Tdrl Psychiatric Narrative Summary

[indyboi]

AXIS I: Posttraumatic Stress Disorder, Chronic.

LOD: Yes EPTS: None

Impairment from Military Service: Severe

Impairment from Industiral/Social Adaptability: Severe

Panic Disorder with Agoraphobia

LOD: Yes EPTS: None

Impairment from Military Service: Severe

Impairment from Industiral/Social Adaptability: Severe

Any ideas on the ratings? Thank you!

[Pete53]

If not able to work 100% I have the same dx and I have 100% P&T

[john999]

Yes, and you should ask for housebound as well. I say 100% with housebound and P&T.

What a cruel fate to join the military in fine shape and be discharge as a guy with severe emotional disability. The military needs to fix what they broke, and not just discharge PTSD vets to a life of unemployment and disability. I think they should offer PTSD vets a job in the states with a permanent profile if they want one.

[Hoppy]

Let me know if I'm wrong, it appears this is your first post on hadit. I couldn't find any other posts regarding your situation. Where did this report come from? Is this a compensation and pension exam for a service connected disability or a non-service connected pension? If this report was generated by a VA treating clinician or a private clinician and the claimed stressor in this report has not been verified as outlined in VA law and the report is submitted as evidence for a service connected disability of PTSD, the report will not be given any weight in the VA system until the stressor has been verified. Doctors can make a preliminary determination that the stressor is caused by military service. However, adjudication has an entire set of rules involved in verifying the stressor that doctors are unaware of. If this report is from a compensation and pension exam for initial evaluation of a PTSD claim, then the VA adjudicator has probably already verified the stressor.

If the stressor has not been verified through adjudication and you need assistance in verifying the stressor let us know.

[LarryJ]

What Hoppy just said.

[Hoppy]

Just to clarify my previous post, I have seen a case where the veteran filed a claim for a breathing condition and was awarded a non-service connected pension for PTSD because there was a report in the medical file identical to the one you posted. Additionally, the case I'm familiar with a clinician made reference to specific events that occurred in the military as causing the PTSD. However, the report did not result in a determination that the PTSD service connected.

What is interesting is that the report was generated by treating clinician at a VA hospital and the veteran was not seeking any benefits for either a non-service connected pension or a service connected pension at the time report was generated. An adjudicator went into great detail as to how the PTSD is related to military service when awarding the non-service connected pension. There was no reason for an adjudicator to go into such detail about the relationship between the events in the military causing the PTSD while making an assessment for a non-service connected pension.

At the time they awarded the non-service connected pension for PTSD the veteran had a slamdunk claim for service connection of panic disorder. I am convinced the language used in the award for the non-service connected pension for PTSD was chosen to steer the veteran away from filing a panic disorder claim and towards a PTSD claim whereby the PTSD claim would be denied because the stressors noted by the rater awarding the non-service connected pension was clearly not verifiable. I think it was a tactic to cause confusion and delays.

[carlie]

Hoppy,

Did this person ever switch over and try to get the PTSD SC'd

("An adjudicator went into great detail as to how the PTSD is related to military service when awarding the non-service connected pension.")

or

SC a claim for panic disorder?

("At the time they awarded the non-service connected pension for PTSD the veteran had a slamdunk claim for service connection of panic disorder.")

carlie