ptsd Ptsd C&p Results

[sgmdae]

A Retired Rater, Retired C&P Examiner and a Retire Psychiatris

review this C&P Exam, and see 100% Rating

I will need to see it in Writing!!!

Axis I

PTSD (309.81)

Bipolar II Disorder (296.89

Sexual Sadism (302.84) is this under a mental disorder ???

PTSD includes symtoms of anxiety, panic attacks and obsessive compulsive behaviors. Bipolar Disorder includes his mood symtoms-despression hypomania, impulsitivity, racing thoughts. His sexual abberations are included in his paraphilla

AxisII

Personality Disorder with antiSocial disorder (301.7)

Axis III, Many Medical problems

AxisIV Problems with primary support group, Problems related to the social enviroment, Occupational problems, problems related to interaction with the legal system

Current GAF 35

The claimant is technically empolyed but doing no work. He has been sent to an office in a distant city from where his last trouble were. He is being investigated and sued for sexual harassment and various other complaints. In my opinion his mental disorders would preclde him from employment in any other company

Effects of PTSD on Occupational and Social Functioning

X in box: Total occupational and social impairment due to PTSD signs and Symtom

and also due to Bipolar Disorder and his sexual paraphila. He insomnia and nightmares, ritualistic and checking behaviors includong his sexual aberrations, depression, anxiety, panic attacks, history of assaultive behavior, grandiosity, poor marital and family relationship, restricted range of emotions, hypomania, no social friends, poor memory, poor self care, racing thoughts. With these symptoms and with his records he likely unemployable. He has no real relationship with friend or even family.

Psychosocial functional status and quality of life: After his return from Vietnam, he has almost consistently unable to function in a work enviroment and has no social involvement, even with his wife and kids.. His problems have become steadily worse over the years. There were many complaints about work behaviors and has had many jobs the past several years. This last group of incidents appears to be the end of the line for his working career as he is facing lawsuits for sexual harassment. He is not taking basic care of his hygiene. He is homeless and is living in the office that is own by the company.

PTSD symptoms require continous medications

PTSD symptoms are severe enough to interfere with occupational and social functioning.

Prognosis for PTSD

I do not see any hope for improvement for this claimant. He is suffering from severe PTSD, for which he has received little treatment over these many years. In addition, he meets criteria for Bipolar Disorder and sexual paraphilla. All these are futher complicated by long standing maladaptive personality characteristics.

Your opinion, no matter how harsh, will be repected

Edited September 27, 2009 by sgmdae

[darkhorse]

I would also file for SSD now and start by turning a copy of this report in. This report, in itself, will jumpstart the SSD process.

He stated PTSD as "SEVERE" and that is normally efficient for a 70% rating and I would think IU.

The only bump in the road I read would be where he stated, "All these are futher complicated by long standing maladaptive personality characteristics." The other way around would have been better but this might not matter to the rater since anything in AXIS I trumphs AXIS II disorders unless specifically stated otherwise.

dh

The PTSD diagnosis is strong.

Which RO are you dealing with?

I have seen a very few 100 percent PTSD awards. mostly 70 and added IU.

You should go ahead and submit the IU paperwork now.

It May save you some time.

J

Edited September 24, 2009 by darkhorse

[sgmdae]

Thank you Darkhorse

[darkhorse]

No problem,

The only time a Personality Disorder should nix a claim is when there is overwhelming evidence that the PD is the predominate feature in your mental health history. Since you have been diagnosed with PTSD and it appears to be the predominate disorder, then it trumps a PD in all cases. Every human being carries some characteristics of Personality Disorders. But in order for it to be the predominate disorder it must interfere with characteriological ability to function in society.

hope this sheds more light,

dh

Thank you Darkhorse

Edited September 24, 2009 by darkhorse

[sgmdae]

That excellent information, my PTSD is documented strongly and it is the cause of the other DX

so I can't see how the rater can spin it other then Severe PTSD

[MikeR]

Well, you need to get all the help you can. Meds, psychotherapy, and keep away from stressfull situations. My Dad had PTSD/Bi-polar and can't work because he scares people, he has adjusted to being retired. It's not soo bad.

[sgmdae]

Thanks Mike for the concern

That was my reason for going to Mental Health, the Claim was secondary.

Now I am looking for advice on the next step