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      How to get your questions answered. A few observations, and requests of all members. All folks who come here are volunteers who do this on their own time and their own dime.To avoid burning out our best contributors please follow these guidelinesf you are reading a post and it reminds you of a question you want to ask, start a new topic, if you place your question in someone thread it will be difficult to distinguish your question from the original poster, you will get better results posting a new topic with your question. 1. Before Posting please do a search and see if your question has already been answered. If you find the answer print it out and put it in a file to use as a reference file, I find this helpful myself. 2. If you can not find the answer and you do post a question, please print out those answers and refer to them to avoid duplicate questions. 3. Refer to the Frequently Asked Questions4. Duplicate questions will come up from time to time but the keeping them to the minimum will lighten the load on the regular volunteers.5. Respect folks privacy do not request their personal phone numbers for claims help, it is inappropriate and not why they are here.6. Keep the topics focused on veterans issues, in closing Search first Search ... Ask second.it may save a lot of time or at the very least enlighten you.
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    • A bit about Tbird and HadIt.com for those who've asked...

      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. I would not file the PTSD claim, nor even discuss it. By Feb 1991 I had moved to the San Francisco bay area and was staying at a friends apartment and pretty much I was just a puddle. In desperation one night I called suicide hot line, I had no job, no idea about going to the VA. They talked with me for a long time and explained to me that I could go to the local VA hospital even if I did not have insurance. Now, I know what you are thinking if I was 50% why didn't I just go to the VA in the first place, two reasons 1, this was Feb 1991 and the 50% didn't come till May and 2, even if it had come through it is unlikely that I would have had the mental acuity at the time to put the two together. I relate this here because it is where so many of our brothers and sisters are coming from, perhaps where you started. Fuzzy and unsure, in pain and sometimes homeless they come to the VA hospital for help. And that is where I ended up. 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. I spent a lot of time on those benches watching the squirrels they gathered their nuts and I gathered mine :) So I'm thinking I could put a little handbook together print it out and hand it out at the VA. Or perhaps fliers. Still formulating, time goes by, 1994/1995 I am being treated for PTSD regularly and doing and feeling much better and I go to work for a company as a marketing systems analyst and I discover the internet. Well let me tell you that was perhaps one of the most significant life changing events I have ever experienced. And I might add finally a positive one :) It seemed only natural to me that surely there must be a website that contained all the knowledge I wanted, well as it turned out not so much, lots of stuff but I wanted to get straight to the claims information and there was a lot of stuff to wade through to get to it. 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.
    • HadIt.com Pass It On Cards

      Hi I've updated our HadIt.com Pass It On Cards. They are in a PDF format you can print them out cut them there are 12 to a page. If you have found HadIt.com helpful and would like to pass it on to other veterans this is an easy way to do it.I hope you find them helpful, feel free to leave a few anywhere veterans gather, veterans centers, veterans hospitals, public libraries, be creative. Please make sure though, that if you want to leave some at any business you ask permission first.Here you go http://www.hadit.com...it_on_cards.pdf
    • VA Training and Fast Letter Forum Index

      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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Mst Diagnosis And Nexus

51 posts in this topic

Posted · Report post

I was wondering what other veteran's experiences have been with NEXUS evaluations, IMO's, and diagnosis in general. In my own case I have noticed that the NEXUS evaluation questions seemed to focus more on events and history prior to entering the service rather than the actual assault while in service. This has created a nightmare for myself, as there was some early physical abuse by a parent up to age 10. My evaluators (there have been 3 now - but only one was done in person), have latched on to a Borderline Personality Disorder diagnosis as a root cause / comorbid occurance of the PTSD and Major Depressive Disorder they have also diagnosed. this has resulted in a "less likely than not" determination.

I found factual errors, chronology errors, misquotes, disregarded information, missing records, statements lacking the context I shared, symptoms developing post assault being used to support the "pre-existing" determination etc. and so far I can't get anyone to address them properly. Each time I have attempted to do so yet another evaluator reads the first evaluation, and either simply concurs if I am lucky or adds more errors more often than not. It has felt like I'm the victim of a horrible game of "grapevine" that I can't seem to end. In the meantime, I'm 1.5 years into my claim and had 2 denials (initial and reconsideration).

