My doctor says I am disabled, so why is Social Security denying my claim?

Frequently Asked Questions

Q: My doctor says I am disabled, so why is Social Security denying my claim?

Answering your question.

It can feel frustrating when your doctor says you’re too sick or injured to work, but Social Security still denies your disability claim. The truth is: Social Security has its own rules and process, and they don’t just take your doctor’s word for it.

Let’s break it down.

Doctors Say “Disabled” in Different Ways Than Social Security Does

When your doctor says you’re “disabled,” they may mean:

But Social Security has a much stricter definition of “disabled.” To them, you must prove:

• You can’t go back to your old job
• You should rest and recover
• Your health is limiting your daily life

You can’t do any kind of full-time work for at least 12 months — not just your old job, but any job.

So even if your doctor says you’re disabled from your usual work (like construction), Social Security might still believe you could do lighter work (like a desk job).

Social Security Looks for “Objective Medical Evidence”

Your doctor might believe you’re disabled — but that’s not enough. Social Security wants to see proof in your medical records. This includes:

• Test results (X-rays, MRIs, blood work, etc.)
• Specialist reports
• Surgery notes
• Mental health evaluations
• Medication history
• Details about your symptoms and how they affect your daily life

Just a note from your doctor saying “my patient is disabled” isn’t enough. They need details and medical facts.

Sometimes Doctors Don’t Provide Enough Details

Your doctor may be on your side — but they might not:

• Send in all your records
• Write a helpful medical opinion
• Explain your limitations clearly (like how long you can stand, sit, lift, or concentrate)
  

That’s why it’s so important to ask your doctor to fill out a special functional report that explains exactly what you can and cannot do.

Other Reasons You Might Be Denied

• You didn’t include all your doctors or hospitals in your application
• Your condition is not expected to last 12 months
• You’re still working or earning too much
• You didn’t fill out the forms completely
• You missed a Social Security medical exam they scheduled
  
  

How to Fix It

If you were denied, don’t give up. Many people get denied the first time, but win when they appeal with better evidence.

Here’s what helps:

• Get detailed medical records
• Ask your doctor to explain how your condition limits your ability to work
• Work with a disability lawyer — they know what Social Security is really looking for, and they only get paid if you win
  
  

---

In Summary (Simple Terms):

Why Denied	What to Do
SSA uses a stricter definition than your doctor	Learn SSA’s definition of “disability”
Not enough medical proof	Get test results, detailed records, and a written statement from your doctor
SSA thinks you could do some other job	Show how your condition affects your whole life, not just one job
First denial is common	Appeal — and get help if needed