“1.4.1. [The Claimant] has a severe, complex form of PTSD and chronic Major Depressive Disorder of a severe form. Both of her conditions are being aggravated by her concerns for the welfare of her son [who at the time of the report was alive and facing a criminal trial] her immigration status and her fears that she and her son will be removed to Jamaica. The impact of limited leave to remain is such that [the Claimant] and her son continue to fear deportation… with concomitant highly negative impacts on their mental health.” … “1.4.4. Given the negative effect of uncertainty regarding her immigration status upon her mental health I consider that a grant of ILR would be of significant benefit to [the Claimant’s] psychological welfare. 1.4.5. [The Claimant’s] prognosis is poor partly because she is not fit to begin the specialist trauma work required. The insecurity of her status undermines her mental health and specialist treatment is not appropriate until her safety is established. Stabilisation of her situation is necessary before she would be able to start to engage in trauma-focused work with a specialist clinician.” … “1.4.9. It is my firm professional opinion that the consequences for [the Claimant] would be very grave if she is not granted ILR. Specifically her mental health would deteriorate significantly and the chances of her achieving a level of stability which might enable therapy to be effective would be substantially diminished. I therefore consider it imperative for [her] psychological welfare that she be granted ILR.” … “4.3.2. The impact of limited leave to remain is such that [the Claimant] and her son continue to fear deportation even if that likelihood is not imminent with concomitant highly negative impacts on [her] mental health.” … “4.6.3. [The Claimant] really needs trauma-focused and specialist treatment. However trauma focused therapy can only start when the sufferer feels safe in their environment… 4.6.4. Until [her current immigration status] is addressed and given the severity of her symptoms she is not fit to engage in and would be accepted for intensive psychotherapeutic treatment.”
“In my experience the distinction between [them] made by a legal or state system does not reflect the internal psychological world and it is the latter that determines mental health, not the objective reality.”
“4.7.4. In my opinion it would be in [the Claimant’s] best interests to be granted ILR as it would be of benefit to her psychological welfare.” … “4.8.2. It is my firm professional opinion that the consequences for [the Claimant] would be very grave if she is not granted ILR. Specifically her mental health would deteriorate significantly and the chances of her achieving a level of stability which might enable therapy to be effective would be substantially diminished.”
“9.9. As much of her distress is related to the practicalities of her current position and for so long as these practical problems [which included her immigration status] continue it is unlikely that she will be able to benefit much from trauma-focused psychotherapy. 9.10. Solely from the perspective of her psychiatric treatment she would be well served by secure status and ability to remain in the UK without the need to reapply at relatively short intervals … Her immediate psychosocial needs are for a sense of security and safety from which she might engage in treatment and take tentative steps towards engagement with the outside world.”
“[The Claimant’s status] is a potent exacerbating and maintaining factor for her disorder due to the consequent escalation in anxiety due both to a sense of insecurity and to the financial and organisational requirements. She is poorly equipped to deal with each of these.”
“9.8. I have previously commented on the effects of [the Claimant’s] immigration uncertainty and the need for repeated reapplication. My opinion remains the same except to note that her impairment has considerably increased and her vulnerabilities will have increased correspondingly.”
“It is noted from the psychiatric reports … that your client suffers from a range of mental health problems including post-traumatic stress disorder and chronic major depressive disorder. It is claimed that granting her indefinite leave to remain would ameliorate her conditions. This has been carefully considered. However … it is noted that she suffered from this condition whilst in Jamaica. The psychiatric reports indicate that your client is reluctant to engage with any persons or organisations that may be best suited to help her overcome her anxieties and mental health issues. Therefore it is not accepted that a grant of Indefinite Leave to remain would alleviate her condition... Your client has been granted access to public funds and it is unclear how she would benefit any further from a change in her current immigration status as it is open to her to access any relevant services and/or care. Any psychological unease caused by her immigration status is not deemed to be so compelling as to constitute an exceptional circumstance.”