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How to Get your VA C-File


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    • DONT USE VSO
      There are some Great VSO's out there that will do any thing they possibly can do for the veteran to help win his/her claim, and there some that just milk the system.  A veteran needs to wise up and learn the system himself and work his own claim if he don't get a good VSO & not help or be of any help ...when that happens its time to Fire the VSO. Choose another if he wishes  but the important part here is learn how the system works  & educate himself to the VA.  In cases of some vets they have to rely on a VSO for help   if they don't have a computer or know how to use one or live in a remote area. if its going to be by snail mail  then the VA should send the veteran all the information he needs and have the vet to send in a FOIA and then let the VA Request all the records and medical they need to adjuicate the claim. beings they do send out a NOD form  in case the vet is denied, with the information as what to do with the NOD. Veterans need to keep ALL copies VA sends them no matter what. Until the veteran is denied andfiles an appeal and don't know diddly about the VA system  then its time to DROP THE VSO and find a good experienced VA  Attorney.   I wonder what would happen if a veteran wrote the VA   letter and stating'' please help adjuicate my claim, I do understand the VA has an Obligations to ASSIST THE VETERAN in the claims process  my VSO does nothing to help and I am lost as what &how to persure my compensation claim
    • Hypertension(high Blood Pressure)
      I just received my rating...hypertension rated 0%.  I have BP which hoovers around 140/98...so no 100 or more Diastolic.  I am taking medication now due to doctor's recommendation which brought it down to 130/80s.  To receive higher rating, does the readings have to be 100+ WITH medication?  I am thinking with med increase as the time goes it probably will never go higher...unless I am close to heaven.
    • Just got my C&P letter, what to expect?
      Did you ever get a copy of your service medical record? The way they do it now, its digital and pretty quick to access that info. No prep needed for a C&P exam.  Just show up.  Its good to understand the rating process, and what the C&P examiner should be doing at the exam, but not required.  I went through the DBQ forms that they have on the VA Web Site for my conditions so that I would understand what was going on and why.  You can find the DBQ's here. They want to check out what is in your claim for the most part.  They are not there to treat you as a patient.  If you have records to show them, to back up your claim for service connection, you can take them, but the examiner is not required to look, some do, some dont.  Wear something comfortable, that wont interfere with the examination, I wore some gym shorts and a T shirt. Gluck.
    • DONT USE VSO
      Mitch I have been around the VA block since 1981. There are some Great VSOs but are the ones who are always overwhelmed and probably burn out very fast. I happened to gop throught this whole post Broncovet had stated: "Posted October 7, 2015 · Report post According to the BVA chairmans report, State VSO's have the worst record (of wins for the Veteran) of all.  Attorneys have the best record." I filed a 43 page complaint with the VA OIG on my state's so called VSOs.  Of the 4 I mentioned with evidence, only one kept their job but was demoted. They also continually felt my AO DMII claim had no basis whatsoever.And they lied about the substance of a DRO review one of them showed up at. I was absolutely delighted to contact the state  Dept of Vets affairs attorney (who know of the complaint with the OIG) to tell him I not only won that case (the most important one I ever filed) but I also won a 3 part CUE they didnt think would succeed. I also sued the former DAV Rep I had  in Federal court.There was no monetary gain because I just wanted to show him and the DAV lawyer how  piss poor his representation was. His lawyer called me aside after I deposed this rep  and told me to become a lawyer. They were shocked that  I had won a FTCA case and the DAV ignored the significance of that for my 1151 DIC issue. I am sure you will do a very good job at repping vets and their survivors.So don't take our comments personally.... But after I got rid of using VSO or vet reps, I did much better with getting my claims resolved. I don't get it. I had the same training they had from NVLSP but never went to the seminar. I didn't need to go to the seminar, I have purchased the annual VBM from NVLSP since 1991 . The VBMs I donated to my state reps ,when I first though they were really on the ball, went unread by them and were unaccessible to any veteran who might want to peruse them at their office on the grounds of a VAMC. More and more vets are handling their claims themselves with the help of hadit and the internet. I have seen countless remands from the BVA whereby their representation did NOTHING to get the case resolved sooner and at a RO level. Even my VCAA letter was illegal but my state reps did not care .The state Director suddenly was replaced after I sent the OIG a letter he had sent to me. saying it was legal.Even the BVA agreed it was not. I just hope that because of my efforts ,neither the State of NY nor the DAV here in NY ever treated widows,after all that,  like shit again.            
    • DONT USE VSO
      My experience with VSO's was very negative.  First encounter, I gave the guy the POA, when I left he pretty much told me to submit it on my own.  Needed to check up on status, took him 5 weeks to call back.  I quit trying.  Went from the local county guy to the state guy, he was just as helpless.  I proceeded to ID the CUE in my decision, and in 4 months I was finished, and I won.  Hadit.com had a big part to play in that. VSO's might help some Vets that are not capable of dealing with the administration, but the quality of service that I got sucked.  I would not refer anyone to let a VSO go solo on a claim for disability.  It's too important to get it right the first time, if they dont, you are left holding the bag for years. VSO's have a direct line of communication with the RO.  When they refuse to give the same accord to Vets who file thier own claims, they shut us out.  I should have as much, if not more access, than the guy that has my POA, to communicate directly with the individual who is processing and making decisions on my claim.  The system should be restructured from the ground up.The rating personnel should be present at the local VAMC where they can speak face to face with the Vets, so they can get the job done right the first time.
    • DONT USE VSO
      I find this post sad and disturbing considering that I am a (new) County VSO who focuses on our issues as veterans.
    • Guidance request on C&P exam - PTSD, hearing loss, and tinnitus
      I think I managed to answer my own question ,in a way....apparently a GAF can change over time. I just went to the BVA and notice GAF scores had changed in a few older decisions regarding PTSD. over time ..when VA depended on GAF a lot. I forgot too that my husband's went from 34 to 26. But I don't think it can be challenged ,however ,if the veteran is deceased and only one GAF score had been determined prior to their death and the decision was not appealed.    
    • Guidance request on C&P exam - PTSD, hearing loss, and tinnitus
      Mark, have you ever seen a high GAF score successfully challenged? Although VA does not depend on GAF anymore, it was a controlling factor in many of their past PTSD decisions.    
    • Guidance request on C&P exam - PTSD, hearing loss, and tinnitus
      Mark, have you ever seen a high GAF score successfully challenged? Although VA does not depend on GAF anymore, it was a controlling factor in many of their past PTSD decisions.    
    • New here - Knee pain?
      What treatment option did the doctor suggest?

