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Liam O'Connor

Applying for Social Security childhood disability benefits after being denied SSI - stuck at step 3 for 13 months

I need some guidance with my disability application mess. I have a rare genetic condition called cystinuria (diagnosed at age 13) that causes constant kidney stones, requiring 4-5 surgeries annually plus countless ER visits. I'm now 36 and haven't been able to work consistently for about 8 years. My SSI application was denied in 2021 (too much household income from my partner, but not enough to actually support us plus my medical bills). I didn't appeal right away because I was dealing with multiple surgeries back-to-back. Eventually tried working with an advocacy group that claimed they'd help with my case but they basically did nothing. Last year, I submitted all my documentation requesting a hearing and referencing my original case. It's been 13 months and the SSA website just shows I'm at step 3 of 5, still "pending review." Calling gets me nowhere - just told to wait. The twist: an SSA rep told me I should be applying for Disabled Adult Child benefits instead (since my condition was diagnosed before 22) under my mother's record (she's been collecting SSDI since 2007). Apparently I could have been eligible this way for years! Has anyone successfully navigated the Childhood Disability Benefits route? Or have suggestions for pushing my stalled application forward? The financial stress is making my health worse, and my partner is burning out from being the sole provider while also helping with my medical care. Any advice or even just encouragement would help tremendously.

Amara Adeyemi

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You're definitely on the right track with the Disabled Adult Child benefits (technically called Childhood Disability Benefits or CDB). Since your condition started before age 22 and you have a parent receiving SSDI, this is potentially your best option. Here's what I'd recommend: 1. File a NEW application specifically for CDB under your mother's record. Don't wait for the pending SSI case - these are completely different programs. 2. Get a status update on your pending hearing request. Call and specifically request to speak with the hearing office handling your case. If they won't transfer you, ask for the direct number to that office. 3. Consider getting a disability attorney at this point - most work on contingency (only get paid if you win). They can often speed things up considerably. The 13-month wait at Step 3 is unfortunately not unusual in the current backlog, but it's worth checking if something's stuck in your file. Good luck!

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Liam O'Connor

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Thank you for this clear advice! I've been so confused about whether I should be waiting on the pending case or starting fresh with the CDB application. I'll call tomorrow about filing a new application under my mom's record. Do you happen to know if they'll consider all the medical evidence I've already submitted for the SSI case? Or will I need to gather everything again? Some of my records are from specialists I no longer see and it was a nightmare getting copies the first time around.

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my sister went thru somethign like this!!! the SSI denail then the whole childhood disabilty thing. took her almost 3 YEARS to get approved even tho she had cancer as a teenager!!! its INSANE how they treat ppl who are sick. the systems broken. hope u get better luck than she did

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Liam O'Connor

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Oh wow, 3 years is terrifying to hear. Did your sister do anything specific that finally helped move things along? I'm trying not to panic but the waiting feels endless.

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I successfully received Childhood Disability Benefits after my father passed away, though my situation was slightly different. My diagnosis (severe congenital heart defect) was from birth, and I applied when I was 25. Based on my experience, here are the key things that made a difference: 1. Medical documentation is EVERYTHING. Make sure every single doctor has documented how your condition limits your ability to work. General statements like "patient has kidney stones" aren't enough - you need them to specifically document functional limitations. 2. Apply for CDB separately from your SSI case. While technically they should consider all eligibility, in practice, they often don't unless you specifically apply. 3. Your application being stuck at Step 3 for 13 months is concerning. That's the medical review step, and it shouldn't take that long unless there's missing information or your case was misplaced. 4. Get a case status from your local office in person if possible. Phone representatives often can't see the detailed notes. Feel free to message me if you have specific questions about the CDB process. It's less common than regular disability, so even some SSA employees don't fully understand it.