I'd like to hear from other veterans if they have experienced this, what they did to combat it, and if they were successful. I am scheduling for a DRO hearing soon and I need to know how best to address these issues without feeling like the RO is going to look at me and think "This person isn't happy about anything and questions everyone's judgement. they definately have a BPD issue..... claim denied". All I want is a fair shake on this thing. If they keep denying me based on incomplete or erroneous information I'm certainly not going to let that fly. I have been more open and honest withthe VA than my own family and friends, yet I feel like I am being painted into a "malingerer / liar / exaggerator" corner. My own personal statements have only been cited when they can use a portion to substantiate the BPD diagnosis, despite one being specific to clarification and dispute of the errors in the NEXUS.

FRUSTRATING AND INVALIDATING!!

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Posted · Report post

I cant answer your question, but I can share something with you that my civilian therapist(also a Vietnam vet) shared with me.NO CHARGE!LOL!

I too was diagnosed, depending what year or provider it was, with bpd. HE nor any other civilian mh professional I have seen considers me to be this. they dont. HE said " the va always gives vets this disorder to prevent them from collecting compensation"

You need to have a civilian psychologist negate THAT dx, to undo the damage done, because they will use it against you. if youre not bpd starting it will "appear' you are when youre at your most frustrate dealing with them/wanting compensation from them, and it just suits them fine.

Thats the best advice I can give you. good luck! Mystic

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Posted · Report post

One way to combat it is not to talk about your childhood with the VA. Now once the cat is out of the bag you probably need an IMO to show that the abuse you had during the military has caused your current disability.

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Thought you might be interested in this newspaper article claiming the military gives the stigma of personality disorders to us to prevent us filing claims for benefits:

http://www.heraldtribune.com/article/20120225/ARCHIVES/202251051/-1/todayspaper?Title=Stigma-seen-in-military-finding-TROOPS-Are-psychiatric-diagnoses-being-twisted-to-force-soldiers-out-

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Posted · Report post

Thanks Mystic. I will be sure to take this along to my DRO hearing. I have scoured my complete records (requested from VA), and can't seem to find the psychiatric evaluation required to be done prior to issuing my PD discharge....

Not suprising, since those records also had been sanitized of nearly all references to hospital treatment for 2 suicide attempts immediately after my assault (requests directly to providing hospitals have been submitted). You would think the DoD would find it more plausible to lose the whole damn medical file than risk being discovered someone is selectively removing info.

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You are very welcome and good luck with your hearing. You should google that topic title and see if ya get any more similar hits, jmo.

Yes, Ive got psych records missing from my smrs to, and theyr important. I was seen for depression over a period of a year after a coerced abortion. Those records are gone. tho Ive a statement from the attending shrink saying that hed seen me on a monthly babsis for depression for a wile. STILL! THAT was in my personal record collection, and if I hadnt had that and a lot of other stuff, Id be royally you know what. Sincerely, Mystic

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Jaina,

First, the "treatment" you have encountered by the Perpatrators, Superiors, Coworkers, Administrators, Medical Staff, and society at large is absolutely infuriating mad.gif to to hear. Most people don't have a clue how traumatic and damaging this type of experience can be, and it is sad to say, many folks are afraid to "be involved" what-so-ever; espeically with the amount of publicity over this high voltage issue.

It was not your fault, no matter what anybody tells you - their is no acceptable excuse to "their behavior".

I suggest you go to the Local V.A. you're being treated at, and request a complete copy of your Medical Records on CD-rom. It requires an extra release from the Mental Health folks, and if you get resistance, I'd see a Civilian Dr. and ask if they could write a Letter to support full release of the entire records to you.

Also, start a Chronicity Jouranl of all the events you've experienced in the past (MST only), and what happens to you on a daily basis (if you have daily symptoms). My DAV rep got me recording stuff; and I started sending emails to him and myself the next morning after I had nigthmare's of suffocation so they would be date stamped. We used this as evidence in my Claim, and it's powerful when recorded the morning of or the same day as episodes. Imagine a Judge someday ready - Last night, this morning; today on email files with date stamps.

Most importantly, as you have heard here on HadIt; NEVER, never, never give up. It's important you not permit this to slide by.

Get a 2" binder and buy a set of Avery 31 dividers at Staples, and start organizing everything in that binder.

