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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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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. 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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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Ptsd Claim

42 posts in this topic

Posted · Report post

I just recently put a claim in for PTSD, my VA rep told me I would probably here from them in a month, and I have not so I called him today and he said oh give them another couple of weeks,

I have not been able to submit my paperwork I have proving my PTSD or been ask to see a Dr. yet to be evaluated. I have been being seen for close to 10 years at the VA hospital near here for depression, anxiety and panics and doctors at the VA have put in the reports that they felt I had PTSD in fact they were the ones that brought it to my attention, now I feel after all these years

that I should submit a claim. Is it normal to sit around and wait a month before they ask you for your paper work and to see a doctor, can someone tell me the proper steps I should take with

all of this?

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Posted · Report post

Welcome aboard veteran-

Join us up in the Claims Research Topic for a more detailed assessment of what you need to do-

I dont know what RO your rep deals with but it is usually 6 months before a vet gets a VCAA letter telling them what evidence that VA needs to have.

They are working faster -however-on OIF-OEF vets cases.

Didn't the rep have you fill out a 21-526 application for comp yet?

For PTSD compensation you will need

1. medical diagnosis of PTSD.

2. Proof of inservice stressor

3. medical nexus of 1 and 2 with no other etiology for the PTSD but for the inservice stressor.

Unless you have the PH, or the CIB or CAR on your DD 214 you will need proof of your stressor.

There ois a topic here I wrote available under the hadit search feature as to what a stressor is defined as for VA purposes.

Many vets have multiple stressors.

I suggest focusing on those stressor which are easiest to prove.

The VA will send your stressor info the JSCCR for verification so be sure to give VA details as to time and place etc.

Also you might need buddy statements ,etc-it all depends on the DD 214 citations and /or whether JSRRC will find proof of stressor in unit reports, etc.

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Posted · Report post

Welcome aboard veteran-

Join us up in the Claims Research Topic for a more detailed assessment of what you need to do-

I dont know what RO your rep deals with but it is usually 6 months before a vet gets a VCAA letter telling them what evidence that VA needs to have.

They are working faster -however-on OIF-OEF vets cases.

Didn't the rep have you fill out a 21-526 application for comp yet?

For PTSD compensation you will need

1. medical diagnosis of PTSD.

2. Proof of inservice stressor

3. medical nexus of 1 and 2 with no other etiology for the PTSD but for the inservice stressor.

Unless you have the PH, or the CIB or CAR on your DD 214 you will need proof of your stressor.

There ois a topic here I wrote available under the hadit search feature as to what a stressor is defined as for VA purposes.

Many vets have multiple stressors.

I suggest focusing on those stressor which are easiest to prove.

The VA will send your stressor info the JSCCR for verification so be sure to give VA details as to time and place etc.

Also you might need buddy statements ,etc-it all depends on the DD 214 citations and /or whether JSRRC will find proof of stressor in unit reports, etc.

I was already diagnosed by a doctor that works for the VA hospital 5-8 years ago I will have to

check, and it is in my VA information in the computer, also I have been working with a social worker(VA employee) who has been really good about helping me get the ball rolling. I just do not like the feeling

of not know exactly what paperwork I have to fill out to make sure that I am getting all my paper work in and complete. As far as the stressor goes for proof I have a page that is out of my dependents records (I am a widow of a veteran as well) that was written and signed by a psycologist back years after the stressor happened but in this paper work he describes some of the stressors that I had to deal with but the paper is dated after the time I was out of the service so I will have to see how this all turns out, I have years of proof of emergency room visits and many doctors notes saying that I have PTSD, depression, anxiety ...... I think the main thing is proving my stressor. I might have to find a few buddies from the Navy and ask them to do a letter.

What is the nexus? Please explain, thank you so much for your information and I will go to the other board to fnd out more info about pursueing a claim, my VA rep filled out some kind of application for me and said that I should hear from them asking for the paperwork for my proof of PTSD they should be able to pull of my records in the VA and see everything as well. Thank you for the welcome.

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Posted · Report post

I can try and give you some advice. This is what I did and was successful. I must warn you that this can sometimes be a long arduous task. You mentioned that this has been about 10yrs? Am I wrong for assuming you are a desert storm vet? I am an OIF vet, so luckily for me, they want to push those cases through the quickest. Have you been in treatment? if so, get all the notes from all the VA clinics you have been to. Do you have your military medical records? you will need these as well. Have you filed a formal appeal yet? you can set one up on VONAPP yourself. This will set your effective date for when and if your claim is approved, you will be back dated to.

