On December 14, 2022, an Administrative Judge (AJ) determined that the Individual's access authorization under 10 C.F.R. Part 710 should not be granted.

The Individual had a history of four mental health hospitalizations, two of which occurred in 2020. For the past two years, the Individual has been addressing her mental health issues by undergoing psychotherapy on a weekly basis with a Therapist and had been regularly attending medication management meetings with the Psychologist. The AJ found that her psychotherapy and medication regime had been somewhat successful, the Therapist and Psychologist reported that they were satisfied with her progress, she appeared to be experiencing a high level of occupational success and she reported that she was doing much better. The AJ found that while the Individual's treating mental health providers did not detect any evidence of Delusional Disorder (DD) during their treatment of the Individual, information that was available to the DOE Psychiatrist (Psychiatrist) when he evaluated the Individual, but was unavailable to the Psychologist and Therapist until very recently, provided strong evidence that the Individual had, through no fault of her own, recently experienced episodes of highly impaired judgement, which supported the Psychiatrist's conclusion that she meets the DSM -5 (DD). The AJ found that evidence in the record clearly supported the Psychiatrist's finding that the Individual had not been receiving treatment specifically targeted to address her DD and found the Psychiatrist's opinion that there remains a significant risk of future impairment without treatment specifically targeted to address the Individual's DD to be persuasive. Accordingly, the AJ found that the security concerns raised by the Individual's DD under Guideline I remained unmitigated.

The Administrative Judge therefore concluded that the Individual's access authorization should not be granted. (OHA Case No. PSH-22-0125, Fine)