john6012

I neglected to mention in the original post that I have been on Zoloft for 3-4 years and mood altering medications, the most recent is Temazepam which I can't take as it's highly addictive.

A doctor I knew while in the military sent me a letter that states, "I had a degree of inappropriateness and lack of professional decorum, experiencing paranoid ideation and emotional upheavel ranging from joyfullness and elation to dispair accompanied by uncontrollable weeping at work and at home. It is my professional opinion that the individual has a long-standing history of somewhat debilitating clinical depression, manifested by a degree of paranoid ideation and bipolar features with significant mood fluctuations which interferred with his job performance. Unfortunately, due to the intense work atmosphere, the individual was neither identified as being impaired, nor was he properly treated for symptoms of his disorder. As a result, his judgement was degraded at times he was required to perform effectively in a highly important and taxing position. There is no doubt in my mind that the work environment contributed adversely to the individual's psychological condition. In retrospect, I render the following minimal diagnosis: Clinical depression with paranoid and bipolar features. I sent the letter to the regiuonal VA office with a short cover letter indicating I would like to reopen my rating file. My question is, is the letter adequate for them to take action and what would be the potential outcome? Do I need to take a letter to the C&P exam and hand it to the examiner? Thanks in advance, John