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How does the SSA decide bipolar disorder disability claims?

On Behalf of | Mar 6, 2025 | Social Security Disability

Bipolar disorder causes extreme mood swings that make daily life hard. These mood changes can affect a person’s ability to keep a job. The Social Security Administration (SSA) considers bipolar disorder a disability under its Blue Book listing for mental disorders. However, not everyone with bipolar disorder qualifies for benefits. A person must show strong medical proof that their condition makes it impossible to work.

SSA’s medical requirements

The SSA reviews bipolar disorder claims under Listing 12.04, which covers mood disorders. To qualify, a person must have at least three of these symptoms: fast or excessive talking, racing thoughts, trouble focusing, taking big risks, needing little sleep, or having extreme confidence. They must also have serious problems in at least two of these areas: learning and remembering information, getting along with others, focusing on tasks, or handling changes in daily life.

Proving medical evidence

Medical records are very important in getting disability benefits. The SSA needs reports from doctors, therapists, or mental health professionals. These records should include symptoms, treatment plans, hospital visits, medicine history, and therapy notes. If someone has been hospitalized multiple times or cannot live independently due to their bipolar disorder, this helps support their case.

Checking work limitations

Even if someone does not meet the exact medical rules, they may still qualify for benefits if their condition limits their ability to work. The SSA uses a Residual Functional Capacity (RFC) test to see how much a person’s disorder affects their job performance. If they have trouble following directions, handling stress, or keeping a schedule, this can support their claim. Statements from family, past employers, or doctors can also help prove their struggles.

Keeping detailed medical records, following the doctor’s advice, and staying consistent with treatment can improve approval chances. It is important to attend all medical appointments and follow prescribed treatments. If the SSA denies a claim, appealing the decision allows a person to present more evidence or seek help to improve their case.