wablackwell

October 13, 2019

Thanks for the information>

October 13, 2019

Hello I just need some clarification on 100 P&T disability. I have been 100 P&T since Sept 2015 and have read this is not a protected rating and the VA only award you this to give you additional benefits. But I also have read that you are protect from future rating decrease if you are awarded 100 P&T. So my question do I have to be concern about the Possible of future rating Decreases or not? Thank you

January 10, 2017

Thanks, Berta, Good Information I will Try to put in for CRSC.

January 9, 2017

Hello, I wondering if I could pick your brains on what is going on here. Well the Good news I s I did win My Claim for PTSD awarded 100% P&T. This was effective as of 25 Sept 2015. But what I can not figure out is that the VA withheld $457.91 starting 1 Oct 2015 and then it changed to $459.73 Starting 1 Dec 2016 until 1 Jan 2017. I don not really understand why they withheld this money but I think it might have to do that I retired from the military. But if that is the case, Should withheld since I was over the 50% rating wich automatically qualify for CRCD( Concurrent Retirement Disability Pay ). Any Input on what is going on would be appreciated. Thanks Bill

December 21, 2016

It seems that you have invested a lot of years towards your social security claim. Yes, the job is good money but it won't be if you are unable to do the job. It is also a lot of back pay that you will be giving up if you win your claim. If you take the job you will lose your social security claim and then if you are unable to keep the job you will have to start all over if you choose to file your claim again. Just some thoughts to think about but ultimately is going to be up to you to choose what route you want to go. I wish you good luck and a Merry Christmas.

December 3, 2016

If your not allowed to ask questions on your health over Secured messaging then what good is secure messaging. Sounds like a bunch of BS run around. I would submit a complaint to the patient advocate. I do not know if it will do any good, but at least your voice would be heard.

December 3, 2016

Buck52 is correct. The VA in el Paso tx refused to fill out a dbq or any other paper work. When I ask all they do is refer me to the compensation and pension office. Fortunate for me I am retired from the army and was able to use my Tricare to see private doctors. They had no problem writing a medical opinion or filling out a DBQ. Good luck. Bill

December 3, 2016

BrokenSoldier244th I do not have a lawyer, I submitted my SSD claim myself. I will call SSA and have them mail it to me. I already uploaded the SSD decision and when I get file SSD file will upload the basis for that decision. Thanks Bill

December 3, 2016

I just want to update my posting. I think I have found the answer on how to obtain my SSD file by surfing the internet and would I like to share with others that may be in a similar position. I found it on this web link http://www.disabilitybenefitscenter.org/how-to/obtain-social-security-disability-file . Basically, all have to do is call SSA or go to the local SSA office and request for my Social security file. It is approximately a two turn around time. So I will submit the initial letter now and my Social Security file when I receive it.

Once again, Thanks Bill

December 3, 2016

Thanks for the advice. I submitted my SSD claim in the middle of July. I won my claim with the initial application. It was easy since I was gathering evidence for my VA claim I was able to use that evidence when I submitted my SSD claim. I definitely will submit my SSD approval letter. But I agree it would be better if I had the ruling notes from how they came up with the decision. I do not Know if the SSA has something equivalent to the VA C-file. I am not sure how I go about to get that information. I guess I will call the SSA on Monday and ask how I can get that information. I do know that when I submitted my claim I only put down the disabilities that I was awarded by the VA and the disability that I am currently claiming(PTSD). It took SSA only 4 and a half month to make a decision from the time I submitted my application. I wish the VA worked that quick.

Bill

CaliBay · December 2, 2016

Hello, Hadit Community. I was told that the VA and Social Security are separate identities. But I was also told that if you get an approve Social Security disability claim that is based totally the same of your VA disabilities that it could help your VA disability claim. Well, I got a letter in mail today stating that my Social Security Disability Claim was approved. But the letter was not specific on the reason it was approved but said it was approved based on the information I submitted. Well the information that I submitted to SSA was based on my current VA disability and the new one which I have a current claim in for(PTSD). So my question is even though my letter was not specific for the reason it was approved should I upload this letter to Ebenefit and add as evidence to my claim? Thank you for your advise.

