ptsd Ptsd Diagnosis

[betrayed]

Got the copy of progress notes from my last pyschiatrist visit it says

Axis I Major Depressive disorder

Generalized anxiety order v panic disorder with agoraphobia

Nicotine dependence

R/o PTSD

what does the R/o mean?

A couple of weeks ago I posted the above in this post and got various answers.

Yesterday I had a appoinment with the head of the PCT (POST TRAUMATIC STRESS DISORDER CLINICAL TREATMENT TEAM) to discuss my assessment. I told him about the above R/o in the above diagnosis. He told me that it means the doctor thinks I have PTSD but has refered me to a specialist to make that diagnosis. I asked him you are that expert, he said yes. I said and you have diagnosed me with PTSD and he said yes.

Here comes the kicker, he said even though we have given you that diagnosis it is seperate from the C&P Exam for PTSD you will get. (which is tomorrow). He told me the POST TRAUMATIC STRESS DISORDER CLINICAL TREATMENT TEAM has diagnosed people with PTSD and the C&P doc has not diagnosed them with PTSD and then he told me that The C&P Doctor has made a diagnosis of PTSD and the POST TRAUMATIC STRESS DISORDER CLINICAL TREATMENT TEAM disagreed???????????????

Now I ask you this, I have my Pyschiatrist who writes

Axis I Major Depressive disorder

Generalized anxiety order v panic disorder with agoraphobia

Nicotine dependence

R/o PTSD

then in the narrative writes probable PTSD, educated patient that Celexa will treat PTSD. He does a referal to a specialist (PCT who is two docs a MD and a PHD) and they make the diagnosis and start treatment, HOW THE HELL COULD A C&P DOC SAY I DONT HAVE PTSD?

[huskerfanfl]

I am the same way, to tell the truth, I am a little angry at someone I work with that told me that his service officer told him what to say in response to the questions that would be asked for his PTSD claim. Mind you, this was a fella who was a clerk in VN, saw no action, and whose stressor involved people from his unit "threatening to kill him". This man went on to spend 20 years in the Army Reserves, and now that he is approaching 60 has developed PTSD.

[Berta]

I didn't mean you Jim either- not at all----

this guy I mentioned lived trip wire in the boonies with the cameos-guns-pungy sticks- so he said-

the whole 9 yards-

he wanted me to come up there and take pictures of him in the woods for his claim-- - no way-

That would not help his claim at all------he might have made up his whole war story- his shrink seemed to be in love with him-she wrote fabulous stuff for his claim-

but there was never a proven nexus----

[betrayed]

Berta, I never take anything personal from anyone on this site, everyone always trys to help each other out so dont worry about that

[Testvet]

I went thru the same thing for about six months my heading was R/O PTSD, Nicotene Dependent, COPD, Arthersclerotic heart disease, yada yada yada, they kept denying my claim, I have other issues from the MKULTRA experiemnts is the real reason the VARO wants nothing to do with my claim file, but I did not win my PTSD part of the claim until I found copies of the 4 general court martials of the guys who robbed me and left me for dead in a snow bank in Alaska in Feb 1975 at Clerk of Court HQ DA, they keep general court martial records there back to 1935,they found the files by using my name as a witness for the courts martial

then they low balled me and it took another year to get the 50% raised to 100% P&T this is with a GAF of 30 -35 for almost three years, and a statement from my treating shrink, that I was totally disabled by my PTSD and he could not see it ever getting better since I had coped (badly) thru life for the past 3 decades, 4 divorces, messed up kids, they won't even let me see the grand kids

The C&P's are rough and they changed the deal for getting copies of the mental C&P's you used to be able to go the the records office about a week after the exam and get a copy of it, now when you do that, they have to send the request to the VARO and they usually will not release it until after the rating has been made. Which just adds more stress to it don't dress up for church but don't dirty yourself up special for the exam which we all know some people that have tried that route, it's called fraud, just have a list of the problems you deal with in your normal daily life and let the chips fall where they do, the VA usually gets it right after about the 3rd or 4th appeal

[Philip Rogers]

"Easy, it's about the money. I've got a vet they keep denying has PTSD but they've been treating him for PTSD for about 4 yrs. Duh!"

Not that I really want to take the VA's side, but I can understand how this might happen. Suppose the veteran is displaying all of the symptoms for PTSD but the stressors are unable to be verified and they cannot connect it to service. In that case, it would be a good thing that the VA medical stafee is treating the PTSD even though it has not been SC.

No problem. I've got published proof of rocket attack on the Air Base he worked as dog handler on security patrol. VA rater claims stressor not severe enough. Sorry VA but that's a shrinks decision to make not a raters. jmo

pr

[huskerfanfl]

It is amazing that someone can sit in an office years later and tell a veteran what happened was not stressful enough. I suppose next they will say because they sat through "Saving Private Ryan" without getting stressed then combat is not stressful.