ptsd Would The Va Give Me 100%

sparkle · August 25, 2011

Hi All, Let me say thank you for this health, and second, I am not that good at typing. Got that out of the way. My psychiatric notes said I had bipolar d/o (not sure what that mean) PTSD sec to CST, MST + TBI for service connection (fall while in active duty. ACTIVE PROBLEM (Problem only)

1. Insomia * (icd-9-cm 780.52

2. Urinary Incontinence* (wet pant w/ panic attacks) my words funny but trust.

4. Dermatitis * (icd-9-cm 692.9) my words i take med's for it but do not go to the dr's all the time.

5. Tobacco Use Disorder* (icd-9-cm 305.1)

6. Chronic Headache * (icd-9-cm 784.0)

7. Obesity * (icd-9-cm 278.00)

8. Hyperprolactinemia * (icd-9-cm 253.1)

Axis I Bipolar d/o PTSD

Axis II Bp traits

Axis III Hypreprolactinemia TBI s/p fall

Axis IV unemployment

Axis V GAF: 45

I take med's for all of the above, but not sure what this all mean. Now I am a nice person, but I do get a little crazy from time to time. I have cut a few people but did not get jail time because of the way it happen. Beat up the girl that stay next to me, for hitting my grandson (she is a adult he was 10). My depression and panic attacks and anxiety is getting the best of me. I can no longer work, about ready to lost my home because of all this crap. I put in for TDIU the rep. over the phone said she was putting that in my claim along with the other stuff.

My discharge order say recommended that she be separated through administrative channels without delay. This letter has the concurrence of the hospital commander. said I have a personality disorder. Now before i went in the service and had the TBI i worked as a dental asst. or five years, had no out burst like the ones i have had, no depression and all the other stuff that i now have. i could write better than i do now, and type better as well, stand without falling, hear without ringing in my ears, and could see like a hark. Now in my HBO i feel that with all of the above i should or would get 100% and not the 20% for TBI and 30% for depression. I know this is long but this is the only way i could think of putting it so that you could understand what i was asking of you and to get some kind of answer. Like i said I was a kind and loving person (my nick name is Sparkle) and got my name for the type of person i was. So i was not sure what all that dr.s stuff that was in my notes. Can someone pls help me out: T-bird, carla,berta some one.

Thanks Sparkle

carlie · August 26, 2011

Some one told me if I get 50% that would get me full dental with all other medical care. Now let's be clear, I still have all my teeth, but dental would be nice to have. Now if some one could tell me what this GAF is all about and if it will help me get a higher %.

Sparkle,

The only way to get dental is SC at 100% with P&T status

OR having a dental condition SC'd

OR

being in a program like VRE.

Gaf is only one factor in MH ratings.

Here's a quote by Patrick428 that I've borrowed from elsewhere

that should answer your questions.

"Having been here for sometime I often see questions about mental illnesses and problems related to understanding what they are and some of the terms often seen in reports.

To begin with I am a Licensed Psychologist with 25 years of practice experience with specialization in PTSD, Mood Disorders (Depression and Anxiety), Forensics, and Psychological testing. My experience ranges from individual therapy to working with veterans both in the VA and Social Security System. I am currently retired and 100% by the VA for wounds, mental and physical problems related to Agent Orange that came as a result of my time as a Marine Force Recon in Vietnam.

So to start with I will describe many common terms needed to be understood and given examples when warranted.

R/O (Rule Out): Is a term found on either Axis I or II saying that there is not enough evidence to support the diagnosis at this time.

Deferred: Is a way of a clinician saying, "I just met you and I am not sure if you have this or not." Usually found when the patient has first entered the mental health system or has been out of the mental health system for a long period of time.

Secondary: Disorders that have manifested because of the first or primary disorder and also contribute to the severity of the primary disorder.

A full diagnostic example is as follows. There are varieties of how they are written, but this is the universally accepted model:

Axis I: Major depression, recurrent without psychotic features (Primary)

Generalized Anxiety Disorder (Secondary)

Axis II: Borderline Personality Disorder or None Axis III: Ulcers and heart problems (usually medical problems that contribute to the mental disorder)

Axis IV: Psychosocial Stressors: Lose of employment and child abuse

Severity: 1 None; 2 Mild; 3 Moderate; 4 Severe; 5 Chronic

Axis V: Current GAF: 50

Highest GAF past year 60

GAF : Is referred to as Global Assessment of Functioning.

This is a scale from 1 - 100 suggesting a pattern of behavior at any given movement in time.

GAF is a fluid score and is never static (think of your blood pressure when applying GAF).

