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Mental Status Exam

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Question

Does anyone know how to decipher this information from my PTSD C&P Evaluation? It is as follows:

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Mental Status Exam

This was a casually dressed, adequately groomed, 37 year old with normal speech. His mood was anxious and his affect was anxious and dysphoris. There was no SI/HI or psychosis. His thoughts were linear. Judgment was preserved. Insight was poor.

Diagnosis

Axis I Anxiety Disorder, NOS

Axis II Narcissistic personality traits

Axis III Per medical evaluation

Axis IV Job, money, self-reliance issues

Axis V Gaf = 70 (current and past year).

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This doctor made 13 mistakes in my review. Can I ask the AMC to grant me a new C&P?

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Does anyone know how to decipher this information from my PTSD C&P Evaluation? It is as follows:

-----------------------------------------------------------------------------------------------

Mental Status Exam

This was a casually dressed, adequately groomed, 37 year old with normal speech. His mood was anxious and his affect was anxious and dysphoris. There was no SI/HI or psychosis. His thoughts were linear. Judgment was preserved. Insight was poor.

Diagnosis

Axis I Anxiety Disorder, NOS

Axis II Narcissistic personality traits

Axis III Per medical evaluation

Axis IV Job, money, self-reliance issues

Axis V Gaf = 70 (current and past year).

--------------------------------------------------------------------------------------------------------

This doctor made 13 mistakes in my review. Can I ask the AMC to grant me a new C&P?

Well one thing for sure is I do not see a PTSD diagnosis anywhere. Looks like they gave you a diagnosis of Anxiety Disorder, not otherwise specified and linked it to whatever is in your medical evaluation. What other medical conditions are you SC'ed for? If the above is all that is in the write up it looks like somewhere around a 10 percent rating and it would be pushing to assign a 30 percent rating on it. jmho.

You can contest the exam and they may or may not respond. My suggestion, if you have not already done so is to have a private mh eval conducted and have the private doc dispute the diagnosis and evaluation contained in the VA exam especially the GAF. Keep in mind that GAF's change daily and from doc to doc.

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  • HadIt.com Elder

If you can link anxiety disorder to service you should be rated. The GAF seems very high for the stated symptoms. I susoect that if you are not working you should get a TDIU 100% Rating but it is going to be a fight.

Veterans deserve real choice for their health care.

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