Monday, October 08, 2007

Borderline Personality Disorder Social Security Disability SSI - Applying for Disability

There is no specific listing in the Social Security Administration's impairment listing book (the blue book) for borderline personality disorder, per se. However, there is a listing that addresses borderline personality disorder. This is listing 12.08, titled, appropriately, Personality Disorders.

The SSA impairment manual describes personality disorders as conditions that exist when personality traits can be characterized as inflexible and maladaptive, and can be shown to impair an individual's functioning, both socially and as regards one's employability.

To satisfy the requirements of this listing (and be approved for disability on the basis of meeting this listing), a claimant's medical records must show behavior patterns that are maladaptive and that are associated with at least one of the following:

1. Seclusiveness or autistic thinking

2. Suspiciousness or hostility, to the degree that this can be considered to be pathologically inappropriate.

3. Oddities in the areas of verbalization, thoughts, behaviors, or perceptions.

4. A persistent occurrence of mood disturbance or disturbance of affect.

5. Dependence, passiveness, or aggressiveness, to a pathological degree.

6. Behavior that is damaging and impulsive.

7. Unstable and intense personal relationships.

To meet the Personality disorders listing, a claimant's medical records must also show at least two of the following:

1. A marked level of restriction in ADLs, or activities of daily living.

2. A marked level of difficulty in the area of maintaining social functioning.

3. Problems in maintaining concentration, persistance, or pace, to a marked degree.

4. A history of decompensatory episodes, each having some duration (the manual simply says "extended" duration.

Without question, to be approved for disability on the basis of the Personality Disorder listing, a claimant must have solid medical record documentation. This will typically mean a substantial history of psychiatric treatment provided by a psychiatrist whose treatment notes are clear when it comes to indicating the claimant's symptomology and the claimant's functional limitations in the areas of A) activities of daily living, B) social functioning, and C) attention (concentration, persistance, or pace).

Can a claimant who has borderline personality disorder be approved for disability if their records do not manage to satisfy the requirements of the Personality Disorder listing? Yes, by receiving a medical vocational allowance which is, in fact, how most disability applicants are approved for benefits.

The following links lead to pages that provide information on the social security disability and SSI system. These links are followed by some basic information on Borderline Personality Disorder. For additional information on the federal disability system, you may wish to follow the link at the top of the page that leads to Disability

1. To be awarded Social Security Disability do I have to be disabled for a whole year?
2. Attorney for a Disability Claim
3. Using a Social Security Disability Advocate to Help with Medical Records
4. Can you Appeal a Denial from Social Security
5. Should you appeal a disability denial if your condition is improving ?
6. How many Social Security Disability and SSI claimants do not file an appeal ?

What follows is basic information on Borderline Personality Disorder:

Borderline personality disorder is a psychosocial disorder that is characterized by a) improper emotional responses to places, persons, or things, b) concrete right or wrong thinking, and c) frenzied, disordered interpersonal relationships.

Studies indicate that, often, the nuclear family plays an important role in the development of borderline personality disorder. For instance, if a child receives inconsistent behavior from parents, parental abuse, or familial input that is always negative and critical rather than supportive and empathetic, there is a greater likelihood for the development of borderline personality disorder.

Borderline personality disorder is often found in conjunction with other disorders such as anxiety disorder, bipolar disorder, clinical depression, bulimia, anorexia, and somatoform disorders. Additionally, the most common co- morbid problem is substance abuse. In fact, fifty to 70 percent inpatient hospitalizations for individuals who suffer from borderline personality disorder have substance abuse issues.

Borderline personality sufferers also have instabilities in relationships, behavior, employability, and mood. Consequently, borderline personality disorder often causes suicidal ideations that lead to suicide.

Borderline personality is currently best treated with three types of psychotherapy; transference-focused, scheme focused, and dialectical behavior therapies. Medication is used to control other co morbid symptoms such as anxiety, bipolar disorder, and depression. Psychotic and impulsivity symptoms are usually control with anti-psychotics.

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