OPM Accepted Disabling Conditions: Suicidal Ideations

It is perhaps the final vestige of societal taboo; for, at what point the human animal realized that self-destruction became an option is open for debate.  In the Animal Kingdom, it is rare to find species openly seeking to end life; the struggle to survive and the Darwinian inherency for self-preservation and survival remains as vibrant as ever.

Being diagnosed with “suicidal ideation” is normally associated with psychiatric conditions of Major Depression and Generalized Anxiety, where the acceptable level of stress-tolerance exceeds the capacity to withstand.  Each individual is a unique creature; in this cookie-cutting mold of society where people get lost in the importance of position, fame, accolades and a false sense of admiration, it becomes commonplace to question one’s sense of worth and value.

Psychiatry has never been a perfect science; some even question the validity of its approach, as it has now become overwhelmingly a pharmacological event, with some semblance of therapeutic intervention thrown in as an afterthought.

For Federal employees and U.S. Postal Service workers who are contemplating filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, whether the Federal or Postal employee is under FERS, CSRS or even CSRS Offset, the existence of suicidal ideations (or otherwise simply known as “having suicidal thoughts”) is often lost in the compendium of diagnosed psychiatric conditions, including Post Traumatic Stress Disorder (PTSD), where a significant event has intervened which has resulted in traumatic reverberations in one’s life; Anxiety (or more officially identified as Generalized Anxiety Disorder); Major Depression; Bipolar Disorder, with spectrum symptoms of manic phases and depressive states; as well as schizophrenia and paranoia.

For relevance to filing for Federal Disability Retirement benefits through OPM, the existence of suicidal ideations is often one more indicia of the seriousness of the diagnosed psychiatric conditions, but should never be determinative in whether one’s psychiatric condition is “serious enough” in order to be eligible for Federal Disability Retirement benefits.  Indeed, there are many, many Federal and Postal employees who file for OPM Disability Retirement benefits, who suffer from Major Depression, Anxiety, PTSD and other forms of psychiatric conditions, without ever suffering from suicidal ideations, and yet are fully qualified for, and become entitled to, Federal Disability Retirement benefits.

Further, as Federal Disability Retirement is based upon the algorithm of showing the nexus between one’s medical condition and the positional requirements of one’s Federal or Postal job, the impeding aspect of suicidal ideations may be negligible.  Rather, from a medical standpoint, it is one more factor of concern and consternation within a long list of diagnoses and symptoms which cumulatively form the basis for an effective Federal Disability Retirement application.

Sincerely,

Robert R. McGill, Esquire

 

Federal Employee Disability Retirement: Life Choices

We all have to make them; and though we may alternatively want to curl up into a fetal position and wish the blunt world to stop bothering us, the decisions we make, and take responsibility for, reflect the state of maturity which binds us to age, experience and level of moral maturity.  It is, to a great extent, a superficial and shallow connotation and reference point; for, as the inevitability of choices to be made result from living in circumstances of our own making, so to imply that there is anything “substantive” in speaking about them undermines the very relevance of implication itself.

To live is to be confronted with daily choices; only the dead remain silent and require not the paths to pick.  Thus do mundane and pithy sayings originate.  Life is full of choices; the choices we make in life determine the future course of events yet indeterminate, but somewhat foreseen and predictable. Often, we avoid them not because of consequences untold, but for knowing the folly of our decisions.

For Federal employees and U.S. Postal workers who suffer from a medical condition, such that the medical condition foretells of impending signs which the Federal agency and the U.S. Postal Service have, or will, impose and initiate, the time to begin preparing one’s Federal Disability Retirement application is “now”.  Yes, the Federal and Postal employee has up to one (1) year to file for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, in order to meet the Statute of Limitations for filing an OPM Disability Retirement; but as it often takes many, many months to prepare, submit and get an approval from OPM, so the decisions we make today will have future consequences untold but foreseen if choices are not embraced in a timely manner.

