Top 5 Mental Health Secondary VA Disability Claims
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- Опубликовано: 12 мар 2024
- 🩺 NEXUS LETTERS:
MENTAL HEALTH
Dr. Prashant Sharma - Psychiatrist
📧 Email: prashant.sharma2@concisepsych.com
MUSCULOSKELETAL
Dr. Rachna Patel - Physician
📧 Email: nexusletterdoc@gmail.com
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Take control of your mental health
www.concisepsych.com/a/214784...
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- Clay
Thanks Clay!
Brother just got 70 first time 30 years ago thanks...love your videos and EVIDENCE is the key...
Hey guys listen up this guy know what's going on for real
Good stuff as usual CivDiv!
Great info! Thank you!
Just got my first secondary for mental health last week! Thanks for everything you do.
Nice! What was the secondary? Is it on this list?
- Clay
depression/insomnia. im one of those guys that only had one direct connection so this helps out a lot!@@TheCivDiv
I’m a gulf war veteran from the 90’s I’ve been SC for tinnitus 10% & 10% for migraines total of 20% . Today I found out I’ve been SC for PTSD 70% & 50% for sleep apnea.. I’m now 90%!!!! I’m getting back pay from Aug 11 2023 this is one of the greatest days in my life checking the computer everyday almost killed me. Lol. Keep ur heads up Veterans keep fighting.🎉
Great video
Perfect migraine claim. Current diagnosis, medication, migraine log, nexus, and dbq
😮
You are one of my favorite videos starting to learn the avenues. I Had my CMP exam. Friday for toxic exposure to JP4. Brought all my medical documentation 30 pages. same papers that I filed online and expected that the doctor would have the same good thing I had brought my paper. Had three surgeries for Lymphoma on the tongue "in 97 '08 "in 2012. He didn't ask many questions but he studied those papers for almost an hour with him and took a couple pictures. What can I expect from this?
Thanks!
Oh my goodness thank you!
- Clay
Great info. I just got 10% for gerd. Denied osa. Ibs is being sent in. I’m also doing another sleep apnea with anxiety and gerd.
I'm in the process of trying to get approved for MH secondary to OSA. I am SC for OSA and diagnosed with depression. My C&P Dr seemed confident I'd be approved. Lack of sleep definitely causes MH issues.
Have anxiety and SSD diagnosis. Filed secondaries for GERD and IBS as well as incontinence from prolonged IBS and Pruritus Ani (itchy butt from chronic diarrhea).
Solid content as always.
Just so you know, rhat outro music @ 10:23 was pretty loud and overpowered your voice lol
Yeah my b
- Clay
I never understood the point of people using background music for such serious topics
I literally had to stop watching the video because of that noise.
Love your channel bro, have learned alot! I was awarded 30% recently for MH. I have been taking omeprazole for close to 20 years prescribed by the VA for acid reflux. Should that be an acceptable MH rating to go forth and submit a secondary claim for GERD? Thanks for all you the big beard do😎🧔on your collaboration channel ⚒️
Check this for 70% symptoms on MH. 50 is the same but less severe: ruclips.net/video/7zb7UfYHdc0/видео.htmlsi=-54sjwqi9uLrWUOx
- Clay
I'm getting a c&p exam for migraine headaches in a few weeks. I had a sleep study done in LA VA Sepulveda a few years ago, was given a machine but can't sleep with it on. Was graded on the exam as extreme high level SA. A little tentative putting in for more secondary claims especially since I haven't had my migraine exam yet. What do you recommend? Thanks again 🇺🇲👍
So do i contact my primary care or sleep apnea clinic too get that diagnosis?? Like you said my anxiety won't let me wear the cpap.
Good video and great info. I'd suggest next time to level out your background music so it doesn't come in so loud all at once.
🤦🏻♂️ I must’ve made a mistake. These post while I’m at work so I do apologize.
- Clay
I thought I had a pop up and I was scrambling to close stuff out so I could hear the rest of the video.
Great info. I’ve binged and rewatched several of your videos and your Facebook page.
@@TheCivDiv No worries man, we all make mistakes. I just wanted to make you aware of it. Keep the good content coming, it's really helped me with my claims
I have a written letter from my PC with explanation of my neck, back, migraines and now GERD , PTSD and anxiety on FMLA application. Does this equate to a nexus letter? It quotes “ lifelong “ for duration.
EVERY claim requires a nexus which will be given by a C&P examiner. There is NOT a single claim that requires a nexus letter. A nexus letter is from a private provider. Yes, that nexus letter strengthens your claim (assuming it’s a ‘good’ nexus letter) but it’s not a slam dunk.
