Reasonable Hypothesis SOP [1] | 17 of 2018 |
Balance of Probabilities SOP [2] | 18 of 2018 |
SOP Bulletin 201 [3]
A personality disorder is a long-term pattern of thinking, behaviour and emotion that causes distress and makes it difficult to function in everyday life. People may have personality traits that align with subtypes of personality disorder, but do not have a personality disorder unless they have significant functional impairment or subjective distress.
A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims [4]is required for diagnosis.
These are not DSM-5 diagnoses. Further information should be sought from the diagnosing psychiatrist as to whether the diagnosed condition is a DSM-5 personality disorder.
* Another SOP applies
# Non-SOP condition
Onset will be in adolescence or early adulthood, but the condition may not come to medical attention until later in life.
Prognosis varies with the sub-type but overall personality disorders tend to be stable or improve slowly with age. Treatments are generally ineffective. Clinical worsening may be evidenced by an enduring increase in the level of functional impairment or distress.
Place holder node for Rulebase for personality disorder
Personality disorder - A category 1A stressor Factor
Last reviewed for CCPS 22 December 2008.
Preliminary questions [40460]
35945 [6] the veteran has experienced a category 1A stressor at some time. 40467 — the veteran has established the causal connection between the category 1A stressor and VEA service for personality disorder. 40468 — the veteran has established the causal connection between the category 1A stressor and VEA service for the clinical onset of personality disorder. 40470 — the veteran has established the causal connection between the category 1A stressor and operational service for the clinical onset of personality disorder. or 40471 — the veteran has established the causal connection between the category 1A stressor and eligible service for the clinical onset of personality disorder. or 40469 — the veteran has established the causal connection between the category 1A stressor and VEA service for the clinical worsening of personality disorder. 40472 — the veteran has established the causal connection between the category 1A stressor and operational service for the clinical worsening of personality disorder. or 40473 — the veteran has established the causal connection between the category 1A stressor and eligible service for the clinical worsening of personality disorder. Clinical onset and operational service [40470] or
37355 [12] as a consequence of the identified illness or injury, the veteran experienced a category 1A stressor within the two years before the clinical onset of the condition under consideration. 37357 — the identified illness or injury, as a consequence of which the veteran experienced a category 1A stressor, is causally related to operational service. [13] [14] Clinical onset and eligible service [40471] or
40016 [19] as a consequence of the identified illness or injury, the veteran experienced a category 1A stressor within the one year before the clinical onset of the condition under consideration. 37358 — the identified illness or injury, as a consequence of which the veteran experienced a category 1A stressor, is causally related to eligible service. [20] [14] Clinical worsening and operational service [40472] or
40533 [24] as a consequence of the identified illness or injury, the veteran experienced a category 1A stressor within the two years before the clinical worsening of the condition under consideration. 37357 — the identified illness or injury, as a consequence of which the veteran experienced a category 1A stressor, is causally related to operational service. [25] [14] Clinical worsening and eligible service [40473] or
40534 [29] as a consequence of the identified illness or injury, the veteran experienced a category 1A stressor within the one year before the clinical worsening of the condition under consideration. 37358 — the identified illness or injury, as a consequence of which the veteran experienced a category 1A stressor, is causally related to eligible service. [30] [14]
Personality disorder - A category 1B stressor Factor
Last reviewed for CCPS 22 December 2008.
