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TMU referred to chief medical officer- hair pulling

Hi, been browsing the forum hoping someone might post something on this, but no luck - so I have finally signed up.
my son has been referred TMU for a single episode of trichotillomania (hair pulling) more than 5 years ago- had PR after getting further info from his GP, now he has been advised that his case has been referred to the Chief Medical Officer... Has anyone come across this condition before? didn't occur to him (or us) that this would be an issue, but there seems to be some question over whether it constitutes 'self harm' or not...? he's starting to feel quite frustrated at the toing and froing - is it wowrth him continuing his application? - he was never prescribed any medication, and it has never caused any issues, health wise or otherwise...
 

fishhead

War Hero
Hi, been browsing the forum hoping someone might post something on this, but no luck - so I have finally signed up.
my son has been referred TMU for a single episode of trichotillomania (hair pulling) more than 5 years ago- had PR after getting further info from his GP, now he has been advised that his case has been referred to the Chief Medical Officer... Has anyone come across this condition before? didn't occur to him (or us) that this would be an issue, but there seems to be some question over whether it constitutes 'self harm' or not...? he's starting to feel quite frustrated at the toing and froing - is it wowrth him continuing his application? - he was never prescribed any medication, and it has never caused any issues, health wise or otherwise...
@wannabenavymum I am not medically qualified nor am I part of the recruiting system but I have learnt while reading other similar posts is that certain medical conditions spark a TMU rating because the person looking at the documents has not got sufficient authority to wave it through. It is put on hold until someone with the relevant qualifications can have look.
Good luck to your Son and yourself.
 

norbastard90s

Midshipman
@wannabenavymum I'm not part of the recruitment system or in the Navy (yet!) but my civvie background has been mostly in the medical world before I chose to join the Navy.

Trichotillomania was a frequent symptom of patients in my care who suffer from OCD/Anxiety/Stress disorders and so, therefore, in the case of the Capita Medical, this will fall under their conditions to barring entry. At what age did your son have this episode of hair pulling?

It is a bit naff because of the individual circumstances, and as Fishhead has said it's a decision to be made by someone higher up in CNR's staff.

Hopefully that helps explain the reason why your son's application has had to be pulled up for this.
 
For the OP. ^ Above replies offer an accurate description of such cases (from another non-medic but frequent visitor/poster at RR.)

Albeit an 'Unofficial RN Website' RR is often used as a last chance saloon for a wide range of Q's, especially medically related, that are not easily answered elsewhere.

Please relax and have confidence that common sense is likely to overturn that TMU.

Then advise your younker that, once on the trained strength, 'hair pulling' is prevalent at all levels and regarded as an acceptable Dog Watch pastime (to defray the bouts of frustration often encountered within the RN - Just long as it is only ones own hair, BTW).

Exceptionally, the Regulating Branch/RN Police are the only ones still allowed to haul persons along by the short & curleys for no apparent reason: Has younker considered applying for that ilk?


Off thread but pertinent:
He got mildly told off for trying to help, and not unreasonably [email protected] off!

:eek: Heavens to Murgatroid, Mergatroyd or even Mergatroid !

Another valuable asset lost to RR., FGS!:mad:

After Soliel (and possibly Stan the Man) one may be forgiven for feeling that sinister persons are standing on/cutting the oxygen supply from RR's finest...

Not November Sierra (Paid Hand in Continuation) But Papa Tango? Sierra Delta? We should be told!
 
"Another valuable asset lost to RR., FGS!:mad:"

Over sanitization carries the very real risk of reducing the patient (RR) to a state of sterile impotence...Some think we are almost, if not, already there...
 

Ninja_Stoker

War Hero
Moderator
Hi, been browsing the forum hoping someone might post something on this, but no luck - so I have finally signed up.
my son has been referred TMU for a single episode of trichotillomania (hair pulling) more than 5 years ago- had PR after getting further info from his GP, now he has been advised that his case has been referred to the Chief Medical Officer... Has anyone come across this condition before? didn't occur to him (or us) that this would be an issue, but there seems to be some question over whether it constitutes 'self harm' or not...? he's starting to feel quite frustrated at the toing and froing - is it wowrth him continuing his application? - he was never prescribed any medication, and it has never caused any issues, health wise or otherwise...
Sorry to hear of the understandable frustration but all issues potentially related to mental health conditions have to be treated on a case by case basis by the relevant service medical experts. The reason for the rigorous health screening is to safeguard the wellbeing of the individual and equally as importantly, those who may need to rely upon them in situations of extreme duress in potentially life-threatening operational situations.

