External
Repatriation Medical Authority Statement

Bipolar disorder - Cessation or reduction of antidepressant drug therapy Factor

Last reviewed for CCPS 16 December 2009.

Preliminary questions [39991]

41195 there is some evidence that the cessation or reduction of antidepressant drug therapy may be a factor in the development or worsening of the condition under consideration.

40134the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and VEA service for bipolar disorder.

39980the condition under consideration is substance-induced mood disorder with manic or mixed features.

41202

the veteran experienced cessation or reduction of antidepressant drug therapy within the one month before the clinical onset of the condition under consideration.

41196the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and VEA service for the clinical onset of bipolar disorder.

41198the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and operational service for the clinical onset of bipolar disorder.

or

41199the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and eligible service for the clinical onset of bipolar 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.

41203

the veteran experienced cessation or reduction of antidepressant drug therapy after the clinical onset of the condition under consideration and within the one month before its clinical worsening.

41197the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and VEA service for the clinical worsening of bipolar disorder.

41200the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and operational service for the clinical worsening of bipolar disorder.

or

41201the veteran has established the causal connection between the cessation or reduction of antidepressant drug therapy and eligible service for the clinical worsening of bipolar disorder.

Clinical onset and operational service [41198]

41204

the cessation or reduction of antidepressant drug therapy within the one month before the clinical onset of the condition under consideration was caused by operational service.

41208

the cessation or reduction of antidepressant drug therapy within the one month before the clinical onset of the condition under consideration, which was caused by operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.

Clinical onset and eligible service [41199]

41205

the cessation or reduction of antidepressant drug therapy within the one month before the clinical onset of the condition under consideration was caused by eligible service.

41209

the cessation or reduction of antidepressant drug therapy within the one month before the clinical onset of the condition under consideration, which was caused by eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.

Clinical worsening and operational service [41200]

41206

the cessation or reduction of antidepressant drug therapy after the clinical onset of the condition under consideration and within the one month before its clinical worsening was caused by operational service.

41210

the cessation or reduction of antidepressant drug therapy after the clinical onset of the condition under consideration and within the one month before its clinical worsening, which was caused by operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.

Clinical worsening and eligible service [41201]

41207

the cessation or reduction of antidepressant drug therapy after the clinical onset of the condition under consideration and within the one month before its clinical worsening was caused by eligible service.

41211

the cessation or reduction of antidepressant drug therapy after the clinical onset of the condition under consideration and within the one month before its clinical worsening, which was caused by eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.