ptsd Mental Health Exam

[mike/3/8/cav]

Results of me last exam,

Treatment: Major depression, recurrent; PTSD

FREQUENCY, SEVERITY AND DURATION OF NON-PTSD PSYCHIATRIC/MEDICAL SYMPTOMS:

Ongoing symptoms of major depression, including persistently depressed mood, anhedonia,social withdrawl,impaired concentration and focus. Depression is ongoing, related to an extent to ongoing health concerns.

NO HISTORY OF SUICIDE ATTEMPTS, NO HISTORY OF VIOLANCE

PSYCH EXAM

General appearance, casually dressed, other, appears older than stated age

PSYCHOMOTOR ACTIVITY: Fatigued

SPEECH: hesitant,coherent,other,halting

Attitude: cooperative

Affect: blunted

Mood: anxious,good,dysphoric

Attention: easily distracted, attention disturbance(short attention)

Able to do serial 7's? No

Able to spell a word forward and backword? Yes

Intact to person, time and place: Yes

Thought process: rambling

Does the patient have sleep impairment: Yes,nocturnal awakening, sleep disrupted. Some dreams related to military experiences about twice a week, not always frightining.

MEMORY:

Remote memory: mildly impaired

Recent memory: mildly impaired

Imediate memory: mildly impaired, veteran complains of increasing memory impairment

PTSD SYMPTOMS

Persistent re-experiencing the traumatic eventby: recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Recurrent or distressing dreams of the event. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.

Persistant avoidance of stimuli associated with the trauma and numbing of general responsiveness.

Persistant symptoms of increased arousal

Description of the onset of symptoms: Chronic

Frequency, severity and duration of PTSD symptoms found: Ongoing symptoms of moderate intensity

Identified behavioral, cognitive,social,affective, or somatic change the vegteran attributes to stress exposure: Veteran identifies avoidance patterns and social withdrwal as the primary current symptom of PTSD. He also notes some intrusive thoughts, sleep disturbances, disturbing memories and images with some combat-related dreams,hyperarousal and ongoing mood irritability, hypervigilance with occasional startle response.

DEGREE OF SEVERITY OF PTSD BASED ON PSYCHOMETRIC DATA Moderate

Does the veteran meet the DSM-IV criteria for a diagnosis of PTSD? Yes

AXIS I: PTSD, chronic, moderate

Major depression, recurrent

AXIS II: Deferred

AXIS III: Per medical record

AXIS IV: health concerns, social isolation, continuing symptoms

AXIS V: Global assessment of functioning 55 time frame

State Prognosis for improvement of psychiatric condition and impairments in functional status: Limited prognosis for improvement

Extent to which disorders other than PTSD are independantly responsible for impairment in psychosocial adjustment/life quality: Major depression, recurrent

I hope this second exam does not decrease my compensation as I count on it every month. Currently 50%sc PTSD, total 70%sc.

Thanks for letting me rant and ramble

Mike

[mike/3/8/cav]

Thanks Pete,

I don't qualify for SSDI, I waited too long to submit for it, not enough credits over the last 7 years. So, I'm just going to wait as you suggested.

Mike

[mike/3/8/cav]

No problem Billy,

I appreciate any advice or opinion given.

It's all about helping each other and giving comments and such.

Thanks

Mike

[Philip Rogers]

Mike, you need to reapply for SSDI using the 2000 date as your original onset date of disability. Your being screwed by SS with the usual lie!!!!!!!!!!!!!!!

pr

Thanks Pete,

I don't qualify for SSDI, I waited too long to submit for it, not enough credits over the last 7 years. So, I'm just going to wait as you suggested.

Mike

[cowgirl]

Yes MIKE do reapply - could be your work history makes you eligible. You can apply online to start or go to your local office, (best have application in hand). Read ssdi info on here for advice, theres many ways of succeeding - or at least trying. Uh, thats my take. Having service connected disabilities for that time may support your request.

At least try or check in with your Vet Center for support.

Ok, best to ya,

Cowgirl'up2009!

Mike, you need to reapply for SSDI using the 2000 date as your original onset date of disability. Your being screwed by SS with the usual lie!!!!!!!!!!!!!!!

pr

[Philip Rogers]

Mike, I'm sorry I stated "reapply" and what I meant was appeal the previous denial. There is a rule/regulation that, more or less waives the allowed appeal period, for persons w/mental disorders that are not represented by counsel. You will have to go to the ALJ level but you can probably win a substantial retro award.

pr

Mike, you need to reapply for SSDI using the 2000 date as your original onset date of disability. Your being screwed by SS with the usual lie!!!!!!!!!!!!!!!

pr

[Pete53]

PR is giving you the straight skinny. I agree you need to revisit and establish 2000 as you date you last worked. If not you are leaving a small fortune on the table