How Long does a Social Security Disability or Supplemental Security Income Appeal typically take?

There is no way of knowing for sure how long an appeal for Social Security Disability or Supplemental Security Income benefits will take.  There are four levels of appeal for denials of Social Security benefits.  The first level of appeal is filing a Request for Reconsideration.  The request must be filed in writing within 60 days of receiving the denial on your initial application.

Typically Requests for Reconsideration are processed within 3-4 months.  However, some Requests for Reconsideration can take up to 6 months or more.  The second level of appeal is filing a Request for a Hearing.  If your Request for Reconsideration is denied, you can file a written Request for a Hearing within 60 days of receiving the Reconsideration denial.

Requests for Hearing are sometimes processed within 6 months.  However, sometimes it can take a year or more for a hearing to be scheduled after the Request for a Hearing has been received.  The third step of appeal is filing a Request for Review from the Social Security’s Appeals Council.

Appeals Council’s review can take anywhere from 3 months to over a year to be processed.  The Appeals Council remands about 25% of cases that are appealed.  These cases receive a new hearing, usually before the same Administrative Law Judge (ALJ) who denied the claim.

It can take anywhere from 3 months to over a year to have your case rescheduled before an ALJ.  And this process can be delayed by consultative examinations the ALJ may be required to send you to.

The fourth level of appeal is filing a lawsuit in Federal District Court.  Time frames vary quite drastically in this instance, too.  Accordingly, it is important to remember that estimated time frames may be given, but  cannot be set in stone.

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MRI Exams Show the Severity of a Herniated Disc (Back Injury)

A herniated disc is one of the most painful and common injuries.  Often referred to as a ‘slipped disc,’ this condition can severely restrict a sufferer’s mobility and make everyday tasks absolutely impossible.  New technologies like MRI exams provide you with the imaging evidence needed to show the severity of disc and spinal injuries, allowing doctors to be more specific with their treatment plan which leads to many patients feeling better.

Not only does a slipped disc result in excruciating back pain, but loss of sensation or reflexes may also occur due to nerve damage.  The spinal cord contains many nerves, and disc injuries can cause nerve damage.  Most herniated discs can be treated with pain killers and physical treatment such as traction and stretching.  In the cases where this treatment works, the pain usually subsides quickly and within four to six weeks no further treatment is necessary.

In many cases, the pain from a herniated disc does not just go away, and the problem with a back injury is that it affects absolutely everything you do, or even don’t do.  Someone with severe back pain will find out that even just laying in one position does not alleviate the agony, making the performance of any normal tasks a ridiculous notion.

When the minor treatments do not bring relief and the condition persists, further tests are needed to locate the problem itself and to confirm its severity. In such instances, imaging tests are usually required. The main types of spinal imaging used today are Computed Tomography (CT) and Magnetic Resonance Imaging (MRI).

An MRI is a very effective and safe technology that allows medical experts to pin-point internal problems without intrusive methods being required. The test basically sends radio waves through the body by creating a magnetic field around it, and then a computer maps the responses to build a picture of your internal organs, muscles, bones etc.

The exam itself usually lasts between thirty minutes and one hour. On some occasions the patient may need to be injected with a contrast agent to provide a clearer picture to the radiologist.

This test provides such a clear picture to examiners that they are able to see inflammation and even locate any nerve damage, offering a critical tool for determining if surgery is needed for almost any spinal problem without doing any invasive procedure to the subject.  An MRI exam is pretty comfortable for the patient, it’s not unheard of for the subject to fall asleep during the exam.

For long term pain from a disc injury, there is the possibility of being awarded benefits from the Social Security Disability program.  The results of an MRI will be essential in backing up any claim as this exam produces an objective report.  Pain is subjective, and hard to quantify, the MRI however is able to display the spine in such detail that doctors can review the image and agree that pain would be caused (or not) based on what they see in the MRI.

Spinal injuries like a herniated disc are listed in the programs impairment listing manual, also known as the Social Security Administration’s “Blue Book.”  When a disc injury leads to an inability to work the patient should file a disability claim.

The MRI evidence will go a long way in proving (or disproving) any claim for benefits based on a musculoskeletal problem.  Even though a herniated disc is a very serious condition everyone with a slipped disc will not qualify for benefits, after all, thousands continue to work with slip discs.  If you have severe back pain that limits you from working then you should begin to build up the evidence in your medical record file that will help Social Security examiners see that you are disabled.

Posted in Bone & Joint Problems, Medical Evidence | 1 Comment

PTSD Symptoms & Treatment Options

The advances in the treatment and understanding of Post Traumatic Stress Disorder have come a long way since the condition was officially recognized in 1980. Many health care professionals recognized the effects of experiencing or witnessing extreme traumatic events for many years, but until the US Government officially recognized the condition there were very few funds available for research and the development of effective treatments.

