The times I have read about issues with mental health problems with immigrant medical exam has dealt with 2 issues.
First past suicide attempts, second is with annulments in Philippines many times the reason for the annulment was psychological incapacity.
Both of these types of cases are usually referred to a specialist (psychologist). Where the applicant is interviewed and it is determined if they still have harmful behavior.
About seeing the specialist, it depends on the country, but usually the fee is not included so you will have to pay their fee, and how soon you can get an appointment depends on their schedule. It usually only delays the interview by at most 1-2 weeks. You will not be cleared to have your interview until you completed the medical exam to this is a must and can not be bypassed.
READ THE INFORMATION BELOW FOR MORE INFORMATION.
First past suicide attempts, second is with annulments in Philippines many times the reason for the annulment was psychological incapacity.
Both of these types of cases are usually referred to a specialist (psychologist). Where the applicant is interviewed and it is determined if they still have harmful behavior.
About seeing the specialist, it depends on the country, but usually the fee is not included so you will have to pay their fee, and how soon you can get an appointment depends on their schedule. It usually only delays the interview by at most 1-2 weeks. You will not be cleared to have your interview until you completed the medical exam to this is a must and can not be bypassed.
READ THE INFORMATION BELOW FOR MORE INFORMATION.
A harmful behavior is defined as an action associated with a mental or physical disorder that is or has caused -
Mental or Physical Disorders With Associated Harmful Behavior Only mental or physical disorders during which the applicant engages in or has engaged in harmful behavior that is associated with (due to) the mental or physical disorder will make an applicant inadmissible. As previously stated, no diagnosis of a mental or physical disorder by itself provides a basis for inadmissibility. There must also be a determination made regarding current harmful behavior or a history of harmful behavior, associated with or caused by the disorder, and the likelihood of associated harmful behavior to recur, in order to provide basis for inadmissibility. Thus, when evaluating an applicant for possible mental disorders, it is essential to assess for the likelihood of harmful behavior. Because there are mental disorders that are commonly associated with harmful behavior, it may be helpful to first look for the harmful behavior when assessing an applicant for a possible mental disorder. (See Figure 1) Mental disorders most frequently associated with harmful behavior include - •major depression, •bipolar disorder,•schizophrenia, and •mental retardation. These disorders occur within broader categories of disorders that can be grouped as - •Mood disorders that include major depression and bipolar disorders and can be associated with high rates of suicide and aggression. •Anxiety disorders that include post-traumatic stress disorder, panic disorders, phobias, and anxiety disorders and can be associated with harmful behavior. •Personality disorders that include antisocial, paranoid, and borderline personality disorders and can be associated with impulsive acts of violence. •Sexual disorders that include paraphilias. •Schizophrenia and other psychotic disorders that can be associated with delusions, paranoia, suicide, and aggressive acts. •Disorders usually first diagnosed in childhood that include mental retardation and conduct disorder and are often associated with harmful behaviors. In addition, other cognitive disorders, such as dementia, can be associated with harmful behaviors. •Substance-related disorders that include substance dependence or abuse. For specific substances listed in Schedule I-V of Section 202 of the Controlled Substances Act (see Appendix C), no associated harmful behavior is required for the applicant to have a medically inadmissible condition based on substance abuse/dependence (please see above for the determination of substance abuse/dependence). The panel physician is reminded that for substances not listed in Schedule I-V such as alcohol, that abuse or dependence is evaluated as a mental disorder and determination of associated harmful behavior is required for applicant to have a medically inadmissible condition. With alcohol dependence or abuse there is often associated harmful behavior during periods of intoxication and withdrawal. Current Harmful BehaviorIf the applicant is currently engaging in harmful behavior, that is, harmful behavior (see definition above) that has continuously occurred and seems ongoing, the panel physician must evaluate whether the actions may be indicative of a mental disorder. Future Harmful BehaviorIf the applicant presently is or in the past has engaged in harmful behavior associated with a physical or mental disorder, the panel physician must evaluate whether the harmful behavior is likely to recur. Many factors enter into this determination of classification, and the decision requires clinical judgment. At a minimum, the underlying physical or mental disorder must be either in remission or reliably controlled by medication or other effective treatment. As a general guideline, when a mental or physical disorder has a favorable prognosis and is in remission or under control but there was associated harmful behavior, if it has been 12 months since the harmful behavior occurred, the harmful behavior is less likely to recur. Class A and Class B Medical ConditionsClass A medical conditions are inadmissible conditions and include an applicant who is determined to have -
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The Above information came from the link below, for more information click on the link.
Technical Instructions for Physical or Mental Disorders with Associated Harmful Behaviors and Substance-related Disorders for Panel Physicians
Additional information can be fourn