What The VA Looks For During A Mental Health C&P Exam
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- Опубликовано: 4 авг 2024
- 🩺 NEXUS LETTERS:
MENTAL HEALTH
Dr. Prashant Sharma - Psychiatrist
📧 Email: prashant.sharma2@concisepsych.com
MUSCULOSKELETAL
Dr. Rachna Patel - Physician
📧 Email: nexusletterdoc@gmail.com
🧠 MENTAL HEALTH COURSE:
Take control of your mental health
www.concisepsych.com/a/214784...
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70% Mental Health Symptoms: ruclips.net/video/7zb7UfYHdc0/видео.htmlsi=rmhcRflpQPlhqmdi
IMO/DBQ:
Prashant.sharma2@concise.com
- Clay
I was so nervous about my C&P exam but the Dr was very nice, supportive and understanding. She went in to everything and gave me time to explain things. She asked questions that helped me remember things I could not in which made my case stronger. Then she recommended I go to the VA to register for therapy and provided me with contact information. As well explaining different treatment methods for PTSD. Awaiting my rating. Wish everyone else had the same experience
U get ur rating yet?
@@tbaby5166I did! 70% PTSD
@@tbaby5166I did! 70% PTSD
Nice
@@tbaby5166 yes. 70%!
Great info! Thanks 🙏🏽
Thank you for watching and I hope this helps!
- Clay
Thanks for the link to this video, and for your solid information.
Thank YOU for watching and I’m glad this helps. MH C&P exams are exactly like this.
- Clay
Spread the word this is the Best spot on the web for VBA information and direction! I’m fully on board!
Thank you!!!!!!
- Clay
I second that!
My LHI C&P exam… the physician didn’t ask anything about my military service. She wanted to know about my family tree. My claim was denied so I sent in an 0996. The HLR reviewer had me complete a second exam but with the VHA. I was approved for 70%, three weeks later.
Look at that, turns out C&P Examiners just…well, suck! Glad you got what’s yours.
- Clay
Damn. I know not everyone is the same but I have mine tomorrow with LHI and I hope mine doesn’t go like your first exam 🙏🏼
@@philliptamezhow'd it go?
This is a great video and great advice
Thanks and I hope this helps!
- Clay
Love the mini pop-up CivDiv! 🤣 Great explanation of the differences.
I’m trying to get better at editing 😂
- Clay
Thank you for the work you are doing. I really appreciate then time and effort you put in to make these videos
Thank you for watching! This means the world to me, seriously!
- Clay
Another fantastic video! Short, informative, to the point!!
Hey thanks! This video and the 70% mental health video (link below) are probably my favorites.
ruclips.net/video/7zb7UfYHdc0/видео.htmlsi=nRfDiglcobmDSpEm
- Clay
I’m probably watched 40 or 50 of your videos now Clay, I appreciate how you put things. Semper Fi brother.!
Hey thank you! As a member I’ll answer your new comments and be sure to download discord. This will be copy/pasted on all of your old comments.
- Clay
Thank you for these informative videos
No problem at all and thank you for watching! I hope they help.
- Clay
Clay you are a wealth of knowledge. Just met with my psychologist and psychiatrist for the first time last week. It was scary, but good. Diagnosed with Anxiety and Depression. Sure do appreciate you.
TYSM!! These videos are short clips giving you ACCURATE, no bullshit, information. Glad this helped!
- Clay
Excellent info
Thank you! This is one of my favorite videos.
- Clay
Good info , I go to the VES soon to start my evaluation, thx
great video
Ily
thank you, seriously THANK YOU. 😪👍
THANK YOU for commenting and I hope this lays it all out and helps you be prepared.
- Clay
Another Right on Spot 👍🏻👊🏻🇺🇸⚓️
Lee, TYSM!
- Clay
Have mine tomorrow, thank you for all of this information. Between you, Combat Craig, and DAV groups on FB, I feel prepared.
