austlii:nsw/NSWPIC/2025/603
General information, not legal advice.
NSWPIC
2025-11-11
Original judgment source is linked above.
Abraham v Allianz Australia Insurance Limited [2025] NSWPIC 603
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; assessment of damages pursuant to (3) and (4); non-economic loss; injuries included resolved physical injuries and ongoing psychological against a background of pre-existing psychological conditions; significant aggravation; - past and future economic loss; high earner unable to return to work; future economic loss no earning capacity; weekly loss to age 67 with deduction of vicissitudes of 25%.
issued in accordance with s 7.6 (1) of the Motor Accident Injuries Act 2017
(a) the quantum of damages for non-economic loss;
(b) the quantum of damages for past loss of earnings or past loss of earning capacity, and
(c) the quantum of the claimant's damages for future loss of earnings or future loss of earning capacity.
(a) the insurer had made payments under s 3.40(1)(b) of the MAI Act (statutory benefits paid) in the sum of $204,246.88;
(b) payments made by the insurer under s 4.5(1)(d) of the MAI Act (Fox v Wood damages) amount to $nil.
(a) submissions of both parties;
(b) application for damages under common law dated 8 May 2020;
(c) statements:
(i) Rosalind Elizabeth Abraham dated 31 January 2023 and 21 July 2025;
(ii) Neil Stollznow dated 3 December 2019, 26 January 2021,20 January 20203 and 16 July 2025;
(iii) Anthony Abraham dated 20 January 2023;
(iv) Alexander Finnis 20 November 2019;
(d) Commission medical assessments:
(i) Medical Assessor Dr Mason dated 15 March 2022 and 4 April 2023;
(ii) Review Panel Determination Member Williams and Medical Assessors Canaris and Roberts dated 3 December 2024;
(iii) Delegates determinations dated 21 February 2023 and 19 July 2023;
(e) medico-legal reports:
(i) Dr Bodel dated 28 October 2020 (claimant);
(ii) Dr Hyde Page dated 10 December 2020 (insurer);
(iii) Dr Whetton dated 27 October 2020 (claimant);
(iv) Dr Anderson dated 16 October 2020 and 27 March 2025 (claimant);
(v) Dr Baron-Levi dated 24 September 2022, 4 April 2023 and 13 July 2025 (insurer);
(vi) Dr McIntosh dated 29 October 2021 (insurer);
(vii) Dr Sekel dated 21 May 2023 (insurer);
(f) vocational Assessment:
(i) Craig Martin dated 14 June 2022;
(g) treating records Lynette Tull psychologist (A20-24);
(h) report Dr Khan dated 7 February 2024 - consultant psychiatrist;
(i) report Dr Milic - clinical and forensic psychologist dated 16 May 2023;
(j) clinical records various (A25-37) and (R14 to R60);
(k) statutory declaration of claimant dated 22 February 2019;
(l) statutory declaration of Neil Stollznow dated 17 February 2019;
(m) letter from NSW Police dated 22 October 2019;
(n) records Sydney Local Court (R67);
(o) records NSW Police (R68);
(p) employer personnel files (R69 to R71);
(q) certificates of capacity, and
(r) economic loss documentation:
(i) professional summary;
(ii) academic transcript;
(iii) payslips 27 March 2017 to 12 March 2018;
(iv) insurer's earning capacity assessment;
(v) insurer assessment PAWE;
(vi) tax returns 2014 to 2023;
(vii) references (A47 to A49);
(viii) clicks IT records (A50 to A52).
claimant sustained injuries in the subject accident.
The incorrect history given as to when the ATO role took place.
"And I want to suggest to you it wasn't immediately after the accident, it was a matter of months"
"It was a stage by stage deterioration but, yes, I stand by my statement that her mental health post-accident was almost immediate, was affected in the following days and weeks, The nature of it changed but she was a nightmare".
"Are you prepared to tailor your evidence to suit Rose's case?
"Certainly not, I'd just like to add, my profession is a market researcher and one of the things that market researchers always have as a basis is a very clear and unambiguous commitment to the facts similar to our learned friends. So my evidence is the best of my recollections, It is not tailored to give positive or negative outcome and I have been as forthcoming as I possibly can be with the ability within the ability to recall events as they took place eight years ago".
"It doesn't make a material difference to the review panel's findings because they were already aware of all the important information about her functioning before the accident and after the accident and the other contributing causes of her condition and I would emphasise again that despite her pe-accident psychological history and the problems she was having with the neighbour and whatever other problems she may have had she was... working right up until , in fact six weeks before the accident.... She was despite her vulnerabilities, was a high functioning woman leading a happy life".
