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Disability Determination

When people cannot work because of mental health problems, this creates significant problems for their families and themselves. In addition, disability programs and insurance companies are often uncertain as to how to determine whether or not a disability exists because it is hard to objectify and quantify these "invisible" disabilities. Thus, a psychological evaluation or Independent Medical Evaluation (IME) is often essential for a number of situations including:

  • Worker's Compensation
  • Social Security Disability Determination
  • Long-term disability insurance eligibility
  • Personal injury litigation

We can help with many different types of mental health related disabilities, such as:

  • Memory and concentration problems due to brain injury, toxic exposure, or birth complications
  • General cognitive dysfunctions due to learning disabilities or mental retardation
  • Severe and persistent mental illnesses such as schizophrenia, major depression, and bipolar (manic-depressive) disorders
  • Personality disorders which can affect many aspects of a person's manner of relating to other people and his or her characteristic ways of performing tasks

Such disorders can make it difficult or impossible to focus on assignments, work at a reasonable pace, interact cooperatively with others, accept supervisory input, behave in reliable and dependable ways, or work under stressful circumstances such as meeting deadlines.

In order to help reach an accurate conclusion as to the degree to which these problems are disabling, it is important to use a variety of objective methods, such as personality testing, intelligence and academic skills testing, and neuropsychological testing. In addition in-depth interviewing to understand an individual's social and personal histories, including educational and work histories, is critical. Finally, accessing the individual's motivation, both positive and negative, is critical to understanding the context of whatever dysfunctional work behavior is observed. If an individual is malingering, that can usually be uncovered through objective methods.

Of course, if possible, it's best to avoid keeping an employee on disabled status for extended (or permanent) periods of time. In these instances, return-to-work strategies, including reasonable accommodations can be highly useful. For more information about strategies for dealing with mental health disability and return-to-work issues, please refer to Dr. Fischler's online articles:

Contact us for a free psychological consultation regarding your case.

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