Legal compensation and pension claim decisions and would not be Instead, he was informed that this examiner is an independent provider ofĬlinical information and expertise to assist those who review and make Treating clinician or the legal determiner of compensation or pension. He was informed that this examiner is not his He was provided with a chance to ask questionsĪbout the evaluation procedures. He was also informed of the risks and benefits of Veteran was informed of the nature and purpose of the examination andĬonfidentiality limits. The veteran was referred for a compensation and pension examination. Portion of the occupational and social impairment indicated above is caused byĮvidence reviewed (check all that apply): If a diagnosis of TBI exists, is it possible to differentiate what It is difficult to determine to what extent his three conditionsĪre impacting his social and occupational functioning. Portion of the indicated level of occupational and social impairment Yes No No other mental disorder has been diagnosed Impairment indicated above is caused by each mental disorder? Possible to differentiate what portion of the occupational and social For the indicated level of occupational and social impairment, is it With normal routine behavior, self-care and conversationī. Occupational tasks, although generally functioning satisfactorily, Occupational and social impairment with occasional decrease in workĮfficiency and intermittent periods of inability to perform Occupational and social impairment with regards to all mental diagnoses? (Check only Which of the following best summarizes the Veteran's level of Does the Veteran have a diagnosed traumatic brain injury (TBI)? Portion of each symptom is attributable to each diagnosis withoutĬ.
His concentration deficitsĪlso characterize ADHD. Some symptoms, such as his insomnia, irritability, troubleĬoncentrating,and social withdrawal characterize both PTSD and Whether there is any clinical association between these diagnoses: Portion of each symptom is attributable to each diagnosis and discuss
If no, provide reason that it is not possible to differentiate what Is it possible to differentiate what symptom(s) is/are attributable to Does the Veteran have more than one mental disorder diagnosed?ī. Mental Health Disorder (to include TBI): Knee pain, sleep apnea,Ī. Medical diagnoses relevant to the understanding or management of the Mental Disorder Diagnosis #3: Unspecified Attention-Deficit/Hyperactivityī. Mental Disorder Diagnosis #2: Other Specified Depressive Disorder Mental Disorder Diagnosis #1: Posttraumatic Stress Disorder Initial Post Traumatic Stress Disorder (PTSD)ĭoes the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteriaĪ. STANDARD TITLE: MENTAL HEALTH C & P EXAMINATION CONSULTĭATE OF NOTE: SEP 20, ENTRY DATE: SEP 20, RAY,CHRISTOPHER L EXP COSIGNER: I think IU is in my future but if you could help me understand what the rater may choose I would appreciate it. He noted in here my suicide attempt and the ideation that still occurs so would that help in the ratings game? I honestly just think that working isnt going to happen much longer. My life has not been the same and just keeps declining. The doctor checked the box that would warrant a 30% rating but I definitely feel this is a low ball. I just went to my exam last week and this was the results.
I was previously denied for PTSD so I submitted new evidence and also claimed Depressive disorder. This appears to be a favorable exam but I am confused.