Chalman

Thanks for the replies. I was reading through my C&P exam and found what is probably a key statement from the examiner. Based on the current examination and a review of vbms/va records, it is this examiner’s opinion that the veteran continues to meet criteria for other specified trauma and stressor related disorder. He continues to experience mental health symptoms, including sleep impairment, panic attacks, and anxiety in social situations. The veteran reported that he currently uses cannabis to manage his anxiety and sleep problems. His use of cannabis may affect his ability to obtain and maintain gainful employment. Overall , the veteran’s mental health symptoms will likely impact his vocational functioning. His ability to understand and follow instructions is not considered impaired. His ability to retain instructions as well as sustain concentration to perform simple task is considered mildly impaired. His ability to sustain concentration to task persistence and pace is considered moderately impaired. His ability to accept supervision is considered mildly impaired. His ability to accept criticism is considered mildly impaired. His ability to be flexible in the work setting is considered moderately impaired. His ability to work in groups is considered moderately impaired. His ability for impulse control in a work setting is considered mildly impaired. His ability to maintain a logical thinking process appeared adequate and would not likely impact his vocational functioning. He did not suffer from gross impairment in thought processes, delusions, or hallucinations. He was not a danger to himself or others.

I’m currently rated at 50% for ptsd and anxiety. This C&P exam is for a ratings increase, insomnia, drug abuse disorder, and IU 1. Diagnosis a. Does the veteran now have or has he ever been diagnosed with a mental disorder? [x]yes icd code: f43.8 if the the veteran currently has one or more mental disorders that conform to dsm-5 criteria, provide all diagnoses: #1 other specified trauma and stressor related disorder. Icd code f43.8 #2 cannabis use disorder, moderate icd code f12.12 2. differentiation of symptoms a. Does the veteran have more than one mental disorder diagnosed? [x]yes b. Is it possible to differentiate what symptoms are attributable to each diagnosis? [x]no Which of the following best summarizes the veterans level of occupational and social impairment with regards to all mental diagnoses? [x] occupational and social impairment with reduced reliability and productivity b. For the indicated occupational and social impairment, is it possible to differentiate which impairment is caused by each mental disorder? [x]no 3. symptoms For VA rating purposes, check all symptoms that actively apply to the veteran’s diagnosis: [x] anxiety [x]panic attacks more than once a week [x]chronic sleep impairment [x]difficulty in establishing and maintaining effective work and social relationships [x]Difficulty in adapting to stressful circumstances, including work or a work like setting There is much more to the file I left out somethings that I didn’t think were as important in order to save time. If needed I can answer questions or enter whatever else is needed. I know the VA doesn’t think like we do and any opinions given are just that but would still be greatly appreciated . Thanks in advance for any and all reply’s