[The plaintiff] is a middle-aged man, who is unmarried and has had a number of homosexual partners. He is from a privileged background, but his life ahs been disrupted by his father's leaving the family, marrying another woman and distancing himself from his children. A more serious factor has been the alleged systematic and frequent sexual abuse by an uncle over about five years. [The plaintiff] became disturbed at the time of the sexual abuse, and now suffers from post-traumatic stress disorder (PTSD), which had its onset some seven or eight years ago. This condition is present every day, and is moderately severe. A secondary condition is panic disorder with agoraphobia. He has some unstable moods, which may be caused by a form of bipolar disorder; the diagnosis has yet to be clarified. He is chronically angry; this has been present since he was a child, and was exacerbated by a rupture in his relationship with his father, and more so as a symptom of his PTSD...
If one accepts that [the plaintiff's] account of having been sexually abused by his uncle is correct, the diagnosis of PTSD is consistent with that, as is the content of the recollections which occur in his waking and sleeping states. He is moderately severely affected, and his life would have been much better at the time, and ever since, if the alleged offences had not occurred. PTSD is the basis of his panic disorder and agoraphobia, and his unstable mood and his tendency to become depressed, although this may be partly related to bipolar disorder. If he does have bipolar disorder, this condition cannot be considered a consequence of the sexual abuse or PTSD, although PTSD would very probably make bipolar disorder less stable, and exacerbate the severity of the episodes.
Concerning treatment, he needs further psychiatric examination, which is a difficult matter and not always a fulfilling exercise, in order to clarify the diagnosis, specifically concerning whether or not he has bipolar disorder. If he does have the condition, it would be likely to respond at least to a reasonable extent, if optimally treated. This would improve his psychiatric state in all respects...
The prognosis must be guarded. Specific psychological treatment techniques for PTSD could improve [the plaintiff's] condition, to a major extent, but as he is at present, it would be hard to implement such treatment. It would be more likely to succeed if he could be made calmer at first.
Treatment would involve psychiatric management of his medication, and psychological treatment, employing methods such as exposure therapy, cognitive behavioural therapy and EMDR, which have been shown to be frequently effective in treating PTSD. Treatment could occupy one to two years, and involve perhaps twenty sessions of psychotherapy.
The least likely even would be for [the plaintiff] to experience a complete remission of all his psychiatric symptoms.