Applying for SSD Benefits with An Intellectual Disability
Intellectual disabilities cause below-average intelligence and make it hard for individuals to perform basic tasks. Many people with these disabilities struggle to function in daily life without help. These conditions are lifelong and usually diagnosed in childhood. The range of intellectual disabilities is wide. Some are mild and hard to notice, while others are severe and debilitating.
Intellectual disabilities can occur due to genetics, pregnancy complications, birth problems, or other causes. Individuals may have very low IQ scores, trouble learning, issues with problem-solving, and memory or speech difficulties. Medical professionals diagnose the disability after documenting these signs and symptoms. Most individuals can still learn skills, even with an intellectual disability. It may simply take more time unless the condition is very severe.
Intellectual disabilities are not diseases, so they are not treated like medical illnesses. Children and adults with these conditions often need support with daily tasks. This support may include occupational or physical therapy, specialized education, supervised care, and calm, structured environments.
Filing for Disability Benefits with an Intellectual Disability
Many people apply for Social Security Disability Insurance (SSDI) because of physical disabilities. However, individuals can also file for disability benefits due to mental disorders that limit their daily life and prevent them from working. Intellectual disabilities fall under the Mental Disorders category of SSDI claims with the Social Security Administration (SSA).
The SSA approves or denies claims using the Blue Book, which lists medical conditions that qualify for Social Security Disability (SSD) benefits.
Under the Mental Disorders category, Section 12.05 covers intellectual disabilities. The section explains the requirements needed to meet the definition. Symptoms that often qualify someone for SSDI include:
- Inability to perform basic tasks or care for personal needs
- Difficulty following instructions
- Dependence on others for simple needs or daily tasks
- An IQ score below 70 (verbal, performance, or full-scale)
- A physical or mental impairment that prevents the person from working
- Verbal limitations
- Limited social functioning
- Major problems with concentration, persistence, or pace
- Marked limits in daily activities
- Repeated episodes of decompensation
A person may also qualify under a medical vocational allowance if they do not meet Blue Book criteria. This applies to individuals whose condition limits their ability to work and prevents them from performing Substantial Gainful Activity (SGA).
To receive SSDI, a claimant must also have a work history showing they paid into the Social Security system before their disability or worsening symptoms began. Individuals without work history may need to apply for Supplemental Security Income (SSI) instead of SSDI.
Applying for SSDI with An Intellectual Disability
The SSA requires certain evidence to approve a disability claim filed under intellectual disabilities. This includes:
- Medical records
- Proof that the individual meets non-medical eligibility rules
- Evidence that they cannot perform SGA
- Documentation showing the condition meets Blue Book requirements
Applying for SSDI is often complex and time-consuming. Many claims are denied at first, which forces applicants to file appeals. Some people give up on the benefits they need because the process feels overwhelming.
If you want to apply for Social Security Disability Insurance in California, contact Peña & Bromberg. Our team understands the filing process and will gather and submit all needed documents on time. We focus on SSDI claims and know how to give you the best chance at approval.
Contact us today to request a free consultation!