Examples of information I found 22 years after the explosion:

pdf.gif GREAT LAKES TOXIC FUMES 2.pdf 264.95K 2 downloads

GREAT LAKES CHEMICAL PLANT EXPLOSION.pdf

pdf.gif GREAT LAKES TOXIC FUMES 2.pdf 285.52K 2 downloads

And, how I keep track of ALL my communications and records; I WILL NOT LET THE V.A OFF THE HOOK ON THIS ANYMORE!:

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Posted · Report post

Thanks Ping jockey. I know HOW the evaluation should have gone down. My problem is how it DID go down. I was lucky (I think), because I took a close friend who is a hospice nurse along with me to the evaluation. My anxiety would have not permitted me to go alone otherwise and I got a letter from my prescriber to allow this. So at least now when I tell the DRO that the primary focus of my ~1 hour evaluation waspre-history, I can have a satement to back that up. My 5 page assessment consisted of 2 sentences related to the assault. All the rest was "this behavior / that behavior signifies BPD". Even the suicide attempts within a month of the assault were used to back up BPD (seriously???)

My problem was (I am guessing) that I went to my C+P exam about 2.5 months after the assault came flooding back into memory after 14 years of being disassociated. I look back now, after being in therapy a year, and seriously wonder why I hadn't been totally commited. The only other time I ever acted so irrationally was just after the assault, through 2 suicide attempts, and a couple months following. I think I should have waited until my mental state stabilized before pursueing the C+P, but then again the severity would not have been as easily evident. I wish I had waited however, as I would have been able to recognize this unfolding during the exam a lot better.

Here's to hoping my request for a new, non-VA affiliated, NEXUS C+P exam goes through before my DRO hearing.

It's going to be a while before I can sort and address each mistake that's been made so far before the DRO but I am confident I can do it. Actually I think I have to do it, because what is happening now is the first 6.5 years of my career are basically being labelled as a fluke. It is standing in the way of my healing, and my ability to find my own validation.

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UPDATE: A former unit commander of 3.5 years has agreed to write a statement to attest to my performance AND the absence of any psychological issues / interference with duties while under his command. This officer currently holds the rank of O-6 Colonel and is a flight instructor at Ft. Rucker, Alabama.

On a scale of 1-10 as far as weight in my favor, I would guess this to hold a 7 to 8.

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Jaina I saw this article and found it to be very compelling. Perhaps you will too. I hope it helps in whatever small way. Mystic

"Note: there has recently been a trend amongst some psychiatric professionals to label people suffering Complex PTSD as a exhibiting a personality disorder, especially Borderline Personality Disorder. This is not the case - PTSD, Complex or otherwise, is apsychiatric injury and nothing to do with personality disorders. If there is an overlap, then Borderline Personality Disorder should be regarded as a psychiatric injury, not a personality disorder. If you encounter a psychiatrist, psychologist or other mental health professional who wants to label your Complex PTSD as a personality disorder, change to another, more competent professional."

Above excerpt taken from the link below:

http://www.bullyonline.org/stress/ptsd.htm

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Thank you mystic. I will include it in my "researched topics" section of my appeal.

I did some research on my evaluator for C+P and discovered the guy specializes in eating disorders, no mention of PTSD or sexual trauma experience. ain't that just fracking dandy?

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When I started my claim I was medically diagnosed with panic disorder major depression and agorophobia however the RO siad I had a personality disorder. The key in my opinion to refute a personality disorder is to look at the diagnostic code of the type of personality disorder and sho who the very specific terms do not apply. Another way is to show that you have been diagnosed with a condition that is able to award benefits.

As John said a good IMO should solve the problem.

Good Luck

PS You still can have a personality disorder and get service connected.

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Thanks Pete, but that may not help as much as I would like. There are quite a few BPD symptoms that overlap with PTSD. I think that's part of the reason the DoD and VA are giving service members so much grief over their PTSD claims.

It's almost like they expect people to react the same way, and for it to fit into a nice little box for them. Sorry, but each person is different. We may be their little autonamatons in the military, but individual personalities are just that.... PERSONAL and INDIVIDUAL. I can't tell you how many times I have heard "you shouldn't be reacting that way", especially when it comes to anger. Anger is one of the symptoms BPD and PTSD have in common. Instead of being able to let it out (verbally), The VA keeps trying to get me to use Zen techniques. Zen has it's uses but in all honesty it can wait. It can wait until after I have had the opportunity to come to terms with what happened, my mind betraying me and blocking it, and the damage it has contributed to or outright caused for over 14 years. I was constantly feeling invalidated.

