External
Repatriation Medical Authority Statement

Bipolar disorder - Sleep deprivation Factor

Last reviewed for CCPS 16 December 2009.

Preliminary questions [39995]

40174 there is some evidence that sleep deprivation may be a factor in the worsening of the condition under consideration.

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.

40175

the veteran was deprived of at least one whole night's sleep after the clinical onset of the condition under consideration and within the two days before its clinical worsening.

40178the veteran has established the causal connection between sleep deprivation and VEA service for the clinical worsening of bipolar disorder.

40179the veteran has established the causal connection between sleep deprivation and operational service for the clinical worsening of bipolar disorder.

or

40180the veteran has established the causal connection between sleep deprivation and eligible service for the clinical worsening of bipolar disorder.

Clinical worsening and operational service [40179]

40176

the veteran being deprived of at least one whole night's sleep after the clinical onset of the condition under consideration and within the two days before its clinical worsening was caused by operational service.

40181

the veteran being deprived of at least one whole night's sleep after the clinical onset of the condition under consideration and within the two days 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 [40180]

40177

the veteran being deprived of at least one whole night's sleep after the clinical onset of the condition under consideration and within the two days before its clinical worsening was caused by eligible service.

40182

the veteran being deprived of at least one whole night's sleep after the clinical onset of the condition under consideration and within the two days 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.