Any update?
I went in with my waist length hair no combed for days, my duck dynasty beard, crocks, and Yoda sleep pants. 70%..
Personal hygiene is definitely a symptom of some underlining mental health conditions.
- Clay
@@TheCivDiv truth. I just stopped caring. I also was well coached so I didn't screw up the exam.
The day I went to my C&P exam, I arrived 30 min early to the parking lot. Stayed inside the car looking at pics of some of my buddies who committed "suicide" (according to CID, I think that they got murdered due to whistleblowing but can't prove it) while listening to a specific song which was played during their memorial service. It killed me but I had to do it. I cried inside my car like a maniac and just at that moment got out of my car and went into the examiner's office. The staff noticed I wasn't doing good at all, they offered me water (which I declined) and tissues. It hurt me but I wanted them to see me how I am in my worst day. I went in shorts, old t-shirt and old tennis shoes and my black tactical backpack. I didn't shave for about a week. I talked to the examiner about the event while tearing up, the symptoms and all that. She asked me about my childhood and I said "it was great" and went back to topic which was my symptoms and the non combat related event. I checked 3 weeks ago with my VSO who showed me the examiner's report who concluded PTSD was "more than likely related to military service." The 3 negatives that the VSO noticed were:
1. talked about the event fluently (wanted to make sure she understood)
2. good eye contact while talking (wanted to make sure I wasn't avoiding eye contact like hiding something)
3. properly groomed and dressed (I don't think I was but to each their own)
I haven't received a decision letter yet since it has only been month and a half since the C&P exam.The VSO told me not to hold my breath on this (and that any surprise can happen) but there may be a chance I would get 30% or 50% at the most, which I would gladly take and work on secondaries. We'll see.
@@cidcampeador7922any update? Hope your doing okay bud
@@cidcampeador7922Dang man, sorry to hear that about your battle buddies 😢
Direct Hit Clay! Say the truth and say it straight out.. Your awesome for this... my C&P for MH went exactly like that except she threw in some name the last 3 presidents and i will tell you 3 words,iw ant you to repeat them backwards etc lol and she got me spun up first..testing under stress X Overload Failure.. Smart Ass doctor..i dint like ehr low balled me at 50 but I am not done with this battle yet.. I told her I wish i was back in my childhood..Schwinn bikes,icecream trucks, fishing,drive in movies etc being happy kid.. Military- Aircraft jet blast 15 hours average,friends crashing into the water and dying.acting like they never existed..just keep launching and recovering without ordnance on them.. Different type of Kid Fun that was fun until your think about how many people got smoked..Yuppp spill your guts.. bless You Clay and all our fellow veteran's ..especially during veterans week
The good news is you got the SC and you can always appeal the rating with new evidence or use the same evidence showing your 70% (HLR)
- Clay
Went and did my C&P exam last week. Forgot to tell them my mother in law died in a car accident. Me and my wife were in when a Nurse was drunk and high hit us. She died a few hours later in the ER. Didn't give them any reason to deny my claim. I didn't have a diagnosis of PTSD and never sought out any help. I wish I had submitted my Buddy Letters first before I submitted a claim. I was harassed and threatened by my NCOs and Xo. They denied my request for cross-training after I scored higher on the ASVAB in the top 10% and they denied my request to transfer to another base and swap with someone. They tried to humiliate me by trying to get the First Shirt to make me pick up trash on base in my Dress Blues. I have been out of the Air Force since 2006. Im awaiting my status from the VA. I had to do a HLR because they didn't at first do a C&P exam for PTSD, only for the tinnitus.
I’m sorry you’ve had to deal with all of this. Evidence-based claims are the way to go.
- Clay
@TheCivDiv there is documentation for the harassment. Osi got involved because of the blatant amount of complaints from the unit. Unit commander was fired. Don't know what happened with the enlisted folks as I had separated when the investigation was closed.
