C&P Anxiety notes. thoughts?

[Dabimmerman]

Hey everyone,   I just got my C&P notes back from my anxiety exam.   I am not sure from what it says, but I think it looks to be favorable?    

Any ideas of a possible rating %?

                                  SECTION I:
                                  ----------
   1. Diagnosis
   ------------
   a. Does the Veteran now have or has he/she ever been diagnosed with a mental
      disorder(s)?
      [X] Yes  [ ] No
      
      ICD code: F32.9
      
      If the Veteran currently has one or more mental disorders that conform to
      DSM-5 criteria, provide all diagnoses:
      
      Mental Disorder Diagnosis #1: Major Depressivve Disorder
      ICD code: F32.9

   b. Medical diagnoses relevant to the understanding or management of the
      Mental Health Disorder (to include TBI): Lumbar strain   ICD: S39.012
      

   2. Differentiation of symptoms
   ------------------------------
   a. Does the Veteran have more than one mental disorder diagnosed?
      [] Yes  [X] No
      
   b. Is it possible to differentiate what symptom(s) is/are attributable to
      each diagnosis?
      [] Yes  [ ] No  [X ] Not applicable (N/A)
      
            
   c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
      [ ] Yes  [ ] No  [X] Not shown in records reviewed
      
   3. 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 deficiencies in most areas,
          such as work, school, family relations, judgment, thinking and/or 
mood

      
                                  SECTION II:
                                  -----------
                              Clinical Findings:
                              ------------------
   1. Evidence Review
   ------------------
   Evidence reviewed (check all that apply):
   
   [X] VA e-folder (VBMS or Virtual VA)

2. History
   ----------
   a. Relevant Social/Marital/Family history (pre-military, military, and
      post-military):
      
        He used to play sports, now he can't.   He cant play legos with his kids
or board games.   "I've lost a lot of my friends, I'm isolated more
        
   b. Relevant Occupational and Educational history (pre-military, military, 
and
      post-military):
      
        He injured his back during military service during routine exerice during drill.

Currently employed full-time, but "I have no interest in my job"   "My back always job, I have alot
of anxiety, and I'm not doing the right thing.
        
   c. Relevant Mental Health history, to include prescribed medications and
      family mental health (pre-military, military, and post-military):

Sleep, I'm up all night, back pain persists.   Gets 2-5 hours of sleep a night.

He still is depressed
No appetite, goes days without eating.
A major part of my life has changed..it sucks.      
       
   3. Symptoms
   -----------
   For VA rating purposes, check all symptoms that actively apply to the
   Veteran's diagnoses:
   
      [X] Depressed mood
      [X] Anxiety
      [] Suspiciousness
      [] Panic attacks more than once a week
      [X] Chronic sleep impairment
      [X] Disturbances of motivation and mood
      [X] Suicidal ideation 
      [X] Neglect of personal appearance and hygiene

   4. Behavioral observations
   --------------------------
   See Remarks below.
   
   5. Other symptoms
   -----------------
   Does the Veteran have any other symptoms attributable to mental disorders
   that are not listed above?
   [ ] Yes  [X] No
   
   6. Competency
   -------------
   Is the Veteran capable of managing his or her financial affairs?
   [X] Yes  [ ] No
   
   7. Remarks (including any testing results), if any:
   ---------------------------------------------------
   Clinical Examination: 
   He does appear to be in pain, depression.
   He does describe major depression episodes.   He has had suicidal ideation.
   It is at least as likely as not the veterans Major Depressive Disorder w/ anxious distress is due to service connection.

 

[Dabimmerman]

Thanks for the responses guys, and yeah, I can get a IMO from a dr.   My anxiety/depression gets pretty bad sometimes, so I can the IMO.   

In saying that, should I wait for my rating of MDD before I file?    Should I put in a intent to file, so I get the date set?

[GeekySquid]

51 minutes ago, Dabimmerman said:

In saying that, should I wait for my rating of MDD before I file?    Should I put in a intent to file, so I get the date set?

I would file the Intent, assuming you have ED and the records to prove it. Place your Intent as ED secondary to MDD. In that form you may have to type in what you are looking for if it does not appear in the drop down lists. The form is made to allow that.

as for the IMO, get the DBQ and have  your non-va doctor write their opinion to address what it asks and for you to get service connection it must have the magic words. Is a least as likely as not

view this link for more information on the magic words

https://www.hadit.com/less-likely-likely-not-va-disability-legal-phrases-imo/

Edited October 29, 2018 by GeekySquid

[Buck52]

If your VA urologist examines you and diagnose you for ED or if no diagnose but prescribes the blue pill its the same as a E.D. Diagnoses,

  there not that critical for ED diagnoses or a script for the blue pill.

  the Dr just needs to opine its cause from your secondary sc disability or the medications. or direct service connection.

check your progress notes off myhealthyvet

Edited October 29, 2018 by Buck52

[Dabimmerman]

Thanks for all the input everyone, I am glad to report I did get my 100% SC.   It was a long battle, but was well worth it in the end.

Now, question, I have an ED intent to file to also do not want to touch my 100% SC.    

If I do open up the claim for ED secondary to my anxiety, will that open up the claim for possibly lowering any of my SC?   

To confirm, I am 100% T&P.    

[Buck52]

No, it shouldn't, just proceed with your  E.D.   I.T.F.   E.D. Claim 

If your E.D. Claim is not direct service connected ,  it will be rated at 0% if approved but paid out the 108** monthly on top of your 100% payment.

[broncovet]

Negative, Buck.  According to Alex, the ITF is no more.  While they may honor the old ones, dont do a new ITF..just file for benefits.  I cant find where he said that right now, but I see no benefits to the ITF anyway, just file for benefits.  You can gather information later.  

The old ITF was a joke anyway.  If you did file an ITF, its supposed to preserve your effective date a year.  Trouble is, the VARO decision maker often forgot to check, so you were given the wrong effective date and had to appeal.  You dont want to file paper work that almost certainly means you will have to appeal....unless maybe you are studying to be a lawyer majoring in Veterans law.  

Edited August 6, 2019 by broncovet