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Each year, thousands of Americans struggle with their mental health. While not always visible, mental health conditions can affect a person’s concentration, memory, energy, decision-making, and many other factors. Those effects can not only disrupt an individual’s personal life, but their professional life as well.

That leads many who struggle with their mental health to wonder if they are eligible for work disability benefits.

In most cases, a diagnosis of a mental health condition alone is not enough to establish eligibility for disability benefits. A claimant must be able to show how their mental health affects their ability to meet their work duties. That’s where Fields Law can help.

Our mental health disability attorneys have experience helping clients build strong claims, backed by medical and vocational evidence.

Even if you’ve already had your mental health disability claim denied, Fields Law may be able to help you appeal the decision.

for a free consultation.

Mental health disabilities can refer to mental health conditions such as depression, anxiety, post-traumatic stress disorder (PTSD), bipolar disorder, and other conditions that can significantly affect a person’s ability to function at work.

These conditions can make it difficult to cope with everyday life, but because there is so much variation in the types of mental health conditions, a diagnosis of a specific disorder alone isn’t typically enough to qualify for work disability benefits.

A claimant must be able to demonstrate to their insurer through medical and other evidence that their condition prevents them from performing their work duties under the policy’s definition of disability.

Cervical radiculopathy refers to nerve issues affecting the neck, while lumbar radiculopathy affects the lower back. Cervical radiculopathy is often referred to as a pinched nerve in the neck, while lumbar radiculopathy commonly causes sciatica, a radiating pain down the leg.

These nerve issues can stem from a few different causes, including herniated spinal discs, bone spurs, and degenerative disc disease. Symptoms are often closely related to conditions like spinal stenosis or spondylolisthesis, or they can appear as a result of a physical injury or a post-surgical complication.

Different mental health conditions have different symptoms that can impact a person’s ability to work. Some of the most common conditions are:

Anxiety

An anxiety disorder is characterized by worry or fear that goes beyond ordinary worry to the point that it interferes with a person’s daily life. People who experience an anxiety disorder may be unable to concentrate, complete tasks, or face difficulty making decisions at work. They may also experience fatigue, sleep disruption, panic attacks, and difficulty interacting with coworkers or customers.

Bipolar Disorder

Bipolar disorder involves episodes of significant changes in mood, energy, activity levels, and behavior, including manic, hypomanic, and depressive episodes. Symptoms can affect a person’s concentration, judgment, decision-making, sleep, energy, and their ability to perform consistently at work.

Depression

Individuals with depression experience prolonged or persistent sadness, feelings of worthlessness, or hopelessness. They may experience low energy, changes in sleep and appetite, loss of interest or pleasure in activities, and difficulty making decisions. People with depression may also experience irritability and thoughts of death or suicide.

PTSD

When an individual experiences or witnesses an extremely traumatic event, they can develop post-traumatic stress disorder. Symptoms include intrusive thoughts, flashbacks, or nightmares. They may also experience avoidance of trauma-related reminders, negative mood changes, and irritability.

Mental health disabilities can have varying effects on a person’s ability to work that are dependent on the specific type of mental condition they have.

A common way a mental health disorder can affect a person’s ability to work is by making it difficult to concentrate. A person suffering from depression or anxiety may find it extremely hard to pay attention during meetings, remember instructions, or complete work tasks.

Decision-making is also regularly impacted by mental health conditions. Individuals may find it hard to evaluate choices, make judgments, or respond to unexpected problems.

Conditions like anxiety and depression can also impact a person’s productivity at work. They may face fatigue, insomnia, and panic that make it difficult to carry out a normal workload or meet deadlines.

Mental health issues can also cause a person to miss work without warning, experience panic attacks at work, or have trouble interacting effectively with coworkers, clients, or customers.

Is a Mental Disability Considered a Disability?

Mental Disabilities

Why Mental Health Disability Claims Are Denied

When a mental health condition like anxiety or depression leaves a person unable to work, the last thing they expect is to be denied Long Term Disability benefits. However, most insurers require more than a diagnosis of a mental health disorder to approve a claim.

Claimants must prove to their insurer that their disorder causes functional limitations and limits their ability to work, as described by their policy’s requirements.

