Oct 8, 2016

New Childhood Listings For Depression, Bipolar And Disruptive Mood Dysregulation Disorder

     From Social Security's new mental impairment Listings for children:
112.04 Depressive, bipolar and related disorders (see 112.00B3), for children age 3 to attainment of age 18, satisfied by A and B, or A and C: 
     A. Medical documentation of the requirements of paragraph 1, 2, or 3: 
          1. Depressive disorder, characterized by five or more of the following:
               a. Depressed or irritable mood; 
               b. Diminished interest in almost all activities; 
              c. Appetite disturbance with change in weight (or a failure to achieve an expected weight gain); 
               d. Sleep disturbance; 
               e. Observable psychomotor agitation or retardation; 
               f. Decreased energy; 
               g. Feelings of guilt or worthlessness; 
               h. Difficulty concentrating or thinking; or
              i. Thoughts of death or suicide. 
          2. Bipolar disorder, characterized by three or more of the following: 
               a. Pressured speech; 
               b. Flight of ideas; 
              c. Inflated self-esteem; 
              d. Decreased need for sleep; 
              e. Distractibility; 
            f. Involvement in activities that have a high probability of painful consequences that are not recognized; or
              g. Increase in goal-directed activity or psychomotor agitation. 
         3. Disruptive mood dysregulation disorder, beginning prior to age 10, and all of the following: 
               a. Persistent, significant irritability or anger; 
               b. Frequent, developmentally inconsistent temper outbursts; and 
               c. Frequent aggressive or destructive behavior. 
     B. Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 112.00F): 
          1. Understand, remember, or apply information (see 112.00E1). 
          2. Interact with others (see 112.00E2). 
          3. Concentrate, persist, or maintain pace (see 112.00E3). 
          4. Adapt or manage oneself (see 112.00E4). 
     C. Your mental disorder in this listing category is ‘‘serious and persistent;’’ that is, you have a medically documented history of the existence of the disorder over a period of at least 2 years, and there is evidence of both: 
          1. Medical treatment, mental health therapy, psychosocial support(s), or a highly structured setting(s) that is ongoing and that diminishes the symptoms and signs of your mental disorder (see 112.00G2b); and 
          2. Marginal adjustment, that is, you have minimal capacity to adapt to changes in your environment or to demands that are not already part of your daily life (see 112.00G2c).

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