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Category Archives for Administrative Law Judges

Winning Social Security Disability Claims for Lyme Disease: What Works for Me

Lyme Disease and Social Security disabilityAs a Social Security disability attorney, Lyme disease cases represent a complex, frustrating, and often misunderstood type of disabling chronic illness. While the acute phase of Lyme disease is widely recognized and typically responsive to antibiotics, a subset of individuals develop long-lasting symptoms—often referred to as “chronic Lyme disease” or “Post-Treatment Lyme Disease Syndrome” (PTLDS). These cases are challenging both medically and legally, particularly when pursuing Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.

In this blog post I will discuss winning strategies that I have used over the past few years to develop a compelling case for benefits based on Lyme disease.

Lyme Disease – the Basics

Lyme disease is caused by a bacteria called Borrelia burgdorferi, transmitted by ticks. While early-stage Lyme disease is well understood, PTLDS is still gaining wider medical acceptance. A recent Johns Hopkins study found that 14% of early-diagnosed patients developed prolonged symptoms such as fatigue, musculoskeletal pain, and neurocognitive impairment. More recently the Wall Street Journal published an article entitled “Chronic Lyme Disease Acceptance Grows Among Doctors After Years of Debate.”

Interestingly, the aftermath of COVID-19 has offered the public and medical professionals a clearer picture of how infectious diseases can lead to persistent, debilitating post-viral syndromes. I believe that this context helps Social Security judges understand chronic Lyme within the broader framework of post-infectious disability syndromes. Continue reading →

Mental Health Disability Claims: Do You Have a Winning Case?

mental health disabilityI have written about this issue before but, given the stress of the coronavirus pandemic, I think this question deserves another look because just about every case evaluation I see contains allegations of some mental health concern.

I suspect we will be dealing with the repercussions of Covid-19 for years. In Atlanta, where I live, it seems that every night we see news stories of road rage shootings and other violent crimes.

Entire sectors of the economy have been devastated, causing upheavals in the job markets. How many restaurants have closed over the past year? How many men and women in the hospitality, tourism or travel industries are out of work? And for those who remained employed, many had to adjust to working from home while balancing child care and school-from-home obligations.

It is certainly no wonder that daily stress – whether financial, interpersonal or otherwise – has resulted in more cases of clinical depression and anxiety disorders. Hardworking men and women who might have been struggling with depression or social anxiety but was “getting by” now find the pressure of adapting to a post-pandemic world simply too much.

Here is some of what I see from potential clients in case evaluation requests:

“I cannot physically, mentally and at times emotionally work more than a few hours a week. I have noise intolerance with voices, music, and sounds, especially higher pitches. I have to wear noise cancelling ear phones and they don’t fully help. I cry at times from overstimulation which could be even from thinking, planning or riding in a vehicle. I cannot drive.”

“I have severe depression and anxiety and I can no longer focus on my work. And I had suicidal thoughts I am writing this right now it is 4:35 in the morning. I don’t sleep and I am taking antidepressants like mirtazapine 45 mg and am always sleepy and tired.” Continue reading →

Do You Really Need a Suicide Attempt or Inpatient Psych Hospitalization to Win Your Depression Disability Claim?

If you are pursuing Social Security disability benefits and your primary impairment is depression, you will need more and stronger evidence to win your case.

Over the past few years I have noticed a trend in my law practice whereby judges are less likely to award benefits in depression cases unless your medical record contains evidence of suicide attempts, in-patient psychiatric hospitalizations or other symptoms that could be life threatening.

Unlike medical conditions like back pain arising from a herniated disc, irritable bowel syndrome associated with a diseased colon, cancer that requires surgery, radiation and chemotherapy, or blood clots that require you to keep your legs elevated, severe depression cannot be imaged using an MRI, CT scan or ultrasound. Psychologists and psychiatrists test for depression based on conversations with patients and their long term relationships with their patients. Continue reading →

The Disability Judge Ruled that One of Your Medical Impairments is “Non-Severe.” What Does this Mean and Why is it Important?

Recently I have noticed a trend at many of cases I am trying on behalf of applicants for Social Security disability. After listening to testimony, but before posting questions to the Vocational Expert, the judge will say something like this: “counselor, I am going to find that the [allegations of depression; breathing problems and COPD; knee damage and reduced range of motion in the left lower extremity; etc.] are non-severe impairments and thus will not be included in questions I ask to the vocational expert. Do you have any objections to this?”

What does this mean to you if you are the claimant appearing at a hearing like this?

The term “non-severe impairment” is a term of art in the Social Security world. When judges evaluate claims, or, more accurately, elements of claims, they are required by law to analyze your case using something called the “five step sequential evaluation process.” Continue reading →

Will You be Approved for Disability Based on Your Diagnosis?

I frequently receive emails and comments on my YouTube channel from folks who want to know if they will be found disabled due to a particular diagnosis. “Will I be found disabled by Social Security if I have a herniated disc/carpal tunnel syndrome/major depression/cirrhosis of the liver, etc., etc.

I am not the only one who gets these questions. A retired judge who I appeared before many times and who knows Social Security disability law as well as anyone answers questions on Quora and he gets this question – apparently from the same person – over and over.

The judge’s answer and mine is the same – you do not win or lose your Social Security claim based on your diagnosis. The right question to ask is whether your symptoms and medication side effects leave you without the capacity to reliably perform simple, entry level work.

