I think that if you have several medical problems, and have previously been certified by your GP on the grounds of the most incapacitating, it's quite reasonable to think of that as being the one "they" want to know about. Indeed it's perfectly possible with your client that with the physical problems alone she wouldn't be or consider herself incapable of work. Depression makes pain very much harder to bear and there is lots of evidence that depression is one of the commonest "causes" of back pain. So if you have evidence that her physical problems are genuine and persisting go with it. Hoepefully a Tribunal will understand why she faield to mention this earlier - it wasn't what she was thinking about. From what you say you may need only six points for physical problems even if you can't find any more for mental health, so it could well be at a fairly minor level that would be nowhere near the threshold on its own. I was once in a group of people in their 50s who all assessed themselves on the PCA as it stands. No-one got less than 9 points on physical descriptors and and least two were over the 15 points - yet everyone was in demanding and responsible jobs. Mental health is much more important than aches and pains on their own. I certainly get 7 for standing, a I was only too well aware by the end of the concert I sang in last night.
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