ptsd Ptsd C&p Results - Advice ?

[elijahdoe]

Here are my C&P Results: Do you know what my outcome may be? Any advice would be appreciated. Thank you

SECTION I:

----------

1. Diagnostic Summary

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

Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria

based on today's evaluation?

[X] Yes [ ] No

ICD code: 309.81

2. Current Diagnoses

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

a. Mental Disorder Diagnosis #1: PTSD, with panic attacks

ICD code: 309.81

Comments, if any:

Panic attacks occur once every 3 weeks in which he experiences,

sweaty palms, increased heart rate, dizzy, feels like dying,

tingling on fingers.

PTSD- history of nightmares related to good friend killing 2 old

ladies, and that his friend could have killed him. Vet has daily

intrusive thoughts about the murders, avoids crowds, irritable in

crowds, concentration problems, hypervigilance, insomnia in which

he gets 3-4 hours sleep most nights.

b. Medical diagnoses relevant to the understanding or management of the

Mental Health Disorder (to include TBI): none

3. Differentiation of symptoms

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

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

[ ] Yes [X] No

c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?

[ ] Yes [ ] No [X] Not shown in records reviewed

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)

[X] Occupational and social impairment with reduced reliability and

productivity

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

SECTION II:

-----------

Clinical Findings:

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

1. Evidence review

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

In order to provide an accurate medical opinion, the Veteran's claims folder

must be reviewed.

a. Medical record review:

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

Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed?

[ ] Yes [X] No

Was the Veteran's VA claims file (hard copy paper C-file) reviewed?

[X] Yes [ ] No

If yes, list any records that were reviewed but were not included in the

Veteran's VA claims file:

If no, check all records reviewed:

[ ] Military service treatment records

[ ] Military service personnel records

[ ] Military enlistment examination

[ ] Military separation examination

[ ] Military post-deployment questionnaire

[ ] Department of Defense Form 214 Separation Documents

[ ] Veterans Health Administration medical records (VA treatment

records)

[ ] Civilian medical records

[ ] Interviews with collateral witnesses (family and others who have

known the Veteran before and after military service)

[ ] No records were reviewed

[ ] Other:

b. Was pertinent information from collateral sources reviewed?

[ ] Yes [X] No

2. History

----------

a. Relevant Social/Marital/Family history (pre-military, military, and

post-military):

Vet was raised by bio parents with sister in Ohio; he denied abuse,

and

is close to his parents and sister. He reports close relationship with

his wife of 8 years, and his adopted daughter, age 12. HE states he

really has

no close friends other than through his wife's friends. He states he

avoids crowds, is irritable daily at work, and towards family,

especially towards his wife.

b. Relevant Occupational and Educational history (pre-military, military,

and

post-military):

Vet served in the airforce from 2001-4, and served in Kyrgyzstan in

2002. He has wored since then as a computer security worker, and has

been with his current company for 3 years. He admits he has to work

from home frequently due to anxiety symptoms. HE reports 20 days he

has

stayed home this year, and reports difficulty talking on the phone

with

customers. He finished high school and has taken some college courses.

c. Relevant Mental Health history, to include prescribed medications and

family mental health (pre-military, military, and post-military):

Vet sees Dr. Nagaraj and Dr. Vasquez for treatment of ptsd and panic

attacks, and takes Zoloft for PTSD and Valium as needed for panic.

d. Relevant Legal and Behavioral history (pre-military, military, and

post-military):

none

e. Relevant Substance abuse history (pre-military, military, and

post-military):

none

f. Other, if any:

No response provided.

3. Stressors

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

Describe one or more specific stressor event(s) the Veteran considers

traumatic (may be pre-military, military, or post-military):

a. Stressor #1: Vet was shocked to find out that one of his best friends on

base at Travis AFB, committed murder of two women, and vet realized he

could have been a target of his friend's murderous rage. HE also

reports feeling guilty he didn't do anything to stop his friend's

murders.

Does this stressor meet Criterion A (i.e., is it adequate to support

the diagnosis of PTSD)?

[X] Yes [ ] No

Is the stressor related to the Veteran's fear of hostile military or

terrorist activity?

[ ] Yes [X] No

If no, explain:

see above

Is the stressor related to personal assault, e.g. military sexual

trauma?

[ ] Yes [X] No

b. Stressor #2: Vet reports he feared for his life while serving in

Kyrgystan

due to fear of terrorist attacks and mortor attacks

Does this stressor meet Criterion A (i.e., is it adequate to support

the diagnosis of PTSD)?

[X] Yes [ ] No

Is the stressor related to the Veteran's fear of hostile military or

terrorist activity?

[X] Yes [ ] No

Is the stressor related to personal assault, e.g. military sexual

trauma?

[ ] Yes [X] No

4. PTSD Diagnostic Criteria

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

Please check criteria used for establishing the current PTSD diagnosis. Do

NOT mark symptoms below that are clearly not attributable to the Criteria A

stressor/PTSD. Instead, overlapping symptoms clearly attributable to other

things should be noted under #7 - Other symptoms. The diagnostic criteria

for PTSD, referred to as Criteria A-H, are from the Diagnostic and

Statistical Manual of Mental Disorders, 5th edition (DSM-5).

