ptsd QTC exam for Ptsd, anxiety, depression

[oldtimer92]

 

Hello All, 

Put in 1 claim for anxiety and depression and 1 for ptsd(noncombat). Had QTC exam today.. Doctor said I have signs of ptsd but dont meet full criteria for it. Definitely have anxiety and depression. But he couldnt say if my issues are more of the ptsd or the depression, but I needed to continue counseling. So is this good or bad?

 

 

 

 

 

 

 

 

 

 

 

[oldtimer92]

ok, so I went to 1st mental health appointment with psychiatrist yesterday. He also said symptoms of PTSD but not full criteria. Don;t see his notes on HealthVet yet. He also wants to study mt sleep habits and feel like I may have sleep disorder. Gave me sleep diary to do for 2 weeks. Will decide on my next visit in a month if I need to do sleep study. I sent in ROI for QTC exams, I was told it could take up to 30 days to get them and claim maybe already decided by the time I get them.

[Gastone]

You're seeing a QTC Psychiatrist for MH Treatment, not an MH Forensic PTSD Exam, right? Are these treatment sessions done at a QTC Facility?

Your MHV Med Recs indicate a (3) day lag time in updating VA Clinician Notes, QTC Treatment Notes could take considerably longer. QTC Forensic PTSD Exam DBQ's never appear on MHV or for that matter your VMC files. They are delivered directly back to the requesting RO Rating Dept, after the QTC Board Reviews them for thoroughness and completeness.

Have you completed you own PTSD DBQ, what do you think?

Didn't you have to complete (2) PTSD Screenings prior to being assigned to either the VMC MH Dept or to QTC for treatment?

Semper Fi

 

[oldtimer92]

Gastone,

No sir, I had a QTC exam with Psychiatrist for my claims. I have been seeing VA Psychologist for last 8 months, he has referred me to VA Psychiatrist for mental health counseling and medication regulation. Never done PTSD screenings. During the evaluations with the QTC Psychiatrist and the VA Psychiatrist, both made the statement that I have PTSD symptoms but dont fit all the criteria to be diagnosed with it totally. QTC doctor stated he couldnt make a opinion if I was suffering more from PTSD or depression. 

[Buck52]

 They need to say you have PTSD or you don't...the ptsd ratings very on the symptoms, the more ptsd symptoms the more the rating...its usually rated at 0%  no ching-chang  but 10% 30% 50% 70% up to the 100% is the ratings

If you have DSM-5 PTSD Diagnoses it has to come from the VA and the symptoms do meet the criteria rating you should be rated according to your symptoms  10% 30% and so on.

Don't let them try to low ball you and rate you with Depression only. (if you in fact have PTSD)

With PTSD you can also have depression and any other unspecific depressive disorder.

Try to know your symptoms and we can help you better.

[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

 

pick out the symptoms they say you have  and Go by this ptsd rating chart. 

[joerohling]

On 2/7/2017 at 0:35 PM, oldtimer92 said:

ok, so I went to 1st mental health appointment with psychiatrist yesterday. He also said symptoms of PTSD but not full criteria. Don;t see his notes on HealthVet yet. He also wants to study mt sleep habits and feel like I may have sleep disorder. Gave me sleep diary to do for 2 weeks. Will decide on my next visit in a month if I need to do sleep study. I sent in ROI for QTC exams, I was told it could take up to 30 days to get them and claim maybe already decided by the time I get them.

Oldtimer,

where did you send ROI for your exam to? And did you use a specific template or just a generic FOIA letter? I am needing mine as well and cannot seem to get a straight answer from any of the involved parties (Dr office, QTC, VA, DAV). Each one states I need to ask the other how to get the results. Any help would be appreciated.