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Ptsd Increase


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17 replies to this topic

#1 sandboxsquid

 
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Posted 02 October 2009 - 11:02 AM

I'm currently at 30% for PTSD, and I'm ready to file for an increase. Nightmares have gotten worse, insomnia is the norm, intrusive thoughts throughout the day, bouncing from job to job, realtionship with the wife is getting rockier by the day, etc. (you get the picture) My question is will another C&P exam need to be performed? I am currently receiving counseling from a VA social worker twice monthly and have a VA shrink dispensing the meds, so my file would be an open book for them to review. Any info you can give me would be greatly appreciated.

#2 Pete53

 
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Posted 02 October 2009 - 12:20 PM

Yes they will probably do another C&P exam if they intend to increase it. No C&P usually means no increase.

#3 bob barker

 
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Posted 02 October 2009 - 01:29 PM

Yes they will probably do another C&P exam if they intend to increase it. No C&P usually means no increase.


what about if the request for increase is within 30 days of your rating?

#4 john999

 
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Posted 02 October 2009 - 03:06 PM

If you are serious about an increase you should get an independent medical opinion that should state that your PTSD has gotten worse. The IMO needs access to your VA medical records. He does not need your SMR's since you have already been SC'ed for PTSD. What you want to show is that your PTSD symptoms have gotten worse and that you are more disabled than you were when you got 30% rating. You should get a copy of the VA PTSD Exam format, and what the differences between a 30%, 50% and 70-100% ratings are for the VA. Your VA doctor is not interested in helping you get more compensation. He just treats you. You have to connect the dots to show you have gotten worse. If you depend just on the VA you may be at 30% for many years to come.

#5 mobie16r

 
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Posted 02 October 2009 - 03:57 PM

You dont necessary have to have a C&P to get a increase for PTSD.If you got a IMO and a VA pyschiartist write a letter that your ptsd syptoms have worsen and you are being treated you can get a increase.ITs all about evidence that you get from a medical professional.
mobie

#6 sharon

 
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Posted 02 October 2009 - 09:04 PM

what about if the request for increase is within 30 days of your rating?


If you have medical evidence, then ask for a reconsideration.

#7 Pete53

 
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Posted 02 October 2009 - 11:02 PM

That's different cause you already had a C&P

#8 Philip Rogers

 
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Posted 03 October 2009 - 05:52 AM

sandboxsquid - I don't recall your award date but why would you request an increase over a appeal(NOD) of the original award?? They'll probably do another C&P, if it's been a yr or more since the previous exam. You should read the ratings criteria to see what level of award you meet. Remember you need not meet all the criteria at a particular percentage to receive that award.

pr


I'm currently at 30% for PTSD, and I'm ready to file for an increase. Nightmares have gotten worse, insomnia is the norm, intrusive thoughts throughout the day, bouncing from job to job, realtionship with the wife is getting rockier by the day, etc. (you get the picture) My question is will another C&P exam need to be performed? I am currently receiving counseling from a VA social worker twice monthly and have a VA shrink dispensing the meds, so my file would be an open book for them to review. Any info you can give me would be greatly appreciated.



#9 Bill (USAF Retired)

 
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Posted 03 October 2009 - 07:17 AM

I'm currently at 30% for PTSD, and I'm ready to file for an increase. Nightmares have gotten worse, insomnia is the norm, intrusive thoughts throughout the day, bouncing from job to job, realtionship with the wife is getting rockier by the day, etc. (you get the picture) My question is will another C&P exam need to be performed? I am currently receiving counseling from a VA social worker twice monthly and have a VA shrink dispensing the meds, so my file would be an open book for them to review. Any info you can give me would be greatly appreciated.


I got an increase from 30% to 50% (the 30% was major depressive disorder, the 50% was depression plus PTSD) without a C&P. I was overwhelmed with worsening symptoms, and when suicidal thoughts entered the picture I got my (behind) over to my local VAMC for obvious reasons. Increase was the last thing on my mind; I needed help.

They took my concerns seriously and saw me immediately (yes, and had me under constant observation too). I was seen by a psychologist (who diagnosed PTSD based on my previous C&P plus new symptoms) and a psychiatrist who concurred. The psychiatrist point blank said to file for an increase and prescribed me three additional medications. He also noted some marks under my eyes, told me they were xanthomata (indicators of high cholesterol) and ordered bloodwork on me.

