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Sexual Addiction


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27 replies to this topic

#1 elliottme2

 
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Posted 13 July 2009 - 04:04 PM

Does anyone know if sexual addiction is rateable. Was diagnosed for it in the military. Still suffering from it. I was in inpatient clinic while in the miliatary for it. Any information would be greatly appreciated.

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#2 carlie

 
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Posted 13 July 2009 - 04:15 PM

elliottme2,
Welcome to Hadit.

I have never seen any information on sexual addiction being service connected
but that does not mean it never has.
You might want to do a search at the BVA level.

http://www.index.va....rch/va/bva.html

To all posters - please keep this topic thread on a serious note,
all jokes aside.

Many here have the opposite problem - but that - is not the topic of this thread.

carlie

#3 Testvet

 
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Posted 13 July 2009 - 04:28 PM

I have been on veterans boards for 10 years and can honestly say this is the very first time I have heard this condition brought up but I can be sure there will be quite a few veterans seaching the BVA decisions for this one but I don't think you will find any experienced vets that have dealt with the VA on this issue on the web boards

#4 jbasser

 
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Posted 13 July 2009 - 04:48 PM

This is probally controlled under mental health similar to obsessive compulsive disorder.
A MH doc would have to look at this.

J

#5 rentalguy1

 
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Posted 13 July 2009 - 05:17 PM

Sexual dysfunction is a differential diagnosis, or attached to a diagnosis of obsessive compulsive disorder. The VA uses diagnostic code 9404 for OCD, under the heading of Anxiety Disorders. So, yes, you can be rated for sexual addiction, but you would need a better current diagnosis, such as a dx of OCD. with a differential dx (one of the sexual dysfunction disorders) with overt compulsions. You will also need to have a verifiable nexus that proves that this condition was caused by military service. The diagnosis presenting itself during active duty does not guarantee a rating, and is in fact, only half the battle.

#6 elliottme2

 
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Posted 13 July 2009 - 11:11 PM

Thank You for your help. I look on BVA but could not find anything. I did consider compulsive disorder

elliottme2,
Welcome to Hadit.

I have never seen any information on sexual addiction being service connected
but that does not mean it never has.
You might want to do a search at the BVA level.

http://www.index.va....rch/va/bva.html

To all posters - please keep this topic thread on a serious note,
all jokes aside.

Many here have the opposite problem - but that - is not the topic of this thread.

carlie



#7 Hoppy

 
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Posted 14 July 2009 - 12:20 AM

When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

With this in mind you will need to show that you have a current condition that causes disruption of social and employment functioning. If the condition was not considered chronic in the military then you will need to establish a nexus between your current condition and the in service condition.

You need to get your SMR and have a doctor review it to see if a link between the symptoms in the military can be linked to many current condition. The VA might schedule a C&P exam. However, they do not always do this.

#8 elliottme2

 
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Posted 14 July 2009 - 09:27 AM

I am going to request a copy of my full medical records. I have the copy that I made before I got out but it did not include a copy of the inpatient records which are keep at the inpatient counseling center. I was told by a DAV rep to wait until I get a decision about my pes planus and back injury which I was told is past the rater and in the last stage of a decision. I'm not sure how long it will before I find out an answer. Can anyone answer why if I filed for four issues they only scheduled C&P exams for 2 of them. How come VA is telling me more accurate information than my DAV rep?

When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

With this in mind you will need to show that you have a current condition that causes disruption of social and employment functioning. If the condition was not considered chronic in the military then you will need to establish a nexus between your current condition and the in service condition.

You need to get your SMR and have a doctor review it to see if a link between the symptoms in the military can be linked to many current condition. The VA might schedule a C&P exam. However, they do not always do this.



#9 john999

 
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Posted 14 July 2009 - 11:24 AM

How does the VA treat other addictions? You have to show some other fact besides addiction I think. You cannot get SC for alcohol addiction or drug addiction, but you can get SC for some of the results of these addictions like physical breakdown of organs. Many people who are manic overdo it in the sex area and have multiple partners and seem out of control (because they are). Being bi-polar could account for so-called sex addiction. I don't think sex addiction itself will get you SC. Being OCD or manic will get you there. You need a doctor to show that the sex addiction is a symptom of some mental disorder the VA accepts as compensable. The VA would probably slam a Personaility disorder diagnosis on sex addiction unless you have other related problems.

