ptsd Not Sure What This Mean

[sparkle]

Hi all, and thank you for your service. I put in for iu and depression second to tbi. Will give some info of what my examiner stated. Hope this is not to long.

1. Diagnosis

a. vet ever been diagnosed with menta disorders? yes

Diagnosis-Mood Disorder, nos

icd code 296.90

axis

Comments

The diagnosis Mood d/o, nos is continuation/progression of her already sc diagnosis of major depression disorder. Symptoms have presented intermittently, often in response to significant stressors (e.g. difficulty coping with health problems such as headaches since tb suffered durig military service, divorce/husband leaving, sexual assaults. She has been diagnosis and treated in the va for many years, with current diagnosis of bipolar d/o, ptsd, and alcohol abuse. Regarding current mood symptoms, the veteran described persistently depressed mood for the past "few years" with sadness, anhedonia, irritability, fear of negative evaluation and low self-esteem, rumination, sleep disruption, feeling of worrthless, and passive thoughts of her own death (absent of intent/plan to harm herself). Based on her performance on objective psychological testing , it is likely that she endorsed a greater severity of symptoms of mood disruption than objectivety exist. Today, vet endored "servere" range symtoms of depression and anxiety on self-report measures.

Social impairment associated with depression: difficulty making/sustaining social relationship due to mood lability and irritability, fear of negative evaluations/low self-esteem results in persistent reassurance seeking that is difficult for others to tolerate,strainted relationship with children.

Occupational im

pairment associated with depression: Symptoms of depression (i.e. irritability,low self-esteem, sleep disruption d/t rumination and related fatigue, emotional lability.reactivity,and low energy level) are likely to cause mild to moderate impairment in work functining should she pursue gainful employment . She has quit or been terminated from various jobs over the past 20 years, reportedly due to difficulty getting along with others, memory/concentration diffculty. and irritability/agitation.

Diagnosis #2: Personality Disorder, NOS

icd code: 301.9

axis II

Veteran demonstrated various personality disorder (cluster B) features, including: fear of abandoment, changes in self-image, affect, and behavior in response to threats of separation/abandoment (e.g., comments regarding suicidality or worsening depression). A tendency to feel victimized.

While the vet's axis I diagnosis (primary current concern of depression s/t tbi with headaches), is likely to cause mild to moderate impartent in occupational and social functioning, impairment is signifcantly compounded by axsis II concerns, it is likely that axis II symptoms described above cause moderate to severe impairment in both social and occupational functioning, as these symptoms would causeadditional impairment in her ability to cope with/adjust to changes, and would make it difficult for her to develop/maintain sound interpersonal relationships required to function appropriatly in social and work settings

Diagnosis # 3; If additional diagnosis that pertain to mental health disorders,list using axis format:

Axis III-medical diagnoses (to include tbi)

Axis IV-Psychosocial and Environmental Problems: Limited social support; poor coping skills financial stress; psychological symptoms interfering with social/family and occupational functioning, personality features causing significant difficulty in concentration.

Axis V- Current globel assessment of functioning (GAF) score: 50

I feel mood disorder axis I, nos and the nsc axis II personality disorder is going to cause me not to get my iu and increase. I know this is long, but i felt in order to get some good eyes on my concern it was needed.

Thanks

Sparkle

BTW-My Psychiatrist gave me 45 for my GAF

Edited January 28, 2013 by sparkle

[john999]

I think the PD diagnosis the way the VA has written it up would undermine you getting TDIU. The VA is saying your most severe problem is a personality disorder. An IMO/IME shrink of your own to refute the controlling factor of the PD on your employability and overall mental health is necessary. I had C&P exams worse than that back in the day, and good IME's overcame truly awful military hatchet job and VA low ball rating. It sounds to me they whipped up this PD dx out of thin air. Plus they say you are faking some of your symptoms. This is bad. I had the same thing happen to me and IMO/IME overcame it.

[sparkle]

I think the PD diagnosis the way the VA has written it up would undermine you getting TDIU. The VA is saying your most severe problem is a personality disorder. An IMO/IME shrink of your own to refute the controlling factor of the PD on your employability and overall mental health is necessary. I had C&P exams worse than that back in the day, and good IME's overcame truly awful military hatchet job and VA low ball rating. It sounds to me they whipped up this PD dx out of thin air. Plus they say you are faking some of your symptoms. This is bad. I had the same thing happen to me and IMO/IME overcame it.

Thanks John, its hard to find a imo/ime shrink that knows va lango. if its like you say, I'll do good to go from my 40% to get 50%. woo hoo 19mos of waiting for 10% more, how lucky can I get.