- Clay
Is there a rating for sleep apnea of 70%. I was recently diagnosed needing a BIPAP (conditions too severe for a c-pap) sleep apnea but the VA has not made a final decision on my rating. I also have 30% for sinusitis and I know the bipap will give me mooooore migraines. I get my bipap machine this week and have an appointment three months from now so they can read the evidence if the bipap is working. Will I have to wait for this appointment to get my rating for the sleep apnea? Anyone can chime in!!!
Funky beat at the end
Yeah my b
- Clay
Is standard range capable of going to FL from NY?
if you're claiming diabetes secondary to hypertension would you need nexus or try and use obesity bridge
EVERY claim needs a nexus and that’ll be provided by a C&P examiner
- Clay
Have you heard anything about Mt St Helens eruption causing sinuitis, rhinitus w/vets and the PactAct?
Not at all
- Clay
I dont understand how if a person has dysplasia of the esoghogus or closure due to Gerd . How that does not impact your breathing, especially at night causeing sleep apnea. It's a clear restriction to the esophagus. But mental health does. I would think a restricted esophogus would affect breathing. But the VA does not, apparently.
I wouldn’t correlate being denied secondary service-connection as a condition not stemming from another. The VA looks at YOUR evidence. Just like how OSA isn’t caused by mental health…it can still be SC given the Veteran’s evidence.
- Clay
I have gastroesophageal reflux disease rated at 10%, Service Connected and I have 70% PTSD rated, how this two works, can I claim my GERD as secondary for PTSD ? Because the 10 % of my existing rate is by itself. Please let me know what to so.
My DAV rep filed my gerd as secondary. It was rated as secondary.
Sir,my claim for insomnia was deferred for medical opinion. Please advise on what this means.thank you
Do you know music plays around the 10minutr mark.
Yeah my mistake I apologize…
- Clay
Dont you get the higher of the 2 (ibs and gerd) under the rating schedule? I know its changing in May.
Yes
- Clay
Hey my fellow vet, what do you think of this? this person I know received 0% for GERD as secondary to PTSD, he has not appeal it yet. Should that person hire an independent to increase it and then submit IBS later on? ( hasn't apply for IBS either)
I can’t say anything without knowing the symptoms of the veteran. Assuming they meet a higher rating than 0%, either appeal or increase with evidence.
- Clay
Attention...please please understand this... Insomnia, sleep diaturbances, headaches, acholism can be viewed as symptoms of a mental health condition... all mental health conditions (anxiety, social disorder, PTSD)are rated on the same scale. Amd GERD is a hard claim
I was just recently rated for Gerd.
@@shelln1799what type of exam did you have ?
So if you're currently rated 50% for sleep apnea when this change goes through will that affect existing ratings?
You’re good
- Clay
why did that loud music come up towards the end I could not understand the last bits you were talking about.
Because I made a mistake. Oopsie
- Clay
If you are rated overall at 60% with 30% being Mental Health, can you claim FSAD from the SSRI medications given for depression so you can submit for SMC-K?
So if I’m 10% for gerd and also have ibs but it’s not claimed…
If I file and get awarded 30% for IBS, they would be connected and take the higher rating IBS; making it 30%?
Assuming the SC yes.
- Clay
Under the New Ratings. GERD and IBS can be rated separately
If you have a intent to file, are we still covered if changes happen before we get all of our evidence in?
If your approved then yes
I don't believe anyone knows yet what will happen if you have an ITF in when the new changes take effect. My guess is you will fall under the new rules if approved.
I understand pyramiding. I had mixed anxiety/depression connected at 30% when I got out. Claimed PTSD but was denied coz I downplayed my symptoms. My inservice event was USS Cole Bombing & missile attacks in Jordan. Finally got increase to major depressive disorder but PTSD is still not service connected. I filed for migraines & TMD(with Bruxism) claims secondary to MDD….but was service connected through PTSD (which still isn’t service connected but I have Current PTSD diagnosis). should I go to HLR and correct the service connection for TMD & migraines? A maybe for PTSD, but I don’t want to go through another C&P exam for PTSD. I told my mental C&P examiner my symptoms yet. He didn’t want to do another DBQ for PTSD.
What about CPAP secondary to tinnitus or Chronic Bronchitis?
Both are applicable but Bronchitis would probably have the better connection. Keep in mind your evidence will show the answer.
- Clay
I have a ton of issues that I've put off filing for a decade. One just got diagnosed, some I was told I had in service like IBS. How do I go about getting evidence? Just schedule appointments with my VA doctor?
Get a current dx from your healthcare team. That can be through the VA or private. If private, be sure to upload those records as evidence.
- Clay
Same here. A year later at 90%. Get DX aka ICD10 code from a private Dr first. Start private treatment then augment with VHA treatment to record complaints for at least 4-6 months.