#10 elliottme2

 
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Posted 14 July 2009 - 02:13 PM

Thank You for your reply. I do remember when I was in treament that the doctors labeled in my records that my sexual addiction was an obsessive compulsive disorder. I have not been seen by a doctor for this particular problem since that time but I have gone to a/a classes. Do I need to make an appointment for a Va shrink so I can get them to review my records.


How does the VA treat other addictions? You have to show some other fact besides addiction I think. You cannot get SC for alcohol addiction or drug addiction, but you can get SC for some of the results of these addictions like physical breakdown of organs. Many people who are manic overdo it in the sex area and have multiple partners and seem out of control (because they are). Being bi-polar could account for so-called sex addiction. I don't think sex addiction itself will get you SC. Being OCD or manic will get you there. You need a doctor to show that the sex addiction is a symptom of some mental disorder the VA accepts as compensable. The VA would probably slam a Personaility disorder diagnosis on sex addiction unless you have other related problems.



#11 LarryJ

 
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Posted 14 July 2009 - 03:10 PM

No, you need to file a claim.
Then, they'll schedule you for an exam.

#12 elliottme2

 
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Posted 14 July 2009 - 03:14 PM

i was wondering if i should schedule an appointment with a shrink just to show a more recent observation of the problem.

No, you need to file a claim.
Then, they'll schedule you for an exam.



#13 john999

 
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Posted 14 July 2009 - 03:21 PM

File the claim! That is the only way you will get compensation. The VA shrinks will talk you to death but never advance your claim for compensation. I think from what you say you do have a good claim. The OCD is the claim and the sex addiction is a symptom. You probably have other symptoms as well.

#14 elliottme2

 
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Posted 14 July 2009 - 03:33 PM

If I file for this can I also file for depression and anxiety attacks. Depression is my after effect from the OCD and when I am not able to get my addiction fulfilled I experience anxiety attacks. Will OCD, Anxiety attacks, and Depression be counted as 1 when I file or all seperate.



File the claim! That is the only way you will get compensation. The VA shrinks will talk you to death but never advance your claim for compensation. I think from what you say you do have a good claim. The OCD is the claim and the sex addiction is a symptom. You probably have other symptoms as well.



#15 carlie

 
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Posted 14 July 2009 - 03:33 PM

Thank You for your reply. I do remember when I was in treament that the doctors labeled in my records that my sexual addiction was an obsessive compulsive disorder.

In "treatment" where and "that the doctors labeled in my records that my sexual addiction was an obsessive compulsive disorder", you need hard copies of these records.
Also, the doc has to supply more than just a diagnosis they have to supply a nexus to military service.

I have not been seen by a doctor for this particular problem since that time but I have gone to a/a classes.

I do not feel attending AA classes unless court ordered will factor into this.

Do I need to make an appointment for a Va shrink so I can get them to review my records.

File a claim as suggested and VA will have the duty to assist by deciding to send you (or not)for a C&P.
carlie



#16 elliottme2

 
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Posted 14 July 2009 - 04:05 PM

I requested a copy of my records last week. I'm hoping they will come fast seeing I am close to the records center. I am definetly going to file for the OCD. I was in treatment in California on a Marine Corps base. This is a inpatient addictions clinic for all active duty military services including retiree's. The doc/shrinks were military personnel with degree in addictions. When I was in the treatment center there was only two of us there for sexual addiction the rest were for drugs and alcohol. i guess they don't get to many sex addicts because they tried to prescribe me antabuse...the medication that makes people sick if they drink alcohol. Thank you all for the advice.

#17 elliottme2

 
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Posted 14 December 2009 - 01:51 PM

It's been a while but I filed for OCD and had my c&p last week got the results back today...I don't think they are so good. My psychiatry consult list my diagnosis as ocd and anxiety which i am taking medicine for. my social worker list my treatment as depression. I was hospitalized in the service for sex addiction...in which we had counseling session that said it was due to acts that happened in the military. In my miltary record jacket it does not include any of the notes from the counseling sessions.


