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    • How to get your questions answered.

      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.
    • Listen Live Every Wed 5:30 PM CST to SVR Radio, Veterans Issues are discussed with various guests.

      Listen Live Every Wed 5:30 PM CST to SVR Radio, Veterans Issues are discussed with various guests. Please check the little home I am carving out for our SVR partners. http://www.hadit.com/svr.html
    • 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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Can Some One Give Me Some Insight On My Ptsd Claim

7 posts in this topic

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Hello everyone been reading the forums for awhile but this is my first time posting in here. Brief bio of me Im a 14 year marine veteran SSG who served on many west-pac and was stationed in many theaters throughout the world from the first gulf war to Somalia to bangladish to OIF and everything inbetween served with 3/9 from 1989 till 1994 got out for 18 months came back in then got out once in again in 2004. I noticed when I got out I was experencing some personal issues that I wont go into detail on this forum about. I was hoping that you guys can give me a little heads up as to what you think I will be rated. I did my C& P exam on May 17 2012 at the Columbia Missouri VA the results are as follows

Does the Veteran have a diagnosis of PTSD that conforms to DSM-IV criteria-yes

axis I- PTSD With panic and depression-

axis II-none

Axis III-medical diagnoses (to include TBI): hearing loss, hyperlipidemia

Axis IV-Psychosocial and Environmental Problems (describe if any): Unemployed, social environment, martial conflict

Axis V-Current global Assesment of functioning score (GAF): 40

Comments, if any: GAF is assigned due to the presence of major impairment across multiple areas of functioning including irritability and anger outburst, unemployment, martial conflict, avoiding family members, and severe avoidence behaviors.

Does the veteran have more than one mental disorder? no

Occupational and social impairment-

A)Which of the following best summarizes the Veteran's level of occuption and social impairment with regards to all mental diaggnosis?-Occupational and social impairment with deficiencies in most areas, such as work, school, family relations, judgement, thinking and/or mood.

B)For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder- no other disorder has been diagnosed

C)If diagnosis of TBI exsist, is it possible to differentiate what portion of the indicated level of occupational and social impairment is attributable to each diagnosis:yes

5/17/2012 Veteran was assesed and determined to have had "two mild" TBI's as a result of truma he recieved while on duty in the marines. He was determined to have no risiduals from this TBI. The other mild TBI is from the concussive forces of a blast. This eposide is associated with residuals of headaches. Thus, the psychiatric symptoms described in today's examination are most likely due to PTSD.

Records reviewed-yes

Was pertinent information from collateral sources reviewed? yes

History

a. Relevent Social/Marital/Family history (premilitary, military, and post military):

Veteran was raised in an intact home with one older brother. denied any abuse. Stated childhood and adoescene was a good time for him. Hehad many friends and enjoyed playing baseball.

Veteran has been married twice. He was married while in the Marines and devorced about a year after his first discarge. He stated this was due to his anger. He has been married again since 2002. He reported his anger continues to be a problem.

Veteran has 7 childeren all still living at home. His wife works. He stated his parenting skills are poor and he tends to isolate in his bedroom. Stated he finds the childeren stressfull.

Veteran reported he has no friends except his brother.

Stated he use to like watching boxing; however no longer can tolorate this.

Here was the military incident I choose to leave out due to the fact it happened in Somilia and its very personal and very emotional part of my life hope everyone understands this.

Occupational history:

a)Veteran is unemployed. His last job was for 5 months at a grocery store. Stated he quit because he could not tolorate being around people, even though it was the night shift. Stated he had trouble forcing himself to leave the house to go to work due to fear. Stated his longest period of employment since discharge was 6 months. He has had about 10 jobs since 2004. Stated he has been fired and has had problems with yelling at coworkers.

Relevent Mental Health (pre-military, military, and post military): Veteran is currently treated at the Columbia VA for PTSD. He recently had to be switched from an intern to a licened psychologist as he could not tolorate the changes when interns left. Treatment records corroborate significant symptoms and functional impairment.

b)Relevent legal and behavioral history:

Stated he has been in many fights since discharge and has been arrested a couple of times for fighting.

No substence abuse

No sentinal Events

Here once again it explains the stressors that I wish to leave out

Stressor #1 does the stressor meet Criterion A (i.e., is it adequate to support the diagnosis of PTSD)? yes

Is the stressor related to the Veteran's fear of hostile military or terrorist activity?yes

Stressor #2 does the stressor meet Criterion A (i.e., is it adequate to support the diagnosis of PTSD)? yes

Is the stressor related to the Veteran's fear of hostile military or terrorist activity?yes

Stressor #3 does the stressor meet Criterion A (i.e., is it adequate to support the diagnosis of PTSD)? yes

Is the stressor related to the Veteran's fear of hostile military or terrorist activity?yes

Criterion A: The Veteran has been exposed to a tramatic event where both of the following were present:

The Veteran experienced, witnessed or was confronted with an event that involved actual or threatened death or serious injury, or a threat to the physical intergity of self or others.

