Air Force JASON.....So Confussed!!! Please help

[srk77]

So my story is a long winded one...but please hang in there with me till the end because I am so very confussed and really don't know what to expect or what is to come from here or how fast it will all happen.

I am AD AF x 9.5 years. I have been treated for depression and anxiety since 2004. I have been on a long list of medications and all seem to work for a little while then they stop working and we switch them up or change my doses and I'd be fine for a little while again. This has been an ongoing thing.

In July I got issued orders that caused a major stress reaction. My normal psychiatrist that I have been seeing for the past 4 years was deployed, so a 'fill in' did a RILO for the following:

1. Axis I: 296.3 Major Depressive Disorder, recurrent, mild wihout psychotic features, as manifested by difficulty concentrating, hypersomnia, decreased interest, decreased energy, and increased appetite, with worsening symptoms secondary to PCS notification.

Administrative Line of Duty: Yes
External Precipitating factors: Moderate
Predisposition: Moderate
Social Industrial Impairment: mild
Military Impairment: Marked
Profile: S4T
WorldWide Qualified: No
Retainable: Not recommended
Pay and records: The patient is competent for pay and records.

Axis II: 301.9 Personality disorder, not otherwise specified (borderline, histrionic and dependant features), as manifested by a history of instabilty in relationships, affective instability, over-and de-valuation of others including her medical providers, potential for exaggerated report of symptoms with potential for malingering based on expressed desire not to pcs and request for compensation through MEB process.

Administrative Line of Duty: No
External Precipitating Factors: Moderate
Social Industrial Impairment: Mild
Military Impairment: Marked
Retainable: Not recommended
Pay and Records: The patient is competent for pay and records.

Axis III
1. Migraine Headaches
2. Genital herpes
Axis IV: Occupational stress in the form of imposed PCS
Axis V: Current GAF 70. Pas year GAF 80.


The RILO was returned with orders to accomplised a full MEB. The full MEB was submitted to include letter from my commander supporting discharge. I was told by the PEBLO that it was at the Informal PEB on the 26th of Sep.

What factors are being considered? Are they looking at my migraines as well as the depression or only at the depression? I also have been diagnosed with hypersomnia that I take daily medication for and am on a permnant restriction from running due to compartment syndrome. Are those things considered as well?

What happends from here?

Some have told me that I just get discharged and press on that the VA will take care of me.
Am I eligible for severance pay? Is severance pay 1 lump sum? Would it be enough to cover my mortgage payment for a little while to get me ahead while I try to get back on my feet?

I am so lost.....

[sfxer02]

first welcome to the board.

The conditions the PEB will consider are on the MEB report that you signed.
If found UNFIT by the PEB you will recieve a rating % if it 0, 10, 20 you would recieve a lump sum severance. If it is 30% or above you would be placed on either TDRL or PDRL (Temporary or Permanent Disability Retirement List) and recieve monthly disability checks from the DOD. Once discharged you would be abel to file a claim with the VA for compensation.

Hope I eased your concerns a little bit, until someone smarter then me replies.

Good luck

[srk77]

Thanks! That is a big help actually. I remember signing a form, but I truely don't think I really 'read' it. I just called my PEBLO and he said there is a lot on there. He said I can come by his office and get a copy of it anytime. I am going to go by there in a little bit and then I will post it on here and maybe you can give me more information on what kind of outcome I could possibly be looking at. Thanks again!

[sfxer02]

Originally Posted by srk77

Thanks! That is a big help actually. I remember signing a form, but I truely don't think I really 'read' it. I just called my PEBLO and he said there is a lot on there. He said I can come by his office and get a copy of it anytime. I am going to go by there in a little bit and then I will post it on here and maybe you can give me more information on what kind of outcome I could possibly be looking at. Thanks again!

No problem

A bit of advice, make sure you start looking at what your signing because if you sign something without going over it before signing it, it might bite you in the a** and result in less thay what you deserve.

[Jason]

srk77,

Welcome!

Originally Posted by srk77

So my story is a long winded one...but please hang in there with me till the end because I am so very confussed and really don't know what to expect or what is to come from here or how fast it will all happen.

I am AD AF x 9.5 years. I have been treated for depression and anxiety since 2004. I have been on a long list of medications and all seem to work for a little while then they stop working and we switch them up or change my doses and I'd be fine for a little while again. This has been an ongoing thing.

If you are found unfit due to depression, this indicates to me an even higher likelihood of placement on TDRL if you are rated at 30% or higher.

In July I got issued orders that caused a major stress reaction. My normal psychiatrist that I have been seeing for the past 4 years was deployed, so a 'fill in' did a RILO for the following:

1. Axis I: 296.3 Major Depressive Disorder, recurrent, mild wihout psychotic features, as manifested by difficulty concentrating, hypersomnia, decreased interest, decreased energy, and increased appetite, with worsening symptoms secondary to PCS notification.

