When evidence shows that a potential physical condition is not a physical MDI, but
instead results from a mental impairment(s) or from psychiatric medication, document the effects on an SSA-2506-BK Psychiatric Review
Technique, SSA 4734-F4-SUP, SSA-538-F6 Childhood Disability Evaluation, SSA-416 Case
Analysis, or other appropriate mental impairment assessment form.
EXAMPLE: Evidence supports symptoms of trembling as a side effect of psychiatric medication
or as a physical symptom of a mental impairment. The medical source indicates that
the claimant is capable of the mental demands of work activity and there is no indication
of a physical MDI that is causing the trembling.
The PC assessing the documented mental impairment(s) should address this trembling
(which is due to the mental impairment) on the mental SSA-2506-BK Psychiatric Review
Technique, SSA-4734-F4-SUP Functional Capacity Assessment, SSA-538-F6 Childhood Disability
Evaluation, SSA-416 Case Analysis, SSA-5002 Report of Contact, or other appropriate
medical review document. In the explanation, cite the three factors (treatment not
recommended or received; no MDI; and no limitations in basic work activities, or functional
limitations for children) for when no further development is required.