Thank for the content. Do you think you can do videos on OTH discharge/over turning discharge and obtaining benefits?
I’ll definitely add it to my list. Are you in need right now? If so, shoot me an email!!
- Clay
@@TheCivDiv Yes I am. I just went to the VA recently to begin the process for overturning and VA benefits. Will do brother
Hey devil dog, I have my CNP exam coming up two weeks from today. Secondary related for chronic pain for back and feet. Had an IMO diagnosed me with major depressive disorder and anxiety in April. I have been going to the VA for the last year and a half for my back and my feet as it’s getting progressively worse, MRIs, x-rays, the whole gambit. I have my own medical record as I’ve been out for 21 years, or retired for 21 years, and I brought a copy of it with me. I’m not sure what the VA is sending with my claim other than my claim and the IMO DBQ, that they filled out. Should I take my medical record with me that pertains to injuries on my back and feet only?as the only diagnosis I’ve had for depression is with the IMO in April. Your thoughts?
Hey thank you! As a member I’ll answer your new comments and be sure to download discord. This will be copy/pasted on all of your old comments.
- Clay
I just did my exam for MH not too long ago and was denied. The denial was due to no continuity of treatment. I went to a civilian psych and they came up with the same diagnosis as the C&P examiner. I have to figure out how to get the civilian docs write up to appeal I guess.
Let me know exactly what your decision letter says. Feel free to send me an email.
- Clay
Ive been out 32 years, 1.5 years ago i started seeing a VA Pysc & the therapy version=psychologist on video chat and in person a few times in the very beginning. 1st time thew Doc called a nurse in because she thought i was going to hurt her!? WTF I was answering her questions for the quick Psych quiz they give you,and it made me get emotional because I dont tell [people how Fd up things are..anyways brother.. tell the truth and dont let them make you change your true story.. when they try that on me I tell them to KMA and I hang up or walk out.. file an intent to file ASAP super easy.. File a FOIA request for your Military records,and you have an entire year to use their help and gather proff.you can tell the VA doctor exactly what happened in service to create the nexus-after they write it in your record..if they dont just repeat it over and over..because its your story and keep telling it until they listen
Don’t give up
I have another c&p exam after a denied c&p, took it to a higher level they found a difference of opinion and set another c&p in a couple weeks! Question I filed depression secondary to my tinnitus! I am 52 and have struggled for 30 years after the 30 rds of muzzle blast set the never ending ringing in my ears that would kill the average person! I was diagnosed with severe depression when I was 30 and prescribed lexapro. I got a current diagnosis and nexus for depression. Do I focus my depression around the ringing in the ear, lack of sleep from it? Growing up, my dad did not bear me, my parents did not divorce,
That depends on what your depression stems from and what your evidence suggests.
- Clay
@@TheCivDiv I have a 10% tinnitus rating!
I am active duty at the moment with only a few months left. I have been diagnosed by a civilian physician with PTSD/depression and OCD all linked to the same stressor that is military related. I sent my VSO all of the necessary documents stating all of this. However, in the intake notes, it annotates my troubled childhood and an altercation I had with my dad while still on active duty. My question is, will this impact my C&P exam somehow and what to say if they ask about my childhood. I'd hate to screw it up because of this. Also, the stressor for my PTSD and OCD is non combat related. It might sound silly, but it's due to rendering Military Funeral Honors. I have completed 612 funeral honors to date with sometimes designated as the coordinator, others just as my next turn to go. I appreciate any insight. Thank you.