Administrative Line of Duty: Yes
External Precipitating factors: Moderate
Predisposition: Moderate
Social Industrial Impairment: mild
Military Impairment: Marked
Profile: S4T
WorldWide Qualified: No
Retainable: Not recommended
Pay and records: The patient is competent for pay and records.

Axis II: 301.9 Personality disorder, not otherwise specified (borderline, histrionic and dependant features), as manifested by a history of instabilty in relationships, affective instability, over-and de-valuation of others including her medical providers, potential for exaggerated report of symptoms with potential for malingering based on expressed desire not to pcs and request for compensation through MEB process.

Administrative Line of Duty: No
External Precipitating Factors: Moderate
Social Industrial Impairment: Mild
Military Impairment: Marked
Retainable: Not recommended
Pay and Records: The patient is competent for pay and records.

Axis III
1. Migraine Headaches
2. Genital herpes
Axis IV: Occupational stress in the form of imposed PCS
Axis V: Current GAF 70. Pas year GAF 80.


The RILO was returned with orders to accomplised a full MEB. The full MEB was submitted to include letter from my commander supporting discharge. I was told by the PEBLO that it was at the Informal PEB on the 26th of Sep.

What factors are being considered? Are they looking at my migraines as well as the depression or only at the depression? I also have been diagnosed with hypersomnia that I take daily medication for and am on a permnant restriction from running due to compartment syndrome. Are those things considered as well?

The RILO may be evidence of your conditions, but the real answer to many of your questions lie in what was written in your MEB. If a condition was found to be disqualifying for retention, it should be considered by the IPEB.

The biggest concern I would have, based on the RILO, is that they term your problems/limitations as due to the Personality Disorder. If they do that, they may call your Depression not unfitting and thus deny you a rating for your mental health condition. Was the personality disorder a recent diagnosis? If so, this is especially suspect given your years of service. I would be very concerned about this issue. Your MEB Narrative Summary should tell you how they are viewing this, though.

What happends from here?

The Informal PEB will determine if your conditions are unfitting, and if so, you will be rated. If you disagree with their findings, you can demand a Formal hearing.

Some have told me that I just get discharged and press on that the VA will take care of me.
Am I eligible for severance pay? Is severance pay 1 lump sum? Would it be enough to cover my mortgage payment for a little while to get me ahead while I try to get back on my feet?

You will be eligible for health care and compensation from the VA for your service connected conditions. However, you should fight for your military disability benefits.

I am so lost.....

Hopefully, this helped. Please let us know any questions!

[srk77]

I just got a copy of my "Medical Board Report"

AF IMT 618, 19951001, V2 (Is this the same as the Medical Board Summary you referred to?)

In Blk 23: Diagnosis and Findings:

Axis I: Occupational Problems
Adjustment disorder with anxiety and depressed mood
Depression NOS, Undifferentiated somatoform disorder
Axis II: Personality Disorder NOS
Axis III: Migraine Headaches
Axis IV: Occupational Stress in the form of imposed PCS
Axis V: Current GAF 70, past year GAF 80

All are marked as YES incurred while entitled to basic pay and NO on Existed Prior to Service.

Do I need to see if I can get the 'Summary Report' also to see the rest?

Please let me know.

[Jason]

That is not good news...looks like they are trying to term your problems as developmental in nature and not a compensable disability. Yes, get the Narrative Summary to see what they wrote about your conditions.

[xeno]

Originally Posted by srk77

...
1. Axis I: 296.3 Major Depressive Disorder, recurrent, mild wihout psychotic features, as manifested by difficulty concentrating, hypersomnia, decreased interest, decreased energy, and increased appetite, with worsening symptoms secondary to PCS notification.
...
over-and de-valuation of others including her medical providers, potential for exaggerated report of symptoms with potential for malingering based on expressed desire not to pcs and request for compensation through MEB process....

Those entries are the most troubling. They could send back "Not unfitting conditions" and then the command could just do an admin discharge.

X

[srk77]

Now I am even more confussed...I just got a copy of the Medical Evaluation Baord the actual typed summary that was added to my RILO and sent to AFPC from the PEBLO.
On the top of the report it has
Chief Complaint & Diagnosis: Major Depressive Disorder, Recurrent, Mild without
Psychotic Features
Borderline Personality Disorder (Axis II)
Additional medical Diagnoses (Axis III): Chronic Recurrence of Migraine Headaches
Hypersomnia Sleep Disorder
Leg Compartment syndrome

Does this mean they are going to be looking at Hypersomnia as well as my Compartment Syndrome in my legs?

Why is this so confusing?