well the VA is trying to screw me. My C&P results they are taking all my issues and throwing them under my schizoid personality disorder. Anyway to fight this before it goes to the board for ratings.
LOCAL TITLE: WI-C&P
STANDARD TITLE: C & P EXAMINATION NOTE
DATE OF NOTE: JUL 22,
[email protected]:00 ENTRY DATE: AUG 02,
[email protected]:39:40
AUTHOR: ALEXANDER,SHIRLEY EXP COSIGNER:
URGENCY: STATUS: COMPLETED
Mental Disorders (other than PTSD and Eating Disorders)
Disability Benefits Questionnaire
Name of patient/Veteran: BOWDICH, STEVEN JAMES
SECTION I:
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1. Diagnosis
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a. Does the Veteran now have or has he/she ever been diagnosed with a mental disorder(s)?
[X] Yes[ ] No
If the Veteran currently has one or more mental disorders that conform to DSM-5 criteria, provide all diagnoses:
Mental Disorder Diagnosis #1: Schizoid Personality Disorder
ICD code: 301.20
Comments, if any:
The SM described a lifelong history of symptoms that meet DSM 5 criteria for Schizoid Personality Disorder. This personality disorder, per DSM 5, is "a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in
interpersonal settings, beginning by early adulthood, and present in a variety of contexts..."
He has never desired nor enjoyed close social relationships, has almost always chosen solitary activities, has been detached from others and had difficulty experiencing pleasure in activities
since his early childhood. As a result, he has struggled with anxiety/adjustment issues whenever he has been forced to interact with other people and unable to
BOWDICH, STEVEN JAMES
CONFIDENTIALPage 23 of 157
avoid such situations as would be his usual preference, and he has especially had anxiety with increasing rank and leadership roles since this has meant increased social interactions which is something he has never been interested in, nor comfortable with, and has always avoided
as much as all possible. In such a situation while in a mid-air exercise last year, being questioned by instructors, he had an anxiety attack and "froze up," and that incident led him
to mental health evaluation/treatment on base. His current situation with pending MEB
and unknown future (job, financial security) appears to be causing most of the anxiety that he reports today and is also causing a little depression; these symptoms should resolve once
he is out of service and back to his usual routine where he is better able to control any social interactions, and are thus not considered by this examiner as a separate diagnosis (such as an adjustment disorder, unspecified anxiety disorder, or GAD) but rather to be expected as part of
Schizoid Personality Disorder under such stressful circumstances (in a personality disorder, the individual manifests difficulties with cognitive patterns, emotional responses, interpersonal unctioning, and sometimes impulse control, problems which lead to significant distress and/or impairment in psychosocial and occupational functioning). If this SM's anxiety should persist beyond the transitional period back to civilian life and further interfere with his psychosocial or occupational functioning, he should be reevaluated for the possibility of a comorbid major psychiatric disorder. The SM reported having had some counseling in middle school for behavioral problems which he said became an issue after his parents divorced. SM also said that someone had suggested to his parents that
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CONFIDENTIALPage 24 of 157
he might have an autism spectrum disorder (Asperger's), which was also suggested by base mental health professionals and should be considered in the differential diagnosis, since he reports features today (and noted in treatment records) that are consistent with Asperger's;
however, it should be noted that this is beyond the scope of today's exam and requires more developmental history which is not known at this point, and even if this were to be formally
diagnosed, it would be considered a pre-existing condition, the same as Schizoid Personality
Disorder. He denies any further psychiatric treatment beyond adolescence until the mid-air anxiety attack last year when there was too much social interaction and other things going on while he was trying to focus on his job in what he says was a dangerous situation.
After that incident, he saw a therapist on base until the recent past; he also had psych testing done, the results of which were consistent with Schizoid Personality Disorder and also showed anxiety symptoms which would be expected whenever he is stressed since personality disorders tend to be pervasive and maladaptive patterns which lead to