17 In August 1997 following the fourth incident, the plaintiff began "to lose the ability to cope as well as I had done in the past". In September 1998 he was experiencing difficulty with concentration, retention of information, and headaches. Additional symptoms experienced by the plaintiff in late 1998 included low energy levels, aching joints, difficulty in decision-making, and loss of interest "in everything". The plaintiff stopped playing sport, gained 15kg, had difficulty sleeping and became irritable and forgetful.
18 In 1998 the plaintiff began having difficulty in dealing with some aspects of his employment. He experienced problems with decision-making, lost confidence, and became agitated, disappointed with his life and began to suffer mood swings.
19 In October 1999 the plaintiff was suffering from symptoms of a general feeling of hopelessness and helplessness. On 21 October 1999, while feeling a sense of hopelessness and helplessness, the plaintiff experienced an anxiety attack at work. On 22 October 1999 he sought assistance from Dr Williams for symptoms of anxiety and being unable to control his moods. On 11 November 1999 Dr Williams prescribed him medication to control his anxiety.
20 On 1 November 1999 the plaintiff consulted Geoffrey Orme, a psychologist. The plaintiff was agitated, distressed, suffering panic attacks, and experienced symptoms of depression and anxiety. Mr Orme diagnosed him as suffering from an adjustment disorder with mixed features of anxiety and depression as a result. With the plaintiff's permission, Mr Orme contacted Dr Williams. Medication was discussed and the plaintiff was commenced on Aropax (report 26/04/2000). The plaintiff, during cross examination said that when he consulted Mr Orme he did not know is he was complaining of depression (t 20.22). There are two things to be said about these consultations with Mr Orme. The first is that a psychologist does not usually make a diagnosis of a psychiatric disorder. The second is that even if he did, it is my view that the plaintiff was not told that he had an adjustment disorder, nor did he know he was suffering the diagnosable psychiatric condition of depression. The Police Department refused to pay for any more consultations with Mr Orme. As a result the consultantions ceased.
21 The counselling that the plaintiff had received, up to this point, focused on the events he had witnessed or was about to witness. The advice given to himpertained to the psychological symptomology that he might experience in the short term. While there can be no doubt that by 1 November 1999 the plaintiff was aware that he was suffering difficulties in relation to his mood, he was not aware that he was suffering from a diagnosable psychiatric illness.
22 On 7 February 2000 the plaintiff first consulted a psychiatrist Dr Tsang. On 15 February 2000 in his claim for hurt on duty, the plaintiff wrote, "On all of these occasions, I did not receive proper de-briefing and I feel that this has contributed to my illness." (Ex 1) During cross examination the plaintiff was asked what he meant when he stated in that report that he did not receive proper debriefing, the plaintiff answered that he never got any counselling or any real benefit of debriefing (t 18.45-52).
23 On 2 November 2000 Dr Tsang says (report 30/09/2003) that at the end of the consultation with the plaintiff, given his continuing mood disturbances with features of major depression, he advised a change of medication. I do not take this to be a diagnosis of depression (DSMIV) nor do I accept that the plaintiff was told of this opinion.
24 As at December 2000 the plaintiff admitted that he knew that the anxiety attacks and irritability requiring antidepressants were related to his work (t 23.35-55). In September 2000 the plaintiff became increasingly agitated, beginning to feel disappointed with his life and suffering mood swings. These symptoms continued.
25 In March 2003 the plaintiff's psychiatric condition significantly worsened. The plaintiff said that he became aware of his condition when he suffered an anxiety attack whilst stationed at Liverpool. Prior to that time, he had thought that he would recover and that he would be able to return to the Police Service. At this time the plaintiff knew he "could no longer cope" with his problems. His medication increased and he understood that he had "changed for good". After suffering that anxiety attack, on 26 March 2003, he knew he was not going to be able to continue work in the Police Service and that he could not cope with his ongoing symptoms. On 26 March 2003 the plaintiff left work and did not return. The plaintiff's GP Dr Williams (report 19/02/2004) recorded:
"Unfortunately things deteriorated and on 21 February 2003 Mr Cruwys presented with acute headaches, anxiety and worsening depression. He has (sic) struggling to concentrate and motivate himself. He could no longer perform duties asked of him especially custodial duties. He found it hard to make decisions. He was advised to increase his Efexor XR form (sic) 32.5 mg second daily to 75 mg daily. It came to a head on 26 March 2003 after a 2 hour interview with his commander. He was suffering headaches, lacked energy and motivation and he informed me he was allegedly making poor decisions. I felt he was unfit to continue work as a police officer on medical grounds and advised him accordingly."
