Types of Mental Health Conditions That May Qualify

SSA evaluates mental disorders under specific categories in its Listing of Impairments (Blue Book). Common conditions that may qualify include:

• Major depressive disorder
• Bipolar disorder
• Anxiety disorders (including PTSD and panic disorder)
• Schizophrenia and other psychotic disorders
• Autism spectrum disorder
• Intellectual disability
• Obsessive-compulsive disorder

You must demonstrate that the condition is severe, long-term (expected to last at least 12 months), and limits your functional capacity.

How to Prove Your Mental Condition to SSA

To get approved for SSDI based on a mental condition, you’ll need strong, consistent evidence. Here are the key elements SSA looks for:

1. Documented Medical Diagnosis

You must have a formal diagnosis from a qualified mental health professional—such as a psychiatrist, psychologist, or licensed clinical social worker. The diagnosis should meet DSM-5 standards and be regularly updated.

2. Ongoing Treatment Records

SSA wants to see consistent treatment history, such as:

• Therapy or counseling notes
• Psychiatric evaluations
• Hospitalizations or ER visits
• Medication management
• Progress or lack of improvement over time

If you’ve stopped treatment, SSA may question the severity of your condition. If treatment was unavailable or unaffordable, make sure to explain that in your application.

3. Functional Limitations

SSA evaluates how your condition affects daily life and work ability. You’ll need to show marked or extreme limitations in areas such as:

• Understanding or applying information
• Interacting with others
• Maintaining concentration, persistence, or pace
• Managing yourself (e.g., hygiene, schedules, impulses)

These functional limitations can be shown through medical records, mental status exams, and statements from treating providers.

4. Third-Party Statements

Statements from family members, employers, or friends can support your case. These letters should describe how your condition affects your daily functioning, routines, work habits, and ability to handle stress or follow directions.

5. Work History and Job Losses

SSA considers how your condition impacts your ability to perform past work. If you’ve had repeated job terminations, long absences, or difficulty holding a job, that can be strong evidence—especially when backed by documentation from employers or HR.

The Role of Consultative Exams

SSA may schedule a Consultative Exam (CE) with one of their contracted psychologists or psychiatrists if they need more information. It’s critical to attend this exam and participate fully, as missing it can delay or hurt your claim.