Preliminary questions [40461]
35935 [33] the veteran has experienced a category 1B stressor at some time. 40476 — the veteran has established the causal connection between the category 1B stressor and VEA service for personality disorder. 40477 — the veteran has established the causal connection between the category 1B stressor and VEA service for the clinical onset of personality disorder. 40479 — the veteran has established the causal connection between the category 1B stressor and operational service for the clinical onset of personality disorder. or 40480 — the veteran has established the causal connection between the category 1B stressor and eligible service for the clinical onset of personality disorder. or 40478 — the veteran has established the causal connection between the category 1B stressor and VEA service for the clinical worsening of personality disorder. 40481 — the veteran has established the causal connection between the category 1B stressor and operational service for the clinical worsening of personality disorder. or 40482 — the veteran has established the causal connection between the category 1B stressor and eligible service for the clinical worsening of personality disorder. Clinical onset and operational service [40479] or
40037 [38] as a consequence of the identified illness or injury, the veteran experienced a category 1B stressor within the one year before the clinical onset of the condition under consideration. 37391 — the identified illness or injury, as a consequence of which the veteran experienced a category 1B stressor, is causally related to operational service. [39] [40] Clinical onset and eligible service [40480] or
40038 [45] as a consequence of the identified illness or injury, the veteran experienced a category 1B stressor within the six months before the clinical onset of the condition under consideration. 37392 — the identified illness or injury, as a consequence of which the veteran experienced a category 1B stressor, is causally related to eligible service. [46] [40] Clinical worsening and operational service [40481] or
40536 [50] as a consequence of the identified illness or injury, the veteran experienced a category 1B stressor within the one year before the clinical worsening of the condition under consideration. 37391 — the identified illness or injury, as a consequence of which the veteran experienced a category 1B stressor, is causally related to operational service. [51] [40] Clinical worsening and eligible service [40482] or
40538 [55] as a consequence of the identified illness or injury, the veteran experienced a category 1B stressor within the six months before the clinical worsening of the condition under consideration. 37392 — the identified illness or injury, as a consequence of which the veteran experienced a category 1B stressor, is causally related to eligible service. [56] [40]
Personality disorder - Clinically significant attention-deficit and disruptive behaviour disorder Factor
Last reviewed for CCPS 22 December 2008.
Preliminary questions [40464]
40466 [59] there is some evidence that a clinically significant attention-deficit and disruptive behaviour disorder may be a factor in the development or worsening of the condition under consideration.
40532 [60] the veteran has had an attention-deficit and disruptive behaviour disorder at some time. 40523 — an attention-deficit and disruptive behaviour disorder means a disorder satisfying the DSM-IV-TR diagnostic criteria for attention-deficit/hyperactivity disorder, attention-deficit/hyperactivity disorder not otherwise specified, conduct disorder, oppositional defiant disorder, or disruptive behaviour disorder not otherwise specified. 40516 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and VEA service for personality disorder. 40517 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and VEA service for the clinical onset of personality disorder. 40519 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and operational service for the clinical onset of personality disorder. or 40520 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and eligible service for the clinical onset of personality disorder. or 40518 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and VEA service for the clinical worsening of personality disorder. 40521 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and operational service for the clinical worsening of personality disorder. or 40522 — the veteran has established the causal connection between the clinically significant attention-deficit and disruptive behaviour disorder and eligible service for the clinical worsening of personality disorder. Clinical onset and operational service [40519] 40527 — the identified illness or injury, an attention-deficit and disruptive behaviour disorder, is causally related to operational service. [64] [65] Clinical onset and eligible service [40520] 40528 — the identified illness or injury, an attention-deficit and disruptive behaviour disorder, is causally related to eligible service. [66] [65] Clinical worsening and operational service [40521] 40527 — the identified illness or injury, an attention-deficit and disruptive behaviour disorder, is causally related to operational service. [67] [65] Clinical worsening and eligible service [40522] 40528 — the identified illness or injury, an attention-deficit and disruptive behaviour disorder, is causally related to eligible service. [69] [65]
Personality disorder - Clinically significant psychiatric condition Factor
Last reviewed for CCPS 22 December 2008.
Preliminary questions [40463]
40542 [72] the veteran has had a psychiatric condition as specified for personality disorder at some time. 40543 — a psychiatric condition as specified for personality disorder means any Axis 1 mood disorder, anxiety spectrum disorder or substance dependence or substance abuse disorder of mental health that attracts a diagnosis under DSM-IV-TR. 40508 — the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for personality disorder. 40509 — the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the clinical onset of personality disorder. 40512 — the veteran has established the causal connection between the clinically significant psychiatric condition and eligible service for the clinical onset of personality disorder. or 40511 — the veteran has established the causal connection between the clinically significant psychiatric condition and operational service for the clinical onset of personality disorder. or 40510 — the veteran has established the causal connection between the clinically significant psychiatric condition and VEA service for the clinical worsening of personality disorder. 40514 — the veteran has established the causal connection between the clinically significant psychiatric condition and eligible service for the clinical worsening of personality disorder. or 40513 — the veteran has established the causal connection between the clinically significant psychiatric condition and operational service for the clinical worsening of personality disorder. Clinical onset and operational service [40511] 26044 — the identified illness or injury, a clinically significant psychiatric condition, is causally related to operational service. [75] [76] Clinical onset and eligible service [40512] 26045 — the identified illness or injury, a clinically significant psychiatric condition, is causally related to eligible service. [78] [76] Clinical worsening and operational service [40513] 26044 — the identified illness or injury, a clinically significant psychiatric condition, is causally related to operational service. [80] [76] Clinical worsening and eligible service [40514] 26045 — the identified illness or injury, a clinically significant psychiatric condition, is causally related to eligible service. [83] [76]
Personality disorder - Inability to obtain appropriate clinical management for personality disorder Factor
Last reviewed for CCPS 22 December 2008.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [40531] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [87] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [88] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [92] [93] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [92] [93]
Personality disorder - Severe childhood abuse Factor
Last reviewed for CCPS 22 December 2008.
