Specific clinically significant psychiatric condition for the onset of panic disorder

Panic Disorder - Specific clinically significant psychiatric condition for the onset of panic disorder Factor

In the SOPs for panic disorder, the RMA has defined "a clinically significant psychiatric condition" to mean  a condition from specified list 1 for clinical onset, and a condition from specified list 2, for clinical worsening

Note:  This factor only applies to the five conditions (identified in list 1 below) as onset only.

This factor was included to facilitate processing in CCPS as the specified lists for clinical onset and clinical worsening differ.  Therefore you will also need to consider and investigate the general clinically significant psychiatric condition factor to address all the conditions covered under the SOP factor.

"specified list 1" means one of the Axis I or Axis II disorders of mental health listed below:

(a)        a mood disorder;

(b)       a substance dependence or substance abuse disorder;

(c)        acute stress disorder;

(d)       anxiety disorder;

(e)        obsessive-compulsive disorder;

(f)        phobic anxiety;

(g)       posttraumatic stress disorder;

(h)       substance-induced anxiety disorder;

(i)        eating disorder;

(j)        schizophrenia;

(k)       avoidant personality disorder; - Onset only

(l)        borderline personality disorder; - Onset only

(m)      dependent personality disorder; - Onset only

(n)       histrionic personality disorder; or- Onset only

(o)       obsessive-compulsive personality disorder, - Onset only

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

"specified list 2" means one of the Axis I disorders of mental health listed below:

(a)        a mood disorder;

(b)       a substance dependence or substance abuse disorder;

(c)        acute stress disorder;

(d)       anxiety disorder;

(e)        obsessive-compulsive disorder;

(f)        phobic anxiety;

(g)       posttraumatic stress disorder;

(h)       substance-induced anxiety disorder;

(i)        eating disorder; or

(j)        schizophrenia,

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

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 psychiatric disorder might still meet the RMA definition if there was persuasive and professional evidence, based on a comprehensive clinical history, that ongoing management had been warranted.

LAST REVIEWED FOR CCPS 21 MAY 2010.

PRELIMINARY QUESTIONS [41389]

41399 there is some evidence that a clinically significant psychiatric condition may be a factor in the development of the condition under consideration.

41401 the veteran's specific psychiatric condition for the onset of panic disorder was clinically significant.

41402 the veteran's specific psychiatric condition for the onset of panic disorder was clinically significant at the time of the clinical onset of the condition under consideration.

41403  the veteran's specific psychiatric condition for the onset of panic disorder which was clinically significant at the time of the clinical onset of the condition under consideration is an illness or injury which is identifiable.

41404  the veteran has established the causal connection between the specific clinically significant psychiatric condition and VEA service for the clinical onset of the condition under consideration.

41405   the veteran has established the causal connection between the specific clinically significant psychiatric condition and operational service for the clinical onset of the condition under consideration.

or

41406   the veteran has established the causal connection between the specific clinically significant psychiatric condition and eligible service for the clinical onset of the condition under consideration.

CLINICAL ONSET AND OPERATIONAL SERVICE [41405]

41407  the identified illness or injury, a specific clinically significant psychiatric condition for the onset of panic disorder, is causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [41406]

41408  the identified illness or injury, a specific clinically significant psychiatric condition for the onset of panic disorder, is causally related to eligible service.