 months and will prevent future employment for income.
In addition to disability payments, individuals with PTSD may be eligible for other benefits, such as Medicare and Medicaid coverage that helps to offset medical expenses associated with their condition. The VA also offers vocational rehabilitation. This can include job training and educational classes so individuals have better opportunities when they return to work.
The debate over the eligibility of individuals with PTSD for government benefits is ongoing and highly contentious since there is no clear consensus on the definition of “disabled” under U.S. law. While some argue that people with PTSD should be eligible for benefits due to the severity of their condition, others contend that their condition does not meet the legal definition of disability because it does not completely prevent them from working and earning an income. As such, finding a way forward for individuals suffering from PTSD remains an unresolved issue in public policy today.
Frequently Asked Questions Answered
What type of documentation is needed for a PTSD disability claim?
For a claim for disability benefits based on a diagnosis of PTSD, the claimant should gather documentation of their history and diagnosis from their mental health provider(s). This may include medical records, psychological evaluations or testing, treatment plans, and letters or statements from providers outlining the severity of their symptoms. The claimant should also provide any evidence they can that proves they are unable to work due to PTSD such as job performance reviews, notes from former employers that detail their inability to work in specific environments, reports from support groups or counselors, and relevant medical literature. Lastly, the claimant should provide any other proof of eligibility such as financial data regarding income and assets, information about what types of benefits are being sought, and any other objective documents that may provide added weight to the claim.
Are there any special considerations for veterans filing a PTSD disability claim?
Yes, veterans filing a PTSD disability claim may have special considerations. The Veterans Affairs (VA) provides special benefits and programs to veterans with a PTSD disability rating, including access to services like mental health counseling and vocational training. There are also expedited processing of claims for veterans with a service-related disability. Furthermore, the VA offers guidance on the disability claims process and an easily accessible online portal that simplifies the process. When filing a claim, veterans may also use special evidence such as military performance evaluations, their DD Form 214 or other documents to support their claim.
What are the steps for filing a PTSD disability claim?
1. Speak to a Medical Professional: The first step in filing a PTSD disability claim is to speak with a medical professional about your condition. Your medical provider will need to properly diagnose you with PTSD and provide documentation of it.
2. Gather Supporting Evidence: You must then collect any evidence that supports your PTSD diagnosis, such as medical records, lab results, letters from counselors or therapists, and other documents related to the condition.
3. Complete the Forms & Submit them to the SSA: Once you have gathered all necessary documentation, you need to complete the required forms for application and submit them to the Social Security Administration (SSA). SSA will process the forms and contact you if they require any further information.
4. Attend a Medical Exam by an SSA-Approved Physician: After submitting your forms, you may be asked by SSA to attend a medical exam conducted by an approved physician. This physician will assess your mental and physical health and determine if you meet the criteria for a successful disability claim for PTSD.
5. Wait for Approval Notification from SSA: After attending the medical exam, you then need to wait for approval notification from SSA. If they find that you are eligible for benefits, they will notify you and give you instructions on how to receive them.
These are the basic steps one should take when filing a disability claim due to PTSD. However, it is important to keep in mind that each individual’s case can be different depending on its severity and complexity, so it is best to seek advice from your medical provider or legal specialist about how to best proceed with filing your claim for disability benefits due to PTSD.