Residual Functional Capacity Substance Addiction Related Mental Disorder (Page 3 of 7) in pdf

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Effects of structured settings. Chronic mental disorders, overt symptomatology may be controlled or

attenuated by psychosocial factors such as placement in a hospital, halfway house, board and care

facility. Highly structured and supportive settings may also be found at home. Mental demands from

these environments may reduce overt symptoms and signs of the underlying mental disorder while the

ability to function outside of such a structured or supportive setting may not have changed. The

symptomatology may be controlled or attenuated by psychosocial factors.

Effects of medication. The functional limitations in assessing impairment severity and the effects of

medication on symptoms, signs, and ability to function are considered. Drugs used to modify

psychological functions and mental states may control certain primary manifestations of a mental

disorder, e.g., hallucinations, impaired attention, restlessness, or hyperactivity, such treatment may not

affect all functional limitations imposed by the mental disorder.

In cases where overt symptomatology is attenuated by the use of such drugs, particular attention must

be focused on the functional limitations that may persist.

_________________________________________

Substance Addiction Disorders – Circle those symptoms present in patient as

indicated below:

12.09 Substance addiction disorders: Behavioral changes or physical changes associated with the

regular use of substances that affect the central nervous system.

The required level of severity for these disorders is met when the requirements in any of the following

(A through I) are satisfied.

A. Organic mental disorders. Evaluate under 12.02.

B. Depressive syndrome. Evaluate under 12.04.

C. Anxiety disorders. Evaluate under 12.06.

D. Personality disorders. Evaluate under 12.08.

E. Peripheral neuropathies. Evaluate under 11.14.

F. Liver damage. Evaluate under 5.05.

G. Gastritis. Evaluate under 5.00.

H. Pancreatitis. Evaluate under 5.08.

I. Seizures. Evaluate under 11.02 or 11.03.

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