Aaliaha

I have 1 non MH SC at 0% from 2009. I just put in for an increase with my PTSD claim. Thank you for your response..appreciate it! :-)

1. Diagnostic Summary --------------------- Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria based on today's evaluation? [X] Yes [ ] No ICD code: DSM-5 309.81 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: Posttraumatic Stress Disorder ICD code: DSM-5 309.81 Comments, if any: b. Medical diagnoses relevant to the understanding or management of the Mental Health Disorder (to include TBI): None ICD code: None Comments, if any: Severe PTSD. 3. Differentiation of symptoms ------------------------------ a. Does the Veteran have more than one mental disorder diagnosed? [ ] Yes [X] No c. Does the Veteran have a diagnosed traumatic brain injury (TBI)? [ ] Yes [X] No [ ] Not shown in records reviewed 4. Occupational and social impairment ------------------------------------- a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [X] Occupational and social impairment with deficiencies in most areas, such as work, school, family relations, judgment, thinking and/or mood b. For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder? [ ] Yes [ ] No [X] No other mental disorder has been diagnosed c. If a diagnosis of TBI exists, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by the TBI? [ ] Yes [ ] No [X] No diagnosis of TBI SECTION II: ----------- Clinical Findings: ------------------ 1. Evidence Review ------------------ Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS Evidence Comments: Veteran is treated at the local VA for PTSD/MDD with Hydroxyzene and Elavil. 2. History ---------- a. Relevant Social/Marital/Family history (pre-military, military, and post-military): This 36 year old female is single,never married. She is difficult to interview because of her anxiety and poor social skills but is sincere. She reports no real leisure activities. She say her children are doing well. She has no current boyfriend and is vague about her social adjustment. Her two children are from 2 year relationships and she is unclear about the reason the relationships did not last b. Relevant Occupational and Educational history (pre-military, military, and post-military): With an Associate Degree she last worked full time in the Navy due to her anxiety. She is in the Work Therapy program at the local VA. In the Navy 4 years and the Rank E5 Second Class Petty Officer c. Relevant Mental Health history, to include prescribed medications and family mental health (pre-military, military, and post-military): She reports a good childhood,good parents and no family history of mental illness,crime or substance abuse. She has been Psychiatrically Hospitalized twice last time June/July 2016 at the local VA where she is now treated. She cannot see the benefit of the treatment. Current reported symptoms include nightmares,intrusive thoughts,anxiety,depression,headaches,sees shadows,social isolation,aversion to crowds,startle,suicidal ideation without intent,crying spells. d. Relevant Legal and Behavioral history (pre-military, military, and post-military): None e. Relevant Substance abuse history (pre-military, military, and post-military): None f. Other, if any: No response provided. 3. Stressors ------------ Describe one or more specific stressor event(s) the Veteran considers traumatic (may be pre-military, military, or post-military): a. Stressor #1: Does this stressor meet Criterion A (i.e., is it adequate to support the diagnosis of PTSD)? [X] Yes [ ] No Is the stressor related to the Veteran's fear of hostile military or terrorist activity? [X] Yes [ ] No Is the stressor related to personal assault, e.g. military sexual trauma? [ ] Yes [X] No 4. PTSD Diagnostic Criteria --------------------------- Please check criteria used for establishing the current PTSD diagnosis. Do NOT mark symptoms below that are clearly not attributable to the Criterion A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other things should be noted under #7 - Other symptoms. The diagnostic criteria for PTSD, referred to as Criterion A-H, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Criterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violence, in one or more of the following ways: [X] Learning that the traumatic event(s) occurred to a close family member or close friend; cases of actual or threatened death must have been violent or accidental; or, experiencing repeated or extreme exposure to aversive details of the traumatic events(s) (e.g., first responders collecting human remains; police officers repeatedly exposed to details of child abuse); this does not apply to exposure through electronic media, television, movies, or pictures, unless this exposure is work related. Criterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: [X] Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). [X] Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). [X] Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). [X] Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). Criterion C: Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: [X] Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). [X] Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Criterion D: Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame). [X] Markedly diminished interest or participation in significant activities. [X] Feelings of detachment or estrangement from others. [X] Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings.) Criterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Hypervigilance. [X] Exaggerated startle response. [X] Problems with concentration. [X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Criterion F: [X] Duration of the disturbance (Criteria B, C, D, and E) is more than 1 month. Criterion G: [X] The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Criterion H: [X] The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. Criterion I: Which stressor(s) contributed to the Veteran's PTSD diagnosis?: [X] Stressor #1 5. Symptoms ----------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Depressed mood [X] Anxiety [X] Suspiciousness [X] Panic attacks that occur weekly or less often [X] Chronic sleep impairment [X] Flattened affect [X] Disturbances of motivation and mood [X] Difficulty in establishing and maintaining effective work and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a Work like setting [X] Suicidal ideation 6. Behavioral Observations -------------------------- Flat affect,withdrawn,reserved,depressed,intact,oriented. 7. Other symptoms ----------------- Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? [X] Yes [ ] No If yes, describe: Suicidal ideation without intent. 8. Competency ------------- Is the Veteran capable of managing his or her financial affairs? [X] Yes [ ] No 9. Remarks, (including any testing results) if any -------------------------------------------------- Her intellect is within the High Average range based on Vocabulary SS 13 on the WAIS III. Her valid MMPI shows Depression at 106 T-Scores with Schizophrenia,Psychasthenia and Social Introversion 75-85 T-Scores and PTSD PK 97 T-Scores. Severe PTSD.

