C and P exam results from Doctor performing it

[GARYLINN]

The following was checked off by the doc doing the C and P....I am trying to get my Depression/panic disorder raised from 50 to 100 and to get permenant disability.  What are your thoughts on what he wrote.  I cannot read it objectively...I see that he has checked off and said all the right things for me to get 100 percent, but, I am looking for other's to give their view of what is being said here........Thanks
3. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:
[X] Depressed mood
[X] Anxiety
[X] Panic attacks more than once a week
[X] Near-continuous panic or depression affecting the ability to function
independently, appropriately and effectively
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[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] Suicidal ideation
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living,
including maintenance of minimal personal hygiene
Behavioral observations:
APPEARANCE: [ ] well-groomed [X] poor, disheveled [ ] casually dressed

[Rx7mike]

You want to look at what he stated about Occupational and social impairment. Here are the requirements. But just if you meet all the checked boxes the DRO willbe looking at this and all your recent past dr visits, i.e. have you been going regularly are you on medications and taking as perscribed. i bolded and underlined the big ones. Now say you C&P says you meet the 70% requirement that doesnt mean that is what you will get again it is up to the rater. I was given 70 my last c&P but given 100%TDIU. I actually have my reveiw tommorrow so im a little stressed. But i see my VA Shrink regular basis( regular meaning when she is available) was monthly but 3-4 months now. And medications im on a bunch but take them as needed.  hope this helps. if you find the rest of the report there are very knowledgable guys on here that can help.

 

Total occupational and social impairment, due to such symptoms as: gross impairment in thought process 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% 

[Rx7mike]

also if you are on ssdi and are not working or school that will help see your social impairment. good luck

[GARYLINN]

4 minutes ago, Rx7mike said:

also if you are on ssdi and are not working or school that will help see your social impairment. good luck

I AM on SSDI and I DO take medications all the time and I meet with my psychologist and psychiatrist every month;;;;have been for eight years.  Also, concerning the Occupational and social impairment, the doc said I was "extremely impaired concerning both" 

[Rx7mike]

if you have your c&P online or in front of you you will see where it will quote your occupational and social impairment. They pretty much go verbatim there but some dont but if it says total O and S then its a start. its hard to give hard answers without history and even then it is a collective estimate. There are alot of seasoned vets here im just forwarding info i recieved from others here. It is a hard circle stick to your guns. Get a good vso with a constant open line of communication and family support helps.

Total occupational and social impairment, along with good descriptive notes from c&P and you primary Dr, are what you need to get from 50-100. But once at 100 they will most likely have you scheduled for a reveiw at future date so you will be 100 TDIU and at reveiw which i have mine tommorrow they can possibly make you P&T