The Veterans response involved intense fear, helpnessness or horror.

Criterion B: The traumatic even is persistently reexperinced in 1 or more of the following ways:

Recurrent and distressing recollections of the event, including images, thoughts or perceptions.

recurrent distressing dreams of the event

Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.

Physiological reactivity on exposure to internal or external cues that symbolizeor resemble an aspect of the tramutic event.

Criterion C: Persistence avoidence of stimuli associated with the trauma and numbing of general responiveness ( not present before the trauma) as indicated by three or more of the following:

Efforts to avoid thoughts, feelings or conversations associated with the trauma

Efforts to avoid activities, places or people that arouse recollections of the trauma

Marketedly diminished intrest or participation in significant activities

Feeling of detachment or estrangement from others

Restricted range of affect ( e.g., does not expect to have a career, marriage, childeren or a normal life span)

Criterion D: persistent symptoms of increased arousal, not present before the trauma, as indicated by two or more of the following:

Difficulity falling asleep

irritability or outburst of anger

difficulty concentrating

hypervigilance

exaggerated startle response

Criterion E:

The duration of the symptoms described above in Criteria B, C and D is more than one month

Criterion F: The PTSD symptoms described above cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Which stressor (s) contributed to the Veterans PTSD diagnosis?:

Stressor #1-yes

Stressor #2-yes

Stressor #3-yes

For VA rating purposes, check all symptoms that apply to the Veterans diagnosis:

Depressed mood

Anxiety

Suspiciousness

Near-continous panic or depression affecting te ability to function independently, appropriately and effectively

Chronic sleep impairment

Mild memory loss, such as forgetting names, directions or recent events.

Flattened effect

Impaired judgement

Impaired abstract thinking

Disturbances of motivation and mood

Difficulty in establishing and maintaining effective work and social relationships

Difficulty in adapting to stressfull circumstances, including work orworklife setting

Obsessional rituals which interefer with routine activites

Impaired impule control, such as unprovoked irritability with period of violence

Remarks if any-Mental status/behavioral observations: Alert and oriented. Veteran looked disheveled with holes in his pants. Mood appeared anxious with tense affect. Veteran was hiding outside the waiting area initially. He sat at the farthest distance possible from the interview and did not make eye contact at all. He tended to look at the floor, wring his hands, and rock himself. Thoughts were logical and goal directed. Noevidence of psychosis. Spech was within normal limits

Reported Symptoms:

Re-experinces symptoms: Veterans reported he was not initially bothered by re-experienceing symptoms for about the first year after deployment; however the developed over time and worsened significantly when there was news about Somalia pirates. Currently he has intrusive memories daily about stressors. Reported that he has nightmares about 4 times per week, about being in Somalia, about ~Deleted this part~. He wakes up and cannot return to sleep.

Hyperarousal: Endorsed hypervigilence that occurs constantly. He frequently checks doors and windows are locked. Irritability and anger outburst results in problems at home and at work. He tends to puch walls he sleeps 4-5 hours per night. Stated he is afraid to fall asleep due to nightmares. Endorsed difficulty with concentration such as absorbing what he is reading. stated he tends to forget things.

Avoidence: Veteran tends to avoid talking about stressors and tries not to think about stressors. When he does this is highly distressing. He avoids leaving his home and stays for weeks at a time only coming to the VA appointments. He avoids people in general and his family members. he feels loving towards his family; however stated he has difficulty showing this.

Panic attacks: Endorsed spisodes of hyperventlilating, shaking, feeling paralyzed, heart racing that occur about once per week and when he is alone.

Indicate type of exam for which opinion has been requested-DBQ Intial PTSD

Was the Veteran VA Claims file reviewed-YesChoose the statement that most closely approximates the etiology of all claims condition.

The claimed condition was at least as likely as not (50 percent or greater probability) incured in or caused by the claimed in-service injury, even, or illness. Provide rational in sectionc.

c. Rationale: Data from veteran interview and record review suggests that veteran presents with symptomology that meets the criteria for Posttraumatic Stress Disorder. Moreover, data suggests that reported symptomolgy is associated with moderate to sever levels of impairment across multiple areas of functioning that are addressed throughout the report. Veterans self report and treatment records suggest that these reported symptoms and functional impairment developed after veteran returned from Somalia. Overall, it appears likely that veterans reported symptoms are manifestations of exposure to stressors events while serving for the Marines in Somalia. Rationalfor this is the severity of the described combat experiences; the symptoms and the nature of his avoidence behaviors, such as avoiding crowds which are reminders of his stressors.