Today, PTSD is a known mental disorder like depression or anxiety.  Thanks to organizations such as the Department of Veterans Affairs’ National Centre for PTSD, the condition can now be correctly diagnosed and treated with both medication and counseling.

While the research has been driven by the plight of servicemen and women returning from active duty wars, the condition is in no way limited to military personnel. It can be triggered by traumatic events experienced in civilian life as well, such as auto accidents, violent confrontations, and even natural disasters like earthquakes.

PTSD Symptoms

PTSD affects each person differently; sufferers usually exhibit more than one of the following symptoms:

  • Flashbacks and dreams of the event,
  • Indifference and detachment,
  • Low attention span,
  • Problems in relationships and aversion to personal attachment,
  • Short term memory problems,
  • Insomnia,
  • Anger,
  • Hyper-vigilance,
  • Self- destructive tendencies, and
  • Alcoholism.

PTSD Treatment Options

The treatment of Post Traumatic Stress Disorder usually takes the form of medication and counseling. Modern counseling techniques are very effective. Cognitive Behavioral Therapy (CBT) is accepted as the most effective counseling method and the two types often used for PTSD are Cognitive Therapy and Exposure Therapy.

Cognitive Therapy attempts to change a sufferer’s outlook on their current situation by helping to assuage any feelings of guilt they may have in relation to whatever is causing their stressful condition. Exposure Therapy, on the other hand, tries to help a sufferer face the memories of the triggering event itself and little by little desensitize them from the pain of that memory.

The medication side of PTSD treatment relies heavily on anti-depressants known as Selective Serotonin Reuptake Inhibitors (SSRI). These work on the chemical imbalances of serotonin in the brain that make the sufferer feel depressed.

Two common types of prescription medication that are often used in PTSD treatment are Fluexetine and Sertraline.

Depending on the level of severity of the PTSD and whether or not it is combines with other mental problems, treatment can last between 3 moths and two years.  The great news, however, is that there is a very good success rate in treating this condition.

For those who suffer from PTSD to such an extent that maintaining any job becomes impossible, there is possible help through the US Government’s Social Security Disability Program. Although the criteria which must be met to show you have PTSD at the listing level is very strict, it is now possible to receive disability benefits for this medical impairment.  For those who are held completely within the grip of PTSD, and severely limited in their ability to function, disability payments allow breathing room so patients can focus on overcoming their problem.

If you suffer from PTSD then understand this: never put post traumatic stress on the back burner.  In an era where so much progress has been made, it is unnecessary for you to suffer in silence.  Help is available for your condition, and if you so limited by your PTSD that you cannot work then you may even be able to qualify for a monthly disability payment.

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Winning Social Security Disability Benefits with Seizures

Those who suffer from frequent seizures will often feel like they have a disabling condition that makes the very simplest tasks in life seem impossible. If you have frequent seizures you may find it difficult to get a drivers license, hold employment or take on other active roles within your community. Seizures and conditions like epilepsy can lead  to other disorders like depression and anxiety, due to the disabling effect they have on people.  While some people who suffer from seizures will qualify for SSI and SDI social security benefits, many others will be unsuccessful in their claim.

What kind of Seizures Qualify for SSI and SDI Social Security Benefits?

It is not so much the cause of the seizure that social security will examine in your claim, but rather the severity and frequency of the seizures. The first condition that must be met in a successful claim is that the applicant suffers from a minimum number of seizures each month. Convulsive epilepsy must involve a seizure at least once a month for three consecutive months. If seizures occur during nighttime then their must be conclusive evidence that they impede on daytime activities such as work. Non-convulsive epilepsy must involve seizures occurring more frequently than once per week, for three consecutive months. Non-convulsive seizures must also involve the individual becoming unconscious during the seizure, or the seizure having a severe impact on their awareness during and after the attack.

In both kinds of epilepsy, convulsive and non-convulsive, the applicant must have attempted treatment and followed the management plan of a medical practitioner for three months and still be suffering from seizures. This means you have to be in treatment, and compliant with taking your prescriptions as directed.  The two major reasons that social security will deny a claim is that the seizures are not frequent enough, or that the patient has not gone through with the treatment as prescribed by a medical practitioner.

Keeping Accurate Records May Help Win Your Claim

It is very important to keep medical records, or even your own written diary of any seizures you have had to document frequency. If possible, an ECG of a seizure can form a very important part of your disability claim. You must also be ready to show that you have effectively followed medical treatment advice, taking medication and doing anything else your doctor has suggested to help alleviate the seizures. If you are not compliant with taking your medicine your claim could be denied.

Social Security will also investigate how a seizure will affect the applicant afterwards. To do so they will require medical documentation of the aftermath of a seizure. For this reason it is important that you see a doctor after you have had a seizure, even if you feel fine. These medical records may be integral to your disability claim, and could make the difference between winning and losing disability benefits.

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