  1. get copies of all notes (VA related, not all have each others notes, so you must request them).
  2. get your current doctor to give you a diagnoses and copy of such.
  3. sign up for a veteran service rep (VFW, AMerican Legion, DAV etc), they will help you out and do the leg work, but don't expect it to be super fast. If you want super fast, you do the running around and requesting.
  4. make sure a claim was filed and get the date.
  5. if claim not filed, use VONAPP system online yourself. Get the claim filed while you are gathering your information.
  6. write a stressor letter (say what sysmptoms you have, what the severity of each symptoms are and the effect they have on your life and ability to work.
  7. get family members or buddies that served with you that can talk about in a letter how you've changed before service and after becuase of ptsd.
  8. VA will acknowledge your claim has be rec'd and will tell you what is expected next.
  9. VA will schedule a C&P exam. (this takes a while, use the inquiry system to find out when the appt is), this appt carries most of the weight in your case. the c&P interviewer will review your case and then ask you predtermined questions.
  10. After you exam, it takes about week or less, although some cases could be more, for the interviewer to submit a formal report and diagnosis, whether you have ptsd or not and depending on what they say is how they put you into the categories (0,10,30,50,70,100 %). I must say it is very hard to get the higher percentages. You must show prolonged problems which are chronic.
  11. depending on your VARO it may take a few months for them to issue a decision. the key is once you get that c&P exam submitted you'll be much closer.
  12. Do research through this site and any other sites you can. Look up criteria for ptsd, symptoms etc. Do your homework so you don't get screwed.
I hope this helped a little

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Posted · Report post

To win a PTSD-based claim, you need (1) a diagnosis of PTSD and (2) evidence of a stressful event during your military service. Even if you convince 10 VA and 10 private psychiatrists that you have PTSD, the VARO can still deny your claim if it does not accept your evidence about the stressful event that caused the PTSD.

The Stressor you experienced needs to be documented. If your Stressor was related to combat while engaged in action with the enemy, your testimony alone should convince the VA that you experienced the event. The VA should not even question your statement if you had a combat MOS or you received a Purple Heart or other award indicating combat service.

On the other hand, if you did not have a combat MOS and simply state that you were often under mortar and rocket attacks, the VA may simply say that your experience was not stressful enough to have caused PTSD since nearly everyone stationed in Vietnam came under such attacks. If, however, you were next to a buddy who was killed or injured, the fact of the death or injury is something that can be confirmed.

If you are a Vietnam vet and you provide the VA with enough details about stressful events in your service, the VA will contact the U.S. Army and Joint Services Environmental Support Group and ask it to review records of the Vietnam war to try to corroborate your experiences. Your representative should be able to show you the guide for the Preparation of PTSD Research Requests that the Support Group offers to reps to help them make a request that the Support Group can work with.

To understand what evidence the VA already has collected, get a free copy of your VA claims file from the VARO. If you need to document your service in Vietnam, get a free set of your complete military personnel records from the National Personnel Records Center in St. Louis using a Standard Form 180, Request Pertaining to Military Records. This form is available from your representative or any VA office.

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Posted · Report post

I'm just curious...is there a reason you started a new thread with the same questions as the other thread you started? Were you hoping for a different response? Either way...it is not going to be an automatic win...no matter who suggested you file a claim.

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Posted · Report post

luvhim-

i was just about to ask the same question....and to ask a mod to combine the two please for ease of following the topic.

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If you have any evidence of treatment or diagnosis for a mental disorder in your service records other than PTSD it is easier to get that approved than to start over with a PTSD claim. The VA has the nack to deny PTSD claims. Probably most get denied based on the stressor being verified. You need the combat awards or strong evidence of a stressor or your claim will sink. The VA knows there are waves of PTSD claims coming at them and they are working overtime to figure ways to deny them.

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Your VA rep told you that you would hear something in about a month?? Try a YEAR.

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Brother plan on waiting at least 4 month to a year. I beleave new combat vets have preference still. John999 is right on about the VA finding ways to deny PTSD claims because there is so many. As someone said here unless you have combat medals you need the "STRESSOR" this is where everything changes in your favor. I have just about been though every rout they take to deny a PTSD claim and the evidence was even listed in my denial,they VARO, ignoired evidence, did not verify evidence and went so far as to say I didn't have or provide enough evidence I even found VA correspondences where they did even try to verify my stressor, so take this time to make sure you have everything in order and have everything you need to prove your claim or it could prove fatal to your claim..Yog

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I am new to this site everyone so please bear with me if I am posting in the same topic all the time?

I have been seen by doctors at the Va four the last 10 years, I have already been diagnosed by a Va doctor he said that I had PTSD, they are notes everywhere in the system. I have emergeny rooms visits

where I have had major panic attacks and ended up in the emergency room when I really thought I was dieing I have 10 years of that, I have had to be on constand medication for the last 0

OIF vet, so luckily for me, they want to push those cases through the quickest. Have you been in treatment? if so, get all the notes from all the VA clinics you have been to. Do you have your military medical records? you will need these as well. Have you filed a formal appeal yet? you can set one up on VONAPP yourself. This will set your effective date for when and if your claim is approved, you will be back dated to.