" The degree of permanent impairment of the claimant that has resulted from an aggravation of an unspecified mood disorder and substance use disorder caused by the motor accident on 25 March 2018 is 16%."
"54. The Panel has considered the pre and post records..include reference to the following matters
(b) 21 Apil 2011 - Lexapro withdrawal
(c) 30 November 2011 ..40mg warned high dose
(d) 11 January 2012 -mood swings worse, anxiety increasing, rowing with friend..Poor sleep. Weepy, poor concentrations..
(e) 8 May 2012 -use of boyfriends Clozapine
(f) 19 June 2013- referred to Lesley Bainbridge psychologist. Difficulty sleeping...feels anxious and lonely
(g) 17 September 2013- referred to Dr Miller psychiatrist, taking Clozapine two years without anyone's knowledge.. on Lexapro for about seven years
(h) 11 November 2013 - having more anxiety.
(i) 21 November 2013 - low mood on Cymbalta
(j) 9 December 2013 -..working form home 3 days still seeing clients, feels anxious. use of ice and prior .last marijuana Oct 31
(k) 11 December 2103 too sedated o 60mg Cymbalta
(l) 27 March 2014 - low affect, quit job.. too stressed by it..thought of self-harm depression with melancholic features
(m) 20 January 2015 - altercation with boyfriend altercation with boyfriend. Police involvement. Mental health team..Catastrophising, and
(n) 21 January 2015..suicidal ideation"
(a) attendance on 25 March 2018 by 13Sick National Home Doctor (day of subject accident);
(b) clinical notes on 6 June 2018 of Dr Robertson - claimant telephoned and rebooked several times following the accident...On 8 June, she had a home visit from Dr Roberston who refers to the accident which reportedly shook her confidence. She was noted to have physiotherapy but otherwise no treatment. Not on any medication but was smoking six cones. THC daily;
(c) home visit 22 June 2018. claimant emotionally labile. tearful and apologising and fragmented;
(d) 9 July 2018, surgery received a call from a friend, claimant in a "manic state";
(e) 20 August 2018 practice rang "crying hysterically having taken an overdose of Panadol and Xanax and was attended by ambulance with police assessment;
(f) 2 June 2019 St Vincents acute care team attendances and diagnosis of depression and cluster B vulnerabilities;
(g) 19 January 2020 -anxiety disorder and post-traumatic stress noted in a fitness to drive assessment;
(h) 3 March 2020 referral to Daud Saeed psychiatrist;
(i) 24 March 2020 notes of Dr Saed documents use of ice, trauma history, betrayal in an emotional intimate relationship 2014-2016;
(j) discharge summary St Vincents hospital admission 30 March 2020 to 2 April 2020 use of crystal meth, cannabis and Xanax. Withdrawal of CMA use;
(k) 24 April 2020 records ceased use of olanzapine but regular cannabis and weekly CMA;
(l) St Vincents Emergency 17 April 2023 concerned family, claimant may have overdosed, did not stay for assessment;
(m) police PACER request dated 30 April 2023;
(n) Myhealth Potts Point records. Accident in which she is said to have "suffered head injury" 27 June 2023 letters of Dr Johnson requesting access to financial assistance from superannuation, listing diagnoses of chronic anxiety/depression, agoraphobia and post-traumatic stress disorder. The claimant is said to have shown no improvement in her mental health over the time that Dr Johnson has known her with exacerbation of her mental health difficulties from social stressors. She is unable to work, facing financial hardship. And had been recently diagnosed with hyperthyroidism which was said to have exacerbated her mental health difficulties;
(o) 31 July 2021 MRI brain normal;
(p) various instances of substance use, social isolation and amplification of symptoms;
(q) records of Ms Tull identifying claimant too emotionally unstable to sustain work as at
3 November 2019, and 21 March 2021 post-traumatic stress disorder, mixed anxiety, depression and substance abuse in the form of self-medication and presented as a consequence of the accident but with exacerbation from life events such as poor relationship with main supporter conflicts with property developers, feelings of loss of identity since the accident sending her into a severe depression, and
(r) report of Ms Tull 7 November 2022 disagreeing that the claimant was exaggerating her condition and malingering, the claimant's condition was attributable to pre-existing mental illness.