The lower the score more problematic behavior becomes.

91 - 100 Not much happening and you can tolerate most stress very easily. (Blood pressure normal)

81 - 90 Some minor setbacks, maybe late bill that was not paid causing a flurry of minor stress, but is usually resolved. (Blood pressure slight elevated, but returns to normal rapidly)

71 -80 Minor problems within the home (work) and some stress that is enduring, but usually dealt with. They called about the bill that you forgot to pay (Blood pressure slightly elevated).

61 - 70 Minor to moderate problems such as not having the money to pay the bill and you are under pressure by your creditor to pay it. (Blood pressure is elevated and in need of attention).

51 - 60 Your being sued for not paying your bill, and your wife or husband has announced they are tired of living this way. Your kids do not know who you are anymore. (Blood pressure above 140/90 and dual medications are needed).

41 - 50 Wife or husband announces they are leaving and the bill collector has placed a lien on your property. You have called your creditor and your spouse idiots and you say to hell with them. (Blood pressure is severe and strong doses of medication are needed)

31 - 40 You threaten to kill your creditor and your spouse and everyone around you is against you. (Blood pressure is in the stroke range).

21 - 30 You bought a weapon and can of gas and your going to resolve the issue once and for all. It causes you to be either incarcerated or committed. (Blood pressure is causing severe chest pains and your stroking).

11 - 20 The best you can do is verbally babble and drool on yourself. (Blood pressure has caused a stroke).

0 - 10 You are no longer with us as you now live in a parallel universe. (It does not matter now).

It is not my intention to make light of the scale, but I wish to show the reality of the levels.

Axis I. A grouping of mental syndromes from a common etiology or pathology. What is usual found on Axis I disorders are: Mood, Sexual, Psychotic Substance Abuse, Child Disorders (except Mental Retardation), and Organic Syndromes (e.g.,Depression caused by a stroke).

Axis II. Are disorders of the Personality and Mental Retardation. Here Personality Disorders in Cluster A, B, and C are found.

Cluster A. Disorders deemed to be problems associated with peculiar behaviors(Schizoid).

Cluster B. Disorders where the individual violates the right of other people and often has little regard for others (Antisocial).

Cluster C. Disorders where dependency and inability to fit in socially with others is the common theme(Avoidant).

Personality is how one perceives, relates, and thinks about the environment and of oneself.

Personality Disorder is a maladaptive problem with the personality that causes extensive interference and ability to function in society. This is a pervasive pattern of behavior manifesting itself in the early development of an individual and prevents the individual from functioning normally in society.

Illusion: An illusion is a visual perception or misinterpretation of something real.

Hallucination: A hallucination is a false perception of a sensory experience (tactile, visual, auditory, taste, smell, or in body experience).

Delusion: Is a false belief carried to an extreme.

Psychotic. Loss of touch with reality.

Depersonalization: Feelings of detachment from others. Feelings like being one's own dream.

Affect: Mood behaviors.

Moods can be blunted, flat, inappropriate, labile (frequent mood changes), and restricted.

PTSD: Post-traumatic Stress Disorder. Can come in forms of mild, moderate, severe, chronic and delayed. May be seen on Axis I written as: PTSD, Chronic and Delayed.

Psychiatrist: Is Medical Doctor who specializes in mental illness and uses medications for its' treatment.

Psychologist: Is a person who performs psychological testing, assessment, and therapy.

M.S.W. Master's in Social Work and usually coordinates community-based programs and also performs therapy. But is restricted to therapy only.

Personality Inventory (MMPI, etc)

Intelligence Scale (IQ test Wechsler or Stanford-Binet)

Neurological Tests (Bender-Gestalt, Wechsler Memory Test, etc).

Mood Inventories (Depression Scale; Anxiety Scales)

Trauma Scales (Mississippi, TSI)

Mental Status Examination

History

Mental Status Examinations:

Mini Mental Status exam - 20 minutes

Full Mental Status Examination - 1 hour

Specialized Tests as warranted for the purpose of narrowing the cause of many problems.

I am sure I left a few things out, but wanted you to have a general idea of the COMMON terms seen. In 98% of cases this is the information seen by the patient. Therapy modalities vary with each practitioner and as is often the case a practice or clinic is staffed with practitioners with like ideas of therapy. It should not be construed simply because a Psychiatrist or Psychologist is licensed that they are specialist in every aspect of mental illness. This is not true.

