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.

 

[Buck52]

Yes I re read it and figured it was a combined rating of 100%

&

Congratulations on the MH 100% schedule rating./PTSD AND DEPRESSION.

If you can still file the ITF ? FOR YOUR E.D.Claim  I SURE WOULD.

IT SHOULD HAVE NO BEARING ON ANY OF YOUR OTHER CLAIMS  OTHER THAN TO REACH THE SMC LEVEL IF YOU QUALIFY?.

  E.D. Claim needs to be direct service connected to be rated the 10%  other wise usually on a secondary claim for E.D. They do service connect it but at 0%  and still add the 108** monthly added in on your 100%  this is in part of the SMC (Special Monthly Compensation) SMC =K

As bronco mention Alex says its (ITF) no longer available to file  or they done away with the ITF after the AMA Started.

I have not read anything in the regulations about it ?

  but Alex is usually correct  he has study the VA for along time 30 plus years and he keeps up with the regs  and he is a certified Accredited VA Claims Agent approve by the CAVC.

So he knows what he is talking about and is very intelligent when it come to the VA Process and the way they do things.  he has access to the VBMS...So he can look read VA Things we can't.

broncovet is usually very sharp with VA Matters too..so to be honest with you I don't know if the ITF is still in effect or not?

I filled my ITF's over 5 years ago ON EBENEFITS so yes things may have changed?

Edited August 6, 2019 by Buck52

[Buck52]

I may file a secondary claim on my Sleep Apnea.

 I was diagnosed with sleep apnea AFTER my 70% PTSD Claim  (also on ITF) BUT before I was service connected 70% for the PTSD (Chronic)( 2014)

I was TDIU P&T And the PTSD got me to the SMC S . 

AFTER THAT A YEAR OR SO  I also filed an E.D.Claim secondary to my PTSD Meds. 

They service connected the E.D. Secondary to my PTSD But at 0% and added the 108** monthly that E.D. Claims pay   they add it in with what I was already getting.(100%)rating since 2002.  Not meaning the EED was 2002  this is when (year) I got the Year IU.

My sleep Apnea Has got worse  so not sure if I need to file for increase on my PTSD or file a secondary claim for my sleep Apnea.?

.I am still pondering rather or not to file  increase  on the PTSD or the Sleep Apnea claim?

.....For me there is no more $$$ in the pot  but It would be good to get these service connected. or an increase on my PTSD...

I Figure the sleep apnea claim should be approved  I got all the evidence it takes,  but not so sure the increase for ptsd would be increased to the 100%???

I am undecided   rather to file or not?....because of all  the stress it puts all us veterans through.

Edited August 6, 2019 by Buck52

[Dabimmerman]

I am in the exact same boat, as all this is putting additional stress on my life.    But, if you feel you think it will benefit you in the long, I would do file.

ITF are no longer, I tried to file it, but it doesn't let me online.

I am going to file a new claim today. 

Another question though....should I go to my PCP first and get the ED documented or just file and go to the C&P, and let them know?   I have been prescribed Viagra, but that was almost 5 years ago, and I do not have documentation.

I was thinking just going to the C&P, and letting them know everything.

Opinion?

[Buck52]

Usually if you have the medical records that caused your E.D. From a qualified Dr nexus it   and a diagnose (which if you was prescribe the blue pill  that is actually a DX for E.D. 

IF your PCP will help yes  ask  but keep in mind you need more help from a urologist than just a PCP unless the PCP has a speciality?

.....I used my VA Urologist and a Private one  mostly I did not want E.D. & THE BLUE PILL DID NOTHING FOR ME ,but the VA Urologist started me on the penis injection and found what MG to use from 10 to 40 MG  I USE THE 20 MG but they service connected me for the ED Secondary to my PTSD.

[Buck52]

Also if you have any questions about your claim or claims or anything VA Related you can call into the hadit podcast show the #to call is 347-237-4819   The show is on live at 6:00P.M. Eastern time  on date  8-8-2019  that's tomorrow evening (Thrusday)  They are a nice group of Veterans volunteering their time to help All Veterans  you will be glad you called.

After it answers the Que hit #1 and Jerald Cook or J basser will get with you

Alex Graham  aka Asknod Will be on and he can answer any questions you have especially about the ITF...as I understand it when the AMA took control over the claims   they did away with the ITF.