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  1. Hello there, Currently waiting for a rating. Put in the claim jan 2014 changed to prep for decision begining fot this month. Things are moving pretty fast. What should I expect when I get my claim will it be denied? This is from the C&P DSM 5 PTSD 309.81 DATE 06/23/14 DSM 5 SCHIZOAFFECTTIVE DISOREDER, BIPOLAR TYPE 295.70 DATE 06/23/14 DSM 5 ACHOL DEPENDENCE ICD 305.00 DATE 06/23/14 THE VETERAN MEETS THE FULL DIAGNOSTIC CRITERIA FOR POST TRAUMATIC STRESS DISORDER, SCHIZOAFFECTIVE DISORDER, BIPOLAR TYPE AND ALCHOL DEPENDENCE BASED ON DSM-IV AND IN ADDITION TO DSM 5 DIAGNOSTIC CRITERIA, THE VETERANS ALCHOL DEPENDENCE IS RELATED TO PTSD AS HE BEGAN TO DRINK TO EASE HIS ANXIETY RELATED TO THE TRAUMA AND PTSD SYMPTOMS. THE VETERANS SYMPTOMS OF PTSD ARE DISTINCT FROM HIS DELUSIONS AND AUDITORY HALLUCINATIONS CAUSED BE SCHIZOAFFECTIVE DISORDER VIPOLAR TYPE. HE IS HYPERVIGILANT FROM PTSD. HIS ALCHOL DEPENDENCE IS ALSO DISTINCT EITH PERIOD OF BINGE DRINKING AND BLACKOUTS. X OCCUPATIONAL AND SOCIAL IMPARMENT WITH REDUCED ABILITY AND PRODUCTIVITY. 70% SCHIZOAFFECTIVE DISORDER, BIPOLAR TYPE 20% ALCHOL DEPENDENCE 10% PTSD PTSD DIAGNOSTIC CRITERIA A X DIRECTLY EXPERINCING THE TRAUMATIC EVENTS X WITNESSING IN PERSON, THE TRAUMATIC EVENTS, AS THEY OCCOURED TO OTHERS CRITERIA B X INTENSE OR PROLONGED PSYCHOLOGICAL DISTRESS AT EXPOSURE TO INTERNALOR EXTERNAL CUES THAT SYMBOLIZE OR RESEMBLE AN ASPECT OFTHE TRAUMATIC EVENT CRITERA C X AVOIDENCE OF OR EFFORTS TO AVOID EXTERNAL REMINDERS ( PEOPLE, PLACES, CONVERSATIONS, ACTIVITIES, OBJECTS SITUATIONS THAT AROUSE DISTRESSING MEMORIES, THOUGHTS, OR FEELINGS ABOUT OR CLOSELY ASSOCIATED WITH THE TRAUMATIC EVENT(S) CRITERIA D X PERSISTENT AND EXXAGERATED NEGATIVE BELIEFS OR EXPECTATIONS ABOUT ONESELF, OTHERS, OR THE WORLD (EG, "I AM BAD", "NO ONE CAN BE TRUSTED", "THE WORLD IS COMPLETLY DANGEROUS", "MY WHOLE NERVOUS SYSTEM IS PERMANENTLY RUINED") X PRESISTNEGATIVE EMOTIANL STATE (E.G. FEAR, HORROR, ANGER, GUILT, OR SHAME) X FEELINGS OF DETACHMENT OR ESTRANGEDMENT FROM OTHERS. CRITERIA E X HYPERVIGILANCE X PROBLEMS WITH CONCENTRATION CRITERIA F X DURATION FOFTHE DISTURBANCE IS MORE THAN 1 MONTH CRITERIA G X THE DISTURBANCES CAUSES CLINNICALLY SIGNIFIGANT DISTRESS OR IMPARIMENT IN SOCIAL, OCCUPATIONAL, OR OTHR IMPORTANT AREAS OF FUNCTIONING. SYMPTOMS X DEPRESSED MOOD X ANXIETY X SUSPICIOUSNEDD X DEPRESSION AFFECTING THE ABILITY TO FUNCTION INDEPENDENTLY, APPROPRIATLEY, AND EFFECTIVLEY X IMPARMENT OF SHORT- AND LONG TERM MEMORY, FOR EXAMPLE RETENTION OF ONLY HIGHLY LEARNED MATERIAL, WHILE FORGETTING TO COMPLETE TASKS X FLATTEND AFFECT X CIRCUMLOCUTORY SPEECH X STEROTYPED SPEECH X SPEECH INTERMITTENTLY ILLOGICCAL, OBSCURE, OR IRREVANT X IMPARED JUDGMENT X GROSS IMPARMENT IN THOUGHT PROCESSES OR COMMUNICATION X DISTURBANCES OF MOTIVATION AND MOOD X INABILITY TO ESTABLISH AND MAINTAIN EFFECTIVE RELATIONSHIPS X PERSISTENT DELUSIOONS OR HALLUCATIONS X INTERMITTENT INABLITY TO PREFORM ACTIVITIES OF DAILY LIVING, INCLUDING MIANTENANCE OF MINIMAL PERSONAL HYGENE BEHAVIORAL OBSERVATIONS THE VETERAN PRESENTED AS AN AVERAGE GROOMED AFRICAN-AMERICAN MALE WITH NOTICABLE FLAT AFFECT. HE BECAME INCREASINGLY MORE LABILE AS HE BEGAN VERBELIZING HIS DELUSIONAL BELIFS. X THERE IS A DIAGNOSIS OF SUBSTANCE ABUSE. THE DIAGNOSIS IS. ALCHOL DEPENDENCE X SUBSTANCE ABUS IS SECONDARY TO AGGRAVATED BY A PSHCHIATRIC DISORDER RELATED TO MILITARY X THE VETERAN CONTENDS THAT FUNCTIONAL IMPAIRMENT IS DUE TO THE EFFECTS OF A MENTAL DISORDER. THE VETERAN PRESENTS AS ACTIVELY DELUSIONAL. HE IS HIGHLY DISTRACTED BY HIS NEED TO "CURE CANCER" AND OTHER GRANDIOSE BELIEFS. WILL THIS SHOW AS MILTARY RELATED? WILL I GET A RATING? FILED 1/15/2014 PREPARATION FOR DECISION 08/04/2014C&P 0623/2014 ANYBODY HAVE A CLAIM LIKE THIS? WHAT COULD I EXPECT? SHOULD I GET THAT APPEAL STARTED?
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