When either suggests they can handle any your problems regardless of your disorders, then seek other help. To find a good therapist this is a good rule of thumb:

1. Ask around

2. Ask your medical physician who is good at what you need to deal with.

3. Ask the local Psychology or Psychiatric Association for a referral

4. Call the respective State Board and check for Board Certification and Credentials.

5. Call the national associations ( both APA's) and get advice

6. If you are in the VA system and do not like the practitioner you have, request another.

7. Talk to other vets about their experience if they share it. Remember this is probably the most unreliable referral.

8. READ AND DON'T ASSUME

9. RESEARCH YOUR DISORDER

10. ASK QUESTIONS (Practitioners are not mind readers).

I hope this will help out in many ways. It is not all inclusive and I will from time-to-time add information that is either brought to my attention or comes to light..

Patrick "

sparkle · August 27, 2011

Sparkle,
The only way to get dental is SC at 100% with P&T status
OR
having a dental condition SC'd
OR
being in a program like VRE.

Gaf is only one factor in MH ratings.
Here's a quote by Patrick428 that I've borrowed from elsewhere
that should answer your questions.

"Having been here for sometime I often see questions about mental illnesses and problems related to understanding what they are and some of the terms often seen in reports. To begin with I am a Licensed Psychologist with 25 years of practice experience with specialization in PTSD, Mood Disorders (Depression and Anxiety), Forensics, and Psychological testing. My experience ranges from individual therapy to working with veterans both in the VA and Social Security System. I am currently retired and 100% by the VA for wounds, mental and physical problems related to Agent Orange that came as a result of my time as a Marine Force Recon in Vietnam. So to start with I will describe many common terms needed to be understood and given examples when warranted. R/O (Rule Out): Is a term found on either Axis I or II saying that there is not enough evidence to support the diagnosis at this time. Deferred: Is a way of a clinician saying, "I just met you and I am not sure if you have this or not." Usually found when the patient has first entered the mental health system or has been out of the mental health system for a long period of time. Secondary: Disorders that have manifested because of the first or primary disorder and also contribute to the severity of the primary disorder. A full diagnostic example is as follows. There are varieties of how they are written, but this is the universally accepted model: Axis I: Major depression, recurrent without psychotic features (Primary) Generalized Anxiety Disorder (Secondary) Axis II: Borderline Personality Disorder or None Axis III: Ulcers and heart problems (usually medical problems that contribute to the mental disorder) Axis IV: Psychosocial Stressors: Lose of employment and child abuse Severity: 1 None; 2 Mild; 3 Moderate; 4 Severe; 5 Chronic Axis V: Current GAF: 50 Highest GAF past year 60 GAF : Is referred to as Global Assessment of Functioning. This is a scale from 1 - 100 suggesting a pattern of behavior at any given movement in time. GAF is a fluid score and is never static (think of your blood pressure when applying GAF). The lower the score more problematic behavior becomes. 91 - 100 Not much happening and you can tolerate most stress very easily. (Blood pressure normal) 81 - 90 Some minor setbacks, maybe late bill that was not paid causing a flurry of minor stress, but is usually resolved. (Blood pressure slight elevated, but returns to normal rapidly) 71 -80 Minor problems within the home (work) and some stress that is enduring, but usually dealt with. They called about the bill that you forgot to pay (Blood pressure slightly elevated). 61 - 70 Minor to moderate problems such as not having the money to pay the bill and you are under pressure by your creditor to pay it. (Blood pressure is elevated and in need of attention). 51 - 60 Your being sued for not paying your bill, and your wife or husband has announced they are tired of living this way. Your kids do not know who you are anymore. (Blood pressure above 140/90 and dual medications are needed). 41 - 50 Wife or husband announces they are leaving and the bill collector has placed a lien on your property. You have called your creditor and your spouse idiots and you say to hell with them. (Blood pressure is severe and strong doses of medication are needed) 31 - 40 You threaten to kill your creditor and your spouse and everyone around you is against you. (Blood pressure is in the stroke range). 21 - 30 You bought a weapon and can of gas and your going to resolve the issue once and for all. It causes you to be either incarcerated or committed. (Blood pressure is causing severe chest pains and your stroking). 11 - 20 The best you can do is verbally babble and drool on yourself. (Blood pressure has caused a stroke). 0 - 10 You are no longer with us as you now live in a parallel universe. (It does not matter now). It is not my intention to make light of the scale, but I wish to show the reality of the levels. Axis I. A grouping of mental syndromes from a common etiology or pathology. What is usual found on Axis I disorders are: Mood, Sexual, Psychotic Substance Abuse, Child Disorders (except Mental Retardation), and Organic Syndromes (e.g.,Depression caused by a stroke). Axis II. Are disorders of the Personality and Mental Retardation. Here Personality Disorders in Cluster A, B, and C are found. Cluster A. Disorders deemed to be problems associated with peculiar behaviors(Schizoid). Cluster B. Disorders where the individual violates the right of other people and often has little regard for others (Antisocial). Cluster C. Disorders where dependency and inability to fit in socially with others is the common theme(Avoidant). Personality is how one perceives, relates, and thinks about the environment and of oneself. Personality Disorder is a maladaptive problem with the personality that causes extensive interference and ability to function in society. This is a pervasive pattern of behavior manifesting itself in the early development of an individual and prevents the individual from functioning normally in society. Illusion: An illusion is a visual perception or misinterpretation of something real. Hallucination: A hallucination is a false perception of a sensory experience (tactile, visual, auditory, taste, smell, or in body experience). Delusion: Is a false belief carried to an extreme. Psychotic. Loss of touch with reality Depersonalization: Feelings of detachment from others. Feelings like being one's own dream. Affect: Mood behaviors. Moods can be blunted, flat, inappropriate, labile (frequent mood changes), and restricted. PTSD: Post-traumatic Stress Disorder. Can come in forms of mild, moderate, severe, chronic and delayed. May be seen on Axis I written as: PTSD, Chronic and Delayed. Psychiatrist: Is Medical Doctor who specializes in mental illness and uses medications for its' treatment. Psychologist: Is a person who performs psychological testing, assessment, and therapy. M.S.W. Master's in Social Work and usually coordinates community-based programs and also performs therapy. But is restricted to therapy only. Psychological Battery includes: Personality Inventory (MMPI, etc) Intelligence Scale (IQ test Wechsler or Stanford-Binet) Neurological Tests (Bender-Gestalt, Wechsler Memory Test, etc). Mood Inventories (Depression Scale; Anxiety Scales) Trauma Scales (Mississippi, TSI) Mental Status Examination History Mental Status Examinations: Mini Mental Status exam - 20 minutes Full Mental Status Examination - 1 hour Specialized Tests as warranted for the purpose of narrowing the cause of many problems. I am sure I left a few things out, but wanted you to have a general idea of the COMMON terms seen. In 98% of cases this is the information seen by the patient. Therapy modalities vary with each practitioner and as is often the case a practice or clinic is staffed with practitioners with like ideas of therapy. It should not be construed simply because a Psychiatrist or Psychologist is licensed that they are specialist in every aspect of mental illness. This is not true. When either suggests they can handle any your problems regardless of your disorders, then seek other help. To find a good therapist this is a good rule of thumb: 1. Ask around 2. Ask your medical physician who is good at what you need to deal with. 3. Ask the local Psychology or Psychiatric Association for a referral 4. Call the respective State Board and check for Board Certification and Credentials. 5. Call the national associations ( both APA's) and get advice 6. If you are in the VA system and do not like the practitioner you have, request another. 7. Talk to other vets about their experience if they share it. Remember this is probably the most unreliable referral. 8. READ AND DON'T ASSUME 9. RESEARCH YOUR DISORDER 10. ASK QUESTIONS (Practitioners are not mind readers). I hope this will help out in many ways. It is not all inclusive and I will from time-to-time add information that is either brought to my attention or comes to light.. Patrick "

