NOTE: The purpose of re-presenting this data here is so
that people interested in being Gardens Caretakers
who qualify for disability benefits will be
able to do their part in restoring Paradise because
they will have the free time and basic support needed
until Paradise is restored (self-sufficient).


To find out the specific
conditions that unnatural living in the modern "civilised"
environment can cause, and to see if you have any of the
conditions that will qualify you for these benefits,
please read below (most likely your condition is described
here and is both physical and mental, but I've found that
the physical disabilities, ironically, are the hardest
to prove, and they almost always are accompanied by
mental disabilities), so:




((Code of Federal Regulations {CFR} "Employee Benefits",
Chapter III, Parts 400 to 499,
Title 20, Part 404, Subpart P, Appendix 1-
[citation: "20 CFR 404 Subp. P, App. 1"]))


Appendix 1 to Subpart P of Part 404--
Listing of Impairments







12.00    Mental Disorders


    A. Introduction: The evaluation of disability on the basis of mental
disorders requires the documentation of a medically determinable
impairment(s) as well as consideration of the degree of limitation such
impairment(s) may impose on the individual's ability to work and whether
these limitations have lasted or are expected to last for a continuous
period of at least 12 months.



     The listings for mental disorders are arranged in eight
diagnostic categories:



organic mental disorders (12.02);

schizophrenic, paranoid and other psychotic disorders (12.03);

affective disorders (12.04);

mental retardation and autism (12.05);

anxiety related disorders (12.06);

somatoform disorders (12.07);

personality disorders (12.08);

and substance addiction disorders (12.09).




    Each diagnostic group, except listings 12.05 and 12.09,
consists of a set of clinical findings (paragraph A criteria), one or
more of which must be met, and which, if met, lead to a test of
functional restrictions (paragraph B criteria), two or three of which
must also be met.


    There are additional considerations
(paragraph C criteria) in listings 12.03 and 12.06, discussed therein.


    The purpose of including the criteria in paragraph A of the listings
for mental disorders is to medically substantiate the presence of a
mental disorder. Specific signs and symptoms under any of the listings
12.02 through 12.09 cannot be considered in isolation from the
description of the mental disorder contained at the beginning of each
listing category.


    Impairments should be analyzed or reviewed under the
mental category(ies) which is supported by the individual's clinical
findings.


    The purpose of including the criteria in paragraphs B and C of the
listings for mental disorders is to describe those functional
limitations associated with mental disorders which are incompatible with
the ability to work.


     The restrictions listed in paragraphs B and C must
be the result of the mental disorder which is manifested by the clinical
findings outlined in paragraph A.


     The criteria included in paragraphs B
and C of the listings for mental disorders have been chosen because they
represent functional areas deemed essential to work.


     An individual who
is severely limited in these areas as the result of an impairment
identified in paragraph A is presumed to be unable to work.


  The structure of the listing for substance addiction disorders,
listing 12.09, is different from that for the other mental disorder
listings. Listing 12.09 is structured as a reference listing; that is,
it will only serve to indicate which of the other listed mental or
physical impairments must be used to evaluate the behavioral or physical
changes resulting from regular use of addictive substances.


    The listings for mental disorders are so constructed that an
individual meeting or equaling the criteria could not reasonably be
expected to engage in gainful work activity.


    Individuals who have an impairment with a level of severity which
does not meet the criteria of the listings for mental disorders may or
may not have the residual functional capacity (RFC) which would enable
them to engage in substantial gainful work activity.


    The determination
of mental RFC is crucial to the evaluation of an individual's capacity
to engage in substantial gainful work activity when the criteria of the
listings for mental disorders are not met or equaled but the impairment
is nevertheless severe.


 RFC may be defined as a multidimensional description of the work-
related abilities which an individual retains in spite of medical
impairments.


    RFC complements the criteria in paragraphs B and C of the
listings for mental disorders by requiring consideration of an expanded
list of work-related capacities which may be impaired by mental disorder
when the impairment is severe but does not meet or equal a listed mental
disorder.


    B. Need for Medical Evidence: The existence of a medically
determinable impairment of the required duration must be established by
medical evidence consisting of clinical signs, symptoms and/or
laboratory or psychological test findings.


 These findings may be
intermittent or persistent depending on the nature of the disorder.


    Clinical signs are medically demonstrable phenomena which reflect
specific abnormalities of behavior, affect, thought, memory,
orientation, or contact with reality.


