sorry pasted wrong ones first two
c. Rationale: My opinion is based upon two factors. His medical records do not provide any correlation between his
documented symptoms of obstructive sleep apnea and the development of anxiety and depression. In fact, his
symptoms of anxiety and depression pre-dated the onset of his symptoms of obstructive sleep apnea. The
diagnosis of obstructive sleep apnea was made in 2009. While he clearly suffered from undiagnosed symptoms of
that disorder prior to that, his symptoms of depression and anxiety nevertheless occurred prior to the onset of his
symptoms of a sleep disorder.
Additionally, during the meeting today, it became my opinion that the veteran's anxiety and depression are not the
result of his obstructive sleep apnea.