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Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Substance/Medication-Induced Psychotic Disorder


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Diagnosis

History: According to the DSM-5, individuals with substance/medication-induced psychotic disorder have delusions and/or hallucinations (that are prominent, DSM-IV-TR). The history reveals that the delusions and/or hallucinations developed in the course of, or shortly after (within 30 days, DSM-IV-TR), substance intoxication, or after withdrawal from or exposure to a medication. The involved substance/medication must be capable of producing delusions and/or hallucinations.

The disturbance is not better accounted for by a psychotic disorder that is not substance/medication-induced. Evidence of an independent psychotic disorder may include appearance of the symptoms before the onset of the substance/medication use; persistence of the symptoms for approximately 1 month after acute withdrawal from the substance/medication use, or symptoms that exceed those normally produced by the substance/medication use — as well as a history of recurrent non-substance/medication-related episodes.

The disturbance does not occur exclusively during the course of a delirium. The disturbance produces clinically significant distress or impairment in social, occupational, or other areas of functioning. This diagnosis should be made instead of a diagnosis of substance intoxication or substance withdrawal only when the delusions and/or hallucinations predominate in the clinical picture (only when the delusions and/or hallucinations exceed those usually associated with the intoxication, DSM-IV-TR) and when its severity warrants clinical attention. It is necessary to specify if the onset occurred during intoxication or during withdrawal. According to the DSM-5, it is also necessary to specify the current severity on a 5-point scale of the symptoms.

According to both the DSM-5 and DSM-IV-TR, coding of substance-induced psychotic disorder includes specifying the offending substance: alcohol; cannabis; phencyclidine or other hallucinogen; inhalant; sedative, hypnotic, or anxiolytic; cocaine; amphetamine or other stimulant, (or amphetamine-like substance, phencyclidine-like substance, or opioid, DSM-IV-TR); or other (or unknown) substance. In the DSM-5, coding includes "with use disorder, mild," "with use disorder, moderate or severe," or "without use disorder" for each substance based on the ICD-10-CM. In the DSM-IV-TR, coding includes either "with hallucinations" or "with delusions" for each substance.

Physical exam: Please refer to the physical exam for the particular psychotic disorder, and for dependence on/abuse of the particular substance/medication.

Tests: Please refer to the tests for the particular psychotic disorder, and for dependence on/abuse of the particular substance/medication.

Source: Medical Disability Advisor