Jump to content


  • veteranscrisisline-badge-chat-1.gif

  • Fund HadIt.com

    297%
    $4,468.00 of $1,500.00 Donate Now
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • 0

If I Get 70% Do You Think Tdiu Would Be Possibility Of Getting Approved?


bassrunnin

Question

Here are the results of my c&p exam...would like opinion on rating and whether they might give me tdiu that I applied for...thanks ahead of time for your input,,, I tried to narrow down the exam to only the important info...One thing that I left out was

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: F43.10

2. Current Diagnoses

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

a. Mental Disorder Diagnosis #1: PTSD, chronic

ICD code: F43.10

Mental Disorder Diagnosis #2: Bipolar I Disorder, mixed

ICD code: F31.13

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

Mental Health Disorder (to include TBI): Hypertension, Obesity

3. Differentiation of symptoms

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

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

[X] Yes [ ] No

b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis?

[X] Yes [ ] No [ ] Not applicable (N/A)

If yes, list which symptoms are attributable to each diagnosis and discuss whether there is any clinical association between these diagnoses:

PTSD: hx of trauma, nightmares, flashbacks, traumatic memories, hypervigilance, avoidance of reminders of trauma, persistent guilt

Bipolar I: mood swings, manic episodes and depressed mood, low self esteem, increased appetite and weight gain

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 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?

[X] Yes [ ] No [ ] No other mental disorder has been diagnosed

If yes, list which portion of the indicated level of occupational and social impairment is attributable to each diagnosis:

PTSD: 60%

Bipolar: 40%

2. History

----------

Veteran reports she has not been able to work since June 2014. Worked 4 out of the last 14 months. Worked at the Verizon call center doing tech support. "Had a good job and made good money. Having issues maintaining my composure. I was dissociating especially on breaks. Jumpy and emotional. Ususally very laid back person. Customer service don't always get nice customers. Started getting written up for poor performance. She reports she was on a leave of absence for 6 mos and then was let go because she was unable to perform her job. Too many triggers". She was told by her Dr Putatunda, psychiatrist, that she could not work. CWT: voc rehab at VA.

c. Relevant Mental Health history, to include prescribed medications and family mental health (pre-military, military, and post-military):

Mother has bipolar disorder. Veteran was hospitalized in June at York VA for one week. Later hospitalized at Rolling Hills Hospital for 10 days end of June. Middle of Sept 12-20 hospitalized at Trustpoint Hospital. Currrently sees psychiatrist and Dr Farrel and a trauma (private practice) therapist, Deborah Driggs, in Murfreesboro, she sees twice a week. Attends a group at Trustpoint twice a week. Current medications: Wellbutrin, Latudo, Prozosin for nightmares. "Medications are helpful but still not where I need to be. Anxiety and depression.

Irritability".

4. PTSD Diagnostic Criteria

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

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)

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

symptomsith 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] Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings).

[X] Intense or prolonged psychological distress at exposure 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 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 and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., "I am bad,: "No one can be trusted,: "The world is completely dangerous,: "My whole nervous system is permanently ruined").

[X] Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead to the individual to blame himself/herself or others.

[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] Reckless or self-destructive behavior.

[X] Hypervigilance.

[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 I: Which stressor(s) contributed to the Veteran's PTSD diagnosis?:

[X] Stressor #1

5. Symptoms

-----------

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

Veteran's diagnoses:

[X] Depressed mood

[X] Anxiety

[X] Panic attacks more than once a week

[X] Chronic sleep impairment

[X] Flattened affect

[X] Impaired judgment

[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

[X] Suicidal ideation

8. Competency

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

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

[X] Yes [ ] No

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

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

Medical Opinion:

"Does the Veteran have a diagnosis of (a) posttruamtic stress disorder that is at least as likely as not (50 percent or greater probability) incurred in or caused by (the) miitary sexual trauma during service?

Yes, the Veteran symptoms of posttraumatic stress disorder do meet DSM-5 criteria and are as least as likely as not (50 percent or greater probability) incurred in or caused by (the) miitary sexual trauma during service. Veteran has been working, studying and trying to function in her marriage, family and work settings. She has legitimately sought professional help for her sx and continues to do so. She has beenhospitalized three times for sx related to PTSD and bipolar disorder. The Veteran was consistent in her presentation and facts. She is compliant with treatment.

In your opinion, is it at least as likely as not, that the Veteran's documented history of STD on exit exam dated 5/28/1996 supports the occurrence of the described military sexual assault in November 1992?

In my clinical opinion, the documented history of STD on exit exam dated

5/28/1996 does support and add validity to the Veteran's claim of military sexual assault.

Link to comment
Share on other sites

  • Answers 5
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

  • 0
  • HadIt.com Elder

Absolutely,if they award you at 70% they should send you the TDIU form with the decision.....

I replied to 2 different posts you made here,in different topics.

Link to comment
Share on other sites


  • 0
  • HadIt.com Elder

I had/ and have dissociative disorder back in 1971 when I got out of the Army. These VA shrinks would not listen to me, and said this guy has schizophrenia. I bet if you had seen a shrink back in the day they would either have said you had a personality disorder or bipolar or schizophrenia. They were in the dark about PTSD. I am glad you seem to have gotten decent C&P. One thing is that the exam mentions mental health problems in your family history and before, during and after military, but that is just for the bipolar. You can certainly have PTSD superimposed on bipolar disorder and it would aggravate an existing disorder anyway. If you get 70% and even if you don't I would file for TDIU if you cannot work. They use the date you file as the date for TDIU. I filed for TDIU when I was just 30% and that was the date they used when I got 70%. The range of symptoms of dissociative disorder can hardly be separated from those of PTSD except for the depersonalization and derealization symptoms which are so weird old time shrinks at the VA thought they were hallucinations which they are not.

