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    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
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  • Can a 100 percent Disabled Veteran Work and Earn an Income?

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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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ranger11bv

Progress Notes

Question

I got a copy of my mental health progress reports from June 4th. Here are the results:

Provisional Diagnosis:

Axis 1; BiPolar D/O, depressed w/out psychosis PTSD, chronic

Axis 2: Deferred

Axis 3; knee pain, past hernia repair

Axis 4; social support, financial issues, possible eviction Monday

Axis 5; 45

******************************************************************************

Whats this all mean???

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I got a copy of my mental health progress reports from June 4th. Here are the results:

Provisional Diagnosis:

Axis 1; BiPolar D/O, depressed w/out psychosis PTSD, chronic

Axis 2: Deferred

Axis 3; knee pain, past hernia repair

Axis 4; social support, financial issues, possible eviction Monday

Axis 5; 45

******************************************************************************

Whats this all mean???

Hope this helps,

Bergie

Multi-axial systemThe DSM-IV organizes each psychiatric diagnosis into five levels (axes) relating to different aspects of disorder or disability:

  • Axis I: Clinical disorders, including major mental disorders, and learning disorders
  • Axis II: Personality disorders and mental retardation (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)
  • Axis III: Acute medical conditions and physical disorders
  • Axis IV: Psychosocial and environmental factors contributing to the disorder
  • Axis V: Global Assessment of Functioning or Children's Global Assessment Scale for children and teens under the age of 18

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Hope this helps,

Bergie

Multi-axial systemThe DSM-IV organizes each psychiatric diagnosis into five levels (axes) relating to different aspects of disorder or disability:

  • Axis I: Clinical disorders, including major mental disorders, and learning disorders
  • Axis II: Personality disorders and mental retardation (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)
  • Axis III: Acute medical conditions and physical disorders
  • Axis IV: Psychosocial and environmental factors contributing to the disorder
  • Axis V: Global Assessment of Functioning or Children's Global Assessment Scale for children and teens under the age of 18


I found this:

  • Global Assessment of Functioning Scale.

    Scale Consider psychological, social, and occupational functioning on a
    hypothetical continuum of mental health-illness.

    Do not include impairment in functioning due to physical or environmental limitations.

    You do not need to know the numbers but rather what the GAF measures and is used for Code ( Note. Use intermediate codes when appropriate, e.g., 45, 68, 72.)
    91-100
    Superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many positive qualities. No symptoms
    81-90 Absent or minimal symptoms ( e.g., mild anxiety before an exam ), good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns ( e.g., an occasional argument with family members )
    71-80 If symptoms are present, they are transient and expectable reactions to psychosocial. stressors ( e.g., difficulty concentrating after family argument ); no more than slight impairment in social occupational, or school functioning ( e.g., temporarily falling behind in schoolwork ).
    61-70 Some mild symptoms ( e.g., depressed mood and mild insomnia ) OR some difficulty in social occupational, or school functioning ( e.g., occasional truancy or theft within the household ), but generally functioning pretty well, has some meaningful interpersonal relationships.
    51-60 Moderate symptoms ( e.g., flat affect and circumstantial speech, occasional panic attacks ) OR moderate difficulty in social, occupational, or school functioning ( e.g., few friends, conflicts with peers or co-workers ).
41-50 Severe symptoms ( e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting ) OR any serious impairment in social, occupational or school functioning ( e,g., no friends, unable to keep a job ).
31-40 Some impairment in reality testing or communication ( e.g., speech is at times illogical, obscure, or irrelevant ) OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood ( e.g., depressed man avoids friends, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home, and is failing at school ).
21-30 Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communication or judgment ( e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation ) OR inability to function in almost all areas ( e.g., stays in bed all day, no job, home, or friends ).
11-20 Some danger of hurting self or others ( e .g., suicidal attempts without clear expectation of death; frequently violent; manic excitement ) OR occasionally fails to maintain minimal personal hygiene ( e.g., smears feces ) OR gross impairment in communication ( e.g., largely incoherent or mute ).
1-10 Persistent danger of severely hurting self or others ( e.g., recurrent violence ) OR persistent inability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death.0 Inadequate information.

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The GAF score is only one of the factors used in adjudicating percentage of current disability level.

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I have a question. If you are facing eviction have you asked for help in keeping your home or do you have a place to go. The VA will give you some help but you have to ask them.

Good Luck

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Pete, taken care of for now, THNX!!

Carlie, I understand that, but what Im asking is this: what DOES the diagnosis mean?? What can/should do with it??

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