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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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PTSD but not rated.


I'm 100 p/t mainly due to migraines, Psych has linked military combat to diagnosis of ptsd, tbi etc.. i've never claimed any of this due to fear of having rug pulled from underneath me however my main concern is i see my psych every month and i inform the Dr. that i'm not getting better " still hard time with night terrors sleep etc" however medication is never changed even when asked and in my notes quite often the Dr. will put that im quoted that i say i'm doing OK.. frustrating this is.. HELP... ive HADIT.

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We as Vets need to remember that when the Psychiatrist ask you "How are doing," the answer you give to that question is the first thing that the Psychiatrist writes in your Medical Notes.  In some cases like mine, when I remained silent about my symptoms my Dr.'s documentation in my Medical Notes would show that my MH symptoms may have improved when the opposite is true.  So, thru Berta I learned to open up your mouth and tell your Dr. how you are really doing.  One other thing I have found help is to know what the symptoms of your illnesses are.  I use my symptoms list as a list of things I need to address at my MH appointments.

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Very helpful thanks. On a side not i wonder if it benefits me to put in a claim for things like PTSD? you thoughts....

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17 minutes ago, Valhalla0321 said:

On a side not i wonder if it benefits me to put in a claim for things like PTSD?

If you are 100% P&T the barriers for VA to reduce your rating are significant. They either have to prove you defrauded them (high barrier) to get your current status, or you have improved so significantly and maintained that improvement for at least a year.

Taking medication to help the migraines is NOT improvement for rating purposes.

As to the benefit of filing additional claims.

First and foremost it will put you back on the hamster wheel for a bit.

How long depends on how well you have documented your Caluza Triangle and the effects of those conditions on your ability to work and live a 'normal' life.

On the flip side, since you are already 100% P&T, if any other ratings you can get add up to the right percentages you could become eligible for Statutory SMC(s) which is 300 bucks more a month.

Furthermore, as you age your body breaks down. It happens to all of us.

that means your conditions get worse. So let us say you could have an SC for a knee or back problem, even if it is 0 or 10% now, in ten years you will be worse. that is just a medical reality. If you SC now, it will be easier than trying to SC then.

Additionally, some medications for PTSD and other conditions actually cause compensable harms to the veteran. If you SC for the base condition now, then any future claim for those potentials is easier by a mile.

Another consideration is any family / spouse you have. There are limits on when DIC kicks in an various other things. If you have multiple SC'd conditions your estate will have potentially various options to maximize any claims. If you establish those conditions now, you make their lives easier when you pass.

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For one, thank you very much for replying and for your knowledge. I filed a couple claims before i was awarded p/t100% that are pending and currently in appeals decision phase/remand. At the moment i'm going to these 3rd party Disability DBQ locations (real doctors or dentist) for the remands on the denied conditions  like Sleep apnea, dental-tooth broken nose.


In short.. what is statutory SMC? do i qualify if and or how.. please help me understand if and when you get the chance. Also, my VA Psych has linked my in service trauma and TBI the the record and in the diagnosis however i've done nothing to claim because i hear the horror stories and the hampster wheel effect.

See below..





Acne (also claimed as "Eczema")    10%    
myositis and fasciitis of the left Tibia (also claimed as "lower leg condition")    0%    Service Connected        
right knee, osteoarthritis, ( previously rated as Patella spurring, secondary to trauma (also claimed as "right knee, mechanical mobility", Diagnostic Code 5257)    10%    Service Connected        
respiratory condition (also claimed as sinusitis and rhinitis)        No service connected        
left knee degenerative joint disease    10%    Service Connected        
left foot condition with Arthritis        Not Service Connected        
radiculopathy (claimed as lower leg condition)        Not Service Connected        
fractured tooth trauma (#9)        Not Service Connected        
sleep apnea with sleepiness        Not Service Connected        
hearing loss        Not Service Connected        
residuals of Anthrax injections        Not Service Connected        
 (claimed as "urinary condition")    10%    Service Connected        
tension headaches (previously denied as headache due to concussion and head injury)    50%    Service Connected        02/08/2015
Lumbosacral strain (also rated as "mechanical back syndrome" and claimed as "lower back strain")    10%    Service Connected    
tinnitus        Not Service Connected        
lower lip lesion/incision        Not Service Connected        
residuals of broken nose        Not Service Connected        
right thumb injury with Arthritis        Not Service Connected        
Dermatophytosis (claimed as "Tinea pedis")    0%    Service Connected    

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4 minutes ago, Valhalla0321 said:

I filed a couple claims before i was awarded p/t100% 

from what you posted I count 1 50 and 5 10 percent awards

that comes to 74 rounded to 70.