  1. get copies of all notes (VA related, not all have each others notes, so you must request them).
  2. get your current doctor to give you a diagnoses and copy of such.
  3. sign up for a veteran service rep (VFW, AMerican Legion, DAV etc), they will help you out and do the leg work, but don't expect it to be super fast. If you want super fast, you do the running around and requesting.
  4. make sure a claim was filed and get the date.
  5. if claim not filed, use VONAPP system online yourself. Get the claim filed while you are gathering your information.
  6. write a stressor letter (say what sysmptoms you have, what the severity of each symptoms are and the effect they have on your life and ability to work.
  7. get family members or buddies that served with you that can talk about in a letter how you've changed before service and after becuase of ptsd.
  8. VA will acknowledge your claim has be rec'd and will tell you what is expected next.
  9. VA will schedule a C&P exam. (this takes a while, use the inquiry system to find out when the appt is), this appt carries most of the weight in your case. the c&P interviewer will review your case and then ask you predtermined questions.
  10. After you exam, it takes about week or less, although some cases could be more, for the interviewer to submit a formal report and diagnosis, whether you have ptsd or not and depending on what they say is how they put you into the categories (0,10,30,50,70,100 %). I must say it is very hard to get the higher percentages. You must show prolonged problems which are chronic.
  11. depending on your VARO it may take a few months for them to issue a decision. the key is once you get that c&P exam submitted you'll be much closer.
  12. Do research through this site and any other sites you can. Look up criteria for ptsd, symptoms etc. Do your homework so you don't get screwed.
I hope this helped a little

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Sorry I had to start over again, I have a stack of papers a foot high I am going to be submitting with my claim, maybe this is a waste of time, I dont know all I know is I am not the same person I was before I left here to go in the service and I want my life back and for some reason it just doesnt seem to be happening, I do have documents supporting how bad I have had panic attacks for the last 10 years

since I have back home, I am also a widow of a Chief Petty Officer and the mother of his two children I raised by my self because he died when he was 36 years old, my son has been diagnosed with PTSD as well due to the trauma of his fathers death. I met my husband while I was in ther service. Maybe they will not approve my PTSD I am going to submit my paper work. I am currently in treatment. I have all the notes from the treatment I am currently seeing a person who said I had PTSD and she gave me a GAF score of somewhere around 40. I did hear from them today and it only took 8 weeks it was just a letter telling me they wanted all my paperwork.

I can try and give you some advice. This is what I did and was successful. I must warn you that this can sometimes be a long arduous task. You mentioned that this has been about 10yrs? Am I wrong for assuming you are a desert storm vet? I am an OIF vet, so luckily for me, they want to push those cases through the quickest. Have you been in treatment? if so, get all the notes from all the VA clinics you have been to. Do you have your military medical records? you will need these as well. Have you filed a formal appeal yet? you can set one up on VONAPP yourself. This will set your effective date for when and if your claim is approved, you will be back dated to.

  1. get copies of all notes (VA related, not all have each others notes, so you must request them).
  2. get your current doctor to give you a diagnoses and copy of such.
  3. sign up for a veteran service rep (VFW, AMerican Legion, DAV etc), they will help you out and do the leg work, but don't expect it to be super fast. If you want super fast, you do the running around and requesting.
  4. make sure a claim was filed and get the date.
  5. if claim not filed, use VONAPP system online yourself. Get the claim filed while you are gathering your information.
  6. write a stressor letter (say what sysmptoms you have, what the severity of each symptoms are and the effect they have on your life and ability to work.
  7. get family members or buddies that served with you that can talk about in a letter how you've changed before service and after becuase of ptsd.
  8. VA will acknowledge your claim has be rec'd and will tell you what is expected next.
  9. VA will schedule a C&P exam. (this takes a while, use the inquiry system to find out when the appt is), this appt carries most of the weight in your case. the c&P interviewer will review your case and then ask you predtermined questions.
  10. After you exam, it takes about week or less, although some cases could be more, for the interviewer to submit a formal report and diagnosis, whether you have ptsd or not and depending on what they say is how they put you into the categories (0,10,30,50,70,100 %). I must say it is very hard to get the higher percentages. You must show prolonged problems which are chronic.
  11. depending on your VARO it may take a few months for them to issue a decision. the key is once you get that c&P exam submitted you'll be much closer.
  12. Do research through this site and any other sites you can. Look up criteria for ptsd, symptoms etc. Do your homework so you don't get screwed.
I hope this helped a little

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Petty oFFICER w,

No worries about multiple postings. I'm glad you are getting treatment. All the previous posts added some light on the burden of proof for you, at least I hope it did. You very well may have PTSD, but not have it service connected. The key to getting it service connected is to have a stressor (specific event usually, rather then took IDF my entire deployment and was traumatized). If you have a purple heart or combat medal (bronze star, NAM with "v", etc) or CAR/CIB/CMB then in leui of a stressor they take presumption of stressor. What I mean is, you don't have to prove anything other then the severity of your symptoms. The key is establishing service connection. For this, you will need to produce your service medical records. You can request those online at the natioanl archives if you don't alreayd ahve a copy using SF-180 form. As for having progress notes and emergency room notes with the VA, you must request copies through each clinic/hospital. Now you need to gather any diagnoses (they might be in the progress notes) and any civillain notes on this subject only. Once you have all these things (make copies for yourself), go to a Veteran Service Rep. This is free. They should be able to go through your info and make sure you have everything. If you still need things, they can guide you in this process. Once you ahve everything submit it to the VA regional office with your claim. Send a copy in once this is done. Make sure you get a delivery recp't so there's no question that they rec'd it. Yes, they tend to lose stuff or "misplace it". The key is to make a list like I suggested. Check off each one, once it is completed. Read other people's topics, it can shed light on your own situation sometimes. Look up the categories for rating on PTSD and have that. I suggest you write a letter and have your counselor write one for you as well. In your letter, you can talk about each symptom, the severity of each and the effect of each on your life today. Explain how you believe you ahve PTSD and how it is related to the service.

