austlii:cth/ARTA/2025/2660
General information, not legal advice.
ARTA
2025-12-01
Original judgment source is linked above.
WSLK and Secretary, Department of Social Services (Social services second review) [2025] ARTA 2660 (1 December 2025)
Respondent: Secretary, Department of Social Services
Tribunal: Senior Member S Trotter (second review)
The Tribunal sets aside the decision under review and remits the matter for reconsideration in accordance with the order that paragraphs 94(1)(a), (b) and (c) of the Social Security Act 1991 are satisfied in relation to Mrs WSLK's 23 February 2024 claim for disability support pension.
Names used in all published decisions are pseudonyms. Any references appearing in square brackets indicate that information has been removed from this decision and replaced with generic information so as not to identify involved individuals as required by subsections 201(1A) - 201(1B) of the Social Security (Administration) Act 1999.
SOCIAL SECURITY - disability support pension - mental health condition - whether diagnosed, reasonably treated and stabilised - predictive assessments - reliance on later evidence - whether 20 points - corroborative evidence - decision set aside
Social Security (Tables for Assessment of Work-related Impairment for Disability Support Pension) Determination 2011
Ally v Minister for Immigration & Citizenship [2008] FCAFC 49
Eid and Secretary, Department of Families, Housing, Community Services and Indigenous Affairs [2013] AATA 558
MDXJ v Secretary, Department of Social Services [2020] FCA 1767
Secretary Department of Family & Community Services v Verney [2000] FCA 570
I've followed Centrelink's guidelines re mental illness according to law.
(a) Documents provided by the Respondent pursuant to section 37 of the Administrative Appeals Tribunal Act 1975 (the AAT Act), index and pages 1 to 179, Exhibit 1;
(b) Additional documents provided by the Respondent, index and pages 1 to 30, Exhibit 2;
(c) Respondent's Statement of Facts, Issues and Contentions dated 12 May 2025; marked for identification as Exhibit 3;
(d) Letter from Mrs WSLK received 6 June 2025, Exhibit 4; and
(e) Letter from Mrs WSLK's brother received 6 June 2025, Exhibit 5.
ISSUES
(a) Does Mrs WSLK have a physical, intellectual or psychiatric impairment for the purposes of her 23 February 2024 claim? And, if so,
(b) Have any of the conditions causing impairment been diagnosed, reasonably treated and stabilised with the condition and resulting impairment more likely than not to persist for more than 2 years? And, if so,
(c) Can a total of 20 points or more be allocated? And, if so,
(d) Does Mrs WSLK have a continuing inability to work for the purposes of her 23 February 2024?
I feel this claim should be approved re evidence that has been supplied.
This has already been going on for a long time years.
advised to go on JobSeeker while awaiting disabitily decision.
Declined re needed a Clinical Psy tribunal advised me to see a clinical Psy then reapply...
I was then told to speak to my Psy to see fi the 20 points applied to my condition which they do.
Re report on those points which I supplied. Again declined. My phone call with tribunal and other member was in February 2025.
Then I was advised the issue was continuing inability to work.
To speak to legal aid and ask them what I needed. I did that and supplied it 23 FEB 2024 date I claimed disability.
I have done everything that the tribunal has asked me to do.
I have supplied numerous doctors report and psy reports.
Re - haven't been able to see my psy for the past few months re she has been dealing with her own issues. I have started back seeing her I can ask her for something in you like.
My trips have been for medical as on jobseeker payment not enough for medical in this country.