I was giving all these symptoms lumped into one claim.
Clay, just so that I understand. If using a CPAP lowers your sleep apnea events, does that mean that your diagnosis of sleep apnea is no longer a disability?
No. The dx is the dx and requires treatment. Treatment doesn’t heal, just makes things manageable.
- Clay
also denied gerd after medical procedure to open throat
If I need 6% to get to the next level, will 60% in secondaries get my rating there? Thanks, your channel has made me more informed, but I still don’t get VA math.
Use a VA disability calculator, and it will tell you
The calculator said 50% will get me to the next. I’m awaiting a decision on IBSC, but I don’t think I submitted enough evidence. I assume, that being the case, I’ll gather more and appeal. I should also submit for migraines as secondary to tinnitus. Plus a DBQ and/or Nexus for both?
Is there anything else I should look at?
Thanks for the recommendations.
Semper Fi, 72-76
if you had private doctor with 2 year old dx but new doctor and no current dx would you still file claim, gerd
GERD doesn’t really disappear. I’d recommend gathering new evidence, at least complaints or treatment plan. I wouldn’t sweat the current dx based off this comment.
- Clay
Does the VA stall so that when youve claimed for it, they wont give a decision until that change goes through?
No. And in the event the Veteran would be rated under both rating schedules and awarded the highest. Explained here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=_k9dWPWbEGByCaQV
- Clay
I wish you could rate my claims lol...did another supplemental for migraines and mental health...I received my 1st botox treatment this morning for migraines.
Bro we all thank you for what u do but what’s up with that music at the end? It was just too loud.
Complete mistake 🤦🏻♂️
- Clay
@@TheCivDiv No worries brother keep doing what you do you’re the best out there!
That music at the end overpowered your voice and rendered what you were saying mute. Did I miss anything?
Yeah that was a mistake
- Clay
If you had your intent to file before may19th. Having a CPAP gives you 50% correct?
There are ZERO changes to sleep apnea. May 19 is GERD/IBS
- Clay
@@TheCivDiv great. So CPAP means 50% assuming service connection? Thank you for your service to the community!!!
Rating change or not, I'm claiming sleep apnea because I haven't had real sleep in 18years
That’s exactly how every veteran should look at their conditions. We submit evidence-based claims to be properly rated. Nothing else matters.
- Clay
my brother is getting screwed with his VA. After being blown up off a 2 story building and landing on his back, they only gave him PTSD. Said he didn't go to medical in a combat zone and denied all his other claims like lower back pain etc. My brother does not want to relive the moments and also does not want to ask his buddies to write letters on his behalf. I'm trying to help him with his rating and could use some advise on how to go about this. He has problems sleeping, gets headaches and has some other issues. I watch your videos to help me in my claims but I started soon after I got out of the marines but my brother is just now starting after getting out in 2009. Any advise will be much appreciated.
Submit an intent to claim & tell him to start going to the clinic or hospital for what he wants to claim. They’ll assume that you’ve gotten better if you don’t seek help. You can also write him a buddy letter for migraines & other things because you see how it affects him. The body pains are not just in one area. There’s multiple claims for the same part. Just get the intent to claim in & gather evidence within a year. It’ll take a while but the intent gives you a back pay date. He’ll need to visit the primary care doctor, a neurologist, & a physical therapist.
Does he have tinnitus? Try to service connect that if possible. That's a good starting point.
Look to find a helpful VSO or veterans organization (VFW, American legion, DAV etc) for help.
i was denied and i was issued cpap by VA after a sleep study
okay whats with the music over the end there
Mistake
- Clay
When will Sleep Apnea get the new ratings become effective
Word on the street is June but no one really knows…
- Clay
I don't see my post does it need to be approved?
I see your other comment? I’ll respond so you can be notified.
- Clay
Can you please separate the video into chapters to make it easier for your viewers to skip to the section that pertains to them ?
I could and that’s a solid idea. Problem is I’m grad school, I’m a husband, I’m a father of 4 and I work full time. For the videos where I have an off day, I can certainly add chapters to.
- Clay
Did you say you could claim IBS as a PACT Act claim?
Yes I did.
- Clay
I haven’t seen IBS on presumptive Pact Act list ??
Clay,
I have a migraine claim put together and I’m on the fence of either submitting direct OR secondary to PTSD. My dilemma is that my in-service event is connected to why I was given the PTSD SC rating, so I don’t know if I should go right to the secondary solution or try for direct SC. The in-service event was when a rocket hit our mortar point and we returned fire. It’s on record and in my evidence with the VA for my PTSD award. I stated that this is when I began noticing head ache-like symptoms and I used OTC drugs up until recently when I was prescribed Sumatriptan and Topiramate by the VA. My issue is I don’t have any in-service medical treatment records for this, only the in-service event.
