Prognosis: Given duration of symptoms and general response to treatment, it appears
highly unlikely SM will resolve symptoms and impairments due to his BH condition
during a five-year time frame sufficiently enough to be able to return to duty because of
risk of relapse or exacerbation of symptoms if returned to a high stress environment
such as deployment.
Impact on Duty Performance: Commander's Statement 20160421 indicates SM does
not perform duties in MOS and Commander does not recommend retention. In section
III B ("For each Soldier with a mental disorder") it's noted "The past several months
have been rough for SGT ****. He has been mentally disengaged and states
that his PTSD is [too] much for retention in the Army National Guard. ****
has had a difficult time passing APFT and H/W due to mental state. He has
been depressed often breaking down in tears. His overall performance has
degraded significantly. **** is seeking help through the VA and is being
seen by the State Surgeon." C&P examiner 20160617 determined SM's PTSD
results in "Occupational and social impairment with occasional decrease in
work efficiency and intermittent periods of inability to perform
occupational tasks, although generally functioning satisfactorily, with
normal routine behavior, self-care and conversation". Difficulties in the
educational environment with withdrawal from spring 2016 classes was noted.
Function limiting symptoms noted by examiner include avoidance behavior,
exaggerated startle response, problems with concentration, and sleep
disturbance. Additionally, SM's current treating provider documented SM's
report of suicidal ideation (without plan or intent, 20160325) indicating SM
is at greater risk of need for evacuation if stressed on deployment.
highly unlikely SM will resolve symptoms and impairments due to his BH condition
during a five-year time frame sufficiently enough to be able to return to duty because of
risk of relapse or exacerbation of symptoms if returned to a high stress environment
such as deployment.
Impact on Duty Performance: Commander's Statement 20160421 indicates SM does
not perform duties in MOS and Commander does not recommend retention. In section
III B ("For each Soldier with a mental disorder") it's noted "The past several months
have been rough for SGT ****. He has been mentally disengaged and states
that his PTSD is [too] much for retention in the Army National Guard. ****
has had a difficult time passing APFT and H/W due to mental state. He has
been depressed often breaking down in tears. His overall performance has
degraded significantly. **** is seeking help through the VA and is being
seen by the State Surgeon." C&P examiner 20160617 determined SM's PTSD
results in "Occupational and social impairment with occasional decrease in
work efficiency and intermittent periods of inability to perform
occupational tasks, although generally functioning satisfactorily, with
normal routine behavior, self-care and conversation". Difficulties in the
educational environment with withdrawal from spring 2016 classes was noted.
Function limiting symptoms noted by examiner include avoidance behavior,
exaggerated startle response, problems with concentration, and sleep
disturbance. Additionally, SM's current treating provider documented SM's
report of suicidal ideation (without plan or intent, 20160325) indicating SM
is at greater risk of need for evacuation if stressed on deployment.