In addition to dealing with short term disability benefits, long term disability benefits, and health insurance denials, many of our clients are also tasked with applying for Social Security Disability benefits. On January 17, 2017, the Social Security Administration adopted new rules for evaluating mental disorders. These rules reflect the most comprehensive revision in over 30 years to the criteria used to evaluate disability claims involving mental disorders. Changes to the rules reflect up-to-date standards and practices used in the mental health community. Most notably, the new rules reflect information from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (“DSM -5”), which is the mental health profession’s standard for classifying mental disorders. The new rules also reflect comments from members of the public and the expertise of disability policy experts, adjudicators, psychiatric professionals, and vocational experts.
Among the many changes are three new listings: 12.11 Neurodevelopmental disorders, 12.13 Eating Disorders, and 12.15 Trauma- and Stressor-Related Disorders. Additionally, the titles of the listings have been updated to reflect the terms the American Psychological Association uses to describe the categories of mental disorders in the DSM-5.
This table shows the old and new listing numbers and titles:
OLD | NEW | ||
12.02 | Organic mental disorders | 12.02 | Neurocognitive disorders |
12.03 | Schizophrenic, paranoid and other psychotic disorders | 12.03 | Schizophrenia spectrum and other psychotic disorders |
12.04 | Affective disorders | 12.04 | Depressive, bipolar and related disorders |
12.05 | Intellectual disability | 12.05 | Intellectual disorder |
12.06 | Anxiety-related disorders | 12.06 | Anxiety and obsessive-compulsive disorders |
12.07 | Somatoform disorders | 12.07 | Somatic symptom and related disorders |
12.08 | Personality disorders | 12.08 | Personality and impulse-control disorders |
12.09 | Substance addiction disorders | 12.09 | Reserved |
12.10 | Autistic disorder and other pervasive developmental disorders | 12.10 | Autism spectrum disorder |
12.11 | Neurodevelopmental disorders | ||
12.12 | Reserved | ||
12.13 | Eating disorders | ||
12.15 | Trauma- and stressor-related disorders |
Under the new rules, these new mental health listings will remain in effect for five years. To read the full text of Social Security’s Mental Disorder Listings, click here https://www.ssa.gov/disability/professionals/bluebook/12.00-MentalDisorders-Adult.htm#12_04 .