What can I claim secondary to bipolar disorder?

Cerebrovascular accident (stroke)

RH No. 45 of 2024 · BoP No. 46 of 2024

Reasonable Hypothesis — factor (49): “having clinically significant bipolar disorder within 1 year before clinical onset” [clinical onset]

This factor appears in the Reasonable Hypothesis instrument only, which applies to operational service.

Note: clinically significant is defined in the Schedule 1 - Dictionary.

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Diabetes mellitus

RH No. 48 of 2020 · BoP No. 49 of 2020

Reasonable Hypothesis — factor (7): “for type 2 diabetes mellitus only: (a) having smoked at least five pack-years of tobacco products before the clinical onset of diabetes mellitus, and where smoking has permanently ceased, the clinical onset of diabetes mellitus has occurred within 15 years of cessation; (b) being exposed to second-hand smoke for at least 5,000 hours before the clinical onset of diabetes mellitus, and where exposure to second-hand smoke has permanently ceased, the clinical onset of diabetes mellitus has occurred within 15 years of cessation; (c) being overweight or obese for at least five years before the clinical onset of diabetes mellitus; (d) an inability to undertake moderate physical activity of at least four METs for at least the five years before the clinical onset of diabetes mellitus; (e) having cirrhosis of the liver at the time of the clinical onset of diabetes mellitus; (f) having non-alcoholic steatohepatitis at the time of the clinical onset of diabetes mellitus; (g) having infection with human immunodeficiency virus before the clinical onset of diabetes mellitus; (h) having infection with hepatitis C virus before the clinical onset of diabetes mellitus; (i) having hypertension at the time of the clinical onset of diabetes mellitus; Compilation No. 3 Compilation date: 19/09/2022 Authorised Version F2022C00898 registered 19/09/2022 (j) having chronic renal failure at the time of the clinical onset of diabetes mellitus; (k) having gout or hyperuricaemia at the time of the clinical onset of diabetes mellitus; (l) having posttraumatic stress disorder at the time of the clinical onset of diabetes mellitus; (m) having depressive disorder at the time of the clinical onset of diabetes mellitus; (n) having bipolar disorder at the time of the clinical onset of diabetes mellitus; (o) having schizophrenia at the time of the clinical onset of diabetes mellitus; (p) having bilateral orchiectomy before the clinical onset of diabetes mellitus; (q) having anti-androgen therapy as specified for at least the one year before the clinical onset of diabetes mellitus; (r) being exposed to arsenic as specified before the clinical onset of diabetes mellitus; (s) inhaling, ingesting or having cutaneous contact with a chemical agent contaminated by 2,3,7,8-tetrachlorodibenzo-para-dioxin (TCDD): (i) for a cumulative period of at least 500 hours, within a consecutive period of ten years before the clinical onset of diabetes mellitus; and (ii) where the first exposure occurred at least five years before the clinical onset of diabetes mellitus; and (iii) where that exposure has ceased, the clinical onset of diabetes mellitus has occurred within 25 years of cessation; or Compilation No. 3 Compilation date: 19/09/2022 Authorised Version F2022C00898 registered 19/09/2022 (t) for parous women only, inability to breast feed for a cumulative period of at least six months before the clinical onset of diabetes mellitus” [clinical onset] — factor (21): “having bipolar disorder at the time of the clinical worsening of diabetes mellitus” [worsening]

Balance of Probabilities — factor (7): “for type 2 diabetes mellitus only: (a) having smoked at least five pack-years of tobacco products before the clinical onset of diabetes mellitus, and where smoking has permanently ceased, the clinical onset of diabetes mellitus has occurred within 15 years of cessation; (b) being exposed to second-hand smoke for at least 5,000 hours before the clinical onset of diabetes mellitus, and where exposure to second-hand smoke has permanently ceased, the clinical onset of diabetes mellitus has occurred within 15 years of cessation; (c) being overweight or obese for at least five years before the clinical onset of diabetes mellitus; (d) an inability to undertake moderate physical activity of at least four METs for at least the five years before the clinical onset of diabetes mellitus; (e) having cirrhosis of the liver at the time of the clinical onset of diabetes mellitus; (f) having non-alcoholic steatohepatitis at the time of the clinical onset of diabetes mellitus; (g) having infection with human immunodeficiency virus before the clinical onset of diabetes mellitus; (h) having infection with hepatitis C virus before the clinical onset of diabetes mellitus; (i) having depressive disorder at the time of the clinical onset of diabetes mellitus; (j) having bipolar disorder at the time of the clinical onset of diabetes mellitus; (k) having schizophrenia at the time of the clinical onset of diabetes mellitus; (l) having bilateral orchiectomy before the clinical onset of diabetes mellitus; Compilation No. 3 Compilation date: 19/09/2022 (m) having anti-androgen therapy with a gonadotrophin releasing hormone agonist, including goserelin and leuprorelin, for at least the one year before the clinical onset of diabetes mellitus; or (n) being exposed to arsenic as specified before the clinical onset of diabetes mellitus” [clinical onset] — factor (19): “having bipolar disorder at the time of the clinical worsening of diabetes mellitus” [worsening]

Note: one pack-year is defined in the Schedule 1 - Dictionary.

