SoTex08- I believe
, ChaplainCharlie has a somewhat valid point:
"When a member ask a provider to start an MEB, they often get labeled as malingering!" Furthermore, per
“Adjustment disorder” From Wikipedia, the free encyclopedia; accessed on 30 SEP 2018 appx. 0012 AM EDT, for example at web-address:
https://en.wikipedia.org/wiki/Adjustment_disorder the below in “
italics” is copied from above cited Wikipedia article/ web-address: and as cited above and below
from said/cited Wikipedia article
“Criticism Like many of the items in the DSM, adjustment disorder receives criticism from a minority of the professional community as well as those in semi-related professions outside the health-care field. First, there has been criticism of its classification. It has been criticized for its lack of specificity of symptoms, behavioral parameters, and close links with environmental factors. Relatively little research has been done on this condition.[15]
Adjustment disorder has been described as being so "vague and all-encompassing… as to be useless,"[19][unreliable medical source?][20] but it has been retained in the DSM-IV and DSM-5 because of the belief that it serves a useful clinical purpose for clinicians seeking a temporary, mild, non-stigmatizing label, particularly for patients who need a diagnosis for insurance coverage of therapy.[full citation needed]
In the US military there has been concern about its diagnosis in active duty military personnel.[21]”
I am pretty sure it will also have to do with a "proper" diagnosis, as well as "causality." time in service etc... as we are all human and certain "conditions" and circumstances in fact "perceptually" play a role especially with one's chain of command....
Take for example, and US Army helicopter pilot, whom was shot down as well as shot, not only in Afghanistan but in Iraq as well, and had resultant Chronic PTSD....after awhile... i.e. "delayed onset" and medications they were on "proved" not only a hazard to flying, but also their "confidence" more than likely was totally "shot".... In this instance, most likely the Chain of Command made every effort to "retain" the individual/pilot, get them proper care for PTSD, but in the end- issues were in fact to great, and "pilot" themselves was in fact "afraid" to fly and perhaps not only re-injure themselves, but their aircraft and air-crew as well.....
I think one, would simply agree, that in the case of this "generic" pilot, they had in fact gone above and beyond the call of duty, and no-one was going to question their "diagnosis" nor decisions, especially regarding pilot, crew, and aircraft safety, ..... at least in no-one in their "right" minds..... i.e. all boils down to "circumstances"......and in a lot of cases "perception"... whether it be correct or incorrect "perception"....
So, with something like AD- and other more serious potential "issues" down the road- if one has been diagnoised with this, especially, upon return from a "combat" tour, and in fact their is "disagreement" among "medical" professional's, I think in part ChaplainCharlie may be correct, but would in fact first - IMO- concentrate on a correct "diagnosis" or at least "getting" all medical entities on board as to an "agreed" upon diagnosis before trying to "push" for an MEB, either outright or "round-about"...... IMO
Hope this helps......SoTex08.....???????