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Germany’s Social Security Now Recognizes Mental Illness as a Disability

A landmark shift in Germany’s approach to mental health could transform lives. Young adults struggle most—will this system finally bridge the gap?

This image consists of a book. On that there is ¨World Of Trouble¨. There is a picture of a man and...
This image consists of a book. On that there is ¨World Of Trouble¨. There is a picture of a man and a dog. It is placed on a table.

Germany’s Social Security Now Recognizes Mental Illness as a Disability

A recent report from the Robert Koch Institute reveals that mental health awareness is widespread in Germany. In 2024, over 40% of adults met the criteria for a mental disorder, with younger people reporting particularly low psychological well-being. These conditions can now qualify for official recognition under Germany’s social security system.

Under the German Versorgungsmedizin-Verordnung, mental illnesses can be assigned a degree of disability (Grad der Behinderung, GdB). This applies to a range of conditions, including depression, anxiety disorders, post-traumatic stress, and substance-related disorders. The GdB rating depends on symptom severity, duration, and social impact.

For depression, a diagnosis requires at least five symptoms—including at least one core symptom—lasting over two weeks. Psychotic disorders, such as schizophrenia or mood psychoses, can receive a GdB between 10 and 100, depending on episode frequency and social adaptation difficulties. Neuroses, personality disorders, and autism spectrum disorders also qualify, with ratings from 0 to 100 based on individual impairment.

The Robert Koch Institute’s 2024 survey found that nearly one in three adults reported low psychological well-being. Young adults were the most affected group, highlighting the growing need for mental health support and disability recognition.

The findings confirm that mental health conditions are a major concern in Germany. Official disability ratings now provide a structured way to assess and support those affected. This system aims to address long-term consequences and social challenges linked to mental illness.

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