[2025] VCC 1152
General information, not legal advice.
County Court of Victoria
2025-08-19
Mr P
Original judgment source is linked above.
Judgment: Leave granted to bring proceedings for pain and suffering and pecuniary loss damages.
(a) Ms Fiorenza was not a credible and/or reliable witness;
(b) Ms Fiorenza's current psychological condition was no longer due to the compensable aggravation;
(c) the impairment consequences of the compensable aggravation injury did not meet the statutory threshold;
(d) Ms Fiorenza would now be retired, even absent the aggravation injury, and she therefore has no relevant loss of earning capacity.
(a) Was Ms Fiorenza a reliable witness?
(b) What were the impairment consequences of Ms Fiorenza's "without injury" psychological condition?
(c) What are the current impairment consequences, if any, of the compensable psychological aggravation injury?
(d) Is Ms Fiorenza permanently unable to earn at least 60 per cent of her "without injury" earnings because of the impairment consequences of the compensable psychological aggravation injury?
(e) Is the loss of earning capacity consequence of Ms Fiorenza's compensable psychological aggravation injury "severe"?
(f) Are the permanent impairment consequences of the compensable psychological injury "severe"?
(a) in 2003, she was diagnosed with breast cancer. Whilst undergoing treatment, she was unable to work for five months, and worked reduced hours until 2007;
(b) in May 2016, Ms Fiorenza was hospitalised with pancreatitis;
(c) on 2 April 2019, Ms Fiorenza fractured her left knee on a tram ("the tram accident"). This required internal fixation. She has ongoing pain and restriction in her left leg;
(d) in June 2021, Ms Fiorenza was again diagnosed with breast cancer, requiring surgery and radiotherapy;
(e) in July 2024, Ms Fiorenza fell out of bed and hit her head;
(f) Ms Fiorenza has ongoing pain in her knees and hips due to osteoporosis;
(g) she suffers from dry eyes;
(h) she suffers from acid reflux.
(a) In Ms Fiorenza's second affidavit, and initially in her oral evidence, she said that the assistance she gave to her niece was limited in time and scope. It was not until Hoskings requested documents relating to a carer's pension that Ms Fiorenza swore her third affidavit acknowledging that she was the designated carer for her niece and received a fortnightly allowance for that by way of a carer's pension. Ms Fiorenza admitted that the care and assistance could be more than 20 hours in some weeks and it was ongoing. Counsel for Hoskings submitted that the contention in Ms Fiorenza's second affidavit that she tried to help her niece for a brief period but had to stop due to her mental health was not true;
(b) Ms Fiorenza was not candid about the assistance she received from other family members. In her affidavits, Ms Fiorenza deposed to being looked after by her family members due to her psychological state. The clinical records of Ms Fiorenza's GP, Dr Sajdak, reveal the opposite - that Ms Fiorenza is looking after them and that is causing her stress and anxiety. Counsel for Hoskings submitted that Ms Fiorenza's contention that Dr Sajdak had come up with that on his own (because he also treated those other family members) was not credible;
(c) In her affidavits, Ms Fiorenza scarcely touched upon the problems she continued to experience with her left leg injury sustained in the tram accident in April 2019. That, and other physical difficulties, provided the basis for the application for fortnightly domestic assistance. Her mental health did not feature at all. When Ms Fiorenza deposed to her domestic limitations on account of her mental health condition, she should have deposed to her physical limitations;
(d) In her affidavits, Ms Fiorenza deposed to taking Lexapro after the death of her father for around eighteen months to two years, whereas the letters from Dr Datta reveal that Ms Fiorenza was prescribed Lexapro throughout the period 2007 to 2012. During cross-examination, Ms Fiorenza agreed that was possibly the case. Further, Ms Fiorenza said that prior to 2012, she was prescribed a dose of 10 milligrams of Lexapro, whereas Dr Datta noted the dose was increased to 15 milligrams, and Dr Weissman took a history of 20 milligrams.