John

Link to comment
Share on other sites

  • 0

Thanks again...and just for info sakes...I didn't get diagnosed with bipolar until last year. My mom had it and turns out bipolar is a genetic thing...but it definitely got triggered due to the PTSD and was worsened because of it. PTSD symptoms began summer of 2013 and didn;t have bipolar symptoms until summer 2014. Hope this helps. My only concern now is where they say PTSD is 60% and bipolar is 40%. I don't know what kind of bearing that would have on my rating if any at all...

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • Ads

  • Ads

  • Similar Content

    • By Dqm71
      After almost 6 years, all I get a rating increase. Thanks for all the input on my prior thoughts. WTF I'm not able to work, only rely on my SSD and 10% rate. Poverty level. What chances of a 50% increase at minimum?
    • By Wico1337
      I did not see my most recent decision denial letter in the mail. Anyone know where I can get ALL of my past denial letters and their reasonings for denying me? Also, is there a way to see all of my service connections and their wording on why they were able to service connect me? 
      One reason I also want to know the reasons I am service connected to things is because I was recently approved for Hypertension. They denied me Sleep apnea in the past because of my weight. But I believe in this recent decision, I leveraged the fact that I gained weight due to my mental health service connection. And I was able to use that as a nexus for hypertension. I am now wanting to point toward that service connection approval and use it as an "It was recognized in my Hypertension claim that I gained weight from Anxiety/depression service connection. I am wanting to transfer that recognition to my reasoning for my service connection to sleep apnea. Since the VA had prior listed the reason that I have sleep apnea is due to my weight."
       
      Anyone know where I can get past approval and denial letters with details of connections?
    • By mb76
      What specifically do I ask of him?
       
    • By snow1wave
      So I found out that my TDIU P&T was approved. i have a few questions.
      1. Can I get champ VA for my depends (son and parent) 
      2. Can I work for my aunt if the job is a Sheltered Employment, or does that not apply since it is permanent? 
      3. Can I get a home and not have to pay taxes in Florida?
      4. the back pay date just says N/A, when will it post?
      This concludes all of my questions, thank you. 

    • By Foxhound6
      So, have been appealing TDIU claim and unsure as to why they keep denying (waiting to see on BBE) but I am about to file an almost sure thing secondary claim for my other knee. Based on my ROMS and things, it seems I should receive at least 30% if not higher. Between that rating and bilateral factor, that would put me at 100% schedular.
      The thing I am wondering is: If I get the 100% schedular, does that now make my TDIU claim moot? It has been about a year since I started the TDIU claim so I would hate to lose back pay. But, I am unsure how this would work? Any one have this scenario before? I feel like its still a separate claim.
  • Ads

  • Our picks

    • I already get compensation for bladder cancer for Camp Lejeune Water issue, now that it is added to Agent Orange does it mean that the VA should pay me the difference between Camp Lejeune and 1992 when I retired from the Marine Corps or do I have to re-apply for it for Agent Orange, or will the VA look at at current cases already receiving bladder cancer compensation. I’m considered 100% Disabled Permanently 
      • 17 replies
    • 5,10, 20 Rule
      The 5, 10, 20 year rules...



      Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.



      Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.



      Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.



      If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"



      At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.



      NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.



      ------



      Example for 2020 using the same disability rating



      1998 - Initially Service Connected @ 10%



      RESULT: Service Connection Protected in 2008



      RESULT: 10% Protected from reduction in 2018 (20 years)



      2020 - Service Connection Increased @ 30%



      RESULT: 30% is Protected from reduction in 2040 (20 years)
        • Thanks
        • Like
      • 53 replies
    • Post in New BVA Grants
      While the BVA has some discretion here, often they "chop up claims".  For example, BVA will order SERVICE CONNECTION, and leave it up to the VARO the disability percent and effective date.  

      I hate that its that way.  The board should "render a decision", to include service connection, disability percentage AND effective date, so we dont have to appeal "each" of those issues over then next 15 years on a hamster wheel.  
        • Like
    • Finally heard back that I received my 100% Overall rating and a 100% PTSD rating Following my long appeal process!

      My question is this, given the fact that my appeal was on the advanced docket and is an “Expedited” appeal, what happens now and how long(ish) is the process from here on out with retro and so forth? I’ve read a million things but nothing with an expedited appeal status.

      Anyone deal with this situation before? My jump is from 50 to 100 over the course of 2 years if that helps some. I only am asking because as happy as I am, I would be much happier to pay some of these bills off!
        • Like
      • 18 replies
    • I told reviewer that I had a bad C&P, and that all I wanted was a fair shake, and she even said, that was what she was all ready viewed for herself. The first C&P don't even  reflect my Treatment in the VA PTSD clinic. In my new C&P I was only asked about symptoms, seeing shit, rituals, nightmares, paying bills and about childhood, but didn't ask about details of it. Just about twenty question, and  nothing about stressor,
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines