Assessing Disability: Navigating Mental Health and Supplement Dependency Issues

Q: Assessing Disability: Navigating Mental Health and Supplement Dependency Issues

Dear netizens： The disability assessment at our hospital follows specific regulations that cannot be altered. <br>If you have any objections, we recommend visiting another hospital. <br>We can discuss the supplements further during your outpatient visit. <br>Dr. <br>Wu En-Liang

Disability assessment B122.3 issues and dependence on dietary supplements and medications?

Hello Dr.
Wu, the Disability Needs Assessment Center just called and mentioned that for the evaluation, you should still indicate "moderate." If you want to change it to "severe," you need to check the box for b122.3 under the section for overall psychosocial functioning on page 7 of the evaluation form; that is the designation for severe.
You don't need to fill out anything else, as the level is not used by their social services.
Additionally, on page 26, in the fourth section regarding respondents, it is acceptable for siblings to answer, which can help avoid the issue of the younger brother overestimating his physical and psychological condition.
I appreciate your assistance with this, as it is related to the previous arrangement with Shin Kong for the protection of severely ill patients.
If classified as severe, the National Pension provides a monthly subsidy of over 1,000 NTD, which can at least cover the National Pension premiums I have already helped pay off, as well as assist with living expenses.
If you truly believe that the severity level is not justified and it poses difficulties, the deadline can be extended since the original certification was until the end of October 2023, but you wrote it until the end of February 2024, which actually shortens the timeframe.
I wanted to bring this to your attention; we can discuss it in detail during the outpatient visit.
Additionally, the younger brother has been using excessive amounts of tube feeding without seeing a doctor, and he often has issues related to health supplement advertisements, which led him to buy 40 different supplements.
I believe this is a psychological dependency.
The family has also suggested asking the doctor if he needs to take them, as this has become a long-standing habit.
I wonder if there are any ways to improve this in the short term.

Azuo, 30~39 year old female. Ask Date: 2022/03/10

Dr. Wu Enliang reply Psychiatry

Dear netizens: The disability assessment at our hospital follows specific regulations that cannot be altered.
If you have any objections, we recommend visiting another hospital.
We can discuss the supplements further during your outpatient visit.
Dr.
Wu En-Liang

Reply Date: 2022/03/10

More Info

Assessing mental health and disability can be a complex process, especially when considering the interplay between psychological conditions and the need for support or benefits. Based on the information provided, it seems that you are navigating a situation where mental health issues may be impacting your daily functioning and overall well-being, leading to considerations for disability assessments and potential financial support.

Understanding Mental Health and Disability Assessments
Mental health conditions, such as depression, anxiety, and PTSD, can significantly affect an individual's ability to perform daily tasks, maintain relationships, and engage in social activities. In many jurisdictions, disability assessments take into account the severity of these conditions and their impact on an individual's psychosocial functioning. The assessment process often involves standardized forms and interviews that evaluate various aspects of mental health, including emotional stability, cognitive function, and social interactions.

In your case, the mention of a "b122" code likely refers to a specific criterion used in the assessment to determine the severity of your mental health condition. If you are experiencing significant challenges in your daily life due to mental health issues, it may be appropriate to indicate a higher level of severity on the assessment forms. This could potentially qualify you for additional support, such as financial assistance through national pension programs.

The Role of Supplement Dependency
Your mention of a family member's dependency on supplements raises an important point about psychological reliance on substances, whether they are medications, supplements, or other forms of support. This dependency can stem from a desire to manage symptoms or improve well-being, but it can also lead to complications if not monitored properly. It is crucial to approach supplement use with caution, especially if it becomes a substitute for professional medical advice or treatment.

In cases where individuals feel compelled to rely on numerous supplements, it may be beneficial to consult with a healthcare professional. A doctor or a registered dietitian can help assess the necessity of these supplements, evaluate their potential interactions, and determine if they are genuinely beneficial or if they are being used as a coping mechanism for underlying issues.

Strategies for Improvement
1. Professional Guidance: Engaging with a mental health professional can provide you with tailored strategies to manage your mental health. Therapy can help address feelings of inadequacy, anxiety, and depression, and can also assist in developing healthier coping mechanisms.

2. Medication Review: If you or your family member are using supplements or medications, a thorough review with a healthcare provider can help ensure that these are appropriate and necessary. This can also help in identifying any psychological dependencies that may have developed.

3. Support Networks: Building a support network of friends, family, or support groups can provide emotional assistance and reduce feelings of isolation. Sharing experiences with others who understand your situation can be incredibly beneficial.

4. Mindfulness and Stress Management: Techniques such as mindfulness, meditation, and stress management exercises can help improve emotional regulation and reduce anxiety. These practices can also enhance overall well-being and resilience.

5. Education and Awareness: Understanding your mental health condition and the resources available to you can empower you to advocate for yourself in assessments and treatment plans. Knowledge about your rights and available support systems can be crucial in navigating these challenges.

Conclusion
Navigating mental health issues and the associated disability assessments can be daunting, but it is essential to approach the process with clarity and support. By seeking professional guidance, evaluating supplement use, and building a strong support network, you can work towards improving your mental health and overall quality of life. Remember, it is okay to ask for help, and taking proactive steps can lead to positive changes.

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