The examiner says in his notes that I don't meet the diagnostic criteria for ocd due to the fact he obtains pleasure from this activity. Which i don't know how he can say that because I don't and he never asked that question. He never asked if I got enjoyment from my ocd. He also states that i present symptoms congruent with a diagnosis of major depressive disorder.

axis impulse contril disorder not other wise specified pathological sexual behavior
marjor depressive diorder, moderate, recurrent
axis II deferred
axis III see medical chart
axis iV marital discord, financial concerns possible job loss
axis v gaf 45

#18 elliottme2

 
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Posted 14 December 2009 - 01:55 PM

Can you please revisit my post for sexual addiction. I got my cp results back today and i think i'm up a river.

#19 elliottme2

 
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Posted 14 December 2009 - 02:14 PM

I received my exam notes back today can you look at the post and let me know what you think.

#20 tssnave

 
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Posted 14 December 2009 - 02:41 PM

From a VA rating perspective, it doesn't matter if you have depression, OCD, or any number of other mental illnesses - they are all lumped together. IOW, you cannot be rated for OCD and depression, they will just say you have "OCD with depression" or some other VA speak and give you one rating based on your sx and how those sx line up with the rating schedule.

You do have major depressive disorder, which is ratable, so you should be rated based on your symptoms. Also, you have a low GAF score which indicates a severe mental illness.

Your thread does bring up an interesting question - if you requested evaluation based on OCD but got labeled Major Depression instead I assume the VA will rate your depression without your having to specifically apply for depression as opposed to having applied for OCD. Keep us posted on the outcome.

Here's the VA rating schedule on mental disorders in case you don't have it:

http://www.warms.vba...ART4/S4_130.DOC

Also, and this is just a guess, but since you applied for OCD, the examiner was asked to give a medical opinion on OCD which would explain the remarks about OCD. A quick google search reveals the DSM states OCD "is in contrast to "addictive" behaviors which produce pleasure or gratification". If you complete the sex act during your sexual compulsions my guess is the examiner is assuming this gives you pleasure and gratification, hence, your sexual addiction is not clinically considered OCD.

You can check out the DSM criteria for OCD here:

http://www.behavenet...orders/o-cd.htm

FRT, there apparently is debate among the shrinks as to whether or not sexual addiction is OCD or not. Quick google search will show you that there are two sides to this debate and apparently the treatment you got in service had the mindset that sexual addiction was OCD while the C&P examiner does not.

Since you have depression you still have a ratable claim even without a OCD dx for the sex addiction.

You mentioned you are married - do you have a Celebrate Recovery (CR) program at a church near you? It is a Christian 12-step program like the SA, AA, GA, etc 12-step programs only CR is not ambivilent about who the "higher power" is, they know God as their higher power. Because pornography is such a problem in and outside the church, CR has a sexual addiction break out group that you could benefit from. Your spouse could also attend a women's relationship group. CR has a big group teaching or testimony and then they break out in gender specific groups which IMHO makes things easier for a husband and wife to get the support they need from their peers. Something to consider.

Keep us posted on the outcome of your claim and hang in there while you wait.

Thanks,
TS Snave

#21 Pete53

 
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Posted 14 December 2009 - 03:00 PM

Elliot:

Don't worry wait and see what VA says.

#22 john999

 
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Posted 14 December 2009 - 04:17 PM

Your GAF scores and DX'es seem confused. Impulse control disorder is usually a Personality disorder and comes under Axis II. Depression comes under Axis I. However, it they SC you for depression that is compensable and that is what counts.
Many bi-polar people have sexual problems because their impulse controls are weak, but it is due to the bi-polar and not a PD. I guess you have to wait and see what the VA says. If they don't get it right then appeal it.

