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     I have been rated 80% with TDIU since 2013. I recently attended my 5 year re-evaluation for PTSD. My exam results showed up on Myhealthyvet today, but I shouldn't get a decision until June or July according to VA.gov. I just wanted to know what you guys thought my rating "MAY" be based on this C&P.  Of course, my PTSD and MDD are firing at max speed right now worrying about it. My concern is the part where the Dr says "Moderately Severe" PTSD and depression. I have heard stories about the raters pulling small words like that out and using them for a reason to reduce benefits.                             Thank you in advance for your time and responses. 

 

cp1.pdf cp2.pdf cp3.pdf cp4.pdf cp5.pdf cp6.pdf cp7.pdf cp8.pdf cp9.pdf cp10.pdf

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Which one of the following best describes your situation?  This is a general idea of how they will rate it.  They don't go off of one statement a doctor will place on there, it is more of a puzzle and finding out which once you fit into.

General Rating Formula for Mental Disorders

After looking it over page 9 is where I would look to see how they will rate it.  If I am reading this correctly the 70% seems to fit.  But I am not a rater, so It will based on what they see.

Edited by shrekthetank1
addition (see edit history)
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I think that shrekthetank hit it right at 70%.  If it does not come back as expected appeal.

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I agree with Vetquest  70% seems to meet the appropriate  rating closes to the symptoms ,but it looks like to me it can be a close 100% rating   depending on what the raters see and read.

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70% is what i am currently rated with TDIU.  I was thinking 70% as well... I am not clear on the rules for TDIU when it pertains to a situation like this. Can the rater keep me at 70% and reduce my benefits by taking away TDIU? Even if the Dr said my condition has not improved since my last C&P? Thank you for your responses. 

 

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Yes he can but I will say wait for the BBE.  We never know which way the rater will go.  I can only advise patience and a calm demeanor.  We have all been through this at one time or another and worrying only makes us older than our years.

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''Can the rater keep me at 70% and reduce my benefits by taking away TDIU? Even if the Dr said my condition has not improved since my last C&P?''

Well if you have a Qualified Dr opinion that your  conditions has not improved  its likely he will leave your IU Alone and you keep the 70% but if its increase  it should bring you to the 100% scheduler and they  make the IU Moot.  If this is for PTSD  Increase and you get it....then you should be rated at 100% scheduler...you got the IU at 70%   being paid at the 100% rate because you can't work..but only got a 70% rating  Actually this is what IU is all about.

  with an increase it should increase  by 30% according to this Last C&P it could very well be a 30%increase.

Not sure the 70% is for the PTSD or  you mention 80% for the IU? 

Are you rated 80% for the PTSD? And what is the 70% for   or is this what your waiting on a decision about?

I get confused   if a veteran says one rating that he is already S.C. for IU AT 80%  and then shows a C&P for a 70% rating from a C&P Exam   as we  are only guess at 70% but in my opinion it could be 100%

So if your already rated S.C. @ 80% for PTSD   Are you asking for an increase on the 80%PTSD /MDD ?

Is this what the C&P is for? 

 Anywayz Just have to wait and see?

Edited by Buck52 (see edit history)
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Buck52 I have been  rated at 70% PTSD and a couple other physical injuries that equal another 10% by VA math for a total of 80%. I have carried these ratings for almost 5 yrs now. This C&P was for my reevaluation for my PTSD and MDD.  

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I should add that I DID NOT ask for an increase of any kind. I was just notified by phone one day that I needed to be at a C&P for these two issues. 

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Yes, the VA does do this if you are not P&T, they call you in to see if your disability has improved.

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Ok you were sent to a PTSD C&P for your 5 year evaluation.

if it stays at 70% you should not lose the IU , if its improved  you will be reduced,   but this C&P shows to be at least 70% if not an increase to 100%  even though your not asking for increase  if this C&P Shows your symptoms have got worse  an Increase is a great probability .

If it does show it is worse from your last C&P  then  a increase  & you should be made 100% scheduler and the IU Moot. (jmo)

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               Thank you for your replies... I tried to go back to school by taking two college courses in the past 2 years and it didn't go well, I ask my professor to write a letter stating what she witnessed and what special accommodations she had to make in order for me to get a passing grade. I submitted that letter to VA. Gov as evidence for my "claim". Let's just say the accommodations were far beyond what a normal student would receive.  VA.gov says the rater has viewed my letter from a college professor basically saying I had no chance of being successful in college due to my symptoms & I assume the DBQ from the C&P exam. My decision date has somehow gone from June 13th to April 4th. So I am guessing they have enough to rate me?? Is this good or is this bad? I wasn't ready for the VA to do something faster than expected. Normally its the other way around. 

