Jump to content
  • Searches Community Forums, Blog and more

  • 0
kfit83

ptsd cp results

Question

curious to what yall think. ptsd is affecting everything i do, and attitudes and doc mentions obsessive compulsive personality disorder. any ideas where this rating might fall or how that sharing traits of the ocpd may affect it?

 

Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination

Request?
[X] Yes [ ] No

SECTION I:

---------- 1. Diagnostic Summary

---------------------
Does the Veteran now have or has he/she ever been diagnosed with PTSD? [X] Yes [ ] No

2. Current Diagnoses
--------------------
a. Mental Disorder Diagnosis #1: PTSD

Comments, if any: Veteran continues to report symptoms of PTSD including

Emotional dysregulation in the form of recurrent anger, depression and anxiety in that order of frequency and severity; aggressiveness and anger outbursts; sleep disturbance, with nightmares and related fatigue; troubling recall of combat events; difficulty with concentration, attention, hypervigilant thoughts and behaviors; marital and family distress; interpersonal conflicts and avoidance of stimuli associated with his combat experiences.

Mental Disorder Diagnosis #2: Obsessive Compulsive Personality Disorder Comments, if any: Veteran experiences Obsessive Compulsive Personality Disorder symptoms including becoming preoccupied with details, lists, order, organization and scheduling to the extent that the major point of the activity is lost, he tends to be scrupulous and inflexible about matters of morality, ethics or values, he is reluctant to delegate tasks or work to others unless they submit to his exact way of doing things and he tends to be rigid and stubborn.


a. Does the Veteran have more than one mental disorder diagnosed?

[X] Yes [ ] No

b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis?
[X] Yes [ ] No [ ] Not applicable (N/A)

If yes, list which symptoms are attributable to each diagnosis and discuss whether there is any clinical association between these diagnoses: Veteran continues to report symptoms of PTSD including Emotional dysregulation in the form of recurrent anger, depression and
anxiety in that order of frequency and severity; aggressiveness and anger outbursts; sleep disturbance, with nightmares and related fatigue; troubling recall of combat events; difficulty with concentration, attention, hypervigilant thoughts and behaviors; marital and family distress; interpersonal conflicts and avoidance of stimuli associated with his combat experiences. His primary diagnosis is PTSD with reduced reliability and productivity due to PTSD signs and symptoms.

Veteran experiences Obsessive Compulsive Personality Disorder symptoms including becoming preoccupied with details, lists, order, organization and scheduling to the extent that the major point of the activity is lost, he tends to be scrupulous and inflexible about matters of morality, ethics or values, he is reluctant to delegate tasks or work to others unless they submit to his exact way of doing things and he tends to be rigid and stubborn. His OCPD traits appear to negatively impact his interpersonal and occupational functioning to an equal if not greater degree than his PTSD symptoms.

c. Does the Veteran have a diagnosed traumatic brain injury (TBI)? [ ] Yes [X] No [ ] Not shown in records reviewed

4. Occupational and social impairment -------------------------------------
a. Which of the following best summarizes the Veteran's level of

occupational
and social impairment with regards to all mental diagnoses? (Check only one)

[X] Occupational and social impairment with reduced reliability and productivity

b. For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder?
[X] Yes [ ] No [ ] No other mental disorder has been diagnosed

If yes, list which portion of the indicated level of occupational and social impairment is attributable to each diagnosis: Veteran continues to report symptoms of PTSD including Emotional dysregulation in the form of recurrent anger, depression and anxiety in that order of frequency and severity; aggressiveness and anger outbursts; sleep disturbance, with nightmares and related fatigue; troubling recall of combat events; difficulty with concentration, attention, hypervigilant thoughts and behaviors; marital and family distress; interpersonal conflicts and avoidance of stimuli associated with his combat experiences. His primary diagnosis is PTSD with reduced reliability and productivity due to PTSD signs and symptoms.

