Will my psychiatrist need to file an EDD extension or new claim after my PCP disability approval ends?
I'm currently on CA disability for severe hypertension that my primary doctor approved me for about 6 weeks ago. Recently, I've been struggling with mental health issues related to grief after losing my mother, and my psychiatrist thinks I'll need more time off beyond what my physical disability claim covers. I'm totally confused about what happens next. Do I need to file a whole new disability claim since it would be for a different medical condition with a different doctor? Or can my psychiatrist just submit an extension form for my existing claim? The EDD website isn't clear about switching conditions/doctors mid-claim and I'm worried about having a gap in benefits when my current claim period ends next month.
24 comments


CosmosCaptain
This is considered a new claim since you're changing both the medical condition and the doctor. Your psychiatrist will need to complete a new DE 2501 form rather than an extension on the existing claim. You should file this new claim about 1-2 weeks before your current claim ends to avoid any gaps in payment. Make sure your psychiatrist understands they need to certify a completely new disability rather than continuing the hypertension diagnosis.
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Ravi Choudhury
•Thank you! That makes sense. Will I need to do a new 7-day waiting period since it's considered a new claim? Or does that only apply to the very first claim of the year?
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Freya Johansen
im so sorry about ur mom, i went thru something similar last yr. my therapist put me on disability after physical injury healed but i wasnt mentaly ready to work. do the new claim thing and MAKE SURE to file it b4 the old one ends!!!!!
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Ravi Choudhury
•Thank you for your kind words. I appreciate the advice - I'll definitely get the new claim started before the current one ends.
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Omar Fawzi
Technically this is considered a new disability claim since it's for a different medical condition. However, you won't need to serve another waiting period if the second claim begins within 60 days of your first claim ending. The key is making sure your psychiatrist completes the medical certification (DE 2501) for the mental health condition and that you submit it before your current benefits end. I recommend starting this process at least 10 days before your current claim period is over. Source: I've been through this exact scenario, switching from a physical to mental health claim last year.
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Chloe Wilson
•This is super helpful info! I didn't know about the 60-day rule for waiting periods. Do you know if this applies to all disability claims or just when switching from physical to mental health? I might be in a similar situation soon.
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Omar Fawzi
•It applies to any disability claims that occur within 60 days of each other, regardless of what type. The EDD calls these "related disabilities" even if they're for completely different medical conditions. As long as you file within that window, you don't have to do another 7-day waiting period.
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Diego Mendoza
When I tried calling EDD about switching doctors on my claim the automated system kept hanging up on me! So frustrating. Finally used Claimyr (claimyr.com) to get through to an actual person in about 20 min. You can see how it works in their video demo: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. The agent I spoke with confirmed what others are saying - you need a new claim for different condition/doctor, but no new waiting period if within 60 days. Worth calling to get everything straight from them directly.
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Ravi Choudhury
•Thank you for the suggestion. I've been trying to call EDD all week without success. I'll check out that service - getting a definitive answer directly from EDD would give me peace of mind.
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Anastasia Romanov
THE EDD SYSTEM IS DELIBERATELY COMPLICATED TO DENY US BENEFITS!!!! I had almost the exact situation last year and they made me file a whole new claim, then they DENIED it saying it should have been an extension, then when I appealed THEY SAID it should have been a new claim after all!!!!! The whole thing took 3 months to resolve and I almost lost my apartment. Whatever you do GET EVERYTHING IN WRITING and make copies of EVERYTHING you submit!!!
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Freya Johansen
•omg that sounds awful! def gonna make copies of everything for my claim now
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StellarSurfer
My situation wasn't exactly the same, but I did have to transition from regular SDI to PFL (Paid Family Leave) last year. Even though they're both handled by EDD, I had to fill out entirely new paperwork and it was basically like starting over. The only good thing was not having another waiting period. The forms for mental health claims are the same as physical health claims (DE 2501), but your psychiatrist will need to use specific medical coding for the mental health diagnosis. Make sure they're familiar with EDD certification or it could cause delays.
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Ravi Choudhury
•That's a good point about the medical coding. I'll make sure to ask my psychiatrist if she's familiar with EDD certifications. Would you happen to know how detailed the mental health documentation needs to be compared to physical conditions?
