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.