Federal Employee Medical Retirement: Cartesian Bifurcation

Modern philosophy is often considered to have begun with the French philosopher, Descartes; this is perhaps unfortunate, for the resulting inward navel gazing which was precipitated and the subsequent conceptual bifurcation between mind and body, for which we must contend with and pay the price, to this day.

For the longest time, of course, there was a suspicion that psychiatric conditions were somehow less viable and more difficult to prove; this is perhaps as a result of a misconception and misunderstanding of that proof which constitutes “objective” data as opposed to “subjective” interpretations of any factual analysis.

In Federal Disability Retirement cases, the U.S. Merit Systems Protection Board has steadfastly rejected any notions of subjective/objective differentiation, especially when it comes to psychiatric medical conditions.  Fortunately for the Federal and Postal Worker who suffers from medical conditions such that the medical disability prevents one from performing one or more of the essential elements of one’s positional duties, the MSPB has repeatedly rejected OPM’s claim that certain medical evidence (clinical examinations and encounters with a psychiatrist, for instance) is merely “subjective”, as opposed to what they deem to be considered “objective” medical evidence.

Whether anyone at the U.S. Office of Personnel Management is aware of Descartes and the French philosopher’s profound influence upon the mind/body bifurcation is a matter of factual irrelevance; the important historical point to be recognized is the trickling down impact from theoretical discourses in academia, to the pragmatic application of concepts in bureaucratic administrative functions.

Descartes lives, and the echoes of his philosophical influence resounds and reverberates down into the hallways of the U.S. Office of Personnel Management, in the daily reviews of Federal Disability Retirement applications.

Sincerely,

Robert R. McGill, Esquire

 

Federal Employees with Disabilities: Suffering in silence

The silent sufferer rarely gets noticed; but, of course, that is the whole point.  It is analogous in an inverse manner to the childhood adage that the squeaky wheel gets the oil.  From a purely philosophical, conceptually vacuous standpoint, how does one “show” pain?  How does one reveal the inner turmoil of Major Depression, anxiety, panic attacks, or a Bipolar Disorder?

Certainly, physical manifestations of uncontrollable tremors, trembling, etc., can be indicators; but the more complex state of psychiatric conditions which are negatively reflected to the world — of paralysis from action; of lethargy; of an overwhelming “sense” of worthlessness and hopelessness; where stamina or energy, self-motivation and initiative, cannot simply be forced; rather, one is lifeless in a world of activity and sensory overload, not because one cannot self-will movement and progress, but because one is mentally and physically unable to act upon one’s volition.

It is, ultimately, the age-old question of Appearance versus Reality.  So, in preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, the question to be answered is not whether an effective description creating a nexus of one’s medical conditions with one’s positional duties as a Federal or Postal employee should be assembled; rather, the question is how.  One must overcome the appearance of normalcy, by cracking open the reality of the underlying medical condition, and to bring forth, as Heidegger would put it, the uncovering of the reality of Being — by using selective words to reveal to the OPM Representative the starkness of one’s medical conditions.

Eligibility for Federal Disability Retirement benefits from the U.S. Office of Personnel Management must be proven; in order to prove it, one must show the reality of the Real, as opposed to the silence and concealment of that which is mere Appearance.

Sincerely,

Robert R. McGill, Esquire

OPM Disability Retirement: The Vicious Cycle of Psychiatric Conditions

The paradigm and general assumption of those who are not suffering from a chronic medical condition, especially of a psychiatric component — whether of severe Major Depression, Panic Disorder, Generalized Anxiety Disorder, Bipolar Disorder, or possessing characteristics of paranoia and suicidal ideations — is one of, “What’s the big deal?”

If you are going to file for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, then why hasn’t the paperwork been done?  Why haven’t you gotten the medical reports (as if doctors just drop everything for their patients and fill out forms, etc.)?

Those who are not in the same shoes as a person who suffers from psychiatric medical conditions, fail to understand the vicious cycle — of the impact of the medical condition itself, upon the very ability to proceed in a productive manner.  Yet, the puzzling question is:  If X could behave and produce in the same manner as non-X, would he/she be filing for Federal Disability Retirement benefits to begin with?

The vicious cycle of a person beset with psychiatric conditions involves the paralysis of behavior and the ability to create and produce.  Unfortunately, the world around us fails to understand or have the requisite empathy for such behavior.  To get out of the cycle of paralysis, the sufferer of psychiatric medical conditions will often need the advice and legal assistance of someone who can guide, prompt and implement.

The world is an uncaring system of rules and regulations; empathy and understanding, unfortunately, are not written into the law of life.