(a) Medical certificate from Mrs WSLK's general practitioner (referred to as Dr M in these Reasons), dated 29 November 2022 certifying Mrs WSLK as incapacitated by a primary condition of 'Depression, anxiety, bereavement with irritable bowel syndrome' from 29 November 2022 to 28 February 2023.[4]
(b) Patient health summary of 8 December 2022 noting recent conditions including '29/12/20 - depression, reactive and 29/11/2022 - bereavement'.[5]
(c) St George Hospital Discharge Referral dated 24 February 2023 re Anxiety depression ED presentation. [6]
(d) Medical certificate from Dr M dated 3 March 2023 certifying Mrs WSLK as incapacitated by a primary condition of 'Depression, Anxiety, Bereavement, IBS' from 3 March 2023 to 3 June 2023.[7]
(e) Medical certificate from Dr M dated 9 March 2023 certifying Mrs WSLK as incapacitated by a primary condition of 'Depression and anxiety disorder with panic attacks severe bereavement reaction' and secondary condition of irritable bowel syndrome from 09 March 2023 to 9 June 2023.[8]
(f) Letter from Dr M to a psychologist (referred to in these Reasons as Dr P) dated 10 March 2023 referring Mrs WSLK for management for significant bereavement reaction since the death of her mother.[9]
(g) Letter from Dr P dated 10 March 2023[10] including as follows:
Mrs [WSLK] has attended on 23/12/22, 02/01/23, 23/023 & 10/02/23, and has agreed to come to further sessions.
Her initial K10 score was 30, indicating moderate psychological distress, and the DASS-21 scores indicated extremely severe stress (4) and anxiety (26), and severe depression (22). As well in our sessions Mrs [WSLK] expressed grief about the recent loss of her mother, as well as the trauma of losing other close family members.
We have been also working on sleep hygiene (creating a ritual using the five senses).
(h) Letter from Dr M dated 27 March 2023[11] including as follows:
She is currently suffering with depression, anxiety and a severe bereavement reaction.
The above conditions are causing symptoms of lethargy, tiredness, poor concentration, insomnia, anxiety with frequent episodes of panic attacks and amotivational feeling all of which until resolved make it impossible for her to look for or hold down a job.
She continues on pharmaco and psychotherapy treatment.
(i) Medical certificate from Dr M dated 3 October 2023 certifying Mrs WSLK as incapacitated by a primary condition of 'Depression & anxiety disorder with panic attacks severe bereavement reaction' and a secondary condition of 'left macular schisis' from 30 October 2023 to 3 January 2024.[12]
(j) Letter from Dr M to a further psychologist (referred to in these Reasons as Ms T) dated 20 October 2023 referring Mrs WSLK for assistance with management of her significant bereavement reaction since the recent death of her mother.[13]
(k) Medical certificate from Dr M dated 9 November 2023 certifying Mrs WSLK as incapacitated by a primary condition of 'macular schisis' from 3 September 2023 to 3 December 2023.[14]
(l) Medical certificate from Dr M dated 30 November 2023 certifying Mrs WSLK as incapacitated by a primary condition of 'macular schisis' from 30 November 2023 to 29 February 2024.[15]
(m) Letter from Ms T dated 20 February 2024[16] including as follows:
This letter confirms that [Mrs WSLK] is currently seeing me for psychological therapy. Our first session occurred on 25 October, 2023, and to date we have had five sessions. Our next session is yet to be scheduled, but will likely occur the week commencing 4 March, with sessions to continue fortnightly.
[Mrs WSLK] is, in my opinion, currently experiencing symptoms of psychological distress - including depressed mood, withdrawal, low motivation, worry, rumination, sadness, apathy, reduced confidence, and hopelessness. DASS-21 symptom scores collect in our first session indicated severe depression, extremely severe anxiety, and moderate stress.
Her diagnosis, according to my current assessment is Major Depressive Disorder, with moderate severity and anxious distress (DSM-5 296.22), likely precipitated by grief due to the deaths of her mother, sibling, and dog within a short timeframe. Due to the nature and intensity of her symptoms at the present time, I believe she is currently unfit for work, particular as would need to not just return to work, but source and obtain gainful employment. I have observed reported symptoms over a 4 month period, and have been informed by [Mrs WSLK] that the symptoms have been ongoing for at least two years prior to our first meeting.
I have assessed [Mrs WSLK's] current functioning in respect Centrelink's impairment tables (Table 5), and deem [Mrs WSLK's] overall functional impairment to be at a severe level, as outlined in the table below.