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           I dont know if it matters but I have a couple other things I sent in as evidence and for some reason the rater did not read any of them. Only he letter from my professor. I don't know if this is good or bad that they moved the date forward 2 months. I hope someone has something to tell me.  Thank you again

 

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14 minutes ago, haasume said:

               Thank you for your replies... I tried to go back to school by taking two college courses in the past 2 years and it didn't go well, I ask my professor to write a letter stating what she witnessed and what special accommodations she had to make in order for me to get a passing grade. I submitted that letter to VA. Gov as evidence for my "claim". Let's just say the accommodations were far beyond what a normal student would receive.  VA.gov says the rater has viewed my letter from a college professor basically saying I had no chance of being successful in college due to my symptoms & I assume the DBQ from the C&P exam. My decision date has somehow gone from June 13th to April 4th. So I am guessing they have enough to rate me?? Is this good or is this bad? I wasn't ready for the VA to do something faster than expected. Normally its the other way around. 

That evidence should carry the day.

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My guess would be that yours is not a difficult claim to adjudicate so they were able to get it (almost) finished faster than expected. Based on the info you shared, there's no way they'll reduce your rating. 

Regarding the term "moderate to severe", it's important to put it in perspective. 90% to 95% of the country is not suffering from two serious debilitating mental disorders at the same time.

Here's Dr. Mark's off-the-cuff, unscientific, for-illustrative-purposes only, 11-point "severity scale" that I just typed out as a "thought experiment" to give you a sense of where "moderate to severe" fits on the continuum.

Rating - Description

0 - No symptoms, no history of disorder.

2 - Mild symptoms but frequency, intensity, & duration insufficient for DSM-5 diagnosis of disorder.

4 - Mild symptoms that satisfy DSM-5 diagnosis for the disorder. Experiencing symptoms more often and with more intensity - harder for him to say "it's just a bad week" or similar. Wife said he seems dejected, less energy, motivation flags. He'll bounce back for days or even a week or two but that's becoming less often. Calling in sick to work more often. Supervisor said management has commented on his declined productivity.

6 - Moderate symptoms that cause noticeable and significant social and occupational impairment; frequent distress, dispirited; interpersonal relationships strained, even with her children; school functioning has clearly declined. Got a "C" in one course and two Incomplete grades. Decided to hold off on continuing college coursework, even though she is close to earning all credits for bachelor's degree.

8 - Moderate to Severe - frequent painful symptoms much of the time despite assiduously seeking treatment and following his doctors' advice; significant social & occupational dysfunction; probably will need to seek medical leave, reduce work hours, or may end up not being able to work. Psychiatrist has discussed options for "treatment-resistant depression", e.g., ECT (electroconvulsive therapy); the new ketamine-like medication; Lithium; Abilify; etc.; psychologist recommended VA's 6-week residential treatment program for PTSD in Sheridan, WY.

10 - Severe - very frequent, soul-crushing painful symptoms most of the time despite assiduously seeking treatment and following his doctors' advice; substantial suffering is obvious; significant social impairment, and no longer able to work, at least for the next several months or longer.

[The above is not an official, unofficial, actual, or real mental health scale. It's just a way to put symptom severity and functional impairment in perspective for illustrative purposes only.]

Edited by Mark D Worthen PsyD
left out "11-point" (see edit history)
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 VA.gov says my claim went from Gathering info to Preparing for notification this morning. My claim went from a C&P exam last Monday to prep for notification the following Monday so exactly one week. They didn't review all of the evidence I submitted either. Kind of odd, but I will keep everyone posted in case someone else has a similar situation. Hopefully this will be of some help weather, bad or good. 

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7 hours ago, haasume said:

 VA.gov says my claim went from Gathering info to Preparing for notification this morning. My claim went from a C&P exam last Monday to prep for notification the following Monday so exactly one week. They didn't review all of the evidence I submitted either. Kind of odd, but I will keep everyone posted in case someone else has a similar situation. Hopefully this will be of some help weather, bad or good. 

Back in 2017 I had a C&P exam for sleep apnea; two weeks later I got a prep for notification in ebennies. So, it's not uncommon. 

Hopefully you got a favorable decision. Best wishes.

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RFI status is closed as of 4/1/19. Packet should be here in 7-10 business days the status says.   Is there any way to find out what they decided prior to the packet arriving? 

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So typically they will update ebenefits. You can also check the letters on there and that can also tell you but you won’t know exactly until the envelope comes. Which it is now white and not brown. 

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EBENEFITS says that nothing has changed when I go to VA LETTERS and look at the SUMMERY OF BENEFITS. Is there somewhere else on EBENEFITS that they should have updated?

 

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it will either be in the disabilities or your letters.  It also could be the rater has not made the changes.  Did you see there should be a change?  Also VA.gov sometimes updates to show awards, but not percentages.   

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