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deerdown

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Everything posted by deerdown

  1. also there are some obvous ommisiions of symptoms that I told her.i tried to file mental health b4 it was denied for preexisting condition...I did not appeal dident have the heart to fight....this is a mst claim. the doctors after my service have been using the statement I made after suicide attempt..to say I had a bad childhood which I did not... I was trying to get out in the fastest way I could find and hoped that if I told them I lied in entrance exam that I would get out faster...was being harassed by company first sgt
  2. LOCAL TITLE: REMOTE VISN 11 C&P EXAMS STANDARD TITLE: C & P EXAMINATIO URGENCY: STATUS: COMPLETED Initial Post Traumatic Stress Disorder (PTSD) Disability Benefits Questionnaire * Internal VA or DoD Use Only * the end of this exam saidepression diagnosis less likely than not service connected and followed normal course SECTION I: ---------- 1. Diagnostic Summary --------------------- 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: 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: Unspecified Depressive Disorder ICD code: 311.00 Comments, if any: none b. Medical diagnoses relevant to the understanding or management of the Mental Health Disorder (to include TBI): none ICD code: xxxxx Comments, if any: none 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] Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by medication 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 Evidence Comments: none 2. History ---------- a. Relevant Social/Marital/Family history (pre-military, military, and post-military): 45 year old married for 2 years Caucasian male; resides with wife and wife's son 1997-2000 1st marriage; 2003-2008 2nd marriage; children: ages 17, 20, 10 Grew up in Indianna, raised by both parents until age 15, then was raised by a foster family. Sibling: 1 younger brother. The Veteran stated that growing up he was fine. Denied any abuse or neglect. Socially did good, had a girlfriend, enjoyed sports and camping. Social life: no contact with friends, rare contact with brother, father deceased in 00's, rare contact with mother, no contact with children Daily functioning: no regular schedule, get up around 6am, part-time work, watch TV Per review of VBMS and VA medical records, the Veteran has extensive history of childhood physical and sexual abuse. b. Relevant Occupational and Educational history (pre-military, military, and post-military): Education 1989 HS graduation Military 1990-1992 assault amphibien vehicle repairer E-2 Marine Corps General Under Honorable Conditions (Discharge involuntarily-homosexuality-Admission) Occupation 90's-00's short-term jobs in auto shops 2006-2009 tire shop 2009-2015 short-term jobs 2015-present auto shop maintenance(10 hrs/week) Income: hourly pay, VA benefits c. Relevant Mental Health history, to include prescribed medications and family mental health (pre-military, military, and post-military): The Veteran denied any history of mental health treatment prior to service. Per review of VBMS and VA medical records, the Veteran has history of depression with suicidal attempts, psychiatric admissions, and history of physical and sexual abuse STR: 04/26/1990 Enlistment Exam: silent for mental health 12/30/1991 clinical note "referred for suicide ideation. Pt. recently depressed over 2 last weeks (over poss. sexual preferences). no financial difficulties. recently totalled a motorcycle. No definite date/plan for suicide. Pt. has past hx depression with inpatient Rx x3 in past prior to USMC (denied this on enlistment history and physical). hx of one suicidal gesture in the past; does not know real parents (adopted); parents (step) divorced Thought process intact. No loose associations; no hx delusions; no hallucinations; Impressions: depression with suicidal ideation; Fraudulent enlistment" 1/2/1992 clinical addendum "pt attempted to cut wrist on 31 Dec 1991 while in barracks. Pt was being checked every 30 minutes by duty. Pt was then placed in company office for 24 hour supervision. SNCO decided not to refer pt to ER this time. Today I interviewed pt who states that he cannot go living like this (with 24 hr supervision nad difficulties from pending disciplinary actions) 01/10/1992 psychiatry consult "...referred after he made a suicidal gesture while drinking.. out of anger. Currently he is pending process for homosexuality. Of note, he had some homosexual activity with an adoptive brother but none since. He may have some unusual sexual fantasies but is no more than sexually confused. He drinks abusively drunk 2/month. He was drunk when he made a suicidal gesture and when another male made sexual advance on him. DX; Alcohol Abuse, past history of psychiatric treatment; Sexual Identity Issues; Impulsive, immature traits" 02/26/1992 separation medical examination: veteran endorsed depression VISTA: Orlando OPC 2007 records are silent for mental health; depression screen negative Lake Baldwin CBOC 2009 records are silent for mental health CPRS: Detroit VAMC 08/20/1999 mental health note "seek ing assistance in the MHS was because he was court ordered to attend a substance abuse program s/p assault charges. He also stated that he has had mental health treatment first at the age of 7..."I had ptsd after my father tried to blow my head off with a shot gun...says he was placed on Mellaril for an unremembered time." Vet currently states he has a diagnosis of gender dysphoria and is seeking sexual reassignment" 12/07/2001 psychiatric admission "This is a 29-year-old divorced white female who came to Admitting with a history of feeling depressed, suicidal and homicidal for the last couple of weeks. He had a sleeping problem. The patient stated that he was also hearing voices, that is, of another person whom he referred as 'him'. The patient admitted that this is not me, but 'him' for suicidal and homicidal thoughts. The patient also admitted that because of 'him', he used to cross dress, though he did not like it personally. The patient's father and ex-wife mentioned that the patient had a disturbed childhood. He was sexually and physically abused. The patient lived with adopted parents, where he was sexually and physically abused by one of the adopted guys. Then at the age of 13, the patient's adopted parents divorced. The patient and the patient's brother started living with the adopted father. Then one day, the patient's father caught the patient and his brother because of the sexual thing they were doing to each other, the patient's father took them to court and he was put in a teen ranch as punishment. Then, he was picked up by another family in Ohio, from where he graduated. The patient was abused by his adopted mother. One time, she grounded him in the room for one month, without