One of the most misunderstood SSDI denial reasons is this:
“Failure to follow prescribed treatment.”
But SSA’s definition of “consistent treatment” is far more nuanced than most people realize.
1. Consistent Doesn’t Mean Perfect
SSA expects reasonable treatment; not ideal access.
They must consider:
- Financial barriers
- Insurance loss
- Side effects
- Mental health limitations
- Transportation issues
Missed appointments ≠ noncompliance.
2. Why Treatment Gaps Are Misread
Without explanation, SSA assumes:
- You improved
- Symptoms weren’t serious
- You chose not to seek care
Silence hurts.
Explanation protects.
3. How We Legally Explain Gaps
Winning cases document:
- Cost barriers
- Provider shortages
- Mental health interference
- Treatment intolerance
SSA regulations require consideration of good cause – but only if raised properly.
4. Consistency Is About Pattern, Not Frequency
Seeing doctors regularly doesn’t help if notes are vague.
Strategic consistency beats constant appointments.
⚖️ Final Takeaway
Treatment gaps don’t sink cases- unexplained gaps do.
📞 Medical Record Consistency Review
📞 Free SSDI strategy call
🧾 We fix treatment gap narratives
💼 No fees unless you win