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Liam O'Connor

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Thank you so much for sharing your experience! It's so helpful to hear from someone who actually got through this process successfully. I'll definitely focus on getting better documentation of my limitations - I think my doctors tend to just list my conditions without explaining how they affect daily functioning. I'll try to get to a local office next week. The phone calls have been completely useless so far.

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Dylan Wright

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Why would u even qualify for disability for kidney stones??? Plenty of people work with medical conditions. My sister has the same thing and works full time as a nurse!!! Not trying to be rude just saying maybe thats why ur getting denied.

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NebulaKnight

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Wow, way to be judgmental without knowing someone's full situation. Cystinuria varies WILDLY in severity. Some people might form a stone every few years while others form them constantly and require multiple interventions per month. It can be completely disabling in severe cases.

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Sofia Ramirez

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I went through a similar nightmare with my SSDI case a few years ago. After waiting 16 months with no movement, I discovered Claimyr.com which helped me actually reach a human at SSA who could give me real answers. Had my case been sitting in the wrong department for MONTHS! Their service got me through to an agent in 15 minutes when I'd been trying for weeks. They have a video that shows exactly how it works: https://youtu.be/Z-BRbJw3puU After getting through to someone who could actually see my full file, I found out they were missing medical records from one doctor that was preventing them from moving forward. Once I knew the specific issue, I was able to resolve it and my case started moving again. In your situation, I'd definitely recommend starting the CDB application ASAP while also following up on your pending case. Don't wait for one to resolve before trying the other path.

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Liam O'Connor

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Thank you for this suggestion! I'll check out that service. I've spent so many hours on hold only to get disconnected or told they can't help me. At this point I'd try anything to just get some real information about my case.

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Dmitry Popov

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THE WHOLE SYSTEM IS DESIGNED TO MAKE YOU GIVE UP!!!! They KNOW most people will just stop trying after getting denied because were SICK and dont have the energy to fight!!!! Theyre COUNTING on you giving up!!! DONT LET THEM WIN!!!!

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omg this is so true they denied my mom 3 times before she got approved and she literly had stage 4 cancer its like they WANT u to die before they have to pay u anything

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Amara Adeyemi

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Just to clarify some information about Childhood Disability Benefits (CDB): 1. You can qualify under EITHER parent's record if they're receiving Social Security retirement/disability OR if they're deceased. 2. You need to prove your disability began before age 22, which sounds like you can do easily with your diagnosis at 13. 3. Unlike SSI, CDB has no income or resource limits. The financial status of your household won't affect eligibility. 4. The benefit amount is based on your parent's Social Security record (generally 50% if they're alive, 75% if deceased). 5. Most importantly: If you're applying based on your mother's record who is receiving SSDI, you should specifically request that they take a "protective filing date" back to when you first inquired about benefits. This could potentially get you some retroactive benefits. I'd recommend contacting your local field office directly rather than the general SSA number. The field offices often have more flexibility to help with complicated cases.

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NebulaKnight

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This is super helpful info about CDB! One thing to add - make sure all your medical records clearly show CONTINUOUS disability since before age 22. Any significant gaps in treatment or periods where you worked substantially could cause problems with CDB eligibility, even if your condition is clearly genetic/lifelong.

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Ava Rodriguez

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Hey there - I went through this exact process! So I have hereditary spastic paraplegia (diagnosed at 16) and my dad passed away when I was 19. I didn't know about CDB until I was 34! What finally worked for me: 1) I went IN PERSON to my local SSA office with ALL my medical records organized chronologically (original diagnosis through current) 2) I specifically requested to talk to someone familiar with CDB/DAC benefits (not everyone knows these well) 3) I brought a letter from my neurologist specifically stating my condition began before 22 and has prevented substantial gainful activity continuously since then 4) Here's what they don't tell you - you need to specifically fill out both the adult disability application AND form SSA-4-BK (Child's Benefits) My application was approved in about 4 months, which is lightning fast for disability. I think going in person with everything perfectly organized made all the difference. Good luck!