Thank you! It was very helpful! :-)

I had my PTSD C&P on Aug 29th. Ebenefits moved from Gathering of Evidence to Prep for Decision on Aug 31st. I was diagnosed with PTSD/MDD April 2016 when I was admitted into VA Psych Ward for 2 weeks. Afterwards I was an inpatient in the PTSD program for 50 days. C&P Results: All PTSD symptoms was checked off: Anxiety, depression, ect.. Criterian B: All checked for Instusion symptoms Criterian C: Persistent avoidance all checked off Criterian D: Negative alterations in cognitions and mood ect... all checked off Critierian E. Alerternation in arousal/ hypervigilance ect.. all checked off I meet everything with the PTSD criteria with sucuide ideation (X) Occupational and social impairment with deficiencies in most areas, such as work, school, family relations, judgement, thinking and/or mood Remarks, (including testing results) The MMPI test was almost 400 T/F questions!!! He wrote: With an Associates Degree she last worked full time in the Navy due to anxiety in 2002. Her intellect is within the High Average range based on Vocabulary SS 12 on the WAIS III. Her valid MMPI shows Depression at 106 T-scores with Schizoprenia, Psychasthenia, and Social Introversion 75-85 T-scores and PTSD PK97 T-Scores. Severe PTSD. I also applied to Individual Unemployability I'm trying to understand this... Is the Schizoprenia a diagnosis? Cause I'm really freaked out over it. Is schizoprenia normal for a PTSD diagnosis? Is this something that would be rated differently or will it go under the PTSD rating? I've been trying to google the MMPI and C&P exams but cant find much on the scoring part. Plus any opinion on what you think my rating can be will be helpful as well. Thanks :-)

I was just dx with PTSD and MDD and theyre putting me in the PTSD 3 month program. I worked at the Pentagon but wasnt there on 9/11 but was on 9/12. I lost a friend/shipmate in the Command Center. I see rescue workers are getting denied which is horrible. Anyone that was there helping or working should get approved. My social worker told me about the new criteria for PTSD...is there a nexus here although I wasnt there on the day but the day afterwards looking for my friend.

Is the C&P exam is more of a full physical or just looking at what you put your claim in for?

Does anyone know the rating % for 7628 Benign neoplasms of the gynecological system or breast. Rate according to impairment in function of the urinary or gynecological systems, or skin. They have the ratings for surgery of the getting the entire breast removed. I just had the tumors removed for each breast plus a scar.

I don't have certified copies of medial records? I put in a request for them but I got some of my records from one hospital and I'm waiting on a copy from another hospital where I had my surgery while on active duty. In the claim letter, they said they have copies of my medical records so I hope that is enough since i haven't received a copy of all my medical records yet. Now im worried.. B)

Thanks!! My C&P Exam is Dec 17th...hope all goes well!

Thank you for your response....ok I just got my paperwork back on my claim that i submitted Oct 23rd.. (i guess that was pretty fast)...They have my service treatment records and treatment records from the VA. I'm going to mail out my civilian paperwork out today. So I guess I'm just waiting on my exam they requested. The VA have me on anti-depressants and made 17 appointments for me to see a mental specialist. If they diagnose me with something..can I still make *another* claim since I all ready have a claim in the works for the tumors?

I put in a claim but I also enrolled in the VA heath care system as well last month. I was in the Navy active duty from 98-02. While stationed on a ship in 02... I was diagnosed with Fibroadenoma I have cyst (tumor) non cancerous... in my breast. I had to have surgery twice to remove them while stationed on a ship. After I got out I had to have the surgery again in 04. Now that I'm at the VA i have to have another surgery and I'm having it through the VA. My question is...I dont know if i can prove that me being in the military is causing me to have tumors but do I have a chance at getting disability since it happened while in the military?