November 7, 2016

Thanks Buck for your opinion, I know how slow this process can be. Hopefully, I will get a decision in the near future, Thanks

November 7, 2016

Hell0, I had a C&P Exam on 18 October, I finally got results. Would mind giving me your opinion on the exam.

Date/Time: 18 Oct 2016 @ 0900
Note Title: C&P PTSD, INITIAL EVALUATION
Location: EL PASO VA HEALTHCARE SYSTEM
Signed By: HENDRY,KARA MATILE
Co-signed By: HENDRY,KARA MATILE
Date/Time Signed: 01 Nov 2016 @ 0831
-------------------------------------------------------------------------

LOCAL TITLE: C&P PTSD, INITIAL EVALUATION
STANDARD TITLE: MENTAL HEALTH C & P EXAMINATION CONSULT
DATE OF NOTE: OCT 18, 2016@09:00 ENTRY DATE: NOV 01, 2016@08:31:17
AUTHOR: Lastname,First name EXP COSIGNER:
URGENCY: STATUS: COMPLETED

Initial Post Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire
* Internal VA or DoD Use Only *

Name of patient/Veteran: MY Name

SECTION I:
----------
1. Diagnostic Summary
---------------------
Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria
based on today's evaluation?
[X] Yes [ ] No

ICD code: F43.10

2. Current Diagnoses
--------------------
a. Mental Disorder Diagnosis #1: Post-Traumatic Stress Disorder with
delayed
expression
ICD code: F43.10

b. Medical diagnoses relevant to the understanding or management of the
Mental Health Disorder (to include TBI): irritable bowel syndrome;
enuresis; encopresis

3. Differentiation of symptoms
------------------------------
a. Does the Veteran have more than one mental disorder diagnosed?
[ ] Yes [X] No

c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
[ ] Yes [ ] No [X] Not shown in records reviewed

4. Occupational and social impairment
-------------------------------------
a. 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] Total occupational and social impairment

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

c. If a diagnosis of TBI exists, is it possible to differentiate what
portion
of the occupational and social impairment indicated above is caused by
the
TBI?
[ ] Yes [ ] No [X] No diagnosis of TBI

SECTION II:
-----------
Clinical Findings:
------------------
1. Evidence Review
------------------
Evidence reviewed (check all that apply):

[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
[X] Other (please identify other evidence reviewed):
JLV

2. History
----------
a. Relevant Social/Marital/Family history (pre-military, military, and
post-military):
The Veteran was born in San Antonio, Texas. He has one brother and
two
sisters. He was reared in Tulsa, Oklahoma and grauated from Owasso
High School in 1988. He reported that his father worked as a truck
driver in the past and "was strict". His father was later employed by
the postal service. He said that his mother worked for American
Airlines in data management.

Upon his high school graduation, Mr. Blackwell entered the Army on
11/29/1988, per his DD 214. His MOS was 14E30/Patriot FC Operator.
He was discharged on 11/30/2008.

Mr Blackwell has been married for 25 years, and he and his wife have
two children, a son and a daughter. According to the Veteran, his
22-year-old son "never had a job, but is trying to join the Air
Force".
The Vereran's 15-year-old daughter, was recently caught for smoking
marijuana. Mr. Blackwell noted, "I set new rules, and now she gets
OTC
drug tested. She has been a 'straight A' student."

His parents are till together, and they live in Oklahoma. Mr.
Blackwell reported that he had an aunt with mental health difficulties
and that she is now deceased.

b. Relevant Occupational and Educational history (pre-military, military,
and
post-military):
Regarding his educational performance history, Mr. Blackwell noted, "I
was a 'C' student. That's why I joined the Army." He enlisted on
11/29/1988, and, as mentioned above, his MOS was 14E30/Patriot FC
Operator.

His deployments are as follows:

Saudi Arabia in 1993 - Per available records, Mr. Blackwell reported
having been deployed to this area five times.

Turkey in 1999

Kuwait from 01/2003 to 06/2003

He received multiple Army service awards, including Army Commendation
Medals and Army Achievement Medals (among others). On April 29, 2003,
he received a recommendation for an award designating his service that
"helped to maintain the battery's high readiness".

Regarding disciplinary actions, the Veteran reported having obtained
"maybe four to seven counseling statements", but no Article 15s. He
was discharged from Army active duty on November 30, 2008.

