job performance and her ability to maintain her position were severely impaired by her symptoms. Dr. Ferrell found that it was highly unlikely that any form of employment in the future was possible in the teaching profession, and that there was significant risk of re-injury or exacerbation of her condition if she were to return to work. (Exhibit 4.) Dr. Ferrell opined that Ms. Milton was no longer mentally capable of performing the essential duties of her job as a result of her depression. Dr. Farrell opined that Ms. Milton’s incapacity was such as be the natural and proximate result of the personal injury sustained or hazard undergone on account of which retirement is claimed. He concluded that there is causal relationship to Ms. Milton’s work as a teacher by application of the aggravation of a pre-existing condition standard. (Exhibit 4.) Dr. Silberman found that Ms. Milton appeared thin and fragile at the May 10, 2013 interview, with an anxious look. After reviewing Ms. Milton’s job description; her medical records from Dr. Accardi, Dr. Kenneth Harris and Dr. Hannah; the Nova progress notes and examining her, Dr. Silberman diagnosed Ms. Milton with major depressive disorder and mixed anxiety disorder with a fair prognosis. (Exhibit 4.) Dr. Silberman found no evidence of delusional thinking or perceptual distortions, but that Ms. Milton’s judgment was distorted by bias toward negative self-evaluations. Ms. Milton understood that she needed psychiatric treatment. (Exhibit 5.) In his assessment, Dr. Silberman opined that Ms. Milton was emotionally incapable of performing the essential duties of her job as described in the job description. Ms. Milton had long-standing symptoms related to mood and anxiety, but for most of her career as a teacher, she was able to function adequately despite her mental illness. Dr. Silberman found that in the last five years of her tenure, Ms. Milton did not fail to function. Rather, her functioning
job performance and her ability to maintain her position were severely impaired by her symptoms. Dr. Ferrell found that it was highly unlikely that any form of employment in the future was possible in the teaching profession, and that there was significant risk of re-injury or exacerbation of her condition if she were to return to work. (Exhibit 4.) Dr. Ferrell opined that Ms. Milton was no longer mentally capable of performing the essential duties of her job as a result of her depression. Dr. Farrell opined that Ms. Milton’s incapacity was such as be the natural and proximate result of the personal injury sustained or hazard undergone on account of which retirement is claimed. He concluded that there is causal relationship to Ms. Milton’s work as a teacher by application of the aggravation of a pre-existing condition standard. (Exhibit 4.) Dr. Silberman found that Ms. Milton appeared thin and fragile at the May 10, 2013 interview, with an anxious look. After reviewing Ms. Milton’s job description; her medical records from Dr. Accardi, Dr. Kenneth Harris and Dr. Hannah; the Nova progress notes and examining her, Dr. Silberman diagnosed Ms. Milton with major depressive disorder and mixed anxiety disorder with a fair prognosis. (Exhibit 4.) Dr. Silberman found no evidence of delusional thinking or perceptual distortions, but that Ms. Milton’s judgment was distorted by bias toward negative self-evaluations. Ms. Milton understood that she needed psychiatric treatment. (Exhibit 5.) In his assessment, Dr. Silberman opined that Ms. Milton was emotionally incapable of performing the essential duties of her job as described in the job description. Ms. Milton had long-standing symptoms related to mood and anxiety, but for most of her career as a teacher, she was able to function adequately despite her mental illness. Dr. Silberman found that in the last five years of her tenure, Ms. Milton did not fail to function. Rather, her functioning
Milton%2520%2528Lavora%2529%2520v.%2520Boston%2520Retirement%2520Bd%2520-%2520Decision%2520-%252002-17-2017.docx