Criterion A: Exposure to actual or threatened a) death, b) serious

injury,

c) sexual violation, in one or more of the following ways:

[X] Directly experiencing the traumatic event(s)

[X] Witnessing, in person, the traumatic event(s) as they occurred to

others

Criterion B: Presence of (one or more) of the following intrusion

symptoms

associated with the traumatic event(s), beginning after the

traumatic event(s) occurred:

[X] Recurrent, involuntary, and intrusive distressing memories of the

traumatic event(s).

[X] Recurrent distressing dreams in which the content and/or affect of

the dream are related to the traumatic event(s).

[X] Intense or prolonged psychological distress at exposure to

internal

or external cues that symbolize or resemble an aspect of the

traumatic event(s).

[X] Marked physiological reactions to internal or external cues that

symbolize or resemble an aspect of the traumatic event(s).

Criterion C: Persistent avoidance of stimuli associated with the

traumatic

event(s), beginning after the traumatic events(s) occurred,

as evidenced by one or both of the following:

[X] Avoidance of or efforts to avoid distressing memories, thoughts,

or

feelings about or closely associated with the traumatic event(s).

[X] Avoidance of or efforts to avoid external reminders (people,

places, conversations, activities, objects, situations) that

arouse

distressing memories, thoughts, or feelings about or closely

associated with the traumatic event(s).

Criterion D: Negative alterations in cognitions and mood associated with

the traumatic event(s), beginning or worsening after the

traumatic event(s) occurred, as evidenced by two (or more)

of

the following:

[X] Persistent negative emotional state (e.g., fear, horror, anger,

guilt, or shame).

[X] Markedly diminished interest or participation in significant

activities.

[X] Feelings of detachment or estrangement from others.

Criterion E: Marked alterations in arousal and reactivity associated with

the traumatic event(s), beginning or worsening after the

traumatic event(s) occurred, as evidenced by two (or more)

of

the following:

[X] Irritable behavior and angry outbursts (with little or no

provocation) typically expressed as verbal or physical aggression

toward people or objects.

[X] Hypervigilance.

[X] Exaggerated startle response.

[X] Problems with concentration.

[X] Sleep disturbance (e.g., difficulty falling or staying asleep or

restless sleep).

Criterion F:

[X] Duration of the disturbance (Criteria B, C, D, and E) is more than

1 month.

Criterion G:

[X] The disturbance causes clinically significant distress or

impairment in social, occupational, or other important areas of

functioning.

Criterion H:

[X] The disturbance is not attributable to the physiological effects

of

a substance (e.g., medication, alcohol) or another medical

condition.

Criterion I: Which stressor(s) contributed to the Veteran's PTSD

diagnosis?:

[X] Stressor #1

[X] Stressor #2

5. Symptoms

-----------

For VA rating purposes, check all symptoms that actively apply to the

Veteran's diagnoses:

[X] Anxiety

[X] Panic attacks that occur weekly or less often

[X] Chronic sleep impairment

[X] Disturbances of motivation and mood

6. Behavioral Observations

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

Vet appears as a cooperative, casually dressed, well groomed, 31 year old

Caucasian male who was oriented times 4. There was no evidence of

hallucinations, delusions, or of significant cognitive impairment. He

displayed tangential speech and needed frequent redirection. He complains of

suffering from a chronically anxious mood, and he displayed a wide range of

affect.He denies suffering from suicidal or homicidal ideation.

7. Other symptoms

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

Does the Veteran have any other symptoms attributable to PTSD (and other

mental disorders) that are not listed above?

[ ] Yes [X] No

8. Competency

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

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

[X] Yes [ ] No

9. Remarks, (including any testing results) if any

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

VEt appears at least as likely as not to meet the DSM-5 criteria for PTSD

with secondary panic attacks caused by both the fear of hostile military

activity in Kyrgystan and his good friend's murders of 2 elderly women

near Travis Airbase. Vet suffers from mild to moderate social and

emotional impairment and mild overall occupational impairment due to his

PTSD and panic symptoms previously noted.

NOTE: VA may request additional medical information, including additional

examinations if necessary to complete VA's review of the Veteran's

application.

[Navy04]

Looks like 10-30% percent bud, maybe 50% depending on the Rater. Atleast you will get SC bud and future mental health care. Keep us posted

[elijahdoe]

Thank you all for the info.

I just got my rating back and it is 50%.

Summary of benefit information Include? Information Value Include the information in this row You have one or more service-connected disabilities: YesInclude the information in this row Your combined service-connected evaluation is: 50% Include the information in this row and the one below it Your current monthly award amount is: $917.13 The effective date of the last change to your current award was: December 01, 2014

Do you know if I should get my retro pay?

Thank you all very much for the information. The great thing about being a veteran is that even though all of us are strangers and don't know each other, we all are brothers who look out for each other.

Thanks again

[Navy04]

Congrats and God Bless!!!