Following his discharge, he "tried college from 2009 to 2012, but I
would make either 'Ws' (withdrawals) or 'Fs' (failures). I couln't
concentrate, and I would skip class, because I had too much anxiety."
He worked for White Sands Missile Range as a civilian security guard
with normal duties, until 2014, when he was placed on light duty,
during which time "they were evaluating me for a year at a clinic on
base."

Subsequent to this evaluation process, per his evaluating mental
health
provider, on April 29, 2016, it was "determined he is not fit for
duty.
Mr. Blackwell has a long history of significant behavioral health
issues which have not responded to treatment. In addition to
counseling he has been prescribed numerous psychotropic medications
including Prazosin, Abilify, Paxil, Ambien, Effexor, Trazodone and
Zoloft. Most recently, last year, he was in an intensive 8-week VA
inpatient treatment program for Veterans suffering from Post-Traumatic
Stress Disorder. While he showed some treatment gains from the
experience, in my opinion, he remains unfit for duty."

Since this time, the Veteran reported that he performs household
duties, such as "making dinner, vacuuming things around the house, and
going to weekly appointments".

c. Relevant Mental Health history, to include prescribed medications and
family mental health (pre-military, military, and post-military):
Mr. Blackwell reported, "During the military, I had feelings like
sadness, depression, and anxiety, but I held it in. It was the
military. You don't say anything. I was too embarrassed to tell
people. When I had five years left (active duty), I did say something
in the questionnaires, but nobody did anything."

He continued, "I can't sleep. I have nightmares of being attacked in
the perimeter...scuds coming in...convoy getting attacked. I have seen
people die in my dreams. I have seen people get shot and died. I
wake
up kicking and punching about three times a week. I have a CPAP
machine and Prazosin. That's supposed to get rid of the
nightmares."

The Veteran's available records were not significant for much mental
health treatment during his active duty. Per 08/06/2013 note, Mr.
Blackwell was involved in "a couple of sessions while active duty in
2002...he did not find them helpful." At that time, there was no
history of psychiatric hospitalizations or psychotropic medications.

Mr. Blackwell did not report any mental health-related difficulties
following his discharge from the Army until several years subsequent
to
his 11/30/2008 discharge. For example, on a 01/21/2010 OEF/OIF note,
the provider reported a negative PTSD screen for Mr. Blackwell (PTSD
4Q
score of 0). 06/22/2010 PTSD and depression screens were negative.
There were also no reports of PTSD symptoms, such as nightmares. The
next month (07/21/2010), he continued to deny mental health symptoms,
though he also reported difficulties with sleep. In 2011, a note
reported that "all was going well". As mentioned, the Veteran was in
the process of attending school, which initiated in 2009 and continued
for a couple of years, until the Veteran began to have problem with
concentration and anxiety and was skipping school. During today's
evaluation, he remembered having had fear related to being in class
groups at the time.

The Veteran reportedly did not seek mental health treatment during his
time on active duty, "due to employment that keeps close watch on
employee medical and mental health due to job responsibilities" (per
ELP MH Intake note dated 08/06/2013).

According to available electronic records, on 11/24/2014, there was a
"concern that mental status was deteriorating", and it was determined
that Mr. Blackwell to be unfit for duty. The next month, he was
hospitalized at University Behavioral Health on 12/12/2014 and placed
on new psychotropic medication. He was discharged on 12/24/2014 with
(relevant) diagnoses of post-traumatic stress disorder, severe major
depressive disorder, suicidal ideation, irritable bowel syndrome, and
pain.

In 2015, an ELP MH provider recommended that the Veteran attend
inpatient PTSD services. In 09/2015, Mr. Blackwell was admitted to
the
Temple Texas VAMC and received PRRC (Psychosocial Rehabilitation
Recovery) treatment until his discharge in November (2015). Such
mental health stabilization treatment services included treatment via
music therapy, among others.

Records were found in support of a PTSD diagnosis earlier this year,
when on 04/13/2016, a C&P evaluator reported the Veteran had
"continuing symptoms of PTSD". On 09/21/2016, he was admitted to a
third psychiatric inpatient facility (UBH/El Paso Behavioral Health)
after he presented at the El Paso VA for services and was found to be
"shaking" in the lobby. He was discharged in October (2016) after a
21-day treatment program.

