Need Help concerning PTSD

Discussion in 'PTSD' started by jtl111, Apr 5, 2007.

  1. jtl111

    jtl111 New Member

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    I am fairly certain that I have PTSD. Do I need to see a Psychiatrist before I file a claim or can I rely on the C&P examiner to give me a rating. My private insurance will not pay for treatment and or a diagnosis of this type of illness. Our local V.A. clinic is very small in my town and I would have to travel a very long distance to get to the V.A. regional center in my state.
  2. TinCanMan

    TinCanMan Active Member

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    No, while the C&P examiner doesn't "give you a rating", he can provide you a diagnosis of PTSD if you have it. The examiner will also have to find a nexus or connection between your disability and your military service. In addition to filing a claim, you will also have to provide a stressor letter describing the event that caused your PTSD. The C&P examiner only makes medical opinions. A Ratings Specialist, now called a Ratings Veterans Service Representative (RVSR) examines the evidence of record, including the C&P examiners report, and decides the claim based on the law.

    As far as treatment goes, I don't have a clue. I don't have PTSD and don't understand it. Rainvet will probably be along shortly and he can help you with treatment options.
  3. jtl111

    jtl111 New Member

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    Thanks for the info.
  4. Berta

    Berta New Member

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    The PTSD C & P exam is fairly extensive.

    I am former vet center volunteer with a PTSD Vietnam Combat group.
    Have you ever talked to anyone at a vet center yet?

    While vet centers dont usually keep elaborate treatment records , they can possibly document that you have sought some PTSD help already.

    Is it possible that there is a vet center near you? It is one way of also beginning to share your feelings and why you have PTSD.

    If you have the PH or certain combat awards on your DD 214,(LIke the CAR etc) the VA will cincede that you have a valid stressor.

    In all other cases you will have to provide enough information to have the stressor verified by the VA.

    Once the stressor is established , the rating % will depend on the level of affect of PTSD on you-as defined by the Schedule of Ratings that the VA uses from M21-1.

    The GAf score you receive is only one part of the overall rating picture.

    To give you an idea of the C & P exams for PTSD- they are all here:

    http://www.vba.va.gov/bln/21/Benefits/exams/index.htm

    Click on Under PTSD-Initial, Mental and I forget what the third one is-

    Now might be the time to begin writing a stressor letter.
    A statement of what event, accident, incident in service you believe is the cause of your PTSD.
    It is the time to recall places, dates, and even buddys who witnessed the stressor.
    If the VA needs to confirm it, best to give them all of the details possible.

    I assume you have your SMRs and military records. Now is the time-if the stressor will have to be verified, to search those records to see if they reveal any nexus at all that can help you-
    were you treated for anxiety in the mil? Did what ever caused the stressor become documented in the SMRs? etc. in any way at all.

    I had a vet who was thrown into a brig US Navy in the 1960s. He claimed service connection of his well documented NSC manic bi polar disorder.
    For 12 years the VA denied until he did something I suggested to him- get a copy of the Disciplinary action reports of the brig time.
    The reports revealed he had suddenly exhibited bizarre behavior and no one in those days recognised in was first manifestation of his mental disorder.
    Although a VA shrink had made a "more then likely" statement for him in the early 1990s - the VA continued to deny until he sent them the brig report info.

    About a year ago he received almost 1/4 mil in retro.100% SC.

    You might need eye witness account from a buddy -there are many ways to find a buddy and get what you need.
    A buddy statement should be very detailed as to how the buddy's mos and service time put them where and when you were and how they too witnessed the stressor event.
    They should give VA complete contact info and I always asvise getting the statement notarized but not really needed.

    I helped PTSD vet find buddy and here the Buddy told the VA in his buddy statement that he had been awarded SC for PTSD based on the very same incident and even gave the VA his c file number etc-and a very detailed eye witness account of the event.It was quite dramatic and also the good thing too is these 2 combat vets met up and united again over this whole matter.

    That helped the vet get his SC award considerably.

    My husband was 100% P & T PTSD. (SC at 30% in 1984)
    His stressor stuff was fairly detailed as to time and place.
    He recalled the months of stressors based on before or after Christmas, what Hanoi Hannah and Ho Chi Mihn was saying on the radio, what the news from the world was at the time of stressors , whether they were before or after the monsoons, what type of combat op it was, and one of the worse ones made National news here in the states as Marine volunteers (he was first to open the hatch)
    had to volunteer to retrieve bodies from a sunken amphibious track vehicle that had been in Perfume River I think it was -for many months already-had to be retrieved due to pressure from the families of the deceased.

    I dont know what stressor the VA verified in his case -they were plenty more combat related ones.He had to list them all month by month on the PTSD questionaire.

    Best to be prepared for the C & Ps and the inservice causes of your PTSD.
  5. smokin'joe

    smokin'joe New Member

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    C & P??

    sorry to be so dumb, but after years of trying to cope with my husband's ptsd, I'm finally turning to vet connected resources, so forgive my ignorance-what is c&p?
  6. Vike17

    Vike17 New Member

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    C&P = Compensation and Pension exam.

    Vike 17
  7. Onibas

    Onibas New Member

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    I don't like playing the lottery. If you go to the C & P without any paperwork from a doctor stating that you have been treated for PTSD you just wasting your time. Remember this examiners are not our friends, they are been pay to write in their reports negative statements so the reviewer denied our claims, period. If I were you I would drive the long drive to a VA hospital and seek treatment. One more thing any time that you go to the VA take someone with you. Good luck.
  8. TinCanMan

    TinCanMan Active Member

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    No, that's not correct at all. The C&P examination is intended to provide an independent opinion and diagnosis. The examiner is not necessarily interested in what another physician thinks.

