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C&p Diagnosis Axis 1 And Axis 5


BoonDoc
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Question

Hi everyone,

I had my C&P exam last June 2007 and the doctor diagnosed me with:

309.81 Post-Tramaic stress disorder, chronic.

300.21 Panic disorder with agoraphobia.

309.0 adjustment disorder with depressed mood.

Axis 5 GAF 53

My question is I filed a claim for PTSD ( I have the stressor in my SMR, and in my diagnosis from my reg. VA mental hygene clinic, and secondary depression due to chronic migraines that I'm service connceted at present at 50%, why is the agoraphobia listed with the depression and not the PTSD as I was told by my regular VA doctor, and will this hurt me in my PTSD claim?

My psch. told me that He had entered into my VA medical records that I was un-employable due to PTSD thai past Monday 8-11-2008. I still have doubts that The VA will rate me high enough for TDIU...but I'm not getting my hopes up...I don't think I can take any more rejection right now.

Thanks in advance for any insight.

BoonDoc

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  • HadIt.com Elder

Boon, I paged down and saw your post. I dont have answers just questions that may help or not. Wishin' the best for ya.

I dont understand if you recently filed for a PTSD claim or its not finished?

Do you have a copy of your VA Medical Records and C File? By reading through the Compensation Exam and your medical records, you may be able to figure out why PTSD diagnosis didnt list 'agoraphobia'. If not, Maybe pull the data together, C&P exam and med record, then ask your psych to help you figure it out? Also if your psych told you he listed you as unemployable, do get a copy of that information and apply for IU asap. Need help with IU application? search this site for lessons learned and freindly advice.

Good Luck,

cg

Hi everyone,

I had my C&P exam last June 2007 and the doctor diagnosed me with:

309.81 Post-Tramaic stress disorder, chronic.

300.21 Panic disorder with agoraphobia.

309.0 adjustment disorder with depressed mood.

Axis 5 GAF 53

My question is I filed a claim for PTSD ( I have the stressor in my SMR, and in my diagnosis from my reg. VA mental hygene clinic, and secondary depression due to chronic migraines that I'm service connceted at present at 50%, why is the agoraphobia listed with the depression and not the PTSD as I was told by my regular VA doctor, and will this hurt me in my PTSD claim?

My psch. told me that He had entered into my VA medical records that I was un-employable due to PTSD thai past Monday 8-11-2008. I still have doubts that The VA will rate me high enough for TDIU...but I'm not getting my hopes up...I don't think I can take any more rejection right now.

Thanks in advance for any insight.

BoonDoc

Edited by cowgirl
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  • HadIt.com Elder

It won't hurt your claim for one big reason:

You can't be rated for depression and PTSD at the same time. That is pyramiding. If you're already sc'd for depression, I would work on increasing that from the current 50% rating.

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rentalguy1,guy is correct,you can't be service connected for Two mental disabilities and like he said if you are already service connected for depression,just work on a higher rating for depression.

mobie

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Here's a bit of info: for an example with first C & P

Dx: Anxiety Disorder;PTSD Chronic

Depressive Disorder; Major Depression

OCD

Personality Disorder (Just listing my psych ones)

Axis V Gaf score 50

Meanwhile after the exam Gaf's ranged from 27(one time) to 47's with all of the counseling sessions. Pain Psychologist rated Gaf 38 and stated unsuitable for any type of employment and should be rated at 100% PT.

After more than 1 year VA rated me with 30% comp.

I filed NOD...they said I was deceased, next they proposed to sever, requested personal hearing and finally after almost 2 yrs got it up to 50%. Gaf's still in 40's.

Tell me something's not wrong here... :P And the lowballer trophy and the bonus $ goes to MO.

Hi everyone,

I had my C&P exam last June 2007 and the doctor diagnosed me with:

309.81 Post-Tramaic stress disorder, chronic.

300.21 Panic disorder with agoraphobia.

309.0 adjustment disorder with depressed mood.

Axis 5 GAF 53

My question is I filed a claim for PTSD ( I have the stressor in my SMR, and in my diagnosis from my reg. VA mental hygene clinic, and secondary depression due to chronic migraines that I'm service connceted at present at 50%, why is the agoraphobia listed with the depression and not the PTSD as I was told by my regular VA doctor, and will this hurt me in my PTSD claim?

My psch. told me that He had entered into my VA medical records that I was un-employable due to PTSD thai past Monday 8-11-2008. I still have doubts that The VA will rate me high enough for TDIU...but I'm not getting my hopes up...I don't think I can take any more rejection right now.

Thanks in advance for any insight.

BoonDoc

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Thanks for the input everyone!

I'm currently SC

migraine, chronic 50%

HTN 10%

Eczema 10%

total 60% SC

I have applied for SC PTSD with a stressor in my SMR and current VA treatment of PTSD.

I had the C&P exam last June 2007, and the PhD said that I had a diagnosis of chronic PTSD for several years, anxiety chronic for several years, and depression chronic for several year; He said that the PTSD was due to my experiences that occured, but that I should be able to do some type of employment with the help of my wife and medication...like my wife can take off her job and come to work with me.

He also said that the depression was not likely due to migraines but due to chronic pain, I have some non-service problems DDD psoriatic atheritis, etc.. The adjustment disorder made me wonder if He was trying to say that I had a personality disorder so I wouldn't be SC.

My regular VA psch. told me that He would put in my VA medical records that I am not able to work at any type of job due to the PTSD.

Somehow the C&P doc associated the agoraphobia with my migraines...I was diagnosed with agoraphobia at the same time that I was diagnosed with PTSD at the VA mental Hygene Clinic...He said that I had a GAF of 53 not 51 like I had written earlier.

I was told by the VA that my claim should have been rated long, long ago, and was sent to the rating office, where it is now...

Thanks again,

BoonDoc

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  • HadIt.com Elder

One thing that I think I/we are seeing more of, and that is psych disability percentages tied more directly to GAF scores than to the actualy psych disorders themselves.

What I mean is, is that you can have PTSD, OCD, MDD, Pain disorder, etc., and be on suicide watch and strapped to a gurney 24/7, but if your GAF isn't running under, say 55.....then fergitaboutit! And certainly a GAF of 60 and a $.25 still won't buy you a cup of coffee, even.

But, in your instance, you say that you have been historically rated in the 40's and THAT is what the rater is SUPPOSED to take heed of, when rating you psychwise.

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