Search Decisions

Decision Text

AF | BCMR | CY2014 | BC 2014 03866
Original file (BC 2014 03866.txt) Auto-classification: Denied
RECORD OF PROCEEDINGS 

AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS 

 

 

IN THE MATTER OF: DOCKET NUMBER: BC-2014-03866 

 

COUNSEL: NONE 

 

 HEARING DESIRED: NO 

 

 

 

APPLICANT REQUESTS THAT: 

 

His mental health diagnosis be reviewed. 

 

 

APPLICANT CONTENDS THAT: 

 

The applicant makes no contentions, other than a request to review 
his mental health diagnosis. 

 

The applicant’s complete submission, with attachments, is at 
Exhibit A. 

 

 

STATEMENT OF FACTS: 

 

On 3 Jul 03, the applicant entered the Regular Air Force this 
period. 

 

On 14 Dec 07, a Medical Evaluation Board (MEB) referred the 
applicant’s diagnosis of Post Traumatic Stress Disorder (PTSD) to 
an Informal Physical Evaluation Board (IPEB). 

 

On 6 Nov 08, an MEB referred the applicant’s diagnoses of 
Generalized Anxiety Disorder (GAD) and encephalopathy, alcohol 
related and alcohol dependence to an IPEB. 

 

On 23 Jan 08, the applicant’s MEB case was directed to be 
reaccomplished due to lack of clear diagnosis. 

 

On 21 Apr 09, the IPEB adjudicated the applicant’s conditions as 
unfitting with a compensable rating of 10%, and recommended 
permanent retirement. The applicant nonconcurred with the IPEB. 

 

On 16 Jun 09, the Formal Physical Evaluation Board (FPEB) 
adjudicated the applicant’s conditions as unfitting but not 
compensable or ratable and recommended he be returned to duty. 
The applicant concurred with these findings. 

 

On 17 Jul 09, the applicant was found fit and returned to duty. 

 


In January 2010, the applicant was relieved from active duty and 
retired effective 1 Feb 10, and furnished an honorable discharge, 
and was credited with 22 years 12 days of active service. 

 

The remaining relevant facts pertaining to this application are 
contained in the memorandum prepared by the Air Force office of 
primary responsibility (OPR), which is attached at Exhibit C. 

 

 

AIR FORCE EVALUATION: 

 

The DoD Physical Disability Board of Review (PDBR) Special Review 
Panel (SRP) recommends denial, indicating there is no evidence of 
an error or an injustice. In accordance with Secretary of Defense 
(SecDef) directive for a comprehensive review of Service members 
who were referred to a disability evaluation process between 
11 Sep 01 and 30 Apr 12 and whose Mental Health (MH) diagnoses 
were changed or eliminated during that process, the applicant’s 
case file was reviewed regarding diagnosis change, fitness 
determination, and rating of unfitting MH diagnoses in accordance 
with the Department of Veterans Affairs (DVA) Schedule for Rating 
Disabilities (VASRD) §4.129 and §4.130. The applicant’s records 
indicate a diagnosis of generalized anxiety disorder (GAD), not 
otherwise specified (NOS), and “history” of posttraumatic stress 
disorder (PTSD) was rendered during the Disability Evaluation 
System (DES) processing. Because a MH diagnosis was changed to 
the applicant’s possible disadvantage during that process, he met 
the criteria of the SecDef MH review project. Only the MH 
conditions were addressed by this review, and any other conditions 
or requests were outside the SRP scope. 

 

The applicant developed MH symptoms diagnosed as GAD NOS and 
history of encephalopathy [disorder or disease of the brain] 
around December 2006. The GAD NOS and encephalopathy conditions 
could not be adequately rehabilitated to meet the requirements of 
his Air Force Specialty so the applicant was issued a permanent 
profile and referred for an MEB. The MEB identified GAD NOS, 
encephalopathy, and history of PTSD, along with six non-MH 
conditions; however, that MEB was rescinded by a later MEB, which 
noted the MH diagnoses as only GAD and encephalopathy as not 
meeting retention standards. His case was then referred to a PEB. 
The PEB adjudicated the GAD NOS condition as unfitting and 
rendered the applicant a 10% disability rating. The applicant 
appealed to the Formal PEB, which negated the findings and 
returned the applicant to duty. He subsequently retired in 
February 2010. 