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StellarSurfer
•Mental health documentation actually needs to be MORE detailed than physical conditions in my experience. Your psychiatrist should clearly document specific symptoms, functional limitations, treatment plan, and expected recovery timeframe. Vague statements like "patient is experiencing grief" aren't enough - they need to document how it specifically prevents you from performing your job duties.
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CosmosCaptain
One important thing to add: when you file the new claim, you'll need to provide your current claim information so EDD knows they're related. This helps ensure you don't have to serve another waiting period. Also, there's a specific place on the application where you should indicate that this is a claim for a different condition following another disability period. The online application has a section specifically for this scenario.
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Ravi Choudhury
•Thank you for this additional information! I'll make sure to look for that section on the application. Is there any specific terminology I should be aware of when filling out this part?
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CosmosCaptain
•Yes, in the online application, look for "Information About Previous Disability" or similar wording. You'll need your current claim ID number and the end date of your current claim. Also indicate that this is a "new medical condition" rather than a "relapse" or "continuing disability" - those are different scenarios with different processes.
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Chloe Wilson
Anyone know if OP needs forms filled out by BOTH doctors for the transition period? My cousin had to get both her specialists to submit paperwork during her claim transition and it was a huge hassle.
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Omar Fawzi
•No, for a new claim with a different medical condition, only the new doctor (psychiatrist in this case) needs to complete the certification. The original doctor doesn't need to provide additional documentation unless there's an overlap period where both conditions are disabling. In that case, both would need to certify for their respective conditions.
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Ravi Choudhury
Thank you everyone for all the helpful responses! I'm going to talk to my psychiatrist tomorrow about completing a new DE 2501 form. I'll make sure to file the new claim at least 10 days before my current one ends and provide all the details about my existing claim. It's a relief to know I won't have to do another waiting period since I'll be filing within the 60-day window. I'll also follow the advice about keeping copies of everything. Hopefully the transition goes smoothly!
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CosmosCaptain
•Good luck! Come back and let us know how it goes - your experience might help others in similar situations.
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Freya Pedersen
I'm so sorry for your loss, Ravi. Grief can be incredibly overwhelming and it's completely understandable that you need additional time off to process everything. I went through something similar when I lost my father a few years ago - the mental health impact was much harder to deal with than I expected. Just to add to what others have said: when you meet with your psychiatrist, make sure they understand that EDD requires very specific language about how your grief is functionally impairing your ability to work. Generic statements won't cut it. They need to document things like concentration problems, sleep disturbances, anxiety levels, and how these symptoms specifically prevent you from performing your job duties. Also, don't feel bad about needing this time - mental health is just as valid as physical health when it comes to disability claims. Take care of yourself first, and the paperwork will work itself out. Wishing you the best during this difficult time.
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Ava Martinez
•This is such thoughtful advice, thank you. I've been struggling with exactly what you mentioned - concentration issues and sleep problems that make it impossible to focus at work. It helps to know that these are the specific things my psychiatrist should document. I appreciate you sharing your experience and the reminder that mental health is just as important as physical health. Sometimes it's hard not to feel guilty about needing time for grief, but you're right that I need to take care of myself first.
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Zainab Ibrahim
I'm really sorry for your loss, Ravi. Losing a parent is one of the hardest things we go through, and it's completely understandable that you need time to grieve properly. Based on what everyone has shared, it sounds like you have a clear path forward with filing a new claim. One thing I wanted to add that might be helpful: when you're working with your psychiatrist on the DE 2501 form, ask them to include how your grief symptoms specifically impact your work performance. Things like difficulty concentrating during meetings, inability to make decisions, frequent crying episodes, or panic attacks can all be documented as functional limitations. Also, if you haven't already, consider asking your psychiatrist about connecting you with grief counseling resources. Having that additional support documented in your treatment plan can actually strengthen your disability claim by showing you're actively working on recovery. The fact that you're being proactive about this transition shows you're handling a difficult situation really well. Take it one step at a time, and don't hesitate to reach out here if you run into any issues with the process. This community has been through it all and we're here to help each other navigate these complicated systems.
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