(a) Self care and independent living Mild (5)
(b) Social/recreational activities in travel Moderate (10)
(c) Interpersonal relationships Severe (20)
(d) Concentration and task completion Severe (20)
(e) Behaviour, planning, and decision making Severe (20)
(f) Work/training capacity Severe (20)
Our ongoing treatment plan will focus on cognitive and behavioural techniques to help with emotion regulation, distress tolerance, behavioural activation, supportive counselling and strengths/values; with the view to improve [Mrs WSLK's] wellbeing and build capacity to facilitate integration into social life and vocational pursuits.
(n) Medical certificate from Dr M dated 23 February 2024 certifying Mrs WSLK as incapacitated by a primary condition of 'major depressive disorder with severe anxious distress' and a secondary condition of 'macular schisis' from 23 February 2024 to 23 May 2024.[17]
(o) Medical certificate from Dr M dated 20 May 2024 certifying Mrs WSLK as incapacitated by a primary condition of 'Depression with anxiety' and a secondary condition of 'macular schisis' from 20 May 2024 to 20 August 2024.[18]
(p) Response dated 3 July 2024 from Dr M to questions posed to him as follows:[19]
To the best of your knowledge, do you feel that it is likely that with ongoing Psychotherapy and pharmacotherapy that [Mrs WSLK's] Major Depressive Disorder with severe Anxiety Distress is likely to show significant improvement in the next two years?
To the best of your knowledge, do you feel that [Mrs WSLK] will return to any sustainable paid employment in the next two years (casual and part time work include)?
Does [Mrs WSLK] require regular support to live independently, that is, needs visits or assistance at least twice a week from a family member, friend, health worker or support worker due to symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxiety Distress?
Uncertain lives with her brother, notes as friend support, degree of this support I don't know.
(b) Social/recreational activities and interpersonal relationships;
Does [Mrs WSLK] have very limited social contacts and involvements unless these are organised for her due to symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxious Distress?
Uncertain note that she has said that she goes with her female friend who gives her support.
Does [Mrs WSLK] often have severe difficulty interacting with other people and usually needs assistance or support from a companion to engage in social interaction due to symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxious Distress?
Uncertain has not mentioned such problems or restrictions with me.
Does [Mrs WSLK] travel alone only in familiar areas (such as the local shops or other familiar venues) due to symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxious Distress?
Uncertain I think she shops alone locally. She come to the surgery by herself.
Does [Mrs WSLK] usually avoid utilising community facilities such as public transport due to symptoms stemming from her diagnosis of Major Depressive Disorder with Severe Anxious Distress?
Uncertain. I'm not fully aware of this, she does not have a car and she attends the surgery by herself. Surgery is some 2km from her place of residence.
Does [Mrs WSLK] have severe difficulty concentrating on or following along with any task or conversation for more than 10 minutes due to symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxious Distress?
Uncertain has no problem conversing with me and she converses with the secretarial staff when she attends the surgery.
Does [Mrs WSLK] have slowed moments or reaction time due to psychiatric illness or treatment effects from symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxious Distress?
No I have not noted any such problems in my contact with her in the surgery.
Is [Mrs WSLK's] behaviour, thoughts and conversation significantly and frequently distributed due to symptoms stemming from her diagnosis of Major Depressive Disorder with severe Anxious Distress?
Yes during consultation she does report episodes of anxiety, panic episodes, amotivational and continued grief reaction over the death of her mother one of her brothers.
Does [Mrs WSLK] have severe difficulty attending work, education or training on a regular basis over a lengthy period due to ongoing mental illness?
Yes she does display amotivation, reduced concentration and depressed affect.
(q) Medical certificate from Dr M dated 13 August 2024 certifying Mrs WSLK as incapacitated by a primary condition of 'depression with anxiety' and a secondary condition of 'macular schisis' from 13 August 2024 to 30 November 2024.[20]
(r) Letter from Dr M dated 30 October 2024[21] including as follows (unedited):
I note that [Mrs WSLK] has been a patient for the past 40 years. I note that for a period of some seven years she was the principle career for her aged and significantly sick mother. Her mother died in August 2022. Her mother's death saw [Mrs WSLK] develop a significantly deep bereavement reaction with significant depression and anxiety. This was further compounded by the sudden death of a sibling and the death of her very value dog.
