Mental Health C&p Results, Any Opinions Appreciated.

[jeffs17]

1. Diagnosis

a. Does the veteran now have or has he/she ever been diagnosed with a mental

disorder(s)?

[X] Yes

Diagnosis #1: Major Depressive Disorder, Recurrent, Moderate

Indicate the Axis category:

[X] Axis 1

Diagnosis #2: Generalized Anxiety Disorder

Indicate the Axis category:

[X] Axis 1

b. Axis III - medical diagnosis: Pain (shoulder, wrist, knee)

c. Axis IV- Psychosocial and Environmental Problems:

Financial stress, medical problems

d. Axis V - Current global assessment of functioning (GAF) score: 45

2. Differentiations of symptoms

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a. Does the veteran have more than one mental disorder diagnosed?

[X] Yes

b. Is it possible to differentiate what symptoms(s) is/are attributable to

each diagnosis?

[X] Yes

There is some symptom overlap between depression and anxiety.

3. Occupational and social impairment

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a. Which of the following best summarizes the Veteran's level of occupational and social impairment in regards to all mental

diagnoses?

[X} Occupational and social impairment with deficiencies in most areas such as work, school, family relations, judgment, thinking

and/or mood.

The Veteran's functional impairments are believed to be the result of the cumulative effects of both mental health conditions.

Also both conditions developed in response to the physical limitations associated with the Veteran's medical problems(wrist, shoulder

knee injuries.)

For VA rating purposes, check all symptoms that apply to Veteran's diagnosis:

[X} Depressed mood

[X] Anxiety

[X] Suspiciousness

[X] Panic attacks more than once a week

[X] Chronic sleep impairment

[X] Mild memory loss, such as forgetting names, directions or recent events.

[X] Disturbances of motivation and mood

[X] Difficulty in establishing and maintaining effective work and social relationships

[X] Difficulty in adapting to stressful circumstances, including work or work like setting

[X] Suicidal ideation

5. Competency

------------------------

Is the Veteran capable of managing his or her financial affairs?

[X] Yes

Based on all the evidence available it is my opinion that the Veteran's symptoms are at least likely as not (50% or greater probability)

due to or the result of his service connected right shoulder and multiple left/hand wrist fractures. Specifically, the Veteran's symptoms

are believed to be the direct result of the physical limitations related to his medical conditions. His initial depression and anxiety regarding this fact has progressed over time as his injury is not yet repaired and he has been out of work over a year. It is believed that

both the Major Depressive Disorder and the Generalized Anxiety Disorder are contributing equally to moderate to severe impairments

in the Veteran's social and occupational functioning. Although he is not currently working, it is believed that his depressed mood and

anxiety would make it unlikely that he would be able to work reliably and efficiently in either a physical or sedentary job at this time.

The Veteran began receiving treatment for anxiety and depression in January 2013. With additional treatment he may see symptom reduction and a increase in functioning , however, at this time his symptoms remain moderate to severe and have drastically reduced this Veteran's quality of life.

[ljcook91]

Hello, I need a wag ***, COMP AND PEN Has Addenda*** Responses to CPEP question no. 8 are as follows: Memory,attention,concentration, executive functions: d. Objective evidence on testing of moderate impairment of memory, attention, concentration, or executive functions resulting in moderate functional impairment with additional testing. Objective evidence of moderate impairment in auditory memory was demonstrated on the screen and with additional testing. With additional testing, his immediate recall of stories was also moderately impaired. Delayed recall was mildly impaired. Evidence of mild impairment in auditory attention was exhibited on the screen. Subjective symptoms include persistent problems with attention and concentration. Judgment b. Mildly impaired. Subjective reporting included some difficulty with exercising good judgment. Social interaction: c.Social interaction is frequently inappropriate. Orientation: b. Occasionally disoriented to one of the four aspects of orientation {person,time,place or situation} Objective testing indicated mild impairment in time orientation on the screen, as he did not give the correct date. Motor Activity: a. Motor activity normal. No evidence of apraxia was observed during testing. Visuo-spatial orientation: b. Mildly impaired. Neurobehavioral effects: c. One or more neurobehavioral effects that frequently interfere with workplace interaction, social interaction or both but do not preclude them. Communication/ Language: b. Comprehension or expression,or both, of either spoken language or written language, is only occasionally impaired . Objective testing indicated mild impairment in verbal fluency and in sentence repetition both on the screen and with additional testing. Consciousness: a. Normal --- am I at the right place to receive a reply?

Edited December 4, 2013 by ljcook91

[brokensoldier244th]

updating this for future searchers. The notes he posted can usually be gotten under the "Download Blue Button Data" a few days after exam. This is still true as of today, as I downloaded mine, also.

[Navy04]

Thanks for the info bud.