Before you file a claim, keep in mind some of the reasons why mental health disability claims are denied:

  1. There is insufficient medical evidence to establish the existence of a mental health condition.
  2. Your medical records document a diagnosis, but don’t provide enough evidence to support functional limitations at work.
  3. Treatment records show that medication or therapy has helped control or improve your condition to the degree that you can reliably perform work duties.
  4. The insurer identifies gaps in your treatment or evidence that suggests the claimant is not following the recommended treatment plan.
  5. The insurer agrees that you have a legitimate condition, but disagrees that you are incapable of performing work duties based on policy language.
  6. Your policy applies an “any occupation” definition of disability, and the insurer determines that you can still perform another occupation under the policy terms.
  7. The insurer may use your social media activity or other surveillance to argue your activities are inconsistent with your reported limitations.

Filing a Mental Health Disability Claim

A strong mental health disability insurance claim should document the effect the disorder has on a person’s ability to consistently perform their work duties.

Fields Law’s mental health disability attorneys can help you gather the appropriate evidence.

We help our clients:

  • Collect detailed medical documentation of your mental health disability
  • Gather physician statements that document your symptoms
  • Connect your symptoms to limitations in your work duties
    Work with vocational experts to further demonstrate how the condition limits your ability to work

Carefully documenting the medical and functional effects of your mental health disability will strengthen your claim. Fields Law can help.

Social Security Disability and Mental Health Long Term Disability Benefits

Many people wonder if their anxiety or depression qualifies them for Long Term Disability benefits, do they automatically qualify for Social Security Disability Insurance (SSDI) benefits?

LTD benefits and SSDI are two different programs. LTD benefits are offered through private or employer-sponsored insurance plans, while Social Security is a government program.

Each program has a different application process, and the Social Security Administration (SSA) has different rules and evaluation criteria than private or employer-provided disability insurance. However, approval still largely depends on the severity of your specific condition and how it limits your ability to work.

If a person does qualify for SSDI, their LTD benefits may be offset by the amounts received from SSDI, which may affect the amount of LTD benefits they receive.

What Happens If Your Mental Disability Claim Is Denied?

When your mental health disability claim is denied, it can leave you feeling shocked and uncertain of what to do next.

Remember, a denial does not necessarily mean your claim is over. Many Long Term Disability insurance claims are denied initially, but claimants may have the option to appeal the insurer’s decision.

Many employer-sponsored Long Term Disability policies are governed by the Employee Retirement Income Security Act (ERISA). This federal law requires an ERISA-covered plan to provide a claimant with the opportunity for a full and fair review of their denial. However, not every private or employer-sponsored plan is subject to ERISA.

In most ERISA-covered plans, you have at least 180 days to appeal a claim denial.

With only a limited time to appeal, it’s important to seek legal help as soon as possible after receiving a denial letter.

Fields Law’s mental health disability lawyers can help you understand the reasons for your denial and begin your appeal. We can help you gather the evidence needed to create a strong appeal and help you file it within the appropriate deadline.

Our team of mental health disability attorneys can help you:

  • Gather additional medical evidence
  • Collect detailed statements from your treating physicians
  • Obtain a written statement from your doctors that explains how your specific mental health disability symptoms restrict your work capacity
  • Work with vocational experts to further document how your condition affects your work duties
  • File an appeal within ERISA deadlines

For those already struggling with mental illness, the process of appealing an insurance denial can feel overwhelming. Fields Law can manage the appeal process on your behalf and advocate for the full extent of benefits available under your policy.

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7200+

cases won nationwide

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2220+

lawsuits filed

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$32755281+

in benefits recovered last year alone

See the full list of our case wins and lawsuit results here

Get Help With Your Mental Health Long Term Disability Claim Today

Whether you’re just beginning to file a claim or your mental health disability claim has already been denied, Fields Law can help you take the next step.

We provide nationwide advice and representation in disability claims involving mental health disabilities.

Contact Fields Law today for a free initial consultation. We represent clients on a contingency basis, through our Win-Win Guarantee®. There are no up front legal costs – we only get paid if you get paid.

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Nationwide Long Term Disability Insurance Claim Attorneys