Can You Join the Military With Bipolar Disorder

Mark Esper testifies before the Senate Armed Services Committee during his confirmation hearing to be secretary of the U.S. Army in the Dirksen Senate Office Building on Capitol Hill November 2, 2022 in Washington, DC. Nominated by President Donald Trump, Esper is an Army veteran and currently serves as vice president of government relations for the giant defense contractor Raytheon.

WASHINGTON — The Army issued waivers over xiii months to more than 1,000 recruits who had been diagnosed and treated for mood disorders and 95 more than for self-mutilation, according to information obtained by USA TODAY.

The acceptance of new soldiers with a history of serious behavioral health issues, some of which can be lifelong challenges, came every bit the Regular army struggled to run across its recruiting goals. The time period ran from Oct. 1, 2016, through Oct. 31, 2017.

Last week, Regular army Secretary Mark Esper indicated that the Regular army issues waivers simply for mental wellness issues that have been resolved or upon further review were misdiagnosed. In that location were no waivers issued for a history of drug overdoses or suicide attempts.

"Equally the stigma of seeking therapy or counseling becomes less of an issue than when I grew up, yous'll see probably more cause for waivers," Esper said. "But again, the waiver is merely for an historical status that we look at and assess. We do not allow anybody in who is undergoing therapy, who is a cutter or was a cutter, identified clearly as a cutter or is using drugs. They are not allowed into the service. And I will non have them. Quality trumps quantity every single day of the week."

Mood disorders include atmospheric condition such as bipolar disorder and severe depression. Self-mutilation tin bespeak deep psychological issues.

"Bipolar in most cases is a lifelong claiming," said Elspeth Cameron Ritchie, a psychiatrist who retired from the Army as a colonel in 2010 and is an good on waivers for armed services service. "It is more than of a claiming when you're younger and is not something you can simply be clear of. You're oftentimes on medication for life."

A history of astringent low raises the risk of suicide, a problem the military machine sought to minimize in part by eliminating waivers for many behavioral health issues in 2009, Ritchie said.

Concluding fall, U.s. TODAY reported on Ground forces documents that showed the service tried to ease the waiver process for recruits with a history of cocky-mutilation, bipolar disorder and low. The Army encountered challenging recruiting goals, including adding more than than 76,000 soldiers this year. In 2017, it accepted more recruits who had fared poorly on aptitude tests, and information technology increased the number of waivers for marijuana apply.

Sen. John McCain criticized the service for accepting recruits who mutilated themselves.

McCain, R-Ariz., chairman of the War machine Committee, was outraged past the story and threatened in Nov to hold up nominations for Pentagon posts unless the Army axed the waiver practice. The next 24-hour interval, Gen. Marker Milley, the Regular army master of staff, announced that he had rescinded a memo on mental wellness waivers merely insisted that the document never had the outcome of policy. The only change, he said, was that the Regular army allowed a lower-ranking general officeholder to approve the waivers.

McCain blasted Ground forces witnesses at a commission hearing, saying none of the panel's members favored granting waivers for serious mental health conditions.

Figures obtained through a Freedom of Data Act asking show that from Oct. 1, 2016, through Oct. 31, 2017, the active-duty Army issued waivers to 738 recruits with a history of mood disorders and 49 more with a history of self-mutilation. The Army Reserve and National Guard accepted the rest of the recruits with behavioral health issues.

Soldiers with bipolar disorder often require medication such as lithium, Ritchie said. That medication must be monitored carefully, a task that may be impossible in austere combat environments far from laboratories.

Manic episodes of bipolar disorder can be triggered by slumber deprivation, a common occurrence in the war machine, she said. She recalled treating an Ground forces major who scrawled graffiti on walls during a "classic bipolar episode" while deployed to Due south Korea.

"When yous're manic, your judgment isn't skilful," Ritchie said. "You shouldn't be driving a tank when yous're manic. You shouldn't take a rifle if y'all're manic."

Accepting recruits with a history of behavioral health issues is risky — for the Army and the soldier, Ritchie said.

"It is apropos," she said. "It can exist very problematic. And we may be setting them up to fail."

The Ground forces is about ane,000 recruits behind its goal of recruits for this year.

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Source: https://www.usatoday.com/story/news/politics/2018/04/26/army-issues-waivers-1-000-recruits-history-bipolar-depression-self-mutilation/554917002/

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