The Veteran has had ongoing suicide risk factors during the past
several years, which have continued to be treated with ongoing mental
health services and inpatient psychiatric stabilization. Risk
assessment on 10/17/2016 reported ongoing risk, but that the Veteran
was "stable under current circumstances". He has been involved in
intensive weekly individual therapy with a mental health social worker
and is being treated via medication management, as well, to ensure
his
safety and mental health stabilization.


d. Relevant Legal and Behavioral history (pre-military, military, and
post-military):
Mr. Blackwell denied history of legal or behavioral difficulties,
aside
from some counseling statements received, while on active duty.
Available electronic chart records are consistent with this.


e. Relevant Substance abuse history (pre-military, military, and
post-military):
Mr. Blackwell reported some alcohol use history, whereby "I probably
drink once a month...three or four drinks." He denied drug or
tobacco use history.

Available electronic recorcs do not dispute this.


f. Other, if any:
No response provided.

3. Stressors
------------
Describe one or more specific stressor event(s) the Veteran considers
traumatic (may be pre-military, military, or post-military):

a. Stressor #1: "We were in Iraq around 03/21/2003....I lost people I saw
every day. They got trapped in the convoy. They took a wrong turn
and
went through an area they shouldn't have, and they got fired upon.
The
first sergeant died."

Does this stressor meet Criterion A (i.e., is it adequate to support
the diagnosis of PTSD)?
[X] Yes [ ] No

Is the stressor related to the Veteran's fear of hostile military or
terrorist activity?
[X] Yes [ ] No

Is the stressor related to personal assault, e.g. military sexual
trauma?
[ ] Yes [X] No

b. Stressor #2: "We mistakenly shot an American plane down. Two British and
one American died....I have a lot of guilt about it."

Does this stressor meet Criterion A (i.e., is it adequate to support
the diagnosis of PTSD)?
[X] Yes [ ] No

Is the stressor related to the Veteran's fear of hostile military or
terrorist activity?
[X] Yes [ ] No

Is the stressor related to personal assault, e.g. military sexual
trauma?
[ ] Yes [X] No

c. Stressor #3: "We got small arms fire in perimeter of April 2003. It was
scary...I thought I was going to die that night."

Does this stressor meet Criterion A (i.e., is it adequate to support
the diagnosis of PTSD)?
[X] Yes [ ] No

Is the stressor related to the Veteran's fear of hostile military or
terrorist activity?
[X] Yes [ ] No

Is the stressor related to personal assault, e.g. military sexual
trauma?
[ ] Yes [X] No

d. Additional stressors: If additional stressors, describe (list using the
above sequential format):
Stressor #4: "There were a lot of scud alerts...constant scud
launches. It was a scary time, because we didn't know what was going
to happen. I thought about my family and last wishes. It happened
continuously for three weeks every day. It was a strain on the body
and the brain."

Does the stressor meet Criterion A?
Yes

Is the stressor related to the Veteran's fear of hostile military or
terrorist activity?

Yes

4. PTSD Diagnostic Criteria
---------------------------
Please check criteria used for establishing the current PTSD diagnosis. Do
NOT mark symptoms below that are clearly not attributable to the Criterion A
stressor/PTSD. Instead, overlapping symptoms clearly attributable to other
things should be noted under #7 - Other symptoms. The diagnostic criteria
for PTSD, referred to as Criterion A-H, are from the Diagnostic and

Statistical Manual of Mental Disorders, 5th edition (DSM-5).

Criterion A: Exposure to actual or threatened a) death, b) serious
injury,
c) sexual violence, in one or more of the following ways:

[X] Directly experiencing the traumatic event(s)
[X] Witnessing, in person, the traumatic event(s) as they
occurred to others
[X] Learning that the traumatic event(s) occurred to a close
family member or close friend; cases of actual or
threatened death must have been violent or accidental;
or,
experiencing repeated or extreme exposure to aversive
details of the traumatic events(s) (e.g., first
responders
collecting human remains; police officers repeatedly
exposed to details of child abuse); this does not apply
to
exposure through electronic media, television, movies, or
pictures, unless this exposure is work related.