Since 2022 [Mrs WSLK] has battled with major depression and anxiety. Her severe symptoms continue despite use of an antidepressant and intense psychotherapy. Her significant symptoms of social withdrawal, depressed effect, amotivation, lack of confidence and sense of hopelessness make it impossible for her to seek and retain any gainful employment.
Her treatment with pharmacotherapy and psychotherapy continues and success will be measured by the passage of time.
As noted above, she continues to be unfit for work.
(s) Medical certificate from Dr M dated 17 January 2025 certifying Mrs WSLK as incapacitated by a primary condition of 'depression with anxiety' and a secondary condition of 'macular schisis' from 17 January 2025 to 17 March 2025.[22]
(t) Patient health summary of 22 January 2025 noting recent conditions including '29/11/2022 - bereavement, 11/09/2023 - left macular schisis, 23/02/24 - depression, 17/05/24 - weight gain, 30/08/2024 - disc prolapse and 11/10/2024 - hypothyroidism, primary).[23]
(u) Medical certificate from Dr M dated 13 March 2025 certifying Mrs WSLK as incapacitated by a primary condition of 'Depression with anxiety' and a secondary condition of 'macular schisis' from 17 March 2025 to 30 June 2025.[24]
(v) Letter from Dr M dated 24 March 2025[25] stating as follows:
[Mrs WSLK] since 23/02/2024 has been suffering with depression and anxiety and due to her continued mental condition, despite treatment, has been unable to work since the 23/02/2024 and due to the chronicity of her problem will be unable to participate in any work for the next two years.
I am writing this letter in regards to my sister .... Since the death of her mother whom [Mrs WSLK] was her full time carer and the death of her beloved dog Domino I have witnessed her first hand as I live at home with her I have seen her go from depression to severe depression where she doesn't sleep at night, screams and constantly crys and is very difficult for her to get out of bed I find my self constantly trying to help her I do all her shopping and washing and try and assist her as much as possible as I to suffer from depression and have my own issues. It's been very difficult sine the passing of our mother.
Issue 1 - Does Mrs WSLK have a physical, intellectual or psychiatric impairment for the purposes of her 23 February 2024 claim?
Issue 2 - Have any of the conditions causing impairment been diagnosed, reasonably treated and stabilised with the condition and resulting impairment more likely than not to persist for more than 2 years?
(a) the condition has been diagnosed by an appropriately qualified medical practitioner;
(b) the condition has been reasonably treated;
(c) the condition has been stabilised; and
(d) the condition and the resulting impairment is more likely than not, in the light of available evidence, to persist for more than 2 years.
(5) In determining whether a condition has been reasonably treated for the purposes of paragraph 8(3)(b), the following is to be considered:
(a) what treatment or rehabilitation has occurred in relation to the condition; and
(b) whether treatment is continuing or is planned in the next 2 years and is likely to result in significant functional improvement.[29]
(6) For the purposes of paragraph 8(3)(c) a condition is stabilised if either:
(a) the person has undertaken reasonable treatment for the condition and any further reasonable treatment is unlikely to result in significant functional improvement; or
(b) the person has not undertaken reasonable treatment for the condition and:
(i) significant functional improvement is not expected, even if the person undertakes reasonable treatment; or
(ii) there is a medical or other compelling reason for the person not to undertake reasonable treatment.
Note 1: For reasonable treatment see subsection 8(7).
Note 2: Degenerative conditions that result in progressive and irreversible loss of function, can be considered stabilised if reasonable treatment is not expected to result in significant functional improvement.
(7) For the purposes of subsection 8(5) and (6), reasonable treatment is treatment that:
(a) is available at a location reasonably accessible to the person;
(b) is at a reasonable cost;
(c) can reliably be expected to result in a significant functional improvement;
(d) is regularly undertaken or performed;
(e) has a high success rate; and
(f) carries a low risk to the person.