I eventually went outside the VA to the Vet Center. I made it clear I wanted my sessions kept private and nothing would be released to the VA. I was tired of feeling I had to watch what I said in therapy just in case some little snippet could be annotated against my claim. The invalidation I was feeling also got to me.

I knew the first visit to the Vet Center I was going to start feeling better. My therapist listened to me, let me vent a little, asked my symptoms and how often they occur, etc. I kept hearing "that's common", "most PTSD vets feel that way", "that is a perfectly reasonable reaction", etc. I finally started to feel like I wasn't losing my mind.

I know the VA will NEVER give me validation. But by God they WILL STOP trying to invalidate my life prior to the trauma. My career was not some kind of "fluke".

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Thanks Pete, but that may not help as much as I would like. There are quite a few BPD symptoms that overlap with PTSD. I think that's part of the reason the DoD and VA are giving service members so much grief over their PTSD claims.

It's almost like they expect people to react the same way, and for it to fit into a nice little box for them. Sorry, but each person is different. We may be their little autonamatons in the military, but individual personalities are just that.... PERSONAL and INDIVIDUAL. I can't tell you how many times I have heard "you shouldn't be reacting that way", especially when it comes to anger. Anger is one of the symptoms BPD and PTSD have in common. Instead of being able to let it out (verbally), The VA keeps trying to get me to use Zen techniques. Zen has it's uses but in all honesty it can wait. It can wait until after I have had the opportunity to come to terms with what happened, my mind betraying me and blocking it, and the damage it has contributed to or outright caused for over 14 years. I was constantly feeling invalidated.

I eventually went outside the VA to the Vet Center. I made it clear I wanted my sessions kept private and nothing would be released to the VA. I was tired of feeling I had to watch what I said in therapy just in case some little snippet could be annotated against my claim. The invalidation I was feeling also got to me.

I knew the first visit to the Vet Center I was going to start feeling better. My therapist listened to me, let me vent a little, asked my symptoms and how often they occur, etc. I kept hearing "that's common", "most PTSD vets feel that way", "that is a perfectly reasonable reaction", etc. I finally started to feel like I wasn't losing my mind.

I know the VA will NEVER give me validation. But by God they WILL STOP trying to invalidate my life prior to the trauma. My career was not some kind of "fluke".

x

x

x

You mention the word "fluke" in several of your posts, is this something the VA said about your military service?

You are currently diagnosed with PTSD (private clinician), but the VA has diagnosed you with BPD (personality disorder). In your C&P Exam, how did the multi-axis lay out the diagnosis: Axis 1, 2. 3 and GAF etc. Was PTSD even listed?

Aside from the conflicting diagnoses, is your PTSD claim otherwise developed? Evidence of military stressor? SMR's and/or alternate evidence of PTSD symptomology? Private medical Records? Social Security exams, etc.?

Is there any record of psychiatric disease or symptoms in your SMR's? Anxiety, depression, etc? If so, it might be easier to claim those rather than PTSD. Just saying ...

Typically, when the VA needs to resolve a conflict of diagnosis, they will request an "Independant Medical Opinion (IMO)" sounds like this is the situation?

Is this your first, original VA claim for PTSD? You have just been denied by the RO, but have filed your NOD and asked for a DRO hearing? This is the time to submit additional evidence, you can send evidence up till the 11th hour ... ~Wings

P.S. Sorry I have more questions than answers. Welcome to Hadit! ~Wings

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P.S. Sorry I have more questions than answers. Welcome to Hadit! ~Wings

Hi, with that in mind. Ivebeen trying and trying to find cases where others were or FELT they were coerced/foced to abort a child in the military.

Can you find anything like that for me in your resources, please. Mystic

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*** WARNING - TRIGGERS *** *** WARNING - TRIGGERS *** *** WARNING - TRIGGERS ****

x

x

x

You mention the word "fluke" in several of your posts, is this something the VA said about your military service?

Not specifically. however there has been a disclaimer by the initial C+P examiner (the one who specializes in eating disorders) that BPD symptoms wax and wane. suggesting that I showed no signs of BPD for over 6.5 years of service. the fluke reference is the feeling I get when I try to point out my military performance and it keeps being omitted from subsequent evaluations (which I am not present for and are based on review of the initial exam that I have taken issue with).

