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Disability Case Study Essay

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The claimant was a 37 year old female who alleged disability because of post-traumatic stress disorder (PTSD), major depression, personality disorder, and chronic pain. A case manager from a mental health center filled the Continuing Disability Review Report- Form SSA 454 for the claimant. In that form, the claimant reported that she lived in a van, had chronic pain, and “scrounge money for gas and cigarettes.” She indicated that she was forgetful, had difficulty with memory, concentration, understanding and following directions, completing tasks, managing money, and getting along with people. Her “mind scatters due to blood clots/stroke.” She also had difficulty doing chores, using her upper extremities, and lifting objects because of …show more content…

She reported suicidal ideation, and visual and auditory hallucinations. She was anxious, had mood swings, was afraid of being alone, occasionally she was “too tired” to take her medications, and often yelled demanding things from the staff. She repeated questions that had already been answered. One of the records documented that the claimant stated, “I am 12 year old- I do not want to grow up … I wish I could have some tequila, tequila, tequila!” In more than one opportunity, she slept on the floor. She was “sometimes hysterical when reacting to hallucinations.” In late 2013, she was discharged into police custody and was transported to an emergency detention center. There were numerous episodes documented of aggressive, disruptive, hostile, agitated, and uncooperative behavior. The diagnoses listed included major depression with psychotic features, borderline personality disorder, mood disorder, and alcohol abuse. The mental health provider indicated that the claimant was unable to work full-time because of mental illness; she had and would predictably have repeated episodes of decompensation. She was homeless, or at risk of homelessness due to her mental

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