Doc was good, session took about an hour. Hit all the fine points and let me work off my list of notes and somewhat direct the conversation. I know that without the report yet, its difficult to say, but what are the thoughts based on this? Last C&P was almost 2 years ago. Does any of this warrant a possible increase from 50% to 70%? It looks like under the new DSM that my prior diag. of MDD actually could fall under MDD/W mixed features. Not sure if that matters now-can C&P doctors change a diagnosis that has been previously established?
Had my sit down with C&P MH the other day. Its been a year and a half since my last one-over that time ive increased meds twice (once from just counseling to meds, then a year later an increase to those), and between my wife and I compiled a list of things that are either newly evident or worse than they were when I was rated 50% for MDD.
Increases in work absences (14 in that prior year, 38 this last year in 11 months)
Actual write ups at work for client/co-worker demeanor and attitude-on 'improvement plan over next 6 months' if I don't improve Ill be terminated (IT/Support). Reduced duties, no travel, no unsupervised local client visits
-last job I had for 10 months before that, lost because of customer attitude/emotional anger outbursts (IT/Support)
-job before that and being rated at all I had for 5.5 yrs, but the last year and a half I had same issues as above and when company was sold I was not retained, same field.
Picking on nails/cuticles until bleeding-never did that before, now I do it constantly on my thumb and index fingers-noticed during exam as well.
She (wife) handles almost all the money now because my frequency of spending has increased to where we had to file 13 a year ago (just me)
weekend when she does not see me because I don't get out of bed
not showering/shaving 3 or more days a week in a row
increased withdrawal from family and friends-wife travels alone w/kids increasingly
Here is the current list of issues as discussed on Friday
- separate parts of the house
-comes home-whirlwind through common areas/LR/Kitchen-if unkept immediately starts cleaning. No asking about day, no “hi honey/hi kids, how was school”. Oldest daughter thinks he doesn’t care about anything about her. Youngest daughter scared of him when he gets angry.
-house damage-holes in wall from hitting, chairs. Broken glass stove top, requiring new stove
unkept yard/grass/trash-neighbor complaints. Vehicle maintenance not kept up, doesn’t remember oil, gas, tires. His car is a mess of wrappers/cups, etc-yet house has to be spotless?
- random yelling/throwing tantrums about little things like a small change in a plan, or something not being picked up. will be up at all hours of the night cleaning/sweeping/picking up things. Was pulling up carpet in daughters room-3 am WHILE they were sleeping in there.
-Does not go to mall, social get togethers with friends/family, opting to stay home. Has said more than once, increasing in the last few years that “if I just had an internet connection I would be happy” Will ‘zone out on internet for hours, with us in the room. Does not remember familiy dates/birthdays, phone numbers. Does not remember to take medication consistently-has internet reminders and sticky notes everywhere
-will spend literally all weekend in bed, even if I have to work
-Discussed SI for the first time, no plan, but I did relate starting the car in the garage one day to warm it up, and then falling asleep in the drivers seat with the car running, and that Ive had increasing thoughts in the last year since I have a job with benefits that life insurance isn't a bad thing-even though the better part of me knows that SI and Life insurance don't mix and it would probably be denied
-financial irregularities!!! bills not paid unless I do them, shut off notices at least once a month for something. Spends money on watches, mostly-constantly mailing watches out (selling) or buying them off internet.
-had to file BK last year to save house
-Dropped out of Masters program in compu/Sci/Security due to memory problems, late assignments/projects, missing meetings with advisor, and financial problems.
-consistency with employer-38 absences from Feb to Dec 2013. Performance Imp plan for work, have to clear any and all absences-even for PTO.
-loss of opportunity-cannot travel, inconsistent demeanor with clients, liability
-Co-workers don’t like him, don’t want to work with him, despite his knowledge of networking/products.
- Emotional inconsistency daily-on days he is 'on' he can almost be hyper, funny, over engaging. On days when he's down, he is reclusive, aloof, and surly.
-Last three jobs: Terrascan, 5+ years (2006-2011), but the last year was so inconsistent, and resulted in write ups for job performance, accuracy, customer demeanor, and eventual firing
-Xotic PC, as Service Manager (March 2011-Jan 2012) -was fired for cust demeanor, verbal clashes with boss/owner
-Stanley Healthcare (Feb 2013-Present) -has received negative writeups from customer (directly referencing him) as a negative influence. Inconsistency/accuracy with job duties-forgets online meetings, forgets client followups, cannot go to local repair/install jobs unsupervised. No promotability. Currently on 'performance improvement plan' for 6 months. If no improvement, looking at termination.
-Prior job record and BK is a liability for security clearance for work/HIPPA data/client servers. Inconsistency in relations with co-workers, and unpredictability/panic in unfamiliar situations has barred him for travel to other offices (Boston, Ottawa, Calif.)
-has used company credit card for personal purchases, groceries/gas due to his problems with spending family money-has had that card taken away.