You are currently diagnosed with PTSD (private clinician), but the VA has diagnosed you with BPD (personality disorder). In your C&P Exam, how did the multi-axis lay out the diagnosis: Axis 1, 2. 3 and GAF etc. Was PTSD even listed?

A PEB board proceeding in 1996 (2 years prior to my actual departure from the service) diagnosed:

AXIS 1 - Adjustment Disorder with mixed disturbances in emotions and conduct as manifested by depressed mood and 2 suicide attempts secondary to anticipated divorce, partner relationship problems, and job stress (The MSA occured during the same time frame but was disassociated and blocked)

AXIS 2 - Dependent Personality traits.

AXIS 3 - Status post anticholinergetic syndrome secondary to benadryl overdose.

Social and Industrial Impairment (GAF) was listed as mild. Retention was not recommended, but my service records up to that time weighed heavily in retention

The VA C+P exam conducted November, 2010 however:

AXIS 1 - Major Depressive disorder, Chronic

AXIS 1- PTSD

The symptoms of each mental disorder cannot be delineated from each other. The claimant has experienced multiple instances of abuse throughout her life, prior to and during the military, primarily physical and sexual abuse. The claimant describes a very unhappy childhood that is almost certainly liked to the abuse both witnessed and perpetrated allegedly by her father. She reports herself as being "a loner" for the most part and feeling "hopeless" most of her life. While it may be unclear what came first -- depression or or exposure to trauma, her current functioning is clearly interrelated with the two. Her first suicide attempt was attempt was related to the sexual assault perpetrated by her father on her as an adult in 1996. Her second suicide attempt came 3 weeks later due to ongoing marital troubles. Her final suicide attempt in 2010 was the result of an overwhelming sense of sadnessand hoplessness once again related to rumination about troubles involving her family.

AXIS 2 - Personality Disorder NOS

AXIS 3 - In-gender transition

GAF - 23

I have no knowledge of sexual assault as a child, however I have recently begun to question if it were present. At this point, I have actually been quoted as saying there was "years of prolonged physical and sexual abuse by my father against me, my mother, and my siblings". I have never stated this.

Denial of claim was based whole or in part by an IMO subsequent by a MD (I was absent):

1. The veteran's diagnosed PTSD and MDD are not attributable to the veteran's sexual assault by her father in 1996.

2. The veteran's suicide attempts while in the service were attributable to her AXIS 2 diagnosis, not early manifestations of her AXIS 2 diagnoses.

Aside from the conflicting diagnoses, is your PTSD claim otherwise developed? Evidence of military stressor? SMR's and/or alternate evidence of PTSD symptomology? Private medical Records? Social Security exams, etc.?

My father came to live with me at Ft. Campbell around the same time of my marital discord, financial difficulties, promotion, and workplace harassment. He had been living under a bridge for 2 years while the RP (Representative Payee) of his SSI benefits basically screwed him. It took me a year and a half to get these records from SS, and only just recieved them yesterday. They will be submitted.

I went into a year of therapy in 2004 for anger issues related to my daughter's molestation. I am awaiting a statement from the DR. When I mentioned this, attempting to show where a stressor had effect, the information was used to support the BPD diagnosis rather than the PTSD. The statement I have requested from the DR. should help quell this. This therapy was prior to the flooding memory of the assault which occured in 2010.

I went to therapy in 2008 for Gender issues, as required per the DSM-IV to begin transition, and attended ~20 sessions. This information has also been used to support the BPD diagnosis, despite MSA having the ability to cause sexuality issues. That provider has since retired and has dodged my request for a statement. I will be asking my DAV rep to contact him and possibly request the statement through the VA if necessary.

In both prior therapy instances I have now asked for a statement of context for the therapy, length of therapy, and either a concur or nonconcur to a diagnosis of BPD based on their exposure to me in therapy.

And of course I have attempted to get reevaluated where my service records are present (not just medical and VA), to show where my conduct, performance, and mental state took a literal nosedive 6.5 years into service following the assault.

In 2008

Is there any record of psychiatric disease or symptoms in your SMR's? Anxiety, depression, etc? If so, it might be easier to claim those rather than PTSD. Just saying ...

A spousal separation in 1994 caused depression and I was held for "Adjustment disorder" for a period of 3 days. No meds required or prescribed, MH counselling recommended after discharge only if symptoms worsened. Those records say I had no SI (suicidal Ideation), but it has been used by at least one IMO as "a suicide attempt prior to the assault. therefore symptoms of BPD first appeared prior to the event the veteran claims caused PTSD". My attempts to correct this assumption, based on only 4 pages of records of the hospitalization, have not been addressed.

