Why the date matters
New eligibility rules apply to many primary psychological injuries first notified to the employer on or after 1 July 2026. The rules involve defined relevant events, a real and direct connection with employment and employment being the main contributing factor.
There are exceptions, including specified exempt workers. Psychological consequences of a physical injury also need to be distinguished from a primary psychological injury. Ask your insurer which rules apply to you.
Workplace risk is not the same as claim eligibility
Workplace violence, trauma exposure, bullying, sexual or racial harassment and excessive work demands are among the matters addressed in the changes. Their legal definitions and the evidence required matter.
A stressful workplace experience does not, by itself, establish an accepted psychological injury claim. Your clinician assesses health and treatment needs. The insurer and relevant legal processes address eligibility and disputes.
Some claims have a different process
Claims involving bullying, sexual or racial harassment or excessive work demands can require a completed claim form and a specific process. Do not assume that notifying an incident or obtaining a claim number completes the requirements.
Ask for a written explanation of what is needed. Keep a copy of the referral, forms, decisions and correspondence.
Treatment changes from October 2026
New claims for treatment or services made from 1 October 2026 use the "reasonable and necessary" test. Earlier treatment requests may remain under the previous test, including approved care not yet completed. The date of a treatment request matters, not just the date of the injury.
Some exceptions to prior approval also changed. Check the current rules with your insurer and treating practitioner instead of relying on an old promise of eight sessions without approval.
Understand session numbers and approvalWhere to get a decision about your situation
Start with the claims manager named in your correspondence. For a dispute or a decision you do not understand, ask about the review process and independent advice. The Independent Review Office provides information about complaints and assistance pathways.
Logic Lounge can explain the clinical service and provide relevant treatment information. We do not provide legal advice or guarantee an entitlement.
What to do while waiting for treatment approvalPsychological injuries: workers and employers / SIRA information for injured workers / SIRA treatment and approval changes from 1 October 2026 / Independent Review Office
Information checked 13 October 2026. General information, not an assessment or a decision about your claim.