Don’t lie about it but explain what happened. During your active time, REALLY get deep with the stressor and what lead to your recent dx
- Clay
I was in the Military from 86 to mid 91 , I served in Desert Storm with the patriot battalions in Israel. I had pretty bad insomnia , depression and anxiety from mutilating injuries I witnessed during duties before going on deployment, I starting drinking to sleep and started calling in sick because of headaches and depression, stomach problems. I got harrassed by my chain of command for "riding sick call. All they ever did was give me motrin and peptobismal. After awhile i just suffered through it. During deployment I saw a lot of the aftermath of missile strikes, experienced multiple bombings, things got bad again with insomnia and I started getting written up for job performance and appearance...topped off with almost assaulting an nco that was continuously riding me and calling me a p5ssy and the like because i was always complaining of not sleeping and being sick. I was threatened with a field-grade article 15 that would have had me dishonorably discharged and might have included jail time according to them. They said it was the article 15 or accept an early-out with a bar to reenlistment and i just had 3 months left on my enlistment. When I ETS'd I was told they had lost all my records and that they didnt even have a DD214 for me, no medical records. So I spent a month and a half in the barracks at Fort Dix on emergency pay. When i finally was dischargered , all i had was my dd214 and no medical records to look at or copy, not ets breifing , no V.A interviews...nothing. I still no medical records and I have my first PTSD cp interview tomorrow. I worked as a federal LEO for the past 21 years and could not risk a psych problem disqualifying me for armed service. Now i have no medical records. Is there anyway my claim will be approved?
If your records exist, the VA will find them. I’m assuming you’ve never submitted claims before. Submit your claims, I’d also add a personal statement of your discharge experience.
For the record, VA Disability doesn’t have any affect LEO employment.
- Clay
You worked a high stress, high mobility job successfully for 21 years and now you want people to believe you were were dramatically disabled that entire time but didn't need treatment? LOL.. Best of luck to you.
@@TheCivDiv VA Psych disability doesn't affect LEO employment? Does that seem a bit odd to be cleared by a Psych examination after claiming mental illness?
I wasn't asked any of these questions and was diagnosed with major depression, anxiety and insomnia.
Hey brother, i have a question. I fell into a deep depression when my fiancé broke up with me when i was deployed to poland, and my depression got worse later on due to my work when i redeployed. If i go to BH, would they service connect my depression if i brought up my depression stemming/starting from my breakup?
Short answer, they could. There are tons of other factors at play like the Big 3 that’s needed for every claim.
- Clay
I see, and thanks for the fast reply. I really appreciate it 🙏
Would a buddy letter from the Unit Commander carry more weight, or does that matter?
Doesn’t matter. Regardless of what people on RUclips tell you, statements carry no ‘weight’. Statements support the medical evidence you have and give the VA insight into details not documented in your records.
- Clay
@@TheCivDiv thank you for taking the time to answer, you are providing a great service.
After boot went for extra training and started having migraines ,and they never left ,trained in EOD could be the problem ?
Possibly…I’d like to know if you have complaints in your STRs. Here’s 3 pieces of evidence you need to consider for Migraine claims: ruclips.net/video/Vd9uqszmS1Q/видео.htmlsi=V9063yVIfFxCLnpT
- Clay
Great advice. Unfortunately, my C&P doc only asked about my family history and any behavior issues. Strange exam, as I was waiting for him to start asking about my symptoms. Not sure how this is going to go now…
Jeff, is your claim still in process?
- Clay
@@TheCivDiv yes. I’m trying to find the record of his submitted results. I read you can get a copy of the exam.
@@JeffBrauss if you used a VSO, or still have the Power of Attorney with a VSO, they can see your files through VBMS.
- Clay
@@TheCivDiv thanks man. I just spoke with my VSO and she pretty much blew me off. lol
I’ll keep digging around. 🤙🏼
@@JeffBrauss Jeff, feel free to reach out to me for a 1-on-1 Meeting absolutely FREE and 0 strings attached.
- Clay
How do I get a glimpse of my medical record ahead of time?
Hey so I got a 50% for depressive disorder with anxious distress … I have almost all symptoms off the 100% qualification.. what can I do to begin a increase of my 50% my depression/ anxiety is taking over my life literally.. I’m at 90% Ava rating overall ..
I am editing a video today for 70% mental health. Be sure to keep an eye out once that drops. I’ll try to drop it today.
