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Military Medical Standards for Enlistment & Commission

Personality, conduct, and behavior disorders

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The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.

(See also Neurotic, Anxiety, Mood, Somatoform, Dissociative, or Factitious Disorders).

The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:

a. Personality (301), conduct (312), or behavior disorders, (313) as evidenced by frequent encounters with law enforcement agencies, antisocial attitudes or behavior, which, while not sufficient cause for administrative rejection, are tangible evidence of impaired capacity to adapt to military service.

b. Personality (301), conduct (312), or behavior (313) disorders, where it is evident by history, interview, or psychological testing that the degree of immaturity, instability, personality inadequacy, impulsiveness, or dependency will seriously interfere with adjustment in the military as demonstrated by repeated inability to maintain reasonable adjustment in school, with employers and fellow workers, and with other social groups.

c. Other behavior disorders, including but not limited to conditions such as authenticated evidence of functional enuresis (307.6) or encopresis (307.7), sleepwalking (307.6), or eating disorders that are habitual or persistent (307.1 or 307.5) occurring beyond age 12, or stammering (307.0) of such a degree that the individual is normally unable to express himself or herself clearly or to repeat commands.

d. Specific academic skills defects, chronic history of academic skills (314) or perceptual defects (315), secondary to organic or functional mental disorders that interfere with work or school after age 12. Current use of medication to improve or maintain academic skills.

Note: MEPS changed their acceptance standards for ADD/ADHD, effective on 4 June 2004. Under the new standards, a history of ADD/ADHD is disqualifying if the applicant has been on medication within the past 12 months, and/or if the applicant shows any significant impulsivity or inattention traits. Applicants who have been off medication for longer than 12 months and do not show any significant impulsivity or inattention during MEPS processing may now be accepted for enlistment. For details, see New Asthma, ADD/ADHD Standards.

e. Suicide, history of attempted or suicidal behavior (300.9).

Derived from Department of Defense (DOD) Directive 6130.3, Physical Standards for Appointment, Enlistment, and Induction, and DOD Instruction 6130.4, Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces.

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