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cavscout1967 posted a question in VA Disability Compensation Benefits Claims Research ForumHello all. I am looking for some thoughts on how much of an impact a VA psychiatrist note in my record. I am filing for aggravation of mental conditions the pre-existed prior to service. I had a special waiver signed prior to joining where the military doctor granted me permission to enter because I had been taking lithium trials. The psychiatrist note from 2016 therapy session that states "In brief, -------- has contended with depression, anxiety, and anger as far back as teenage years. There were aggravating circumstances during his time in the Army (1988-96), though he was not in combat, and for quite a period of time alcohol misuse exacerbated his symptoms, but he says today he's been sober since 2011, when he went through treatment in the VA hospital. He doesn't attend AA; he just knows he's better off not drinking. -------- has contended with hostility and paranoid perceptions and ideation for many years. When it's been bad he'll use Abilify to counteract those symptoms. I have been seeing the VA doctors for mental health problems since 2009 and have an extensive history in my VA records of meds and groups etc. Do I have a nexus? I have been appealing this for years. Happy to provide more info if needed. Thank you