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Other Designated Physical and Mental Conditions Discharge
After you read this fact sheet, please call the Hotline (877-447-4487) to talk over your options with a counselor.
Other Designated Physical and Mental Conditions Discharge
The military may discharge for “other designated physical and mental conditions” servicemembers who have conditions that do not qualify for a disability discharge, but “that potentially interfere with assignment to or performance of duty….” Personality disorders are the most common grounds for discharge under other designated physical and mental conditions (ODPMC). In addition to personality disorders, grounds for discharge can include: seasickness, bedwetting, airsickness, sleep walking, certain allergies, severe nightmares, severe stuttering, obesity, and excessive height.
Consider seeking an ODPMC discharge if you experience emotional distress, difficulty in coping with military life, or an inability to behave and think as you would like to behave and think. While personality disorders are fairly complex, and real diagnoses can only come from a psychiatrist or psychologist, lay people can identify common symptoms and help to determine whether psychiatric evaluation is warranted. Common symptoms of some personality disorders include feeling depressed, helpless, or out of control, difficulty sleeping or inability to cope with work or people, or occasional thoughts of suicide.
A personality disorder is grounds for discharge only when “a diagnosis by a psychiatrist or psychologist…concludes that the disorder is so severe that the member’s ability to function effectively in the military environment is significantly impaired.” (Note: Military members who have deployed to an area designated as an imminent danger pay area usually must have their administrative separation approved by higher levels of command. In the Army and Air Force, that authority is the Surgeon General; Navy, MEB; and Marines, The Medical Officer/Director of Health Services of the Marine Corps (TMO))
This is a command-initiated discharge, which means there is no application procedure and you have no “right” to this discharge. Getting an early discharge is not easy and the procedures can be complicated. Discharge regulations are intended to give commanders control over their troops to maintain good order and discipline. You must persuade your command that a discharge is warranted and in the best interests of the military. You can call us at the GI Rights Hotline for help.
The regulations give commanding officers a great deal of discretion, and only minimal guidelines, for deciding whether or not discharge is appropriate. Policies may differ from one command to another (even within the same base) and a command can change policy without warning. The military normally will not discharge a member with a short-term and treatable condition. A common category of disorders known as “adjustment disorders” are not considered, except by the Air Force, to be of long enough duration to warrant discharge.
The military assumes that discharges under this section are initiated by a commanding officer when a problem comes to his or her attention, usually by way of military medical or psychiatric reports.
It is useful to talk frankly with immediate superiors and others higher in the command about your symptoms and feelings. Although commands can be unreceptive to emotional or physical problems, you can try to approach them like a patient seeking help.
An outright request for discharge often meets with absolute rejection. It is more useful to show the commanding officer the evidence of the problem, explain the feelings and symptoms briefly, and simply ask for help. This gives the command the opportunity to recommend discharge on their own initiative.
You can mention all symptoms which affect your performance and ability to function in the military, and perhaps role-play a few hostile questions. You can try being open without minimizing your symptoms, and you may want to avoid becoming antagonistic. Military psychiatrists are on the lookout for exaggeration of symptoms. You can talk about why you are not able to perform your duties, and avoid framing the conversation with the military psychiatrist around a desire for discharge. It is essential that you do not lay all blame for your condition on the military.
Military psychiatrists can be friendly and supportive, but it is not unusual to find rude, unconcerned, or openly hostile doctors. You may actually be harassed or insulted by the psychiatrist, and you may want to resist the temptation to respond in kind. Most psychiatrists can be persuaded to take your problems seriously if you persist in discussing them.
Military psychiatrists will often diagnose the condition and may recommend discharge after the first interview. If this does not happen (if they fail to recognize the condition, or diagnose a less serious condition), it may be necessary to make repeated visits to the psychiatrist until it seems the doctor understands the seriousness of the problem.
There is no patient-doctor confidentiality in the military!
Anything you say to a military doctor or psychologist can be passed on to your command.
Documentation for an Other Designated Physical and Mental Conditions Discharge
With some of these conditions, local commands are reluctant to believe that the problem exists and to grant discharge. Medical or psychiatric documentation is vital.
The best documentation for a personality disorder is a current and thorough psychiatric evaluation. While the military will require psychiatric examination by a military psychiatrist or licensed clinical psychologist, civilians are usually more thorough and more sympathetic than military doctors.
Military commands and psychiatrists may demand to know why a civilian psychiatrist was consulted, even though it is perfectly legal to do so. Members can justify the consultation by explaining how their emotional state frightened them.
You may want to write a cover letter describing your difficulties in performing your duties and what you have tried to do to alleviate the problem. This letter is usually most effective if it is not a request for discharge but an outline of the problems you are having.
The GI Rights Hotline may be able to help you find psychiatrists or licensed psychologists who are generally supportive and willing to learn about the military’s criteria and procedures.
It is not helpful to give the psychiatrist a detailed account of how the military has made life miserable for you. Instead, you can discuss your own feelings and actions without simply laying blame on the military.
While it is important to be honest, you may not want to give a psychiatrist self-incriminating information about illegal activity (drug use or homosexual acts, for example) unless you want such information to be included in the report. There is no patient-doctor confidentiality in the military! Usually it is most effective not to stress your desire for discharge but rather to focus on discussing the problems you are experiencing.