To the best of your knowledge, do you feel that it is likely that with ongoing Psychotherapy and pharmacotherapy that [Mrs WSLK's] Major Depressive Disorder with severe Anxiety Distress is likely to show significant improvement in the next two years?
To the best of your knowledge, do you feel that [Mrs WSLK] will return to any sustainable paid employment in the next two years (casual and part time work include)?
53 Where previous evidence is in the nature of assessments or predications and evidence later becomes available which falsifies the factors on which the assessment was based or demonstrates that the predictions did not prove to be correct,[33] the later evidence is admissible and relevant to the judicial process. To allow the assessments or predications to stand in the face of the falsifying material would not be credible to the judicial process: Mulholland v Mitchell [1971] AC 666 at 680; Henjo Investments Pty Ltd v Collins Marrickville Pty Ltd (No 2) [1989] FCA 246; (1989) 40 FCR 76 at 88. So too with administrative review. Later evidence may be relied upon by the AAT to demonstrate the falsity of any assessment or prediction and the AAT would not be entitled to ignore material of which it had notice which demonstrated that earlier material was incorrect, incomplete or misleading: Minister for Aboriginal Affairs v Peko Wallsend Ltd at 44 - 45.
33 The authorities to which Smith FM referred support the proposition that, subject to certain provisos, it is open to an administrative tribunal to look at subsequent events to see whether they assist in determining the state of affairs at an earlier point in time: e.g. Hospital Benefits Fund of WA Inc v Minister [1992] FCA 599; (1992) 39 FCR 225 at 234; Comptroller-General of Customs v Akai Pty Ltd (1994) 50 FCR 511 at 521.
34 This is particularly so where the tribunal is required to make a predictive assessment and the later events demonstrate that earlier material was incorrect, incomplete or misleading: Verney at [53]. The principle qualification to the general rule is that the tribunal's use of later events must be limited to considering whether that material throws light upon the position as at the date when the determination was required to be made. This qualification was mentioned in the authorities to which Smith FM referred.
More likely than not to persist for more than 2 years
Issue 3: Can a total of 20 points or more be allocated?
There is a mild functional impact on activities involving mental health function.
(1) The person has mild difficulties with at least 4 of the following:
Example: the person lives independently but sometimes neglects self-care, grooming or meals.
(b) social/recreational activities and interpersonal relationships;
Example 1: the person is not actively involved when attending social or recreational activities.
Example 2: the person has interpersonal relationships that are strained, with occasional tension or arguments.
Example 1: the person is sometimes reluctant to travel alone to unfamiliar environments.
Example 2: the person is sometimes reluctant to utilise community facilities such as local shops or other familiar venues.
Example 1: the person has mild difficulty focusing on complex tasks for more than 1 hour.
Example 2: the person has mild difficulties completing education or training.
Example 1: the person has unusual behaviours that may disturb other people or attract negative attention and is sometimes more effusive, demanding or obsessive than is appropriate to the situation.
Example 2: the person has mild difficulties in planning and organising more complex activities.
Example: the person has occasional interpersonal conflicts or poses some risk to the safety of themselves or co-workers due to ongoing mental illness at work, education or training that requires intervention by a supervisor, manager or teacher or changes in placement or groupings.
There is a moderate functional impact on activities involving mental health function.
(1) The person has moderate difficulties with at least 4 of the following:
Example: the person requires some support (that is, an occasional visit by or assistance from a family member or support worker) to live independently and maintain adequate hygiene and nutrition.
(b) social/recreational activities and interpersonal relationships;
Example 1: the person goes out alone infrequently and is not actively involved in social events.
Example 2: the person has moderate difficulty making and keeping friends or sustaining relationships.
Example 1: the person will often avoid travelling alone to unfamiliar environments.
Example 2: the person will often avoid utilising community facilities such as local shops or other familiar venues.
Example 1: the person has moderate difficulty concentrating on longer tasks, and following along with the task, for more than 30 minutes (such as reading an article, watching a television program or playing a video game).
Example 2: the person has moderate difficulty following complex instructions (such as from an operating manual, recipe or assembly instructions).
