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please look at my c&p exam results and tell me what should i expect

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Swag

Question

1. Diagnosis
------------
a. Does the Veteran now have or has he/she ever been diagnosed with a mental disorder(s)?
[X] Yes [ ] No
If the Veteran currently has one or more mental disorders that conform to
DSM-5 criteria provide all diagnoses:
Mental Disorder Diagnosis #1: Major Depressive Disorder, with anxious distress
Mental Disorder Diagnosis #2: Other Specified Trauma- and Stressor-Related Disorder
Mental Disorder Diagnosis #3:

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)
[ ] No mental disorder diagnosis
[ ] 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
[ ] 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 medication
[ ] Occupational and social impairment with occasional decrease in work
efficiency and intermittent periods of inability to perform
occupational tasks, although generally functioning satisfactorily,
with normal routine behavior, self-care and conversation
[ ] Occupational and social impairment with reduced reliability and Productivity
[X] Occupational and social impairment with deficiencies in most areas,
such as work, school, family relations, judgment, thinking and/or mood
[ ] Total occupational and social impairment

Veteran's diagnoses:
[X] Depressed mood [X] Anxiety
[ ] Suspiciousness
[ ] Panic attacks that occur weekly or less often
[ ] Panic attacks more than once a week
[ ] Near-continuous panic or depression affecting the ability to function
independently, appropriately and effectively [X] Chronic sleep impairment
[ ] Mild memory loss, such as forgetting names, directions or recent events
[ ] Impairment of short- and long-term memory, for example, retention of only highly learned material, while forgetting to complete tasks
[ ] Memory loss for names of close relatives, own occupation, or own name
[X] Flattened affect
[ ] Circumstantial, circumlocutory or stereotyped speech
[ ] Speech intermittently illogical, obscure, or irrelevant
[ ] Difficulty in understanding complex commands
[ ] Impaired judgment
[ ] Impaired abstract thinking
[ ] Gross impairment in thought processes or communication [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] Suicidal ideation
[ ] Obsessional rituals which interfere with routine activities
[ ] Impaired impulse control, such as unprovoked irritability with periods of violence
[ ] Spatial disorientation
[ ] Persistent delusions or hallucinations
[ ] Grossly inappropriate behavior
[ ] Persistent danger of hurting self or others
[ ] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene
[ ] Disorientation to time or place

It is at
least
as likely as not (50 percent or greater probability) that these symptoms
also
incurred during military service.

This is an opinion in regards to concurrently completed DBQ NEURO Headaches
 (including migraine headaches):
 MEDICAL OPINION REQUEST
 Does the Veteran have a diagnosis of (a) headaches that is at least as
 likely as not (50 percent or greater probability) incurred in or caused by
 (the) headaches during service?
 OPINION:
 Veteran's headaches are at least as likely as not (50/50 probability)
caused
 by or
 a result of headaches noted in the service.
 RATIONALE:
 People with depression often experience headaches and other forms of chronic
 pain simultaneously. The depressed patient often presents a wide variety of
 complaints that can be categorized as physical, emotional, and psychic. The
 physical complaints include chronic pain and headaches. Review of
veteran's strs revealed complaints of headache and a host of psychiatric complaints which prompted brain imaging and psychiatric evlauation.

 1. Diagnosis
 ------------
 Does the Veteran now have or has he/she ever been diagnosed with a headache
 condition?
 [X] Yes [ ] No

 [X] Migraine including migraine variants

 3. Symptoms
 -----------
 a. Does the Veteran experience headache pain?
 [X] Yes [ ] No
 [X] Pulsating or throbbing head pain
 [X] Pain on both sides of the head
 [X] Pain worsens with physical activity
 b. Does the Veteran experience non-headache symptoms associated with
 headaches? (including symptoms associated with an aura prior to headache
 pain)
 [X] Yes [ ] No
 [X] Nausea
 [X] Vomiting
 [X] Sensitivity to light

 [X] Sensitivity to sound
 [X] Changes in vision (such as scotoma, flashes of light, tunnel vision)
 c. Indicate duration of typical head pain
 [X] Less than 1 day
 d. Indicate location of typical head pain
 [X] Both sides of head
 4. Prostrating attacks of headache pain
 ---------------------------------------
 a. Migraine / Non-Migraine- Does the Veteran have characteristic prostrating
 attacks of migraine / non-migraine headache pain?
 [ ] Yes [X] No

 5. Other pertinent physical findings, complications, conditions, signs,
 symptoms and scars
 -----------------------------------------------------------------------
 a. Does the Veteran have any other pertinent physical findings,
 complications, conditions, signs or symptoms related to any conditions
 listed in the Diagnosis Section above?
 [ ] Yes [X] No

 b. Does the Veteran have any scars (surgical or otherwise) related to any
 conditions or to the treatment of any conditions listed in the Diagnosis
 Section above?
 [ ] Yes [X] No

 c. Comments, if any:
 No response provided.

 6. Diagnostic testing
 ---------------------
 Are there any other significant diagnostic test findings and/or results?
 [X] Yes [ ] No

 If yes, provide type of test or procedure, date and results (brief
 summary):
 NCHCT-negative

 

it took a lot of your time to read this and thank you very much

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  • HadIt.com Elder

It could be 100% but don't be surprised if they give a 70% rating

because this was not check

Total occupational and social impairment???

however this was check

X] ''Occupational and social impairment with deficiencies in most areas,
such as work, school, family relations, judgment, thinking and/or mood''

and this was checked

[X] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene

These last two here should meet the 100% rating criteria .

I notice the examiner mention you have chronic sleep impairment...if you use a C-PAP ...you should also file a secondary to PTSD from your medications you take...you need  Qualified Doc to give his opinion that the medications you take is related to the OSA   unless you do have prior medical service records as evidence for this OSA?

Edited by Buck52
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Swag, is your stressor solid- or has it been conceded by VA under the 2010 regs "fear of and/or  close proximity to enemy fire)?

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  • HadIt.com Elder

Swag  they should but not always do.

.if they don't  you may need to file a claim for the headaches   usually they include these but...just have to wait and see what they do.

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  • HadIt.com Elder

 

 

About PTSD Stressors

Post-traumatic stress disorder (PTSD) is often the result of a traumatic event while serving in the military. The traumatic event is often called the “stressor.”

To be eligible for PTSD VA disability benefits, you want to show how the stressor has created a change in your life. For example, you used to be social and have friends, but now after the stressor event you are introverted and distant.

The VA considers the following to be PTSD stressors:

Exposure to death

Threatened death

Actual serious injury

Threatened serious injury

Actual sexual violence

Threatened sexual violence

And the combat stressor's Ms berta mention  if you have been in combat and was traumatize that would be a stressor. & the VA Concedes and having a CIB would do that   they usually put that on your DD 214.

Edited by Buck52
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