"As has been said many times before, in a personal injury proceeding, the evidence of the plaintiff (and whether that evidence is accepted by the trier of fact) is often critical to the success or otherwise of the plaintiff's proceeding. This is particularly so in cases involving psychiatric injuries. Additionally, in such cases, the opinions of medical experts (and the question of whether those opinions should be accepted) are often also heavily dependent upon the acceptance of the plaintiff's account. Put shortly, the opinion of any particular expert opinion in a case like the present is usually only as good as the underlying history upon which it is based."
(a) Ms Fiorenza's affidavit, sworn on 11 June 2025, gave the impression that over the prior two years, she had provided support to her niece by attending some appointments with her. She specifically noted that her niece was getting a lot better and that the niece did not live with her.
Dr Cook's report dated 6 July 2025 described Ms Fiorenza's role in assisting her niece included making sure she was eating appropriately and that her hygiene needs were attended to.
On 8 July 2025, Hoskings served a Notice to Produce on Ms Fiorenza which sought production of any documents relating to a carer's allowance. Following this, Ms Fiorenza swore her third affidavit on 15 July 2025 which described attending treatment appointments with her niece being "the extent of my caring for her" and that in February 2025, Ms Fiorenza was approved to receive a carer's allowance for her care of her niece.
During cross-examination, Ms Fiorenza accepted that some weeks she provides more than 20 hours of assistance to her niece. She said she does some shopping for her and accompanies her to appointments.
In my view, Ms Fiorenza's second affidavit was not sufficiently forthcoming about the nature and extent of the assistance which she had been able to provide to her niece over the preceding two or three years;
(b) Ms Fiorenza's affidavit made some mention of her physical health difficulties, but gave the reader the impression that her inability to participate in domestic chores was a product of her psychological condition. As Ms Fiorenza accepted during cross-examination, the domestic assistance provided for her, through Calvary Care, was because of her various physical difficulties;
(c) Ms Fiorenza's recollection of her prior psychological difficulties and treatment as described in paragraph 10 of her first affidavit,[5] was not accurate. Ms Fiorenza was prescribed Lexapro between 2007 and 2013. She consulted Dr Datta, psychiatrist, periodically between 2007 and 2014. She appears to have seen Dr Cook regularly over that time.
What were the impairment consequences of Ms Fiorenza's "without injury" psychological condition?
"The overall formulation at this stage would be that of someone going through a functional overlay of somatic symptoms, on account of a comorbid depression. The aetiology of the depression is probably related to the number of stressful situations she has been through over the past few years and in particular the loss of her close relationship with her parents, and her own diagnoses of physical illness."
"Personality assessment wise, it is probably fair to say that, what we have experienced in the Ward has probably been some degree of evidence of underlying histrionic personality characteristics, but given the fact that we have known her only during this episode, when she was quite unwell and emaciated, this may well be something that we modify in the future."
"... [Ms Fiorenza] has had an anxiety disorder, with a globus hystericus and difficulty in swallowing. The working formulation was that of an anxiety disorder, superimposed on someone with histrionic personality traits.
"As you know, ... [Ms Fiorenza] suffers from a major anxiety disorder, with recurrent periods of depression and has problems with gambling and some hysterical symptoms in the context of anxiety.
I have suggested that she continue with Escitalopram 10 mg a day in an indefinite capacity at this stage."
"She continues to have some degree of globus Hystericus type symptoms and it does look like she has residual symptoms of anxiety and will almost always have to be on some level of an SSRI to prevent her spiralling out of control as she had done earlier on."
"Currently Ms Fiorenza is extremely vulnerable. She will require a protracted period of psychological and medication based treatment before she is able to contemplate a return to work in any respect ... It is unlikely that she will ever be able to return to work with the managers in question, and a return to work with Hoskings in any area remains uncertain. There is considerable potential for further deterioration and the current claims dispute is adding to her distress."
"... Ms Fiorenza has appeared depressed and she has become increasingly despondent. There has been a flattening of affect and significant distress."