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Petty Officer W,

You posted,

"Sorry I had to start over again, I have a stack of papers a foot high I am going to be submitting with my claim, maybe this is a waste of time,

Only submit evidence that is directly material to your claim for PTSD/Mental Health.

Although they are supposed to consider everything they simply will not read 100 pages

of stuff.

I dont know all I know is I am not the same person I was before I left here to go in the service and I want my life back and for some reason it just doesnt seem to be happening, I do have documents supporting how bad I have had panic attacks for the last 10 years

Exactly what has a psychiatrist, psychologist or social worker put in writing regarding

your PTSD/Mental Health Diagnosis and in their opinion the cause (nexux) of this Diagnosis,and how this effects your daily life.

By how it effects your daily life does not mean sending all of your treatment or therapy progress notes. Sending MORE can be detrimental to a claim.

It's sending pertinent medical evidence that counts.

Example -

Date XX/XX/XXXX

Doctors Name credentials and Location Dr. XXXX - Psychiatrist - XXX Tampa, Fl.

Doctor states -

This patient has PTSD/ MDD / Panic Attacks

I have reviewed SMR's dated XX/XX/XXXX

It is my medical opinion the veteran's PTSD/MDD/Panic Attacks are at least as likely

as not the direct result of XXXXX shown in SMR's or Personel File dated XX/XX/XXXX.

And then list your treatment and how the condition effects your daily life or renders you unemployable - followed with Medical Rationale.

since I have back home, I am also a widow of a Chief Petty Officer and the mother of his two children I raised by my self because he died when he was 36 years old, my son has been diagnosed with PTSD as well due to the trauma of his fathers death. I met my husband while I was in ther service. Maybe they will not approve my PTSD I am going to submit my paper work. I am currently in treatment. I have all the notes from the treatment I am currently seeing a person who said I had PTSD and she gave me a GAF score of somewhere around 40. I did hear from them today and it only took 8 weeks it was just a letter telling me they wanted all my paperwork."

What has a doctor stated your nexus to your mental health condition is ?

carlie

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The paper work I am submitting are from doctors and doctors notes relating to my condition, the condition has been going on for years and I have nver put a claim in for it, I have been out of the military for a while, the paper work that I do have is like emergency room visits where doctors have stated I have come in with panic attacks. Other paper work is Doctors notes from PSY Doctors I have seen at the VA hospital, all are pertinent to my situation. Do you see any reason I should cut this paper work down or should I submit it all it all pertains to the treatment and diagnoses I have had to PTSD and how long I have had it.

Petty Officer W,

You posted,

"Sorry I had to start over again, I have a stack of papers a foot high I am going to be submitting with my claim, maybe this is a waste of time,

Only submit evidence that is directly material to your claim for PTSD/Mental Health.

Although they are supposed to consider everything they simply will not read 100 pages

of stuff.

I dont know all I know is I am not the same person I was before I left here to go in the service and I want my life back and for some reason it just doesnt seem to be happening, I do have documents supporting how bad I have had panic attacks for the last 10 years

Exactly what has a psychiatrist, psychologist or social worker put in writing regarding

your PTSD/Mental Health Diagnosis and in their opinion the cause (nexux) of this Diagnosis,and how this effects your daily life.

By how it effects your daily life does not mean sending all of your treatment or therapy progress notes. Sending MORE can be detrimental to a claim.

It's sending pertinent medical evidence that counts.

Example -

Date XX/XX/XXXX

Doctors Name credentials and Location Dr. XXXX - Psychiatrist - XXX Tampa, Fl.

Doctor states -

This patient has PTSD/ MDD / Panic Attacks

I have reviewed SMR's dated XX/XX/XXXX

It is my medical opinion the veteran's PTSD/MDD/Panic Attacks are at least as likely

as not the direct result of XXXXX shown in SMR's or Personel File dated XX/XX/XXXX.

And then list your treatment and how the condition effects your daily life or renders you unemployable - followed with Medical Rationale.

since I have back home, I am also a widow of a Chief Petty Officer and the mother of his two children I raised by my self because he died when he was 36 years old, my son has been diagnosed with PTSD as well due to the trauma of his fathers death. I met my husband while I was in ther service. Maybe they will not approve my PTSD I am going to submit my paper work. I am currently in treatment. I have all the notes from the treatment I am currently seeing a person who said I had PTSD and she gave me a GAF score of somewhere around 40. I did hear from them today and it only took 8 weeks it was just a letter telling me they wanted all my paperwork."

What has a doctor stated your nexus to your mental health condition is ?

carlie

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Posted · Report post

Honestly I am new here and was looking or a response on the board to my question and did not see one for a long time so i thought that I submitted it wrong and I resubmitted it again, no I wasnt looking for different response just trying get used to to the boards, I dont expect it to be an automatic win........ your right, and hey maybe this is all a waste of my time. I am still raising children of a war vet that is now deceased, this man dedicated 16 years of active duty to this country and his kids got nothing!!!