    These signs are typically assessed
by a psychiatrist or psychologist and/or documented by psychological
tests. Symptoms are complaints presented by the individual. Signs and
symptoms generally cluster together to constitute recognizable clinical
syndromes (mental disorders).


     Both symptoms and signs which are part of any diagnosed mental disorder must
be considered in evaluating severity.




  C.Assessment of Severity: For mental disorders, severity is
assessed in terms of the functional limitations imposed by the
impairment.

    Functional limitations are assessed using the criteria in
paragraph B of the listings for mental disorders (descriptions of
restrictions of activities of daily living; social functioning;
concentration, persistence, or pace; and ability to tolerate increased
mental demands associated with competitive work).


     Where ``marked'' is
used as a standard for measuring the degree of limitation, it means more
than moderate, but less than extreme.

     A marked limitation may arise when
several activities or functions are impaired or even when only one is
impaired, so long as the degree of limitation is such as to seriously
interfere with the ability to function independently, appropriately and
effectively.


Four areas are considered:



    1. Activities of daily living include adaptive activities such as
cleaning, shopping, cooking, taking public transportation, paying bills,
maintaining a residence, caring appropriately for one's grooming and
hygiene, using telephones and directories, using a post office, etc.



     In the context of the individual's overall situation,
the quality of these activities is judged by their independence,
appropriateness and effectiveness.


     It is necessary to define the extent to which the
individual is capable of initiating and participating in activities
independent of supervision or direction.




    ``Marked'' is not the number of activities which are restricted but
the overall degree of restriction or combination of restrictions which
must be judged.


     For example, a person who is able to cook and clean
might still have marked restrictions of daily activities if the person>
were too fearful to leave the immediate environment of home and
neighborhood, hampering the person's ability to obtain treatment or to
travel away from the immediate living environment.



    2. Social functioning refers to an individual's capacity to interact
appropriately and communicate effectively with other individuals.


     Social functioning includes the ability to get along with others,
e.g., family members, friends, neighbors, grocery clerks, landlords,
bus drivers, etc.


     Impaired social functioning may be demonstrated by a history of
altercations, evictions, firings, fear of strangers, avoidance of
interpersonal relationships, social isolation, etc.



     Strength in social
functioning may be documented by an individual's ability to initiate
social contacts with others, communicate clearly with others, interact
and actively participate in group activities, etc. 


     Cooperative behaviors, consideration for others, awareness of others'
feelings, and social maturity also need to be considered.


     Social functioning in work
situations may involve interactions with the public, responding
appropriately to persons in authority, e.g., supervisors, or cooperative
behaviors involving coworkers.


    ``Marked'' is not the number of areas in which social functioning is
impaired, but the overall degree of interference in a particular area or
combination of areas of functioning. For example, a person who is highly
antagonistic, uncooperative or hostile but is tolerated by local
storekeepers may nevertheless have marked restrictions in social
functioning because that behavior is not acceptable in other social
contexts.


    3. Concentration, persistence and pace refer to the ability to
sustain focused attention sufficiently long to permit the timely
completion of tasks commonly found in work settings.


      In activities of
daily living, concentration may be reflected in terms of ability to
complete tasks in everyday household routines.


      Deficiencies in
concentration, persistence and pace are best observed in work and work-
like settings. Major impairment in this area can often be assessed
through direct psychiatric examination and/or psychological testing,
although mental status examination or psychological test data alone
should not be used to accurately describe concentration and sustained
ability to adequately perform work-like tasks.>


      On mental status
examinations, concentration is assessed by tasks such as having the
individual subtract serial sevens from 100.


      In psychological tests of
intelligence or memory, concentration is assessed through tasks
requiring short-term memory or through tasks that must be completed
within established time limits.



      In work evaluations, concentration,
persistence, and pace are assessed through such tasks as filing index
cards, locating telephone numbers, or disassembling and reassembling
objects.


     Strengths and weaknesses in areas of concentration can be
discussed in terms of frequency of errors, time it takes to complete the
task, and extent to which assistance is required to complete the task.


    4. Deterioration or decompensation in work or work-like settings
refers to repeated failure to adapt to stressful circumstances which
cause the individual either to withdraw from that situation or to
experience exacerbation of signs and symptoms (i.e., decompensation)
with an accompanying difficulty in maintaining activities of daily
living, social relationships, and/or maintaining concentration,
persistence, or pace (i.e., deterioration which may include
deterioration of adaptive behaviors).