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Liam O'Connor

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Thank you so much for sharing your experience! This is incredibly helpful. I didn't know about needing to fill out the SSA-4-BK form specifically. I'll definitely get everything organized chronologically before going in. Did you need to bring your father's death certificate or did they already have that information in their system?

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Ethan Brown

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I'm so sorry you're dealing with this frustrating process! I went through something similar with my own disability case a few years ago. The waiting is absolutely the worst part, especially when you're already dealing with health issues and financial stress. A few things that helped me during my long wait: 1. Document EVERYTHING - keep a log of every phone call, date, time, who you spoke with, and what they told you. This saved me multiple times when representatives gave conflicting information. 2. For your current stuck case, try calling first thing in the morning (8am) or later in the evening. I found I got through faster and sometimes reached more experienced reps who could actually see detailed case notes. 3. Consider reaching out to your congressional representative's office. They have a constituent services department that can sometimes get movement on stalled federal cases. It's a free service and they're surprisingly effective at getting answers from SSA. Your situation with potentially qualifying for CDB is really promising - having that genetic condition diagnosed at 13 definitely meets the "before age 22" requirement. The fact that you could have been eligible for years is infuriating but also hopeful for your future benefits. Stay strong - I know it feels endless, but you WILL get through this process. Your condition is real, your limitations are valid, and you deserve support. Don't let anyone make you feel otherwise.

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Paolo Marino

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This is such solid advice, especially about documenting everything! I wish I had started keeping detailed records from the beginning - I'm kicking myself for not writing down specifics from earlier calls. The congressional representative idea is brilliant - I had no idea they could help with federal cases like this. Do you happen to remember how long it took after contacting your rep's office before you saw any movement on your case? I'm definitely going to try this approach alongside pursuing the CDB application. Thank you for the encouragement too. Some days it really does feel like the system is designed to break you down, but hearing from people who made it through gives me hope.

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Jacob Lee

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I'm dealing with a similar situation with my own disability case, and I wanted to share something that might help with your stalled application. After 11 months of being stuck at the same step, I discovered that sometimes cases get flagged for additional review that wasn't communicated to the applicant. Here's what I learned that might apply to your situation: 1. Request a "case status inquiry" through your local field office - this is different from just calling the main number. They can sometimes see internal notes that phone reps can't access. 2. Ask specifically if your case needs any additional medical evidence or if there are any outstanding requests. Sometimes they send letters that get lost or never arrive. 3. For the CDB application, definitely pursue that simultaneously. Since your condition was diagnosed at 13 and you have a parent on SSDI, this could be your fastest path to benefits. 4. One thing that really helped me was getting a letter from my primary care doctor that specifically addressed my "residual functional capacity" - not just listing my conditions, but explaining exactly how they limit my ability to work 8 hours a day, 5 days a week. The 13-month wait is unfortunately becoming more common with the current backlog, but don't give up. Your cystinuria with that level of surgical intervention absolutely sounds like it would meet their criteria. Keep pushing - you've got this!

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Tasia Synder

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This is really helpful information, thank you! I had no idea there was a difference between calling the main number and requesting a case status inquiry through the local field office. That could explain why I keep getting the runaround on the phone - maybe the representatives I'm talking to literally can't see what's actually happening with my case. The point about the residual functional capacity letter is spot on too. I think my doctors have been too general in their documentation. I need them to specifically explain that I can't predict when I'll have a stone episode that requires emergency surgery, or that the pain makes it impossible to concentrate or sit for extended periods. Thanks for giving me a concrete action plan to move forward with!

