ptsd Recieved Copy Of Ptsd C&p Report Today

[Guest jangrin]

Is it standard for the report to have included the questions that the VA has requested to be answered? and then the doctors answer??

Also, could someone tell me what is a, "Post Traumatic Stress disorder like symptom?"

There is so much in this exam that is just flat out incorrect, lies, and misinformation. It is an out and out joke to a persons intelligence.

Also, done with NO RECORDS, NO C-FILE, NO QUESTIONAIRES. I wish I could scan this.

I will fax this to someone with a scanner so you all can read this so called C&P report, what a joke.

Jangrin

Edited March 23, 2007 by jangrin (see edit history)

[mountain tyme]

Hello..when I received my C/P report for PTSD the report included the questions the doctor asked and my response to the questions...then there was a section to the doctors opion...

I found this on the internet regarding your question...

There have been numerous reports of military veterans suffering from PTSD-like symptoms for well over 100 years. For example, veterans of the US Civil War who suffered emotional problems were diagnosed as being afflicted with "solider heart" or “Da Costa’s Syndrome” which shares many symptoms like PTSD. Shell Shock was a term used to describe the condition of veterans of WW1 who seemed emotionally disturbed in a similar fashion. In WW II, these symptoms were classified as "battle fatigue" or "combat fatigue". Other terms used to describe military-related mood disturbances include "nostalgia", "not yet diagnosed nervous", "irritable heart", "effort syndrome", "war neurosis", and "operational exhaustion

It seems that the c/p doctor is saying that you fit into the criteria of PTSD

MT

[Guest jangrin]

Thanks MT,

That was a very positve response.The problem is .... the questions are not questions the doctor asked my husband... the questions are a "blue print" for the doctor to follow so he can do the exam and type a response in his report... it seems like this is the VA question sheet and then he filled in a bit of info to comply with the VA requirements for a complete exam, but left the original questions in his report.

Any veteran that needs to prep for his C+P for PTSD needs a copy of this report because he will know exactly what will be asked during the exam. And what criteria needs to be met in order to have the doctor's opine about their being DX with PTSD.

This report appears to have inadvertanly provided the VA's psychiatric PTSD checklist. We thought this was a new VA doctor because he had no knowledge of military issues or topics but this report seems to confirm our suspicions.

jangrin

[john999]

Jangrin

If the doc did not have the C-File available then that is grounds for an appeal.

[Guest jangrin]

Jangrin

If the doc did not have the C-File available then that is grounds for an appeal.

Oh yes John, we will absolutely appeal. But we will wait until after the inital rating and then we will raise hell. Right now I think it is really important that we get the DMII service connected. Once that is done then we will fight the battles.

I told my husband that I am waiting for the "black Heliocopters" to come to our house and men in black clothes to break down our doors and take our computer and papers because we have the VA template for processing PTSD claims.

I mean this report is so weird, no kidding. It is not one of those like ..."I asked the patient such and such and he responed, blah blah blah. It's more like for an example... The report says, "clearly describe specific stressor event(s) veteran considered particularly traumatic. Clearly describe the stressor. Particularly if the stressor is a type of persoal assault, including sexual assault, provide information, with examples, if possible. The entire report is full of these kinds of questions and direction to/ for the doctor.

Jangrin

Edited March 23, 2007 by jangrin (see edit history)

[Cavman]

What is the diagnosis exactly? What was the Gaf score?

Cavman

[Guest jangrin]

What is the diagnosis exactly? What was the Gaf score?

Cavman

Axis I disorders:

Anxiety disorder NOS (Not otherwise specified) with posttraumatic stress disorder like symtoms and depression NOS.

Axis II disorders:

Deferred

Axis III disorders:

Please see medical Compensation and Pension.

Axis IV (psychosocial and enviornmental problems):

Moderate to severe with multiple family and psychosocial stressors.

Axis V(GAF score- current):

= 60

[Cavman]

jangrin:

Wow....this looks really different than my dignosis. It almost looks lazy, like the guy wanted to get to lunch. You either have PTSD or you don`t. What is PTSD like symtoms?! Were any of these diagnosis listed as sc?

If I remember right, your husband was a combat vet. I knew I would have trouble communicating my many stressors so I went off by myself and wrote 4 pages and mailed it in. When I showed up for the c & p he stated I didn`t have to even mention combat situations. He said he didn`t want to upset me. My point is I believe your husband should get off by hisself and write a few pages of the worse things that happened and how it affects him. Mail it in and maybe hand carry it to the VARO. He could explain he has much trouble talking about it.

Cavman

[Vike17]

In this situation not having the C-file during the exam would only be grounds for an appeal if the examiner was asked to make an opinion as to whether or not the veteran's current PTSD was related to his service or not.

