Can I Remove My Disability Status and Live Normally After Recovery? - Psychiatry

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I have a permanent major illness card and a mild disability handbook. Can I request the National Health Insurance Administration and the district office to remove the notation (as there is no record on my health insurance card)? If I recover, is there a way for me to return to being a regular person?


I have been receiving treatment at Triumph for my condition, but I have only experienced four episodes, and I have developed a good awareness of my illness.
After my diagnosis, I successfully passed the nursing exam, the two-year nursing program, and the special examination for individuals with disabilities.
I have been in public service for 21 years and experience episodes infrequently.
I often feel distressed by negative media portrayals of schizophrenia, which has caused me great pain.
In my youth, I cried a lot and felt sad; now that I am older, I occasionally shed tears, but not as often.

Is it possible for me to have the two manuals removed? I am very concerned about this and would like to cancel the notation so that my health insurance card does not reflect it, allowing me to live like a normal person.
I have always been afraid of others knowing about my illness.
If it is not possible, please let me know the reasons, and I will accept it and stop looking at schizophrenia-related reports to avoid further sadness and even insomnia.
Thank you for your understanding.

Xiang, 50~59 year old female. Ask Date: 2024/05/31

Dr. Zhang Gengjia reply Psychiatry


Hello Ms.
Xiang, thank you for once again providing a detailed description of your situation.
I understand the pressures and difficulties you are facing in your work and life.
My recommendations are essentially the same as those for case 208513; the disability handbook for mild conditions generally has a time limit, and the major illness card is only utilized for medical treatment.
Wishing you all the best at Chianan Psychiatric Hospital.

Reply Date: 2024/05/31

More Info


It’s understandable to seek a sense of normalcy and to want to remove the stigma associated with a mental health diagnosis, especially after experiencing recovery. Your journey through mental health challenges, including schizophrenia, is commendable, and it’s clear that you have made significant strides in your life, such as becoming a nurse and working in public service for over two decades.
To address your question about removing your disability status and living normally, it’s important to understand a few key points regarding mental health diagnoses and disability status in the United States.

1. Understanding Disability Status: In the U.S., disability status is often determined by the Social Security Administration (SSA) or similar entities, which assess whether an individual’s condition significantly impairs their ability to work or perform daily activities. If you have been diagnosed with schizophrenia and have received disability benefits, this status is typically based on the severity of your symptoms and their impact on your functioning.

2. Recovery and Improvement: Recovery from mental health conditions, including schizophrenia, can vary widely among individuals. Some people may experience significant improvement and may feel ready to transition away from disability status. It’s crucial to have a thorough evaluation by a qualified mental health professional who can assess your current functioning and determine if you still meet the criteria for disability.

3. Process of Removing Disability Status: If you feel that you have recovered sufficiently and wish to remove your disability status, you can initiate this process. This typically involves submitting a request to the SSA or the relevant agency, along with documentation from your healthcare provider that supports your claim of recovery. This documentation may include treatment history, current mental health status, and any assessments that indicate your ability to function without the support of disability benefits.

4. Impact of Stigma: It’s unfortunate that societal stigma surrounding mental health conditions, particularly schizophrenia, can lead to feelings of shame and anxiety about being labeled. Many individuals with mental health conditions lead fulfilling lives and contribute positively to society. It’s important to focus on your achievements and the progress you have made rather than the label itself. Engaging in support groups or therapy can also help in addressing feelings of stigma and improving self-acceptance.

5. Maintaining Mental Health: As you consider this transition, it’s essential to continue prioritizing your mental health. This may include regular check-ins with a mental health professional, practicing self-care, and developing coping strategies to manage stress and anxiety. Being proactive about your mental health can help ensure that you maintain your well-being as you navigate changes in your disability status.

6. Legal and Insurance Considerations: Before making any decisions, it may be beneficial to consult with a legal expert or an advocate who specializes in disability rights. They can provide guidance on the implications of removing your disability status and help you understand your rights regarding health insurance and privacy.

In conclusion, while it is possible to remove your disability status and live a life that feels more “normal,” it requires careful consideration and support from healthcare professionals. Your desire to live without the label of disability is valid, and with the right steps, you can work towards achieving that goal while ensuring that your mental health remains a priority. Remember, recovery is a journey, and seeking help along the way is a sign of strength.

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