22 June 2014, 22 June 2014 and 19 January 2015, 25 May 2015 and 18 September 2015. 27 September 2016, 7 February 2017, 2 April 2017, 11 May 2017, 6 June 2017,
13 June 2017 and 24 December 2017. 2. Post accident neighbour issues March 2018, 10 May 2018, January 2019, 6 February 2019, March and April 2019, August 2020 and April 2021. 27 November 2021 positive breath test -detection to methamphetamines subsequent arrest. 10 August 2022 neighbour dispute resulting in a charge, court appearance on 30 April 2023 for breach of AVO and further incidents over 8 separate occasions in 2023 and April and May 2024. 3. The panel considered the statement of Mr Finnis as to the description of the claimant given that she was "in a bit of a state" and appeared very shocked immediately post-accident. 4. The panel reviewed the claimant's statements dated 31 January 2023, her statutory declaration dated 22 February 2019, Mr Stollznow's statements dated 3 December 2019,
20 January 2023, his statutory declaration made 17 February 2019. 5. The panel appears to have had the benefit of the pre-accident work and psychological history and the post-accident stressors with the neighbour which were included in the history provided, the police and hospital records and the further statements of the claimant and Mr Stollznow. 6. There was extensive material before the panel including the claimant's and insurer's submissions similar to that provided to support the damages assessment before me. The submissions of the insurer submitted the records demonstrate a significant extent of pre-existing psychological compromise together with non-accident related ongoing stressors. The claimant's that the evidence establishes her ability to function significantly deteriorated following the accident. Arguing the evidence does not support a finding that her condition would have progressed to its present state if the accident had not occurred. 7. The claimant was re-examined by the panel on 29 October 2024. 8. The current symptoms were recorded:
"161. symptoms comprise anxiety, depression, despondency, panic attacks, agoraphobia, insomnia, feelings of abandonment and isolation and social withdrawal. It was also noted that there were multiple occasions on which she was described as "manic", agitated, angry and aggressive. The substance use history was noted, as was her claim that she was now abstinent from alcohol and drugs".
(a) self-Care and Hygiene: Class 3 moderate impairment
(b) social and recreational activities: Class 3 moderate impairment
(c) travel: Class 2 ability to undertake very brief local journeys by herself.
(d) social functioning: Class 3 The severity of her symptoms and her presentation at interview would potentially undermine establishment of new relationships. Impairment was considered moderate.
(e) concentration pace and persistence Class 3: Her presentation at the re-examination was "discursive and disinhibited. she has a moderate impairment."
(f) adaptation class 4: "She has not been working saying her head was in a mess", The Medical Assessors determined the claimant was not employable on the open labour market in her current state as a result of her unspecified mood disorder and comorbid substance use disorder. The Medical Assessors particularly noted the disorganised and disinhibited presentation at the re-examination with lability of mood which would make open labour market employment impossible, she would similarly be too disorganised for self-employment. The claimant continued to care for her dogs, reflecting some residual adaptation. The Medical Assessors determined that she had a severe impairment."
(g) the base assessment of whole person impairment (WPI) was 22%. The exercise of assessing the pre-existing disorders and their impact on function resulted in a WPI of 6%. The panel was satisfied the claimant suffered substance disorder and unspecified mood disorder before the subject accident. After the adjustment WPI directly attributable to the subject accident was WPI of 16%.
(h) the panel also relied upon the evidence of the claimant's father and Mr Stollznow to support a deterioration in her post-accident functioning.
" 211. The panel is satisfied that the timing, nature and worsening in symptoms of the unspecified mood disorder and substance abuse disorder support a finding that the accident caused a material and permanent aggravation of the pre-existing conditions.
212. The panel finds that the accident was a necessary condition of the aggravation of the unspecified mood disorder and substance use disorder, and that, but for the accident the aggravation of these conditions would not have occurred."
(i) whilst the insurer argued that the circumstances of the accident was minor and features to a limited extent in the clinical records, the clinical judgment of the Medical Assessors Canaris and Roberts both of whom are psychiatrists and qualified to assess psychiatric impairment rating scales cl 6.217 guidelines and considered the impairment was evident at the time of their assessment. The panel adopted their clinical findings, and
(ii) the panel addressed the concerns of the insurer as follows:
"217. In addition to arguing that there was significant pre-existing psychological compromise, the insurer submits that there are non-accident related ongoing stressors. The insurer argues that the claimant's current presentation is a manifestation of these unrelated issues"
218. The insurer submits that the available post-accident medical evidence identifies significant non-accident related stressors which are primary, if not sole, cause of the claimant's current complaints.
219. The panel found that the pre-existing unspecified mood disorder and substance use disorder were aggravated as a result of the accident, and that the claimant has a permanent impairment caused by the accident."
220. The Panel agrees with and adopts the reasons given by the medical members of the panel for the conclusion that there was no subsequent impairment.
221. The panel is not satisfied there is objective evidence of a subsequent and unrelated injury or condition resulting in permanent impairment."
