ptsd What do you think my rating will be

[Sgt Liggins]

Please check criteria used for establishing the current PTSD diagnosis. Do

NOT mark symptoms below that are clearly not attributable to the Criteria A

stressor/PTSD. Instead, overlapping symptoms clearly attributable to other

things should be noted under #7 - Other symptoms. The diagnostic criteria

for PTSD, referred to as Criteria A-H, are from the Diagnostic and

Statistical Manual of Mental Disorders, 5th edition (DSM-5).

Criterion A: Exposure to actual or threatened a) death, b) serious

injury,

c) sexual violation, in one or more of the following ways:

[X] Directly experiencing the traumatic event(s)

[X] Witnessing, in person, the traumatic event(s) as they occurred to

others

Criterion B: Presence of (one or more) of the following intrusion

symptoms

associated with the traumatic event(s), beginning after the

 

traumatic event(s) occurred:

[X] Recurrent, involuntary, and intrusive distressing memories of the

traumatic event(s).

[X] Recurrent distressing dreams in which the content and/or affect of

the dream are related to the traumatic event(s).

[X] Dissociative reactions (e.g., flashbacks) in which the individual

feels or acts as if the traumatic event(s) were recurring. (Such

reactions may occur on a continuum, with the most extreme

expression being a complete loss of awareness of present

surroundings).

[X] Intense or prolonged psychological distress at exposure to

internal

or external cues that symbolize or resemble an aspect of the

traumatic event(s).

[X] Marked physiological reactions to internal or external cues that

symbolize or resemble an aspect of the traumatic event(s).

Criterion C: Persistent avoidance of stimuli associated with the

traumatic

event(s), beginning after the traumatic events(s) occurred,

as evidenced by one or both of the following:

[X] Avoidance of or efforts to avoid distressing memories, thoughts,

or

feelings about or closely associated with the traumatic event(s).

[X] Avoidance of or efforts to avoid external reminders (people,

places, conversations, activities, objects, situations) that

arouse

distressing memories, thoughts, or feelings about or closely

associated with the traumatic event(s).

Criterion D: Negative alterations in cognitions and mood associated with

the traumatic event(s), beginning or worsening after the

traumatic event(s) occurred, as evidenced by two (or more)

of

the following:

[X] Persistent and exaggerated negative beliefs or expectations about

oneself, others, or the world (e.g., "I am bad,: "No one

can be

trusted,: "The world is completely dangerous,: "My whole

nervous

system is permanently ruined").

[X] Persistent negative emotional state (e.g., fear, horror, anger,

guilt, or shame).

[X] Markedly diminished interest or participation in significant

activities.

[X] Feelings of detachment or estrangement from others.

[X] Persistent inability to experience positive emotions (e.g.,

inability to experience happiness, satisfaction, or loving

feelings.)

Criterion E: Marked alterations in arousal and reactivity associated with

the traumatic event(s), beginning or worsening after the

 

traumatic event(s) occurred, as evidenced by two (or more)

of

the following:

[X] Irritable behavior and angry outbursts (with little or no

provocation) typically expressed as verbal or physical aggression

toward people or objects.

[X] Hypervigilance.

[X] Exaggerated startle response.

[X] Problems with concentration.

[X] Sleep disturbance (e.g., difficulty falling or staying asleep or

restless sleep).

Criterion F:

[X] Duration of the disturbance (Criteria B, C, D, and E) is more than

1 month.

Criterion G:

[X] The disturbance causes clinically significant distress or

impairment in social, occupational, or other important areas of

functioning.

Criterion H:

[X] The disturbance is not attributable to the physiological effects

of

a substance (e.g., medication, alcohol) or another medical

condition.

Criterion I: Which stressor(s) contributed to the Veteran's PTSD

diagnosis?:

[X] Stressor #1

5. Symptoms

-----------

For VA rating purposes, check all symptoms that actively apply to the

Veteran's diagnoses:

[X] Depressed mood

[X] Anxiety

[X] Suspiciousness

[X] Panic attacks more than once a week

[X] Chronic sleep impairment

[X] Mild memory loss, such as forgetting names, directions or recent

events

[X] Impaired judgment

[X] Disturbances of motivation and mood

[X] Difficulty in adapting to stressful circumstances, including work or

a

worklike setting

6. Behavioral Observations

--------------------------

Veteran was casually dressed with good grooming and hygiene. He was

[

somewhat

agitated but cooperative. No unusual behaviors noted. Speech was somewhat

pressured with rather loud volume, possibly due to veteran's audio

issues.

Mood was anxious with congruent affect. Thought process was goal-directed

and logical. No SI/HI noted. No hallucinations or delusions noted. Veteran

was fully oriented in all spheres. Memory and concentration, fair.

