d. Axis V - Current global assessment of functioning (GAF) score: 50
3. Differentiation of symptoms
------------------------------
a. Does the Veteran have more than one mental disorder diagnosed?
[ ] Yes [X] No
4. Occupational and social impairment
-------------------------------------
a. Which of the following best summarizes the Veteran's level of
occupational
and social impairment with regards to all mental diagnoses? (Check only
one)
Page 24 of 86
[X] Occupational and social impairment with deficiencies in most areas,
such as work, school, family relations, judgment, thinking and/or
mood
b. For the indicated level of occupational and social impairment, is it
possible to differentiate what portion of the occupational and social
impairment indicated above is caused by each mental disorder?
[ ] Yes [ ] No [X] No other mental disorder has been diagnosed
c. If a diagnosis of TBI exists, is it possible to differentiate what
portion
of the occupational and social impairment indicated above is caused by
the
TBI?
[ ] Yes [ ] No [X] No diagnosis of TBI
4. PTSD Diagnostic Criteria
---------------------------
a. Please check criteria used for establishing the current PTSD diagnosis.
The diagnostic criteria for
PTSD, referred to as Criteria A-F, are from
the Diagnostic and Statistical Manual of Mental Disorders, 4th edition
(DSM-IV).
Criterion A: The Veteran has been exposed to a traumatic event where both
of the following were present:
[X] The Veteran experienced, witnessed or was confronted with an event
that involved actual or threatened death or serious injury, or a
threat to the physical integrity of self or others.
[X] The Veteran's response involved intense fear, helplessness or
horror.
Criterion B: The traumatic event is persistently reexperienced in 1 or
more of the following ways:
[X] Recurrent and distressing recollections of the event, including
images, thoughts or perceptions
[X] Recurrent distressing dreams of the event
Page 27 of 86
[X] Acting or feeling as if the traumatic event were recurring; this
includes a sense of reliving the experience, illusions,
hallucinations and dissociative flashback episodes, including
those
that occur on awakening or when intoxicated
[X] Intense psychological distress at exposure to internal or external
cues that symbolize or resemble an aspect of the traumatic event
[X] Physiological reactivity on exposure to internal or external cues
that symbolize or resemble an aspect of the traumatic event
Criterion C: Persistent avoidance of stimuli associated with the trauma
and numbing of general responsiveness (not present before
the
trauma), as indicated by 3 or more of the following:
[X] Efforts to avoid thoughts, feelings or conversations associated
with the trauma
[X] Efforts to avoid activities, places or people that arouse
recollections of the trauma
[X] Markedly diminished interest or participation in significant
activities
[X] Feeling of detachment or estrangement from others
[X] Restricted range of affect (e.g., unable to have loving feelings)
Criterion D: Persistent symptoms of increased arousal, not present before
the trauma, as indicated by 2 or more of the following:
[X] Difficulty falling or staying asleep
[X] Irritability or outbursts of anger
[X] Difficulty concentrating
[X] Hypervigilance
[X] Exaggerated startle response
Criterion E:
[X] The duration of the symptoms described above in Criteria B, C and
D
is more than 1 month.
Criterion F:
[X] The PTSD symptoms described above cause clinically significant
distress or impairment in social, occupational, or other important
areas of functioning.
b. Which stressor(s) contributed to the Veterans PTSD diagnosis?:
[X] Stressor #1
[X] Stressor #2
5. Symptoms
-----------
For VA rating purposes, check all symptoms that apply to the Veterans
diagnoses:
[X] Anxiety
[X] Suspiciousness
Page 28 of 86
[X] Chronic sleep impairment
[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
a
worklike setting
6. Other symptoms
-----------------
Does the Veteran have any other symptoms attributable to PTSD (and other
mental disorders) that are not listed above?
[X] Yes [ ] No
If yes, describe:
he has trouble being in crowded places, he seems quite
discouraged.
7. Competency
-------------
Is the Veteran capable of managing his or her financial affairs?
[X] Yes [ ] No
8. Remarks, if any
------------------
with regards to routine activities of daily living he stays at home most
of the time but he's able to drive (but trouble affording gas), he
can
shop but has to go during off hours when there are no crowds, he has no
recreational activities, he is capable of routine self-care.
Veteran is seeking service connection for:
7) attention deficit disorder-- no present, his problem is PTSD
8) PTSD-- related to traumatic/life threatening experiences as a prison
guard at Guantanamo and Afghanistan: attacked by prisoners, life
threatened, riots. He also experienced indirect combat in Afghanistan
GAF 50.....I am having trouble trying to live everyday and if not for my kids, would more than likely not be here. The VA is doing what it can as I know it takes years but I have no more money, hate asking for handouts and my claim went to pending a desicion last month (claim filed in JAN 13)....Any ideas on how long and what can I expect for a rating....Need to see if i should start packing after Xmas since I have nothing left to sell and refuse to steal......
Question
LivinginHell
Ok, here is my post as I am lost in the sauce and life is getting more bleak with the holidays coming up.
I applied for SSD while waiting for C/P Exam for PTSD. SSD apporved for PTSD 100%. I saw C/P examiner and this is the report:
SECTION I:
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