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C & P Exam For Ptsd


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#1 Erich

 
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Posted 06 October 2008 - 10:49 AM

I have a C & P exam scheduled for 10/14/08 and I think it could be to determine if I have PTSD. I filed a claim in Feb 2007 and later amended it to include PTSD. I did this after my last C & P examiner advised me to apply for this.

I saw a young woman in her 20's about nine months ago who screened me for PTSD treatment and she later told me that I have PTSD symptoms but my main problem was Depression.... and therefore didn't qualify for their PTSD treatment program. I think there was more going on than that because even though I was wounded by shell fragments from a grenade, I did not get a purple heart credited to my records. I am 20% service connected for these wounds though.


I was hit in my chest, buttox, and both legs by shell fragments from a grenade that I think exploded on the roof of the bunker I was in. My CO had already identified me as a "pot head" and was in the process of giving me an "Undesireable Discharge" when I got blasted by grenade. I was not offered drug rehab which sucks... [My discharge was upgraded to Honorable about a year after I got out in 1971] However, to further complicate matters, my Squad Leader was a homosexual who had twice made advances towards me. Both times I woke and he was sitting up next to me on my bed. The 2nd time I rept him to my CO who I believe did nothing. I think there is a good chance this Sgt might have been behind the grenade that got me???

Anyway, when they screened me for PTSD treatment I had to take a 500+ questionaire which was a big problem for me. I was unable to concentrate and focus on the questions after about 30-40 minutes [about halfway thru] and it also gave me a headache. So the last 200+ questions were probably not answered right?? I'm concerned they might ask me to do this again... is this part of the C & P exam for PTSD?

I called Indianapolis VARO and asked them if this exam is for PTSD and they wouldn't tell me. The lady just said it was to further evaluate my condition. Then she said she needed to document my file that I had called...

I know there is a lot at stake and I'm very nervous. Can anyone tell me what I can expect if this exam is for PTSD?

Also... I'm told I can't get Depression service connected because I didn't seek treatment in the service or within 1 year of discharge. Can someone confirm if this is true?

#2 john999

 
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Posted 06 October 2008 - 04:23 PM

Just tell it like it is about your Vietnam experience and your wounds. If the wounds are SC'ed then I think that should be a verifiable stressor for PTSD. Google PTSD and read all the symptoms so you are familiar with it. They may ask you if you are afraid of crowds or if you have dreams or flashbacks to the events in Nam. They may ask if you are hyper vigilent and uptight and expecting combat situations to return. I would go easy on discussing my drug history. Focus on the grenade attack and how that has left nervous and unable to relate to others. You don't know if the VC or your SGT tried to kill you so you don't trust anyone. You need to have symptoms of PTSD. Don't let them steer you towards problems before the service in your childhood or high shcool or with the law.

#3 purple

 
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Posted 06 October 2008 - 07:14 PM

something i always tell ppl, it might sound silly but.......if there are any "yes" or "no" questions always answer them! never say "i don't know" because that leaves the door wide open for them to fill in whatever they please.

i know others on here have stressed that it's important how you dress. yup. you read that right. don't dress up. just wear what you wear everyday...the last thing you are there to do is impress them.

that long test you mentioned? the MMPI probably--i don't recall having to re-take that at my C&P exam, but that was several years ago and yes, that test sucks.

take care,

#4 Wings

 
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Posted 06 October 2008 - 07:25 PM

x
x
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Index to Disability Examination Worksheets http://www.vba.va.go...exams/index.htm

These 57 Disability Examination Worksheets are in use both by the doctors of VHA (Veterans Health Administration) who do the disability examinations and by the rating specialists, hearing officers, and Decision Review Officers of VBA (Veterans Benefits Administration) who do the disability evaluations.

STUDY BOTH

Initial Evaluation for Post-Traumatic Stress Disorder (PTSD)

Mental Disorders

Edited by Wings, 06 October 2008 - 07:27 PM.


#5 Wings

 
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Posted 06 October 2008 - 08:00 PM

x
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This is a good VA Manual. ~Wings


Best Practice Manual for
Posttraumatic Stress Disorder (PTSD)
Compensation and Pension Examinations
URL http://www.avapl.org...ual final 6.pdf


#6 Tbird

 
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Posted 07 October 2008 - 01:53 AM

be honest, don't try and suck it up at the c and p exam, like the man said just tell it like it is

#7 Erich

 
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Posted 08 October 2008 - 10:48 AM

Thanks to all for your input... I can't help but feel very anxious and nervous about the exam. I do plan to tell the examiner the truth. I just hope I can remember all the problems this has caused me over the years. Right now I'm afraid my 3rd marriage is going down after 18 years but I don't blame her. I am no good to her sexually, socially, and our kids don't really like me.

I spend about 95% of my time in a back room of our house. I hate being stuck in that room but hate leaving even more.

#8 cowgirl

 
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Posted 08 October 2008 - 03:04 PM

Erich, thanks for signing on to Hadit. Took me a few months to get courage to start talking here, but sure saved me from bottoming out over the past few years. I don' have medical training at all, just a proactive "Hadittude'! Now I have copy of my smr's (service medical records) and c-file and va medical records, records from civ docs (only keep em 7 years) and more.

Are you getting medical care through a private doc now for depression or other health things that could be related to ptsd? If so, to help you, request a statement from the doc how the ptsd or symptoms impact your health.

Don't know myself, may be good that your c&p is coming up. or not, Hope you remember its a one time pony show, use the exam sheet as a guide; you'll do fine. Remember examiners aren't hired for follow on care, so if you need help, ask for it. The va should help. Hey, I went to primary care, during an intake they asked if I was ok. replied 'nope.' Told me where mental health offices are. I just walked into the clinic and said "I need to talk to a counselor for help'. That worked for me.. Can't tell how things will turn out for any of us myself, just want the best for every vet and precious families.

