Step 2 of the Social Security Disability Process: What Is a “Severe” Impairment?

Anthony Tanoos • February 26, 2026

What is step 2 of the social security decision process?

Woman wearing eye covering, holding head, looking down with distressed expression, sitting indoors.

After a judge determines at Step 1 that you are not working at the level of Substantial Gainful Activity (SGA), your case moves to Step 2 of the five-step sequential process.

At this stage, the question becomes:

Do you have a severe medically determinable impairment?


Step 2 may sound simple — but it’s one of the most misunderstood parts of the disability process.


What Happens at Step 2?

At Step 2, the Administrative Law Judge (ALJ) evaluates whether:

  1. You have a medically determinable impairment (MDI); and
  2. That impairment is “severe.”


If the judge finds that you do not have at least one severe impairment, your claim will be denied at this stage.


The case will not proceed to the remaining steps.


What Does “Severe” Mean?

In Social Security disability law, “severe” does not mean catastrophic or extreme.

It means that your impairment:

  • Significantly limits your ability to perform basic work activities; and
  • Has lasted (or is expected to last) at least 12 months.

Basic work activities include:

  • Walking, standing, sitting, lifting
  • Understanding and remembering instructions
  • Concentrating and maintaining pace
  • Interacting with others
  • Responding appropriately to supervision


If your condition causes more than a minimal limitation in these areas, it may be considered severe.


This Is a Low Legal Threshold

Step 2 is often described as a “de minimis” standard — meaning the bar is relatively low.


The judge is not deciding whether you are disabled yet.


They are simply determining whether your condition is significant enough to move forward in the evaluation process.


Most claims that are supported by proper medical evidence pass Step 2.

However, claims can fail here if:

  • There is not enough objective medical evidence;
  • The condition is temporary;
  • The records do not document functional limitations; or
  • The diagnosis is not established by acceptable medical sources.


What Counts as a Severe Impairment?

Common severe impairments include:

  • Back disorders
  • Arthritis
  • Heart disease
  • Diabetes with complications
  • Major depressive disorder
  • Anxiety disorders
  • PTSD
  • Fibromyalgia (when properly documented)
  • Autoimmune disorders


Even multiple “non-severe” impairments can combine to create a severe limitation when considered together.


The judge must consider the combined effect of all medically determinable impairments.


Why Step 2 Matters

If you fail at Step 2:

  • Your claim ends immediately.
  • The judge will not assess your ability to work.
  • The judge will not evaluate your past job.
  • The judge will not determine whether other jobs exist.


Passing Step 2 allows your case to move to Step 3, where the Listings are evaluated.


How crossroads disability can Help at Step 2

Many early denials happen because medical records are incomplete or unclear.

At Crossroads Disability, we focus on:

  • Making sure impairments are properly documented
  • Confirming diagnoses are supported by objective evidence
  • Identifying overlooked impairments
  • Highlighting functional limitations in medical records
  • Ensuring multiple impairments are considered together


Our goal at Step 2 is simple: make sure your case moves forward.


The Bottom Line

Step 2 asks whether you have at least one severe medically determinable impairment that significantly limits your ability to perform basic work activities.


The standard is not extreme — but it does require proper medical documentation.

If your condition truly interferes with your ability to work, and it is supported by medical evidence, you should be able to move past Step 2 and continue through the disability evaluation process.


If you are unsure whether your medical records meet this standard, getting guidance early can make a significant difference.

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