Life presents many choices, alternatives, and lists of items like entrees on a menu; but in the end, the choice made means that when the plate of food arrives, a check for payment will follow soon afterwards, and it is the expectation of the price to be satisfied which should prompt and motivate any decisions of delay for the Federal or Postal Worker who intends on procrastinating in the preparation, formulation and filing of a Federal Disability Retirement application through OPM, whether the Federal or Postal employee is under FERS, CSRS, or CSRS Offset.

Sincerely,

Robert R. McGill, Esquire

 

Federal and USPS Disability Retirement: Change within Flux

The anomaly is that change occurs only within the context of constancy; for, if everything was perpetually in a state of flux, the very concept of ‘change’ would lose its meaning.  It is similar to the argument often made in philosophy where one posits that everything we perceive ‘is merely a dream’; yet, one cannot even arrive at a concept of dreaming until and unless we first acknowledge the reality and existence of a mind which dreams.  We therefore often confuse that which comes after by forgetting the preconditions which are required for positing the subsequent argument.

Ultimately, what is necessary is the foundation of any argument, in order for the flurry of changing activities to flourish.  But a balance must always be sought, and it is when change itself becomes a constancy, and overtakes the undergirding of stability, that one’s life becomes one of chaos and turmoil.

Medical conditions tend to do that to people.  The lack of relief from constant pain; the upheaval of psychiatric conditions, of panic-induced attacks and racing minds; of insomnia and non-restorative sleep; of medications which are necessary but have serious side effects; and the interruptions from stability by the necessity of doctor’s appointments, loss of time at the job, etc.

All appears to be in flux and turmoil.

For the Federal and Postal employee who suffers from such a treadmill of turmoil, consideration should be given in filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management.  It is offered to all FERS & CSRS employees.  Where work was once a column of stability, during a chronic and progressively deteriorating medical condition, it can become the source of increased stress and anxiety because of the lack of understanding or empathy from coworkers, supervisors and the agency in general.

Preparation of a proper and effective Federal Disability Retirement application is essential; flux, turmoil and change should be the intermission, and not the main event.  As such, reversal of course in order to establish the principle of life should be the goal:  of stability first, and changes thereafter.

Sincerely,

Robert R. McGill, Esquire

FERS & CSRS Disability Retirement for Federal and USPS Workers: Kierkegaard’s Either/Or

Life is often a series of disjunctions and bifurcation of choices; in mathematics and logic, such series of “either/or” options or “if and only if” algorithms provide a neat analytical explication of a problem.  But in daily living, numerical precision is replaced by a complex series of pragmatic decision-making options which rarely fit into a predetermined set of constants.

Soren Kierkegaard was a Danish philosopher of some note, whose work entitled, “Either/Or”, presented the stark choice of following a normative life governed by principles and ethics, or one of hedonism and self-interest. One might argue that there are always “middle grounds” where such choices overlap; but the clarified standards as presented allow for foundational paradigms to be followed; let life itself impart the complexities we create of our own making.

For Federal and Postal employees considering the important step of preparing, formulating and filing a Federal Disability Retirement application from the U.S. Office of Personnel Management, whether under FERS or CSRS, there is unfortunately a bifurcation of stark options.  For, as there are no short-term disability benefits available (unless it is a work-related injury, in which case one may file for FERS Disability Retirement Compared To OWCP; or some private disability policies), the choice is to either remain with the agency and the Federal system, and continue to deteriorate with the progressive decline of one’s health, or to file for a benefit (Federal Disability Retirement), where the medical condition must last for a minimum of 12 months and where one is separated from Federal Service upon an approval of an OPM Disability Retirement application.

The paradigms presented are clear.  The difficult part is in taking the necessary steps to choose between the disjunction of that which life presents, without getting caught up in the logical inconsistency of a world which believes itself to be rational, but acts in ways which are clearly contrary to its own normative constructs.