Example 1: the person has moderate difficulty coping with situations involving stress, pressure or performance demands.
Example 2: the person has occasional behavioural or mood difficulties (such as temper outbursts, depression, withdrawal or poor judgement).
Example 3: the person's activity levels are noticeably increased or reduced.
Example: the person often has interpersonal conflicts or poses a risk to themselves or co-workers due to ongoing mental illness at work, education or training that requires intervention by supervisors, managers or teachers or changes in placement or groupings.
There is a severe functional impact on activities involving mental health function.
(1) The person has severe difficulties with at least 4 of the following:
Example: the person requires regular support to live independently, that is, needs visits or assistance at least twice a week from a family member, friend, health worker or support worker
(b) social/recreational activities and interpersonal relationships;
Example 1: the person has very limited social contacts and involvement unless these are organised for the person.
Example 2: the person often has severe difficulty interacting with other people and usually needs assistance or support from a companion to engage in social interactions.
Example 1: the person travels alone only in familiar areas (such as the local shops or other familiar venues).
Example 2: the person usually avoids utilising community facilities such as public transport.
Example 1: the person has severe difficulty concentrating on or following along with any task or conversation for more than 10 minutes.
Example 2: the person has slowed movements or reaction time due to psychiatric illness or treatment effects.
Example: the person's behaviour, thoughts and conversation are significantly and frequently disturbed.
Example: the person has severe difficulty attending work, education or training on a regular basis over a lengthy period due to ongoing mental illness.
(a) Self care and independent living Mild (5)
(b) Social/recreational activities in travel Moderate (10)
(c) Interpersonal relationships Severe (20)
(d) Concentration and task completion Severe (20)
(e) Behaviour, planning, and decision making Severe (20)
(f) Work/training capacity Severe (20)
(a) Mrs WSLK had not mentioned any problems or restrictions with interacting with other people nor mentioned she needs assistance or support to engage with social interactions due to symptoms stemming from her depression and anxiety;
(b) Mrs WSLK shops alone locally and attends the surgery by herself;
(c) Mrs WSLK has no problem conversing with him and she converses with secretarial staff when she attends the surgery;
(d) Mrs WSLK does not have slowed movements or reaction time due to her depression and anxiety;
(e) Mrs WSLK reported to him that she has episodes of anxiety, panic episodes, amotivation and continued grief related to the death of her mother and one of her brothers; and
(f) Mrs WSLK displays amotivation, reduced concentration and depressed affect,[37]
and that that evidence suggests the functional impairment is limited.
(a) She lives with her brother. He takes her to do the shopping. She does not feel she is capable of doing it on her own because of panic attacks she has. She cries most of the day and is very emotional. Her brother pushes her to get up (out of bed) and out of the house otherwise she basically sits in her room 24/7.
(b) Her brother helps her around the house. He basically maintains the house because she can't do anything. Since her mother passed away, she hasn't done anything. She lost both her mother and her (other) brother.
(c) Prior to her mother passing away, she was always out of the house. She has never really had a lot of friends, but she had previously always gone out. The female friend that Dr M refers to in his response of 6 July 2024 is not someone she sees anymore - she hasn't seen her in about a year.
(d) As Dr M noted, she goes into the doctor's surgery by herself but that is because her brother drops her at the door and then picks her up when she is ready.
(a) His sister has had a mental breakdown. He is forever doing shopping for her. He helps her all the time. She goes to the doctor and to the hospital but otherwise is in her bedroom 24/7 and doesn't leave her room.
(b) She had a lot of pain in her teeth a little while ago but couldn't afford to have her teeth fixed in Australia, so he went with her to Thailand because it was a lot cheaper to have her teeth dealt with there.
(c) His sister looked after his mother for many years. It was very difficult for her. On one occasion when she took their mother to hospital, their mother picked up COVID-19 and she later died and that has been very difficult for his sister - she has felt responsible. He thinks that broke her mentally - and then her dog died shortly after and also their brother was found dead in the back granny flat. His sister was very close to their oldest brother. He passed away only about a month before their mother.