Nonmedical documentation of a personality disorder can be very helpful, but it should be in addition to a current psychiatric report. Friends, and sometimes a sympathetic chaplain or medical officer, can report problems that they have seen to your superiors. Letters from a concerned relative or family minister, or from professionals such as social workers or marriage counselors, may also be useful.
The Navy and Marine Corps usually require nonmedical evidence which cites specific examples of the member’s inability to function in the military. You can help to document a personality disorder by allowing its symptoms to show. Many members make strenuous efforts to control their problems while on duty, or you may simply have less visible or detectable symptoms. You can be open and honest about your symptoms, while being careful not to violate regulations in the process. For example:
If you hide your depression, you can talk about it or otherwise let it show.
If you have trouble concentrating, you can mention this to superiors and ask for help.
If you experience crying spells, you can cry openly.
If you experience difficulty keeping your anger under control, you can let your superior know you are having trouble without hurting or threatening anyone.
You can let your superiors know when you are experiencing difficulty more and more frequently.
Refer to specific Service regulations for a detailed description of the criteria for discharge and use these as guidelines for documenting each claim.
Type of Separation
Characterization of service for ODPMC will be either Honorable, General (under Honorable Conditions), or an Entry Level Separation. The member’s discharge document (DD 214) may specifically state “personality disorder” as the narrative reason for discharge. People who do not want to have psychiatric problems on their record (which may be requested by future potential employers) may prefer another discharge.
The following are some symptoms which may indicate personality disorders. Consider an ODPMC discharge if you:
are frequently depressed, or find yourself crying;
have feelings of helplessness;
lack self-confidence or feel worthless;
*have difficulty controlling your temper;
*ever act violently, or desire to;
have ever thought, even fleetingly, of suicide;
tend to feel out of control;
*have trouble concentrating, or “space out”;
have physical problems for which there are not obvious physical answers (headaches, pre-ulcerous conditions, rashes, etc.);
have difficulty sleeping;
have disciplinary problems in which you were not able to act as you wanted to;
have difficulty completing tasks or handling stressful assignments.
Members of the military may be referred to a mental health professional as part of an evaluation for discharge. For many servicemembers, this may be the first time they have visited a mental health professional or been asked direct questions about personal matters. It helps to know what to expect at the interview and to be prepared to talk about conditions and feelings which people often hide. Members can share personal thoughts and feelings and also be honest.
There are some things that could be used against a military member if they share the information with a mental health professional:
Anything Illegal: There is no confidentiality with a military psychiatrist and a civilian psychiatrist may decide that an illegal act should be included in the report.
Preservice offenses, drug use, illegal acts or psychiatric care that are not in a member’s enlistment record and could result in processing for fraudulent enlistment.
Members can share their feelings, rather than simply list their complaints. The member can talk about why military service is difficult for them rather than why they want to get out. They can emphasize the problem and how it interferes with performance of duties, not a desire for discharge. A mental health evaluator needs to know the member’s feelings, not logical explanations or psychiatric language.
Mental health tests can seem strange. Members may want to answer all questions and be as cooperative as possible. If there is a particular problem a member is having, they can be prepared to talk about it even if the interviewer does not ask specific questions about it.
Mental health professionals have been known to test patients. They may say, “This doesn’t sound serious”, or, “I think youre faking”. If this happens, the member can keep telling the interviewer about the problem and why they are serious. Walking out usually isn't helpful. The psychiatrist may ask point-blank about information that might be incriminating (for example, “Do you use drugs?”). Talk to a counselor in advance about how to respond to such questions.
Sometimes the psychiatrist will ask a member what they want, or if they want out. A member might say they do not know what alternative there is to a discharge, since they can not go on the way they are. They can make it clear that the problems are really bothersome and are the reason a discharge is appropriate.
Members can let an evaluator know if they:
have troubled sleep, or wake up exhausted;
have nightmares or troubled dreams;
sleep more than they think they should;
eat all the time;
have a sudden loss or gain in weight;
have nervous rashes, or break out;
have adrenaline rushes, their heart races, they get shaky or tremble;
have headaches, backaches, stomach troubles or other pains where the cause does not seem physical;
space out and lose track of where they are or what they are doing;
have trouble concentrating, especially at work;
have to have friends cover for them at work because they can not concentrate or keep up;
think about hurting themselves, now or in the past (including fantasies and planning on how to do it);
have ever contemplated suicide, however fleetingly;
think about hurting anyone else;
have to hold back from hurting anyone;
get into fights (remember that some fights may be grounds for disciplinary action);
break things (damaging government property can be grounds for disciplinary action);
are a loner;
feel they have lost their friends;
have to have people around them;
rely on their friends to keep them from freaking out.
Providing background information can help an evaluation. Members can say if they:
come from a broken home;
had an alcoholic parent;
had a parent who received psychiatric help, or whom they think needed help;
had a parent or family member who abused them, physically, sexually, or psychologically;
had a family that didnt give much love and support;
had a family that was so tight they had no room to breathe or be on their own;
got into legal trouble (however, if the military doesn’t know about this, it might cause trouble);
got suspended or kicked out of school;
dropped out of school;
had to see the school counselor sometimes;
saw a child psychologist or psychiatrist;
were counseled by pastors or teachers about problems;
got into fights or acted rowdy;
spent time in a reform school, jail or any kind of institution (again, if this comes as a surprise to the military, there might be problems);
ever tried to hurt themselves or other people;
ever freaked out, whether or not anyone else knew about it;
ever had problems with alcohol or problems with drugs (if they came in on a drug waiver, repeating that information is OK).