Best to ya,
Cg

#9 john999

 
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Posted 08 October 2008 - 04:36 PM

Have you written a Stressor Letter to outline your verifiable stressor which would be the grenade attack to my way of thinking. Did you get any combat awards or were you in any firefights or rocket attacks you can verify? I think the grenade attack is enough to be a good stressor. For PTSD you need a verifiable stressor. That is the difference between a depression claim, for instance, and a PTSD claim. The depression claim could flow out of your wounds and the pain and disablility they cause, but that is another route towards a rating for a mental condition other than PTSD. The way the military treated you is the real stressor but that does not count in their military minds. I would stress the grenade attack and how your relive it over and over again every time you hear a loud noise. Just a suggestion.

#10 Erich

 
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Posted 10 October 2008 - 12:44 PM

Thanks again for the additional comments. I have not got any outside help for my problems for over 10 yrs. I contacted both of those Dr offices and they don't have any records now. One of those Dr's told my wife that Vietnam had a profound effect on my life...

The army must have taken the position my wounds came from a "fragging" since they did not put PH in my records. Our camp did get hit with mortors/rockets a couple of times but nothing close to me... Was also in a convoy that came uder fire but again nothing close to me. I think my focus will be on getting blasted by the grenade because that is "straw that broke my back". Before that it was all a combination of fear, stress, insomnia, malaria, boredom, and the sex harrassment that got to me. Was on duty in perimeter bunker 12 hrs nightly 7 days a week... I felt like I was between rock and hard place with drug problem and Squad Leader targeting me as his next conquest. I still think he was most likely one behind the grenade attack because it happened after I rept him to CO.

#11 john999

 
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Posted 10 October 2008 - 03:48 PM

Doing perimeter guard 12 hours a day and seven days a week would drive anyone crazy or to drugs. 99% of the time nothing happens and when something does happen your dead.

#12 mobie16r

 
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Posted 13 October 2008 - 02:27 PM

Erich,everyone gave you some good information,but make sure you read and comprehend what john999 wrote,because that is some very good information.If you are still having flashbacks about getting wounded by that grenade, that is a stressor withthan itself and you definite have PTSD.(1)Being diagnose with ptsd (2)Wounded by grenade (3)Having nitemares about it.those are the three things it takes to get service connected for post-traumatic stress disorder,but remember you have to be diagnose by a clinical psychologist or a psychiatrist and it is best to get you a private psy.
mobie

#13 tonydog

 
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Posted 16 October 2008 - 08:16 AM

Thanks to all for your input... I can't help but feel very anxious and nervous about the exam. I do plan to tell the examiner the truth. I just hope I can remember all the problems this has caused me over the years. Right now I'm afraid my 3rd marriage is going down after 18 years but I don't blame her. I am no good to her sexually, socially, and our kids don't really like me.

I spend about 95% of my time in a back room of our house. I hate being stuck in that room but hate leaving even more.

Hi Erich. When you go to the exam, you might want to bring your wife if you are married. Or bring someone to the exam that is very familiar with your PTSD symptons, behaviors, etc. Good luck.

Also, as others have said, the "verifiable" stressor(s) are VERY important. I am not sure how they verify it, but im sure records for the unit/company/battalion you were attached to, plus the approximate dates of the attacks, are stored someplace...probably St Louis MO.

#14 Erich

 
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Posted 29 October 2008 - 10:26 AM

I had my C & P exam and my wife went with me. She stayed for about an hour and gave all her input. Then I told the examiner my story. It was hard for me to tell everything especially about the sexual harrassment and drug dependence. But I told him all that I remembered. A week later I had a clinic appt and the Nurse Practioner told me I was diagnosed with PTSD from C&P exam. I didn't feel comfortable asking him about details of rept. I was just relieved that someone finally heard me and believed what I had to say.

I have since been referred to the "Vet Center" and had appt with the Director. He set me up with an individual therapist next Tues. He also said they will probably put me into a weekly group which I am looking forward too.

I plan to wait a month or two to let the process work and see if they come up with a fair rating. In the meantime I hope to get better with the support of the Vet Center.

Thanks again to everyone for your help and advice

#15 john999

 
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Posted 29 October 2008 - 01:17 PM

Erich

Stay in treatment regardless of your rating. The initial rating is just the beginning of the process usually. If you get 50% rating for PTSD you want to eventually get your 100% or IU. The way to do this is to stay in treatment so you build a mountain of documentation. Don't get a rating and then disappear. Make the VA work for you.

#16 Loma Linda Bill

 
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Posted 09 March 2010 - 12:34 AM

Erich,everyone gave you some good information,but make sure you read and comprehend what john999 wrote,because that is some very good information.If you are still having flashbacks about getting wounded by that grenade, that is a stressor withthan itself and you definite have PTSD.(1)Being diagnose with ptsd (2)Wounded by grenade (3)Having nitemares about it.those are the three things it takes to get service connected for post-traumatic stress disorder,but remember you have to be diagnose by a clinical psychologist or a psychiatrist and it is best to get you a private psy.
mobie

mobile,


take her with you okay i think it will really help do not loofe this one too

Bill

#17 hawkfire27

 
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Posted 09 March 2010 - 12:48 AM

My husband couldn't even finish the tests, which actually ended up working in his favour.

If you need to take a break because the questions are bringing up stuff tell them, this will be noted in the C&P findings, take a break for 5 minutes and sit back down and try again. Take as many breaks as you feel you need to. Don't let anyone pressure you into a timeslot. My husband took 5 hours to complete one test, and they had to let him.