USMC1962 - never count on the VA to do anything automatically except, maybe, try to reduce your rating. As for continuing your treatment, to maintain your award, it is not required. At your (and my age) it doesn't matter, as we are somewhat protected. I go to group weekly, for myself, and will continue as long as I am physically able to attend. I also do it to help other veterans, to share what has worked, and not worked, for me!!! After all these yrs I rarely, if ever, go into a rage, anymore. jmo pr