#23 Pete53

 
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Posted 15 December 2009 - 08:43 AM

I removed a post that if repeated will be dealt with appropriately. No personal attacks and by extension no attacks on gender. Please refrain from taking your issues out on a Hadit Member

#24 Teac

 
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Posted 15 December 2009 - 03:58 PM

[quote name='Hoppy' date='Jul 14 2009, 02:20 AM' post='154431']
When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

The military for years and even now only rate medical issues that directly impact your performance. For example, I was medically retired in 1986 for asthma at 30% , Because I had a profile stating NO Field duty. Yet I had other more serious medical conditions that were not rated by the service and rated by the VA at 70%. If the Army had rated me honestly I would have receive a 70% rating on retirement not the 30% I did get.

In fact this is the very reason that congress created the review board that allows a veteran to request his medical discharge or retirement to be reviewed because the military and VA using the same rating guide, almost never agreed on the ratings. And the Iraq war veterans were being screwed out of compensation and retirement benefits.

So don't think that just because the military did not rate you when you were discharged that this was correct because it wasn't.

As far as a sexually addiction, The only time I have heard about this is Law & order, but I don't see how anyone could get a rating for it by the VA.Even if you want to call it by another name. What next compensation for Porn addiction?

Edited by Teac, 15 December 2009 - 04:02 PM.


#25 elliottme2

 
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Posted 22 December 2009 - 01:37 PM

[quote name='Teac' date='Dec 15 2009, 03:58 PM' post='180774']
[quote name='Hoppy' date='Jul 14 2009, 02:20 AM' post='154431']
When trying to get a condition that you were treated in the military for service connected there is always the problem that the military did not feel the condition was either sufficiently chronic or sufficiently disabling at the time of your discharge to rate the disability. In effect you are fighting a determination that the claim has already been denied.

The military for years and even now only rate medical issues that directly impact your performance. For example, I was medically retired in 1986 for asthma at 30% , Because I had a profile stating NO Field duty. Yet I had other more serious medical conditions that were not rated by the service and rated by the VA at 70%. If the Army had rated me honestly I would have receive a 70% rating on retirement not the 30% I did get.

In fact this is the very reason that congress created the review board that allows a veteran to request his medical discharge or retirement to be reviewed because the military and VA using the same rating guide, almost never agreed on the ratings. And the Iraq war veterans were being screwed out of compensation and retirement benefits.

So don't think that just because the military did not rate you when you were discharged that this was correct because it wasn't.

As far as a sexually addiction, The only time I have heard about this is Law & order, but I don't see how anyone could get a rating for it by the VA.Even if you want to call it by another name. What next compensation for Porn addiction?

Don't know if there will be compensation for porn addiction....but sometimes addictions are really OCD. The va goes by that DSM book. Most doctors just reference the book and go with the amount of least resistance. I have my VA psychiatrist giving me medicine for OCD. Sexual addiction can qualify as a OCD based on certain guidelines. Ever hear of being a nympho. It does exist. Most have trouble seeing sex as an addiction or ocd because they automatically think of "enjoyment". Did you know that the cravings or urges a sex addict/ocd person is equivalent to the urges of a person who smokes crack cocaine.

Where does the material come from on Law & Order - real life.

#26 jerrbilly

 
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Posted 22 December 2009 - 01:58 PM

Probably be something of this nature:

Bipolar with OCD (sexual addiction)

Depression with OCD (sexual addiction)

I would think to be rated for this disorder you will probably need a primary condition and let this spring board off of it.

All the mental disorders are ratable under the same criteria so just start seeing a psychiatrist and see what he/she diagnoses you with and go from there.

Jerr


Does anyone know if sexual addiction is rateable. Was diagnosed for it in the military. Still suffering from it. I was in inpatient clinic while in the miliatary for it. Any information would be greatly appreciated.



#27 poolguy11550

 
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Posted 22 December 2009 - 02:49 PM

If you do not mind, can you give non-specific info on why you believe this may be service connected? As the nexus will surly be the focal point of the claim.

#28 elliottme2

 
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Posted 22 December 2009 - 03:03 PM

had cp exam...va examiner says he doesnt see a link...but docs in service said different. he said instead of ocd might be impulse disorder...axis i - impulse control disorder not otherwise specified...major depressive disorder, moderate, recurrent

gaf - 45




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