I'm just curious...is there a reason you started a new thread with the same questions as the other thread you started? Were you hoping for a different response? Either way...it is not going to be an automatic win...no matter who suggested you file a claim.

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Carlie,

I met my husband when I was in the service patroling on Pearl Harbor piers in Hawaii, between my husband and I we put in 23 years of active duty, when I was living in miliary housing he started busting out all the windows with his fist and put a gun to my head when I was pregnant and threatened me with knifes choked me I do not know how many times, I also was sexually assaulted when living in coed barracks shen stationed in Hawaii, this is what the doctor thinks created my PTSD, I was in the military when I met him.

Petty Officer W

Petty Officer W,

You posted,

"Sorry I had to start over again, I have a stack of papers a foot high I am going to be submitting with my claim, maybe this is a waste of time,

Only submit evidence that is directly material to your claim for PTSD/Mental Health.

Although they are supposed to consider everything they simply will not read 100 pages

of stuff.

I dont know all I know is I am not the same person I was before I left here to go in the service and I want my life back and for some reason it just doesnt seem to be happening, I do have documents supporting how bad I have had panic attacks for the last 10 years

Exactly what has a psychiatrist, psychologist or social worker put in writing regarding

your PTSD/Mental Health Diagnosis and in their opinion the cause (nexux) of this Diagnosis,and how this effects your daily life.

By how it effects your daily life does not mean sending all of your treatment or therapy progress notes. Sending MORE can be detrimental to a claim.

It's sending pertinent medical evidence that counts.

Example -

Date XX/XX/XXXX

Doctors Name credentials and Location Dr. XXXX - Psychiatrist - XXX Tampa, Fl.

Doctor states -

This patient has PTSD/ MDD / Panic Attacks

I have reviewed SMR's dated XX/XX/XXXX

It is my medical opinion the veteran's PTSD/MDD/Panic Attacks are at least as likely

as not the direct result of XXXXX shown in SMR's or Personel File dated XX/XX/XXXX.

And then list your treatment and how the condition effects your daily life or renders you unemployable - followed with Medical Rationale.

since I have back home, I am also a widow of a Chief Petty Officer and the mother of his two children I raised by my self because he died when he was 36 years old, my son has been diagnosed with PTSD as well due to the trauma of his fathers death. I met my husband while I was in ther service. Maybe they will not approve my PTSD I am going to submit my paper work. I am currently in treatment. I have all the notes from the treatment I am currently seeing a person who said I had PTSD and she gave me a GAF score of somewhere around 40. I did hear from them today and it only took 8 weeks it was just a letter telling me they wanted all my paperwork."

What has a doctor stated your nexus to your mental health condition is ?

carlie

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Petty Officer W,

Thanks for the response but these questions still need to be answered inorder to try and help you with your claims.

Exactly what has a psychiatrist, psychologist or social worker put in writing regarding your PTSD/Mental Health Diagnosis and in their opinion the cause (nexux) of this Diagnosis,and how this effects your daily life.

By how it effects your daily life does not mean sending all of your treatment or therapy progress notes. Sending MORE can be detrimental to a claim.

It's sending pertinent medical evidence that counts.

Example -

Date XX/XX/XXXX

Doctors Name credentials and Location Dr. XXXX - Psychiatrist - XXX Tampa, Fl.

Doctor states -

This patient has PTSD/ MDD / Panic Attacks

I have reviewed SMR's dated XX/XX/XXXX

It is my medical opinion the veteran's PTSD/MDD/Panic Attacks are at least as likely

as not the direct result of XXXXX shown in SMR's or Personel File dated XX/XX/XXXX.

And then list your treatment and how the condition effects your daily life or renders you unemployable - followed with Medical Rationale.

since I have back home, I am also a widow of a Chief Petty Officer and the mother of his two children I raised by my self because he died when he was 36 years old, my son has been diagnosed with PTSD as well due to the trauma of his fathers death. I met my husband while I was in ther service. Maybe they will not approve my PTSD I am going to submit my paper work. I am currently in treatment. I have all the notes from the treatment I am currently seeing a person who said I had PTSD and she gave me a GAF score of somewhere around 40. I did hear from them today and it only took 8 weeks it was just a letter telling me they wanted all my paperwork."

What has a doctor stated your nexus to your mental health condition is ?

Did you request SC for PTSD due to Military Sexual Trauma (MST) ?

Have you ever received a Rating Decision on PTSD or any Mental Health Condition ?

Also - Do the kids at least get Social Security since their father died ?

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There has been several things written in my record at the VA hospital PTSD from witnessing my husband suicide is what the doctor put in the notes, the second set of notes written by a social worker was PTSD from sexual trauma and my husband suicide and being physically abused as well. The social worker that did that last notes gave me a GAF score for 45 I believe. The social worker wrote a big write up in the notes how strongly she feels I have PTSD because of all of all of the above. I am currently contacted some of my late husbands friends who witnessed some of his actions while we were living in military housing the incident where my husband broke out windows in the house with his fist to the point where I had to call the military police to come get him he was so out of control, I was in the military at the time, he was under th influence of alcohol and was mad because I would not give him his keys and let him drive drunk, his friends are going to send more letters and I will be submitting them with my claim. My son now is considered disabled mentally as well and will he will be turning 18 soon, I feel he has PTSD, my sons money will stop soon, he still lives with me and is very dependent on me to the point that if I dont fix him something to eat and tell him to sit down and eat he will not eat now remember I was physically abused and threatened with a gun while I was pregnant with this child. There has been not rating in the notes just Gaf scores, I have not submitting my paperwork and been in front of a doctor for the C exam or whatever they call it but if i do go for the exam the doctor that diagnosed me with PTSd is the one that does them around here at the Va hospital, oh yes before I forget I also have notes to submitt my a psy doctor that was counseling both of us after he had put a gun to my head when I was pregnant it also states in the notes that he threatened me with knifes and it states domestic violence severe.