 

The SRP reviewed the records for evidence of inappropriate changes 
in diagnosis of the MH condition during processing through the 
DES. The SRP noted PTSD diagnosis was listed without associated 
PTSD symptoms, and the identifying neurologist indicated the 
diagnosis had been based on a civilian neurologist’s chart review. 
The SRP acknowledge the DVA Compensation and Pension (C&P) 


FOR OFFICIAL USE ONLY–PRIVACYACT OF 1974

examiner’s assessment and diagnosis of PTSD; however, there was 
insufficient clinical evidence to support that DSM-IV (Diagnostic 
and Statistical Manual of Mental Disorders, 4thEdition)
diagnostic criteria were met. The treating psychiatristspecifically noted the applicant did not have evidence for PTSDand had denied symptoms consistent with PTSD. Multiple clinicianstreated the applicantover a 2-yearperiod and none recordedevidence to support aPTSDdiagnosis.There was insufficient 
evidence that the applicant met Criterion Astressor criteria.
All [SRP] Panelmembers agreed the preponderance of evidencedid 
not support a PTSDdiagnosis.The SRPconcluded the diagnosis ofgeneralizedanxietyNOSwas the appropriate diagnosis at the timeof the decision to retain the applicant in the active duty status.

The SRP also considered whether any mental condition, regardlessof specificdiagnosis was unfitting for continued militaryservice. The SRP agreed thatevidence of the record reflectedminimal MHrelated symptoms. All of the mental status 
examinationswere normal, he never reported suicidal ideations,
was notseen in the emergency room for suicidal thoughts, panic 
attacks, or other anxiety related issuesand all of his global 
assessments of functioningwere maintained in the mild range, even 
at the DVA C&P examination. The applicant had a total of eight 
visits with MHprior to being retained.The applicant, in hisrequestto remain in active duty, noted he had resolved all MHissues. The treating psychiatrist notedhis MHcondition was in 
remission. TheMHcondition was never specifically profiled. Theapplicant continued with active duty, and there were no further MHencounters in evidence. The SRP therefore concluded that there 
was insufficient evidence that any MHconditionrose to the levelof being unfitting at the time ofretirementand therefore nonewere subject todisability rating.

A complete copy of the PDBR SDPevaluation is at Exhibit C.

APPLICANT'S REVIEW OF AIR FORCE EVALUATION:

A copyof the Air Force evaluation was forwarded to the applicanton 31 Mar 15 for review and comment within 30 days (Exhibit D). 
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 existinglaw or regulations.
2.The application was not timely filed; however, it is in the 
interest of justice to excuse the failure to timely file.
FOR OFFICIAL USE ONLY–PRIVACYACT OF 1974

3


3. Insufficient relevant evidence has been presented to 
demonstrate the existence of an error or injustice. We took 
notice of the applicant’s complete submission in judging the 
merits of the case; however, we agree with the opinion and 
recommendation of the A DoD Physical Disability Board of Review 
Special Review Panel and adopt its rationale as the basis for our 
conclusion the applicant has not been the victim of an error of 
injustice. Specifically, we note their finding that there was 
insufficient evidence of any mental health condition that rose to 
the level of being unfitting at the time of retirement; therefore, 
no mental health conditions were subject to a disability rating. 
Therefore, in the absence of evidence to the contrary, we find no 
basis to recommend granting the requested relief. 

 

 

THE BOARD DETERMINES THAT: 

 

The applicant be notified the evidence presented did not 
demonstrate the existence of material error or injustice; the 
application was denied without a personal appearance; and 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 AFBCMR Docket Number 
BC-2014-03866 in Executive Session on 30 Jun 15 under the 
provisions of AFI 36-2603: 

 

 , Panel Chair 

 , Member 

 , Member 

 

The following documentary evidence was considered: 

 

 Exhibit A. DD Form 149, dated 17 Mar 14, w/atchs. 

 Exhibit B. Applicant's Master Personnel Records. 

 Exhibit C. Memorandum, PBDR SRP, dated 31 Aug 14. 

 Exhibit D. Letter, SAF/MRBR, dated 22 Sep 14. 

Exhibit E. Letter, SAF/MRBC, dated 31 Mar 15. 

 



Similar Decisions

  • AF | BCMR | CY2014 | BC 2014 01247

    Original file (BC 2014 01247.txt) Auto-classification: Approved

    On 21 January 2010, the applicant was relieved from active duty and placed on the TDRL, effective 26 February 2010, with a compensable disability rating of 40 percent. The IPEB determined her conditions appeared not likely to change over the next several years and therefore recommended she be permanently retired with a compensable disability rating of 40 percent. The remaining relevant facts pertaining to this application are described in the memoranda prepared by the Air Force office of...