Veteran experiences Obsessive Compulsive Personality Disorder symptoms including becoming preoccupied with details, lists, order, organization and scheduling to the extent that the major point of the activity is lost, he tends to be scrupulous and inflexible about matters of morality, ethics or values, he is reluctant to delegate tasks or work to others unless they submit to his exact way of doing things and he tends to be rigid and stubborn. His OCPD traits appear to negatively impact his interpersonal and occupational functioning to an equal if not greater degree than his PTSD symptoms.

 

2. Recent History (since prior exam) ------------------------------------
a. Relevant Social/Marital/Family history:

Please refer to previous C&P PTSD exams dated 4/21/206 and 2/1/2017 for additional background and history. Veteran continues in his second marriage of two years. Veteran has an eleven year old son from first marriage and Veteran has full custody of him. Veteran has two step children ages ten and eight. Veteran added "we have them every other week". Veteran reported he has bi-monthly phone contact with his mother who lives in San Antonio, Texas. Veteran reported his brother has been living with them temporarily. Veteran added "We don't have a good relationship. He comes and goes and I can be standing there near him for 20 minutes and we don't talk". Veteran denied any additional social interactions other than with spouse and children. Veteran reported hobby/interest of "I will go to a gym a few days a week or work out at home. I watch whatever in on television".

b. Relevant Occupational and Educational history:
Veteran worked as a Police Officer for the city of Dallas, Texas for 7 years. Veteran reported he was last employed as a Police Officer in February 2016. Veteran reported he has tried to work several jobs sinceFebruary 2017 and added "I have a neighbor who has a moving company andI lasted a few days working for him. I worked for a few different cleaning crews and I lasted a half day at one and a few days at another one. I just have trouble getting up and going to the jobs".

c. Relevant Mental Health history, to include prescribed medications and family mental health:

Veteran's current psychotropic medications are fluoxetine and prazosin.

d. Relevant Legal and Behavioral history: None

e. Relevant Substance abuse history: None

3. PTSD Diagnostic Criteria ---------------------------

Please check criteria used for establishing the current PTSD diagnosis. The diagnostic criteria for PTSD, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). The stressful event can be due to combat, personal trauma, other life threatening situations (non-combat related stressors). Do NOT mark symptoms below that are clearly not attributable to the Criterion A stressor/PTSD. Instead, overlapping

symptoms
clearly attributable to other things should be noted under #6 - "Other symptoms".

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

c) sexual violence, in one or more of the following ways: [X] Directly experiencing the traumatic event(s)

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).

Criterion C: Persistent avoidance of stimuli associated with the traumatic the of "I 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 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) the following:

[X] Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g.,

am bad,: "No one can be trusted,: "The world is completely

dangerous,: "My whole nervous system is permanently ruined").

of

[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.

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)

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] Problems with concentration.
[X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep).

Criterion F:
[X] The duration of the symptoms described above in Criteria

B, C, and D are more than 1 month.

Criterion G:
[X] The PTSD symptoms described above cause 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.

4. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses:

[X] Depressed mood
[X] Anxiety
[X] Chronic sleep impairment
[X] Flattened affect
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social

relationships

Share this post


Link to post
Share on other sites

1 answer to this question

Recommended Posts

  • 0

Reduced reliability 50% Is my guess 

Edited by jfrei

Share this post


Link to post
Share on other sites

Ad

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Our picks

    • Sleep apnea- does the DBQ cover the "medically necessary/required" language?
      Hey everybody! Long time lurker, first time poster.

      My question is regarding the sleep apnea language that specifies that a prescription of a breathing assistance device is "medically necessary" for a 50% rating:

      Assuming that a vet is already prescribed a CPAP/APAP by the VA, does the sleep apnea DBQ portion under 2B "IS CONTINUOUS MEDICATION REQUIRED FOR CONTROL OF A SLEEP DISORDER CONDITION?" fulfill that language requirement?
      • 27 replies
    • VBA testimony and GAO report-C & P examiners
      As you all know, C & P exam results control almost all types of claims. VA employees have no choice but to go along with a negative C & P exam that will deny a claim. Some vets are quite willing to rebutt faulty exams and ask for a new C & P exam. For others, it will take a costly IMO/IME in most cases. Ben Krause has this article at his site today: http://tinyurl.com/y9co6zac
      • 9 replies
    • Lumbosacral Strain and Vertebrae fractures caused by osteopenia
      Hi.  I have a couple questions and welcome all recommendations for my disability claim.  I am currently 10% disabled for lumbosacral strain and deferred decision for this and vertebrae fractures caused by osteopenia.  I had a MRI February 2018 and results include moderate compression fracture of L1, mild to moderate compression fracture of L2, moderate to severe compression fracture of L3, mild compression fracture of T11.  Additionally, L3 moderate spinal canal stenosis, L2 mild to moderate retropulsion with mild spinal canal stenosis, multilevel degenerative changes, multilevel disc bulges, disc herniations, L1-L2 mild broad-based disc bulge with mild spinal canal stenosis, L2-L3 mild broad based disc bulge with mild to moderate spinal canal stenosis,  L3-L4 mild to moderate broad based disc bulge and severe bilateral neuroforaminal narrowing.   I have read that these malfunctions should have been claimed individually.  Will the VA evaluate/rate each condition separately?  If not, I may have to appeal or submit a new claim.  What are some thoughts and suggestions.  Do these disabilities belong in the lumbosacral strain or the vertebrae fractures caused by osteopenia.  I am totally in the dark on this stuff.  I am pretty sure no diagnosis codes have been assigned.  What can I do to support my claim?  HELP!!!!!
      • 2 replies
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
  • Our picks

    • Sleep apnea- does the DBQ cover the "medically necessary/required" language?
      Hey everybody! Long time lurker, first time poster.

      My question is regarding the sleep apnea language that specifies that a prescription of a breathing assistance device is "medically necessary" for a 50% rating:

      Assuming that a vet is already prescribed a CPAP/APAP by the VA, does the sleep apnea DBQ portion under 2B "IS CONTINUOUS MEDICATION REQUIRED FOR CONTROL OF A SLEEP DISORDER CONDITION?" fulfill that language requirement?
      • 27 replies
    • VBA testimony and GAO report-C & P examiners
      As you all know, C & P exam results control almost all types of claims. VA employees have no choice but to go along with a negative C & P exam that will deny a claim. Some vets are quite willing to rebutt faulty exams and ask for a new C & P exam. For others, it will take a costly IMO/IME in most cases. Ben Krause has this article at his site today: http://tinyurl.com/y9co6zac
      • 9 replies
    • Lumbosacral Strain and Vertebrae fractures caused by osteopenia
      Hi.  I have a couple questions and welcome all recommendations for my disability claim.  I am currently 10% disabled for lumbosacral strain and deferred decision for this and vertebrae fractures caused by osteopenia.  I had a MRI February 2018 and results include moderate compression fracture of L1, mild to moderate compression fracture of L2, moderate to severe compression fracture of L3, mild compression fracture of T11.  Additionally, L3 moderate spinal canal stenosis, L2 mild to moderate retropulsion with mild spinal canal stenosis, multilevel degenerative changes, multilevel disc bulges, disc herniations, L1-L2 mild broad-based disc bulge with mild spinal canal stenosis, L2-L3 mild broad based disc bulge with mild to moderate spinal canal stenosis,  L3-L4 mild to moderate broad based disc bulge and severe bilateral neuroforaminal narrowing.   I have read that these malfunctions should have been claimed individually.  Will the VA evaluate/rate each condition separately?  If not, I may have to appeal or submit a new claim.  What are some thoughts and suggestions.  Do these disabilities belong in the lumbosacral strain or the vertebrae fractures caused by osteopenia.  I am totally in the dark on this stuff.  I am pretty sure no diagnosis codes have been assigned.  What can I do to support my claim?  HELP!!!!!
      • 2 replies
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Donation Box

    Please donate to support the community.
    We appreciate all donations!
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×

Important Information

{terms] and Guidelines