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Carter Holmes

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I'm so sorry you're going through this exhausting process. Your situation with cystinuria requiring 4-5 surgeries annually absolutely sounds disabling - anyone questioning that clearly doesn't understand the severity of your condition. A few things that might help based on what others have shared: 1. **Definitely pursue the CDB application immediately** - don't wait for your current case to resolve. Since your condition was diagnosed at 13 and your mom is on SSDI, this could be your best path forward. 2. **Visit your local SSA field office in person** if possible. Bring all your medical records organized chronologically, and specifically ask to speak with someone experienced in CDB cases. Request they check for any missing information that might be stalling your current application. 3. **Get updated medical documentation** that focuses on functional limitations rather than just diagnosis. Your doctors need to document how unpredictable stone episodes, pain levels, and recovery from surgeries prevent you from maintaining consistent work. 4. **Consider contacting your congressional representative's office** - their constituent services can sometimes get federal agencies to respond when cases are stuck. The fact that you've been dealing with this condition since age 13 and have such extensive medical history should work in your favor for CDB. Keep pushing - you deserve these benefits and shouldn't have to struggle financially while dealing with such a serious medical condition.

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Thank you for this comprehensive advice! It's really encouraging to see so many people in this community who understand how challenging this process can be. I'm definitely going to prioritize the CDB application - it sounds like multiple people have had success with that route when they had conditions that started before 22. Your point about getting documentation focused on functional limitations is so important. I think I've been approaching this wrong by just having my doctors list my diagnoses rather than explaining the real-world impact. The unpredictability of when I'll need emergency surgery is probably the biggest barrier to maintaining employment, but I don't think that's been clearly communicated in my medical records. I'm planning to visit my local field office next week with everything organized chronologically, and I'll also reach out to my representative's office. After 13 months of getting nowhere with phone calls, it's time to try a more direct approach. Thanks for taking the time to share such detailed guidance!

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I'm really sorry you're dealing with this bureaucratic nightmare while managing such a serious medical condition. The combination of constant kidney stones requiring multiple surgeries per year plus the financial stress of waiting over a year for a decision sounds absolutely exhausting. From what everyone has shared, it definitely sounds like pursuing the Childhood Disability Benefits route under your mother's record is your best bet. The fact that you were diagnosed at 13 with a genetic condition and your mom is already receiving SSDI checks all the boxes for CDB eligibility. One thing I'd add to all the great advice here - when you do visit the local office, consider bringing a detailed timeline showing how your condition has progressed since diagnosis. Include dates of major surgeries, hospitalizations, and periods when you couldn't work. This can help demonstrate the continuous nature of your disability since before age 22. Also, don't let anyone make you feel like you're not "disabled enough." Cystinuria requiring 4-5 surgeries annually is absolutely a disabling condition - the unpredictability alone makes it nearly impossible to maintain steady employment, not to mention the physical toll and recovery time. Keep advocating for yourself. The system is frustrating and slow, but you have a legitimate claim and deserve these benefits. Wishing you the best of luck getting some movement on your case soon!

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This is such thoughtful advice! The timeline idea is brilliant - I've been thinking about my case in terms of current symptoms, but showing the progression since my diagnosis at 13 would really help demonstrate that continuous disability requirement for CDB. I really appreciate everyone in this thread taking the time to share their experiences and practical advice. It's been so isolating dealing with this alone, and hearing from people who've actually navigated these programs successfully gives me hope that there's light at the end of this tunnel. The point about not letting anyone make me feel "not disabled enough" really resonates. I think I've internalized some of that doubt, especially when people don't understand how debilitating unpredictable medical emergencies can be for maintaining employment. But you're absolutely right - this is a legitimate disability and I shouldn't have to justify my need for support. Thank you for the encouragement. I'm feeling much more confident about my next steps after reading all these responses!

