Mental illness can be a disability

Psychoses> severe disability

1. The most important things in a nutshell

In the case of severe psychoses, which also include schizophrenia, the pension office can determine a degree of disability (GdB). The GdB is based on the duration of the acute phase and the degree of social restrictions. So that people with disabilities can participate equally in professional and social life, there are so-called disadvantage compensations for them.

2. General

Support and help for people with disabilities are mainly regulated in SGB IX - Rehabilitation and participation of people with disabilities. The following links to the general rules:

3. Health care principles

There are nationwide guidelines for determining the disability, the "Health Care Principles". These contain general assessment rules and individual information about the amount of the GdB. However, this is only an orientation framework, the calculation depends on the individual case.

The principles of supply medicine can be found in the “Supply Medicine Ordinance” at the Federal Ministry of Labor and Social Affairs at> search term: "K710".

4. Reference values ​​in psychoses

Below are the reference values ​​for schizophrenic and affective psychoses.

4.1. Persistent psychosis

Long-term psychosis (lasting more than half a year)

GdB / GdS

in the florid stage depending on the loss of professional and social adaptability


4.2. Schizophrenic residual state

Schizophrenic residual state (e.g. concentration disorder, poor contact, loss of vitality, affective leveling) with minor and individual residual symptoms

GdB / GdS

without social adjustment difficulties


with slight social adjustment difficulties


with moderate social adjustment difficulties


with severe social adjustment difficulties


4.3. Affective psychosis

Affective psychosis with relatively short but often recurring phases

GdB / GdS

with 1-2 phases a year lasting several weeks depending on the type and severity


with more frequent phases lasting several weeks


5. Healing probation

After long-lasting psychotic episodes have subsided, generally (see below for exception) a healing period of 2 years should be awaited.

GdB / GdS during this time

if several manic or manic and depressive phases have already preceded it




exception: Needs a healing test Not to be waited for if there was a monopolar depressive phase that occurred as the first phase of the disease or only more than 10 years after an earlier phase of the disease.

Psychosis can lead to permanent disabilities for those affected. A person with a GdB of at least 50 is considered severely disabled.

6. Help and compensation for disadvantages for people with disabilities

If a severe disability has been recognized in a patient with psychosis, the following aids and compensation for disadvantages can be considered:

7. Related links

Counselor psychoses

Handicap guide

Depression> disability

Degree of disability


Psychosis schizophrenia

Psychoses> General

Psychoses> treatment

Psychoses> addresses