Criterion B: Presence of (one or more) of the following intrusion
symptoms
associated with the traumatic event(s), beginning after the
traumatic event(s) occurred:

[X] Recurrent distressing dreams in which the content and/or
affect of the dream are related to the traumatic
event(s).
[X] Intense or prolonged psychological distress at exposure
to
internal or external cues that symbolize or resemble an
aspect of the traumatic event(s).

Criterion C: Persistent avoidance of stimuli associated with the
traumatic
event(s), beginning after the traumatic events(s) occurred,
as evidenced by one or both of the following:

[X] Avoidance of or efforts to avoid distressing memories,
thoughts, or feelings about or closely associated with
the
traumatic event(s).

Criterion D: Negative alterations in cognitions and mood associated with
the traumatic event(s), beginning or worsening after the
traumatic event(s) occurred, as evidenced by two (or more)
of
the following:

[X] Persistent negative emotional state (e.g., fear, horror,
anger, guilt, or shame).
[X] Feelings of detachment or estrangement from others.

Criterion E: Marked alterations in arousal and reactivity associated with
the traumatic event(s), beginning or worsening after the
traumatic event(s) occurred, as evidenced by two (or more)
of
the following:

[X] Hypervigilance.
[X] Sleep disturbance (e.g., difficulty falling or staying
asleep or restless sleep).

Criterion F:

[X] Duration of the disturbance (Criteria B, C, D, and E) is
more than 1 month.

Criterion G:

[X] The disturbance causes clinically significant distress or
impairment in social, occupational, or other important
areas of functioning.

Criterion H:

[X] The disturbance is not attributable to the physiological
effects of a substance (e.g., medication, alcohol) or
another medical condition.

Criterion I: Which stressor(s) contributed to the Veteran's PTSD
diagnosis?:

[X] Stressor #1
[X] Stressor #2
[X] Stressor #3
[X] Other, please indicate stressor number (i.e., Stressor
#4,
#5, etc.) as indicated above:
Stresso #4

5. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:

[X] Depressed mood
[X] Anxiety
[X] Suspiciousness
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[X] Flattened affect
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social
relationships
[X] Difficulty in adapting to stressful circumstances, including work or
a
worklike setting
[X] Suicidal ideation

6. Behavioral Observations
--------------------------
Mr. Blackwell reported to this examination in a timely manner. Prior to
beginning the examination, he was advised of the nature and purpose of the
examination and the limits of confidentiality as applies to any contact with
a mental health professional, but specifically the forensic disability
examination. He verbalized understanding these limitations and the fact
that
this particular meeting was for the purposes of the disability examination
and not for treatment purposes.

He was neatly attired and appropriately groomed. He appeared his stated
age.
He was oriented X3 and appeared to demonstrate grossly intact memory for
distant and recent events. On this date, his mood was appropriate. His eye
contact was appropriate. Speech was normal. There were no indications of
confusion, disorientation or psychotic thinking during this interview.

Mr. Blackwell is estimated to be at moderate-to-high risk for suicidal
behavior at this time. He does have significant chronic (historical) risk
factors noted through records review, (history of inpatient psychiatric
admissions and history of suicide behaviors.) He has had 3 psychiatric
inpatient admissions (12/2014-2 weeks at UBH/El Paso Behavioral Health;
09/20-11/12/2015 Temple Texas VA; and most recently, 09/21-10/12/2016 at
UBH/El Paso Behavioral Health.

His risk is higher than that of an individual without a stressor disorder
and
without a history of psychiatric inpatient admissions. This level of
severity is evidenced by the flag placed on his records subsequent to recent
suicidal behavior. However, there was no imminent risk during this
evaluation, and the Veteran receives ongoing weekly counseling sessions with
a mental health provider. Therefore, he appears stable, at this point.

His protective factors include connections with the VA Healthcare System,
ongoing mental health treatment, and his family. On this date, while he
reported some passive suicidal ideation, he denied plan or intent. The
Veteran underscored this by remarking, "I think about my kids and my wife...
that stops me. I feel hopeless sometimes, but then I think what that would
do to my kids."

