Healthcare
6
min read

Is PTSD A Disability?

Discover if PTSD qualifies as a disability, its impact on daily life, and how family caregivers can provide crucial support in this comprehensive article.
Published on
June 20, 2023
Presented by Givers
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While physical disabilities are more visible and widely understood, mental health disabilities are equally significant. One mental health condition is post-traumatic stress disorder (PTSD), which can profoundly affect individuals and their ability to work and earn income. Is PTSD a disability? Learn more about this debilitating illness and how you can help your loved one. 

What is PTSD?

PTSD is a complex mental health condition after experiencing or witnessing a traumatic event. It can severely affect a person's mental, emotional, and physical well-being, making it challenging to perform daily activities, including work-related tasks. Many individuals with PTSD struggle to maintain employment, losing regular income, and financial stability.

The traumatic event could involve personal experiences of violence, accidents, natural disasters, or other distressing incidents. Trauma triggers debilitating symptoms that make it difficult for individuals to cope with their past experiences.

What are the symptoms of PTSD?

People living with PTSD often encounter numerous challenges in their daily lives. Adjusting to life after a traumatic event can be overwhelming, as routine tasks may become difficult. Individuals with PTSD commonly experience heightened anxiety, fear, and distress, which can significantly impact their ability to function effectively at home and in the workplace.

Interference with daily routines and impairments

PTSD may manifest differently, affecting your care recipient's emotional well-being, cognitive abilities, and social interactions. These impairments can make it challenging to maintain regular employment, as the symptoms often interfere with work-related tasks and responsibilities. PTSD symptoms can be broadly categorized into four main groups, each presenting its own set of challenges and difficulties for individuals:

Avoidance symptoms

  • Avoiding people, places, and activities that trigger memories of the traumatic event
  • Trying to avoid thinking or talking about the possibility of minimizing distress

Intrusive memories symptoms

  • Experiencing nightmares or recurrent, unwanted memories of the traumatic event
  • Severe physical or emotional distress when exposed to reminders of the experience
  • Flashbacks, where individuals relive the traumatic event as if it is happening again

Changes in emotional and physical reactions and symptoms

  • Difficulties sleeping, including insomnia or recurring nightmares
  • Being easily startled or frightened, constantly on guard for potential dangers
  • Overwhelming feelings of shame, guilt, or self-destructive behavior
  • Aggressive behavior, irritability, or frequent angry outbursts
  • Trouble concentrating and focusing on tasks

Adverse changes in mood and thinking symptoms

  • Struggling to maintain close relationships with others
  • Feeling emotionally numb or detached from family and friends
  • Memory issues, including difficulty remembering specific details of the traumatic event
  • Feeling hopeless about the future and experiencing a negative outlook
  • Negative thoughts about oneself, the world, or other people
  • Lack of interest in once enjoyable activities

As a family caregiver, you might find it challenging to care for all your loved one's needs if they have PTSD. Getting your care recipient the support they need will improve their quality of life and reduce stress for everyone. 

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PTSD as a disability

The Social Security Administration (SSA) acknowledges PTSD as a disability within the trauma and stressor-related disorders category. It recognizes that these disorders can arise from experiencing or witnessing a traumatic event, including events learned through close friends or family members.

Trauma and stressor-related disorders category

The Social Security Administration (SSA) recognizes the significance of post-traumatic stress disorder (PTSD) and similar conditions by grouping them under the trauma and stressor-related disorders category. This category serves as an umbrella term that encompasses various mental health disabilities that stem from stressful or traumatic experiences. By acknowledging the profound impact of traumatic events on an individual's mental well-being, the SSA aims to provide appropriate support and assistance to those affected.

Common symptoms considered by the SSA

When evaluating disability claims related to trauma and stressor-related disorders, the SSA considers the common symptoms associated with these conditions. These symptoms include flashbacks, distressing memories, avoidant behavior, dreams, diminished participation in significant activities, persistent negative emotional state, and anxiety.

Applying for workers' compensation benefits

If your family member has work-related PTSD, they may be eligible to pursue benefits through their employer's workers' compensation insurance. This coverage aims to provide financial support for medical treatment and supplement lost wages due to the condition.

Requirements for job-related PTSD claims 

Job-related PTSD claims must meet specific criteria beyond the typical stresses of a job. The traumatic event must be highly stressful and exceed the usual job-related stressors. While stress resulting from personnel decisions by an employer may not support a workers' compensation claim for PTSD, it may qualify for Social Security Disability benefits. Family caregivers should work with their loved ones and doctors to determine eligibility. 