"In my opinion there was evidence that Ms Abraham satisfied the DSM5 criteria for a
diagnosis of Borderline Personality Disorder (BPD). I suggest that her pre and post
accident criminal behaviour as well as the interpersonal and performance difficulties she
experienced at work prior to the subject accident were directly a result of her BPD. J am
of the view that Ms Abraham's erratic behaviours, substance abuse, her low self esteem
and depression were all comorbid with her BPD. I suggest that the Medical Assessors
Drs Williams, Canaris and Roberts who were of the view that Ms Abraham was suffering
from an unspecified mood disorder and substance abuse did not canvas widely enough to
consider that Ms Abraham was suffering from a personality disorder."
"an aggravation of an unspecified mood disorder and substance use disorder caused by the motor accident".
(a) unspecified mood disorder;
(b) substance use disorder;
(c) high levels of anxiety;
(d) emotional instability;
(e) problems with anger management;
(f) irritability;
(g) social withdrawal;
(h) depression as evidenced by excessive sleep;
(i) regular thought about suicide;
(j) sudden mood swings;
(k) inability to understand other people's thoughts and motivations;
(l) Inability to focus and complete a single task;
(m) stress and anxiety over minor issues that are part of everyday life;
(n) insomnia;
(o) regular preoccupation with the accident;
(p) loss of enjoyment of life;
(q) reduced cognitive ability including problem solving;
(r) significant impairment in concentration;
(s) avoidance of driving, and
(t) mistrust of people.
(a) visits in the morning and after work;
(b) purchasing groceries;
(c) noting appointments;
(d) taking her to appointments;
(e) reminding her about things and events;
(f) accompanying her when she left her house;
(g) picking up parcels from the post office;
(h) getting her prescription medication for her, and
(i) providing emotional support and encouragement.
"She was stylish and fun and could have interesting and interactive conversations with myself and others. She struck me as a very intelligent and capable woman. She had her two dogs whom she loved but was happy to be separated from to have a social life."
Impact of injuries on claimant's earning capacity
25 March 2018 - 30 June 2018: $1,850 x 14 weeks = $25,900
1 July 2019 - 30 June 2020: $1,921 x 52 weeks = $99,892
1 July 2020 - 30 June 2021: $1,902 x 52 weeks = $98,904
1 July 2021 - 30 June 2022: $1,980 x 52 weeks = $102,960
1 July 2022 - 30 June 2023: $2,085 x 52 weeks = $108,420
1 July 2023 - 30 June 2024: $2,223 x 52 weeks = $115,596
1 July 2024 - 30 June 2025: $2,307 x 52 weeks = $119,964
(a) with Test Pro as a technical consultant which included a final formal warning on 21 May 2012, and
(b) with Ticketek where termination took place on 15 August 2016.
25 March 2018 - 30 June 2018: $1,850 x 14 weeks = $25,900
1 July 2019 - 30 June 2020: $1,921 x 52 weeks = $99,892
1 July 2020 - 30 June 2021: $1,902 x 52 weeks = $98,904
1 July 2021 - 30 June 2022: $1,980 x 52 weeks = $102,960
1 July 2022 - 30 June 2023: $2,085 x 52 weeks = $108,420
1 July 2023 - 30 June 2024: $2,223 x 52 weeks = $115,596
1 July 2024 - 30 June 2025: $2,307 x 52 weeks = $119,964
14 June 2022. Mr Martin noted that on the basis of the claimant's injuries, level of education, training, and experience, no suitable employment occupations are open to the claimant. It was opined that the claimant was unemployable on the open labour market on account of her physical and psychological injuries. But for the accident, it was opined that the claimant had capacity for the following roles:
(a) ICT Business Analyst $2,845 gross/pw (as at May 2022), and
(b) Analyst Programmer $2,442 gross/pw (as at May 2022).
$2,328 x 603 less 15% for vicissitudes = $1,193,216
$2,328 x 603 less 25% = $1,403,784 - $350,946 = $1,052,838
Superannuation claims on $1,052,838 x 14.65% =$154,240.76
Damages for Accommodation or travel costs expenses
"The claimant has been diagnosed with PTSD with Agoraphobia. Her evidence, as well as the evidence from her psychologist and her carer is that she is struggling with usual activities of daily living and requires assistance (supervision, ensuring she keeps her appointments and compliant with medication, assistance with transport). Her carer visits her almost daily. The claimant has difficulty driving and she has been relying on her carer's assistance with travels to her medical appointments."
an allowance of $30 per week = $30 pw x 894 = $26,820.
Total of economic losses and non-economic loss $ 2,466,258.92
Abraham
Allianz Australia Insurance Limited [2025] NSWPIC 603;