    Some examiners will refuse them, some will take them and ignore them and a very few will use them. Most exams are very brief and if a diagnosis isn't required, will only be looking for specific information as requested by the decision maker.

    The decisionmaker at the VA Regional office is the individual that needs to see your private doctors notes and opinion and you don't have to send them anything. You will need to provide them with a VA Form 21-4142 for each facility/physician having records.

    Right, they're not your friend but they're not your enemy either. More importantly, they are not there to provide medical treatment. They might provide a diagnosis if one isn't already in existence, otherwise they just make observations of the severity of the condition in terms of the VASRD. If you want medical treatment either see your primary care physician or enroll in the VA Health Care System. While some C&P examiners may work for the VHA, they are under contract to the VBA for the purpose of the C&P. For what it's worth, unless a specialist is required or a diagnosis is necessary, most exams can be conducted by a Nurse Practicioner or a Technicial Specialist.
  9. TinCanMan

    TinCanMan Active Member

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    Ahhh... now we know what the problem is. Probably a personality disorder. His stressor indicates the girls laughed at his weenis.
  10. TinCanMan

    TinCanMan Active Member

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    This man "tet vet" is no gentleman. He's a known troublemaker on various forums. He's been banned on several., including this one.
  11. Vike17

    Vike17 New Member

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    I'm not a senior member and don't have the number of posts as TinCanMan does (as if that matters anyways, the content of the post does!), and will also say our "friend" "1968 tet vet" (and any other alias he goes by) is a troll. He is only interested in provoking an argument. He has been bounced by two other forums for the same conduct!

    And your post certainly aren't; especially with the profanity laced statments in your posts. Granted we were all in the military and probably spoke as such around other service members, but to do so on an open forum isn't very classy!

    Oh and don't use the "Ptsd" excuse either. I've deal with service members with PTSD on a regular basis and believe it or not, they know when it is appropriate to use such language!

    Vike 17
  12. stockrod

    stockrod New Member

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    PTSD Stressor is THE VA TREATMENT

    Unfortunately these guys are NOT MY FRIENDS, they caused PTSD from trying to treat me. Basically I have CPTSD (complex PTSD) which I was just diagnosed by a private psychologise (I actually made the diagnosis, he didn't want to hear it! - I went home, did some research, found out I had C-PTSD, told him - he didn't want to hear that either - but I brought my Fiancee. I was a Hospital Corpsman, left the service in 1982). The VA has been trying unsuccessfully to treat me (I told them!) using neurology residents, go here, try this, try that, try it again... Neither the VA or compensation people are my friends and are nothing like impartial. They minimize, make highly modified versions of reality in my treatment record, put in they did this, that and the other thing when they never did. They even put in I am being treated for ptsd when I am not. THey are residents in training that know nothing of Jaw injuries or what they are looking at, they each take turns taking their version of a history (it is all different, it started 7 years ago, it started in 1970, it started in 1980 etc, "Healthy well nourished male..." boiler plate cut and paste entries - that are illegal. I went in once and asked for a weight check and asked the nurse what do you see, which came out emiated and not well..., which is the truth, I regularly lose 20lbs in summers. I go in for a 20+ year old problem and each doctor treats it as if he is discovering it for the 1st time, eg I have a spinal cord injury from something else, one neurology resident told me what he "discovered" in the middle of my back, I told him NO, it was from my neck, and he had to EXPLAIN it to me, showing me various reflexes... when am I having it taken care of... He was wrong of course, it was an injury from work in 1992, I had a spinal fusion, has nothing to do with the S/C injury, but the Neuro residents are fasinated with my reflexes, and each and every one of them discovers it, is distracted it. Nobody listens, if they do and care there isn't anything they can do in the VA system, it is an abomination of medical practice that is for sure. I am terrified to even file for an increase though I have not worked in 8 years,


    I had an original Jaw injury when a Sergent assigned me a top bunk at Field Medical Service School (it took 8 years to get 10% S/C). I had surgery in the service to correct the injury, it was an experimental surgery the doctor tried for the 1st time and really screwed me up, it severed a nerve in my face, scared up the muscles/moved tendons to make my jaw tighter. It did nothing to improve my condition. Long story short, because of childhood trauma I have DESNOS, or C-PTSD, which the VA triggered PTSD symptoms from trying to (mis-)treat me, over and over. DESNOS/C-PTSD is Disorder of Extreme Stress Not otherwise Specified or Complex Post Traumatic Stress Disorder, which must start in childhood, it makes the likelyhood of getting PTSD type symptoms more likely, which happened from bad treatment at the VA. Or I should say farmed out to Residents/Fellows and Medical schools who come in and used me as "fodder" to practice on. Plain and simple. They are of no use to treat me, do not follow their own clinical guidelines (which of course I had in hand), rather I get "you may have it in writing but you are not going to get it here" and then they put in some imaginary treatment attempt in my record and state how uncooperative I was, or did something I did't do. Now of course I am uncooperative. The best medical advice someone could give me re the VA is "RUN LIKE HELL"!

    Good luck, you will need it


    I am former vet center volunteer with a PTSD Vietnam Combat group.
    Have you ever talked to anyone at a vet center yet?

    In all other cases you will have to provide enough information to have the stressor verified by the VA.

    Once the stressor is established , the rating % will depend on the level of affect of PTSD on you-as defined by the Schedule of Ratings that the VA uses from M21-1.

    Best to be prepared for the C & Ps and the inservice causes of your PTSD.[/QUOTE]

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