Hey guys, I'm a long time luker here.... finally decided to make an account....
A little background on me....
5 years Army Active duty (Supposed to be only 4.... but I got stop lost for 1 year and some change....)
2001-2006
3 deployments to Iraq.
I had my C&P late November for my PTSD.... I was rated at 50% SC. I was also rated 10% for Tinnutus.... giving me 55%... for a total of 60% SC rating.
I just wanted to seek some opinions from us folks if the 50% rating for PTSD is sufficient.... if not.... what I am looking for recommendations on what to do?....
I also have my first PCP appointment on March.....
Here is my PTSD C&P Results.... some info has been deleted (names and such)....
Date/Time: xxxx Nov xxxx @ xxxx
Note Title: C&P EXAM
Location: VA Southrn Nevada Hlthcare Sys
Signed By: xxxx
Co-signed By: xxxx
Date/Time Signed: xxxx
-------------------------------------------------------------------------
LOCAL TITLE: C&P EXAM
STANDARD TITLE: C & P EXAMINATION NOTE
DATE OF NOTE: NOV xxxx ENTRY DATE: NOV xxxx
AUTHOR: xxxx EXP COSIGNER:
URGENCY: STATUS: COMPLETED
Initial Post Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire
* Internal VA or DoD Use Only *
Name of patient/Veteran: xxxx
SECTION I:
----------
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: F43.10
2. Current Diagnoses
--------------------
a. Mental Disorder Diagnosis #1: Posttraumatic Stress Disorder
ICD code: F43.10
b. Medical diagnoses relevant to the understanding or management of the
Mental Health Disorder (to include TBI): Deferred to physician
Comments, if any: Complaints of tinnitus, back pain and headaches with
no current medical treatment
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 occasional decrease in work
efficiency and intermittent periods of inability to perform
occupational tasks, although generally functioning satisfactorily,
with normal routine behavior, self-care and conversation
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
------------------
In order to provide an accurate medical opinion, the Veteran's claims folder
must be reviewed.
a. Medical record review:
-------------------------
Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed?
[X] Yes [ ] No
Was the Veteran's VA claims file (hard copy paper C-file) reviewed?
[ ] Yes [X] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
If no, check all records reviewed:
[ ] Military service treatment records
[ ] Military service personnel records
[ ] Military enlistment examination
[ ] Military separation examination
[ ] Military post-deployment questionnaire
[ ] Department of Defense Form 214 Separation Documents
[X] Veterans Health Administration medical records (VA treatment
records)
[ ] Civilian medical records
[ ] Interviews with collateral witnesses (family and others who have
known the Veteran before and after military service)
[ ] No records were reviewed
[X] Other:
Separation physical found in STRs in eFolder notes complaints of
anxiety around unfamiliar people, a tendency to avoid crowds, and
memory disturbance. DD 214 shows Vetean recieved Iraq Campaign
Medal. Enlistment physical is negative for mental health
complaints. VA electronic records show no contact with VA mental
health treating sources.
b. Was pertinent information from collateral sources reviewed?
[ ] Yes [X] No
2. History
----------
a. Relevant Social/Marital/Family history (pre-military, military, and
post-military):
xxxx
b. Relevant Occupational and Educational history (pre-military, military,
and
post-military):
xxxx
c. Relevant Mental Health history, to include prescribed medications and
family mental health (pre-military, military, and post-military):
Mr. xxxx did not report any history of mental health problems or
treatment prior to military service. He stated that he has never
received mental health treatment of any kind. He indicated that he
filed a claim for a mental health condition because of frequent issues
with poor sleep and irritability that have led to family strain.
Mr. xxxx identified PTSD stressors related to military service. He
indicated that during his third deployment to Iraq he was frequently
assigned to recovery missions that involved recovering disabled US
military vehicles. He indicated that these vehicles were often
contaminated with blood and body matter. He described a particular
recovery mission during which the vehicle he was riding in and was hit
by an IED at a busy intersection. He stated that the explosion caused
him to "black out" that he subsequently "woke up and down the gun
Hatch
crying, and I wanted to shoot people." He indicated that no other
servicemembers were injured during this incident. He also stated that
during deployments, especially his second deployment, he was
repeatedly
exposed to mortar shelling.
Mr. xxxx described ongoing PTSD symptoms related to the above
stressors. These symptoms were said to include intrusive memories
that
occur on a weekly basis or more frequently, and that are often
triggered by tinnitus the reminds him of IED explosion described
above.