Social Security defines disability in these terms. When you appear at a hearing, every question the judge or your attorney asks is focused on your work capacity.

You could have four herniated discs, congestive heart failure and uncontrolled diabetes, but if you are working or can work an 8 hour day, you will not be found disabled. Continue reading →

Mistakes to Avoid and Tips for Winning: my Conversation with Stanley Denman

Social Security lawyer Stanley Denman
Attorney Stanley Denman

I recently reached out to my colleague attorney Stanley Denman, a Dallas – Ft. Worth, Texas disability attorney. This is a transcript of our conversation about mistakes to avoid and tips for winning disability claims.

Jonathan Ginsberg:  What are the biggest mistakes you have seen Social Security disability claimants in Texas make over the years?

Stanley Denman:  As you know, no one plans to be disabled, and few disability claimants have an experience with the process of applying for and winning social security disability benefits.  So it’s not surprising that disability claimants make a lots of mistakes – we all would! In my opinion, these are the biggest ones:

  • “Any lawyer will do.”  Texas disability claimants often hear that “you have to get a lawyer” to win disability benefits.  They wrongfully assume that the “J.D.” after the lawyer’s name is all that matters. Social security does not grant disability claims just because a lawyer is involved.  In fact, an inexperienced and inattentive lawyer can hurt more than help in winning a case.

Continue reading →

Why You Need an Elevator Speech for Your Social Security Disability Claim

I want to explain why you need an “elevator speech” for your Social Security disability case.

If you are not familiar with the term elevator speech, it comes from the world of job search. Imagine that you are in need of a job and you find yourself in an elevator with the CEO of a company that would be a perfect fit for your skills and education. You have a 45 second elevator ride to introduce yourself to the CEO, tell him (or her) who you are, and how you would be the ideal candidate for a job at his company.

45 seconds is not a lot of time – you need to cut out the fluff and convince this busy CEO why you would be a benefit to his company.

You should use this same approach when you are communicating with Social Security and especially when you are testifying to a judge. They have something you want – the power to award you life changing disability benefits. So it stands to reason that you need to make the claims adjudicator or the judge’s life easy by demonstrating how you fit SSA’s definition of disability.

Focus on Social Security’s Definition of Disability

Fortunately, you don’t have to guess about what they need – Social Security tells us in clear terms that in order to qualify for disability you have to prove that you are unable to reliably perform the duties of even a simple, entry-level job because of a medically determinable condition. You also have to prove that your job limiting condition has lasted or is expected to law at least 12 consecutive months or result in death. Continue reading →

Musculoskeletal Injuries: How Severely Impaired Must I Be?

Intentionally or not, the Social Security Administration has done a good job selling the idea that winning disability benefits is extremely hard. Bloggers (including me) write about the long delays and the arbitrary nature of decisions and the possibility of drawing a judge who would not approve a deathbed claimant.

Clearly, claimants without compelling medical evidence are having an increasingly difficult time winning. Ten years ago, judges were much more likely to accept your testimony about your work activity limitations – now, judges are looking for extensive medical evidence.

I often hear from, or end up representing disability claimants who have been denied at the administrative (initial application or reconsideration) and who are about ready to give up. Ironically, many of these claimants have cases that are likely to be approved because the medical evidence is so compelling.

Recently, I received an email from a gentleman named Kevin who was turned down at reconsideration, and wants to know what I think about his chances. I don’t have access to his specific medical records but, after reading his case summary, I would be shocked if he was denied. I would guess that 95% + of judges that I might see would approve this case after submission of a brief or after a brief hearing.

As I have discussed before in writing and on video, the state agency adjudicators are not judges and they do not have the experience or authority to make value judgments. Adjudicators are looking for listing level impairments without any reservations. Continue reading →

Should You be Concerned About "Trick Questions" from the Social Security Disability Judge?

Back in May, 2014 I released a video about trick questions from Social Security disability judges and I continue to receive a great deal of feedback and comments on that video. In the 2014 video I talked about one type of trick questions but there are many examples you should know about – thus this new video.

My experience has been that disability judges are not trying to treat you unfairly with their questions, but instead, use their experience and knowledge to ask probing and incisive questions. More specifically they want to assess your credibility by asking questions to which they already know the answer so they can see how you respond.

Many of these questions relate to your medical record – comments you may have made to your doctor about work attempts, stopping bad habits like smoking or marijuana use, or even about how you are feeling on a particular day.  You may have forgotten about that quick conversation you had with your doctor 2 years ago, but there is a good possibility that your doctor wrote down the substance of what you said. Continue reading →

Unconventional, Non-Medical Evidence That Can Help You Win

With approval rates on the decline at hearing offices throughout the country, disability lawyers and their clients have to find creative and compelling evidence to make their cases stand out.

In my practice I regularly look for evidence beyond medical records and medical source statements. Often times you can find very convincing evidence in the form of employee files, school records, statements from former co-workers and supervisors and claimant maintained pain diaries.

Now, to be sure, judges are most concerned about your medical record and how your medical issues impact your capacity to work. However your doctor’s main concern when keeping medical records tends to focus on medical issues alone – rarely will medical records contain the specific vocational capacity observations or opinions that judges rely upon.

We can ask your doctor complete a functional capacity evaluation or narrative report (often at a cost of several hundred dollars) but some doctors do not wish to get involved in disability matters and others don’t feel equipped to make vocational capacity conclusions.

This is where unconventional evidence comes in. Continue reading →

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