SSDI for Somatoform Disorders and Body Dysmorphia: Challenges and Assistance

Understanding the intricacies of applying for Social Security Disability Insurance (SSDI) can be complex, particularly for individuals with somatoform disorders or body dysmorphic disorder, BDD. In this blog post, we delve into the unique challenges faced by those seeking SSDI benefits for these conditions and explore the assistance available throughout the application process.

Is BDD considered a disability by SSA?

Body dysmorphia is recognized as a mental illness and, under certain circumstances, can be legally classified as a disability. It is important to dispel misconceptions that individuals with body dysmorphia are vain, egotistic, or self-obsessed. This condition is a significant mental health concern that can profoundly impact a person's overall well-being and quality of life.

Body Dysmorphic Disorder (BDD) encompasses two distinct subtypes: Muscle Dysmorphia and BDD by Proxy. Interestingly, both subtypes exhibit similar responses to the primary treatment approaches used for BDD, such as cognitive-behavioral therapy (CBT) and medication interventions. However, it is crucial for the CBT therapist to adapt the treatment focus accordingly.

How BDD may impact daily functioning activities?

Some extreme behavioral signs of muscle dysmorphia that may effect an individual's daily functioning levels and impact the ability to work under substantial gainful activity (SGA) may include:

1. Excessively working out/lifting weights (often many hours a day)
2. Repeatedly counting calories
3. Avoiding eating out at restaurants due to perceived lack of control over food content
4. Balancing carbohydrates, fats, proteins, and vitamins to achieve a "perfect" formula
5. Eating multiple meals throughout the day at rigidly adhered to schedules
6. Excessively checking mirrors, or other reflective surfaces
7. Avoidance of mirrors, or other reflective surfaces
8. Avoidance of social situations where bodies may be on display (e.g., the beach, or pool)
9. Camouflaging one's bodies by wearing multiple layers of clothing to appear "larger"
10. Use of anabolic steroids or other appearance and performance enhancing drugs

Can I file for SSDI for Somatoform or BDD?

Individuals suffering from somatoform disorders can find reassurance in knowing that these conditions are recognized by the Social Security Administration (SSA). If your somatoform disorder prevents you from engaging in substantial gainful activity for a period of at least 12 months, you may be eligible for Social Security disability benefits, which can include both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI).

When you apply for disability benefits with a somatoform disorder, the SSA will first assess whether your condition meets a specific listing in their guidelines. If your symptoms and limitations align with the criteria outlined in the listing, you will be considered disabled and eligible for benefits.

However, if your somatoform disorder does not meet a specific listing, the SSA will evaluate your residual functional capacity (RFC). This assessment aims to determine the maximum level of work activity you can perform despite your medical condition. They will consider factors such as your physical and mental limitations, pain levels, and any restrictions on your ability to function in a work environment.

Based on the evaluation of your RFC, the SSA will determine whether you qualify for disability benefits. They will consider your ability to perform your previous job or any other type of work in the national economy. If your condition significantly impairs your ability to work, you may be approved for disability benefits.

It is important to note that the disability application process can be complex, and it is often beneficial to seek the assistance of a qualified disability attorney or advocate. They can guide you through the application process, help gather necessary medical documentation, and present your case effectively to increase your chances of a successful outcome. These may depend on the following:

1. Subjective Nature of Symptoms:

Somatoform disorders and body dysmorphia are characterized by subjective symptoms that are not easily measurable or visible. The lack of objective evidence can make it challenging to prove the severity and impact of these conditions when applying for SSDI benefits. Establishing the connection between the symptoms and the inability to maintain substantial gainful employment requires thorough documentation and expert opinions.

2. Limited Medical Evidence:

Obtaining comprehensive medical evidence can be a hurdle for SSDI claims related to somatoform disorders or body dysmorphia. These conditions often lack definitive diagnostic tests, making it difficult to provide concrete medical documentation. Incomplete or inconclusive medical records can lead to increased scrutiny and require additional efforts to demonstrate the significant impairment caused by these disorders.

3. Impairment in Daily Functioning:

To qualify for SSDI, individuals must demonstrate that their condition significantly impairs their ability to perform daily activities and maintain employment. However, somatoform disorders and body dysmorphia primarily affect an individual's perception and mental well-being, making it challenging to quantify the impact on functional limitations. Providing detailed accounts of the limitations and their interference with daily life activities can strengthen the disability claim.

4. Psychological Assessments and Expert Opinions:

In SSDI claims related to somatoform disorders or body dysmorphia, psychological assessments and expert opinions play a crucial role. Seeking evaluations from mental health professionals with expertise in these conditions can provide substantial support for the disability claim. Expert opinions can help validate the severity of the symptoms, their impact on functioning, and the individual's inability to sustain gainful employment.

5. Stigma and Lack of Understanding:

Somatoform disorders and body dysmorphia are often misunderstood and stigmatized, both within society and the SSDI evaluation process. The subjective nature of these conditions can lead to skepticism and biases, making the claim process more challenging. Educating evaluators about the nature and impact of these disorders, and providing comprehensive medical evidence, is crucial to overcome such barriers.

SSDI claims for somatoform disorders or body dysmorphia pose unique challenges due to the subjective nature of symptoms and limited medical evidence. However, by leveraging psychological assessments, expert opinions, and providing detailed documentation of impairment in daily functioning, individuals can strengthen their disability claims. Addressing stigma, raising awareness, and advocating for a better understanding of these conditions within the SSDI evaluation process can contribute to a more equitable system that supports those in need. 

Hence, by leveraging expert guidance of professional disability attorneys, you can speed up your SSDI claims process without having to worry about navigating the complex process of filing for SSDI for BDD.