Petty Officer W,

Thanks for the response but these questions still need to be answered inorder to try and help you with your claims.

Exactly what has a psychiatrist, psychologist or social worker put in writing regarding your PTSD/Mental Health Diagnosis and in their opinion the cause (nexux) of this Diagnosis,and how this effects your daily life.

By how it effects your daily life does not mean sending all of your treatment or therapy progress notes. Sending MORE can be detrimental to a claim.

It's sending pertinent medical evidence that counts.

Example -

Date XX/XX/XXXX

Doctors Name credentials and Location Dr. XXXX - Psychiatrist - XXX Tampa, Fl.

Doctor states -

This patient has PTSD/ MDD / Panic Attacks

I have reviewed SMR's dated XX/XX/XXXX

It is my medical opinion the veteran's PTSD/MDD/Panic Attacks are at least as likely

as not the direct result of XXXXX shown in SMR's or Personel File dated XX/XX/XXXX.

And then list your treatment and how the condition effects your daily life or renders you unemployable - followed with Medical Rationale.

since I have back home, I am also a widow of a Chief Petty Officer and the mother of his two children I raised by my self because he died when he was 36 years old, my son has been diagnosed with PTSD as well due to the trauma of his fathers death. I met my husband while I was in ther service. Maybe they will not approve my PTSD I am going to submit my paper work. I am currently in treatment. I have all the notes from the treatment I am currently seeing a person who said I had PTSD and she gave me a GAF score of somewhere around 40. I did hear from them today and it only took 8 weeks it was just a letter telling me they wanted all my paperwork."

What has a doctor stated your nexus to your mental health condition is ?

Yes the social worker in the notes did state this

Did you request SC for PTSD due to Military Sexual Trauma (MST) ?

I just told my service rep that I had suffered from sexual trauma as well

but my claim just said PTSD

Have you ever received a Rating Decision on PTSD or any Mental Health Condition ?

I have just received a Gaf score of 45 but no rating yet have not had the exam with the person making the decision of the rating

Also - Do the kids at least get Social Security since their father died ?

Yes but my sons will end soon, he is still dependent on me and mentally disabled he was only 4 when his father commited suicide.

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I just recently put a claim in for PTSD, my VA rep told me I would probably here from them in a month, and I have not so I called him today and he said oh give them another couple of weeks,

I have not been able to submit my paperwork I have proving my PTSD or been ask to see a Dr. yet to be evaluated. I have been being seen for close to 10 years at the VA hospital near here for depression, anxiety and panics and doctors at the VA have put in the reports that they felt I had PTSD in fact they were the ones that brought it to my attention, now I feel after all these years

that I should submit a claim. Is it normal to sit around and wait a month before they ask you for your paper work and to see a doctor, can someone tell me the proper steps I should take with

all of this?

I have been out of the military since 1988, someone told me that they dont think I will win a claim putting it in after being out all these years. I am putting in the claim now because my social security survivors benefits stopped and I am still raising children of a deceased veteran who served 16 years active duty mostly on ships and some in war zones. I met him while I was in the service, and his traumatic death traumatized me really bad to the point where i have to constant take meds or I will have constant panic attacks. I was told years ago that if I was collect social security I could not put in for military disability (someone told me wrong), I put in my claim over 1 months ago and I have not heard anything and they have not even asked me for my paperwork..... on my proof ...any advice

I moved this over so that the thread is not so confusing.

Was your husband still on active duty? Do you recieve DIC or pension? Is your entire family receiving counseling. Were you a dependent when the incidents happen where the police were called out?

In order for you to get an approval for PTSD you have to show that incidents happened while you were still in the military. This will include information in your SMRs, police reports, and lay statement. Make sure your organize your evidence.

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Petty Officer W,

I'm sorry to hear all the things you experienced. Please do not get upset at any of us, as we are just trying to steer yo in the right direction. The only way you can "claim" PTSD would to be service connected while you were in the military. The fact your husband stayed in and you got out won't help your cause. I feel for you ma'am. Most of the people want you to get help as well as the ret of the family. I/we aren't saying you don't have ptsd at all. We are just saying it looks like you have PTSD that will not be service connected, unless you can connect the dots on the sexual trauma, while you were in. You need to have evidence when you were still in, in your medical record from that time period. You can bring in all your current VA paperwork for mental helath only. Organize the diagnoses. Without a formal diagnoses and them stating that it is more or at least likely it happened in the military then you will get denied. It appears your case is going to be much harder to prove. I wish you the best of luck in any/all endeavors.

