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is this a nexus for my mental disorders?

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Burt

Question

i am currently at 60 percent for all of my physical issues... knee, hip, back, hearing and nerve damage. i just had my first comp and pen for ptsd and the results are in myhealthyvet i wont post the whole thing i cant seem to get it to copy and paste :( 

 

here is the portion where he lists the severity of the issues:

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
ICD code: F43.10
mental Disorder Diagnosis #2: Unspecified Depressive Disorder
ICD code: F32.9
Mental Disorder Diagnosis #3: Alcohol Use Disorder in sustained remission
ICD code: F10.10
b. Medical diagnoses relevant to the understanding or management of the
Mental Health Disorder (to include TBI): SC knee condition
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 - Recurrent, intrusive, distressing recollections of trauma,
recurrent distressing dreams, intense reactivity upon exposure to
cues associated with the trauma, efforts to avoid thinking about
the trauma, avoiding experiences that would arouse recollections
of
the trauma, hypervigilance, and an exaggerated startle response.
Depression - low mood, guilt, hopelessness, low self-esteem,
diminished sense of pleasure
PTSD and Depression overlap (determining proportions would require
resorting to speculation) - markedly diminished interest in
significant activities, feeling detached or estranged from others,
restricted range of affect, difficulty sleeping, irritability, and
difficulty concentrating.
Alcohol - temptation and use of alcohol beyond two servings in a
sitting.
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?
[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 - serious impairment in social and occupational functioning
Depression - moderate difficulty in social and occupational
functioning
Alcohol - absent
 

And here is the section i ****THINK**** is the nexus i needed it is in the remarks section

 

9. Remarks, (including any testing results) if any
--------------------------------------------------
Based upon the training and experience of this examiner, the available
literature on this topic, and the examination of this veteran today, it
is
the opinion of this examiner, per DSM-5 diagnostic guidelines, that this
veteran does suffer from a PTSD and that is at least as likely as not
caused by the veteran's service as it is consistent with the
circumstances, conditions, and hardships of that service and the
veteran's
claimed stressor involves a significant emotional response (such as fear,
helplessness, or horror) to exposure to hostile military or terrorist
activity. His Unspecified Depressive Disorder more likely that not
shares

 

its etiology with his PTSD and is at this time, more likely than not,
aggravated by the impact of the PTSD on the veteran's lifestyle.
His
Alcohol Use Disorder has more likely than not been secondary to his PTSD
at times as a form of self-medication.
NOTE: VA may request additional medical information, including additional

 

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Sounds like you will get your service connection and an increase on your total combined rating.  This is just a guess but I would think somewhere between 30%-50%.  Please don't hold me to this guess.  You never know VA could even grant you 70% but only time will tell.

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  • HadIt.com Elder

I'd say its a pretty good Nexus,and will net you 70% if not 100% what they may do is combined the percentages and if you can't work because of this disability PTSD they will probably deffer you over to TDIU

 

jmo

 

..................Buck

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I  agree ,as it appears he used the new PTSD criteria as to,  fear of and close proximity to ,hostile activity.

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i didnt know how it all worked he listed my ptsd as severe and my depression as moderate and said the depression was secondary to the ptsd. this is exactly what my shrink and social worker say too... according to the stuff i read on the net his entry  "Occupational and social impairment with deficiencies in most areas,such as work, school, family relations, judgment, thinking and/or mood is listed as 70% do they then ad the depression too? even if not 70% plus my current 60% put me to 90 and when the state service rep did my paperwork she applied for unemployable too so its hard to say how that will all work out but ill let yall know!

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UPDATE** i just checked ebenfits and was awarded 70 percent for the ptsd/depression and alchohol abuse remission. so i am at 90% now but it does not say anything about individual unemployability though... how do i apply for that?

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