     Stresses common to the work
environment include decisions, attendance, schedules, completing tasks,
interactions with supervisors, interactions with peers, etc.


    D. Documentation: The presence of a mental disorder should be
documented primarily on the basis of reports from individual providers,
such as psychiatrists and psychologists, and facilities such as hospitals
and clinics.



      Adequate descriptions of functional limitations must be obtained from
these or other sources which may include programs and facilities where
the individual has been observed over a considerable period of time.



      Information from both medical and nonmedical sources may be used to
obtain detailed descriptions of the individual's activities of daily
living; social functioning; concentration, persistance and pace; or
ability to tolerate increased mental demands (stress).


      This information
can be provided by programs such as community mental health centers, day
care centers, sheltered workshops, etc. It can also be provided by
others, including family members, who have knowledge of the individual's
functioning.


      In some cases descriptions of activities of daily living or
social functioning given by individuals or treating sources may be
insufficiently detailed and/or may be in conflict with the clinical
picture otherwise observed or described in the examinations or reports.


It is necessary to resolve any inconsistencies or gaps that may exist in
order to obtain a proper understanding of the individual's functional
restrictions.

      An individual's level of functioning may vary considerably over
time. The level of functioning at a specific time may seem relatively
adequate or, conversely, rather poor. Proper evaluation of the
impairment must take any variations in level of functioning into account
in arriving at a determination of impairment severity over time. Thus,
it is vital to obtain evidence from relevant sources over a sufficiently
long period prior to the date of adjudication in order to establish the
individual's impairment severity. This evidence should include treatment
notes, hospital discharge summaries, and work evaluation or
rehabilitation progress notes if these are available.



     Some individuals may have attempted to work or may actually have
worked during the period of time pertinent to the determination of
disability. This may have been an independent attempt at work, or it may
have been in conjunction with a community mental health or other
sheltered program which may have been of either short or long duration.



Information concerning the individual's behavior during any attempt to
work and the circumstances surrounding termination of the work effort
are particularly useful in determining the individual's ability or
inability to function in a work setting.



    The results of well-standardized psychological tests such as the
Wechsler Adult Intelligence Scale (WAIS), the Minnesota Multiphasic
Personality Inventory (MMPI), the Rorschach, and the Thematic
Apperception Test (TAT), may be useful in establishing the existence of
a mental disorder.


     For example, the WAIS is useful in establishing
mental retardation, and the MMPI, Rorschach, and TAT may provide data
supporting several other diagnoses.


     Broad-based neuropsychological
assessments using, for example, the Halstead-Reitan or the Luria-
Nebraska batteries  may be useful in determining brain function
deficiencies, particularly in cases involving subtle findings such as
may be seen in traumatic brain injury.


     In addition, the process of
taking a standardized test requires concentration, persistence and pace;
performance on such tests may provide useful data. Test results should,
therefore, include both the objective data and a narrative description
of clinical findings. Narrative reports of intellectual assessment
should include a discussion of whether or not obtained IQ scores are
considered valid and consistent with the individual's developmental
history and degree of functional restriction.


     In cases involving impaired intellectual functioning, a standardized
intelligence test, e.g., the WAIS, should be administered and
interpreted by a psychologist or psychiatrist qualified by training and
experience to perform such an evaluation. In special circumstances,
nonverbal measures, such as the Raven Progressive Matrices, the Leiter
international scale, or the Arthur adaptation of the Leiter may be
substituted.

     Identical IQ scores obtained from different tests do not always
reflect a similar degree of intellectual functioning. In this
connection, it must be noted that on the WAIS, for example, IQs of 70
and below are characteristic of approximately the lowest 2 percent of
the general population. In instances where other tests are administered,
it would be necessary to convert the IQ to the corresponding percentile
rank in the general population in order to determine the actual degree
of impairment reflected by those IQ scores.

    In cases where more than one IQ is customarily derived from the test
administered, i.e., where verbal, performance, and full-scale IQs are
provided as on the WAIS, the lowest of these is used in conjunction with
listing 12.05.

    In cases where the nature of the individual's intellectual
impairment is such that standard intelligence tests, as described above,
are precluded, medical reports specifically describing the level of
intellectual, social, and physical function should be obtained. Actual
observations by Social Security Administration or State agency
personnel, reports from educational institutions and information
furnished by public welfare agencies or other reliable objective sources
should be considered as additional evidence.




    E. Chronic Mental Impairments: Particular problems are often
involved in evaluating mental impairments in individuals who have long
histories of repeated hospitalizations or prolonged outpatient care with
supportive therapy and medication.