Thanks carlie, i understand things much better now. i can also come back to dr's patrick notes to keep a check on what my dr is putting in my smr notes, girl you are a god sent.

*Sparkle

sparkle · August 27, 2011

If the conditions I read are properly linked to Sparkle's Service I believe she should get 100% if she can't work. I may of missed it but she should also apply for Social Security.

Pete, do you think it would be good for me to try to find a VBM and read it to try to win my claim? not much money so I will see if you are John aka "J" to pm me and let me know if you know some one that have one to help me work on my claim. I think I saw this on someone's post. about the vbm. I am going to fight them with all I have and with all I can to get my 100%. I feel I can get it just need the proof and their rules the throw back in their face and watch them sweat!!!!

Pete53 · August 27, 2011

Hadit Member Philip Rogers offered to sell last years VBM an excellent deal in my opinion. I think that the VBM is really good but I also think that you can get the help you need right here on Hadit.

sparkle · August 27, 2011

Hadit Member Philip Rogers offered to sell last years VBM an excellent deal in my opinion. I think that the VBM is really good but I also think that you can get the help you need right here on Hadit.

Thanks Pete, will stick right here. Oh I very well know that the help here is second to none, just heard so much talk about the vbm.

*Sparkle

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ptsd Would The Va Give Me 100%

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