[Ptsd C&p Exam Results]

I am a little confused about my C&P exam results. For one thing, I have already been diagnosed and currently being treated for PTSD by my VA MHP, but the C&P examiner says I dont have PTSD. Another thing I noted is how she left out some of the things I told her and switched a few things on a couple of my answers. Anyway this is part of my exam results. Can anyone tell me what it means?

Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria

based on today's evaluation?

[ ] Yes [X] No

If no diagnosis of PTSD, check all that apply:

[X] Veteran's symptoms do not meet the diagnostic criteria for PTSD under

DSM-5 criteria

[X] Veteran has another Mental Disorder diagnosis. Continue to complete

this Questionnaire and/or the Eating Disorder Questionnaire:

Mental Disorder Diagnosis #2: Other Specified Trauma or Stressor Related

Disorder

Comments, if any:

The Veteran reports traumatic stressors related to his time in

Iraq

(see below)that meet criterion A of PTSD. He endorses many

symptoms

of PTSD but does not meet Criterion C, avoidance symptoms

specifically related to the trauma.

Which of the following best summarizes the Veteran's level of

occupational

and social impairment with regards to all mental diagnoses? (Check only

one)

[X] Occupational and social impairment with occasional decrease in work

efficiency and intermittent periods of inability to perform

occupational tasks, although generally functioning satisfactorily,

with normal routine behavior, self-care and conversation

b. For the indicated level of occupational and social impairment, is it

possible to differentiate what portion of the occupational and social

impairment indicated above is caused by each mental disorder?

[X] Yes [ ] No [ ] No other mental disorder has been diagnosed

If yes, list which portion of the indicated level of occupational and

social impairment is attributable to each diagnosis:

It is likely that some symptoms of PTSD were present soon after

the

Veteran's deployment. However, these were not reported as being

significantly distressing until 2014. It is the opinion of this

writer that the GAD developed within the past few years and that

is

when symptoms became less manageable. Based on this, it is

estimated that the GAD/Depressive symptoms combination and the

OSTSRD contribute equally (50/50) to the Veteran's level of social

and occupatonal impairment.

RESTATEMENT OF REQUESTED OPINION:

a. Opinion from general remarks: MEDICAL OPINION REQUEST

TYPE OF MEDICAL OPINION REQUESTED: Direct service connection

OPINION : Direct service connection

b. Indicate type of exam for which opinion has been requested: Initial PTSD

TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE

CONNECTION ]

a. The condition claimed was at least as likely as not (50% or greater

probability) incurred in or caused by the claimed in-service injury, event

or

illness.

c. Rationale: The OSTSRD is based on symptoms related to the Veteran's

reported military trauma and is thought to be directly service connected

because the intrusive symptoms are about the military experiences.

However, it seems that additional Depressive Disorder seems to have become a

significant problem more in the past few years. Some general anxiety seems

to

have been present over the years, but reaching the level of need for

treatment appears to be just recently. General anxiety symptoms and

depressive symptoms were apparently not reported in the military and are

less

likely than not directly connected to military service.