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elliottme2

Sexual Addiction

28 posts in this topic

Does anyone know if sexual addiction is rateable. Was diagnosed for it in the military. Still suffering from it. I was in inpatient clinic while in the miliatary for it. Any information would be greatly appreciated.

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elliottme2,

Welcome to Hadit.

I have never seen any information on sexual addiction being service connected

but that does not mean it never has.

You might want to do a search at the BVA level.

http://www.index.va.gov/search/va/bva.html

To all posters - please keep this topic thread on a serious note,

all jokes aside.

Many here have the opposite problem - but that - is not the topic of this thread.

carlie

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I have been on veterans boards for 10 years and can honestly say this is the very first time I have heard this condition brought up but I can be sure there will be quite a few veterans seaching the BVA decisions for this one but I don't think you will find any experienced vets that have dealt with the VA on this issue on the web boards

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This is probally controlled under mental health similar to obsessive compulsive disorder.

A MH doc would have to look at this.

J

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Sexual dysfunction is a differential diagnosis, or attached to a diagnosis of obsessive compulsive disorder. The VA uses diagnostic code 9404 for OCD, under the heading of Anxiety Disorders. So, yes, you can be rated for sexual addiction, but you would need a better current diagnosis, such as a dx of OCD. with a differential dx (one of the sexual dysfunction disorders) with overt compulsions. You will also need to have a verifiable nexus that proves that this condition was caused by military service. The diagnosis presenting itself during active duty does not guarantee a rating, and is in fact, only half the battle.

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Thank You for your help. I look on BVA but could not find anything. I did consider compulsive disorder

elliottme2,

Welcome to Hadit.

I have never seen any information on sexual addiction being service connected

but that does not mean it never has.

You might want to do a search at the BVA level.

http://www.index.va.gov/search/va/bva.html

To all posters - please keep this topic thread on a serious note,

all jokes aside.

Many here have the opposite problem - but that - is not the topic of this thread.

carlie

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When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

With this in mind you will need to show that you have a current condition that causes disruption of social and employment functioning. If the condition was not considered chronic in the military then you will need to establish a nexus between your current condition and the in service condition.

You need to get your SMR and have a doctor review it to see if a link between the symptoms in the military can be linked to many current condition. The VA might schedule a C&P exam. However, they do not always do this.

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I am going to request a copy of my full medical records. I have the copy that I made before I got out but it did not include a copy of the inpatient records which are keep at the inpatient counseling center. I was told by a DAV rep to wait until I get a decision about my pes planus and back injury which I was told is past the rater and in the last stage of a decision. I'm not sure how long it will before I find out an answer. Can anyone answer why if I filed for four issues they only scheduled C&P exams for 2 of them. How come VA is telling me more accurate information than my DAV rep?

When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

With this in mind you will need to show that you have a current condition that causes disruption of social and employment functioning. If the condition was not considered chronic in the military then you will need to establish a nexus between your current condition and the in service condition.

