dlpaul Posted April 17, 2020 Share Posted April 17, 2020 I had my c&p for increase from 10% for PTSD.....the symptoms don’t seem to match the opinion to me.... any comments? Opinion matches 30% but in symptoms ...... depressed mood anxiety panic attacks 1 or less per week chronic sleep impairment disturbances of motivation and mood difficulties in work and social relationships difficulty adapting to stressful situation including work impaired impulse control irritability violence do you think she made a mistake with box she selected as her summery ? Link to comment Share on other sites More sharing options...
0 Content Curator/HadIt.com Elder Vync Posted April 20, 2020 Content Curator/HadIt.com Elder Share Posted April 20, 2020 Welcome to Hadit! Based on comparing the symptoms against the rating criteria, you have two that match the 70% criteria and three that match the 50% criteria. It is possible that a mistake might have been made. You could submit a request explaining your findings. If the VA doesn't grant you 50% or 70%, definitely consider appealing it. These symptoms match 30% Quote depressed mood anxiety panic attacks 1 or less per week These symptoms match 50% Quote chronic sleep impairment disturbances of motivation and mood difficulties in work and social relationships These symptoms 70% Quote difficulty adapting to stressful situation including work impaired impulse control irritability violence §4.130 Schedule of ratings—Mental disorders. Quote General Rating Formula for Mental Disorders Rating Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name. 100 Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. 70 Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships. 50 Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events). 30 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 continuous medication. 10 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. 0 ShrekTheTank and GBArmy 2 Link to comment Share on other sites More sharing options...
0 HadIt.com Elder GBArmy Posted April 20, 2020 HadIt.com Elder Share Posted April 20, 2020 dipaul Great advise by Vync. If you feel that you have symptoms that put you in the next level and some that put you say in the 30% bracket, it may result in a low ball rating. Maybe not. Your rating isn't going to necessarily be based on how many symptoms they find as much as which rating actually gives you the correct picture of where you are. If you have some in the next bracket and you think they are severe, appeal. Add more evidence; more buddy letters from family, etc. that talk to the severity of the symptoms in the higher bracket especially. Continue your treatment and meds. Just keep at it. Vync 1 Link to comment Share on other sites More sharing options...
0 Content Curator/HadIt.com Elder Vync Posted April 20, 2020 Content Curator/HadIt.com Elder Share Posted April 20, 2020 I agree with @GBArmy. Based on what you posted, it sounds like you would qualify for an increase to at least 30%. Keep in mind that just because the VA sends you a rating decision approving an increase, it very well could contain errors (i.e. not increasing you to the correct percentage level). If you win the increase, they will pay you the retro, but you can still go ahead and submit a supplemental or higher level review appeal to get you where you need to be. Just don't wait too long. You should have a year to appeal (be sure to read the documents that come with your rating decision). Also, check the rating decision against the rating criteria to ensure they got it right. It can be tough to get through situations like this, but you did the right thing by asking if the VA rated you correctly. We're all here to try and help and offer our nonprofessional opinions. If the MH disability ends up preventing you from working, you can also consider filing for individual unemployability (IU) and/or SSDI. Link to comment Share on other sites More sharing options...
0 dlpaul Posted April 20, 2020 Author Share Posted April 20, 2020 Thank you all, the 10% was from back in 2007 when there was no treatment for ptsd as a result of mst. Things have have now progressed to the point that I am unable to leave my house or continue working as a nurse (due to concentration problems) so had to retire early. Link to comment Share on other sites More sharing options...
0 Content Curator/HadIt.com Elder Vync Posted April 20, 2020 Content Curator/HadIt.com Elder Share Posted April 20, 2020 @dlpaul I'm so sorry to hear about that. You did the right thing to file an increase request. I also recommend you go back through your medical treatment records. Claims for increase are special because you can use evidence from 12 months prior to filing to justify a higher rating. For example, if you filed the increase on March 1st, but your evidence shows you qualified for a higher rating as of October 10th, they are supposed to make the effective date of the increase back to when you qualified. You might just get granted the March 1st (example) effective date, but digging back through your records you might be able to even justify a better effective date which would mean more retro. Link to comment Share on other sites More sharing options...
0 dlpaul Posted April 20, 2020 Author Share Posted April 20, 2020 Oh wow, thank you, I had no idea Vync 1 Link to comment Share on other sites More sharing options...
Question
dlpaul
I had my c&p for increase from 10% for PTSD.....the symptoms don’t seem to match the opinion to me.... any comments?
Opinion matches 30%
but in symptoms ......
depressed mood
anxiety
panic attacks 1 or less per week
chronic sleep impairment
disturbances of motivation and mood
difficulties in work and social relationships
difficulty adapting to stressful situation including work
impaired impulse control irritability violence
do you think she made a mistake with box she selected as her summery ?
Link to comment
Share on other sites
Top Posters For This Question
4
3
1
Popular Days
Apr 20
6
Apr 17
1
May 15
1
Top Posters For This Question
dlpaul 4 posts
Vync 3 posts
GBArmy 1 post
Popular Days
Apr 20 2020
6 posts
Apr 17 2020
1 post
May 15 2020
1 post
Popular Posts
Vync
Welcome to Hadit! Based on comparing the symptoms against the rating criteria, you have two that match the 70% criteria and three that match the 50% criteria. It is possible that a mistake might
GBArmy
dipaul Great advise by Vync. If you feel that you have symptoms that put you in the next level and some that put you say in the 30% bracket, it may result in a low ball rating. Maybe not. Your rating
dlpaul
Oh wow, thank you, I had no idea
7 answers to this question
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now