Healthcare benefits and authorized medical providers

Your care recipient is entitled to healthcare benefits upon approval of a workers' compensation claim. It is essential to seek treatment from medical providers authorized by the Workers' Compensation Board to ensure coverage. Otherwise, out-of-pocket expenses may be incurred. Family caregivers can set up a plan with their care recipient if they are eligible for worker's compensation. 

Lost wage benefits and disability rating

Workers' compensation benefits also include lost wage benefits for individuals whose PTSD results in reduced income or extended absence from work. The payment amount is typically calculated as two-thirds of the average weekly wage before the diagnosis, multiplied by the assigned disability rating. A healthcare professional determines the disability rating and reflects the severity of the medical condition.

Applying for Social Security Disability Benefits

To be eligible for Social Security disability benefits, individuals must meet specific criteria set by the Social Security Administration. These criteria include meeting the definition of disability, having paid Social Security taxes through previous employment, and being unable to work for an extended period, usually lasting at least one year.

Payment availability for individuals unable to return to work

Social Security disability benefits provide monthly payments to individuals who cannot return to their previous jobs for an extended period due to their disability. The payment amount depends on the individual's work history, including the years worked and the average wages earned before the PTSD diagnosis.

Applying for Social Security disability benefits involves a thorough application process, including providing necessary medical documentation and evidence of the impact of PTSD on the individual's ability to work. Payments are calculated based on the individual's work history, and the amount may vary from case to case. Family caregivers must acquire all necessary documents and paperwork for the Social Security application. While the process is lengthy, getting your loved one the essential benefits will improve their quality of life.

Related article: Do you automatically qualify for Medicaid with disability? >>

Eligibility for disability benefits from VA for PTSD

Individuals can receive Veterans Affairs (VA) benefits for post-traumatic stress disorder. The VA provides various benefits and services to eligible veterans diagnosed with PTSD from their military service. These benefits are designed to assist veterans in managing their symptoms and improving their overall well-being.

To be eligible for VA benefits for PTSD, a veteran must meet specific criteria, including having served in the military and having received a diagnosis of PTSD from a qualified healthcare professional. The severity of the symptoms and the impact on the individual's daily functioning are also considered.

Once eligibility is established, veterans may be entitled to various benefits, including:

  1. Compensation: Veterans with service-connected PTSD may be eligible for monthly disability compensation payments based on the severity of their condition.
  2. Healthcare: The VA provides comprehensive healthcare services, including specialized mental health care, to veterans with PTSD. This can include therapy, medication, and other treatments.
  3. Counseling and support: The VA offers counseling services to veterans and their families to help them cope with the challenges of PTSD. Support groups and peer-to-peer programs are also available.
  4. Vocational Rehabilitation and Employment (VR&E): VR&E services can assist veterans with PTSD in developing job skills, exploring career options, and finding suitable employment.
  5. Education and training: The VA provides educational assistance programs, such as the Post-9/11 GI Bill, which can help veterans pursue higher education or vocational training.

Veterans with PTSD need to contact their local VA office or visit the official VA website to learn more about the specific benefits and services available to them. The application process may involve submitting supporting documentation, such as medical records and service-related evidence, to establish eligibility.

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Does someone with PTSD on disability require a caregiver?

The need for a caregiver for someone with PTSD on disability depends on their specific circumstances and the level of support they require. PTSD affects individuals differently, and while some individuals may be able to manage their symptoms and daily activities independently, others may benefit from having a caregiver to assist them.

In some cases, the symptoms of PTSD can significantly impact a person's ability to function in various aspects of their life, including self-care, household tasks, and maintaining relationships. In such situations, having a caregiver can provide essential support and assistance.

The VA recognizes that some veterans with service-connected disabilities, including PTSD, may require the aid and attendance of another person. The Aid and Attendance benefit is an additional monthly payment available to veterans who need the help of a caregiver or are housebound due to their service-connected disabilities.

The need for a caregiver is typically assessed on an individual basis. Medical professionals and the VA will evaluate the severity of the veteran's PTSD symptoms, the impact on their daily functioning, and whether they require assistance to perform activities of daily living (such as bathing, dressing, and meal preparation) or instrumental activities of daily living such as managing medications, transportation, and finances.

Suppose a veteran with PTSD qualifies for the Aid and Attendance benefit. In that case, they may receive additional financial assistance to help cover the costs of hiring a caregiver or receiving care from a family member or friend.

Veterans with PTSD must discuss their needs with their healthcare providers and contact the VA for guidance on available benefits and services, including caregiver support programs.

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