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Rated at 80% but i have questions... Pics attached

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apocalypsesrt

Question

 Am I rated for PTSD? I was able to find records during my service to support my claim and also from the VA healthcare to support PTSD but im not sure if I should re-open my case?

I have an MST and also found docs to substantiate some of my other claims but im afraid I might lower my current rating.. Any help would be appreciated... Can I appeal my current ratings? 1.jpg2.jpg

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  • Content Curator/HadIt.com Elder

Welcome to Hadit!

I hope this information will help you better understand how the VA mental health (MH) ratings are determined. Further below is a link to the rating info which contains extra information and also I copied the rating table itself.

According to the documentation you are not SC for PTSD, but you are SC for other mental health (MH) disorders.

Whether you request SC for one disorder or 10 disorders the pyramiding rule limits the VA to grant a single rating based on how they negatively impact your social and occupational functioning.

If you filed separately for PTSD due to MST, you will still need the VA C&P doc to sign off on it due to rule changes which went into effect a few years ago. Many veterans may instead opt to request an increased MH rating due to worsening symptoms, which would likely require a DBQ from a MH doc or another C&P exam.

There is always a chance for anyone to be reviewed in the future, except in certain situations.

Before you file for an increase in your MH rating, do your research and review the sections for 70% and 100%. If your MH rating gets increased to 70%, your combined rating would rise to 90%. If you are unable to work due to MH, consider researching and additionally filing for Individual Unemployability (IU) status. If you are still working, I do not recommend you quit your job just to file for IU because there is no guarantee the VA will grant any increase. It might be a better idea to compare your other SC conditions to see if they worsened and met the criteria for a higher rating. Obtaining 100% schedular is a steep climb with your ratings, but you would not need to file for IU or have a single 100% MH rating and it also means you could still work if you want/need to.

§4.130   Schedule of ratings—Mental disorders.

  Rating
Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes 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

 

 

 

 

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So I cant work with a 100% singular MH rating correct? Why do you think it would be a steep climb to get to 100% with my ratings. I feel like my MH rating could make it to 70% and I haven't been rated for sleep apnea... I am also having a ton more pain in my shoulder and back that have already been rated but could be increased...

 

I might be misunderstanding you but I feel like you are saying if I am able to bump up a couple of my other ratings I still wont make it to 100%? I feel like I can work so I am not really interested in IU

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Use the Hadit VA Math Calculator, run a couple different SC % scenarios. As a matter of fact, run your current SC's, are you a 75.00 rounded up to 80 or an 84.4 rounded down to 80?                        Excuse the "No paragraphs," Haditpostings are acting up again.    I don't see any Mention of an MST/PTSD Award, just the PTSD Denial. DID you NOD the Denial, when? If not why?  What's the Date of the Award/Denial Letter?  Any chance you could post a redacted copy of the actual PTSD DBQ as well as the Award/Denial Letter.      Semper Fi

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I will run the calculator, Sorry for not answering. I have been working my ass off at work.

I have no idea what you mean by NOD and DBQ?

My shoulders are getting worse and my back is in constant pain. I will look at getting bumped up to 70% for MH because I really feel like I fit in that category. I was also diagnosed with sleep apneia by a VA Doc. How do i prove that the tests they gave me in the military failed to diagnose me?

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70 to 80 is tough, 80 to 90 is tougher, and 90 to 100 is almost impossible re scheduler ratings.

However, you with a raw 84, would only need a 10% increase to get you rounded up to 90, so, not so hard, and there is where the train slows way down.  You would have a raw 86 and would need a new 70% or an increase of 70% to get to 96 rounded to 100%.  Look at some of your other ailments and see if they have worsened or have contributed to a new disability.  Claim as secondary, etc.

I am currently at 80%, raw 81.  At a minimum, I need two 10% increases bilateral to get me to 90.  There is where it will stall out for me as the highest single rating I have is 30%.  And there is no new 70%er in my future.  But it is what it is.  I claimed and will claim what I think I deserve and no more. 

Good luck,

Hamslice

 

 

 

Edited by Hamslice
you your etc....
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