  • AF | BCMR | CY2014 | BC 2014 02572

    Original file (BC 2014 02572.txt) Auto-classification: Denied

    According to the AF Form 356 dated 25 Apr 12, the Informal Physical Evaluation Board (IPEB) reviewed the TDRL examination and recommended the applicant be permanently retired with a 30 percent disability for a compensable unfitting condition of PTSD (combat related). The IPEB found evidence of occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks and recommended permanent retirement with a disability rating of 30 percent In Accordance...

  • AF | BCMR | CY2014 | BC 2014 02668

    Original file (BC 2014 02668.txt) Auto-classification: Denied

    The remaining relevant facts pertaining to this application are contained in the memorandum prepared by the Air Force office of primary responsibility (OPR), which is attached at Exhibit C. AIR FORCE EVALUATION: The Physical Disability Board of Review Special Review Panel (PDBR SRP) recommends denial indicating there is no evidence of an error or an injustice. On 8 Jun 11, during a TDRL evaluation, an Informal PEB (IPEB) found the applicant’s MH condition was unfitting but stabilized and...

  • ARMY | BCMR | CY2014 | 20140013531

    Original file (20140013531.txt) Auto-classification: Denied

    The PDBR SRP conducted a comprehensive review of the applicant's submissions and records for evidence of inappropriate changes in the diagnosis of an MH condition during processing through the military disability system. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the applicant's MH condition during processing through the military Disability Evaluation System (DES). The SRP acknowledged the GAD diagnosis, but there was insufficient evidence for the...

  • ARMY | BCMR | CY2015 | 20150008679

    Original file (20150008679.txt) Auto-classification: Denied

    The PDBR SRP conducted a comprehensive review of the applicant's submissions and records for evidence of inappropriate changes in the diagnosis of an MH condition during processing through the military disability system. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the MH condition during processing through the Disability Evaluation System. The SRP agreed that Physical Evaluation Board (PEB) adjudication of unfitting anxiety disorder NOS was supported...

  • ARMY | BCMR | CY2015 | 20150005863

    Original file (20150005863.txt) Auto-classification: Denied

    The applicant submitted an application through the DOD Physical Disability Board of Review (PDBR) MH Special Review Panel (SRP). The PDBR SRP conducted a comprehensive review of the applicant’s submissions and records for evidence of inappropriate changes in the diagnosis of a MH condition during processing through the military disability system. The SRP reviewed the records for evidence of inappropriate changes in diagnosis of the applicant's MH condition during processing through the...

  • ARMY | BCMR | CY2014 | 20140014262

    Original file (20140014262.txt) Auto-classification: Denied

    After a comprehensive review of the applicant’s case, the SRP determined by unanimous vote that there should no change in the physical evaluation board (PEB) adjudication of the temporary disability and permanent retirement determination. The SRP noted the neurology medical evaluation board (MEB) recorded the diagnosis of Post-Traumatic Stress Disorder (PTSD) and that the neuropsychological evaluation had not recorded a diagnosis of PTSD and PTSD had not appeared in any other clinical...

  • ARMY | BCMR | CY2014 | 20140014546

    Original file (20140014546.txt) Auto-classification: Denied

    The SRP reviewed the records for evidence of inappropriate changes in a diagnosis of the MH condition during processing through the military Disability Evaluation System (DES). However, the PTSD diagnosis was not considered by the physical evaluation board (PEB) and, therefore, an MH diagnosis was eliminated to the applicant’s possible disadvantage during that process. The SRP noted the VA examination recorded the applicant’s report of symptoms that were inconsistent with the treatment record.

  • ARMY | BCMR | CY2014 | 20140000661

    Original file (20140000661.txt) Auto-classification: Denied

    The applicant requests a review of the military disability evaluation pertaining to a mental health (MH) condition. The PDBR SRP conducted a comprehensive review of the applicant’s submissions and records for evidence of inappropriate changes in the diagnosis of an MH condition during processing through the military disability system. The SRP Panel deliberated on the IPEB descriptors and determined that all the MH conditions were listed, although not separately rated in accordance with...

  • ARMY | BCMR | CY2014 | 20140015997

    Original file (20140015997.txt) Auto-classification: Approved

    The SRP next considered if the anxiety disorder, NOS was a diminution of a PTSD diagnosis and whether a preponderance of the evidence in record supported a recommendation for a change in the diagnosis of the MH condition. The SRP, having agreed that the MH condition was service ratable, next considered whether application of VASRD Section 4.129 was appropriate in this case. The SRP majority thereby recommended a 6-month period of constructive TDRL with a minimal rating of 50 percent for...