Chronic Fatigue Syndrome
Tip 1 regarding Social Security Disability
Fibromyalgia Cases
If you allege Fibromyalgia when you apply for disability, make
sure you have a diagnosis of this in your medical records. It's
happened more than once that a doctor has mentioned to a patient
that they "might have fibromyalgia" without actually diagnosing
this condition in their medical chart.
Tip 2 regarding Social Security Disability
Fibromyalgia Cases
If your primary doctor (i.e. family doctor or internist) diagnoses
you with Fibromyalgia, try your very best to be referred to a
specialist, such as an orthopedist or a rheumatologist (or a pain
or chronic fatigue specialist), who can give you the same diagnosis.
As we said earlier on the previous page, because so many doctors
hand out the fibromyalgia label when they can't otherwise diagnose
a patient's complaints, the value of this diagnosis is somewhat
diluted. It can be significantly strengthened, however, and taken
more seriously, if the same conclusion is reached by a physician
who specializes in bone or tissue disorders, or disorders that
involve complaints of pain and fatigue.
Tip 3 regarding Social Security Disability
Fibromyalgia Cases
Although it may be impossible to do, try to avoid being diagnosed
with Fibromyalgia by a mental health professional. Why? Because
the simple truth is this: in the same way that family doctors
mislabel their patients and overuse the Fibromyalgia diagnosis,
so do psychiatrists. This is a regular occurrence, in fact, for
patients who are being treated for depression.
It should not be surprising to anyone, of course, that a person
who experiences continuous pain and/or fatigue might also have
to deal with depression as a result. Nevertheless, a Fibromyalgia
diagnosis by a mental health practioner is usually interpreted
by a Disability Examiner to mean this: that the disability claimant's
symptoms and complaints are psychosomatic in nature. In other
words, all in their head.
Therefore, again, for the fibromyalgia sufferer who is trying
to win disability benefits, it is always sound advice to seek
a supporting diagnosis from a specialist.
However, this becomes doubly more important for the claimant who
is also receiving mental health treatment.
Tip 4 regarding Social Security Disability
Fibromyalgia Cases
Find out what's in your medical records. The importance
of this cannot be stressed enough. All Social Security Disability
cases are decided chiefly on the basis of a claimant's records.
This is true at the intial application level, reconsideration
level, and at the Administrative Law Judge hearing level where
a claimant is generally represented by an attorney, or non-attorney
disabilty representative.
Applying for disability without knowing what your records state
about your condition is unwise, to say the least. And many claimants
have been surprised to find that the doctor who claimed to support
their case did not indicate the same level of support in his or
her treatment notes.
By getting copies of your medical records before you apply,
you can get a rough idea of how your case looks and decide if
you need to switch to a different physician, one who is more capable
concerning your treatment and more willing to support your disability
case.
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