![]() Portion of each symptom is attributable to each diagnosis and discuss If no, provide reason that it is not possible to differentiate what Is it possible to differentiate what symptom(s) is/are attributable to Does the Veteran have more than one mental disorder diagnosed?ī. Mental Health Disorder (to include TBI): Knee pain, sleep apnea,Ī. Medical diagnoses relevant to the understanding or management of the Mental Disorder Diagnosis #3: Unspecified Attention-Deficit/Hyperactivityī. Mental Disorder Diagnosis #2: Other Specified Depressive Disorder Mental Disorder Diagnosis #1: Posttraumatic Stress Disorder Initial Post Traumatic Stress Disorder (PTSD)ĭoes the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteriaĪ. STANDARD TITLE: MENTAL HEALTH C & P EXAMINATION CONSULTĭATE OF NOTE: SEP 20, ENTRY DATE: SEP 20, RAY,CHRISTOPHER L EXP COSIGNER: I think IU is in my future but if you could help me understand what the rater may choose I would appreciate it. He noted in here my suicide attempt and the ideation that still occurs so would that help in the ratings game? I honestly just think that working isnt going to happen much longer. My life has not been the same and just keeps declining. The doctor checked the box that would warrant a 30% rating but I definitely feel this is a low ball. I just went to my exam last week and this was the results. I was previously denied for PTSD so I submitted new evidence and also claimed Depressive disorder. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.This appears to be a favorable exam but I am confused. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.į. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:Į. Sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)ĭ. Restricted range of affect (e.g., unable to have loving feelings) Markedly diminished interest or participation in significant activitiesįeeling of detachment or estrangement from others Inability to recall an important aspect of the trauma Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:Įfforts to avoid thoughts, feelings, or conversations associated with the traumaĮfforts to avoid activities, places, or people that arouse recollections of the trauma Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic eventĬ. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Recurrent distressing dreams of the eventĪcting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated) ![]() Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions The traumatic event is persistently reexperienced in one (or more) of the following ways: The person’s response involved intense fear, helplessness, or horror.ī. The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. The person has been exposed to a traumatic event in which both of the following were present:
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