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Denied for PTSD and Depression after C&P examiner made diagnosis of Borderline Personality Disorder

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jcox129

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Today both my PTSD due to MST and my Major Depression claims were denied. I had my C&P on 12/17/2015. I picked up my exam notes from the records department of my local CBOC where the exam had been held, and just a few minutes later my MST coordinator called to tell me of my denial. I checked e-Benefits and it has already been finalized with notification letter sent. 

The C&P examiner did several things I find fishy and that I was uncomfortable with during the exam, and then apparently diagnosed me as Borderline Personality Disorder and reported that I don't have PTSD. I had been diagnosed with PTSD by different (civilian)doctors in both 2006 and in 2014. I am very upset by this because in her report, she states that I meet all the criteria, but that she won't count the D and E criteria because she thinks it fits better with a BPD diagnosis. I have no idea how or why she made this determination. She said my symptoms were "long-standing." Well, yes, they were, because the stressor that caused my PTSD occured 17 years ago. This is what her notes said when she denied that I have PTSD.

“The Veteran is reporting an alleged sexual assault during her time in the Army that would meet Criterion A and reporting symptoms consistent with criteria B, C, F, G, and H. However, her reported mood symptoms, anxiety, impulsivity, substance use, irritability and angry outbursts, risky behaviors, risky sexual behaviors, and social and occupational are better accounted for by her BPD diagnosis.”

“The symptoms she is reporting that would meet PTSD criteria D & E are better accounted for by her BPD diagnosis, appear to be long-standing and more of a characterological nature.”

I don't feel comfortable at this time sharing more of her C&P notes. It is still too fresh for me.

I am trying to figure out what my next step will be...filing for an appeal or a reconsideration. Any advice or insight would be greatly appreciated. 

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On 12/23/2015 at 5:13 AM, broncovet said:

If you had previous PTSD diagnosis, then it makes me question as to why VA even ordered a C and P exam.  If you had(have) a current diagnosis, in service event, or "stressor" for PTSD, and a nexus or link between the two, you should NOT need a C and P exam, because you already have the requisite evidence.  Its called "developing to deny".  Its VA 
"Doctor shopping" to find a doc who will give evidence to deny.  They can always find one, if they send you to enough exams.  Dont let em do that.

this is giving me hope for when i finally get to try for my PTSD stuff again.....the other thing that gives me hope is reading about the JSCC

Good luck to all

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Of course, I(we) should not be so paranoid...a c and p exam can be for an increase as well as a decrease.  An increase is more likely since PTSD normally does not resolve itself, and get better, but we can and do manage the symptoms.  We all have good days and bad days, but, to reduce you, they have to show sustained improvement under ordinary conditions of life, if you are permanent or over 5 years.  

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