"On all recent occasions since 2017 Ms Fiorenza endorsed responses indicating severe dysthymia, internal tension and autonomic reactivity, low self-esteem, irritability, hopelessness etc. In 2008 a lower level of dysthymia was present and significant symptoms of stress and anxiety were not present."
"Adjustment disorder (mixed depression + anxiety) related to work place stressors and harassment (the stressors have been chronic and originally started several years ago in 2012)."
"She continues to be very preoccupied with her trauma from her work-place injuries. Her depressed state has reduced her ability to concentrate, engage in human interactions at a level required to work in sales, and her memory is significantly impaired. She is still unable to sleep despite therapy and medication ...
I do not think she will significantly improve to her pre-injured state, even after her work cover claim has been legally closed."
"... The worker presented as pleasant and cooperative. She was neatly attired and well groomed. Her affect was depressed and anxious, consistent with her stated degree of symptomatology. She was able to smile appropriately at times.
The worker's speech was normal in rate and rhythm, and there was no evidence of thought disorder.
The content of the worker's talk was appropriate to the interview. There was evidence of self-deprecation though no overt guilt. She expressed pessimism with regard to her future. There was passive, though not active, suicidal ideation. There was no evidence of psychotic symptomatology."
"She appeared quite tired-looking. She was very flat and subdued with a restricted range of affect.
She was at least mildly slowed, in terms of her cognition (attention, concentration, and speed of information processing/mentation).
... she was quite a detailed, over-inclusive and circumstantial historian.
The quality of her affect appeared to be at least moderately anxious and worried, as well as at least moderately depressed, low, flat, sad and unhappy.
The content of her thinking revealed frequent, multiple times daily, intrusive, emotionally distressing thoughts, triggers and reminders of, memories and recollections of, some flashbacks of, and preoccupation with, the alleged/reported/perceived work-related bullying, harassment, victimisation, targeting and abuse, associated with mild to moderate ongoing traumatisation features.
The content of her thinking also included moderately-severe, fairly sustained, pervasive, persistent and intense depressive and anxiety symptoms, themes and features, directly due to the circumstances of her employment.
She has social withdrawal. She feels 'very' useless. She feels regret and shame. ...
... she has, it seems, fairly frequent work-related bad dreams. There were various examples of incident-related/work-related anxiety, nervousness, hypervigilance and hyperarousal, associated with emotional distress and resultant avoidance.
... I note reference to mild to moderate subjective/reported complaints regarding concentration and short-term memory disturbance, which were sometimes present during today's interview, and appeared to be psychiatrically-based.
Her insight and judgment were characterised by a markedly diminished self-esteem and confidence as well as a significantly elevated responsiveness to reminders and triggers of her alleged work-related stress, bullying and harassment."
"Ms Fiorenza dressed in clean, casual attire and wore her straight blonde hair in a neat well-groomed bobbed style ...
... demonstrated confident and appropriate eye contact, and her speech was spontaneous and of normal rate, rhythm and volume.
Ms Fiorenza said her mood was suboptimal and somewhat low and that anxiety was a feature of her psychological state.
... affect was somewhat anxious but warmed as the assessment progressed.
... was cooperative, pleasant and open and was able to discuss a broad range of themes thoughtfully.
... thought form was organised and her thought content described no absolute preoccupations ...
There was no evidence of any perceptual abnormality.
At the time of assessment, Ms Fiorenza was oriented to time, person and place and her cognition, insight, judgment and capacity all appeared sound."
"... the feature of her psychological profile and psychosocial circumstances is and has been the effects of her pre-existing mixed cluster B borderline and cluster C anxious, avoidant, dependent, personality traits/disorder - as the feature of her psychological profile and presentation."[32]
"It is however unlikely that the injury would have occurred had the incidents during her work not taken place, as there is evidence of hereditary risk with regard to pre-existing personality vulnerability and inherent lifestyle/psychological and psychosocial factors, both historic and current."
"... [D]erives absolute pleasure and benefit from her interpersonal relationships with her family, as has been the case throughout her adulthood.
In my opinion, there is very little that has changed in Ms Fiorenza's lifestyle since she ceased work."
