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Hello I am a 27 years army vet. I got out in 2010. I started having panic attacks in 2011. The emergency room gave me Klondike and later my personal physician put me on celexa. I started going to the VA in 2015 because the panic attacks got worst. My VA psychiatrist diagnosed me with combat related Anxiety and a mood disorder not PTSD. He states that Criteria E/F on the PTSD scale is on going and combat related next he states the anxiety is combat related in the assessment. Every time I go there he writes something like stress reaction is causing mixed reaction/combat related. A VA psychologist  sent me for Psychotherapy for "combat related Anxiety".  The VA have me on 4 other PTSD medication so,  put in a claim for both anxiety and PTSD. Their is nothing in my military record for any of these disorders, but every time I go to the VA they said that It is combat related. I have a C & P exam next week with a DR shriver for my PTSD claim. I am wondering how would that go over if nothing is in my service records but the three VA doctors that I have seen so far said Combat related Anxiety?

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Make sure the examiner reads your VA Medical records, take anything favorable to your exam  like med records and notes of what the VA psychiatrist Mention, if you need to write down all your symptoms and how it effects your daily life  and take them notes with you to your exam  either give it to the examiner or read them to him/her...you want to try to get a complete exam and present all your evidence that you can.  mostly how it effects your everyday life.





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look at the 38 CFR for mental health disorders, this is how they will rate your depression.  pick out the things that pertain to you and MAKE SURE YOU FOCUS ON THOSE THINGS MORE THAN OTHERS WHEN DESCRIBING YOUR SYMPTOMS.

General Rating Formula for Mental Disorders

Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.100
Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships.70
Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.50
Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).30
Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication.10
A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.0


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