Nexus Letter for secondary Anxiety/Depression

[OCDMarine]

 I am 40 percent service connected for Spondy 20% knees 10% patellofemoral.. I am also being treated for Anxiety, Depression, insomnia, fatigue at the VA.  I have been diagnosed with Generalized anxiety disorder, and Major Depressive disorder (mod)  In my records it references that this is because of my Chronic pain.. I also have a Note/letter from my VA MD that says my "Anxiety/Depression is "most likely" caused by my Chronic pain syndrome from my Service connected disabilities"  is this sufficient to get these rated?  Any help would be appreciated.  Thank you

Edited March 2, 2016 by OCDMarine
Mispelling

[brokensoldier244th]

It won't hurt. That is the same diagnosis I have.

[flores97]

I would definitely apply for the Depression as secondary, including the letter from your doc, statements in support of claim (or lay statements, as they are also known), from yourself, spouse, older children, buddies, coworkers, etc, detailing how much your depression affects your daily life. Be sure to include any and all medical treatment records for the depression, and while your getting all if that ready, do an intent to file on ebenefits, you will have one year to submit your claim and the "intent to file" will preserve your effective date. Hope this helps, and Good Luck!!

[OCDMarine]

Should i pursue another "linking letter"? From a Psychiatrist or My Primary Care Doctor out in town?  Or would you think that the brief note/letter my VA doctor put in my Records should be enough?  Thanks again 

[OCDMarine]

8 hours ago, brokensoldier244th said:

It won't hurt. That is the same diagnosis I have.

What is your Rating?  To be more specific i am 20percent For Spondylolisthesis, and 10 percent for each knee Patellofemoral.  Do you receive any secondary ratings to these?  Thanks

[brokensoldier244th]

100% MDD, 40% DDD, 50% SA, 20%(bilateral) peripheral neuropathy

 

You psych should opine in their notes as part of their ongoing narriative what the cause for your depression is already- its part of their rendering a diagnosis. 

[flores97]

OCDMarine, getting a second IMO could only strengthen your case.If you have good doctors, absolutely i would obtain one. If you dont have another doc willing to write you an IMO, there are options.