(d) He has seen his sister deteriorate. He hears her screaming through the night and goes in to check on her. She is all sweaty. She is up about five times in the night. She is constantly up and down through the night.
(e) His sister was on medication at one stage, but she put on so much weight and was huffing and puffing. He told her she had to see her doctor and stop the medication because it was not good for her.
(f) His sister would not be able to be on her own given what she is like. She needs someone to help her out and he does as much as he can since their mother passed away. She is actually deteriorating not getting better. He takes her to the shops if he can get her to go but 90% of the time she won't come out of her room and she has to write a list for him to get what she needs.
(g) His sister did at one stage have one friend, but that friend has cut his sister off now - she is pretty much on her own now. She has one other friend that she briefly talks to on the phone every now and again.
(h) Before their mother passed away, his sister was much more active - she would go to the plaza or the shopping centre when she had free time. Everything has changed since his mother (and brother and the dog) have passed away.
(i) He now pays the bills when they arrive - his sister just can't do these things now - she is not well.
(j) He went overseas with his sister to get treatment for her teeth. He was basically her right hand. They tried to look around a bit, but his sister just didn't feel comfortable being out and about. She was also scared of the dentist, but he was there for her. The other overseas trip was for his sister to go and visit a long-time friend of hers in Montreal - her friend was unwell. He dropped her at the airport and her friend picked her up. He went into the airport and helped her check in and then her friend picked her up on the other end. He encouraged his sister to go as he kept telling her she just couldn't stay in her room all the time. He told her to give it a try and it would be good for her to visit her friend. Her friend has known his sister for many years and knows that she suffers depression.
(k) As regards dentist appointments in Australia, once his sister was able to access her superannuation when she turned 60, she started seeing a dentist in Australia. That was after the Thailand trips.
Mrs WSLK lives with her brother and does not live independently. Dr M's 6 July 2024 response included that he did not know the degree of support provided. Ms T did not detail her assessment of this descriptor other than to assess 5 points on the basis of mild impairment. However, based upon Mrs WSLK's brother's evidence, I am satisfied that Mrs WSLK requires regular support from her brother at least twice per week. It follows that Mrs WSLK has severe difficulties with self-care and independent living based on the descriptor example.
(b) social/recreational activities and interpersonal relationships
The evidence before me is that Mrs WSLK has had very limited social contact since her mother's death, whereas she previously was 'out and about' when she had spare time. Mrs WSLK's brother's evidence was that she has one friend who she speaks to on the phone but has been cut off by another friend she previously had. I note that Mrs WSLK also visited a friend in Montreal in August 2024 for approximately 8 days, but I have taken into account that her brother encouraged her to undertake this travel and assisted her in being able to do so; dropping her at the airport and going through check-in with her. As regards other overseas trips, for medical purposes, I am satisfied that Mrs WSLK was accompanied and assisted by her brother on these trips. I acknowledge the Respondent's submission[38] that 3 overseas trips since January 2023 may be seen as evidence of functional abilities in the areas of social activities, interpersonal relationships, travel, accessing the community, planning and decision-making. As regards Mrs WSLK's ease of conversing with Dr M and his staff, I note these are persons very familiar to her (with Dr M being her general practitioner for over 40 years) and do not consider these interactions inconsistent with her having severe difficulties with social/recreational activities and other interpersonal relationship. Taking all of these matters into account, including the circumstances of the overseas travel with Mrs WSLK being accompanied by her brother and/or assisted by her brother, I am satisfied, including having regard to the differences before and after her mother's death, that Mrs WSLK has severe difficulties with social/recreational activities and interpersonal relationships.
Dr M's 6 July 2024 response includes that he thinks Mrs WSLK shops alone locally and that she comes to the surgery by herself. Mrs WSLK's brother's evidence provided further information in relation to this descriptor and I am satisfied that Mrs WSLK does not shop alone nor come to the surgery by herself. Rather, if she is able to go out to the shops it is in company with her brother. Further, I am satisfied that her brother drops her at and picks her up from the surgery. Even if accepted that she did these things alone, I note they would be considered familiar areas. As regards her overseas travel to Montreal, which I accept would not be a familiar area, I am satisfied that except for the duration of the flight Mrs WSLK was not alone, being accompanied to the airport by her brother and picked up at the other end by her long-term friend. I also accept that this was once off travel to see an ill friend. Having had regard to all of the evidence, I am satisfied that Mrs WSLK has severe difficulties with travel and accessing the community.