Sincerely,

Robert R. McGill, Esquire

Federal Employee Medical Retirement: Pragmatism & Angst

Pragmatism is a peculiarly “American” brand of philosophical outlook and approach; unique because it reflects the character and personality of the general population, of looking at things not in terms of understanding it, attempting to discern the underlying essence beneath the qualities and appearances; rather, to look upon success in terms of workability.

To that extent, the European sense of “angst” is often missing in the American character, because there is amiss a sense of struggling over knowledge concerning the substance of a thing.  Such an approach brings to fore the reputation that Americans are merely celebrated merchants, coming to the marketplace to trade and barter, with nothing profound to say or add.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, one can ruminate over the potentialities which lead to a denial of a Federal Disability Retirement application to an extent where one become paralyzed by the possibility.  At some point in the process, pragmatism must trump the angst.  Too many self-corrections can lead to immobility and paralysis of thought and action.  Perhaps there does not exist the “perfect word” or “complete sentence” which adequately describes one’s physical pain, mental confusion, or the nexus which describes how one cannot perform one’s job.  It is likely that no one at OPM will ever fully comprehend the terrible ordeal which the Federal or Postal Disability Retirement applicant is going through.

While many are immigrants from the “old country”, the great thing about arriving to the “new country” is that the angst which once was, is now left behind.  Sometimes, it is time to become pragmatic, and simply file.  Most things can be further supplemented and amended at a later date.  That is the beauty of America — of having second chances over and over again.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement Benefits for US Government Employees: Questions Abound

Questions abound when first encountering the possibility of needing to file for Federal Disability Retirement benefits, whether under FERS or CSRS, from the U.S. Office of Personnel Management, and that is a natural course of events.  It is tantamount to the proverbial admissions that one’s “mouth speaks faster than one can think,” because of the sudden flood of concerns, potential problems, future-oriented probabilities and the anxieties associated with the unknown.

It is thus often important to systematically categorize the questions and concerns into that which needs to be done immediately; that which can be accomplished within the next 30 – 60 days; and that which must be considered for the long-term.

Such time-imposed trifurcation of tasks, questions, concerns, etc. to place into neat segments will help in managing the daunting task of preparing a Federal Disability Retirement application, especially when one considers that attending to the care and treatment of one’s medical condition requires time and attention as a priority.  By categorizing and pigeonholing questions into their appropriate time-slots, it will help to manage the onset of natural anxieties which are always felt by encountering the new, the complex, and the unknown.

Questions will always abound; how and when to answer them is the key to maintaining a sense of calm and competence while retaining an aura of peace.

Sincerely,

Robert R. McGill, Attorney

 

Medical Retirement Benefits for US Government Employees: Discretionary Proprieties

One can know a friend for decades, but catch him or her at the wrong time, and be the recipient of a reaction which astounds and confounds.  In everyday life, most of what we do is based upon a routine of habit.  We may rearrange the deck of chairs by doing X chore before tackling issue Y, but for the most part, our lives are set within the confines of a comfortable routine.  And that is probably a good thing; for, as order and continuity allows for a peace of mind, so a set routine provides a sense of comfort and security.

How we deal with disorderliness and chaos, however, often determines whether the comfort of a routine was ultimately healthy for us.  Confronting a sudden emergency; having a medical condition which interrupts our formulated goals; asking for support from others when a need arises — those are the life “tests” which separate our friends from all others.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, the sudden need to garner extraordinary support (and the term “extra-ordinary” is applicable precisely because it requires actions out of the ordinary course of people’s lives) from others — family members, agency personnel, doctors, etc. — will test one’s patience and confidence in one’s fellow man.

In trying to get the support of others, one must use one’s sense of discretion and propriety — of the right time and place — by sensing how to approach each.

The old metaphor of a “bull in a china shop” will often apply.  For the Federal or Postal Worker, the “bull” is the Federal or Postal worker who needs the support; the china shop is represented by all others.  The trick is to walk softly and carefully, and with great tact.  In doing so, remember that you are disrupting the comfortable routine of others.

