The judgment delivered on 12 March 2024 by His Honour Purcell starts with an apt and unnervingly accurate analysis of how difficult severe psychiatric nervous shock injury claims can be when he stated:
Consider a scenario of a young boy hit by a car, badly breaking his leg, with a subsequent surgery to repair the fracture but causing a rotational deformity in his leg. In this scenario, it is likely that the orthopaedic injury would still be easily identifiable if the same person was orthopaedically assessed as a young man, even if there had been other traumatic or life stressors happen to him throughout his adolescence and formative years.
Then consider a second scenario of a young boy who suffered a psychiatric injury because of a car accident. In this second scenario, it is likely that the psychiatric injury would not be so easily identifiable if the same person was psychiatrically assessed as a young man, if there had been other traumatic or life stressors happen to him throughout his adolescence and formative years.
Many people are exposed to psychiatric stressors throughout their life and, because you cannot see a mental health injury, it is often difficult to have a claim for a mental health injury accepted by the Transport Accident Commission.
In this instance, the plaintiff and his mother, who sustained her own nervous shock injury as a result of the accident, described that in the years following the accident the plaintiff’s performance at school dropped off to the point that he failed year 11 and was told to leave school or transfer to VCAL. He also suffered from nightmares and flashbacks so, at the young age of 14, he started regularly smoking cannabis to help him deal with these and allow him sleep.
During the hearing, the plaintiff was questioned about the other stressor in his life being the cause of his mental health consequences and the reason for commencing cannabis but, with mind to the “careful opinions from Ms [Vicki] Moore, who analysed …. school reports and other evidence and concluded within her relevant expertise that the decline in …. school performance was related to the compensable psychiatric injury. Her opinions are considered, logical and compelling for a conclusion … academic results were impacted by the claimed “serious” injury”, His Honour found that the plaintiff continued to suffer from mental health consequences and a substance use disorder and stated that, amongst other reasons, the plaintiff “had a compromised schooling because of his compensable injury, which has impacted his employability and employment options. That is of itself a very considerable consequence for a young person.”
Of note, the plaintiff was also resistant to seeking mental health treatment assistance. However, His Honour accepted “that the … condition is not one that is easily treated. The treatment involves psychological counselling which he finds triggering because it requires him to engage with and recall distressing matters.” In addition, while the plaintiff did more recently undergo some psychological counselling sessions, “[t]he treating psychologist … described … ongoing psychological difficulties, and the limited utility of ongoing psychological treatment because of the challenges that counselling had caused. In such a scenario, the … ongoing symptoms are long term.”