RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2004-00201
INDEX CODE: 110.00
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
Her records be changed to show she was discharged for medical reasons,
rather than administratively.
_________________________________________________________________
APPLICANT CONTENDS THAT:
She developed depression while on active duty and should have been
disability discharged, not administratively discharged. The narrative
reason for discharge (personality disorder) on her DD Form 214 has
prevented her from obtaining employment with state government and
large employers.
In support of the appeal, applicant submits a personal statement, a
copy of her DD Form 293, a copy of her DD Form 214, and a copy of
documentation from a 4-7 January 2004 hospitalization for major
depressive disorder with psychosis (manifested by auditory
hallucinations).
Applicant's complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
Applicant enlisted in the Regular Air Force on 24 July 1997 for a
period of four years.
A command-directed mental health evaluation resulted in a
recommendation for administrative separation due to unsuitability.
The mental health report, dated 16 September 1998, rendered diagnoses
of Adjustment Disorder with depressed mood and Narcissistic
Personality Disorder (principle diagnosis).
On 7 October 1998, the applicant’s commander notified the applicant he
was recommending her discharge from the United States Air Force for
Mental Disorders. The applicant was further advised an honorable
discharge would be recommended. The applicant acknowledged receipt of
the notification and her understanding of her rights. On 7 October
1998, the applicant submitted a statement indicating she waived her
right to consult with counsel and her right to submit statements in
her own behalf. In a legal review of the discharge case file,
undated, the Staff Judge Advocate found the case file legally
sufficient and recommended the letter directing applicant be
discharged from the Air Force with an honorable discharge without
probation and rehabilitation be signed. On 22 October 1998, the
discharge authority approved the recommendation for separation and
directed that the applicant be honorably discharged without the offer
of probation and rehabilitation. The applicant was honorably
discharged on 26 October 1998 under the provisions of AFI 36-3208,
because of a personality disorder. She served one year, three months
and three days on active duty.
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant states the applicant developed symptoms of
depressed mood in a setting of multiple stressors, including newly in
the Air Force in a job she did not like, financial difficulties
(compounded by living off-base, unemployed husband), new marriage,
recent arrival of a second child and assignment in England.
Evaluation by mental health rendered diagnoses of Adjustment Disorder
with Depressed Mood and Narcissistic Personality Disorder. The
Personality Disorder diagnosis was determined to be the principle
diagnosis and the main underlying reason the applicant was unable to
cope with the numerous stressors and developed the depressed mood.
Evidence of the record shows that the applicant’s depressed mood
resolved by the time of her separation, consistent with her diagnosis
of Adjustment Disorder. However, a Personality Disorder and the
attendant predisposition for recurrent problems do not resolve.
Following discharge, the applicant experienced recurrent symptoms of
depression and developed Major Depressive Disorder with psychosis in
January 2004, five years after her discharge.
Under Title 10, only disabilities that cause the termination of
military service can be rated and compensated, and then only for the
degree of impairment at the time of separation and not based on future
events. At the time of her discharge, the applicant did not manifest
mental illness that warranted referral into the disability evaluation
system. Personality Disorder and Adjustment Disorder are “unsuiting”
conditions that are not ratable or compensable under the rules of the
disability system. Even if the applicant’s Adjustment Disorder in
retrospect represented manifestation of her subsequent Major
Depressive Disorder, it was not sufficiently severe enough to warrant
diagnosis as an unfitting condition warranting disability evaluation.
The records also indicate that the applicant experienced symptoms of
depression with suicidal thinking and behaviors prior to entering
service. The mental health clinic entry dated 9 September 1998
recorded a history of a pre-service suicide attempt with Valium, and
the 8 January 2004 DVA psychiatry examination recorded a history of
symptoms going back 16 years. Under the rules of the DoD disability
system, existing prior to service conditions are not ratable or
compensable unless there has been permanent service aggravation beyond
the nature course of the condition. There is no evidence that service
permanently aggravated her condition, and at the time of separation,
the applicant was feeling well in response to the relief of some of
the stressors causing her depressed mood.
Action and disposition in this care are proper and equitable
reflecting compliance with Air Force directives that implement the
law.
The BCMR Medical Consultant is of the opinion that no change in the
records is warranted.
A complete copy of the evaluation is attached at Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
On 27 September 2004, a copy of the Air Force evaluation was forwarded
to the applicant for review and response within 30 days. As of this
date, no response has been received by this office.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing
law or regulations.
2. The application was timely filed.
3. Insufficient relevant evidence has been presented to demonstrate
the existence of error or injustice. We took notice of the
applicant's complete submission in judging the merits of the case;
however, we agree with the opinions and recommendation of the BCMR
Medical Consultant and adopt his rationale as the basis for the
conclusion that the applicant has not been the victim of an error or
injustice. Therefore, in the absence of evidence to the contrary, we
find no compelling basis to recommend granting the relief sought in
this application.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of material error or injustice; that the
application was denied without a personal appearance; and that the
application will only be reconsidered upon the submission of newly
discovered relevant evidence not considered with this application.
_________________________________________________________________
The following members of the Board considered this application in
Executive Session on 2 December 2004, under the provisions of AFI 36-
2603:
Ms. Marilyn M. Thomas, Vice Chair
Ms. B.J. White-Olson, Member
Mr. Gregory A. Parker, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 28 Jan 04, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 23 Sep 04.
Exhibit D. Letter, SAF/MRBR, dated 14 Oct 04.
MARILYN M. THOMAS
Vice Chair
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