Just found this in my medical file on My HealtheVet Blue Button. I have removed the examiners name. If it is not advisable to post this I will remove all.
I guess if I had written it myself it couldn't have gone better. Feedback please.
[X] Veterans Health Administration medical records (VA
treatment records)
MEDICAL OPINION SUMMARY
-----------------------
Based upon the records examined, particularly the last
compensation exam
conducted on March 7, 2014, relevant literature, and the
training and
experience of this examiner, it is the opinion of this examiner
that this
veteran would be unable to secure and maintain substantially
gainful
employment in his normal occupational environment, regardless of
the physical
or sedentary aspects of a given job, primarily due to persistent
PTSD
symptoms, per DSM-5 diagnostic guidelines, of increased arousal
(such as
irritability and difficulty concentrating) as well as an
avoidance of stimuli
associated with his traumatic experiences (avoiding
interpersonal interactions, crowds) and a numbing of general
responsiveness
(being detached and having a restricted range of affect), and is
socially
totally and occupationally impaired and that he is individually
unemployable
at this time.
RESTATEMENT OF REQUESTED OPINION:
a. Opinion from general remarks: MEDICAL OPINION: PTSD
(UNEMPLOYABILITY):
The veteran was examined on March 7, 2014 for his service
connected PTSD.
Please do not recall the veteran unless it is necessary to
provide the
opinion.
Examiner, please comment on how the Veteran's service connected
PTSD impacts
his ability to obtain/maintain gainful employment. Please
describe the
functional impairments and how those impairments impact the
Veteran's
physical and sedentary employment. Please provide the complete
rationale for
your opinion.
b. Indicate type of exam for which opinion has been requested:
DBQ Psych PTSD
Review
****************************************************************
PSYCHOLOGIST
Signed: 08/06/2014 19:05