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Proving psychological injuries in workers’ compensation

On Behalf of | Sep 25, 2024 | Workers' Compensation

Workers’ compensation claims for psychological injuries, such as PTSD, can be complex. Pennsylvania law allows for compensation for mental health conditions. Proving these injuries involves several unique challenges.

Proving a psychological injury

The first hurdle is proving the existence of a psychological injury, such as PTSD. Unlike physical injuries, psychological conditions do not have visible symptoms. This makes them harder to diagnose. Workers need to provide thorough medical documentation from qualified mental health professionals to address the complexities involved.

This includes specialists such as psychiatrists or psychologists to establish a formal diagnosis. Insurance companies often challenge the validity of these diagnoses, adding to the difficulty.

Linking the injury to work

Another challenge is proving that the psychological injury is linked to the worker’s job. The worker must show the injury came from something unusual at work. This could be a traumatic event or other abnormal experience. Psychological injuries that develop gradually, without a clear triggering event, are harder to link specifically to work. 

Overcoming stigma and skepticism

Psychological injuries like PTSD often face skepticism from employers and insurance companies. Workers encounter bias or misunderstanding about mental health conditions. This can make it harder for claims to gain acceptance. This stigma affects how medical evaluations are perceived. This leads to more pushback on claims for psychological injuries.

Psychological injury claims

Navigating workers’ compensation claims for psychological injuries requires a clear understanding of the legal process and careful preparation. This ensures that workers receive the support they need for these misunderstood conditions.