Is it wise to try for direct or should I just file supplementary for secondary to PTSD?
Direct is the answer especially if you reported headache-like symptoms that stemmed from the documented event. Have you talked to anyone about TBI?
- Clay
@@TheCivDiv not specifically, no. I have had CT Scan and MRI done and neither show any physical injuries.
I went into detail in my original PTSD claim and this new migraine claim reiterating how when we got hit by the enemy, my head was rocked so hard that it pushed my bottom jaw up into my head and shattered a canine tooth which had to be rebuilt by a combat dentist because the tooth nerve was exposed. That’s on record in my service treatment records. So I wasn’t treated for TBI or diagnosed with having one, but my medical evidence suggests a situation in which I flew under the radar for at least a concussion.
Not sure if it’s my hearing aids, but the background music near the end seemed to overtake your speech.
Yeah sorry about that. That’s because I made a mistake.
- Clay
@@TheCivDiv No worries. Figured I would give you a heads up.
I filled for Insomnia secondary to tinnitus, went to my c&p and the examiner told me that my insomnia is caused by my anxiety.
Should i fill a claim for anxiety?
Go for it. Shouldn’t hurt to try.
Insomnia and anxiety won't stack. You'll get a rating for whichever one is higher.
Insomnia is part of the mental claims, so it would be included with any mental claim, so if you file for it, you must meet the increase standards for mental
Can sleep apnea cause digestive issues?
Sure. Any condition theoretically can cause any other condition. That is the best way to look at secondary claims.
The question then becomes…is YOUR sleep apnea leading the YOUR digestive issues? Once you understand that…the. Yo can build evidence supporting the link (which is the nexus).
- Clay
So sleep apnea is zero if you git a cpap
Off the new rating schedule, it could be. There is language that would keep the 50% and that’s discussed here: ruclips.net/video/Fn5ExtLFA-o/видео.htmlsi=6eEu5oUBfT8ATkE2
- Clay
I just got notified that I need to fill out a ptsd report. I never filed anything for it. 🤷♂️
They may have found "conditions" that you could use for PTSD, What type of "report" did they ask for? 526EZ? or a secondary?
Ptsd has to have a specific documented event from my understanding. So that's why a lot of people get denied for ptsd
@@rodwinters6926 don’t know. I’m waiting on it to come in the mail.
Issa trap.
True I would have to see your sheet on what they are requesting for them to tell you to "fill out a PTSD report" someone saw something@@gabriellopez522
You say a "current diagnosis". My question is; what is considered current?
1yr
- Clay
@@TheCivDiv Thanks Man! Love the content....
Tmj common secondary to mental health
I am being crushed by this
My Dr. Says your wrong on the mental disorder and sleep apnea
Good thing is this isn’t my opinion. I just read from opinions from top medical professionals and in this case, psychiatrist who specialize in conditions stemming from mental health. The best argument anyone could make is an ‘at least as likely’. Not having causation doesn’t mean you can’t connect the condition as a secondary…gotta be informed and educated.
- Clay
The mental health doc in your show notes isn't taking on new patients right now
Correct. He’s in high demand and when he starts accepting clients, if you’re still going that route, keep his service in mind.
- Clay
They removed secondaries. ALL of mine were denied. Nothing in this video is true.
What you said is absolutely not true
- Clay
@TheCivDiv Cite a source. And explain why mine were all denied even though I have VA issues diagnosis for all of them. The only answer is that secondaries were wiped out with the PACT Act.
@@Abyssofagony Dude...is this real? Are you messing with me?
- Clay
@TheCivDiv I can email you my denial letter. Tinnitus, Gerd and migraines filed after 70% approved for PTSD were DENIED. Secondaries no longer exist. So please stop telling everyone they do.
@@Abyssofagony Dude...secondary conditions do exist and just because yours were not connected, doesn't mean they don't exist. They do, and you need the medical evidence that supports the secondary nexus.
- Clay
To even get 10% for hypertension you need to be practically on the verge of having a stroke.
True,but establishing a 0% rating would potentially trigger survivor benefits should death be a result of said service connected condition
Yo clay can you drop a link to IBS covered under pact act? I’ve looked and never found it.
just denied
My migraine linked to my mental health was a lay down. 1 personal statement and an ace exam brought me 30%
Migraines are rated separately...and if you say it causes you to miss work with a letter from a boss or supervisor can equal 50%
@@tryagainb9669 didn’t need 50 to hit 100, just 30. A lot of people try to link migraines to other things. The evidence for migraines linked to mental health is overwhelming; I didn’t even have a nexus or that me saying that my migraines are caused by my mental health