Depressive disorder - A clinically significant psychiatric condition Factor
In the SOPs for anxiety disorder, among others, the RMA defines 'a clinically significant psychiatric condition' to mean "any Axis 1 disorder of mental health that attracts a diagnosis under DSM-IV-TR which is sufficient to warrant ongoing management, which may involve regular visits (for example, at least monthly), to a psychiatrist, clinical psychologist or general practitioner".
Axis 1 covers clinical disorders, for example, substance-related disorders, mood disorders, anxiety disorders (including PTSD), depressive disorders, bipolar disorder, and schizophrenia.
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 warrant treatment if there was persuasive and professional evidence, based on a comprehensive clinical history, that ongoing management had been warranted.
Last reviewed for CCPS 16 September 2011.
Preliminary questions [37290]
1709 the veteran has had a psychiatric condition at some time.
6058 psychiatric condition means any Axis 1 disorder of mental health that attracts a diagnosis under DSM-IV-TR. [Default true]
26043 the identified illness or injury, a psychiatric condition, has been clinically significant at some time.
37291 the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for depressive disorder.
39676 the condition under consideration is major depressive episode, recurrent major depressive disorder, dysthymic disorder or depressive disorder not otherwise specified.
37292 the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the clinical onset of depressive disorder.
37295 the veteran has established the causal connection between the clinically significant psychiatric condition and eligible service for the clinical onset of depressive disorder.
or
37294 the veteran has established the causal connection between the clinically significant psychiatric condition and operational service for the clinical onset of depressive disorder.
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.
37293 the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the clinical worsening of depressive disorder.
37297 the veteran has established the causal connection between the clinically significant psychiatric condition and eligible service for the clinical worsening of depressive disorder.
or
37296 the veteran has established the causal connection between the clinically significant psychiatric condition and operational service for the clinical worsening of depressive disorder.
Clinical onset and operational service [37294]
37298 the identified illness or injury, a psychiatric condition, was clinically significant within the two years before the clinical onset of the condition under consideration.
26044 the identified illness or injury, a clinically significant psychiatric condition, is causally related to operational service.
Clinical onset and eligible service [37295]
37299 the identified illness or injury, a psychiatric condition, was clinically significant within the one year before the clinical onset of the condition under consideration.
26045 the identified illness or injury, a clinically significant psychiatric condition, is causally related to eligible service.
Clinical worsening and operational service [37296]
37300 the identified illness or injury, a psychiatric condition, was clinically significant after the clinical onset of the condition under consideration and within the two years before its clinical worsening.
26044 the identified illness or injury, a clinically significant psychiatric condition, is causally related to operational service.
6029 the clinical onset of the veteran's condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a clinically significant psychiatric condition, is causally related.
Clinical worsening and eligible service [37297]
37301 the identified illness or injury, a psychiatric condition, was clinically significant after the clinical onset of the condition under consideration and within the one year before its clinical worsening.
26045 the identified illness or injury, a clinically significant psychiatric condition, is causally related to eligible service.
6030 the clinical onset of the veteran's condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a clinically significant psychiatric condition, is causally related.