Out of curiosity how many have been retired after the PEB and how many had severance and how many found fit even though they are not deployable? MDD, GAD, And Bilateral Fusions in feet are the referred conditions for unfitting (VA currently Rated MDD and GAD as a single Condition at 30%, and the Feet issue also 30%)…. It's pretty likely i'll be retired, but i'm not sure.
Air National Guard - AFTER PEB Result Questions
- Thread starter Russ35057
- Start date
I doubt a 30% MH rating will be found unfitting. The feet is another issue.
@chaplaincharlie im sure my mental health will be increased....
well More fun. VA evaluated me for PTSD.... Here is the C&P results:
SECTION I:
----------
1. Diagnostic Summary
Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria
based on today's evaluation?
[X] Yes [ ] No
2. Current Diagnoses
a. Mental Disorder Diagnosis #1: MDD, recurrent, moderate
Comments, if any:
Veteran is 30% SC for MDD. Veteran's symptoms began while in
service and have continued. He does not meet criteria for PTSD. His
depression is caused by his experiences in service.
Mental Disorder Diagnosis #2: Personality disorder NOS
b. Medical diagnoses relevant to the understanding or management of the
mental health disorder (to include TBI): back pain, sleep apnea
3. Differentiation of symptoms
a. Does the Veteran have more than one mental disorder diagnosed?
[X] Yes [ ] No
b. Is it possible to differentiate what symptom(s) is/are attributable to
each diagnosis?
[ ] Yes [X] No [ ] Not applicable (N/A)
If no, provide reason:
symptoms are interrelated and impossible to differentiate
c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
[ ] Yes [ ] No [X] Not shown in records reviewed
4. Occupational and social impairment
a. Which of the following best summarizes the Veteran's level of occupational
and social impairment with regards to all mental diagnoses? (Check only one)
[X] Occupational and social impairment with deficiencies in most areas,
such as work, school, family relations, judgment, thinking and/or mood
b. For the indicated occupational and social impairment, is it possible to
differentiate which impairment is caused by each mental disorder?
[ ] Yes [X] No [ ] Not Applicable (N/A)
If no, provide reason: symptoms are interrelated
c. If a diagnosis of TBI exists, is it possible to differentiate which
occupational and social impairment indicated above is caused by the TBI?
[ ] Yes [ ] No [X] Not Applicable (N/A)
SECTION II:
-----------
Clinical Findings:
1. Evidence Review
Evidence reviewed (check all that apply):
[X] VA e-folder
[X] CPRS
[X] Other (please identify other evidence reviewed):
I conducted a thorough psychosocial evaluation with the veteran.
4. PTSD Diagnostic Criteria
Note: Please check criteria used for establishing the current PTSD diagnosis.
Do NOT mark symptoms below that are clearly not attributable to the Criterion
A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other
things should be noted under #7 - Other symptoms. The diagnostic criteria
for PTSD, referred to as Criterion A-H, are from the Diagnostic and
Statistical Manual of Mental Disorders, 5th edition (DSM-5).
Criterion A: Exposure to actual or threatened a) death, b) serious injury,
c) sexual violence, in one or more of the following ways:
[X] No criterion in this section met.
Criterion B: Presence of (one or more) of the following intrusion symptoms
associated with the traumatic event(s), beginning after the
traumatic event(s) occurred:
[X] No criterion in this section met.
Criterion 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:
[X] No criterion in this section met.
Criterion 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:
[X] Persistent negative emotional state (e.g., fear, horror,
anger, guilt, or shame).
[X] Markedly diminished interest or participation in
significant activities.
[X] Feelings of detachment or estrangement from others.
[X] Persistent inability to experience positive emotions
(e.g., inability to experience happiness, satisfaction, or
loving feelings.)
Criterion 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:
[X] Irritable behavior and angry outbursts (with little or no
provocation) typically expressed as verbal or physical
aggression toward people or objects.
[X] Problems with concentration.
[X] Sleep disturbance (e.g., difficulty falling or staying
asleep or restless sleep).
Criterion F:
[X] Duration of the disturbance (Criteria B, C, D, and E) is
more than 1 month.
Criterion G:
[X] The disturbance causes clinically significant distress or
impairment in social, occupational, or other important
areas of functioning.
Criterion H:
[X] The disturbance is not attributable to the physiological
effects of a substance (e.g., medication, alcohol) or
another medical condition.
Criterion I: Which stressor(s) contributed to the Veteran's PTSD
diagnosis?:
[X] No criterion in this section met.
5. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:
[X] Depressed mood
[X] Anxiety
[X] Suspiciousness
[X] Panic attacks more than once a week
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social
relationships
[X] Difficulty in adapting to stressful circumstances, including work or a
worklike setting
[X] Inability to establish and maintain effective relationships
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with periods
of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living,
including maintenance of minimal personal hygiene
I would take this as... well you Do have PTSD but it is not service connected....
well I didn't have these issues 20 Years ago... How else would I have gotten it??????
Seemingly they are linking it back to my anxiety and depression I'm already rated for (I Hope)…. Confusing.... can anyone help me figure this piece out?
well More fun. VA evaluated me for PTSD.... Here is the C&P results:
SECTION I:
----------
1. Diagnostic Summary
Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria
based on today's evaluation?
[X] Yes [ ] No
2. Current Diagnoses
a. Mental Disorder Diagnosis #1: MDD, recurrent, moderate
Comments, if any:
Veteran is 30% SC for MDD. Veteran's symptoms began while in
service and have continued. He does not meet criteria for PTSD. His
depression is caused by his experiences in service.
Mental Disorder Diagnosis #2: Personality disorder NOS
b. Medical diagnoses relevant to the understanding or management of the
mental health disorder (to include TBI): back pain, sleep apnea
3. Differentiation of symptoms
a. Does the Veteran have more than one mental disorder diagnosed?
[X] Yes [ ] No
b. Is it possible to differentiate what symptom(s) is/are attributable to
each diagnosis?
[ ] Yes [X] No [ ] Not applicable (N/A)
If no, provide reason:
symptoms are interrelated and impossible to differentiate
c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
[ ] Yes [ ] No [X] Not shown in records reviewed
4. Occupational and social impairment
a. Which of the following best summarizes the Veteran's level of occupational
and social impairment with regards to all mental diagnoses? (Check only one)
[X] Occupational and social impairment with deficiencies in most areas,
such as work, school, family relations, judgment, thinking and/or mood
b. For the indicated occupational and social impairment, is it possible to
differentiate which impairment is caused by each mental disorder?
[ ] Yes [X] No [ ] Not Applicable (N/A)
If no, provide reason: symptoms are interrelated
c. If a diagnosis of TBI exists, is it possible to differentiate which
occupational and social impairment indicated above is caused by the TBI?
[ ] Yes [ ] No [X] Not Applicable (N/A)
SECTION II:
-----------
Clinical Findings:
1. Evidence Review
Evidence reviewed (check all that apply):
[X] VA e-folder
[X] CPRS
[X] Other (please identify other evidence reviewed):
I conducted a thorough psychosocial evaluation with the veteran.
4. PTSD Diagnostic Criteria
Note: Please check criteria used for establishing the current PTSD diagnosis.
Do NOT mark symptoms below that are clearly not attributable to the Criterion
A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other
things should be noted under #7 - Other symptoms. The diagnostic criteria
for PTSD, referred to as Criterion A-H, are from the Diagnostic and
Statistical Manual of Mental Disorders, 5th edition (DSM-5).
Criterion A: Exposure to actual or threatened a) death, b) serious injury,
c) sexual violence, in one or more of the following ways:
[X] No criterion in this section met.
Criterion B: Presence of (one or more) of the following intrusion symptoms
associated with the traumatic event(s), beginning after the
traumatic event(s) occurred:
[X] No criterion in this section met.
Criterion 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:
[X] No criterion in this section met.
Criterion 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:
[X] Persistent negative emotional state (e.g., fear, horror,
anger, guilt, or shame).
[X] Markedly diminished interest or participation in
significant activities.
[X] Feelings of detachment or estrangement from others.
[X] Persistent inability to experience positive emotions
(e.g., inability to experience happiness, satisfaction, or
loving feelings.)
Criterion 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:
[X] Irritable behavior and angry outbursts (with little or no
provocation) typically expressed as verbal or physical
aggression toward people or objects.
[X] Problems with concentration.
[X] Sleep disturbance (e.g., difficulty falling or staying
asleep or restless sleep).
Criterion F:
[X] Duration of the disturbance (Criteria B, C, D, and E) is
more than 1 month.
Criterion G:
[X] The disturbance causes clinically significant distress or
impairment in social, occupational, or other important
areas of functioning.
Criterion H:
[X] The disturbance is not attributable to the physiological
effects of a substance (e.g., medication, alcohol) or
another medical condition.
Criterion I: Which stressor(s) contributed to the Veteran's PTSD
diagnosis?:
[X] No criterion in this section met.
5. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:
[X] Depressed mood
[X] Anxiety
[X] Suspiciousness
[X] Panic attacks more than once a week
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[X] Disturbances of motivation and mood
[X] Difficulty in establishing and maintaining effective work and social
relationships
[X] Difficulty in adapting to stressful circumstances, including work or a
worklike setting
[X] Inability to establish and maintain effective relationships
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with periods
of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living,
including maintenance of minimal personal hygiene
I would take this as... well you Do have PTSD but it is not service connected....
well I didn't have these issues 20 Years ago... How else would I have gotten it??????
Seemingly they are linking it back to my anxiety and depression I'm already rated for (I Hope)…. Confusing.... can anyone help me figure this piece out?
the MEB/PEB must be 30% or more in order to retire. That is the Military side and not the VA side, regardless if the VA rates you for a condition at 30% the Military may not think the same and may find you still fit for duty or rate you at a lower percent in which case you would just medical out instead of medically retiring.
Based on your PTSD rating, I retract my earlier comment.
yeah but they still didn't service connect me for PTSD, but this should still apply to my MDD and GAD (Depression and anxiety)… filed for increases on that part
My PTSD was found to be combat zone related but not unfitting, even at 50% VA rating - it was reduced to zero by the DoD ratings board.
PTSD
"The IPEB has reviewed the SM’s diagnoses and treatment of Generalized Anxiety Disorder;
Depression, Single Episode; Adjustment Disorder; and Post-Traumatic Stress Disorder (PTSD) and finds these conditions
do not prevent the reasonable performance of duties, do not impose unreasonable requirements to maintain or protect the
SM’s health, and do not represent a medical risk; therefore these conditions are currently not unfitting."
PTSD
was listed on my FINDINGS AND RECOMMENDED DISPOSITION OF USAF PHYSICAL EVALUATION BOARD form but with the following note in the remarks section:
"The IPEB has reviewed the SM’s diagnoses and treatment of Generalized Anxiety Disorder;
Depression, Single Episode; Adjustment Disorder; and Post-Traumatic Stress Disorder (PTSD) and finds these conditions
do not prevent the reasonable performance of duties, do not impose unreasonable requirements to maintain or protect the
SM’s health, and do not represent a medical risk; therefore these conditions are currently not unfitting."
well @heathro1281 you just sunk my Battleship I'll probably be found fit and RTD.... finish out 2 more years as a DSG for a retirement I probably wont live to see at 60... 15 AD time down the crapper
But I believe in your Questionnaire it says you have more extreme symptoms than me?
[X] Difficulty in adapting to stressful circumstances, including work or a work like setting
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with periods of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene
I would argue these are incompatible with military service as you can not reliably perform assigned duties, or present a respectable military image in uniform if your condition prevents proper self hygiene?
[X] Impaired impulse control, such as unprovoked irritability with periods of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene
I would argue these are incompatible with military service as you can not reliably perform assigned duties, or present a respectable military image in uniform if your condition prevents proper self hygiene?
If you were found fit, I would argue and appeal these symptoms present a possible negative image of a service member performing duties in uniform.
I only shave and take care of myself like that when I have to (like LOC/LOR or Art 15 if I didn't - being in uniform would be one of them except I've been horrible at my dental for a long time). also seeing a guy grimacing in pain, down all the time, and limping all the time in uniform also doesn't help the image (unless I was a DI and I could use that anger.... lol... id probably get in trouble for that too because the kids these days going to basic probably couldn't handle the angry and mean TSgt that freely uses F-Bombs...) and don't even get started on PT...
Remember a lot of AFI 36-2903 deals with "presenting a proper military image" and the intent of a service member in uniform. Just because you are in regulations IAW dress and appearance and Fitness regs, there are many catch all statements in those regulations stating a commander can determine if the military image is being upheld.
my commander and her senior staff didn't like I was a smoker... and there were many complaints about that aspect from them on my last 2 EPR's
Good you are on the road to some answers!
I am still curious to your 30% , with the symptoms :
[X] Difficulty in adapting to stressful circumstances, including work or a work like setting
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with periods of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene
If you don't like your outcome, I would appeal the rating should be higher? I believe people usually get 50-70 at least with those symptoms checked.
[X] Difficulty in adapting to stressful circumstances, including work or a work like setting
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with periods of violence
[X] Persistent delusions or hallucinations
[X] Neglect of personal appearance and hygiene
[X] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene
If you don't like your outcome, I would appeal the rating should be higher? I believe people usually get 50-70 at least with those symptoms checked.