Manual of the Medical Department (NAVMED P-117): Chapter 15: Medical Examinations: Physical Standards

15-54 Psychiatric

Department of the Navy
Bureau of Medicine and Surgery

(a) Psychosis or authenticated history of a psychotic illness ether than those of a brief duration associated with a toxic or infectious process.

(b) Affective disorders (mood disturbances), symptoms, diagnosis, or history requiring:

(1) Hospitalization.

(2) Prolonged care by a physician a other professional.

(3) Loss of time from normal pursuits for repeated periods even it of brief duration.

(4) Symptoms or behavior of a repeated nature which impairs social, school, or work efficiency.

(5) History of a brief affective disorder or nervous disturbance within the preceding 12 months which was sufficiently severe to require medical attention or absence from work a school.

(c) Anxiety, (somatoform, dissociative, or factitious disorders), symptoms, diagnosis, a history requiring:

(1) Hospitalization.

(2) Prolonged care by a physician or other professional.

(3) Loss of time from normal pursuits for periods even if of brief duration.

(4) Symptoms or behavior of a repeated nature which impairs social, school, w work efficiency.

(d) Personality, behavior, or learning disorders

(1) Personality a behavior disorders, as evidenced by frequent encounters with law enforcement agencies, antisocial attitudes a behaviors which are tangible evidence of an impaired characterological capacity to adapt to the military service.

(2) Personality or behaving disorders where it is evident by history, interview, a psychological testing that the degree of immaturity, instability, personality inadequacy, impulsiveness, w dependency will seriously interfere with adjustment in the Navy as demonstrated by repeated ability to maintain reasonable adjustment in school, with employers and fellow workers, and other social groups.

(e) Other behavior problems including but not limited to conditions such as authenticated evidence of functional enureses, sleepwalking, sleep disorders, parasomnia, or eating disorders which are habitual w persistent. Stammering or stuttering of such a degree that the individual is normally unable to express themselves clearly or to repeat commands.

(f) Specific learning defects sufficient to impair capacity to read and understand at a level acceptable to perform military duties must be addressed administratively.

(g) Suicide, history of attempted suicide or suicidal gesture.

(h) Psychosexual conditions.

(1) Homosexual behavior, which include all homosexual activity except adolescent experimentation.

(2) Transsexualism and other gender identity disorders

(3) Exhibitionism, transvestism, voyeurism, and other paraphilias.

(i) Substance misuse

(1) Chronic alcoholism or alcohol addiction or de pendence

(2) Drug addiction w dependence.

(3) Drug abuse characterized by:

(a) The evidence of use of any controlled hallucinogenic, or other intoxicating substance at the time of examination, when the use cannot be accounted for as a result of the advice of a recognized health care practitioner.

(b) Documented misuse or abuse of any controlled substance (including cannabinoids) requiring professional care within the year prior to examination. Use of marijuana a other cannabinoids (not habitual use) or experimental or casual use of other drugs short of addiction or dependence may be waived by competent authority as established by Navy, if there is evidence of current drug abstinence and the individual is otherwise qualified for service.

(c) The repeated self procurement and self administration of any drug or chemical substance, including cannabinoids, with such frequency that R appears the applicant has accepted the use of a reliance on these substances as part of their pattern of behavior.

(4) Alcohol abuse. Repeated use of alcoholic beverages which leads to misconduct, unacceptable social behavior, poor work w academic performance, impaired medical or mental health, lack of financial responsibility, or a disrupted personal relationship within 1 year of examination.