Dr M's 6 July 2024 response in relation to concentration and task completion functions is that Mrs WSLK has no problem conversing with him and the secretarial staff. This is not a responsive answer to the question. He further states that he has not noted any problems with slowed movements or reaction time in his contact with Mrs WSLK. Mrs WSLK's brother's evidence relevantly includes that he now has to pay the bills. Having regard to all of the evidence I am satisfied that Mrs WSLK has moderate difficulty with concentrating and task completion on the basis that she cannot now pay bills.
Dr M's 6 July 2024 response is that Mrs WSLK's behaviour, thoughts and conversation are significantly and frequently disturbed due to symptoms, with him noting that she reports episodes of anxiety, panic episodes, amotivation and continued grief reaction. Further, consistent with one of the examples for this descriptor, Mrs WSLK's brother's evidence was that her activity levels are noticeably reduced with her staying in her room 90% of the time and no longer getting 'out and about'. Having regard to all of the evidence, I am satisfied that Mrs WSLK has severe difficulty with behaviour, planning and decision-making.
Dr M's 6 July 2024 response in relation to work/training capacity is that Mrs WSLK has severe difficulty, displaying amotivation, reduced concentration and depressed affect. Dr M's 24 March 2025 report is also consistent with this. I am satisfied and find that she has severe difficulty with work/training capacity.
Issue 4: Does Mrs WSLK have a continuing inability to work for the purposes of the 23 February 2024 claim for disability support pension?
The Tribunal sets aside the decision under review and remits the matter for reconsideration in accordance with the order that paragraphs 94(1)(a), (b) and (c) of the Social Security Act 1991 are satisfied in relation to Mrs WSLK's 23 February 2024 claim for disability support pension.
[1] Services Australia delivers social security payments and services and is overseen by the Department of Social Services. The Respondent is responsible for the overall management and administration of the Department of Social Security. Centrelink is the Government Agency that delivers social security payments and services as part of Services Australia and as the Agency with whom pension and benefit applicants/recipients interact, the Respondent may be variously referred to as Centrelink or the Respondent throughout these Reasons.
[2] On 14 October 2024, the AAT became the Administrative Review Tribunal (the Tribunal). Under the transitional provisions in the Administrative Review Tribunal (Consequential and Transitional Provisions No. 1) Act 2024, proceedings in the AAT that were not finalised before 14 October 2024 are taken to be continued and finalised by the Tribunal. Anything done in relation to the proceeding before 14 October 2024 is taken to have been done by the Tribunal.
[28] Paragraph 5.25 of the Respondent's SFIC, Exhibit 3.
[29] With 'significant functional improvement' defined in section 5 of the Impairment Table to be 'improvement that is likely to enable to person to undertake work in the next 2 years'.
[30] Paragraph 5.26(g) of the Respondent's SFIC, Exhibit 3.
[31] Paragraphs 5.26(a) of the Respondent's SFIC, Exhibit 3.
[32] Paragraph 5.26(d) of the Respondent's SFIC, Exhibit 3.
[34] This is consistent with the Medicare records in evidence up to 30 April 2025 - pages 19 to 24 of Exhibit 2.
[35] Medicare records support that Mrs WSLK has had several consultations with Dr P and Ms T - pages 18 to 24 of Exhibit 2.
[36] Paragraph 5.30 of the Respondent's SFIC, Exhibit 3.
[37] Paragraph 5.29 of the Respondent's SFIC, Exhibit 3.
[38] Paragraph 5.31 of the Respondent's SFIC, Exhibit 3.
[40] Section 53 of Administrative Review Tribunal Act 2024.
(1989) 40 FCR 76
(1992) 39 FCR 225
(1994) 50 FCR 511