ptsd What do you think my rating will be

[Sgt Liggins]

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] Witnessing, in person, the traumatic event(s) as they occurred to

others

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] Dissociative reactions (e.g., flashbacks) in which the individual

feels or acts as if the traumatic event(s) were recurring. (Such

reactions may occur on a continuum, with the most extreme

expression being a complete loss of awareness of present

surroundings).

[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 and exaggerated negative beliefs or expectations about

oneself, others, or the world (e.g., "I am bad,: "No one

can be

trusted,: "The world is completely dangerous,: "My whole

nervous

system is permanently ruined").

[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] 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

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 more than once a week

[X] Chronic sleep impairment

[X] Mild memory loss, such as forgetting names, directions or recent

events

[X] Impaired judgment

[X] Disturbances of motivation and mood

[X] Difficulty in adapting to stressful circumstances, including work or

a

worklike setting

6. Behavioral Observations

--------------------------

Veteran was casually dressed with good grooming and hygiene. He was

[

somewhat

agitated but cooperative. No unusual behaviors noted. Speech was somewhat

pressured with rather loud volume, possibly due to veteran's audio

issues.

Mood was anxious with congruent affect. Thought process was goal-directed

and logical. No SI/HI noted. No hallucinations or delusions noted. Veteran

was fully oriented in all spheres. Memory and concentration, fair.

Insight

and judgment, fair.

7. Other symptoms

-----------------

No response provided

8. Competency

-------------

Is the Veteran capable of managing his or her financial affairs?

[X] Yes [ ] No

9. Remarks, (including any testing results) if any

--------------------------------------------------

The veteran confirmed identity by stating full name and social security

number, when asked, prior to beginning the exam. The limits of

confidentiality were also explained to the veteran at this time and the

veteran indicated both understanding and consent prior to beginning the

evaluation. The interview was conducted using CVT technology.

Veteran completed the BAI, the BDI2, and the PCLM. On the BAI, his score

of 34/63 indicates moderate anxiety with the most salient item endorsed

being feeling hot. On the BDI2, his score of 22/63 indicates moderate

depression with the most salient items endorsed being so restless or

agitated that it is sometimes hard to stay still, sleeps a lot less than

usual, appetite is much less than before, and it's hard to keep his

mind

on anything for very long. On the PCLM, his score suggests the diagnosis

of PTSD with the most salient items endorsed being repeated disturbing

memories/ thoughts/ images/ dreams/ of a military trauma, flashbacks of

same, having a physical reaction when reminded, avoiding situations or

activities that remind, feeling distant or cut off from others, trouble

falling or staying asleep, hypervigilance, and easily startled or

jumpiness. These symptoms are consistent with his assertions during the

interview.

Veteran's symptoms cause occupational and social impairment with

reduced

reliability and productivity due to such symptoms as: depressed mood,

anxiety, suspiciousness, panic attacks more than once a week, chronic

sleep impairment, mild memory loss, impaired judgment, disturbances of

motivation and mood, and difficulty in adapting to stressful

circumstances.

[

NOTE: VA may request additional medical information, including additional

examinations if necessary to complete VA's review of the Veteran's

 

 

Edited July 29, 2016 by Sgt Liggins
[REMOVED PERSONAL IDENTIFICATION INFORMATION] 

[Buck52]

I would say 70% rating, your exam looks a lot like mine and I got 70%   I figure because of the well dressed and clean hygiene. and being able to take care of your finances..

they don't count thinking about SI..as a symptom  only if you try it  but thinking about  it don't seem to count.

they have a rating sheet with all these symptoms and they look at all yours and compare it to the rating sheet..I'll see if I can find it  it's 10% 30%50%70% and 100% based on all & severity of your symptoms.  and they rate the one that best fits your symptoms

jmo

.....................Buck

[Tbird]

SGT - please make sure to remove any personal identification information before posting. the board is public - so protecting your privacy is important.

[Sgt Liggins]

Help Anyone

[Buck52]

General Rating Formula for Mental Disorders     Rating Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name. 100 Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. 70 Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships. 50 Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events). 30 Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication. 10 A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. 0

[seminoles]

I would say 70% is what the exam results lean toward.

 

[Inarticulate&Distorted]

I see a 70% for Schedular also. What's your work  and education history? Are you working? TDIU is not that hard to get on an Inferred basis from the date your claim was started if you weren't working. Sorry our Opinions are so shoddy, but we only can make judgements based on the info you give us. If it is for just this one disability and thats all you have in then yeah, 70% Service Comnected Schedular is what i see.