Sincerely,

Robert R. McGill, Esquire

Federal Worker Disability Retirement: Post Traumatic Stress Disorder (PTSD)

Post Traumatic Stress Disorder (often referred to by its acronym, PTSD), is often associated with war-time experiences and specific traumatic incidents.  Often accompanied by other psychiatric conditions (e.g., Major Depression, anxiety, panic attacks), it can be characterized by symptoms of nonrestorative sleep resulting from intrusive thoughts, nightmares, inability to focus and be attentive because of hypervigilance, and multiple other similar correlative symptoms.  

In filing for Federal Disability Retirement benefits under FERS or CSRS, the Office of Personnel Management will often make the spurious and irrelevant argument that the applicant failed to pinpoint a “specific incident” which “triggered” the PTSD.  However, most psychiatric medical reports and narratives which I have reviewed do not necessarily require such a triggering incident.  Indeed, it can often be as a result of a series of stressful events which came to a “boiling point” where the Federal or Postal worker could no longer tolerate the stresses of daily life beyond a certain flash point — and for each individual, that point of “no tolerance” is different and distinct, precisely because each individual is a unique being.  

Post Traumatic Stress Disorder, or PTSD as is commonly known, is a viable basis for Federal Disability Retirement benefits under FERS or CSRS — but as with all medical conditions, must be conveyed in a narrative which is understandable and linked to one’s inability to perform one or more of the essential elements of one’s Federal or Postal job.

Sincerely,

Robert R. McGill, Esquire

Postal and Federal Employees Disability Retirement: Major Depression

Federal and Postal workers who are inquiring about filing for Federal Disability Retirement benefits under FERS or CSRS often lack any context as to his or her own particular situation, in relation to the greater Federal and Postal workforce.  Let me elaborate:  a Federal or Postal employee who suffers from chronic and intractable Major Depression, despite being placed on various psychotropic medications, and having undergone psychotherapeutic intervention, and (in more serious cases) hospitalization for intensive treatment — often believe that his or her “situation” is unique, isolated, and rare.  It is not.  

When an individual suffers from Major Depression, it is common to feel isolated, as if the particular psychiatric disorder is unlike other medical conditions (e.g., physical medical conditions which can be ascertained by an MRI or other diagnostic tools).  This is part of the very medical condition itself — of feeling isolated and trapped, and unable to escape from one’s own plight.  

Indeed, Federal and Postal employees who suffer from Major Depression often ask me the “how many” question — how many people do you represent who suffer from Major Depression, as if numbers correlate to security.  While I am very protective of client confidentiality and information related to my clients, it can safely be said that a “great many” Federal and Postal employees suffer from Major Depression, that it is not uncommon, that your co-worker sitting beside you may suffer from it, and that such sufferers work hard to hide it.  

Further, the success in filing for, and obtaining, Federal Disability Retirement benefits under FERS or CSRS is no less than any other medical condition.  Thus, for those who suffer from Major Depression and are contemplating filing for Federal Disability Retirement benefits under FERS or CSRS:  you are definitely not alone.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Government Employees: The Origin of Psychiatric Disabilities

When preparing the Applicant’s Statement of Disability (Standard Form 3112A) in preparing to file for Federal Disability Retirement benefits from the Office of Personnel Management, it is important to keep the essence of the statement “on topic”.  By this, is meant that the primary focus of the applicant’s statement should be repetitively twofold:  First, what the medical conditions and their symptomatologies & manifestation of symptoms are, and Second, how those medical conditions and symptoms impact one’s ability/inability to perform one or more of the essential elements of one’s job.  

While history and origin of a medical condition may be somewhat relevant (unlike in an OWCP case, where causality and date of injury and where/how it happened are important elements in establishing that a medical condition was somehow job related), normally in Federal Disability Retirement cases the origin of a medical condition should not be emphasized, if only because OPM does not care about it.  If the origin of one’s psychiatric medical conditions (e.g., Major Depression, anxiety, panic attacks, etc.) find their source from conflicts within a job, such a history may be a red flag which can lead the Office of Personnel Management to conclude that the medical condition constitutes a “situational disability“.  In a final determination as to whether a medical condition can be characterized as “situational”, while it must be looked at in its full context, nevertheless, it is the origin of a psychiatric medical conditions which is the first point of reference in making such a determination.  

Sincerely,

Robert R. McGill, Esquire

OPM Disability Retirement: Psychiatric Issues

For Federal and Postal workers who are filing, or contemplating filing, for Federal Disability Retirement benefits under FERS or CSRS, the distinction between “physical” medical conditions and “psychiatric” medical conditions are not always so clear and distinct.  While cases can be bifurcated for many clients (where the medical basis upon which a Federal Disability Retirement is based is wholly physical, or entirely psychiatric), often, cases have a “mixed” character to them, where depression, anxiety, panic attacks, etc., arise or become “secondary” to a chronic medical condition.  