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Callum Savage

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I'm really sorry you're going through this incredibly frustrating process. Having dealt with disability applications myself, I know how draining it can be to navigate the system while managing a serious medical condition. Based on everything you've shared, I'd strongly recommend pursuing the Childhood Disability Benefits (CDB) route immediately. Since you were diagnosed with cystinuria at 13 (well before age 22) and your mother is receiving SSDI, you should definitely qualify. The fact that an SSA rep even mentioned this suggests it's your strongest path forward. A few practical suggestions: 1. Don't wait for your current SSI case to resolve - file the CDB application as a completely separate claim under your mother's record 2. When you apply, specifically request a "protective filing date" back to when you first inquired about benefits, as this could get you retroactive payments 3. Focus on getting medical documentation that clearly states how your condition prevents you from working consistently (not just the diagnosis, but functional limitations) For your stalled case, try visiting your local field office in person rather than calling. Phone reps often can't see the detailed case notes that might explain the delay. The requirement for 4-5 surgeries annually plus constant ER visits absolutely sounds disabling - don't let anyone make you question the legitimacy of your claim. Keep advocating for yourself!

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This is exactly the kind of clear, actionable advice I needed to hear! I had no idea about requesting a protective filing date - that could potentially make a huge difference financially since I've been struggling without income for so long. You're absolutely right about filing the CDB application separately rather than waiting. I think I got stuck in the mindset that I needed to resolve one case before starting another, but it sounds like these are completely different programs that should be pursued simultaneously. The point about getting better medical documentation focused on functional limitations is something several people have mentioned, and I'm realizing this is probably where my application has been weak. My doctors tend to document the clinical aspects but not how the unpredictable nature of stone episodes makes it impossible to commit to a regular work schedule. Thank you for the encouragement about the legitimacy of my claim. After 13 months of waiting and getting nowhere, I was starting to doubt whether my condition was "severe enough" compared to other disabilities. But you're right - requiring 4-5 surgeries per year plus constant medical management absolutely impacts my ability to work consistently. I'm feeling much more optimistic about having a concrete plan moving forward. This community has been incredibly helpful!

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Zara Rashid

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I'm so sorry you're dealing with this exhausting process on top of managing such a complex medical condition. Cystinuria requiring 4-5 surgeries annually is absolutely debilitating - the unpredictability alone would make it nearly impossible to maintain steady employment. Based on everything you've shared and the great advice from others here, I'd definitely prioritize the CDB application under your mother's record. Since you were diagnosed at 13 with a genetic condition and your mom has been on SSDI since 2007, this seems like your strongest path forward. A couple of additional thoughts that might help: 1. **When documenting your condition**, emphasize the unpredictable nature - employers need reliability, and when you never know when you'll need emergency surgery, that's a huge barrier to employment that SSA should understand. 2. **For your stalled case**, 13 months at Step 3 suggests they might be waiting for additional medical evidence or there could be a clerical issue. Definitely try the in-person visit to your local office. 3. **Consider keeping a symptom diary** going forward - documenting pain levels, ER visits, work days missed, etc. This can be powerful evidence of how your condition actually impacts daily functioning. The financial stress while waiting is awful, and your partner burning out as sole provider adds another layer of difficulty. You're dealing with so much, and you absolutely deserve support through this system you've been paying into. Don't give up - your claim is legitimate and you will get through this process.

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Maya Patel

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This is such a compassionate and thorough response. The symptom diary idea is particularly brilliant - I hadn't thought about creating ongoing documentation of how unpredictable my condition really is. That could be really powerful evidence to show SSA that it's not just about having a medical condition, but about how the unpredictability makes it impossible to be a reliable employee. Your point about emphasizing the unpredictable nature really resonates. I think I've been focusing too much on the severity of individual episodes rather than highlighting how never knowing when I'll need emergency surgery creates a fundamental barrier to employment. No employer can accommodate someone who might suddenly need to disappear for days or weeks with no advance notice. The validation about my claim being legitimate means a lot. After over a year of bureaucratic runaround, it's easy to start doubting yourself and wondering if you're somehow "not disabled enough." But you're absolutely right - I've been paying into this system, and genetic conditions requiring constant surgical intervention are exactly what these programs are designed to support. I'm going to start that symptom diary immediately and work on getting better functional documentation from my doctors. Thank you for taking the time to provide such thoughtful guidance - this community has been incredibly helpful during such a frustrating process!

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