You need to get your SMR and have a doctor review it to see if a link between the symptoms in the military can be linked to many current condition. The VA might schedule a C&P exam. However, they do not always do this.

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How does the VA treat other addictions? You have to show some other fact besides addiction I think. You cannot get SC for alcohol addiction or drug addiction, but you can get SC for some of the results of these addictions like physical breakdown of organs. Many people who are manic overdo it in the sex area and have multiple partners and seem out of control (because they are). Being bi-polar could account for so-called sex addiction. I don't think sex addiction itself will get you SC. Being OCD or manic will get you there. You need a doctor to show that the sex addiction is a symptom of some mental disorder the VA accepts as compensable. The VA would probably slam a Personaility disorder diagnosis on sex addiction unless you have other related problems.

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Thank You for your reply. I do remember when I was in treament that the doctors labeled in my records that my sexual addiction was an obsessive compulsive disorder. I have not been seen by a doctor for this particular problem since that time but I have gone to a/a classes. Do I need to make an appointment for a Va shrink so I can get them to review my records.

How does the VA treat other addictions? You have to show some other fact besides addiction I think. You cannot get SC for alcohol addiction or drug addiction, but you can get SC for some of the results of these addictions like physical breakdown of organs. Many people who are manic overdo it in the sex area and have multiple partners and seem out of control (because they are). Being bi-polar could account for so-called sex addiction. I don't think sex addiction itself will get you SC. Being OCD or manic will get you there. You need a doctor to show that the sex addiction is a symptom of some mental disorder the VA accepts as compensable. The VA would probably slam a Personaility disorder diagnosis on sex addiction unless you have other related problems.

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No, you need to file a claim.

Then, they'll schedule you for an exam.

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i was wondering if i should schedule an appointment with a shrink just to show a more recent observation of the problem.

No, you need to file a claim.

Then, they'll schedule you for an exam.

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File the claim! That is the only way you will get compensation. The VA shrinks will talk you to death but never advance your claim for compensation. I think from what you say you do have a good claim. The OCD is the claim and the sex addiction is a symptom. You probably have other symptoms as well.

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If I file for this can I also file for depression and anxiety attacks. Depression is my after effect from the OCD and when I am not able to get my addiction fulfilled I experience anxiety attacks. Will OCD, Anxiety attacks, and Depression be counted as 1 when I file or all seperate.

File the claim! That is the only way you will get compensation. The VA shrinks will talk you to death but never advance your claim for compensation. I think from what you say you do have a good claim. The OCD is the claim and the sex addiction is a symptom. You probably have other symptoms as well.

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Thank You for your reply. I do remember when I was in treament that the doctors labeled in my records that my sexual addiction was an obsessive compulsive disorder.

In "treatment" where and "that the doctors labeled in my records that my sexual addiction was an obsessive compulsive disorder", you need hard copies of these records.

Also, the doc has to supply more than just a diagnosis they have to supply a nexus to military service.

I have not been seen by a doctor for this particular problem since that time but I have gone to a/a classes.

I do not feel attending AA classes unless court ordered will factor into this.

Do I need to make an appointment for a Va shrink so I can get them to review my records.

File a claim as suggested and VA will have the duty to assist by deciding to send you (or not)for a C&P.

carlie

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I requested a copy of my records last week. I'm hoping they will come fast seeing I am close to the records center. I am definetly going to file for the OCD. I was in treatment in California on a Marine Corps base. This is a inpatient addictions clinic for all active duty military services including retiree's. The doc/shrinks were military personnel with degree in addictions. When I was in the treatment center there was only two of us there for sexual addiction the rest were for drugs and alcohol. i guess they don't get to many sex addicts because they tried to prescribe me antabuse...the medication that makes people sick if they drink alcohol. Thank you all for the advice.

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It's been a while but I filed for OCD and had my c&p last week got the results back today...I don't think they are so good. My psychiatry consult list my diagnosis as ocd and anxiety which i am taking medicine for. my social worker list my treatment as depression. I was hospitalized in the service for sex addiction...in which we had counseling session that said it was due to acts that happened in the military. In my miltary record jacket it does not include any of the notes from the counseling sessions.

The examiner says in his notes that I don't meet the diagnostic criteria for ocd due to the fact he obtains pleasure from this activity. Which i don't know how he can say that because I don't and he never asked that question. He never asked if I got enjoyment from my ocd. He also states that i present symptoms congruent with a diagnosis of major depressive disorder.

axis impulse contril disorder not other wise specified pathological sexual behavior

marjor depressive diorder, moderate, recurrent

axis II deferred

axis III see medical chart

axis iV marital discord, financial concerns possible job loss

axis v gaf 45

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Can you please revisit my post for sexual addiction. I got my cp results back today and i think i'm up a river.