He stated that he will listen to music in an effort to reduce tinnitus
and trauma memories. He estimated that he experiences nightmares of
deployment about twice a month. He did not report any clear
dissociative flashbacks, but stated that he will sometimes be
distracted by intrusive memories of deployment, causing him to "zone
out". He acknowledged avoidance of trauma reminders including Middle
Eastern people, burning odors, cigarette smoke, busy intersections and
news programs about war or terrorism. He reported hypervigilant
behaviors such as keeping weapons in his home, adding security
features
to his home, planning for emergencies, avoiding crowds, always
remaining alert to his surroundings, preferring to sit with his back
to
the wall and near an exit, and always remaining alert to his
surroundings. He indicated that he continues to startle easily, and
to
respond defensively if startled. He described onset of sleep as
delayed by anxiety and indicated that mid-stage sleep is variably
interrupted with delay returning to sleep. He noted that his wife
complains that he is active in his sleep. He indicated that he
awakens
earlier than he wants to occasionally and denied sleeping excessively.
He stated that he typically feels rested on awakening, and estimated
that he sleeps 5-6 hours per night. However, he complained of some
daytime fatigue and unintentional sleep. He reported irritability
that
he expresses either verbally or by isolating himself. He noted that
he
will occasionally slam doors. He denied violent or destructive
thoughts or behaviors. He indicated that concentration is poor in
that
he is easily distracted. He stated that he has lost touch with family
members and friends since being deployed.
Mr. xxxx reported experiencing occasional, brief depressive episodes
during which he feels sad and lonely. He noted that he can feel free
from emotional distress at times, for example during and after
exercise. He was vague regarding any experience of guilt or self
blame. He stated that he cries occasionally, without relief of
distress. He indicated that his appetite is good and he estimated
that
he has gained some 20 pounds in the last year because of reduced
activity and occasionally eating for comfort. He reported fair
energy,
and no manic or hypomanic symptoms were elicited. He denied any
history of suicidal ideation or suicide attempt. He stated that he
continues to enjoy time with his family, exercising, playing video
games and watching movies. Mr. xxxx reported that he worries about
his finances, situation and job and that worry can interfere with
concentration. Panic, obsessive-compulsive and psychotic symptoms
were
denied.
d. Relevant Legal and Behavioral history (pre-military, military, and
post-military):
None reported
e. Relevant Substance abuse history (pre-military, military, and
post-military):
None reported
f. Other, if any:
NA
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: Repeated exposure to blood and body matter while conducting
recovery missions in Iraq
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
b. Stressor #2: Being in a vehicle hit by an IED at a busy intersection in
Iraq
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
c. Stressor #3: Frequent exposure to mortar shelling in Iraq
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 Criteria 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 Criteria 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 violation, in one or more of the following ways:
[X] Directly experiencing the traumatic event(s)
[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).
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] Markedly diminished interest or participation in significant
activities.
[X] Feelings of detachment or estrangement from others.
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] Irritable behavior and angry outbursts (with little or no
provocation) typically expressed as verbal or physical aggression
toward people or objects.
[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
[X] Stressor #2
[X] Stressor #3
5. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:
[X] Anxiety
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social
relationships
6. Behavioral Observations
--------------------------
Mr. xxxx was casually dressed and groomed with an unremarkable appearance.
Posture and eye contact were appropriate and facial expression was mobile.
He was well oriented and remained cooperative throughout. Mood was mildly
anxious and affect was appropriate to topic. Speech was fluent with rate,
volume and intonation consistent with affect. Thought processes were
logical
and goal-directed and cognition appeared intact based on verbal production.
7. Other symptoms
-----------------
Does the Veteran have any other symptoms attributable to PTSD (and other
mental disorders) that are not listed above?
[ ] Yes [X] No
8. Competency
-------------
Is the Veteran capable of managing his or her financial affairs?
[X] Yes [ ] No
9. Remarks, (including any testing results) if any
--------------------------------------------------
Portions of this document were completed using voice recognition
software.
While it has been proofread, some errors might remain.
NOTE: VA may request additional medical information, including additional
examinations if necessary to complete VA's review of the Veteran's
application.
What do you guys think?.... is 50% a fair rating? or did I get low balled.... also if I did get low balled.... what actions do I need to take?
Also I recently put in a claim for Sleep Apnea and IBS......
Thanks a lot for reading and any input will be greatly appreciated!
