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Understanding C&p Exam Results


DNETT
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Hello all I am new to this site and recently retired from the USAF. I filed my disability claim using the BBD program but since I retired from an overseas location I had to wait until I arrived stateside. I completed all of my exams in Aug 2014 and finally recieved a copy today but after looking at the completed DBQ's. I realize I don't fully understand them fully. What info should I post to find out what percentage for my different claims?

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Welcome aboard, and you need to block out your personal info like social and name. Then try to load the whole reports on here or cut and paste. We can then help you from there. Good luck

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DNETT,

Google "38 CFR part 4" and you will find the table of ratings. Find your specific condition and you will see how the VA rates your disability according to the severity of your condition.

Take the time to read and understand the table of ratings so you will know what rating you should receive for your condition. It is not unusual for the VA to lowball veterans when they file a claim but if you understand 38 CFR part 4, you will know exactly what you deserve and will be prepared to take action to get your proper rating.

Good luck to you and thank you for your service.

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Thank you very much for the advice. I have spent the past couple of weeks reviewing 38 CFR with my DBQ's. My C&P exams were completed by MSLA so I currently do not have an electronic copy to post I just have the paper copy I recieved from the records section at the North Las Vegas VA. I did check my healthly vet and they are not loaded. The paper copy is 187 pages and I don't believe anyone's really wants to read that much. I have DBQ's for bilateral shoulder, knees, right ankle, and right elbow for limited ROM but I know the VA does not just rate on ROM but are the other key points to look for on the DBQ,s

Thanks again for all the help

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You are welcome.

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I am new here and was hoping some could help me understand this. And if they think I would be approved and is so at about what percent. Thank you in advance for your time and consideration on this.

Initial Post Traumatic Stress Disorder (PTSD)

Disability Benefits Questionnaire

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: Posttraumatic stress disorder

ICD code: 309.81

Mental Disorder Diagnosis #2: Unspecified depressive disorder

ICD code: 311

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

Mental Health Disorder (to include TBI):

No response provided.

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:

Symptoms of PTSD are detailed in criteria section below.

Depressive symptoms include depressed mood, loss of interest in

activities, low motivation and low energy. Depression is at least

as likely as not secondary to PTSD.

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

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

If no, provide reason that it is not possible to differentiate what

portion of the indicated level of occupational and social impairment

is attributable to each diagnosis:

Depression is at least as likely as not secondary to PTSD.

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?

[X] Yes [ ] No

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

[ ] Yes [X] 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):

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: rape; detailed in mental heatlh section

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

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

trauma?

[X] Yes [ ] No

If yes, please describe the markers that may substantiate the

stressor. detailed records of event

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)

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).

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] Markedly diminished interest or participation in significant activities.

[X] Feelings of detachment or estrangement from others.

[X] Persistent inability to experience positive emotions (e.g.,

inability to experience happiness, satisfaction, or loving feelings.)

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] 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

5. Symptoms

-----------

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

Veteran's diagnoses:

[X] Depressed mood

[X] Anxiety

[X] Chronic sleep impairment

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

events

[X] Flattened affect

[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] Inability to establish and maintain effective relationships

[X] Suicidal ideation

[X] Impaired impulse control, such as unprovoked irritability with

Periods of violence

[X] Intermittent inability to perform activities of daily living,

including maintenance of minimal personal hygiene

6. Behavioral Observations

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

The veteran arrived on time to her appointment. She was casually and nicely

dressed. She was able to answer all questions asked of her. Her speech was

normal in rate and tone. Mood appeared dysphoric. Thought production was

functional. She denied any current suicidal ideation. Judgement and insight appeared adequate. Orientation was intact. She appeared credible and consistent.

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

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

No remarks provided.

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Welcome aboard, but next time and make sure to start a new topic just about your question. As far as your exam, it looks like you will be granted Service Connection and probably at the 50-70% area. Good luck

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