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#1 Dot09

Dot09

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Posted 02 August 2011 - 11:09 AM

http://www.veteransd...connection.html

http://www.jimstrick...dical_Exam.html

Notes from Carlie,

Upon conclusion of today's mental health assessment of XXX, and review of pertinent medical records from XXX, it is my medical opinion that this patient fully meets the criteria listed in DSM-IV, fora current diagnosis of Bi-polar disorder.In review of medical records and as evidence upon personal assessment in atherapeutic setting, the patient vacillates between manic episodes that ultimately wind down and revert to Major depression, which usually runs through the course during a 7-14 day period of time. This diagnosis is supported as shown by cyclical mental health periods of disturbance,in which the patient presents with an inflated self esteem, with racing thoughts, flight of ideas and at time excessive involvement in pleasurable activities that have a high potential for painful consequences. When approaching the latter portion of the cycleof Bi-polar the patient begins the gradual slide intodepressed mood most of the day, with marked diminished interest in all,or almost all, activities for the day’s duration.



Here'smore info for you.
I pulled up the following information for you fromsome BVA decisions.

Perhaps this info will help clarify what you willneed from a mental health doctor.

In order to establish service connection for theclaimed disorder, there must be

(1) medical evidence of a current disability;

(2) medical, or in certain circumstances, layevidence of in-service incurrence or aggravation of a disease or injury; and

(3) medical evidence of a nexus between theclaimed in-service disease or injury and the current disability.

See Hickson v. West, 12 Vet. App. 247, 253 (1999).


In the case of a direct claim for serviceconnection, this nexus is a connection between the Veteran's military serviceand his current disability. In the case of a secondary claim for serviceconnection, this nexus is a connection between the Veteran's service-connecteddisability and his current disability. In each case, the determination of thisconnection, if any, is essentially medical in nature. The Board is prohibitedfrom exercising its own independent judgment to resolve medical questions.



The below is from a remand that you can see whatthey are going to want.
REMAND
The examiner should ascertain what, if any,
psychiatric disabilities currently exist.

The examiner should further comment on:

(1) The relationship, if any, between the in-service and anycurrently diagnosed psychiatric disorder; and

(2) the existence of XXX, and ifXXX is diagnosed, the XXX that form the basis for that diagnosis.
The report of the examination should be associatedwith the Veteran's VA claims folder.





a. "is due to" (100% sure) - THIS IS THE BEST - (by carlie)

b. "more likely than not" (greater than 50%) THIS IS PRETTY DARNED GOOD -( by carlie)

c. "at least as likely as not" (equal to or greater than 50%) This is acceptable for VA purposes and you don't want either of the next two - (by carlie)

d. "not at least as likely as not" (less than 50%)

e. "is not due to" (0%)

Edited by Dot09, 02 August 2011 - 01:56 PM.


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