allowing him to go outside and he ate in this room for one month. This incident, however, made the patient very disturbed. The patient's brother also mentioned that the patient liked to become a female. He first noticed this, when the patient was seven years old, at the time of Christmas, when he asked to dress up like a female and then everybody laughed at him. The patient also has a history of stealing his mother's underwear for dressing up. The patient's ex-wife and brother also mentioned that the patient used to do male prostitution, he did that for three to four years for money. The patient tried to suffocate his wife and had been in jail for another 10 months" Dx: Psychosis, NOS psychiatric medications since 07/2017 Zoloft 50mg Hydroxyzine 25mg x3 Prazosin 1mg VBMS: 08/2017-present weekly individual counseling at Great Lakes Psychology Group 8/01/2017 initial assessment, DX: PTSD 05/12-13/2013 psychiatric admission at Henry Ford Macomb hospital; DX: Depressive Disorder, NOS, Gender Identity Disorder, Alcohol Abuse admission note for suicidal attempt "he was involved with a man the night of his suicide attempt and felt so ashamed and conflicted that he acted out. States he was not thinking about suicide any time prior to the incident. His biggest issue is the urge to cross dress and his sporadic relationships with men. Admits to struggling with some depression. The veteran reported average of 4 hours of broken sleep, nightmares about assault, wakes up anxious, problems initiating sleep due to fear about having dreams, mood - anxious and easily irritable, recurrent passive suicidal thoughts with no intent, problems concentrating, feels emotionally overwhelmed, history of cross dressing until 2013, history of being promiscuous engaging with men, last episode in 2013, confusion around sexual orientation. Alert and oriented times three; attention well sustained. Good eye to eye contact; fair grooming and hygiene; speech with normal rate, rhythm, and fluency, goal directed. No thought disorganization noted. No suicidal/homicidal ideation reported. Anxious mood, tearful at times congruent to thinking; Affect appropriate and full in range. d. Relevant Legal and Behavioral history (pre-military, military, and post-military): NJP: 920103 - disobeyed a direct order to remain in Company Office; 911231 drinking beer in his room and using provoking speech 02/1992 administrative separation "...PFC Barnaba...declaring himself to be bisexual" 1998, 1999 robbery at a store using a gun, dropped down to larceny in a building 1997 arrested for forgery and counterfeiting, dropped to uttering and publishing 1998 assault 1992 armed robbery, dropped to larceny in a building 2013 Domestic Violence e. Relevant Substance abuse history (pre-military, military, and post-military): Alcohol: 2013 stopped drinking liquor 2013-present weekly 8 beers in one sitting Cannabis: 06/2017-present 2/week edible treatment 90's-present off and on AA meetings f. Other, if any: none 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: "Summer of 1991 sergeant offered me a ride and took me to a secluded area where he raped me." 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? [ ] Yes [X] No Is the stressor related to personal assault, e.g. military sexual trauma? [X] Yes [ ] No If yes, please describe the markers that may substantiate the stressor. Per review of records and in-person examination, the Veteran provides inconsistent information about life events and experiences. b. Stressor #2: none 4. PTSD Diagnostic Criteria --------------------------- 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) Criterion B: Presence of (one or more) of the following intrusion 1 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). 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] No criterion in this section met. 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] No criterion in this section met. 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] 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] No criterion in this section met. 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] No criterion in this section met. 5. Symptoms ----------- No response provided. 6. Behavioral Observations -------------------------- alert, oriented times three, fair eye contact, fair hygiene 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 -------------------------------------------------- No symptoms were marked in Section 3 for rating purposes.
  3. So I got the results of my c&p exam they're saying that depression was preexisting based on some things that I told them afterwards after I got out and while I was in the military because of MST I need help I'm in Michigan can anybody give me the number of a good attorney my entrance exam is free and clear
  4. I had my c&p exam yesterday actually had two of them one for an increase on my knees and the other one for PTSD the one for the knees went well the one for the PTSD I think they are going to try and claim that I had a preexisting condition based on a statement that I made after I tried slice my wrists when I was talking to a doctor I will wait for the c&p exam results I am doing the MST program starting next week they got me on some medications also they seem to help
  5. thanks for your advice. I actually did get a call from a va social worker today. they are working to get me in the mst program at Detroit va. also I'm now working with a private therapist supervised by a phd specialsing in trauma and alcohol abuse...she saw me for the first time today I was in the waiting room and she put her head around the corner and I about had a heart attack she supprised me...anyway after 1 hour she did conferm what I suspected called me a textbook case of ptsd. just wanted a second opinion cause I don't trust the va doctors so I'm going to try to prepare myself to tell all at the cp exam.
  6. hi everyone I don't have a diagnosos for mst related ptsd they scheduled my cp exam for a few weeks away and I was told that I dident need a diagnosis? is that true? anyway what I'm terrified about is talking about the assult with the examiner!!! I believe I have evidence of the stressor.. suicide attempt but I was told by a few people in 91 and 92 that "men don't get raped son" or "he must have just made a pass at you" which was documented by the psyc guy.. also one njp for telling an e6 to xxxx off...major decline in performance and eval record scores.,,,,followed by admission of homosexuality ...I was confused and wanted to get out so badly...no one believed me. really hit the self destruct button after with documented assaultive behavior..,,,cant keep a job,,terrible nightmares,,waking up soaked in sweat if I can even sleep.. no friends 2 failed marrages ect..I used alcohol to help me cope with the symptoms when I wasn't in jail.
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