- Clay
Yea my examiner tried to assume that I had ADHD or ADD when I was a child all because of how I was reacting to noises in a new environment to me it was as if she was trying to diagnose me for one thing when initially I came in there for an exam for an increase for my PTSD I might be crazy but I’m not stupid. Why would she try to do such a thing when none of them made sense it was like she was trying to get me to talk about my childhood instead of the PTSD stuff when I never had problems during my childhood I see that is a thing for them to do so when you get done with your exam. They deny you on the spot because they’re going to say oh his PTSD is not really PTSD is just a trigger from his childhood that I haven’t addressed. This is very sick.way to confused vets
Gotta stay educated and informed and it’s a good thing you saw that happening. Word choice matters during these exams.
- Clay
I had my c&p exam today and the Dr. was easy going I answered my questions straight forward and didn't talk too much. He said he agreed with me having PTSD and he was going to put in the "remarks" that I need intensive inpatient care to help me deal with my PTSD? Has anyone ever had that at their exam?
Does the Va schedule your C&P exam even if you have a current diagnosis, current symptoms and a nexus letter?
YES Unfortunately They Will Schedule A C&P Exam Even With All Your Evidence!
@@michaelmccuin5246 got it thanks!
So…this is a great questions and is something that’ll be hard to explain over comments, but I’ll try. ASK ME IN MY LIVE!!!
Does a Fully Developed Claim require a C&P Exam? The answer is, no. If a C&P Exam is required, it’s because the VA needs more information.
Now this is where it gets weird…If you truly do have a fully developed claim, so the in-service event, service-connection/Nexus is there, and you have a current diagnosis AND you’ve submitted a private DBQ, then…you could literally not attend the C&P Exam and be awarded.
It’s weird because…there are a TON of factors that play into that decision and you’ll have to evaluate that yourself. Factors like; did the Nexus come from a medical doctor or a physician assistant? Psychologist or Psychiatrist; this matters. Is it a ‘complete’ nexus meaning, does it have all the aspects the VA needs?
- Clay
@@TheCivDiv I appreciate your feedback. Yes I was seen by a physiatrist after reviewing my medical records from the Va
He then will set up a one hour video appointment. fill out the nexus and DBQ. As a matter of fact I use Dr. Sharma after watching one of your content, he was very professional the nexus/DBQs was well written.
@@guamusa76 YES!!
- Clay
Do you need an in service event for a BDD claim?
In the case of a BDD claim it’s a bit easier to prove something is related to service while diagnosed in-service. That’s not a pass to not get a diagnosis prior to your 180 day mark from ETS/EAS. Best if you get the diagnosis, or at least have a complaint in your records.
- Clay
What about going for an increase for mental health what’s the difference between that c and p exam
Just did it myself. No difference..gonna be done just like your first one.
I 2nd what Tony Smith said. Depending on your evidence, and your exam, the VA will examine the severity of your symptoms. If denied, and you believe that decision is wrong. You can always appeal with a private DBQ.
- Clay
if you're going for an increase, will they ask you about your childhood or prior life before military? I don't think i even remember them asking me about any of those during my mental health exam back in 2008 ...My anxiety has gotten alot worse to the point where i cant go anywhere alone anymore, even scared going to the doctor. I'm planning to go see If i can get an increase for my anxiety, which I only have 10 percent for it now.
I’d recommend you check this video out. It’ll show you how the VA rates mental health.
ruclips.net/video/JuEwtRfHwHc/видео.html
- Clay
I’m claiming mental health and I’m very nervous to get to the exam
Same here. You're not alone.
Just had my mental c&p exam...hopefully it went well
Did it go like this? Because that would be a good indicator.