26 On 25 March 2003, the plaintiff lodged a claim for "Hurt on Duty Benefits". His claim referred to his injury being "Depression, Anxiety and Post Traumatic Stress disorder". The form states that these injuries occurred as a build up of traumatic incidents which occurred and the plaintiff had not been properly debriefed (see Ex 2). In April 2003 the plaintiff began to see Olga Jakubouvsky, psychologist.
27 On 7 May 2003 Dr Tsang diagnosed the plaintiff as suffering from major depression. Dr Tsang (report 30/09/2003) considered that the relationship between the plaintiff's major depression and his employment as a police officer as complex but on the balance of probability, Dr Tsang considered the plaintiff's employment with the Police department as a significant precipitating and perpetuating factor in the major depression. I accept that there is no evidence either by Dr Tsang or the plaintiff to the effect that the plaintiff was told of his diagnosis or that it was explained to him.
28 In August 2003 the plaintiff attended a further appointment with Dr Tsang. The plaintiff stated that it was at this time that he understood for certain that he had a psychological injury which prevented him from working as a police officer. Later in 2003 the plaintiff ceased to consult Dr Tsang because he could not afford the costs of consultations. He applied for medical discharge from the Police Service.
29 On 29 September 2003 and 14 November 2003, the plaintiff consulted Dr Klug. Dr Klug explained to the plaintiff the difference between having a few beers to debrief and actually getting to the "nitty gritty" of why the plaintiff was feeling a certain way when talking of incidents and then trying to disassociate those feeling (25.35-45).
30 Dr Klug, in a report dated 21 January 2004, based on these two interviews made the following diagnoses:
"Mr Cruwys, from a psychiatric perspective, has suffered from a major depressive disorder over recent years and this has been substantially in response to work-related stresses. He has also suffered from recurrent and probably chronic anxiety-based symptoms since 1989/90 in response to exposure to severely traumatic situations. He probably suffered an acute PTSD [post traumatic stress disorder] in 1989/90 and then a reactivated PTSD when he was shot with the simmunition round.
…
In summary, Mr Cruwys' psychiatric conditions are in direct response to work-related stresses and may have been exacerbated by lead poisoning. There are no other significant premorbid factors contributing to his current presentation. I believe that the illnesses suffered by Mr. Cruwys would have been suffered by a person of normal fortitude. If he had had access to psychiatric and/or psychological interventions from 1989 / 90 then his prognosis would probably be better now. He should at least have been given sufficient instruction, education, warning or similar knowledge to enable him to recognize his symptoms, particular[ly] on exposure to severely traumatic situations such as the Strathfield massacre. It is without doubt that he should have been evaluated psychiatrically and/or psychologically at that time and also with exposure to subsequent severely traumatic situations. He certainly should have been reviewed following being shot with the simmunition round and also following the discovery that he had a high blood level of lead…Certainly the lack of support from the bureaucracy with respect to lead poisoning has contributed to an exacerbation of his depressive and anxiety-based symptoms."
31 The plaintiff deposed in his affidavit sworn 9 August 2004:
"On 6 August 2004 my solicitor sent me the report of Dr Klug dated 21 [January] 2004 and I read it. That was the first time that I understood that if I had had psychological interventions from 1989 to 1999 that I would probably be better than I am now. That was the first time I had been told that if I had been given sufficient instruction, education, warning or had similar knowledge to enable me to recognise my symptoms that I could have got help sooner and be better now. Also that I should have been evaluated as to my health status at the time of incidents like the Strathfield Massacre…This was the first time I knew that a doctor thought I that I should have been reviewed by a health worker having been shot with a simunition round and following the discovery that I had a high blood level of lead…".
32 On 21 April 2004 the plaintiff received advice from his solicitor regarding the reasonable prospects of success of his claim. In late April 2004 instructed his solicitor to commence common law proceedings.
33 On 4 May 2004 the summons seeking an extension of the limitation period was filed.
34 On 14 May 2004 the statement of claim was filed.
35 On 11 July 2005 an amended statement of claim was filed.