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ptsd Ptsd C&p Revaluation
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Question
USMC_HVEQ
Hi,
I've read many of the FAQ's and other posts about the topic. I guess the questions I have are specific to my case in nature. I think this is a great site and wished I had found this years ago, when i filed my initial claim.
Background of my case
My current pysch eval said
axis I: ptsd, major depression
axis 2: (blank)
axis 3 (previosu ortho and tinnitus probs)
axis 4: economic stress
axis 5: GAF score of 50
said I had suicidal idealtion, panic attacks, nightmares/flashbacks, irritability, social isolation and bunch more stuff. I will elaborate later.
I was told by my pysch therapist that I had a gaf of 45, but i didnt see it in the notes. I had a 70 on PCL-m test.
I got with a VSO to help with a NOD. I inquired if NOD was rec'd in dec 08 yet, since I met with rep in nov. They stated they ahd not, so I filed one myself jsut in case. I finally heard back from VSO and said they had sent it in a while ago and sent another one to be walked in by hand by a rep. I sent copies of my VA notes, my stressor letter and a letter from my dad ( only mentioned stuff about me being back form Iraq when i immediately came back, might have misunderstood the extent of letter). I was called the very next day, after 1 year time frame on last award, to come in for a C&P exam
I scheduled C&P for later that day since I am not working and want this claim to be processed asap.
C&P results as follows
clean, cooperative, normal affect, anxious mood, unremarkable speechand pyschomotor activity
history of violence: yes
suicide attempts : no but has repeated episodes of S/I as recent as 12/3/08, which poutpatient did formal assesment for suicide risk., conitues to have probelms with road rage as well
orientation: all fine except off by day and day of week by one.
spelling backwards: slow, but correct
sleep impairment: yes, combat related nightmares most nights ( i told him everyday), additionally trouble getting to sleep and staying a sleep
inappropraite behavior: yes, examples fighting
serial7's and proverbs: yes, no probelm
panic attacks: yes, stated panic attacks at least weekly ( i told him daily, sometimes more then 1 a day)
pressesnece of homicidal thoughts?: no
pressence of suicide thoughts/: yes, see risk assesment
Comments
used to ahve OCD behavior of checking car for bombs until a year ago.
ADLs-doesnt need assistance but some days just doesnt get up at all, depression.
Memory: normal
recalls 3 of 3 though he does struggle a bit to get correct answers.
Symptoms onset: Chronic
length of remissions and capacity for adjustment: NONE
Persistent Re-experienceing traumatic event by: recurrent and intrusive distressing recollections of event, including images, thoughts or perceptions, recurrent distressing dreams. Intense pyschological distress at exposure.
Persistenet avoindence: refforts to avoid thoguths, feeling, conversations assoc w/ trauma. Marekedly diminished interest or participation in siginif activites, feeling of detachment or estrangement from others.
Peristent sympt of increased arousal: difficulty sleeping (falling or staying alseep), hypervigilance, exaggerated startle response
Freq, Severity and duration PTSD symptoms found: nightmares many nights, maniced feelings generally daily. Freq problem startle response. Hypervigilences less of a prob than it used to be.
Employemtn history:
occupation: accountant
currently employed : no
vet retired: no
vet unemployed but not retired: yes
duration current unemployment : 1 to 2 years
reason given: havent found anything since
Unemployed due to ptsd? NO ( told examiner I thought it was awful strange and thought it was possible).
Diagnosis
Axis I: PTSD, Depressive disorder NOS
Axis II: none
Axis III: see list
Axis 4: unemployment of > 1 yr.
Axis 5: GAF: 53 current functioning (timeframe)
changes in functional status : performance in employment and family role functioning.
QUESTIONS
[*]based on background info, does my claim fall under 50% criteria or 70% criteria?
[*]if currently already receiving 50% comp (40% shoulders, 10% ptsd, 10% tinnitus), how is backpay calulated. I mean do they say ok now ptsd is increased to say 50%, so that would increase my combined total to 70% and I would be backpayed for the difference of 70% to 50%? (current rate is 1228 for 70% no dependents and 50% is 770, do you take the difference?)
[*]I tried to give cliff notes verisions, sorry about that. Should I apply for TDIU?
Semper Fidelis
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