ConditionsMental DisordersSchizophrenia Spectrum and Other Psychotic Disorders
Blue Book Listing 12.03

Schizophrenia Spectrum and Other Psychotic Disorders

Disorders with delusions, hallucinations, disorganized thinking, or grossly disorganized behavior.

What you have to prove

Medical documentation of the disorder, AND either (A) extreme limitation of one, OR marked limitation of two, of the following areas: understand/remember/apply information; interact with others; concentrate/persist/maintain pace; adapt or manage oneself; OR (B) serious and persistent disorder over at least 2 years with ongoing medical treatment AND minimal capacity to adapt to changes.

Medical evidence SSA expects

Psychiatrist's records, treatment history including antipsychotic medications, hospitalization records, third-party observations from family or caregivers, and functional assessments.

Common misconceptions

High-functioning individuals on stable medications often don't meet the listing. SSA evaluates the 'Paragraph B' functional areas holistically — a few good days don't disqualify someone who has marked overall impairment.

Didn't meet the listing? You can still qualify via a Medical-Vocational Allowance — SSA's determination that your residual functional capacity, combined with your age, education, and work history, leaves no jobs you can do. See our appeals guide for what to do after an initial denial.