Clinically significant anxiety spectrum disorder

Ischaemic heart disease - Clinically significant anxiety spectrum disorder Factor

RMA definition

"A clinically significant anxiety spectrum disorder as specified" means one of the following disorders:

• anxiety disorder due to a general medical condition;
• generalised anxiety disorder;
• panic disorder;
• phobic anxiety;
• posttraumatic stress disorder; or
• anxiety disorder not otherwise specified,

that attract a diagnosis under DSM-IV-TR and is sufficient to warrant ongoing management. The ongoing management may involve regular visits (for example, at least monthly), to a psychiatrist, clinical psychologist or general practitioner.

Clinically significant

Generally it would be expected that if a psychiatric disorder warranted treatment then treatment would be sought.  However, where treatment was not sought, a person's anxiety spectrum disorder might still meet the RMA definition of clinically significant if there was persuasive and professional evidence, based on a comprehensive clinical history, that ongoing management had been warranted.

Last reviewed for CCPS 27 April 2010.

Investigative Documents

Preliminary questions [26974]

26975 there is some evidence that a clinically significant anxiety spectrum disorder may be a factor in the development or worsening of the condition under consideration.

26976 the veteran suffered from angina or acute myocardial infarction or sudden death from ischaemic heart disease.

40647 the veteran has had an anxiety spectrum disorder as defined for ischaemic heart disease at some time.

40648  an anxiety spectrum disorder for ischaemic heart disease means an anxiety disorder as specified in the Statements of Principles for ischaemic heart disease.

40649 the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, has been clinically significant at some time.

26978  the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and VEA service for ischaemic heart disease.

26979 the identified illness or injury, an anxiety spectrum disorder, was clinically significant at the time of the clinical onset of the condition under consideration.

40650   the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and VEA service for the clinical onset of ischaemic heart disease.

26982  the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and operational service for the clinical onset of ischaemic heart disease.

or

26983  the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and eligible service for the clinical onset of ischaemic heart disease.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

26986 the identified illness or injury, an anxiety spectrum disorder, was clinically significant at the time of the clinical worsening of the condition under consideration.

40651   the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and VEA service for the clinical worsening of ischaemic heart disease.

26984  the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and operational service for the clinical worsening of ischaemic heart disease.

or

26985  the veteran has established the causal connection between a clinically significant anxiety spectrum disorder and eligible service for the clinical worsening of ischaemic heart disease.

Clinical onset and operational service [26982]

33438  the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, is causally related to operational service.

Clinical onset and eligible service [26983]

33439  the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, is causally related to eligible service.

Clinical worsening and operational service [26984]

33438  the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, is causally related to operational service.

27405 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, is causally related.

Clinical worsening and eligible service [26985]

33439  the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, is causally related to eligible service.

27406 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, an anxiety spectrum disorder for ischaemic heart disease, is causally related.