Narsum question

[Giosell]

I just got done with my first Narsum reading from my nures. Make the story short, I have been going through my behavior health and thought I would be diagnosed with "PTSD", but she said that I was diagnosed with MAJOR DEPRESSION.

What is the rating for MAJOR DEPRESSION?

I also noticed that my case manager did not get "the second" page of my claims. I say this because my narsum nurse had second page wich had a total of 34 claims, but my case manager only had the first page which only had 23 of my claims. This means that appointments for the other 11 claims were not set due to this. Do I wait until my PEBLO gets the narsum back and bring the issue up or do I do it now?

 

[Warrior644]

I just got done with my first Narsum reading from my nures. Make the story short, I have been going through my behavior health and thought I would be diagnosed with "PTSD", but she said that I was diagnosed with MAJOR DEPRESSION.

What is the rating for MAJOR DEPRESSION?

I also noticed that my case manager did not get "the second" page of my claims. I say this because my narsum nurse had second page wich had a total of 34 claims, but my case manager only had the first page which only had 23 of my claims. This means that appointments for the other 11 claims were not set due to this. Do I wait until my PEBLO gets the narsum back and bring the issue up or do I do it now?

Welcome to the PEB Forum!

In response to your question, there is not ample information to provide a specific DoVA rating.
In reference to the missing documentation, I suggest that you contact your PEBLO now to immediately resolve your concern(s).

Moreover, under the general rating formula in Veterans Affairs Schedule for Rating Disabilities (VASRD) § 4.130 Schedule of ratings—mental disorders, there are several categories outlined with specific ratings as based upon symptomology. To that extent, I shall offer the following response then suggest that you initiate for yourself any potential DoVA rating projection:

Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name--- 100%

Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships--- 70%

Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships--- 50%

Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events)--- 30%

Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by continuous medication--- 10%

A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication--- 0%

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!