And of course there is the Tri-service MEB in 1996 that diagnosed Adjustment disorder without knowledge of the sexual assault by either them or myself.

Typically, when the VA needs to resolve a conflict of diagnosis, they will request an "Independant Medical Opinion (IMO)" sounds like this is the situation?

The IMO's are being done by DR's reviewing the initial C+P without the errors being addressed. This has only compounded the problem with either concurring statements or , in the worst instances, further "cherry-picking" of information and erroneous information being used to make the problem worse. My request for a completely new C+P exam over 5 months agao has been ignored. No denial, no status update, nothing.

Is this your first, original VA claim for PTSD? You have just been denied by the RO, but have filed your NOD and asked for a DRO hearing? This is the time to submit additional evidence, you can send evidence up till the 11th hour ... ~Wings

This is my first initial claim. It has been denied originally and denied upon reconsideration. My VSO originally wanted to go the route of a BVA appeal, but after I picketed the VARO a couple weeks ago and got the VARO directors attention (and my file on his desk within 30 minutes), he called my VSO's supervisor and discussed going the route of an "expedited" DRO hearing. I am currently working on gathering additional evidence, sorting information and addressing EVERY assumption, error, overlooked piece of evidence, lost or missing records. I am also pressing for a new C+P (that lasts longet than 45 minutes) where my service records, statements, civilian treatment records, etc. are present and the evaluation is recorded on audiotape to minimize errors.

I don't trust the VA to be looking out for my best interests any more. I was stupid to believe their claim that my experience with them would be any different than with the US Army.

P.S. Sorry I have more questions than answers. Welcome to Hadit! ~Wings

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Sorry, but the green type should say "not early manifestations of her AXIS 1 diagnosis"

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DANG Jaina! Sorry to usurp yer thread. Its hard gettin answers sometimes. Good luck gal! Mystic

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Mystic,

Trying to jack my thread are ya? Good thing I don't actually have BPD or you would be a "BAD/EVIL" person in my book. tongue.png

Feel free to participate, and ask your own questions. You never know who is reading and what you may ask/share could be useful to the person reading.

<3

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Sorry, but the green type should say "not early manifestations of her AXIS 1 diagnosis"

Got it. I am reading and thinking about your input and will respond shortly.

I think it would be extremely helpful for the trans-gender doctors to opinein your favor: that being transgender is NOT a personality disorder! Have you requested his or her treatment records under FOIA? Can you meet with a similiar therapist?

Please tell me what MSA means?

The PEB, MEB and C&P do not diagnose BPD, where is this coming from, the IMO?

I would think if you were BPD you would NOT have lasted 6 years in the service. Your service accomplishments are not compatable with BPD.

More later ... Hang in there! You are doing everything right! You are dealing with a paternalistic (think misogynist) system. Maybe you are being discriminated against because of your gender choices or issues? Prejudice? ... ~Wings

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lol. military sexual assault, i presume. mystic

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Got it. I am reading and thinking about your input and will respond shortly.

I think it would be extremely helpful for the trans-gender doctors to opinein your favor: that being transgender is NOT a personality disorder! Have you requested his or her treatment records under FOIA? Can you meet with a similiar therapist?

I am really holding out for the original therapist, since this was done prior to recalling the assault, and therefore should be easy to distinguish BPD vs PTSD/BPD overlap.

Please tell me what MSA means?

Military Sexual Assault / Military Sexual Trauma

The PEB, MEB and C&P do not diagnose BPD, where is this coming from, the IMO?

The C+P / NEXUS evaluation diagnosed AXIS 2 - BPD

The C+P was forwarded to an MD the following month and they concurred with BPD for AXIS 2

I would think if you were BPD you would NOT have lasted 6 years in the service. Your service accomplishments are not compatable with BPD.

I served a total of 8 years, 10 months. including 2 full years after the attempt to MEB me out of service. It was at my last duty station my symptoms flared again, 8 months before my ETS. I tried to take an early out opportunity, but having ratted out an E-7 for being a ROADie (Retired On Active Duty) and spending his days fishing, boating, anything but being present to work.... life became a living hell. during An Article 15 I recieved for being late for duty on a weekly basis I brought up the justice of recieving an ART15 for a medically explainable symptom vs. a senior NCO's abuse of position to avoid his duties. The proverbial **** hit the fan, and the Warrant officer in our section was a little less than happy with me.