Preliminary questions [40462]
40465 [100] there is some evidence that severe childhood abuse may be a factor in the development or worsening of the condition under consideration.
40493 — the veteran has established the causal connection between severe childhood abuse and VEA service for personality disorder.
40494 — the veteran has established the causal connection between severe childhood abuse and VEA service for the clinical onset of personality disorder.
40496 — the veteran has established the causal connection between severe childhood abuse and operational service for the clinical onset of personality disorder.
or
40497 — the veteran has established the causal connection between severe childhood abuse and eligible service for the clinical onset of personality disorder.
or
7334 [87] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. 40495 — the veteran has established the causal connection between severe childhood abuse and VEA service for the clinical worsening of personality disorder. 40498 — the veteran has established the causal connection between severe childhood abuse and operational service for the clinical worsening of personality disorder. or 40499 — the veteran has established the causal connection between severe childhood abuse and eligible service for the clinical worsening of personality disorder. Clinical onset and operational service [40496] Clinical onset and eligible service [40497] Clinical worsening and operational service [40498] Clinical worsening and eligible service [40499]
Links
[1] http://www.rma.gov.au/assets/SOP/2018/017.pdf
[2] http://www.rma.gov.au/assets/SOP/2018/018.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20201.pdf
[4] https://clik.dva.gov.au/compensation-and-support-reference-library/commission-guidelines/cm7014-mrcc181-guidelines-psychiatric-compensation-claims
[5] https://clik.dva.gov.au/user/login?destination=comment/reply/63977%23comment-form
[6] https://clik.dva.gov.au/ccpse027rc-8
[7] https://clik.dva.gov.au/reasons-decision-214
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/reject37340No
[10] https://clik.dva.gov.au/reasons-decision-225
[11] clikpopup://CCPS/rejectwilful
[12] clikpopup://CCPS/Category 1A stressor due to illness or injury in 2 years before onset of personality disorder
[13] clikpopup://CCPS/8003reject37355
[14] clikpopup://CCPS/reject37357,37358No
[15] clikpopup://CCPS/Category 1A stressor on el service
[16] clikpopup://CCPS/reject37342No
[17] clikpopup://CCPS/reject37343No
[18] clikpopup://CCPS/reject40487No
[19] clikpopup://CCPS/Category 1A stressor due to illness or injury in 1 year before onset of personality disorder
[20] clikpopup://CCPS/8003reject40016
[21] https://clik.dva.gov.au/preliminary-questions-set-basis-icd-code
[22] clikpopup://CCPS/reject37341No
[23] clikpopup://CCPS/reject40489No
[24] clikpopup://CCPS/Category 1A stressor due to illness or injury in 2 years before worsening of personality disorder
[25] clikpopup://CCPS/reject40533No
[26] clikpopup://CCPS/Onset of personality disorder before op service to which illness or injury that caused category 1A stressor is related
[27] clikpopup://CCPS/reject37359No
[28] clikpopup://CCPS/reject40491No
[29] clikpopup://CCPS/Category 1A stressor due to illness or injury in 1 year before worsening of personality disorder
[30] clikpopup://CCPS/reject40534No
[31] clikpopup://CCPS/Onset of personality disorder before el service to which illness or injury that caused category 1A stressor is related
[32] clikpopup://CCPS/reject37360No
[33] https://clik.dva.gov.au/ccpse008rc-1
[34] clikpopup://CCPS/reject35935No
[35] clikpopup://CCPS/Reject/OnsetAfterService
[36] clikpopup://CCPS/reject37372No
[37] clikpopup://CCPS/reject40029No
[38] clikpopup://CCPS/Category 1B stressor due to illness or injury in 1 year before onset of personality disorder
