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I have my primary care Mental Health person and a mental health counselor can i stop talking to counselor and deal with my mental health person?



I have my primary care Mental Health person and a mental health counselor can i stop talking to counselor and deal with my mental health person without affecting my 100%  P&T status? The meantal health person deals with my mdicines and actually talks about the same things as the counselor. So why have both?

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You have a right to choose your providers and your treatment path.  VA can not mandate (to competent individuals) that you take xyz medicines or see practitioner Dr. X.   (They do, however, choose your c and p examiner.  Since they are paying for it, they choose him or her).  

If you have a "beef" with a particular c and p examiner you can "ask" for another, but VA may or may not grant your request.  They may not have alternative practitioners available, for example.  

The VA requires certain documentation prior to awarding benefits, and, it is a red flag if you discontinue treatment, and dont, at least explain why you sought alternatives.  

I discontinued counseling.  Many times, the counseling will be for a certain number of sessions.  The VA can not say, definatively, that one treatment (perhaps meds) is better than another (maybe counseling) for an individual Vet, we are vastly different and one Vet may respond well to meds but not counseling or vice versa.  

If you think one of your doctors treatment is ineffective or redundant, then you can seek alternatives.  Again, it does raise red flags when you stop all treatments, but, even then, VA can not reduce you just because Dr. P did not help you, so you sought treatement at another VA facility, another provider, or even in private practice.  Or, if you found medication xyz was doing more harm than good, you are not compelled to continue taking meds that dont help you.  

There are many, many ways to treat PTSD/ or other mental health disorders.  The VA can not mandate a particular treatment...it simply may not work for you or even backfire.  

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First off, you have the right to feel comfortable with your doctors/counselors.  If you have a need to see someone because of your disability, I highly recommend asking for a different counselor if it is personality thing or you feel you are not receiving the level of care you expect or need.  Similar to when you stop taking medications, if you go cold turkey, you can run into withdrawals or shock from the chemical change.  So if you need the service but don't like the provider, change to a new one.  I have been through 4 different MH providers before I stopped and at least 10 primary care doctors, mostly due to moving.

Not sure if the original poster (OP) is still tracking this question but hopefully this info helps a bit.  If you still have active benefits submissions or appeals in place, I would recommend NOT stopping seeing any providers you currently see; for the same reasons mentioned above.  Once your current benefits are locked in as permanent (regardless of the percentage) and you do not plan to file any appeals for current assessed disabilities, you should be good to stop seeing whichever providers you do not want to see anymore.

I quit seeing VA mental health for many reasons, but mainly I got tired of playing the "13 CYA questions" game.  Every time I would go in, it was the 13 questions and then a couple of arbitrary questions solely for the purpose of appearing the doctor cares then I was herded out the door.  To put it it simply, I don't feel like they actually care and instead this is them paying their dues as a VA doctor to pad their resume.

I stopped going in to VA mental health two years ago and have yet to receive any notification from the VA related to my benefits.  Again, I am already locked in as permanent at 100% (I am not 100% P&T though).  I still use the VA for my primary care, but I am done with MH.  I have been told by my service officer (American Legion) once you are in a permanent status, they do not change.  The only exception being if you are determined to be faking or defrauding the country; or, if you are miraculously healed and word travels up the chain that you do not need/want the benefits anymore...but I doubt that last one exists.

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