"She had a mild condition that remitted and abated and was largely non-existent at the time her work-related injuries emerged, that is, towards the end of 2016.
... Depression and a mild interference with her enjoyment of life."
What are the current impairment consequences, if any, of the compensable psychological aggravation injury?
(a) she feels depressed and finds very little gives her enjoyment. Her mood is generally only two or three out of ten. She rarely smiles properly or laughs;
(b) she spends most of her time at home, often in her room crying;
(c) often she will not shower or get dressed, and will sleep during the afternoons;
(d) she has poor sleep due to ruminating about her treatment at work, and experiences nightmares;
(e) sometimes she hopes that she will not wake up in the morning;
(f) she has lost her appetite, forgets to eat and sometimes skips meals;
(g) she is forgetful and has poor concentration;
(h) she is withdrawn and distrustful;
(i) she no longer sees friends regularly and avoids phone calls;
(j) she has been unable to provide the care and support to her family that she was able to provide prior to her injury;
(k) she avoids parts of Watergardens Shopping Centre for fear of seeing people from Hoskings;
(l) she no longer goes for walks outside;
(m) she hardly engages with her nieces and nephews;
(n) she is short tempered and snaps at her family;
(o) she experiences flashbacks of the bullying and harassment.
(a) Dr Senadipathy's report is of very little assistance. It is not only dated, but it pre-dated Ms Fiorenza's admission to Essendon Private Hospital and her treatment by Dr Datta, Brian Lowe and Dr Cook.
(b) The reports of Dr Glowinski, Dr Stern and the Medical Panel are also of limited assistance in this application, given they are now dated; however, they each diagnose an Adjustment Disorder, and opine that Ms Fiorenza had an incapacity for work at the relevant time.
(c) Dr Weissman and Dr O'Daly provided the most recent medico-legal assessments. They both diagnosed a chronic Adjustment Disorder.
(d) I found Dr O'Daly's opinion difficult to follow. Having diagnosed an Adjustment Disorder due to the workplace difficulties as a present condition, he then went on to opine that Ms Fiorenza's employment no longer materially contributed to that condition. He appeared to suggest that Ms Fiorenza's condition was the result of the work incidents occurring in the context of a pre-existing personality vulnerability. His further opinion that it was unlikely the injury would have occurred absent the work incidents, was confusing. I do not accept his opinion that the compensable aggravation injury has ceased.
Is Ms Fiorenza permanently unable to earn at least 60 per cent of her "without injury" earnings because of the impairment consequences of the compensable psychological aggravation injury?
(a) her loss of earning capacity consequence is, when judged by comparison with other cases in the range of possible impairments, fairly described as "severe" (the narrative test);
(b) she has a loss of earning capacity of 40 per cent or more measured as set out in s325(2)(f) of the Act; and
(c) after the date of the hearing, she will continue permanently to have a loss of earning capacity productive of a financial loss of 40 per cent or more.
Absent the compensable injury, when did Ms Fiorenza intend to retire?
"Ms Fiorenza had intended to keep working until age 75 and the work related injury has resulted in her losing a central part of her identity. Previously her employment afforded her a sense of achievement that greatly assisted her self-esteem."
"I feel sad that the final years of my career were taken from me."
Is the loss of earning capacity consequence of Ms Fiorenza's compensable psychological aggravation injury "severe"?
[1] Plaintiff's Further Amended Court Book ("PCB") 180
[3] [2018] VSCA 243, at paragraph [74] (footnotes omitted)
[19] In his report of July 2019, Dr Cook stated Ms Fiorenza fell on a tram, which took off before she was able to sit.
[40] Acir v Frosster Pty Ltd [2009] VSC 454
[47] Findlay v Transport Accident Commission [2025] VSCA 126
[48] Advanced Wire & Cable Pty Ltd and Victorian WorkCover Authority v Abdulle [2009] VSCA 170 at paragraph [63]
Fiorenza
Hosking's Jewellers Pty Ltd [2025] VCC 1152