Edited by brokensoldier244th
The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.
B.S. Doane College, Mgt Info Systems/Systems Analysis 2008
M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021
M.S. Purdue University Information Technology/InfoSec, Dec 2022
100% P/T
MDD
Spine
Radiculopathy
Sleep Apnea
Some other stuff
------------------------------------------- B.S. Info Systems Mgt/Systems Analysis-Doane College 2008 M.S. Instructional Technology and Design- Purdue University 2021
(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents, and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)
Question
brokensoldier244th
Doc was good, session took about an hour. Hit all the fine points and let me work off my list of notes and somewhat direct the conversation. I know that without the report yet, its difficult to say, but what are the thoughts based on this? Last C&P was almost 2 years ago. Does any of this warrant a possible increase from 50% to 70%? It looks like under the new DSM that my prior diag. of MDD actually could fall under MDD/W mixed features. Not sure if that matters now-can C&P doctors change a diagnosis that has been previously established?
Had my sit down with C&P MH the other day. Its been a year and a half since my last one-over that time ive increased meds twice (once from just counseling to meds, then a year later an increase to those), and between my wife and I compiled a list of things that are either newly evident or worse than they were when I was rated 50% for MDD.
Here is the current list of issues as discussed on Friday
- separate parts of the house
-comes home-whirlwind through common areas/LR/Kitchen-if unkept immediately starts cleaning. No asking about day, no “hi honey/hi kids, how was school”. Oldest daughter thinks he doesn’t care about anything about her. Youngest daughter scared of him when he gets angry.
-house damage-holes in wall from hitting, chairs. Broken glass stove top, requiring new stove
unkept yard/grass/trash-neighbor complaints. Vehicle maintenance not kept up, doesn’t remember oil, gas, tires. His car is a mess of wrappers/cups, etc-yet house has to be spotless?
- random yelling/throwing tantrums about little things like a small change in a plan, or something not being picked up. will be up at all hours of the night cleaning/sweeping/picking up things. Was pulling up carpet in daughters room-3 am WHILE they were sleeping in there.
-Does not go to mall, social get togethers with friends/family, opting to stay home. Has said more than once, increasing in the last few years that “if I just had an internet connection I would be happy” Will ‘zone out on internet for hours, with us in the room. Does not remember familiy dates/birthdays, phone numbers. Does not remember to take medication consistently-has internet reminders and sticky notes everywhere
-will spend literally all weekend in bed, even if I have to work
-Discussed SI for the first time, no plan, but I did relate starting the car in the garage one day to warm it up, and then falling asleep in the drivers seat with the car running, and that Ive had increasing thoughts in the last year since I have a job with benefits that life insurance isn't a bad thing-even though the better part of me knows that SI and Life insurance don't mix and it would probably be denied
-financial irregularities!!! bills not paid unless I do them, shut off notices at least once a month for something. Spends money on watches, mostly-constantly mailing watches out (selling) or buying them off internet.
-had to file BK last year to save house
-Dropped out of Masters program in compu/Sci/Security due to memory problems, late assignments/projects, missing meetings with advisor, and financial problems.
-consistency with employer-38 absences from Feb to Dec 2013. Performance Imp plan for work, have to clear any and all absences-even for PTO.
-loss of opportunity-cannot travel, inconsistent demeanor with clients, liability
-Co-workers don’t like him, don’t want to work with him, despite his knowledge of networking/products.
- Emotional inconsistency daily-on days he is 'on' he can almost be hyper, funny, over engaging. On days when he's down, he is reclusive, aloof, and surly.
-Last three jobs: Terrascan, 5+ years (2006-2011), but the last year was so inconsistent, and resulted in write ups for job performance, accuracy, customer demeanor, and eventual firing
-Xotic PC, as Service Manager (March 2011-Jan 2012) -was fired for cust demeanor, verbal clashes with boss/owner
-Stanley Healthcare (Feb 2013-Present) -has received negative writeups from customer (directly referencing him) as a negative influence. Inconsistency/accuracy with job duties-forgets online meetings, forgets client followups, cannot go to local repair/install jobs unsupervised. No promotability. Currently on 'performance improvement plan' for 6 months. If no improvement, looking at termination.
-Prior job record and BK is a liability for security clearance for work/HIPPA data/client servers. Inconsistency in relations with co-workers, and unpredictability/panic in unfamiliar situations has barred him for travel to other offices (Boston, Ottawa, Calif.)
-has used company credit card for personal purchases, groceries/gas due to his problems with spending family money-has had that card taken away.
Edited by brokensoldier244thThe Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.
B.S. Doane College, Mgt Info Systems/Systems Analysis 2008
M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021
M.S. Purdue University Information Technology/InfoSec, Dec 2022
100% P/T
MDD
Spine
Radiculopathy
Sleep Apnea
Some other stuff
-------------------------------------------
B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021
(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents, and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)
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