He was advised of the resources available to veterans and active duty
military service members, in case of a mental health crisis, such as using
the Veteran's Crisis Line, reporting to the local Emergency Room for a
psychiatric evaluation for inpatient care, or calling 9-1-1 in situation in
which there is imminent danger of suicidal or homicide or if he feels he
cannot function due to a severe escalation in symptoms. He was provided a
wallet card with suicide risk factors and warning signs on one side and the
umber of the Veteran's Crisis Line on the other, and he agreed to call the

number in case of a mental health crisis. He reported having called this
number about 6 weeks ago, and that he was provided helpful information when
he called.

7. Other symptoms
-----------------
Does the Veteran have any other symptoms attributable to PTSD (and other
mental disorders) that are not listed above?
[ ] Yes [X] No

8. Competency
-------------
Is the Veteran capable of managing his or her financial affairs?
[X] Yes [ ] No

9. Remarks, (including any testing results) if any
--------------------------------------------------
When asked to describe his current problems and impairments, Mr.
Blackwell
described symptoms that are characteristic of a stressor disorder such as
sleep related difficulties ("I can't sleep"), intrusive symptoms ("I have
nightmares,"), marked alterations in reactivity ("I am hypervigilant"),
persistent negative emotional state ("I have a lot of guilt").

The MMPI-2 was administered to obtain additional information regarding
the
Veteran's current functioning, Results are below:

L F K HS D HY PD MF PA PT SC MA SI
Raw Score: 3 12 11 23 39 31 23 22 18 36 37 16 55
K Corr. 6 4 11 11 2
T Score: 48 73 41 88 91 74 59 42 79 94 87 45 84
? Cannot Say (Raw): 0 F-K (Raw): 1
Percent True: 47 Percent False: 53 Profile Elev.: 77.1
Welsh Code (new): 72*180"63'-4/95: F'-/LK: unable to show ties

The MMPI-2 "validity" scales revealed a willingness to acknowledge
serious
problems and symptoms, although without evidence of exaggeration or
magnification that might suggest negative dissimulation or malingering.
Hence, the current result were believed to be an accurate representation
of current adjustment.

The MMPI-2 clinical profile included multiple elevations denoting the
presence of serious psychological and emotional disturbance. Patients
with this pattern would be vulnerable to even modest levels of increased
stress that could trigger periods of more pronounced breakdown in the
clarity of thinking and processing. In association with unusual,
ruminative, and disturbed thinking likely to incorporate somatic
preoccupations and paranoid fears, persons rendering this configuration
appear prone to high levels of anxiety and internal agitation accompanied
by restlessness and irritability.

The MMPI-2 pattern also underscored the presence of distress,
unhappiness,
and propensities for social avoidance and introversion, The somatic fears
and preoccupations evidenced by these patients might incorporate multiple
body systems, and often include perceived neurologic dysfunction such as
irregular perceptions, altered states of consciousness, impaired
processing, and defective memory.

Mr. Blackwell endorsed several MMPI-2 critical items during today's
evaluation. For example, he answered "TRUE" to items reading: "At times I
have a strong urge to do something harmful or shocking," "The future
seems
hopeless to me," and "I have recently considered killing myself."
During careful post-test debriefing and exploration, he stated, "My
children keep me from doing it...I do coping skills, listen to music and
cook. I find ways to null and void the (suicidal) thoughts...it has not
gone that far."

On this date, he denied current intent to harm himself or another person,
and he promised to seek further professional mental health treatment if
ever having such thoughts or impulses. He was provided with the national
crisis hotline number (800-273-TALK).

It is this Examiner's opinion that that Veteran is currently experiencing
Post-traumatic Stress Disorder with delayed expression. This diagnosis
is
evidenced by his treatment records, testing, and personal interview.
PTSD, while generally occurring with several months of an incurred
stressor, may take years to emerge. Such situations, while not common,
are possible. As the Veteran noted, he did not seek mental health
services during Army active duty, although, per his report, he had been
experiencing mental health-related difficulties such as depression and
anxiety. He also has been diagnosed with medical issues, such as
enuresis
and encopresis, which likely increase the expression of his PTSD
symptoms.

As mentioned above, he is currently receiving ongoing weekly mental
health
counseling. He also receives psychotropic treatment for his current
symptoms of PTSD (such as anxiety and depression), which appear to have
stabilized his functioning, at least for the time being.

