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Enuresis is bed-wetting.

Severe nightmares, as well as other psychological conditions, may be a sign of Post-Traumatic Stress Disorder (PTSD), which may warrant a discharge for Disability instead of a discharge for Other Designated Physical and Mental Conditions (ODPMC). This is especially true for GIs that have done a tour of duty in a war zone. A discharge for Disability is initiated by a doctor whereas a discharge for ODPMC is initiated by the command.

AFI 36-3208 (25 JUNE 2009)
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Chapter 5
REASONS FOR INVOLUNTARY SEPARATION
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Section 5B- Involuntary Convenience of the Government (COG) Discharge

5.7. Instruction and Type of Separation. This discharge is appropriate when discharge would serve the best interest of the Air Force and discharge for cause is not warranted. The general guidelines for discharge or retention set out in paragraph 6.1. apply to these cases. The separation of an airman in entry level status will be described as entry level separation. The service of other airmen separated under this section will be characterized as honorable.
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5.11. Conditions That Interfere With Military Service. Airman may be discharged based upon one of the physical or mental conditions listed below when the commander determines the condition interferes with assignment or duty performance (for commander's responsibility see AFI 44-109, Mental Health, Confidentiality, and Military Law ). When a psychiatrist or a PhD- level clinical psychologist confirms a diagnosis of a mental disorder, under paragraph 5.11.9., that is so severe the member's ability to function effectively in the military environment is significantly impaired and the commander chooses not to initiate separation action, the commander must have the decision reviewed by the discharge authority. Conditions warranting disability processing under AFI 36-3212, Physical Evaluation for Retention, Retirement, and Separation, will not be used to justify a separation under this regulation. The existence of a condition that is a basis for discharge under this provision does not bar separation for any other reason authorized in this instruction. Discharge under this provision is not appropriate if the airman's record would support discharge for another reason, such as misconduct or unsatisfactory performance. A recommendation for discharge must be supported by documents confirming the existence of the condition or disorder and, except when enuresis or sleepwalking is involved, explain the adverse effect on assignment or duty performance. This explanation should detail the effects on member's performance, conduct (on and off duty), inability to adapt to military environment, or other reasons, that would limit the member's potential for completing his or her enlistment. The evidence of adverse effect on assignment or duty performance may be in the form of, but not limited to, evaluation(s), counseling statement(s), training records, statements from instructors, supervisors or peers, or other administrative actions or documentation. Such adverse effects must be evidenced in the airmen's current enlistment or extension of enlistment. Additionally, there must be documentation pre-dating the initiation of discharge showing that the airman has been formally counseled concerning deficiencies and afforded an opportunity to overcome them. The possible reasons for discharge under this provision are:

5.11.2. Sleepwalking and/or severe nightmares.

5.11.3. Dyslexia and other learning disorders.

5.11.4. Attention Deficit Hyperactivity Disorder.

5.11.6. Incapacitating fear of flying confirmed by a psychiatric evaluation, or phobic fear of air, sea and submarine modes of transportation.

5.11.7. Airsickness, Motion, and/or Travel Sickness.

5.11.8. Other conditions as outlined in DODI 1332.38, Physical Disability Evaluation, Enclosure 5, that interfere with duty performance and are not within the purview of the AFI 36- 3212, Physical Evaluation for Retention, Retirement, and Separation, disability evaluation system and provided a basis for separation is not addressed elsewhere in this instruction.

5.11.9. Mental Disorders. A recommendation for discharge under these provisions must be supported by a report of evaluation by a psychiatrist or PhD-level clinical psychologist who confirms the diagnosis of a disorder listed below, as contained in the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). This report must state the disorder is so severe the member's ability to function effectively in the military environment is significantly impaired. This report may not be used as, or substituted for, the explanation of the adverse effect of the condition on assignment or duty performance.

5.11.9.1. Personality disorders. Additional processing is required before Airmen who have served in an imminent danger pay area may be discharged for personality disorder. See paragraph 5.11.10.

5.11.9.4. Impulse control disorders.

5.11.9.5. Transsexualism or Gender Identity Disorder of Adolescence or Adulthood, Nontranssexual Type (GIDAANT).

5.11.9.6. Other disorders, as defined in DSM that interfere with duty performance or failure to adapt to military environment and are not within the purview of the AFI 36-3212, Physical Evaluation for Retention, Retirement, and Separation, and provided a basis for separation is not addressed elsewhere in this instruction.

5.11.10. Procedures: Personality Disorder Discharge of Airman with Imminent Danger Pay Service

5.11.10.1. Special processing is required for airmen who are currently serving or who have served in an imminent danger pay area and have been diagnosed with a personality disorder for which discharge action is or may be contemplated. The criteria below must be followed before discharge under paragraph 5.11.9.1 may be initiated.

5.11.10.2.1. The diagnosis of a personality disorder must specifically address post-traumatic stress disorder (PTSD) or other mental illness co-morbidity.

5.11.10.2.2. Airmen must be counseled that the diagnosis of a personality disorder does not qualify as a disability.

5.11.10.2.3. Separation under this provision will not be initiated if there is a diagnosis of service-related PTSD, unless the airman is subsequently found fit for duty under the disability evaluation system IAW AFI 36-3212.

5.11.10.2.4. The evaluating psychiatrist or PhD-level clinical psychologist will consult with the Airman's commander to determine if separation under this provision is appropriate. When, in the opinion of the Airman's commander, evaluating psychiatrist or PhD-level clinical psychologist, separation under paragraph 5.11.9.1 (Personality Disorder) is appropriate, the local Military Treatment Facility (MTF) will forward the diagnosis with supporting documentation through appropriate channels for corroboration by a peer or higher-level mental health professional and endorsement from the Air Force Surgeon General. Documentation will be forwarded to the Air Force Medical Operations Agency to obtain Air Force Surgeon General endorsement. In such cases where the Air Force Surgeon General (SG) does not concur in the diagnosis of a personality disorder, no further action will be taken under this provision.

5.11.10.2.5. Upon receipt of the Air Force SG review concurring in the diagnosis of a personality disorder, the MTF will notify the Airman's commander of the decision. If all requirements of this paragraph (5.11.10) have been met, separation processing will be initiated IAW Chapter 6 of this instruction.
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