Yesterday we got a copy of his cfile, included is a 10 page C&P for PTSD. I can't put all 10 pages on here but I still can't believe he was still
only rated 30%.
I. Basic Data reveiw yes to all answers except for question E
II. Past Psychiatric History
hospitalizations Yes goes into detail
outpatient Yes goes into detail and talks about medication and treatment
III. Subjective complaints Depressed mood,social isolation,irritability, exaggerated startle response, and hypervigilence
IV. Veterans early history
Family stuff raised by paternal grandmother very poor, not raised with family. Parents divorced and family adopted out
V. Work history Good
VI. Social Adjustment Post military
answers no to all other than medical ,Marital and family good except when he drank, Social relations ships and activities none. Substance abuse none but prior alcohol abuse and rages.
VII. Social functioning
Isolates self
Capable of basic activities of daily living
Able to meet family resonsibilties
Comments Veteran was given an early retirement due to the severity of his symptoms after his hospitalization in 2006 He currently receives SSD for PTSD
VIII. Militry Stressors
a.Yes verified
b. level of traumatic stress exposure high mutliple events
IX. PTSD assessment
A . Person experienced an event yes
B. Persons response involved intense fear yes
C. The traumatic event is persistantly re-experienced Yes
D. Persistant avoidence of stimuli and numbing Yes
E. Persistant symtoms of increased arousal yes comments about sleeping on the sofa
F.Duration of symtoms more than one month YES
G. Social occupational imapirment Yes
X. PTSD Diagnosis Yes comments on Mississippi scale score of 113 and Score of 55 on the PTSD checklist
Areas affected by PTSD symtoms
Employement Severe
Daily living not currently affected
Routine responsiblities Moderate
Family role Moderate to severe
Physical Health Moderate
Relationships Moderate to severe
Leisure activities Moderate to severe
Quality of life Severe
XI. Post Military stressors No
XII. Experienced symptoms Chronic with delayed onset comments Heavy drinking after combat experience self medicated symtoms worsened when veteran quit drinking
XIV. Mental Status exam
I can't put all in here but comments on restlessness, past thoughts of suicide ideation and plans talks about prior instances pre 2006.Memory loss
Presence of depression veteran obtained a score of 46 on the Beck Depression Inventory 2 which is in the severe range of depression. Sleep impairment.
XV. Current psychiatrixcAssesment Psychiatric symptoms present now YES Severe symptoms chronic and continuous, remission No
XVI. Employability Poor
XVII. DSM-IV Diagnosis
Axis I Post Traumatic Stress disorder Chronic, major depressive disorder recurrent, Severe
Axis II None
Axis III Memory loss, hypertension, prostate hypertrophy, hyperlipidemia
Axis IV Stressors limited support system
Axis V GAF 48
XVIII. was opinion asked for No (i have no idea what this means)
XIX. Capable of managing financial affairs yes.
XX. Summary and conclusions
basically everything is worse
XXI. Additional comments
Veteran was interviewed with his wife present at his request. veteran meets diagnostic criteria for PTSD and Major depressive disorder Recurrent, which is secondary to his PTSD. Depression frequently co-occurs with PTSD.He also has a history of alcohol dependency which is in full remission, secondary to PTSD The alcohol use was an attempt to self medicate and his PTSD symptoms worsened when he stopped drinking. Veteran has total occupational and social impairment due to PTSD. He has not been able to return to work, spends all his time at home, does not engage in social or recreational activities. Veteran requires daily medication to control his symptoms.
Sorry it is so long. I was wondering what some of the professionals think. He got 30%. And please don't think the Avatar is me and that is why he is as bad as he is. That is Popeyes mom. I am using it as a joke on another YUKU site.
I. Basic Data reveiw yes to all answers except for question E
II. Past Psychiatric History
hospitalizations Yes goes into detail
outpatient Yes goes into detail and talks about medication and treatment
III. Subjective complaints Depressed mood,social isolation,irritability, exaggerated startle response, and hypervigilence
IV. Veterans early history
Family stuff raised by paternal grandmother very poor, not raised with family. Parents divorced and family adopted out
V. Work history Good
VI. Social Adjustment Post military
answers no to all other than medical ,Marital and family good except when he drank, Social relations ships and activities none. Substance abuse none but prior alcohol abuse and rages.
VII. Social functioning
Isolates self
Capable of basic activities of daily living
Able to meet family resonsibilties
Comments Veteran was given an early retirement due to the severity of his symptoms after his hospitalization in 2006 He currently receives SSD for PTSD
VIII. Militry Stressors
a.Yes verified
b. level of traumatic stress exposure high mutliple events
IX. PTSD assessment
A . Person experienced an event yes
B. Persons response involved intense fear yes
C. The traumatic event is persistantly re-experienced Yes
D. Persistant avoidence of stimuli and numbing Yes
E. Persistant symtoms of increased arousal yes comments about sleeping on the sofa
F.Duration of symtoms more than one month YES
G. Social occupational imapirment Yes
X. PTSD Diagnosis Yes comments on Mississippi scale score of 113 and Score of 55 on the PTSD checklist
Areas affected by PTSD symtoms
Employement Severe
Daily living not currently affected
Routine responsiblities Moderate
Family role Moderate to severe
Physical Health Moderate
Relationships Moderate to severe
Leisure activities Moderate to severe
Quality of life Severe
XI. Post Military stressors No
XII. Experienced symptoms Chronic with delayed onset comments Heavy drinking after combat experience self medicated symtoms worsened when veteran quit drinking
XIV. Mental Status exam
I can't put all in here but comments on restlessness, past thoughts of suicide ideation and plans talks about prior instances pre 2006.Memory loss
Presence of depression veteran obtained a score of 46 on the Beck Depression Inventory 2 which is in the severe range of depression. Sleep impairment.
XV. Current psychiatrixcAssesment Psychiatric symptoms present now YES Severe symptoms chronic and continuous, remission No
XVI. Employability Poor
XVII. DSM-IV Diagnosis
Axis I Post Traumatic Stress disorder Chronic, major depressive disorder recurrent, Severe
Axis II None
Axis III Memory loss, hypertension, prostate hypertrophy, hyperlipidemia
Axis IV Stressors limited support system
Axis V GAF 48
XVIII. was opinion asked for No (i have no idea what this means)
XIX. Capable of managing financial affairs yes.
XX. Summary and conclusions
basically everything is worse
XXI. Additional comments
Veteran was interviewed with his wife present at his request. veteran meets diagnostic criteria for PTSD and Major depressive disorder Recurrent, which is secondary to his PTSD. Depression frequently co-occurs with PTSD.He also has a history of alcohol dependency which is in full remission, secondary to PTSD The alcohol use was an attempt to self medicate and his PTSD symptoms worsened when he stopped drinking. Veteran has total occupational and social impairment due to PTSD. He has not been able to return to work, spends all his time at home, does not engage in social or recreational activities. Veteran requires daily medication to control his symptoms.
Sorry it is so long. I was wondering what some of the professionals think. He got 30%. And please don't think the Avatar is me and that is why he is as bad as he is. That is Popeyes mom. I am using it as a joke on another YUKU site.