Semper Fidelis

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My husband was still on active duty when the incidents happend yes, and I was still on active duty when incidents happened yes, we were living in military housing and the shore patrol was called out but would this incident still be on record in Pearl Harbor, some of the incidents happend when I was a dependent as well I did not become a dependent till after I was out of the military, I realize I have to prove this happened while I was in the military for the time frame, I have people that witnessed the situation submitting letters but would they keep records of incidents that happend that long ago..

Yes my children are in counseling have been for years my daughter has to take antidepressents. Do I receive DIC pension no I do not. My husband commited suicide a little less then two years after he got out of the military. What is a lay statement? A statement from people who witnessed the incidents.

This was a man who served during time of war and performed as a 4.0 sailor was voted Sailor of the year and made Chief Petty Officer in 9 years of service when he was 27 years old, my daughter and I pinned his anchors on at the ceremony, he was a great asset to the military and his country but had issues with depression and alcohol.

I have been out of the military since 1988, someone told me that they dont think I will win a claim putting it in after being out all these years. I am putting in the claim now because my social security survivors benefits stopped and I am still raising children of a deceased veteran who served 16 years active duty mostly on ships and some in war zones. I met him while I was in the service, and his traumatic death traumatized me really bad to the point where i have to constant take meds or I will have constant panic attacks. I was told years ago that if I was collect social security I could not put in for military disability (someone told me wrong), I put in my claim over 1 months ago and I have not heard anything and they have not even asked me for my paperwork..... on my proof ...any advice

I moved this over so that the thread is not so confusing.

Was your husband still on active duty? Do you recieve DIC or pension? Is your entire family receiving counseling. Were you a dependent when the incidents happen where the police were called out?

In order for you to get an approval for PTSD you have to show that incidents happened while you were still in the military. This will include information in your SMRs, police reports, and lay statement. Make sure your organize your evidence.

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I was in the military when the abuse started, we were stationed together in Pearl Harbor and I have proof of that, we were married in 1987 and I got out of the service in 1988, but maybe you right this might be a waste of time, but what about the sexual trauma how do I prove that?

Petty Officer W,

I'm sorry to hear all the things you experienced. Please do not get upset at any of us, as we are just trying to steer yo in the right direction. The only way you can "claim" PTSD would to be service connected while you were in the military. The fact your husband stayed in and you got out won't help your cause. I feel for you ma'am. Most of the people want you to get help as well as the ret of the family. I/we aren't saying you don't have ptsd at all. We are just saying it looks like you have PTSD that will not be service connected, unless you can connect the dots on the sexual trauma, while you were in. You need to have evidence when you were still in, in your medical record from that time period. You can bring in all your current VA paperwork for mental helath only. Organize the diagnoses. Without a formal diagnoses and them stating that it is more or at least likely it happened in the military then you will get denied. It appears your case is going to be much harder to prove. I wish you the best of luck in any/all endeavors.

Semper Fidelis

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For sexual trauma...did you seek treatment (therapy) for this while you were active duty? If so, this is what you need to get copies of from your SMRs. Also, you need copies of all treatment you have received between your release from active duty and now related to sexual trauma.

If you've been in constant treatment...it will be easier. If you haven't been in treatment, I wont' lie, it will be very difficult.

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http://veterans.house.gov/hearings/hearing.aspx?NewsID=356

Below is one of many witnesses appearing before House Committee on Mar 23rd.

Go to web site above to read other testimony

Statement of Bradley G. Mayes

Director, Compensation and Pension Service

Veterans Benefits Administration, U.S. Department of Veterans

The evolving PTSD claims process and the application of 38 U.S.C. § 1154

Mr. Chairman and members of the Committee:

I would like to thank the Chairman for this opportunity to testify on the important topic of post-traumatic stress disorder (PTSD). Mr. Richard Hipolit of the Department of Veterans Affairs (VA) Office of General Counsel accompanies me today. The number of veterans receiving service-connected compensation for PTSD from VA has grown dramatically. From fiscal year 1999 through fiscal year 2008, the number increased from 120,000 to 345,520. We all share the goals of preventing this disability, minimizing its impact on our veterans, and providing those who suffer from it with just compensation for their service to our country. Consequently, VA has expanded its efforts to assist veterans with the claims process and keep pace with the increased number of claims. Today I will describe the PTSD claims process and explain how VA applies the statutory requirements of 38 U.S.C. §1154 to the processing of these claims. I will also describe the challenges met by VA through the years as PTSD claims and warfare tactics have evolved.

38 U.S.C. §1154

Section 1154, which was enacted by Congress in 1941, requires that VA consider the time, place, and circumstances of a veteran’s service in deciding a claim for service connection. Section 1154(;) provides for a reliance on certain evidence as a basis for service connection of disabilities that result from a veteran’s engagement in combat with the enemy. As a result, veterans who “engaged in combat with the enemy” and file claims for service-connected disability related to that combat are not subject to the same evidentiary requirements as non-combat veterans. Their lay statements alone may provide the basis for service connecting a disability, without additional factual or credible supporting evidence. In PTSD claims, a combat veteran’s personal stressor statement can serve to establish the occurrence of the stressor.