Insight

and judgment, fair.

7. Other symptoms

-----------------

No response provided

8. Competency

-------------

Is the Veteran capable of managing his or her financial affairs?

[X] Yes [ ] No

9. Remarks, (including any testing results) if any

--------------------------------------------------

The veteran confirmed identity by stating full name and social security

number, when asked, prior to beginning the exam. The limits of

confidentiality were also explained to the veteran at this time and the

veteran indicated both understanding and consent prior to beginning the

evaluation. The interview was conducted using CVT technology.

Veteran completed the BAI, the BDI2, and the PCLM. On the BAI, his score

of 34/63 indicates moderate anxiety with the most salient item endorsed

being feeling hot. On the BDI2, his score of 22/63 indicates moderate

depression with the most salient items endorsed being so restless or

agitated that it is sometimes hard to stay still, sleeps a lot less than

usual, appetite is much less than before, and it's hard to keep his

mind

on anything for very long. On the PCLM, his score suggests the diagnosis

of PTSD with the most salient items endorsed being repeated disturbing

memories/ thoughts/ images/ dreams/ of a military trauma, flashbacks of

same, having a physical reaction when reminded, avoiding situations or

activities that remind, feeling distant or cut off from others, trouble

falling or staying asleep, hypervigilance, and easily startled or

jumpiness. These symptoms are consistent with his assertions during the

interview.

Veteran's symptoms cause occupational and social impairment with

reduced

reliability and productivity due to such symptoms as: depressed mood,

anxiety, suspiciousness, panic attacks more than once a week, chronic

sleep impairment, mild memory loss, impaired judgment, disturbances of

motivation and mood, and difficulty in adapting to stressful

circumstances.

[

NOTE: VA may request additional medical information, including additional

examinations if necessary to complete VA's review of the Veteran's

 

 

Edited July 29, 2016 by Sgt Liggins
[REMOVED PERSONAL IDENTIFICATION INFORMATION] 

[Sgt Liggins]

Thank Buck52 and Seminoles. I have another question. I did my C&P exam in Memphis. I still have 1 more to do. Memphis Va contracted it out Through LHI Medical Service on the 21 july 2016. I havent heard anything from them far as my appointment. I found there info on the internet and gave them a call. As of this point they have no record of me in there system. So i called back to memphis and try to explained to them but the ladies on the phone was real rude. I dont want to miss my exam. What can I do.

[Sgt Liggins]

On 8/2/2016 at 8:20 PM, Inarticulate&Distorted said:

I see a 70% for Schedular also. What's your work  and education history? Are you working? TDIU is not that hard to get on an Inferred basis from the date your claim was started if you weren't working. Sorry our Opinions are so shoddy, but we only can make judgements based on the info you give us. If it is for just this one disability and thats all you have in then yeah, 70% Service Comnected Schedular is what i see.

Thank Appreciate your honest opinion. I have other in 

[Navy4life]

47 minutes ago, Sgt Liggins said:

Thank Buck52 and Seminoles. I have another question. I did my C&P exam in Memphis. I still have 1 more to do. Memphis Va contracted it out Through LHI Medical Service on the 21 july 2016. I havent heard anything from them far as my appointment. I found there info on the internet and gave them a call. As of this point they have no record of me in there system. So i called back to memphis and try to explained to them but the ladies on the phone was real rude. I dont want to miss my exam. What can I do.

If you have another C&P exam, you will be notified.  I am assuming your address is up to date correct?  Another way to look this up is on Ebennies under Manage Health>VA Exam Appointments<Click View Appointment Requests<If you have an appointment set up, it will be there, as well as once the C&P exam is completed it will be noted there as well.

 

[Sgt Liggins]

8 minutes ago, Navy4life said:

If you have another C&P exam, you will be notified.  I am assuming your address is up to date correct?  Another way to look this up is on Ebennies under Manage Health>VA Exam Appointments<Click View Appointment Requests<If you have an appointment set up, it will be there, as well as once the C&P exam is completed it will be noted there as well.

 

Navy4life

My Address isnt correct. I change it with the Va but for some reason they didnt updated it. I called and address this issue, but the lady was real rude about it. I have check my appointment list but nothing there. As I stated I call LHI but they have no Information on me. 

[Navy4life]

1 minute ago, Sgt Liggins said:

Navy4life

My Address isnt correct. I change it with the Va but for some reason they didnt updated it. I called and address this issue, but the lady was real rude about it. I have check my appointment list but nothing there. As I stated I call LHI but they have no Information on me. 

Are you checking the right appointment list?

How did you get the first C&P exam then if your address isn't correct?

[Sgt Liggins]

1 minute ago, Navy4life said:

Are you checking the right appointment list?

How did you get the first C&P exam then if your address isn't correct?

yes