     Individuals with chronic psychotic disorders commonly have their lives
structured in such a way as to minimize stress and reduce their signs
and symptoms. Such individuals may be much more impaired for work than
their signs and symptoms would indicate.



     The results of a single
examination may not adequately describe these individuals' sustained
ability to function. It is, therefore, vital to review all pertinent
information relative to the individual's condition, especially at times
of increased stress.


      It is mandatory to attempt to obtain adequate
descriptive information from all sources which have treated the
individual either currently or in the time period relevant to the
decision.


    F. Effects of Structured Settings: Particularly in cases involving
chronic mental disorders, overt symptomatology may be controlled or
attenuated by psychosocial factors such as placement in a hospital,
board and care facility, or other environment that provides similar
structure. Highly structured and supportive settings may greatly reduce
the mental demands placed on an individual. With lowered mental demands,
overt signs and symptoms of the underlying mental disorder may be
minimized. At the same time, however, the individual's ability to
function outside of such a structured and/or supportive setting may not
have changed. An evaluation of individuals whose symptomatology is
controlled or attenuated by psychosocial factors must consider the
ability of the individual to function outside of such highly structured
settings. (For these reasons the paragraph C criteria were added to
Listings 12.03 and 12.06.)


    G. Effects of Medication: Attention must be given to the effect of
medication on the individual's signs, symptoms and ability to function.
While psychotropic medications may control certain primary
manifestations of a mental disorder, e.g., hallucinations, such
treatment may or may not affect the functional limitations imposed by
the mental disorder. In cases where overt symptomatology is attenuated
by the psychotropic medications, particular attention must be focused on
the functional restrictions which may persist. These functional
restrictions are also to be used as the measure of impairment severity.
(See the paragraph C criteria in Listings 12.03 and 12.06.)

    Neuroleptics, the medicines used in the treatment of some mental
illnesses, may cause drowsiness, blunted affect, or other side effects
involving other body systems. Such side effects must be considered in
evaluating overall impairment severity. Where adverse effects of
medications contribute to the impairment severity and the impairment
does not meet or equal the listings but is nonetheless severe, such
adverse effects must be considered in the assessment of the mental
residual functional capacity.

    H. Effect of Treatment: It must be remembered that with adequate
treatment some individuals suffering with chronic mental disorders not
only have their symptoms and signs ameliorated but also return to a
level of function close to that of their premorbid status. Our
discussion here in 12.00H has been designed to reflect the fact that
present day treatment of a mentally impaired individual may or may not
assist in the achievement of an adequate level of adaptation required in
the work place. (See the paragraph C criteria in Listings 12.03 and
12.06.)

    I. Technique for Reviewing the Evidence in Mental Disorders Claims
to Determine Level of Impairment Severity: A special technique has been
developed to ensure that all evidence needed for the evaluation of
impairment severity in claims involving mental impairment is obtained,
considered and properly evaluated. This technique, which is used in
connection with the sequential evaluation process, is explained in
Sec. 404.1520a and Sec. 416.920a.



12.01 Category of Impairments-Mental


12.02    Organic Mental Disorders:



Psychological or behaviorial abnormalities associated with
a dysfunction of the brain.


     History and physical examination or laboratory tests demonstrate the
presence of a specific organic factor judged to be etiologically related
to the abnormal mental state and loss of previously acquired functional
abilities.


    The required level of severity for these disorders is met when the
requirements in both A and B are satisfied.


    A. Demonstration of a loss of specific cognitive abilities or
affective changes and the medically documented persistence of at least
one of the following:


    1. Disorientation to time and place;
 or

    2. Memory impairment, either short-term (inability to learn new
information), intermediate, or long-term (inability to remember
information that was known sometime in the past);
or

    3. Perceptual or thinking disturbances (e.g., hallucinations,
delusions);
or


    4. Change in personality;
 or

    5. Disturbance in mood;
or

    6. Emotional lability (e.g., explosive temper outbursts, sudden
crying, etc.) and impairment in impulse control;
or

    7. Loss of measured intellectual ability of at least 15 I.Q. points
from premorbid levels or overall impairment index clearly within the
severely impaired range on neuropsychological testing, e.g., the Luria-
Nebraska, Halstead-Reitan, etc.;

AND

    B. Resulting in at least two of the following:


    1. Marked restriction of activities of daily living;
or

    2. Marked difficulties in maintaining social functioning;
or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or elsewhere);
or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation of signs and symptoms (which may
include deterioration of adaptive behaviors).