Notably, findings and impressions derived from a PTSD C&P Examination
could not be used to comment on the physical aspects of functioning in
the
employment realm. However, results and impressions gleaned from a PTSD
Examination would be useful in assessing crucial mental, emotional,
cognitive, and/or social aspects of functioning which relate to the
capacity to perform substantial gainful employment. Thus, in accordance
with the results from today's evaluation, this Veteran was believed to
possess the following work-related abilities, limitations or impairments:

"Marked Limitation" in the work setting in the following categories:

--The ability to perform activities within a schedule, maintain regular
attendance, and be punctual within customary tolerances.
--The ability to work in coordination with or proximity to others without
being distracted by them.
--The ability to complete a normal workday and work-week without
interruptions from psychologically based symptoms and to perform at a
consistent pace without an unreasonable number and length of rest periods.

--The ability to accept instructions and respond appropriately to
criticism from supervisors.
--The ability to get along with coworkers or peers without distracting
them or exhibiting behavioral extremes.
--The ability to set realistic work-related goals or make plans
independently of others.
--The ability to respond to changes in the work setting.

"Moderate Limitation" in the work setting in the following categories:

--The ability to maintain attention and concentration for extended
periods.
--The ability to sustain an ordinary routine without special supervision.
--The ability to interact appropriately with the general public
--The ability to understand and remember detailed instructions.
--The ability to carry out detailed instructions.
--The ability to remember location and work-like procedures.
--The ability to understand and remember very short and simple
instructions.

"Mild Limitation" in the work setting in the following categories:
--The ability to maintain socially appropriate behavior and to adhere to
basic standards of neatness and cleanliness.
--The ability to make simple work-related decisions.

"No Limitation" in the work setting in the following categories:
--The ability to be aware of normal hazards and take appropriate
precaution
--The ability to travel to unfamiliar places or use public
transportation.
--The ability to ask simple questions or request assistance.

NOTE: VA may request additional medical information, including additional
examinations if necessary to complete VA's review of the Veteran's
application.

****************************************************************************

Medical Opinion
Disability Benefits Questionnaire

Name of patient/Veteran: My Name

ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this
document:

[X] In-person examination

Evidence Review
---------------
Evidence reviewed (check all that apply):

[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
[X] Other (please identify other evidence reviewed):
JLV

MEDICAL OPINION SUMMARY
-----------------------
RESTATEMENT OF REQUESTED OPINION:

a. Opinion from general remarks: Is it as least as likely as not (greater
than 50 percent probability) that the Veteran's PTSD is a result of an
in-service stressor related event (fear of enemy/hostile activity, Iraq)?

b. Indicate type of exam for which opinion has been requested: DBQ 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: It is this Examiner's opinion that that Veteran is currently
experiencing Post-traumatic Stress Disorder with delayed expression. This
diagnosis is evidenced by his treatment records, testing, and personal
interview. PTSD, while generally occurring with several months of an
incurred stressor, may take years to emerge. Such situations, while not
common, are possible. As the Veteran noted, he did not seek mental health
services during Army active duty, although, per his report, he had been
experiencing mental health-related difficulties such as depression and
anxiety. He also has been diagnosed with medical issues, such as enuresis
and encopresis, which likely increase the expression of his PTSD symptoms.

As mentioned above, he is currently receiving weekly mental health
counseling
and also receives psychotropic treatment of his current symptoms of PTSD
(such as anxiety and depression), which appear to have stabilized his
functioning, at least for the time being.

TYPE OF MEDICAL OPINION PROVIDED: [ OPINION REGARDING CONFLICTING MEDICAL
EVIDENCE ]

I have reviewed the conflicting medical evidence and am providing the
following opinion: There is no conflicting medical evidence.

*************************************************************************

/es/ Ohyscholist name
Clinical Psychologist
Signed: 11/01/2016 08:31

Thankyou, Bill

green · October 17, 2016

I am in the same boat. I was let go from my federal job for PTSD on 2 July. I put my disability retirement package in around the end of June. I received a call from an ABC counselor about a week after I put my package in and he gave me my initial counseling over the phone on what to expect. I was told the average time it takes is six months. If that is true I should hear something back around December. Good luck. I hope this helps, Bill

October 13, 2016

Thanks, Broncovet, I think that is good advice.