Like I said in my previuos post, maybe the VA took the records from SSA and conceded the nexus and the only thing the C&P exam was for was to establish the current disabling affects of your husband's PTSD. You're already talking about appealing but haven't even been rated yet. Right now it's too early get all worked up over it. You'll have to wait for the rating decision to see what the RVSR decided. Just try to relax and wait for the rating decision.

Vike 17

[betrayed]

The report says, "clearly describe specific stressor event(s) veteran considered particularly traumatic. Clearly describe the stressor. Particularly if the stressor is a type of persoal assault, including sexual assault, provide information, with examples, if possible.

I told my husband that I am waiting for the "black Heliocopters" to come to our house and men in black clothes to break down our doors and take our computer and papers because we have the VA template for processing PTSD claims.

Jangrin

From Initial Evaluation for Post-Traumatic Stress Disorder (PTSD)

clearly describe specific stressor event(s) veteran considered particularly traumatic. Clearly describe the stressor. Particularly if the stressor is a type of personal assault, including sexual assault, provide information, with examples, if possible.

Maybe I misunderstand, I dont know what your making a stink about, that is straight from the Evaluation for Post-Traumatic Stress Disorder Worksheet which is available on the web for anyone. You dont have any secret information.

All the worksheets can be found at Index to Disability Examination Worksheets

[Pete53]

Jan:

You need an outside medical opinion to win in my opinion. Althought I agree with you that this exam is bogus I think Vike is on the money when he said that its going to count unless he had an opinion about a link to service. That exam is dealing with now.

I wonder how a man with PTSD who is currently on SSD be a 60 GAF? Because you are good at this Jan you might request a hearing so that you can refute a bad exam.

Many of the C&P Docs are Hacks or so old that they should have retired years ago.

[Guest jangrin]

Betrayed,

You are right! Thats exactly where the entire report was made from. It is the C+P work sheet. Thanks for letting me know, because I really thought that it was some kind of proprietary questions.

Unfortunately, when the doctor started to do the initial exam without any records (C-FILE) he should have canceled the exam or made arragements to re-schedule. That is unless, like Vike 17 said, that he was only asked to determine the current level of disability.Sindce this was the first C+P for PTSD, I suspect he was actually doing the full blown exam for the VA.

Thanks I really didn't know about this work sheet. I feel better knowing that he was trying to follow protocol and not just a guy who didn't know how to write a report.

[Berta]

I am a little confused here Jangrin-

Does your husband have a current documented diagnosis and treatment records established already from a real shrink?

Does he have a medications profile too for meds to treat PTSD?

Was he combat vet with combats awards and/or PH?

Terry Higgins is Right!

"The most important queston is not being discussed. Did the examiner find a nexus for your PTSD to service?"

Did the examiner know of or even ask of any military stressor whatsoever for PTSD to be from?

We went through this too in a C & P for a higher rating and the c file was lost.

Some three tour PTSD Nam vet had gotten Rod all worked up in the waiting room and Rod didnt want to talk to the C & P shrink much.

His stressors had already been confirmed anyhow-

your case is the initial stuff-the doctor should have asked about stressors-Did he? were you present? did your husband say he did?

This is what the VA lives for:

"Anxiety disorder NOS (Not otherwise specified) with posttraumatic stress disorder like symtoms and depression NOS."

If there is no nexus statement in the C & P for any or all of these-

the VA has a way out to deny the claim and also

it might show here that the doc who did this report didnt have a clue -no medical rationale whatsoever-

what is "PTSD like symptoms"-

a good way of a doctor to say the vet doesnt really have PTSD- just symptoms like PTSD.

Bizarre-

did the report give any possible service nexus at all for anxiety and/or depression and not PTSD?

Whatever they call it- the money is the same- if nexus is found to be in service.

[Berta]

PS- this could all turn on the NOD-

if significant medical evidence of your husband's PTSD -current treatment records, medications, etc full PTSD diagnosis, any IMO etc-

any private records etc-can be attached and the fact that the veterans med recs were not available-during the C & P-

and even the Blank C & P- with statement that the doctor did not ask all of the pertinent questions.

If the C & P doc asked the right question, the C & P doctor had to put down the vet's answer.

[Guest jangrin]

PS- this could all turn on the NOD-

if significant medical evidence of your husband's PTSD -current treatment records, medications, etc full PTSD diagnosis, any IMO etc-

any private records etc-can be attached and the fact that the veterans med recs were not available-during the C & P-

and even the Blank C & P- with statement that the doctor did not ask all of the pertinent questions.

If the C & P doc asked the right question, the C & P doctor had to put down the vet's answer.

Berta,

The C+P doctor did NOT even talk about my husbands stressors. He showed my husband where the computer paperwork print out stated that the stressors were conceded. He told my husband that he should increase his medication, although he ( the doctor)wasn't offering treatment.(???)Also, he told my husband not to worry because he will be compensated for the DMII and he might get 10% on the mental. This guy is just a "wack-o" and totally full of you know what. I was not allowed in the room during the exam...He asked my husband if he has ever tried to commit suicide. He never asked if my husband thought about commiting suicide. Then writes in the report not acts or thoughts of suicide. The report is full of untruths or half-truths. Very discouraging.