The PTSD Claims Process

The processing of PTSD claims is governed by 38 C.F.R. § 3.304(f). This regulation states that, in order for service connection for PTSD to be granted, there must be: (a) medical evidence diagnosing the condition, (:) medical evidence establishing a link between current symptoms and an in-service stressor, and © credible supporting evidence that the claimed in-service stressor occurred. The first two requirements involve medical assessments, while the third requirement may be satisfied by non-medical evidence. PTSD is defined as a mental disorder that results from a stressor. The third requirement of the regulation emphasizes the importance of the stressor and the obligation of the Veterans Benefits Administration (VBA) to seek credible evidence supporting the occurrence of that stressor.

In PTSD claims where the stressor is not combat-related, VBA personnel will conduct research and develop credible evidence to support the claimed stressor. However, the statutory directives of § 1154(:P have been incorporated into PTSD regulations at § 3.304(f)(2), so that when there is evidence of combat participation, and the stressor is related to that combat, no stressor corroboration is required. The veteran’s lay statement alone is sufficient to establish the occurrence of the stressor. In Moran v. Peake, 525 F.3d 1157, 1159 (Fed. Cir. 2008), the United States Court of Appeals for the Federal Circuit held "the term 'engaged in combat with the enemy' in § 1154(:( requires that the veteran have personally participated in events constituting an actual fight or encounter with a military foe or hostile unit or instrumentality, as determined on a case-by-case basis." The Court said that "[a] showing of no more than service in a general “combat area” or “combat zone” is not sufficient to trigger the evidentiary benefit of § 1154(:)." When no combat award has been received, VBA relies on the circumstances of the individual case, as determined from the veteran's service records and other sources, to evaluate whether the veteran engaged in combat.

VBA responses to the changing circumstances of PTSD and warfare tactics

Through the years VA has made changes to § 3.304(f) based on the §1154 mandate to consider the time, place, and circumstances of a veteran’s service.

The definition and diagnostic criteria for PTSD evolved to a great extent from the psychiatric community’s attempt during the 1970's to explain the psychological problems of some Vietnam War Veterans. Once the medical community recognized this mental disorder, VA added it as a disability to the VA rating schedule. VA then moved to incorporate PTSD diagnostic criteria from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) into the PTSD claims evaluation process. According to DSM-IV, the symptoms of PTSD “usually begin within the first 3 months after the trauma, although there may be a delay of months, or even years, before symptoms appear." Given the delay that may occur between the occurrence of a stressor and the onset of PTSD and the subjective nature of a person’s response to an event, VA concluded, when it first promulgated § 3.304(f) in 1993, that it is reasonable to require corroboration of the in-service stressor, a conclusion with which the Federal Circuit agreed in Nat’l Org. of Veterans' Advocates, Inc. v. Sec’y of Veterans Affairs, 330 F.3d 1345, 1351-52 (Fed. Cir. 2003). Work is currently underway to update the disability rating schedule to compensate more effectively for disability due to PTSD.

As the military incorporated more female members into its ranks, VBA recognized that PTSD could result from personal assault and sexual trauma. These types of claims were increasing in numbers and are difficult to document. To meet this evolving situation, VA added §3.304(f)(4), which provides for acceptance of evidence for stressor corroboration in such cases from multiple sources other than the veteran’s service records. This evidence may include local law enforcement records, hospital or rape crisis center records, or testimony from family, friends, or clergy members. In addition, this evidence may be submitted to an appropriate medical or mental health professional for an opinion regarding the occurrence of the stressor. This expanded concept of potential evidence to corroborate the stressor in personal assault PTSD claims shows a positive and sensitive responsiveness on the part of VA to the changing demographics of the veteran population.

For the evaluation of PTSD claims where the stressor is not combat-related or the claimed stressor is related to combat but there is no initial evidence of combat participation, VBA has provided claims processing personnel with special tools to research veterans’ stressor statements. A website was developed that contains a database of thousands of declassified military unit histories and combat action reports from all periods of military conflict. In many cases, evidence is found in these documents to support the veteran’s stressor statement or confirm combat participation. Nationwide training was conducted to explain the use of this database and other official websites that can aid with stressor corroboration. This initiative illustrates the VBA commitment to assisting veterans with PTSD claims.

Although the combat participation provisions of §1154 have been in effect for many years, VA has recently provided a PTSD regulatory change that further carries out the intent of that statute and recognizes the changing conditions of modern warfare. Section 3.304(f)(1) now provides for service connection of PTSD when there is an in-service diagnosis of the disability. In such cases, the veteran's lay stressor statement and the medical examiner's association of PTSD with that stressor is sufficient to establish service connection when PTSD is diagnosed. This liberalization of regulatory requirements is due to the recognition by VA of the heightened awareness of PTSD among military medical personnel, resulting in increasing numbers and reliability of PTSD diagnoses for personnel still on active duty. This regulation also facilitates the timely resolution of PTSD claims and provides expedited payment of needed benefits to veterans.

These descriptions of PTSD-related initiatives make it clear that VA is committed to following the mandate of § 1154 and adjusting the PTSD claims process as necessary to better serve veterans. This concludes my testimony and I would be happy to answer any questions the committee members may have.

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