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I received my exam notes back today can you look at the post and let me know what you think.

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From a VA rating perspective, it doesn't matter if you have depression, OCD, or any number of other mental illnesses - they are all lumped together. IOW, you cannot be rated for OCD and depression, they will just say you have "OCD with depression" or some other VA speak and give you one rating based on your sx and how those sx line up with the rating schedule.

You do have major depressive disorder, which is ratable, so you should be rated based on your symptoms. Also, you have a low GAF score which indicates a severe mental illness.

Your thread does bring up an interesting question - if you requested evaluation based on OCD but got labeled Major Depression instead I assume the VA will rate your depression without your having to specifically apply for depression as opposed to having applied for OCD. Keep us posted on the outcome.

Here's the VA rating schedule on mental disorders in case you don't have it:

http://www.warms.vba.va.gov/regs/38CFR/BOO...ART4/S4_130.DOC

Also, and this is just a guess, but since you applied for OCD, the examiner was asked to give a medical opinion on OCD which would explain the remarks about OCD. A quick google search reveals the DSM states OCD "is in contrast to "addictive" behaviors which produce pleasure or gratification". If you complete the sex act during your sexual compulsions my guess is the examiner is assuming this gives you pleasure and gratification, hence, your sexual addiction is not clinically considered OCD.

You can check out the DSM criteria for OCD here:

http://www.behavenet.com/capsules/disorders/o-cd.htm

FRT, there apparently is debate among the shrinks as to whether or not sexual addiction is OCD or not. Quick google search will show you that there are two sides to this debate and apparently the treatment you got in service had the mindset that sexual addiction was OCD while the C&P examiner does not.

Since you have depression you still have a ratable claim even without a OCD dx for the sex addiction.

You mentioned you are married - do you have a Celebrate Recovery (CR) program at a church near you? It is a Christian 12-step program like the SA, AA, GA, etc 12-step programs only CR is not ambivilent about who the "higher power" is, they know God as their higher power. Because pornography is such a problem in and outside the church, CR has a sexual addiction break out group that you could benefit from. Your spouse could also attend a women's relationship group. CR has a big group teaching or testimony and then they break out in gender specific groups which IMHO makes things easier for a husband and wife to get the support they need from their peers. Something to consider.

Keep us posted on the outcome of your claim and hang in there while you wait.

Thanks,

TS Snave

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Elliot:

Don't worry wait and see what VA says.

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Your GAF scores and DX'es seem confused. Impulse control disorder is usually a Personality disorder and comes under Axis II. Depression comes under Axis I. However, it they SC you for depression that is compensable and that is what counts.

Many bi-polar people have sexual problems because their impulse controls are weak, but it is due to the bi-polar and not a PD. I guess you have to wait and see what the VA says. If they don't get it right then appeal it.

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I removed a post that if repeated will be dealt with appropriately. No personal attacks and by extension no attacks on gender. Please refrain from taking your issues out on a Hadit Member

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When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

The military for years and even now only rate medical issues that directly impact your performance. For example, I was medically retired in 1986 for asthma at 30% , Because I had a profile stating NO Field duty. Yet I had other more serious medical conditions that were not rated by the service and rated by the VA at 70%. If the Army had rated me honestly I would have receive a 70% rating on retirement not the 30% I did get.

In fact this is the very reason that congress created the review board that allows a veteran to request his medical discharge or retirement to be reviewed because the military and VA using the same rating guide, almost never agreed on the ratings. And the Iraq war veterans were being screwed out of compensation and retirement benefits.

So don't think that just because the military did not rate you when you were discharged that this was correct because it wasn't.

As far as a sexually addiction, The only time I have heard about this is Law & order, but I don't see how anyone could get a rating for it by the VA.Even if you want to call it by another name. What next compensation for Porn addiction?

Edited by Teac

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Probably be something of this nature:

Bipolar with OCD (sexual addiction)

Depression with OCD (sexual addiction)

I would think to be rated for this disorder you will probably need a primary condition and let this spring board off of it.

All the mental disorders are ratable under the same criteria so just start seeing a psychiatrist and see what he/she diagnoses you with and go from there.

Jerr

Does anyone know if sexual addiction is rateable. Was diagnosed for it in the military. Still suffering from it. I was in inpatient clinic while in the miliatary for it. Any information would be greatly appreciated.

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If you do not mind, can you give non-specific info on why you believe this may be service connected? As the nexus will surly be the focal point of the claim.

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had cp exam...va examiner says he doesnt see a link...but docs in service said different. he said instead of ocd might be impulse disorder...axis i - impulse control disorder not otherwise specified...major depressive disorder, moderate, recurrent

gaf - 45

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