[carlie]

Hi all, and thank you for your service. I put in for iu and depression second to tbi. Will give some info of what my examiner stated. Hope this is not to long.

1. Diagnosis

a. vet ever been diagnosed with menta disorders? yes

Diagnosis-Mood Disorder, nos

icd code 296.90

axis

Comments

The diagnosis Mood d/o, nos is continuation/progression of her already sc diagnosis of major depression disorder. Symptoms have presented intermittently, often in response to significant stressors (e.g. difficulty coping with health problems such as headaches since tb suffered durig military service, divorce/husband leaving, sexual assaults. She has been diagnosis and treated in the va for many years, with current diagnosis of bipolar d/o, ptsd, and alcohol abuse. Regarding current mood symptoms, the veteran described persistently depressed mood for the past "few years" with sadness, anhedonia, irritability, fear of negative evaluation and low self-esteem, rumination, sleep disruption, feeling of worrthless, and passive thoughts of her own death (absent of intent/plan to harm herself). Based on her performance on objective psychological testing , it is likely that she endorsed a greater severity of symptoms of mood disruption than objectivety exist. Today, vet endored "servere" range symtoms of depression and anxiety on self-report measures.

Social impairment associated with depression: difficulty making/sustaining social relationship due to mood lability and irritability, fear of negative evaluations/low self-esteem results in persistent reassurance seeking that is difficult for others to tolerate,strainted relationship with children.

Occupational im

pairment associated with depression: Symptoms of depression (i.e. irritability,low self-esteem, sleep disruption d/t rumination and related fatigue, emotional lability.reactivity,and low energy level) are likely to cause mild to moderate impairment in work functining should she pursue gainful employment . She has quit or been terminated from various jobs over the past 20 years, reportedly due to difficulty getting along with others, memory/concentration diffculty. and irritability/agitation.

Diagnosis #2: Personality Disorder, NOS

icd code: 301.9

axis II

Veteran demonstrated various personality disorder (cluster B) features, including: fear of abandoment, changes in self-image, affect, and behavior in response to threats of separation/abandoment (e.g., comments regarding suicidality or worsening depression). A tendency to feel victimized.

While the vet's axis I diagnosis (primary current concern of depression s/t tbi with headaches), is likely to cause mild to moderate impartent in occupational and social functioning, impairment is signifcantly compounded by axsis II concerns, it is likely that axis II symptoms described above cause moderate to severe impairment in both social and occupational functioning, as these symptoms would causeadditional impairment in her ability to cope with/adjust to changes, and would make it difficult for her to develop/maintain sound interpersonal relationships required to function appropriatly in social and work settings

Diagnosis # 3; If additional diagnosis that pertain to mental health disorders,list using axis format:

Axis III-medical diagnoses (to include tbi)

Axis IV-Psychosocial and Environmental Problems: Limited social support; poor coping skills financial stress; psychological symptoms interfering with social/family and occupational functioning, personality features causing significant difficulty in concentration.

Axis V- Current globel assessment of functioning (GAF) score: 50

I feel mood disorder axis I, nos and the nsc axis II personality disorder is going to cause me not to get my iu and increase. I know this is long, but i felt in order to get some good eyes on my concern it was needed.

Thanks

Sparkle

BTW-My Psychiatrist gave me 45 for my GAF

Sparkle,

From my understanding you are currently being compensated for a mental health disability.

There is only one rating for a MH disability.

Why did you, " I put in for iu and depression second to tbi."

if you already have a rating for MH ?

PD can be secondary to TBI as long as a doc states so.

Your evaluation percentage is based on what the medical evidence supports.

Regardless if it's depression, MDD, PTSD, etc...

http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=f5a60781f191072d99ac400a42f83e20&rgn=div8&view=text&node=38:1.0.1.1.5.2.111.73&idno=38

[sparkle]

Sparkle,

From my understanding you are currently being compensated for a mental health disability.

There is only one rating for a MH disability.

Why did you, " I put in for iu and depression second to tbi."

if you already have a rating for MH ?

Sorry bout that, the depression is for a increase. I know you can only claim one MH disability.

PD can be secondary to TBI as long as a doc states so.

Your evaluation percentage is based on what the medical evidence supports.

Regardless if it's depression, MDD, PTSD, etc...

http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=f5a60781f191072d99ac400a42f83e20&rgn=div8&view=text&node=38:1.0.1.1.5.2.111.73&idno=38

Thanks Carlie