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What Additional Evidence Do I Need For My Claim To Be Successful?

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willidx4

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What additional evidence do I need for my claim to be successful?

I was denied a PTSD claim back in 2005. I was in the Gulf and served in the grunts in a combat zone. I was diagnosed with PTSD by a Psychiatrist (private Doctor) in 2005 my GAF score was a 43. The VA needless to say stated I didn't have PTSD according to the VA Psychologist that did my 30 minute C&P exam I had a severe personality disorder and in her notes she gave me a GAF score of 38. I never filed a NOD at the time I just wanted to be done with the VA after reading the C&P examiners notes I was basically called a scam artist. I filed again for PTSD in August 2012 and was diagnosed again by the same private Doctor what other material evidence do I need to make sure my claim is successful

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  • HadIt.com Elder

Thanks folks I feel better about the direction Im going in now. I have a current Dx of PTSD and Major Depression from a private Psychiatrist and that evidence has been submitted to the VA. I still see my private Psychiatrist once a month and I have contacted a local vet center to make arrangements to attend some group counseling sessions once a week. I went to my Regional Office and requested to be seen by a MH doctor and was informed my income disqualified me from being seen. I have been prescribed Wellbutrin SR, Klonopin and Remeron by my private Psychiatrist

If you are "enrolled" in VA health care, income or net worth has nothing to do with medical care. What I would do in your situation is to get something in writing denying the care. You might have to make a request for care in writing to the VAMC's director, in order to get a written reply. Then, there may be some further options available. I can think of other things as well, but I have no personal experience to go by in this area. I'd think that the current debacle concerning mental health care and PTSD can be made to work in your favor. It sounds like you currently have no service connected conditions.

In other words, it may be Lawyer time. Is the VA providing the drugs under the veterans drug act?

Edited by Chuck75
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If you are "enrolled" in VA health care, income or net worth has nothing to do with medical care. What I would do in your situation is to get something in writing denying the care. You might have to make a request for care in writing to the VAMC's director, in order to get a written reply. Then, there may be some further options available. I can think of other things as well, but I have no personal experience to go by in this area. I'd think that the current debacle concerning mental health care and PTSD can be made to work in your favor. It sounds like you currently have no service connected conditions.

In other words, it may be Lawyer time. Is the VA providing the drugs under the veterans drug act?

Chuck 75 I am not enrolled in VA health care soley based on the fact that I have been denied multiple times for health care from the VA based on income alone. I have been told by the VA in Durham NC (twice) and the by the DAV that I must be service connected before they will issue me an ID card or helthcare of any kind. I have been pretty lucky I have private insurance so all of my MH care and drugs are taken care of by United Health Care. The last time I went to the VA I was basically informed that with 3 dependants, in Raleigh NC making over 68k a year made you richdry.png so I could not be treated by the VA without being service connected. You mentioned getting an Attorney to help with my PTSD claim what can a Lawyer do for me concerning paper work that I can't do for myself. I thought about just handing the entire thing over to a Lawyer and letting them deal with the VA however what more access would they have to the VA that I don't. I would love to gets some answers so I can have an excuse to find a good lawyer and let him or her worry about this stuff.blink.png

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well when I started going to the VA, they to asked me for my income infromation. I kindly told them that the Military did not ask me for my income infromation when I was drafted and sent to Viet Nam, so why is it a problem now. I do know that the VA will help veterans out that are not SC. my brother get his hearing aids and his glasses from the VA at no cost. But his meds do cost him more thru the VA than going to Walmart.,BTW I went thru 16 weeks of therapy for my PTSD and I to go to the MH hospital every 2 months to vet to vet meetings. I still see the head Doctor on a regular bases AND HAVE NOT BEEN RATED FOR PTSD as of yet, yes I have filed for it back last May . The Ebenefits is show 10/09/12 to 04/2013 for a decision. Oh well just waiting like most on here. Good luck

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I went to my Regional Office and requested to be seen by a MH doctor and was informed my income disqualified me from being seen. I have been prescribed Wellbutrin SR, Klonopin and Remeron by my private Psychiatrist

Go back and tell them the above is BS.

Your income does not disqualify you from receiving VAMC health care.

It would most likely put you in Priority Group 7 or 8.

Give this a try.

http://www.va.gov/healthBenefits/resources/eligibility_check.asp

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What additional evidence do I need for my claim to be successful?

I was denied a PTSD claim back in 2005. I was in the Gulf and served in the grunts in a combat zone. I was diagnosed with PTSD by a Psychiatrist (private Doctor) in 2005 my GAF score was a 43. The VA needless to say stated I didn't have PTSD according to the VA Psychologist that did my 30 minute C&P exam I had a severe personality disorder and in her notes she gave me a GAF score of 38. I never filed a NOD at the time I just wanted to be done with the VA after reading the C&P examiners notes I was basically called a scam artist. I filed again for PTSD in August 2012 and was diagnosed again by the same private Doctor what other material evidence do I need to make sure my claim is successful

will,

I believe if you were denied benefits due to a PD diagnosis versus a PTSD diagnosis,

during this period - your claim should be re-adjudicated.

Perhaps someone else has the link handy and will post it.

If not try doing a search on the web site.

Many claimants were denied for PTSD and stamped with a different label of Personality Disorder.

BTW - did you happen to have any TBI or mTBI while on active duty?

You might want to research through the links

at this link:

https://www.google.com/search?q=va+%2B+PTSD+%2B+Personality+Disorder&rlz=1C1CHFA_enUS484US484&oq=va+%2B+PTSD+%2B+Personality+Disorder&sugexp=chrome,mod=0&sourceid=chrome&ie=UTF-8

This one is also informative.

http://www.vva.org/ppd-faq.html

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  • HadIt.com Elder

Willie

You tell the VA that you are suicidal and they will treat you in a hurry. If you have PTSD, depression, panic or gad this would be a very common feeling. When I was dx'ed with a major mental illness the VA did not even have a dx of PTSD. You can get 100% for any mental illness that has a valid DX. You can't get it for mental retardation or personality disorder. I was discharged from the Army on my return from Vietnam as a personality disorder. The VA reversed this and changed to a compensable mental illness and I got compensation. This is pretty unusual at this time, but I had evidence. Once the VA has got it into their heads you are a PD they will look for any sign that you are a PD and ignore other evidence that you have a real mental illness. You have to fight them with medical evidence.

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