Decompensation is a term that refers to deterioration, i.e. something falling apart that, previously, was being maintained. In mental or psychiatric terms, decompensation is the degradation or deterioration of mental health in an individual who, up till that point, has maintained his or her mental illness. As one definition puts it, mental decompensation can lead to a lessened ability to carry on with the activities of daily living.
Decompensation plays a big role in evaluating social security disability claims and SSI disability claims. And it should, considering that A) decompensation limits one's ability to engage in normal daily activities, B) the ability to engage in normal daily activities relates strongly, as far as the social security administration is concerned, to the ability to engage in work activity and C) a sufficiently diminished ability to engage in work activity will result in an approval for social security disability or SSI.
Decompensation is mentioned in a number of disability listings, such as, for example, listing 12.03, titled "Schizophrenic, paranoid, and other psychotic disorders". Typically, the reference to decompensation will be stated such as "repeated episodes of decompensation, each of extended duration".
Episodes of decompensation can result in a disability allowance. However, such episodes must be documented, i.e. they must appear in a claimant's medical record documentation. Documentation not only establishes the existence of decompensatory episodes, but also their severity and duration.
For this reason, an individual who is filing for disability should try to make sure that their therapist is aware of ALL their periods of decompensation. What do I mean by this? Here's what I mean. Too many patients who suffer who suffer from various mental impairments (and who have filed or will file for disability), have periods where they completely fall apart, or decompensate, but A) don't seek treatment for this or B) when they see their therapist, either fail to mention to mention the decompensation episode, or minimize its severity (play it down).
This, for the purpose of documenting a solid and winnable disability claim, is a mistake. You need to have these decompensation events recorded and documented just as a seizure patient needs to have his or her seizures documented and an asthma patient needs to have his or her asthma attacks documented. Winning a case for benefits all comes down to what is in the records. And records are recorded on the basis of a clinician's observations.
With regard to psychiatric and psychological impairments, of course, much depends on what a patient actually reports to their treatment specialist. If the information is not reported, it does not become part of the medical record, and it does not become credible evidence that might help to get a disability case approved.
The point being: if you are filing for disability on the basis of a mental condition, or are considering doing so, make sure your mental health treatment specialist is kept up to date with how your condition is progressing, particularly with regard to episodes of decompensation.
I have never had this trouble with Social security as long as your disabilitly keeps you out of work for more than 12 months or longer or results in death you can keep getting your SSI or SSDI. I have been on SSI since 1986 and the state determination services that does the adjuducation for the SSA for SSI or SSDI uses the guidelines for under the DMS IV handbook for mental disabilites. I haven't seen too many people get better from a mental disabiltiy or psychiatric one for that fact. We are all about the same. We have gone through DHS/DVS for rehab Services and they say since we don't have a veritfiable work history most likely SSA will keep us on one form of SS or other.
by Once had a life 7 years ago
I was diagnosed with severe PTSD in 1998 by DRs in Sydney Australia. I was told that I fit into the 2% category which do NOT usually survive. I must admit, this has been the wildest roller coaster ride that I've ever been on. Blackouts, "waking" as if from a nightmare,...
by Charlu 6 years ago
Does SS Disability and Medicare need to be reformed or the people and to many agencies governing it?Recently having seen the brutal fight one has to go through to get SS or SSD, Medicaid or Medicare I was in shock. The mere fact you have to deal with SSI, Office of Disability...
by Vicky C. 6 years ago
Are more people faking manic depression just to get social security disability?Where I live, there is a saying that goes like this. "They are getting the crazy check". What is the crazy check? It is the SSI money they are collecting claiming they are bipolar.
Copyright © 2019 HubPages Inc. and respective owners. Other product and company names shown may be trademarks of their respective owners. HubPages® is a registered Service Mark of HubPages, Inc. HubPages and Hubbers (authors) may earn revenue on this page based on affiliate relationships and advertisements with partners including Amazon, Google, and others.
|HubPages Device ID||This is used to identify particular browsers or devices when the access the service, and is used for security reasons.|
|Login||This is necessary to sign in to the HubPages Service.|
|HubPages Traffic Pixel||This is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.|
|Remarketing Pixels||We may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.|
|Conversion Tracking Pixels||We may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.|