- Clay
@@TheCivDiv it was a really short exam, and my parents were divorced and I've been suspended in highschool. I was honest with the examiner so hopefully it doesn't affect my rating
@@TheCivDiv he mainly just asked me yes and no questions, and I was in there for probably 20 minutes
I got an IMO completed due to lack of in-service medical evidence, and she stated that I was totally socially and occupationally impaired. Does that hold any weight?
I’m cautious at first glance of creating an IMO without any evidence from service. Was there ‘evidence other than medical’ that was reviewed and included within the IMO? To answer your question, as long as this IMO is a ‘good’ IMO, then the answer is always yes.
- Clay
I meet for a c&p Tuesday for MDD
You’ll want to understand your symptoms, too. Check this: ruclips.net/video/7zb7UfYHdc0/видео.htmlsi=hH8wMO4ETA_wzAfX
- Clay
Do u think my exam would have a neg impact if i would write all my symptoms down and bring it to my exam
I wouldn’t say negative but be open with your examiner. Let them know that you’ve written down xyz as it’s difficult for you to discuss.
I’d also write a personal statement and upload that via quick submit.
- Clay
@@TheCivDiv thank you
Two aircraft accidents? Flying over enemy armor?
What is your view on claiming depression from injuries suffered while in service? I've had several injuries to my back. One was connected to a ankle injury that required surgery and I'm now 20% service connected for. As a result of these lower back injuries. I've now gone through 13 surgeries and suffer every moment of the day. Struggle to walk. Stand up straight sleep
Mental health secondary to musculoskeletal conditions is common but…will need a stellar nexus and a rockstar C&P exam.
- Clay
@@TheCivDiv , okay, I've already filed the claim. If I was to send you the Nexus and late statement would you be interested in giving it a look?
@@TheCivDiv , I really appreciate your time. This is awesome how you're looking after other veterans 👍
They must have changed there site because you can’t find that rating on there site anymore after doing a search
What site and what rating? Mental health hasn’t changed.
- Clay
They want me to do mine via tele. I don't know if that works against me. I feel like doing it over a webcam is not the same as being in person. Any advice for me would be appreciated
Rele health appointments for mental health are very common and the type of appointment will not have an affect on your claim. As always…be open, be honest, be vulnerable.
- Clay
They still doing this for increased? Or they just do this for new claim?
Also they will lie in their reports!
Personal statements describing your symptoms with medical evidence prior to the C&P Exam will combat that…but YES!
- Clay
total bullshit they can lie but we can't lie
@@mikekinsella2822 I wouldn’t suggest lying but a personal statement describing your symptoms is a good tool to use.
- Clay
@@TheCivDiv i say 99 % of guys getting a rating for tinnitus are lying. Vets always lie. Mostthe lies the VA tell are by former Vets
Can spouse attend mental health exam
They can and the Veteran and the examiner have to be okay with this.
- Clay
Piggy backing off of this question- can my 6 yo come with me? I’m a SAHM and homeschooler- no daycare, no reliable family, no babysitters…
@@annapeyton5605 That is up to the C&P Examiner. I had to bring my daughter to a C&P Exam once and it wasn't a big deal whatsoever.
- Clay
Mine is going to be virtual.......
Virtual or in-person, this is the format. I’d also recommend taking a look at mental health DBQs. This video shows a walkthrough of PTSD.
ruclips.net/video/LqBbMSNiPzA/видео.htmlsi=cwB19Xah_3pR8RGw
- Clay
I attended both nude AND unclothed, said to the examiner, "Air ye nay a Scotsman?!" The reply: "New Jersey, lad!" You're welcome.😮😅
git sum
Yut!
- Clay
The VA put me on antidepressants and never awared me Jack shit
VA healthcare isn’t VA compensation…gotta prove your claim with the Big 3. Current evidence with current dx is only 1 aspect of the Big 3.
- Clay
@@TheCivDiv I’ve worked for the Department of VA for 25 years. I understand the difference. So your point makes no sense. If the VA health care system puts you on antidepressants for anxiety and depression what proof do you need to provide the VA CP?