[39] clikpopup://CCPS/reject40037No
[40] clikpopup://CCPS/reject37391,37392No
[41] clikpopup://CCPS/Category 1B stressor on el service
[42] clikpopup://CCPS/reject37374No
[43] clikpopup://CCPS/reject37375No
[44] clikpopup://CCPS/reject40031No
[45] clikpopup://CCPS/Category 1B stressor due to illness or injury in 6 months before onset of personality disorder
[46] clikpopup://CCPS/reject40038No
[47] clikpopup://CCPS/Category 1B stressor on op service
[48] clikpopup://CCPS/reject37373No
[49] clikpopup://CCPS/reject40535No
[50] clikpopup://CCPS/Category 1B stressor due to illness or injury in 1 year before worsening of personality disorder
[51] clikpopup://CCPS/reject40536No
[52] clikpopup://CCPS/Onset of personality disorder before op service to which illness or injury that caused category 1B stressor is related
[53] clikpopup://CCPS/reject37393No
[54] clikpopup://CCPS/reject40537No
[55] clikpopup://CCPS/Category 1B stressor due to illness or injury in 6 months before worsening of personality disorder
[56] clikpopup://CCPS/reject40538No
[57] clikpopup://CCPS/Onset of personality disorder before el service to which illness or injury that caused category 1B stressor is related
[58] clikpopup://CCPS/reject37394No
[59] https://clik.dva.gov.au/ccpse005rc-1
[60] clikpopup://CCPS/ADD disorder for personality disorder at some time
[61] clikpopup://CCPS/reject40532No
[62] clikpopup://CCPS/reject40524No
[63] clikpopup://CCPS/reject40525No
[64] clikpopup://CCPS/reject40526No
[65] clikpopup://CCPS/reject40527,40528No
[66] clikpopup://CCPS/reject40528No
[67] clikpopup://CCPS/reject40527No
[68] clikpopup://CCPS/Onset of personality disorder prior to operational service to which ADD disorder is causally related
[69] clikpopup://CCPS/reject40529No
[70] clikpopup://CCPS/Onset of personality disorder prior to eligible service to which ADD disorder is causally related
[71] clikpopup://CCPS/reject40530No
[72] clikpopup://CCPS/Psychiatric condition for personality disorder at some time
[73] clikpopup://CCPS/reject40542No
[74] clikpopup://CCPS/reject26043No
[75] clikpopup://CCPS/8003reject6025
[76] clikpopup://CCPS/reject26044,26045No
[77] clikpopup://CCPS/Psychiatric condition was clinically significant within 2 yrs before onset of personality disorder
[78] clikpopup://CCPS/8003reject37298
[79] clikpopup://CCPS/Psychiatric condition was clinically significant within 5 yrs before worsening of personality disorder
[80] clikpopup://CCPS/8003reject6028
[81] clikpopup://CCPS/Onset of personality disorder prior to operational service which psychiatric condition is causally related
[82] clikpopup://CCPS/reject6029No
[83] clikpopup://CCPS/reject40539No
[84] clikpopup://CCPS/Onset of personality disorder prior to eligible service which psychiatric condition is causally related
[85] clikpopup://CCPS/reject6030No
[86] https://clik.dva.gov.au/ccpsother-31
[87] https://clik.dva.gov.au/node/72028
[88] clikpopup://CCPS/Personality disorder/ACM - contributed to worsening
[89] clikpopup://CCPS/ACM/NoContribution
[90] clikpopup://CCPS/ACM/NotOpService
[91] clikpopup://CCPS/ACM/NotOperDuties
[92] clikpopup://CCPS/ACM/NoIllness
[93] clikpopup://CCPS/reject7390,7391No
[94] clikpopup://CCPS/Personality disorder/ACM - onset prior to operational service
[95] clikpopup://CCPS/ACM/OnsetFailOper
[96] clikpopup://CCPS/ACM/NotEligService
[97] clikpopup://CCPS/ACM/NotEligDuties
[98] clikpopup://CCPS/Personality disorder/ACM - onset prior to eligible service
[99] clikpopup://CCPS/ACM/OnsetFailElig
[100] https://clik.dva.gov.au/standard-commentary-165
[101] clikpopup://CCPS/reject40500No
[102] clikpopup://CCPS/reject40504No
[103] clikpopup://CCPS/reject40501No
[104] clikpopup://CCPS/reject40503No
[105] clikpopup://CCPS/reject40505No
[106] clikpopup://CCPS/reject40502No
[107] clikpopup://CCPS/reject40506No
[108] clikpopup://CCPS/reject40507No