Hiller RM, Meiser-Stedman R, Fearon P, et al. Functional limitations of his PTSD symptoms are social withdrawal at work which interferes with timely and efficient completion of work tasks.Substance Abuse and Mental Health Services Administration (SAMHSA). Each of these issues consistently affects the veteran's ability to work a full time job and complete tasks both individually and as part of a team (examples included above in Social History and Mental Health History areas). The effects of his PTSD on occupational functioning include the following issues that interfere with maintenance of gainful activities (including both sedentary and physical tasks): sleep issues, nightmares irritability/anger, social isolation, hypervigilance, avoidance of trauma-related stimuli and triggers, and heightened arousal. Remarks, (including any testing results) if any: His depression and alcohol use disorders are both likely reactions to current PTSD symptoms and as a result cannot be fully differentiated. Is the Veteran capable of managing his or her financial affairs? Yes N Other symptoms - Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? Yes No 7. ![]() Upon direct questioning, no immediate SI or HI was reported. Speech was of average rate, tone, and prosody. Behavioral observations - The veteran was pleasant, and affect was stable. Symptoms - For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: Depressed mood Anxiety Suspiciousness Disturbances of motivation and mood Difficulty in establishing and maintaining effective work and social relationships 5. Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep).Ĭriterion F: The duration of the symptoms described above in Criteria B, C, and D are more than 1 month.Ĭriterion G: The PTSD symptoms described above cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.Ĭriterion H: The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. ![]() Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame).Ĭriterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects. Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).Ĭriterion D: Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., "I am bad,: "No one can be trusted,: "The world is completely dangerous,: "My whole nervous system is permanently ruined"). Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s).Ĭriterion C: Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Instead, overlapping symptoms clearly attributable to other things should be noted under #6 - "Other symptoms".Ĭriterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violence, in one or more of the following ways: Directly experiencing the traumatic event(s)Ĭriterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). Do NOT mark symptoms below that are clearly not attributable to the Criterion A stressor/PTSD. The stressful event can be due to combat, personal trauma, other life threatening situations (non-combat related stressors). The diagnostic criteria for PTSD, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). PTSD Diagnostic Criteria - Please check criteria used for establishing the current PTSD diagnosis. Based on your experiences, does this look like I have a chance at either? Thanks so much.ģ. I'm rated 70% right now, and I have applied for TDIU or 100% PTSD. ![]() I had another C&P for PTSD last week and below are part of the results. Unfortunately had some pretty bad experiences the past couple of years.
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