Sincerely,

Robert R. McGill, Esquire

CSRS & FERS Medical Disability Retirement: Choices

One immediately hears it in the voice — of the frustration and desire to simply give up.  But “giving up” is simply not a choice, if one refuses to acknowledge such an option and fails to place it on the roster of listed alternatives.  Part of the human factor in preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, is the chasm of the unknown.

No, there is never a guarantee that one’s Federal Disability Retirement application will be approved, just as there is never a certainty that one’s treating doctor will support the patient’s need to apply for Federal Disability Retirement benefits.  It is the unknown — from whether the application for Federal Disability Retirement benefits is sufficient to obtain an approval from the U.S. Office of Personnel Management, to whether the doctor’s report is “strong enough”; from what steps the agency will take to try and undermine a Federal Disability Retirement case, to the long and seemingly endless wait while one’s case simply sits on the desk of some Case worker at the U.S. Office of Personnel Management — the aggregate of all of these constitute and comprise the “unknown”.

There are cases where a thin sliver of medical documents result in a quick and uncomplicated approval; others, where a voluminous binding of reports, diagnostic tests and medical records result in scant attention and a denial. Often, it seems somewhat arbitrary.

It is the “unknown” and “unknowable” factors which heighten the time of anxiety.  But through the entire administrative process, the singular choice should always be clear:  to move forward.  And sometimes, to do so is to merely wait, and disregard the unknown or unknowable.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Workers: Discretion, “What Ifs”, Etc.

The anxiety and angst which accompanies the preparation, formulation and filing of a Federal Disability Retirement application under FERS or CSRS, from the U.S. Office of Personnel Management, is on the one hand understandable, and yet, because it is an administrative process which may potentially involve multiple stages, and require investment of an extraordinary amount of time, and because it is requires a rationally-based approach in meeting the legal criteria for approval, it must be viewed and approached with a quietude of professionalism.

There are obviously times when the Statute of Limitations is about to impose some restrictive encroachment of formulation, and thus one must respond appropriately.  And, much of the decision-making process involved in whether to attach X-document, or to include Y-statement, is a discretionary matter — one which should often be left to an OPM Disability Attorney who has had some prior experience in the matter.

But the “what ifs”, as in, “What if I say A” as opposed to “having said B” is something which should be avoided.  Obsessing over singular statements — even if it is true that a denial of a Federal Disability Retirement application could potentially focus upon a statement, characterized in a wrong manner, or taken out of context (as OPM often does) — is normally unproductive.

While most “mistakes” in a Federal Disability Retirement application can be corrected, explained or expanded upon into obsolescence, one thing which cannot be accomplished is to put artificial blinders on OPM in the event that something is stated or submitted which otherwise should not have.  Even if one were to refile at a later date, once a CSA Number is assigned to a case, the U.S. Office of Personnel Management maintains the original documentation which was filed with their office.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Workers: The Anxiety of Procrastination

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, there are numerous issues, points, time-frames,etc., during the administrative process, when a Federal or Postal employee’s anxieties may become exacerbated — both because of the inherent complications resulting from the process itself, as well as because of what others do.  Many of the complexities which arise are beyond the control of one’s capabilities.  Thus, if one is accustomed to having some “control” over events and circumstances, it can quickly become a process full of anxieties, exasperation and frustration.  

Time is often beyond one’s control — the time the Agency takes to fill out their portion; the time a doctor responds to a request for a medical narrative; and, finally, the time that the Office of Personnel Management takes in reviewing and rendering a decision on a Federal Disability Retirement application.  

One point of frustration which often builds without ceasing, however, is within the control and capacity of all Federal Disability Retirement applicants — procrastination.  Procrastination merely delays the inevitable, and compounds the complexities because it merely allows for outside difficulties and problems to continue to build, without resolution.  If the need arises to begin filing for Federal Disability Retirement benefits under FERS or CSRS, procrastination should not be part of the game plan.  This is especially true because the Office of Personnel Management is a bureaucracy which takes a long time itself, and procrastinating at the front-end of the process will only delay things further at the back-end.

Sincerely,

Robert R. McGill, Esquire