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Duodenal ulcer and duodenal erosion

RH No. 49 of 2024 · BoP No. 50 of 2024

Reasonable Hypothesis — factor (20): “being diagnosed by a registered medical practitioner with anxiety disorder, depressive disorder, bipolar disorder, obsessive compulsive disorder or panic disorder at the time of clinical onset or clinical worsening” [onset and worsening]

This factor appears in the Reasonable Hypothesis instrument only, which applies to operational service.

Read the Statement of Principles

Gastric ulcer and gastric erosion

RH No. 51 of 2024 · BoP No. 52 of 2024

Reasonable Hypothesis — factor (22): “being diagnosed by a registered medical practitioner with anxiety disorder, depressive disorder, bipolar disorder, obsessive compulsive disorder or panic disorder at the time of clinical onset or clinical worsening” [onset and worsening]

This factor appears in the Reasonable Hypothesis instrument only, which applies to operational service.

Read the Statement of Principles

Moderate to severe traumatic brain injury

Reasonable Hypothesis — factor (1): “for bipolar I disorder, bipolar II disorder, cyclothymic disorder, major depressive episode with mixed features, other specified bipolar and related disorder and unspecified bipolar and related disorder only: (a) experiencing a category 1A stressor within the one year before the clinical onset of bipolar disorder; (b) experiencing a category 1B stressor within the one year before the clinical onset of bipolar disorder; (c) experiencing a category 2 stressor within the one year before the clinical onset of bipolar disorder; (d) experiencing the death of a significant other within the one year before the clinical onset of bipolar disorder; (e) experiencing the death from suicide of a close family member before the clinical onset of bipolar disorder; (f) being within 90 days postpartum at the time of the clinical onset of bipolar disorder; (g) having alcohol use disorder or substance use disorder at the time of the clinical onset of bipolar disorder; (h) having a disorder of mental health from Specified List 1 of clinically significant disorders of mental health within the ten years before the clinical onset of bipolar disorder; (i) having insomnia as specified at the time of the clinical onset of bipolar disorder; or (j) having concussion or moderate to severe traumatic brain injury within the five years before the clinical onset of bipolar disorder” [clinical onset]

Reasonable Hypothesis — factor (20): “having concussion or moderate to severe traumatic brain injury within the one year before the clinical worsening of bipolar disorder” [worsening]

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Substance use disorder

Reasonable Hypothesis — factor (2): “for substance/medication-induced bipolar and related disorder only: (a) taking a drug, or a drug from a class of drugs, from the specified list of drugs, within the 14 days before the clinical onset of bipolar disorder; (b) taking a drug which is associated in the individual with the development of symptoms of bipolar disorder while taking the drug, and the cessation or significant reduction of the symptoms of bipolar disorder within days or weeks of discontinuing the drug, where taking the drug continued for at least the two days before the clinical onset of bipolar disorder; (c) having ceased or reduced antidepressant drug therapy or antiepileptic drug therapy within the 30 days before the clinical onset of bipolar disorder; (d) having alcohol use disorder or substance use disorder at the time of the clinical onset of bipolar disorder; (e) taking at least 600 milligrams of caffeine per day from beverages, drugs or foods for the 14 days before the clinical onset of bipolar disorder; or (f) inhaling, ingesting or having cutaneous contact with a specified organic solvent, in an unventilated and confined space, for a cumulative period of at least 1 000 hours, within the two years before the clinical onset of bipolar disorder, and where the exposure has ceased, the clinical onset of bipolar disorder occurred within the one year of cessation” [clinical onset]

Balance of Probabilities — factor (1): “for bipolar I disorder, bipolar II disorder, cyclothymic disorder, major depressive episode with mixed features, other specified bipolar and related disorder and unspecified bipolar and related disorder only: (a) experiencing a category 1A stressor within the six months before the clinical onset of bipolar disorder; (b) experiencing a category 1B stressor within the six months before the clinical onset of bipolar disorder; (c) experiencing a category 2 stressor within the six months before the clinical onset of bipolar disorder; (d) experiencing the death of a significant other within the six months before the clinical onset of bipolar disorder; (e) being within 90 days postpartum at the time of the clinical onset of bipolar disorder; (f) having alcohol use disorder or substance use disorder at the time of the clinical onset of bipolar disorder; or (g) having a disorder of mental health from Specified List 1 of clinically significant disorders of mental health within the five years before the clinical onset of bipolar disorder” [clinical onset]

Read its Statement of Principles · what it opens