The stressor was already a matter of record (medal, SMR and VA medical records). I did the online claim the next day, and they upgraded me 10 weeks later.

Short version: No C&P and I still got an upgrade per evidence of record. Your mileage may vary.

#10 sandboxsquid

 
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Posted 03 October 2009 - 10:50 AM

It has been over a year since my award, and I went through my C&P originally back in early 2008. My stressors, medals, and all things connected are already a matter of record as well, so I think I'm just going to fillout the online claim as well. If I have to go through another C&P exam, so be it.

#11 john999

 
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Posted 03 October 2009 - 11:02 AM

The online claim thing is for new claims I believe. For an increase all you have to do is write a letter to your VARO and tell them you request a higher rating because your disability has gotten worse. You need evidence to show it has gotten worse, but you don't have to reinvent the wheel.

#12 Philip Rogers

 
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Posted 03 October 2009 - 12:48 PM

I just remembered, if you are requesting an increase, the VA is required to give you a C&P. Also, there used to be CAVC case law that may help you get around the one yr NOD thing. It had to do w/something like the assumption that the claimant was seeking the highest rating possible and if it wasn't awarded it was automatically considered appealed, or something like that. Someone else may be able to quote the case.

pr

#13 Pete53

 
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Posted 03 October 2009 - 02:42 PM

No matter how you have to ask or nothing will happen.

Good Luck

#14 john999

 
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Posted 03 October 2009 - 04:15 PM

You have to ask for it. However, I think if you are entitled to a benefit the VA is supposed to consider a grant even if you don't ask for it because it is inferred by the reg that Phil parphrased. In reality you have to ask or 99% of the time you don't get, but this might be the basis of an appeal. For instance, if you can't work due to an SC condition the VA is supposed to consider IU even if you don't ask for it.

#15 cachanilla73

 
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Posted 20 November 2009 - 07:56 AM

My husband got 10 % ptsd the first time, but it was obvious to me and his family that his problem was higher... he is getting counseling at the Veterans Center and seing a phsyc. at VA hospital, both agree his ptsd is around 40 to 50 %.... He filed for an increase, he sent the opinion from both profesionals plus the list of medicines prescribed by the phsyc as new evidence, and he still got the letter for his C & P exam...

#16 Victor_C3

 
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Posted 20 November 2009 - 10:07 AM

I was rated at 30% the first time around in September 08. In April I got into some trouble at work and they suspended me. I got re-evaluated in June 09 for 70%. I just lost my job in October 09 because of my PTSD and I put in a request for IU and I'm waiting for that. I feel my symptoms are worse now than they were in June 09 and I'm hoping that I get another C&P.

For the 30%-70% jump I submited a new claim and stated that my symptoms were getting worse. They scheduled another C&P. I had the same person examining me the second time around as I did the first time. The person even remembered me! I'm sure that helped. The biggest thing that I think helped to secure my jump was the fact that I actually had lost a significant ammount of time at work because of my PTSD. And, well, the suicide and violent thoughts helped too.

Best of luck!

#17 john999

 
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Posted 20 November 2009 - 10:12 AM

Squid

The way these ratings for mental health issues usually go is 10-30% first claim. You appeal with more evidence and maybe they bump you up to 50%. If you are not working due to PTSD then the VA bumps you up to 70-100%. This usually takes a few years unless you are totally incapacitated by the PTSD. If you are working it is hard to get more than 50%, but that sets the table for a higher rating. Getting a decent rating from the VA is a job. You have to work at it. It sounds like you are working at it. Keep going to the VA and complain your head off about your symptoms.

#18 cachanilla73

 
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Posted 20 November 2009 - 11:31 AM

This is interesting.... my husband is 10% ptsd. He filed for an increase, the VA already took a look at his medical records, his psychiatric told him, his C&P is on feb 2010... My husband works for the va hospital, he has been transfered to differents shifts and sections because He doesn't get along with his coworkers and superiors ( same with 14 jobs He has held since 2001 ).... last march He was forced to step down his work leader position to a regular housekeeping worker, He took it because He was afraid they will denie unemployment. He didn't submit this letter with the increase petition... since his claims (fibromylagia, apnea, tinnitus, low back, Gulf War Syndrome, sinnus ) already are in the post determination team He was told not so send the letter unless He is denied an increase.... any imput will be greatly appreciate it.....