The VA seems to have awarded you IU and made it P&T.

SMC stands for Special Monthly Compensation.

It amounts to being "kickers" for certain conditions and combinations of problems.

Congress allocated these SMC's to benefit those who meet certainly level of need.

they are a through t.


for a good read on SMC(s)


these are the rates for SMC


this is how to read those rates


This is the MR21 on SMC basics


Now to SMC(s)

in human terms it means you are housebound...cannot leave your home to do things like work on a regular basis.

There are two types, statutory and actual.

If you meet the statutory requirements for SMC(s) you get 300 bucks more a month. YOU DON"T HAVE TO BE PHYSICALLY HOUSEBOUND under the statutory version. Congress made it this way.

Now in your case, you are TDIU and that has a special set of criteria.

For purposes of SMC(s) TDIU counts as 100%.

BUT, to reach SMC(s) your OTHER rated conditions CANNOT be any of those used to get you to IU 100%.

from the link at CCK law


There are two different paths that can make a veteran eligible to receive SMC(s) benefits:

  1. You are entitled to receive SMC(s) if you have at least two service-connected disabilities with the first rated totally disabling (100%) and the second rated at least 60%. If you are receiving TDIU for one disability, this may meet the criteria of having one service-connected disability rated totally disabling. The important thing to keep in mind here is that the disability for which you are receiving TDIU must be entirely separate from the second service-connected disability (or disabilities) rated at 60% or more. In other words, you must have at least two completely separate, yet both very severe, disabilities in order to be eligible for this benefit.
  2. The second qualifying factor for SMC(s) is if the veteran is rendered housebound due to a service-connected disability. If a veteran is unable to leave his or her house, hospital ward, care facility, etc. and the medical condition is not expected to improve, the veteran may qualify for SMC(s).

where does this fit into your question?

Simply this. PTSD would be a non-related condition. So let's assume you got a 70% for PTSD. You also qualify for SMC(s).

of if you got 50% for PTSD you would still need an additional 20 not related to your TDIU conditions, or two more 10's not related to your TDIU condition. Those amounts would get you the additional 60% non-related ratings to get you SMC(s) per the law.

You would be statutory SMC(s) not physically housebound.

read the links. Go to the SMC forum here. you have all the info needed to dive deep into the research on your own.

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    • Yes 

      After a PTSD/Unspecific MDD Diagnose From the VA Dr's

      The gold standard for diagnosing PTSD is a structured clinical interview such as the Clinician-Administered PTSD Scale (CAPS-5). When necessary, the PCL-5 can be scored to provide a provisional PTSD DSM 5 diagnosis.

      Any clinical clinician such as MD ,Psychiatrist even a L.C.S.W. (Certified)can perform the Diagnostics Evaluation Employed by the the VA

      ...They just need to figure out your symptoms and put together a list of your symptom's that you possess or show from the evaluation...I am not 100% Sure just how they do this ?

      being I am not a Dr or clinical clinician 

      Once a Diagnoses of PTSD is given they try to set you up with a Therapist to help with your New dx And how to adjust or cope with the Anxiety and Depression the PTSD can cause.

        you learn the tools to cope with and depending how severe your symptoms are ? 

       They test /screen you with phychoeducational type therapy treatment usually at first.

       Warning  some of this therapy can be very rough on a Veteran  from holding on to guilt  from the trauma its self or you maybe in a  ''stuck point''from memories and guilt or from the stressor's or anything that reminds you of the trauma you endured.

      The therapy works  even if we think it don't,  I recommend Therapy for all PTSD Veterans  it could very well save your life once the correct therapy is in place and the Veteran makes all his Clinical Appointments.

      I still have Combat PTSD it probably will never be cured completely but we can learn the tools it takes to cope with this horrible diseases 

      even learning breathing techniques  Helps tremendously during a panic attact.

      I have guilt from the war in Vietnam  ( I ask my self what could I have done to make a better outcome/difference?..and also I am in what the therapist calls stuck points. working on that at present once a week for 90 minutes.  I am very fortunate to have the help the VA gives me and I am lucky I have not turned to alcohol or drugs to mask my problem.

      But I have put my family through a living hell with my angers of burst.and they all stood by me the whole time years and years of my family life was disrupted because of me and my children &spouse  never deserved it one bit.

      That's all I want to say about that.

      At least I am still around. and plan to be tell my old age dying day.
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