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Jeromy

Feedback on DBQ

Question

Ok folks,  I had my PTSD C&P last week and here is the short version of the results.  My question is, am I at the 50% or 30% level?  I meet the one aspect of 50% by the "Difficulty in establishing and maintaining effective work and social relationships" as checked in the DBQ by the C&P examiner.  Just not sure what the rater will do as all my, "Symptoms are tagged extent as MILD."  Thank you in advance for your feedback. 

 

Here is the short synopsis: 

This Veteran's self-report, the records reviewed on VBMS and CPRS, the test results, and my observations all are

consistent with the diagnosis of PTSD. It is at least as likely as not (50% or higher probability) that the PTSD

symptoms are associated with this Veteran's military experiences and the stressors reported.

 

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

[X] Anxiety

[X] Suspiciousness

[X] Panic attacks that occur weekly or less often

[X] Chronic sleep impairment

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

[X] Difficulty in establishing and maintaining effective work and social relationships

 

This Veteran currently meets diagnostic criteria for PTSD. His PTSD symptoms are directly related to his

stressors in service. Therefore, it is at least as likely as not (50 percent or greater probability) incurred in or caused by (the) deployment to

XXXXXX during service.

 

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Not sure on these?  but looks like it maybe 50%

Here is

General Rating Formula for 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

 

Edited by Buck52

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5 minutes ago, Buck52 said:

Not sure on these?  but looks like it maybe 70%

Here is

General Rating Formula for 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

 

Thanks, that is what I looked over and I meet all in the 30% section and in the 50% section I meet the "difficulty in establishing and maintaining effective work and social relationships."  I wish you were my VSR, I would take your rating of 70%.

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Yeah  well I re read this  unfortunately I changed it back to the 50%  

it boils down to what the rater thinks if he /she goes by this rating formula it will be the 50% but some times they lowball veterans...so watch out for the 30% if you get that NOD it

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On 10/17/2018 at 9:13 AM, Jeromy said:

I meet all in the 30% section

 

Keep in mind that to get rated at a specific percent not all or even most of the specified criteria have to be met exactly. The MR21 manual guidance on it tells the rater that the list of symptoms is not exhaustive or definitive. You can have symptoms that are parts of higher and lower percentages, or you could have other combined situations that the doctor should have noted that are, for lack of a better term, "equal too" a specific rating.

Additionally the rater is to sorta "round up" to the next level if there is evidence to support that rounding up even if you don't meet the exact criteria.

This link is to the full adjudication process manual on the VA website, you can go through all the considerations for each rated item. It is worth getting to know.

https://www.knowva.ebenefits.va.gov/system/templates/selfservice/va_ssnew/help/customer/locale/en-US/portal/554400000001018

 

 

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