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      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. 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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.
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      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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Question After Receiving Copy Of Ptsd C & P

5 posts in this topic

Posted · Report post

How much weight does a C&P exam/report have in the overall rating by VA? - I do realize that is is not the only thing they consider. The reason I ask this is because the local VA mental health doctor/therapist that has been treating my husband did diagnose him with PTSD that conforms to DSM-IV criteria but not to the extreme (both in GAF Score and when it comes to Occupational and Social Impairment) that the C&P examiner did. Please understand I'm not complaining about the C&P report as I feel it is a more accurate representation of my husbands current (to this day)problems, having been married to him for over 20 years I knew him very well before and after combat.

Diagnostic Summary

Does the veteran have a diagnosis of PTSD that conforms to DSM-IV criteria based on today's evaluation? Yes

Current Diagnoses

Diagnosis #1: Post Traumatic Stree Disorder/Chronic, Moderate to Severe Axis 1

Diagnosis#2 Panic Disorder with Agoraphobia - Axis 1

Diagnosis#3 Depressive Disorder Not Otherwise Specified - Axis 1

GAF score: 35

Comments: Major impairment in several areas

Does the veteran have more then one Mental disorder diagnosed? Yes

Occupational and social impairment

Occupational and social impairment with deficiencies in most areas, such as work, school, family relations, judgement, thinking and/or mood. (Is checked)

Is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder?

PTSD: 70%, Panic Disorder with Agorophobia 10% and Depressive Disorder NOS: 20%

In the section for Stressors:

Does this (there are several stressors listed - all combat related that I would rather not post the details ) meet Criterion A - Yes

Are the stressors related to the Vet's fear of hostile military or terrorist activity? Yes

Which stressor contributed t othe Veterans PTSD diagnosis? All the stressors are checked.

Symptoms (the following are checked):

Depressed mood, anxiety , suspiciousness, panic attacks more then once a week, chronic sleep impairment, difficulty in understanding complex commands, disturbances of motivation and mood, Difficulty in establishing and maintaining effective work and social relationships, Difficulty in adapting to stressful circumstances, including work or worklike setting, impaired impulse control, such as unprovoked irritability with periods of violence, disorientation to time and place, intermittent inability to perform activies of daily living.

Other Symptoms:

Other symptoms are listed for each listed Disorder but I believe they are a bit personal.

Is the Vet capable of managing his or her financial affairs?

Yes.

Remarks: A diagnosis of PTSD is made. It has been determined that the veteran's claimed stressors are related to the veterans fear of in-service hostile military or terrorist activity. Rationale: His stressors/traumas are eligible for PTSD definition of traumas and he further met all of the other criteria of DSMIV for PTSD.

He had gone to a Civilian Psych (via Tri-Care as he's retired 22 years) over a year ago - that Dr was the first to diagnos him with PTSD - had to threaten him with leaving (which I would NEVER do....no matter how bad it gets but at the time he did not need to know this) to get him to go . He's been seeing a VA therapist since that time who also diagnozed him with PTSD - her initial exam of him is much like the above....but her recents comments have just been things like: has much less anger, clear speach, calm, coherent, Pt aware of person, place, time and situation. Casually dressed and adequately groomed, in fair mood with congruent effect. Complexity of Illness/Level of Impairment: moderate and stable at this time. YET they increased the doseage amount of medication that had been perscribed. To be honest....I personally have not seen much change for the better since he has been going to therapy....the medication has helped with his anger/outbursts a little but other things have remained the same or gotten worse:(

Looking at the VA's rating table for MH problems - I would think he would get a 70% rating if all they considered was the C&P........but with some of the things his current therapist is stating I think it might be lower.

To be perfectly honest though.....I just wish I could have my husband back to his former self.

Thanks in advance for any thoughts or answers to my questions.

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Posted · Report post

I think he will get 100% and I hope it is permanent and total. A GAF of 35 means he is at a very low level of functioning. Denial is one of the major symptoms of ptsd.

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Posted · Report post

I agree- as that was my husband's SC PTSD rating with GAF scores from 34 to 26 for PTSD and I think with the agoraphobia diagnosed , the VA should consider him for the Housebound SMC award too but they might not and he could appeal that.

I certainly know it is not easy to be in your position of supporting your husband while often perhaps becoming a victim of his PTSD yourself.

VA willingly gave us family counseling but it was ineffective for many reasons- too personal to say why.

Years ago the spouse of a PTSD vet started a PTSD spouses group and managed to get the local VAMC to allow the group to meet in the VA community room. It seemed to help many spouses who attended the initial meetings to at least know they were not alone with their problems and to find others who completely understood their situation.

I was asked to join and went to 2 meetings but it was then suggested to me that,since my husband had died, I was no longer a PTSD spouse apropriate for this group.

Many there had never even shared with anyone before, how PTSD was affecting them as a spouse. Some cried in shame for what they had been putting up with that they had never told anyone of.

I was also a former Vet center PTSD combat group volunteer and felt that experience would have helped this group as somehow as I lived in two separate worlds regarding PTSD. And still do.

The traumatic pain of a stressor, to the veteran is real, often catastrophic,.and certainly not the veteran's fault.

But that goes for many PTSD spouses as well.

I certainly hope you have a good support system ..and maybe there is a group like this in your locale, there are also PTSD spouse groups on the internet.

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Posted · Report post

Thank you very much for your replies John and Berta. Thank you also Berta for your insight and understanding, no doubt you of all people understand the pain, sadness etc of watching a wonderful man fight the demons of war that haunt him - its such a helpless feeling for a spouse. His current therapist did reach out to me in regards to a wife (of veterans with PTSD) support group, providing me with a phone number to call, but I have not yet called. Maybe someday I will....... I am a veteran also and am dealing with my own demons. We are muddling through all this.....

Believe it or not...he is still working. He had to give up his business a few years back because of not being able to deal with people or be around people without the rage rearing its ugly head and other symptoms of his illness. Something that had to be done and I'm glad for his sake and others around him (their safety), that he reluctantly gave in. He now works delivering small packages...he's by himself 97% of the work day, but that 3% is what has me worried everyday. I think him working...is something he needs but to be honest we also need to survive financially...even though it takes him upwards of 2 hours to get ready for work and get out there - he says it gives him a purpose in life.:( Other then work and dr appointments...he would not leave the house..stopped fishing or doing anything that he usta enjoy:( I got him a German Shepherd puppy a couple of years ago which has been the BEST thing for him...he takes her for short walks and spends alot of time with her on our property, they are both very bonded....has helped his moods just having her by his side. Sometimes I'm actually jealous of her and his attention to her:)

Thanks again for the responses...sorry I rambled...

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Posted · Report post

He is still Working?

I need to change my opinion-

Employment will impact on his VA compensation rating and certainly my idea of 100% plus perhaps SMC potential is now

incorrect , knowing he can work.

I do suggest that he go over the links here to CRDP and CRSC regarding those programs and he might be eligible for one of them.

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