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Obsessive Compulsive Disorder

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Papa

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I had my second PTSD exam around Sept 2010, still waiting on a decision, but as many times that I read this report, I have just now noticed the words "Obessive Complusive Disorder". This is one thing that the QTC Doctor Dx'd me with. Will this be rated by itself, or will it just be part of the total PTSD rating? The only complusion that I can think of is complusive eating, maybe that is where the doctor made the connection with PTSD causing my constant eating.

Papa

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I had my second PTSD exam around Sept 2010, still waiting on a decision, but as many times that I read this report, I have just now noticed the words "Obessive Complusive Disorder". This is one thing that the QTC Doctor Dx'd me with. Will this be rated by itself, or will it just be part of the total PTSD rating? The only complusion that I can think of is complusive eating, maybe that is where the doctor made the connection with PTSD causing my constant eating.

Papa

I think that it depends on whether the dx is secondary to PTSD or a seperate issue altogether. Try taking a look at the VASRD and see what the ratings are for both so you have a good idea what they may be but then carefully read your diagnoses to see if he did actually connect them or not. Outside of that, I don't know what else to recommend.

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Which came first, the chicken or the egg?

If the OCD diagnosis followed the PTSD diagnosis, that is fairly common. May PTSD vets have co-morbid conditions that develop as a consequence of highly traumatic events. OCD behaviors are often a means of coping with PTSD. ~Wings

P.S.

1. http://www.mendeley.com/research/posttraumatic-obsessivecompulsive-disorder-case-series/

This report documents emerging posttraumatic obsessive-compulsive disorder in 13 Israeli military veterans diagnosed with both obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), for whom the onset of OCD was clearly associated with the trauma. Data presented include four detailed case reports that delineate relations between symptomatology in the two disorders. Clinical and theoretical implications of these data are discussed.

2. http://www.mendeley.com/research/connections-among-symptoms-obsessivecompulsive-disorder-posttraumatic-stress-disorder-case-series/

Theoretical, clinical, and empirical implications of the functional connections between symptoms of obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) are abundant. As such, four cases are presented here of men and women who met criteria for comorbid OCD and PTSD. All had been diagnosed with treatment-resistant OCD and were seeking treatment from an OCD specialty clinic or institute, all reported a history of traumatic experiences prior to the onset of OCD, and all appeared to demonstrate negative treatment outcomes. Upon examination, it appeared that symptoms of OCD and PTSD were connected such that decreases in OCD-specific symptoms related to increases in PTSD-specific symptoms, and increases in OCD-specific symptoms related to decreases in PTSD-specific symptoms. Speculations about the function of OCD symptoms in relation to post-traumatic psychopathology are put forth; and theoretical, research, and treatment implications are discussed.

USAF 1980-1986, 70% SC PTSD, 100% TDIU (P&T)

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Papa, I have conversed with some of the more knowledgeable people on this site and others, and from what everyone says, it can be considered secondary. However, I've been told that one will only get one rating, not a separate rating, even if one suffers from multiple mental health issues.

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