8 December 2025
The plaintiff’s car was rear-ended in a motor accident at traffic lights where the defendant insurer had accepted liability. The accident occurred in December 2017. Her case came before the High Court on an assessment-only basis. However, a question arose as to whether the defendant could be held liable for PTSD which was alleged to have resulted from the accident. If that was the case, then to what extent to which the plaintiff’s ongoing physical and psychological symptoms were properly referable to the accident. At the time of the accident, the plaintiff was wearing her seat belt, but the air bags did not deploy. Later that day, she felt unwell and attended CareDoc. From here she was referred to hospital where she was diagnosed with soft tissue issues to her neck, shoulder and right arm. The plaintiff claimed that she took seven weeks’ sick leave from her job but on her return, she claimed that she found it difficult because of her injuries. She also claimed that she suffered anxiety, flashbacks and had difficulty sleeping. At the end of December 2021 her employment was terminated and from September 2022 she started to receive an invalidity pension. She has not worked since, and she and her daughter became homeless in March 2023. Prior to the accident, the plaintiff had some personal difficulties. Her parents died and she had to take medication to cope with difficulties she had with a work colleague. However, she accepted that at the time of the accident she was not experiencing any mental health issues. The defendant insurer had accepted liability. However, a question arose as to whether the defendant could be held liable for PTSD alleged to have resulted from the accident and if so, the extent to which the plaintiff’s ongoing physical and psychological symptoms were properly referable to the accident. It was submitted by the defendant that the accident was not the cause of the plaintiff’s mental health. The defendant argued that the accident was not causative of the plaintiff’s mental health problems and that same were in existence at the time of the accident, relying on the fact that the claim was introduced very belatedly into the plaintiff’s case and that she improperly failed to disclose relevant prior mental health history until shortly before the hearing. The judge was not impressed with the plaintiff’s failure to disclose her prior mental health issues and that she was inclined to overstate her symptoms. However, the judge noted that: “even allowing for a margin of exaggeration by the plaintiff of her symptoms”, he was satisfied from the medical evidence tendered that the plaintiff was no longer suffering from anxiety and depression at the time of the accident. The judge commented that the plaintiff was a poor candidate for the accident because of her psychological vulnerability, the “eggshell skull” rule required the defendant to take the plaintiff as he found her. Nervous shock was considered in light of Kelly v Hennessy [1995] 3 IR 253, and the judge was satisfied that the plaintiff met its requirements. The judge explained that some sort of injury was foreseeable arising from the accident. With causation established, the plaintiff would not have suffered symptoms consistent with PTSD from January 2018 onwards but for the accident, but that a range of external factors not properly referable to the accident contributed to the length and severity of her mental health symptoms. In other words, the external facts were a consideration of the plaintiff’s mental heal but not directly caused by the car accident. Accordingly, the court concluded that damages would fall to be assessed on the basis that 50% of the plaintiff’s psychiatric symptoms in the period from the accident to trial were attributable to the accident itself. Having regard to the relevant case law on the principles applying to awards of damages in personal injuries cases and on the approach to multiple injuries cases, the judge determined that the plaintiff’s psychiatric injury was the most significant and assessed damages on a “pre-Guidelines basis” at €50,000 for past suffering and €10,000 for future suffering. Having discounted that figure to €30,000 to take into account the contributing and exacerbating external factors not attributable to the accident, the court uplifted that figure by €35,000 for the plaintiff’s neck, shoulder and back injuries. Therefore, the High Court awarded the plaintiff €65,000 in general damages, together with special damages and loss of earnings already agreed at €25,000. Sykula v O’Reilly [2025] IEHC 638.