In part the following:

In the report the doctor wrote. "The patient appears to meet criteria A,B,C,and D. However, he has had a fairly consistent work history and the symptoms described do not appear to have had a significant impact on his capacity for employment.

However, he would be classified as having an anxiety disorder NOS."

The report states that the stressors are conceded.

In his final paragraph the doctor states, "he has very clearly suffered traumatic experiences that would potentially lead to post traumatic stress disorder. He has had some symptoms of post traumatic stress disorder, however, they do not appear to have had a significant impact on his occupation at least in his capacity to work although it may have had some effect on his capacity to excel as well as he could have.The symptoms described above appear to require continuous use of medications primarily due to the combination of the anxiety symptoms and the depressive symptoms.

Edited March 23, 2007 by jangrin (see edit history)

[spike]

I find what is useful is about 3 days after you know the doctor has dictation done. I go down to the correspondence office and have them release to me the full examination results and dictation. That away, I have something to go by and correct before it gets to the RO and is "factual". You can go to the Patient Advocate and have him instruct the doctor to correct, update or change information if it is not worded correctly in anyway shape or form if it is in error.

[Josephine]

jangrin,

I know what the VA doctor did, the same number as they did on me. Complaint in writing to the patient advocate immediately. I did not get another C&P, but it is in my record for the BVA. You need to place your complaint that you were not allowed to be present. ( there is a reason why the VA psychiatrist are doing this). It sounds like a well thought out way to deny your husband.

Josephine

Edited March 23, 2007 by Josephine (see edit history)

[Stretch]

I went to my C&P a few weeks ago. The doc ask what kind of work I do? I said that I am unemployable and haven't worked for 5 years. He ask many questions. He told me that I have PTSD. He asked if the doctors at Fayetteville have diagnosed PTSD. I said yes.

He ask if I witnessed any deaths. I said they were all highlighted in the ships logs, and that I have the many others in these docs I am presenting him. I told him of the many deaths that I witnessed. I gave him my military awards write-ups and verification of the awards.

On the way out I gave him signed Affidavits from several buddies, ships logs with highlighting of stressors, medications list, and several records of evidence. I told him that my c-file is about 12" and that these are the most important things that you need to see concerning stressors. He said thanks.

For some reason I am being treated entirely different by the mental health C&P, but I will have to wait for the reports.

I am just getting to be a pain in their backside now.

[Guest jangrin]

Stretch,

It seems like you did a really good job at presenting the evidense for your PTSD claim. Have you recieved a copy of the report yet? If not you should request a copy from the facility where you had the C+P exam. I think you will get a really good C+P report.

[betrayed]

The C+P doctor did NOT even talk about my husbands stressors. He showed my husband where the computer paperwork print out stated that the stressors were conceded.

Thats a good thing.................

Jangrin is this the post to Berta you spoke of in the PM? Ok I found what you were telling me. Weird.

Edited March 24, 2007 by BETRAYED (see edit history)

[Guest jangrin]

The C+P doctor did NOT even talk about my husbands stressors. He showed my husband where the computer paperwork print out stated that the stressors were conceded.

Thats a good thing.................

Jangrin is this the post to Berta you spoke of in the PM?

Betrayed,

This is what was in the report,

The C+P doctor did NOT even talk about my husbands stressors. He showed my husband where the computer paperwork print out stated that the stressors were conceded. He told my husband that he should increase his medication, although he ( the doctor)wasn't offering treatment.(???)Also, he told my husband not to worry because he will be compensated for the DMII and he might get 10% on the mental. This guy is just a "wack-o" and totally full of you know what. I was not allowed in the room during the exam...He asked my husband if he has ever tried to commit suicide. He never asked if my husband thought about commiting suicide. Then writes in the report not acts or thoughts of suicide. The report is full of untruths or half-truths. Very discouraging.

In part the following:

In the report the doctor wrote. "The patient appears to meet criteria A,B,C,and D. However, he has had a fairly consistent work history and the symptoms described do not appear to have had a significant impact on his capacity for employment.

However, he would be classified as having an anxiety disorder NOS."

The report states that the stressors are conceded.

In his final paragraph the doctor states, "he has very clearly suffered traumatic experiences that would potentially lead to post traumatic stress disorder. He has had some symptoms of post traumatic stress disorder, however, they do not appear to have had a significant impact on his occupation at least in his capacity to work although it may have had some effect on his capacity to excel as well as he could have.The symptoms described above appear to require continuous use of medications primarily due to the combination of the anxiety symptoms and the depressive symptoms.