The complex interaction between physical pain, chronic medical conditions which impact one’s job, physical abilities, etc., can at their inception be “secondary” in the sense that they have arisen and manifested the symptomatologies “after” or “second to” the original medical conditions.  However, after some time (and this is being stated from a legal perspective reviewing many such instances in filing for Federal Disability Retirement benefits under FERS or CSRS), such secondary Major Depression, anxiety, panic attacks, and even other psychiatric medical conditions, can become the central or prominent medical condition which forms the basis of a OPM Disability Retirement application.  Thus, that which was once “secondary” does not always remain so; it can become the primary basis.

Sincerely,

Robert R. McGill, Attorney

Medical Retirement Benefits for Federal & Postal Employees: How to Handle those “Second-Class” Medical Conditions

Attitudes toward various medical conditions change over time.  This has certainly been the case with psychiatric medical conditions:  Major Depression, Anxiety, panic attacks, Bipolar Disorder, Agoraphobia, PTSD, OCD, etc.  At one time in our society, the heavy stigma placed upon such medical conditions essentially made them unacceptable.  Over time, however, as greater numbers of such conditions came to the forefront, and greater success at treatment of such conditions became evident, the validity and acceptance of such conditions have resulted in other medical conditions taking their place.

Thus, certain conditions such as Fibromyalgia, Chronic Fatigue Syndrome, Chronic Pain, Chemical Sensitivity cases, etc., have become the psychiatric conditions of a prior age.  Perhaps it is because the medical profession treats such conditions as afterthoughts — where, through a process of elimination of saying that the medical condition is not X, Y or Z, therefore it is A.

Whatever the reasons, in a Federal Disability Retirement application under FERS, a Federal or Postal employee who is applying for such benefits who is suffering from any of the Second-Class medical conditions must formulate and compile his or her case in a thoughtful, deliberate and forceful manner.  Such a FERS Disability Application must include adequate medical support; a clear and concise bridge between the symptomatologies experienced and the type of job which one must perform; and legal arguments which support the basis for an approval.

To some extent, this approach is no different than with any other medical condition; it is merely a reminder that one must cross all “T’s” and dot all “I’s” with that much more care.

Sincerely,

Robert R. McGill, Esquire
FERS Disability Retirement Attorney

 

Medical Retirement Benefits for Federal & Postal Employees: Situational Disability, Revisited

Remember that there is nothing wrong with issues and events in the workplace being the originating factor which instigates or otherwise propels a medical condition — often (though not necessarily always) a psychiatric condition.  The characterization of a “situational disability” (one of the basis upon which the Office of Personnel Management may attempt to deny a Federal Disability Retirement application) only becomes a problem if and when a psychiatric condition prevents a person from performing one or more of the essential elements of his or her job with a particular office, agency or department. 

If the Federal or Postal employee is unable to perform in a particular job in an office or agency, but is able to perform the same basic set of essential elements with another agency, or in the private sector, then it becomes a case of “situational disability”.  However, if the medical condition pervades other aspects of the Federal or Postal employee’s life — personal life; relationships with family & friends; impacts his or her ability to be employable in other sectors; then the medical condition is no longer one of “situational disability” — despite its origins having been formulated in the workplace.  Thus, the issue is not “where the condition came from”, but rather, “where is it now”?  The Office of Personnel Management will often attempt to blur the boundaries between the two questions, and try and characterize the medical disability as not only originating with an agency, but being limited to that particular agency.  And, indeed, the Federal or Postal employee who files a Federal Disability Retirement application under FERS or CSRS does not help matters when he or she wants to persist in focusing upon the events in the workplace which may have contributed to the medical condition.  Beware not to fall into OPM’s trap.

Sincerely,

Robert R. McGill, Esquire

Federal and Postal Service Disability Retirement: Psychiatric Disabilities & the Holidays

Christmas, New Years & the Holidays; psychiatric disabilities of Major Depression, Anxiety, panic attacks, and many others; the mixture of the two often create an admixture of conflicting emotions, enhancing and exacerbating the psychiatric disabilities.  Unfortunately, the “Holidays” are a time when stresses and anxieties are further exacerbated; we are all meant to be “happy” and in the “holiday spirit”, when in fact the gathering of friends, family and gift-giving exponentially emphasizes the medical conditions which people suffer from, especially psychiatric conditions.  For Federal and Postal employees considering filing for Federal Disability Retirement under FERS or CSRS, the “Holidays” should be a time of rest and reflection; to determine the course for the future; whether the future holds continuation of a long and productive career, and will it continue until the time of regular retirement, or is this the time to consider filing for Federal Disability Retirement.  The “long-term view” must be taken; not to make a hasty decision because of the exacerbating circumstances of the Holidays; rather, to see beyond the holidays, and make the proper decision based upon an “objective perspective” of the “now”, as well as of the future.

Sincerely,

Robert R. McGill, Esquire