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PTSD C&P results
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marinevet1987
I received my official C&P results today. I know most of the criteria such as the occupational and social impairment, as well as several of the symptoms fall into the 70% range. But I do have panic attacks frequently, that do affect my work. The doctor even put in there that my employment is in jeopardy because of my panic attacks. Would this sway it to the 100% range? Or do the symptoms and occupational impairment HAVE to fall into that range.
I have a paper copy, so I can't just copy and paste it onto here, but I will put everything on here. Please tell me what you think:
Does the veteran now have or has he/she been diagnosed with PTSD? YES
Mental Disorders Diagnosis #1: Post-Traumatic Stress Disorder, Chronic
Does the veteran have more than one mental disorder diagnosed? No
(X) Occupational and social impairment with deficiencies in most areas, such as work, school, family relations, judgement, thinking and/or mood.
Evidence reviewed
(X) VA claims file (hard copy paper C-file)
RECENT HISTORY
Relevant social/marital/family history:
Veteran is more estranged from his immediate family, rarely talks to his brothers and has cut off all communication with his mother. He is currently involved in a serious romantic relationship. They are currently living together.
Relevant occupational and educational history:
Frequency and intensity of panic attacks has increased significantly. Veteran was admitted to the hospital in late November 2016 due to a panic attack. His current employment is in jeopardy due to his panic attacks. The fire department was called at his place of employment due to a panic attack.
Relevant Mental health history, to inclue prescribed medications and family mental health:
Medications have changed. He was previously was only on ambien for sleep. He is currently prescribed paroxetine, ambien, and hydroxyzine. Frequency and intensity of panic attacks has increased
PTSD DIAGNOSTIC CRITERIA
Criterion A:
(X) Directly experiencing the traumatic events
(X) Witnessing, in person, the traumatic events as they occured to others
Criterion B:
(X) Recurrent, involuntary, and intrusive distressing memories of the traumatic events
(X) Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic events
(X) Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event
Criterion C:
(X)Avoidance of or efforts to avoid distressing memories, thoughts, or feeling sabout or closely associated with the traumatic events
(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 assoiated with the traumatic events
Criterion D:
(X)Markedly diminished interest or particiaption in significant activities
(X)Feelings of detachment or estrangement from others
(X)Persistent inability to experience positive emotions
Criterion E:
(X)Irritable behavior and angry outbursts typically expressed as verbal or physical aggression toward people or objects
(X) Hypervigilance
(X)Exaggerated startle response
(X)Problems with concentrations
(X)Sleep disturbance
Criterion F:
(X)Duration of the disturbance is more than 1 months
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
SYMPTOMS
(X)Depressed Mood
(X) Anxiety
(X)Suspiciousness
(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 work like setting
(X)Inability to establish and maintain effective relationships
(X)Impaired impulse control, such as unprovoked irritability with periods of violence
BEHAVIORAL OBSERVATIONS
Veteran arrived early to his appointment, casually and appropriately dress. Thinking was logical and organized. Completely oriented. Wide range of affect. Thought content was normal. Judgement and insight were estimated to be normal.
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