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      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. 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Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. 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So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
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      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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Gaf Of 45 To 55

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I am reviewing my medical records from v.a. hosp and there are several insitances of a gaf either at 45 or 55, anyone know what this will relate to as what the rater would do being there is two different scores.

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9 answers to this question

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Attached are the score areas I copied from the inter-net. Hope these help answer your question.

91-100 Superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many qualities. No symptoms.

81-90 Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns.

71-80 If symptoms are present they are transient and expectable reactions to psychosocial stresses; no more than slight impairment in social, occupational, or school functioning.

61-70 Some mild symptoms OR some difficulty in social, occupational, or school functioning, but generally functioning pretty well, has some meaningful interpersonal relationships.

51-60 Moderate symptoms OR any moderate difficulty in social, occupational, or school functioning.

41-50 Serious symptoms OR any serious impairment in social, occupational, or school functioning.

31-40 Some impairment in reality testing or communication OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood.

21-30 Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communications or judgment OR inability to function in all areas.

11-20 Some danger of hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication.

1-10 Persistent danger of severely hurting self or others OR persistent inability to maintain minimum personal hygiene OR serious suicidal act with clear expectation of death.

0 Not enough information available to provide GAF.

I am reviewing my medical records from v.a. hosp and there are several insitances of a gaf either at 45 or 55, anyone know what this will relate to as what the rater would do being there is two different scores.

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Posted · Report post

I wanted to know this too as I looked at my records so I did some Q/A and research. Here is an example:

Let's say you had a flashback and had a fight with the significant other. You go to your room and what have you. You to get up in the middle of the night still feeling like crap. You go to the VA ER. Because let's say your not talking to people, you were having flash backs, nightmares, you started drinking, depressed, etc...having bad thoughts....GAF SCORE POSSIBLE 30.

After the ER, a good night's sleep after talking to the shrink, getting your med's properly dosed up....you love your girlfriend again, as you walk through the VA you find 100.00 bill on the ground nobody claims it.....your feeling great....the ER Pysch gives you a GAF Score of 100.

Here is my question to you...are you cured? No. Global Assessment of Functioning is subjective to the time, place and evaluation of the person who is evaluating how you feel. So two people in the same room at the same time seeing the same exact patient at the same exact time can come up with a different GAF score. Also according to the Diagnostic Criteria from DSM-IV-TR from the American Psychiatric Association indicates that GAF scores must consider pyschological, social and occupatioal functioning on a HYPOTHETICAL continuum of mental health-illness. It also says that they can not include your functioning due to phyiscal limitations...or disabilities....

So how much weight does a GAF score if it is "Hypothetical". If the scores range in 9pt increments how do they discriminate on scores from one being a 41 and a 46 where is the determining factor?

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Posted · Report post

GAF's are really estimates but over 50 usually 30% and under 50 can be up to 100%. This combined with working or not able to work of course. Plus other IMO's, medical records and showing a nexus to a service condition.

My advice is to not worry to much about GAF's they are hard to change unless you overwhelm with solid medical evidence and treatment.

The type of meds and strength given you by the VA is more relevant in my opinion

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Posted · Report post

Most likely the rater would rate you at 10% or 30%. The late Alex Humphrey, an attorney and a great friend of vets and Hadit.com) used to say he could get anyone a 100% w/a GAF of 50%. Unfortunately he passed away a few months back. You "should" get at least 50%, if not 70% but what you should get and reality are different.

pr

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Posted · Report post

The GAF is but one small part of the overall rating. Don't read too much into the scores, because they can change from hour to hour, and from shrink to shrink. If they get higher than 55 consistently, though, that would mean that you are only marginally impaired and will get a low rating.

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Posted · Report post

Thanks everyone for your input, so what i am taking from this is that the gaf alone doesnt hold a lot of weight but the gaf mixed with other factors is what they will rate on. again thanks for everyone's input

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Posted · Report post

the GAF is critically important. at least for a ssd determination in connecticut. my va caregiver got wind that the judges were carefully inspecting the GAF. I have a GAF of 45, which is social and occupational limitations. this in the context of other illnesses i had got me ssd in a week. (i bypassed my whacko lawyer and figured out what was needed to document the case). I submitted the case on my own and got the award a week later. gaf combined with severe major depression atypical got me ssd.

Gaf is critical in analyzing your case. it is a large part of the determination and should be looked on as such by anyone filing a psych sc case. the lower your gaf the better off you are for determination. but your case has to be well documented support the GAF score. my GAF has been the same for years, because i don't play well with people...and occasionally ran with scissors.

e='mcso111' date='Nov 4 2008, 06:52 AM' post='112464']

Thanks everyone for your input, so what i am taking from this is that the gaf alone doesnt hold a lot of weight but the gaf mixed with other factors is what they will rate on. again thanks for everyone's input

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Posted · Report post

Those numbers along with supporting write-ups should get you somewhere in the 50-70 percent range.

Don't worry about having two GAF's for look inside the medical records jacket of a mental patient will reveal many, many different GAF scores. It changes from day to day and sometimes even during an appointment.

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Posted · Report post

I had GAF scores in the exact same range with excellent write ups from multiple docs, including a C&P. The criteria for 50% were listed in my C&P, and I still got a 30% rating. I reiterate that the GAF is but one facet of the overall picture when dealing with the VA. It is good information to know on the SSDI end, though. Thanks pattik!

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