12.03    Schizophrenic, Paranoid and Other Psychotic Disorders:



Characterized by the onset of psychotic features with deterioration from
a previous level of functioning.



    The required level of severity for these disorders is met when the
requirements in both A and B are satisfied, or when the requirements in
C are satisfied.


    A. Medically documented persistence, either continuous or
intermittent, of one or more of the following:


    1. Delusions or hallucinations;
or

    2. Catatonic or other grossly disorganized behavior;
or

    3. Incoherence, loosening of associations, illogical thinking, or
poverty of content of speech if associated with one of the following:

    a. Blunt affect;
or

    b. Flat affect;
or

    c. Inappropriate affect;

or

    4. Emotional withdrawal and/or isolation;

AND

    B. Resulting in at least two of the following:

    1. Marked restriction of activities of daily living;
or

    2. Marked difficulties in maintaining social functioning;
or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or elsewhere);
or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation of signs and symptoms (which may
include deterioration of adaptive behaviors);

OR

    C. Medically documented history of one or more episodes of acute
symptoms, signs and functional limitations which at the time met the
requirements in A and B of this listing, although these symptoms or
signs are currently attenuated by medication or psychosocial support,
and one of the following:


    1. Repeated episodes of deterioration or decompensation in
situations which cause the individual to withdraw from that situation or
to experience exacerbation of signs or symptoms (which may include
deterioration of adaptive behaviors);
or

    2. Documented current history of two or more years of inability to
function outside of a highly supportive living situation.




12.04     Affective Disorders:



    Characterized by a disturbance of mood,
accompanied by a full or partial manic or depressive syndrome. Mood
refers to a prolonged emotion that colors the whole psychic life; it
generally involves either depression or elation.


    The required level of severity for these disorders is met when the
requirements in both A and B are satisfied.


    A. Medically documented persistence, either continuous or
intermittent, of one of the following:


    1. Depressive syndrome characterized by at least four of the
following:


    a. Anhedonia or pervasive loss of interest in almost all activites;
or
    b. Appetite disturbance with change in weight;
or

    c. Sleep disturbance;
or

    d. Psychomotor agitation or retardation;
or

    e. Decreased energy;
or

    f. Feelings of guilt or worthlessness;
or

    g. Difficulty concentrating or thinking;
or

    h. Thoughts of suicide;
or

    i. Hallucinations, delusions, or paranoid thinking;


OR

    2. Manic syndrome characterized by at least three of the following:


    a. Hyperactivity;
or

    b. Pressure of speech;
or

    c. Flight of ideas;
or

    d. Inflated self-esteem;
or

    e. Decreased need for sleep;
or

    f. Easy distractability;
or

    g. Involvement in activities that have a high probability of painful
consequences which are not recognized;
or

    h. Hallucinations, delusions or paranoid thinking;

or

    3. Bipolar syndrome with a history of episodic periods manifested by
the full symptomatic picture of both manic and depressive syndromes (and
currently characterized by either or both syndromes);

AND


    B. Resulting in at least two of the following:



    1. Marked restriction of activities of daily living;
or

    2. Marked difficulties in maintaining social functioning;
or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or elsewhere);

or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation
of signs and symptoms (which may include deterioration of adaptive
behaviors).



12.05     Mental Retardation and Autism:



     Mental retardation refers to a significantly subaverage
general intellectual functioning with deficits in adaptive behavior
initially manifested during the developmental
period (before age 22).


     (Note: The scores specified below refer to those
obtained on the WAIS, and are used only for reference purposes. Scores
obtained on other standardized and individually administered tests are
acceptable, but the numerical values obtained must indicate a similar
level of intellectual functioning.) Autism is a pervasive developmental
disorder characterized by social and significant communication deficits
originating in the developmental period.


    The required level of severity for this disorder is met when the
requirements in A, B, C, or D are satisfied.


    A. Mental incapacity evidenced by dependence upon others for
personal needs (e.g., toileting, eating, dressing, or bathing) and
inability to follow directions, such that the use of standardized
measures of intellectual functioning is precluded;

OR

    B. A valid verbal, performance, or full scale IQ of 59 or less;

OR

    C. A valid verbal, performance, or full scale IQ of 60 through 70
and a physical or other mental impairment imposing additional and
significant work-related limitation of function;

OR

    D. A valid verbal, performance, or full scale IQ of 60 through 70,
or in the case of autism, gross deficits of social and communicative
skills, with either condition resulting in two of the following:


    1. Marked restriction of activities of daily living;
or

    2. Marked difficulties in maintaining social functioning;
or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or eleswhere);

or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation of signs and symptoms (which may
include deterioration of adaptive behaviors).



