If your Social Security Disability Insurance (SSDI) claim was denied in the past, you may still have options. In fact, if you now have stronger or previously unavailable evidence related to a mental health condition, you may be able to reopen your case and receive the benefits you need. This blog explores how to use new mental-health evidence to your advantage when seeking to reopen a denied SSDI application.
Understanding SSDI Denials and Reopening Options
Why SSDI Claims Get Denied
SSDI claims are often denied due to lack of medical evidence, failure to meet the definition of “disability,” or missed deadlines. When it comes to mental health conditions—such as depression, anxiety, PTSD, or bipolar disorder—these cases can be especially difficult to prove due to the subjective nature of symptoms and fluctuations over time.
Can You Reopen a Denied SSDI Claim?
Yes, under certain conditions. The Social Security Administration (SSA) allows a previously denied claim to be reopened if:
- The new request is made within four years of the denial (for SSDI).
- There is new and material evidence.
- The initial decision involved a clear error.
If your original denial didn’t fully reflect your current mental health condition—or if new evidence has come to light—you may qualify for reconsideration.
What Counts as “New and Material” Mental Health Evidence?
To reopen a case, the new evidence must be:
- New: Not part of the original claim file.
- Material: Significant enough that it could change the outcome of your case.
Examples of Valid New Mental Health Evidence
- A new diagnosis from a qualified mental health professional.
- Updated treatment records showing worsening symptoms.
- Hospitalization records related to your mental illness.
- Testimony or statements from psychiatrists, therapists, or psychologists.
- Evidence of how your mental health condition affects your ability to work, including notes from vocational experts or documentation from social workers.
If this information wasn’t included in your original SSDI application, it may be grounds for reopening.
How to Request Reopening of Your SSDI Application
Reopening a case is not automatic—it requires a formal request. Here’s what you need to do:
1. Gather Comprehensive Documentation
Collect all new mental health records, including:
- Doctor’s evaluations
- Therapy notes
- Psychiatric assessments
- Prescription history
- Any functional reports that demonstrate how your condition limits your daily activities
2. Write a Reopening Request
Your request should clearly state:
- The reason for reopening
- A summary of the new evidence
- An explanation of how the new information relates to the original claim
3. Submit Your Request Promptly
Timing is critical. While you have up to four years for SSDI, the sooner you act, the better your chances of success.
4. Consider Legal Help
An employment law attorney experienced in disability benefits can review your case, help you prepare the strongest possible documentation, and guide you through the process.
Why Mental Health Conditions Are Often Undervalued in SSDI Claims
Mental illnesses can be just as disabling as physical ones, but many people face stigma or disbelief when applying for benefits. Common obstacles include:
- Insufficient documentation
- Inconsistent treatment history
- Lack of understanding of how symptoms impact employment
That’s why having a legal advocate who understands the nuances of SSDI mental health claims can make a meaningful difference.
Get the Legal Support You Deserve
If you’ve been denied SSDI benefits and now have stronger evidence of your mental health challenges, you don’t have to start from scratch. Reopening your case could lead to the approval you’ve been waiting for.
PLBH is here to support employees in Southern California who are navigating SSDI challenges, including cases involving new mental health evidence. Call (800) 435-7542 to schedule a free consultation and learn how we can help you move forward.