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Well that is the entire C & P report if some one can give me an idea as to what the rating may be like and time frame. Luckly im getting great help at the Colubia VA, they are an amazing group here and they are helping me with my problem mentaly. Its just very difficult for me to work. Presently my wife is the one working so that helps. I know this report is extremely long but I didnt want to leave anything out (except the actual stressors).

This was actually posted in another forum but got little help on it so I decided to put it in a more direct forum.

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Posted · Report post

This is what I think the VA should do:

A big SHOULD

I think they should award you TDIU but then again I see no TDIU claim has been filed yet, so I think they will award you 70% SC and enclose the TDIU form and defer it until they get it back.

But if I were you, I would print off the TDIU form here(21-8940) ,go over the suggestions I made in our TDIU forum as to how to prepare it, sign,copy and mail it to your VARO certified mail (or Priority with a tracking slip ) and then apply for SSDI-Social Security Disability.

You can begin the SSDI application on line.

There is a SSDI criteria ,however, as to when you last worked and the criteria is at the SSA site.

SSA awarded my husband for PTSD based solely on his VA medical records.

He was only 30 % SC for PTSD at that time with a claim for higher rating pending and finally was awarded 100% for PTSD 3 years after he died. Figure that.

They should consider you for SMC under Housebound too when they award TDIU.

Under the new PTSD regs, in my opinion, this C & P exam has cponceded your stressors so that should not be any issue here at all.

Many of us hardcore VA claimants have learned that VA doesn't always do what they 'should' do and this is one reason why there are almost a million claims presently on appeal.

Good luck with this and all you can do now is wait for a decision.

My husband was a Marine too and my education for my degree came primarily from active duty and retired Marine officers at AMU who had never dealt with a civilian tactical warfare student before. You can imagine what that was like.

Both of those factors have made me a kick ass VA claimant , and inspired me to always succeed in the VA claims process,even though some of my awards took years ,required me preparing a War plan for each claim, ( how I would assault them at every flank and frontal with evidence)and were downright battles. My last award got them from the rear so to speak. HA HA!!!!!

My AOJ VARO as not even seen it yet because it came from the Nehmer VARO in Phila.

I cannot foresee with this C & P exam that you will have any problems at all with an award.It will just take time.

.

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One other thing (sorry no one responded to the original post!)

There is so much here daily and often one single response can take some time and research that it happens but hopefully not too often.

I am missing something in the C & P and maybe just don't see it there.

Was the examiner asked if you can handle your own funds?

Sometimes the VA will grant a MH claim and then determine the veteran is incompetent to handle their funds. It is usually VA Bull shit

but in a few cases, it is a protection for the veteran.

Did you read the incompetency info here at hadit?

Never suggest the wife pays all the bills and handles the money.This is normal in almost every American Family but.to the VA, it means the veteran might be incompetent. Solely for VA purposes.

That issue can add significant time to seeing any retro compensation.

Yet I dont see here if that question was proposed to the examiner or how he/she replied.

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To Berta,

Thank you so much for your response, Im very apprciative of that...for your question pretaining to the handleing of funds she did state this in the report. and its as follows:

Is the Veteran capable of managing his or her financial affairs? YES

So hopefully I can get a response quickly and swiftly so I can help my family. This issues are very hurtfull and believe me when I tell you im trying to handle this the best way I can. But people out there like you give people like me who is new to the VA process some hope ~god bless you for that~

Steve

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Steve if you are going to Columbia VA in South Carolina or rather Dorn VA, I give them high marks for healthcare but the VARO for compensation claims gets an F it doesn't matter if you have one or 20 stressors for PTSD you only need one verifiable the rest is up to your medical condition and how your doctors notes detail it in 2005 they tried granting me 50% I filed the NOD the very next day it was a year later when they gave me anopther C&P exam that lasted about 5 minutes and granted 100% P&T my GAF scores were always 30-40 since I started treatment in Jan 2003 they did grant retro to Dec 2003 when I filed the PTSD claim my cardiac claim took until June 2009 to be granted and paid after all the appeals and BVA hearing

they are not your friends at the VARO learn patience

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Posted · Report post

Testvet thank you for the insight

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To Berta,

Thank you so much for your response, Im very apprciative of that...for your question pretaining to the handleing of funds she did state this in the report. and its as follows:

Is the Veteran capable of managing his or her financial affairs? YES

So hopefully I can get a response quickly and swiftly so I can help my family. This issues are very hurtfull and believe me when I tell you im trying to handle this the best way I can. But people out there like you give people like me who is new to the VA process some hope ~god bless you for that~

Steve

thanks Berta for the response

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