12.06    Anxiety Related Disorders:



     In these disorders anxiety is
either the predominant disturbance or it is experienced if the
individual attempts to master symptoms; for example, confronting the
dreaded object or situation in a phobic disorder or resisting the
obsessions or compulsions in obsessive compulsive disorders.


    The required level of severity for these disorders is met when the
requirements in both A and B are satisfied, or when the requirements in
both A and C are satisfied.


    A. Medically documented findings of at least one of the following:


    1. Generalized persistent anxiety accompanied by three out of four
of the following signs or symptoms:

    a. Motor tension;
or

    b. Autonomic hyperactivity;
or

    c. Apprehensive expectation;
or

    d. Vigilance and scanning;

or



    2. A persistent irrational fear of a specific object, activity, or
situation which results in a compelling desire to avoid the dreaded
object, activity, or situation;

or

    3. Recurrent severe panic attacks manifested by a sudden
unpredictable onset of intense apprehension, fear, terror and sense of
impending doom occurring on the average of at least once a week;

or

    4. Recurrent obsessions or compulsions which are a source of marked
distress;

or

    5. Recurrent and intrusive recollections of a traumatic experience,
which are a source of marked distress;


AND


    B. Resulting in at least two of the following:


    1. Marked restriction of activities of daily living;
or

    2. Marked difficulties in maintaining social functioning;

or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or eleswhere);

or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation of signs and symptoms (which may
include deterioration of adaptive behaviors);


OR


    C. Resulting in complete inability to function independently outside
the area of one's home.



12.07    Somatoform Disorders:



     Physical symptoms for which there are no
demonstrable organic findings or known physiological mechanisms.


    The required level of severity for these disorders is met when the
requirements in both A and B are satisfied.



    A. Medically documented by evidence of one of the following:


    1. A history of multiple physical symptoms of several years
duration, beginning before age 30, that have caused the individual to
take medicine frequently, see a physician often and alter life patterns
significantly;

or

    2. Persistent nonorganic disturbance of one of the following:


    a. Vision;
or

    b. Speech;
or

    c. Hearing;
or

    d. Use of a limb;
or

    e. Movement and its control (e.g., coordination disturbance,
psychogenic seizures, akinesia, dyskinesia;

or

    f. Sensation (e.g., diminished or heightened).


    3. Unrealistic interpretation of physical signs or sensations
associated with the preoccupation or belief that one has a serious
disease or injury;


AND


    B. Resulting in three of the following:


    1. Marked restriction of activities of daily living;

or

    2. Marked difficulties in maintaining social func
tioning;

or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or elsewhere);

or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation of signs and symptoms (which may
include deterioration of adaptive behavior).




12.08    Personality Disorders:



     A personality disorder exists when
personality traits are inflexible and maladaptive and cause either
significant impairment in social or occupational functioning or
subjective distress.


     Characteristic features are typical of the
individual's long-term functioning and are not limited to discrete
episodes of illness.


    The required level of severity for these disorders is met when the
requirements in both A and B are satisfied.


    A. Deeply ingrained, maladaptive patterns of behavior associated
with one of the following:

    1. Seclusiveness or autistic thinking;
or

    2. Pathologically inappropriate suspiciousness or hostility;
or

    3. Oddities of thought, perception, speech and behavior;
or

    4. Persistent disturbances of mood or affect;
or

    5. Pathological dependence, passivity, or aggressivity;
or

    6. Intense and unstable interpersonal relationships and impulsive
and damaging behavior;


AND


    B. Resulting in three of the following:


    1. Marked restriction of activities of daily living;
or

    2. Marked difficulties in maintaining social functioning;
or

    3. Deficiencies of concentration, persistence or pace resulting in
frequent failure to complete tasks in a timely manner (in work settings
or elsewhere);

or

    4. Repeated episodes of deterioration or decompensation in work or
work-like settings which cause the individual to withdraw from that
situation or to experience exacerbation of signs and symptoms (which may
include deterioration of adaptive behaviors).




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 5.04.

    H. Pancreatitis. Evaluate under 5.08.

    I. Seizures. Evaluate under 11.02 or 11.03.