they should because the ratings for mdd and gad are only 30.... and you read the reports... they should both be at least 50 each.
MEB Provided exam -
3. OCCUPATIONAL AND SOCIAL IMPAIRMENT
3A. WHICH OF THE FOLLOWING BEST SUMMARIZES THE VETERAN'S LEVEL OF OCCUPATIONAL AND SOCIAL
IMPAIRMENT WITH REGARD TO ALL MENTAL
DIAGNOSES? (Check only one)
Occupational and social impairment with occasional decrease in work efficiency and intermittent
periods of inability to perform occupational tasks, although generally functioning satisfactorily,
with normal routine behavior, self-care and conversation
PTSD exam from October 31 - also provided -
4. Occupational and social impairment
-------------------------------------
a. Which of the following best summarizes the Veteran's level of occupational and social impairment
with regards to all mental diagnoses? (Check only one)
[X] Occupational and social impairment with deficiencies in most areas, such as work, school,
family relations, judgment, thinking and/or mood
b. For the indicated occupational and social impairment, is it possible to differentiate which
impairment is caused by each mental disorder?
[ ] Yes [X] No [ ] Not Applicable (N/A)
If no, provide reason: symptoms are interrelated
c. If a diagnosis of TBI exists, is it possible to differentiate which occupational and social
impairment indicated above is caused by the TBI? [ ] Yes [ ] No [X] Not Applicable (N/A
5. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses:
[X] Depressed mood
[X] Anxiety
[X] Suspiciousness
[X] Panic attacks more than once a week
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent events
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social relationships
[X] Difficulty in adapting to stressful circumstances, including work or a worklike setting
[X] Inability to establish and maintain effective relationships
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with periods of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living, including maintenance of minimal
personal hygiene
6. Behavioral Observations
--------------------------
Veteran arrived a few minutes early, alert and oriented x 4. Affect and mood were congruent
(anxious, agitated). There was no evidence of thought disturbance. Eye contact was good sporadic.
He was dressed appropriately for the season and setting. He was preoccupied by how horribly he
feels he was treated by his command. He cursed quite frequently throughout the interview.
He was difficult to redirect.