Neither is being promoted E-1 to E-6 in 6.5 years, recieving 3 AAM's (1 post assault), commandants list for PLDC (E-5 service school), Distinguished Honor Graduate in BNCOC 3 months prior to the assault (E-6 service school), nor 5 years of NCO evaluation reports that were superior ratings. NONE of this information was noted in my C+P nor any IMO since, despite trying to get it looked at.

More later ... Hang in there! You are doing everything right! You are dealing with a paternalistic (think misogynist) system. Maybe you are being discriminated against because of your gender choices or issues? Prejudice? ... ~Wings

I do not know about that, however the initial C+P exam report was rife with pronoun confusion to the point the VA had to actually send a request for clarification. and this from a Psychologist who supposedly taught a few classes on sexual Identity and gender Identity for over 2 years. I have also noted that symptoms "commonly associated" with a particular gender are being used when supporting BPD, versus being absent to support PTSD. I don't really have the energy to claim discrimination, but at this point I am not ruling it out either.

I am EXTREMELY frustrated and angry about this, as I feel my pre-assault service is being dismissed and evidence of chronic PTSD is only being used to support the BPD diagnosis. I have already made it clear that I am prepared to forward my appeal rebuttal to congressmen and the media if necessary.

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I am EXTREMELY frustrated and angry about this, as I feel my pre-assault service is being dismissed and evidence of chronic PTSD is only being used to support the BPD diagnosis. I have already made it clear that I am prepared to forward my appeal rebuttal to congressmen and the media if necessary.

x

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x

You might need a strongly worded IMO to refute the personality disorder. But I have seen pllenty of cases of service-connection with an Axis 2 personality d/o. So it can be done. Search BVA cases and you will see for yourself.

Rather than waiting for the retired, trans-gender clinician to respond to you (when you have said his behavior appears avoidant), I would seek out another clinician (who's practiced in the same field) to rule out the personality d/o. Even when you rule out the personality d/o. questions remain concerning the in-service stressor vs pre and post service stressors. HOWEVER, you do have a strong case with the PEB. MEB and C&P all have diagnosed Depression, chronic.

You must know your entrance into military service is PRESUMED SOUND. Even if the VA finds pre-service injuries, you have a cause or claim to "aggravation" See link below.

ALSO, what did your discharge physical exam note? ~Wings

http://38uscode.com/BVAappeals/cite/citations/Presumption%20of%20Sound%20Condition.htm

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x

x

x

You might need a strongly worded IMO to refute the personality disorder. But I have seen pllenty of cases of service-connection with an Axis 2 personality d/o. So it can be done. Search BVA cases and you will see for yourself.

I am currently homeless Wings. I am on a HVGPD program for housing, but have no income. SSI is giving me the runaround on this too. I simply cannot afford IMO's at this time unless paid for by the VA (And at this point I am concerned about getting any more of those VA paid DR's).

Rather than waiting for the retired, trans-gender clinician to respond to you (when you have said his behavior appears avoidant), I would seek out another clinician (who's practiced in the same field) to rule out the personality d/o. Even when you rule out the personality d/o. questions remain concerning the in-service stressor vs pre and post service stressors. HOWEVER, you do have a strong case with the PEB. MEB and C&P all have diagnosed Depression, chronic.

The depression was "attributable to an overarching consistency with BPD" in the IMO

You must know your entrance into military service is PRESUMED SOUND. Even if the VA finds pre-service injuries, you have a cause or claim to "aggravation" See link below.

Aggravation was addressed and denied in the IMO's

ALSO, what did your discharge physical exam note? ~Wings

I have not found a psychological assessment required for the CH 5-13 Personality disorder discharge. My discharge physical? not sure if I had one of those. I only had 5 days to clear my unit, post, and the US Army. If I had one, It would have been hurried to say the least. Will look for one.

I have found records of my entrance and Warrant Officer Flight training exams giving me an ok for everything (including psych), being on flight status and logging flight hours post assault, and 3 medical history questionaires in which all but the last one i checked NO for sleep problems and depression (entry and flight physical in 1992). The last one was done approximately 3 months prior to separation and on that one I checked YES

http://38uscode.com/...20Condition.htm

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