Question
ozboi
Hey guys, I'm a long time luker here.... finally decided to make an account....
A little background on me....
5 years Army Active duty (Supposed to be only 4.... but I got stop lost for 1 year and some change....)
2001-2006
3 deployments to Iraq.
I had my C&P late November for my PTSD.... I was rated at 50% SC. I was also rated 10% for Tinnutus.... giving me 55%... for a total of 60% SC rating.
I just wanted to seek some opinions from us folks if the 50% rating for PTSD is sufficient.... if not.... what I am looking for recommendations on what to do?....
I also have my first PCP appointment on March.....
Here is my PTSD C&P Results.... some info has been deleted (names and such)....
Date/Time: xxxx Nov xxxx @ xxxx
Note Title: C&P EXAM
Location: VA Southrn Nevada Hlthcare Sys
Signed By: xxxx
Co-signed By: xxxx
Date/Time Signed: xxxx
-------------------------------------------------------------------------
LOCAL TITLE: C&P EXAM
STANDARD TITLE: C & P EXAMINATION NOTE
DATE OF NOTE: NOV xxxx ENTRY DATE: NOV xxxx
AUTHOR: xxxx EXP COSIGNER:
URGENCY: STATUS: COMPLETED
Initial Post Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire
* Internal VA or DoD Use Only *
Name of patient/Veteran: xxxx
SECTION I:
----------
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: F43.10
2. Current Diagnoses
--------------------
a. Mental Disorder Diagnosis #1: Posttraumatic Stress Disorder
ICD code: F43.10
b. Medical diagnoses relevant to the understanding or management of the
Mental Health Disorder (to include TBI): Deferred to physician
Comments, if any: Complaints of tinnitus, back pain and headaches with
no current medical treatment
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 occasional decrease in work
efficiency and intermittent periods of inability to perform
occupational tasks, although generally functioning satisfactorily,
with normal routine behavior, self-care and conversation
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
------------------
In order to provide an accurate medical opinion, the Veteran's claims folder
must be reviewed.
a. Medical record review:
-------------------------
Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed?
[X] Yes [ ] No
Was the Veteran's VA claims file (hard copy paper C-file) reviewed?
[ ] Yes [X] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
If no, check all records reviewed:
[ ] Military service treatment records
[ ] Military service personnel records
[ ] Military enlistment examination
[ ] Military separation examination
[ ] Military post-deployment questionnaire
[ ] Department of Defense Form 214 Separation Documents
[X] Veterans Health Administration medical records (VA treatment
records)
[ ] Civilian medical records
[ ] Interviews with collateral witnesses (family and others who have
known the Veteran before and after military service)
[ ] No records were reviewed
[X] Other:
Separation physical found in STRs in eFolder notes complaints of
anxiety around unfamiliar people, a tendency to avoid crowds, and
memory disturbance. DD 214 shows Vetean recieved Iraq Campaign
Medal. Enlistment physical is negative for mental health
complaints. VA electronic records show no contact with VA mental
health treating sources.
b. Was pertinent information from collateral sources reviewed?
[ ] Yes [X] No
2. History
----------
a. Relevant Social/Marital/Family history (pre-military, military, and
post-military):
xxxx
b. Relevant Occupational and Educational history (pre-military, military,
and
post-military):
xxxx
c. Relevant Mental Health history, to include prescribed medications and
family mental health (pre-military, military, and post-military):
Mr. xxxx did not report any history of mental health problems or
treatment prior to military service. He stated that he has never
received mental health treatment of any kind. He indicated that he
filed a claim for a mental health condition because of frequent issues
with poor sleep and irritability that have led to family strain.
Mr. xxxx identified PTSD stressors related to military service. He
indicated that during his third deployment to Iraq he was frequently
assigned to recovery missions that involved recovering disabled US
military vehicles. He indicated that these vehicles were often
contaminated with blood and body matter. He described a particular
recovery mission during which the vehicle he was riding in and was hit
by an IED at a busy intersection. He stated that the explosion caused
him to "black out" that he subsequently "woke up and down the gun
Hatch
crying, and I wanted to shoot people." He indicated that no other
servicemembers were injured during this incident. He also stated that
during deployments, especially his second deployment, he was
repeatedly
exposed to mortar shelling.
Mr. xxxx described ongoing PTSD symptoms related to the above
stressors. These symptoms were said to include intrusive memories
that
occur on a weekly basis or more frequently, and that are often
triggered by tinnitus the reminds him of IED explosion described
above.