Whilst not qualified to give definitive medical advice in specialist areas, but only apply common sense guidance to manage realistic expectations; I'd imagine the underlying causes of the condition will need to be looked into and the likelihood of recurrence under the stress of operational service will be critical factors in determining future medical suitability for service.

Hopefully the history is a one-off incident with no related issues and everything goes his way, as we all hope. The background has to be fully checked-out, as I'm sure you'll appreciate, to ensure we observe duty of care requirements and unfortunately, this takes time as there are literally thousands of people being screened for entry into the Naval Service.

He is under no obligation to join the service and if he wishes to withdraw his application all he needs do is notify his AFCO, but hopefully he feels the job is worth the time and effort. My advice is to use the time to his advantage and continue his physical preparations to join the service - the fitter he is, the easier training will seem.
 

Sumo

War Hero
ninja well said, also use his time to learn to wash and iron his cloths to a very high standard, an area many struggle with, clean footwear also at all time. Being physically fit and able to look after ones own kit are a small part of basic training but rise to many as a stumbling block. Good luck to your lad.
 
Thanks all, for your replies- I guess he will just have to wait and see- I absolutely understand why the forces need to be scrupulous about medical issues . The episode was when he was 15. The GP decided it didn't need treatment, and it hasn't affected him in any way, other than slightly sparse eyebrows....hes pretty fit, but working on the fitness- ill buy him a new iron and some boot polish in the meantime!

If any of you come across anyone going through recruitment with the same condition, id be really interested to hear...
 

Ninja_Stoker

War Hero
Moderator
Thanks all, for your replies- I guess he will just have to wait and see- I absolutely understand why the forces need to be scrupulous about medical issues . The episode was when he was 15. The GP decided it didn't need treatment, and it hasn't affected him in any way, other than slightly sparse eyebrows....hes pretty fit, but working on the fitness- ill buy him a new iron and some boot polish in the meantime!

If any of you come across anyone going through recruitment with the same condition, id be really interested to hear...
To be honest, I've been a recruiter for 14 years (just starting to get the hang of it) & have not come across it previously, so my guess is that neither had the medical examiner and hence the reason for checks & cross-checks.

Fingers-crossed, it'll be nothing of concern.
 

norbastard90s

Midshipman
From a purely medical viewpoint, the fact the incident - though a one off - happened when he was 15 is why they would be more interested in looking into it than say if it happened when he was 5.

It all comes down to how healthcare professionals choose to classify conditions; as a trend, my patients were young adults to elderly and exhibited other mental health issues, whereas if hair pulling occurs at a very young age it is normally treated as a separate issue rather than a possible response to a wider issue.

Hopefully this puts it into context. Obviously, it sounds like your son is in good overall health and as Ninja rightly said if he wants this job then he'll be willing to pull through this TMU, which I hope he does too.

Best of luck to you both!
 
Thought I would get back out of courtesy, as people have made the effort to advise... PMU unfortunately.... due to it being linked to anxiety in late teenage ...He's gutted of course, but ironically (- sorry, does that sound bitter!?) hes pretty well grounded and has the emotional resilience to move on...a couple of days of tea and sympathy should do it...Thanks for all you help
 

Ninja_Stoker

War Hero
Moderator
Thought I would get back out of courtesy, as people have made the effort to advise... PMU unfortunately.... due to it being linked to anxiety in late teenage ...He's gutted of course, but ironically (- sorry, does that sound bitter!?) hes pretty well grounded and has the emotional resilience to move on...a couple of days of tea and sympathy should do it...Thanks for all you help
Sorry to hear of this outcome.

To follow-up on this, in the event a date in which he can re-apply is not indicated in the letter, it maybe worth seeking clarification. Permanently Medically Unfit (PMU) can simply mean "at this moment in time" or it can mean "never".

Some conditions can subsequently be considered "cured" if a period of time has elapsed, symptom & treatment-free, indicating minimal chance of future recurrence but they would still be declared PMU if that period has not yet elapsed.

A brief, polite letter to the sender of the of the medical rejection letter asking if they can "advise under what, if any, future circumstances I could potentially meet the medical standards for entry" it will enable him to either draw a line under this particular career avenue, or have a target date to re-apply.

Subject to the severity of the condition it may also be worth making inquiries with regards the RFA as they have different, Board of Trade medical standards.

Wherever life takes him, we wish him well.
 
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