October 13, 2016

Hello, just trying advice on my fully Developed Claim. I originally did an intent to file in September of 2015 for a PTSD claim and filed the claim in August of 2016. On 21 September 2016, I went to the VA in El Paso for my regular therapy counseling and the Therapist though that my condition had gotten worsed and I need to be hospitalized. I was Admitted to the El Paso Behavioral Hospital on 21 September and discharged on 12 October 2016 for a total of 21 days. Since I filed a FDC should I wait and see what happens with my claim or should I go ahead and upload this new evidence to my claim? If I upload the new evidence it could delay my claim but it might also help my claim. Thanks, Bill

September 7, 2016

I saw my counselor today for PTSD. She wants to get me tested for TBI. I told her that I never been Been our IED"s or big explosion. But I have got hit in the head several time in my military career. Even had an concussions and got stitches in my head. Could that cause TBI? The reason she was to get me tested is that I have a hard time memory to do simple task. I even forget that I already took my my prescriptions and then I take them again or gorget I took them at all. Could I have TBI by getting hit in the head several times in my military career. What are the symptoms of TBI. Thanks Bill

MarkInTexas · September 7, 2016

You can only see the C&P exam if it was done at the VA. I it is done by VES(Veterans Evaluation service) then this is done by and outside doctor and will not show up in your VA medical files but will be sent to your c-file.

seminoles · September 2, 2016

I go to the El Paso VA my psychiatrist would not sign my paper work(DBQ) I had for him either. He told me the VA does not allow him too. Lucky for me I am retired so I used my Tricare and had private doctor fill it out. I now going back to the VA and requested a new psychiatrist and i got my request granted. My new psychiatrist seems a lot better in caring and helping my condition. I am sorry about that because you deserve a service dog. Do have a VA one stop in your area. If so maybe they can give you some advise? Good luck my friend, I wish the best

September 1, 2016

Maybe you should ask to see a different psychiatrist. It sounds like this one is not going to do you any favors.

July 26, 2016

Thank you, Everyone for the great advice. So I will probably have to go through the VA DBQ when they schedule my C&P exam. Berta, I was not able to file for the temporary 100% Comp. I have never filed for PTSD before so I was not service connected for PTSD even though I have been DX by the VA with having PTSD. I think I will be fine going through the VA, I am trying to do a FDC and though that I might need DBQ for that. Thanks, Bill

July 24, 2016

Thanks, Inarticulate&distorted. My main goal is to get better but it seems it is just getting worse. I Tried to get my VA doctors to do this but they will not even touch it. They told me they are not allowed to fill out this form. I have gotten letters from 4 private doctors that I have been seeing. I read my VA notes and it seems like they alway try to marginalize my condition. I do not trust them anymore and have been seeing private doctors. I just recently lost my government job because they though my symptom of my PTSD made me unfit to serve as a White Sands Security guard. I did leave on good terms and was able to get a letter from my director explaining why I could not work their anymore. I admitted to behavioral health hospital and the VA inpatient PTSD program. These programs are good but have a long term effect. I feel worse now than before I went to these programs. They only make you feel better temporary. Thanks

July 24, 2016

Hello HADIT Community, I have an Intent to file in for a while now and I am finally got all the evidence I have been waiting for. I would like your opinion on the following DBQ. My concerns are that the I had I GAF score of 53 and that this was filled out by a psychologist and not a psychiatrist. My psychiatrist did not want to fill out any VA forms but he did write me a letter stated in his opinion that I was unemployable and the reasons he thought that.

July 22, 2016

Hello, MKAH. You can see this on Ebenefits. Under the manage tab, click on compensation. One their Click on compensation status. Then you will see on the right side of the page Under My Profile click on disabilities. It is not a letter but it will show your disabilities and the percentage. You can also have Ebenefits generate a letter showing what percentage you are at and how much you get each month, but it does not break it down by each disability. I hope this helps. Bill

July 18, 2016

I got that same thing when I requested my medical records. I requested over the phone, but they need your signature to actually send your medical records. I am not dure what the form that was it should tell you on your ebennies. If you ever file claim before they pull your records frem the national archieves (NARA) and send them to the VA. I have an estimate date between June of 2018 to January of 2020. I do not why it take so long to send my a copy of my military medical records. They must have only one person working in that department.

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