He stated that he will listen to music in an effort to reduce tinnitus
and trauma memories. He estimated that he experiences nightmares of
deployment about twice a month. He did not report any clear
dissociative flashbacks, but stated that he will sometimes be
distracted by intrusive memories of deployment, causing him to "zone
out". He acknowledged avoidance of trauma reminders including Middle
Eastern people, burning odors, cigarette smoke, busy intersections and
news programs about war or terrorism. He reported hypervigilant
behaviors such as keeping weapons in his home, adding security
features
to his home, planning for emergencies, avoiding crowds, always
remaining alert to his surroundings, preferring to sit with his back
to
the wall and near an exit, and always remaining alert to his
surroundings. He indicated that he continues to startle easily, and
to
respond defensively if startled. He described onset of sleep as
delayed by anxiety and indicated that mid-stage sleep is variably
interrupted with delay returning to sleep. He noted that his wife
complains that he is active in his sleep. He indicated that he
awakens
earlier than he wants to occasionally and denied sleeping excessively.
He stated that he typically feels rested on awakening, and estimated
that he sleeps 5-6 hours per night. However, he complained of some
daytime fatigue and unintentional sleep. He reported irritability
that
he expresses either verbally or by isolating himself. He noted that
he
will occasionally slam doors. He denied violent or destructive
thoughts or behaviors. He indicated that concentration is poor in
that
he is easily distracted. He stated that he has lost touch with family
members and friends since being deployed.
Mr. xxxx reported experiencing occasional, brief depressive episodes
during which he feels sad and lonely. He noted that he can feel free
from emotional distress at times, for example during and after
exercise. He was vague regarding any experience of guilt or self
blame. He stated that he cries occasionally, without relief of
distress. He indicated that his appetite is good and he estimated
that
he has gained some 20 pounds in the last year because of reduced
activity and occasionally eating for comfort. He reported fair
energy,
and no manic or hypomanic symptoms were elicited. He denied any
history of suicidal ideation or suicide attempt. He stated that he
continues to enjoy time with his family, exercising, playing video
games and watching movies. Mr. xxxx reported that he worries about
his finances, situation and job and that worry can interfere with
concentration. Panic, obsessive-compulsive and psychotic symptoms
were
denied.
d. Relevant Legal and Behavioral history (pre-military, military, and
post-military):
None reported
e. Relevant Substance abuse history (pre-military, military, and
post-military):
None reported
f. Other, if any:
NA
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: Repeated exposure to blood and body matter while conducting
recovery missions in Iraq
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
b. Stressor #2: Being in a vehicle hit by an IED at a busy intersection in
Iraq
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
c. Stressor #3: Frequent exposure to mortar shelling in Iraq
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 Criteria 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 Criteria 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 violation, in one or more of the following ways:
[X] Directly experiencing the traumatic event(s)
[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).
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] Markedly diminished interest or participation in significant
activities.
[X] Feelings of detachment or estrangement from others.
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] Irritable behavior and angry outbursts (with little or no
provocation) typically expressed as verbal or physical aggression
toward people or objects.
[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
[X] Stressor #2
[X] Stressor #3
5. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:
[X] Anxiety
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social
relationships
6. Behavioral Observations
--------------------------
Mr. xxxx was casually dressed and groomed with an unremarkable appearance.
Posture and eye contact were appropriate and facial expression was mobile.
He was well oriented and remained cooperative throughout. Mood was mildly
anxious and affect was appropriate to topic. Speech was fluent with rate,
volume and intonation consistent with affect. Thought processes were
logical
and goal-directed and cognition appeared intact based on verbal production.
7. Other symptoms
-----------------
Does the Veteran have any other symptoms attributable to PTSD (and other
mental disorders) that are not listed above?
[ ] Yes [X] No
8. Competency
-------------
Is the Veteran capable of managing his or her financial affairs?
[X] Yes [ ] No
9. Remarks, (including any testing results) if any
--------------------------------------------------
Portions of this document were completed using voice recognition
software.
While it has been proofread, some errors might remain.
NOTE: VA may request additional medical information, including additional
examinations if necessary to complete VA's review of the Veteran's
application.
What do you guys think?.... is 50% a fair rating? or did I get low balled.... also if I did get low balled.... what actions do I need to take?
Also I recently put in a claim for Sleep Apnea and IBS......
Thanks a lot for reading and any input will be greatly appreciated!
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