Madden86

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I've posted once before about my process. I have been in on active duty navy for 10 years. Was diagnosed with anxiety disorder in 2011. Symptoms are still really bad, I have to take medication to help with my mood, panic attacks still occur daily. I just received my C&P results and Narsum. I am aware of how the VA rates mental disorders but I am unsure of what I will be getting back as far as a rating. The 2 diagnosis I received were GAD NOS, and major depression disorder single episode moderate.

C&P mental diagnosis
On the Occupational and social functioning section, the following is checked off:
Occupational and social impairment with reduced reliability and productivity.

In the symptoms section the following are checked off:
Depressed mood, anxiety, suspiciousness, panic attacks more than once a week, near continuous panic or depression affecting the ability to function independently appropriately and effectively, chronic sleep impairment, and difficulty adapting to stressful circumstances including work or work like setting.

I was also evaluated for TBI (nothing abnormal was found) slight hearing loss, tinnitus, loss of rom left wrist, and GERD. I will post more about these claims later when I have it in front of me. I'm mainly curious about the mental health rating since it is the chief complaint of my claim. Any advice or opinions would be greatly appreciated! Thanks everyone!
 

tony292

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VA mental health Rating criteria key wording:
Total occupational and social impairment, due to such symptoms as: gross impairment in thought process or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name …………………..100%

Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships ...................................... 70%

Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining Effective work and social relationships ………………..50%

Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events) ............................ 30%

Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by continuous medication .................. 10%

A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication .............................. 0%
 

tony292

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I would get a civilian provider and see if they will examine you and possibly fill out a DBQ. If you have any of the 70% symptoms, be prepared to explain them in detail and how they affect the functioning of your life. I got the same standard 50% initially for anxiety nos and depressive disorder. It is the standard first thing they will throw at you, they know TDRL requires 50% and then they can try and cut you down at TDRL reexam. I was ultimately able to get my MH rating up to 70%
 

Madden86

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Thanks for the responses! Will they base the ratings solely off of that observation by the C&P examiner or will they also take in consideration what was written in my Chronological Record of Medical Care by my psychologist? I will include a few paragraphs from that:

How does condition impact SM's work capacity or rate:
Anxiety symptoms are chronic and pervasive. SM acknowledges fear of chiefs and officers from his past experience working in recruiting, impairing interpersonal interactions. SM claims he has not made it to the next rank because he is fearful of being in a position of authority. He fears disciplining subordinates forfear he will not be likes or will be disregarded. He does not have the confidence to perform his duties, giving the example that it took him 8 hours to reassemble a fuel pump that should have taken him no longer than 45 minutes. When put on the spot to speak, SM reports he frequently freezes up.
Symptoms contribute to frequent "breakdowns" while on his ship resulting in confining himself to the berthing area (away from others) and crying until he falls asleep. He is unable to participate in fire drills as wearing a mask precipitates panic. He also endorses claustrophobia in his sleeping rack resulting in panic attacks during the night.
While on deployment, SM never left the ship to see the ports. SM is terrified to leave a military base for fear of something bad happening.

What is prognosis, capability to return to work, requirements for future treatment:
Prognosis for return to full duty is poor, given that pervasive anxiety symptoms appear unremitting and significantly impair occupational functioning.

Chief complaints:
current symptoms include constant worry, fear of impending doom, panic attacks, panic like symptoms, (chest pain shortness of breath, light headedness), muscle aches, depressed mood, low self-esteem, feelings of helplessness/hopelessness, crying spells, impaired concentration contributing to poor memory recall for newly learned tasks or directions, sleep disturbance due to racing thoughts, health anxiety, and avoidance of crowds/fear of being in public.

I will include more specific information if needed.
 

Warrior644

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Will they base the ratings solely off of that observation by the C&P examiner or will they also take in consideration what was written in my Chronological Record of Medical Care by my psychologist?
From my overall experiences within the DoD IDES process, the DoVA D-RAS is suppose to review any/all medical evidence and/or medical documentation in their evaluation to adjudicate military service-connection plus disability VA proposed rating(s), and not solely on the VA C&P Examination results.

As such, in any particular DoVA D-RAS evaluation process, the question then really becomes "is the assigned VSR actually reviewing all available medical evidence and/or medical documentation" prior to making a final recommendation? Hmm, don't actually know a valid answer for sure; therefore, the DoD IDES appeals process should hopefully assist with rectifying any potential injustices!

That all said, please remain vigilant while never defaulting acceptance to any injustices when in the DoD IDES process! Take care! :cool:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
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tony292

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Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships ...................................... 70%

Sounds like you meet at least two criteria for 70%. Your panic is near contious, and you seem to have extreme difficulty in adapting to a work setting. How has your anxiety affected your relationships? DO you have any suicidal ideations? What youll need to do is have your MH provider write it in VA language. Mine was a civilian and I handed him a printed word document and asked him for a DBQ and a letter explaining my condition using VA terminology. I told him I know Im not 10% and I know im not 100% and that I am not asking for 100%, I just wanted him to write something up in a way that the VA would understand. This was the provider I had seen for a year and a half and he was glad to see the VA criteria I posted above, and he filled out the DBQ and wrote a letter that were solid 70%. the VA CP examiner had interviewed me for 30 minutes and wrote a vanilla 50% DBQ. Anyway, I wound up getting the 70%.
 

Madden86

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Thanks warrior and tony! I will definitely take your advice if I do wind up getting 50%. I have had suicidal ideation and the anxiety has had a lot of impact on my relationships. My anxiety makes it to where I do not want to leave the house, resulting in an angry wife and children are disappointed. All of this is documented in my records and it even says that I go to marital counseling. Most of my problems are caused by anxiety, like not being able to discipline subordinates and my own children.
 

kalaborde

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Hey yall, i'm a Coastie in the MEB process for Dysthymia(depressive disorder) with persistent major depressive episodes and Generalized anxiety disorder with panic attacks. My MEB package was received 2 months ago in D.C and i haven't heard anything back since they recieved it. Can anyone help me with what to expect?
 
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