I have a real quick question that could turn in to a few more if some of the members don't mind. My PEBLO and the attorney at legal both told me that PTSD that is deemed "fails retention standards" then 99 times out 100 it will be found "unfit" by the PEB. Is this any where near accurate? If not and you all believe as I do that you can't put a judgement on it like that I will post my QTC and NARSUM findings below. Hopefully someone can tell me whether they believe it will be deemed unfit. Anyone reading this, I hope you have a minute because I post a long summary of the NARSUM and QTC... I am not so much worried for the potential rating as whether or not it will be deemed unfit... I apologize for the duplicate post.
Narsum:
"will not be able to perform duties in austere or combat environments. He continues to complain of nightmares, traumatic anger, issues with memory and concentration, irritability, depression and panic attacks."
"will require medication/behavioral health management indefinitely. It is not likely that he will be able to return to full-duty in 5 years" (That statement makes me wonder about PDRL vs TDRL)
Impact on military duty performance:
"The Soldier is incapable of reliably performing a number of military requirements including weapons firing, deployment, and being responsible for the well-being of other Soldiers." (makes me feel worthless but whatever)
QTC:
Mental Status Examination
The claimant is a reliable historian (LOL). Orientation is within normal limits. Appearance and hygiene are appropriate. Behavior is appropriate. He has poor eye contact during the exam. Affect and mood shows mood swings, anxiety and depressed mood. Reports depression, anxiety and irritability. Communication is within normal limits. Speech is within normal limits. Claimant shows impaired attention and/or focus. Reduces effectiveness. Panic attacks are present and occur more than once a week. The attacks occur more in crowds. There are signs of suspiciousness with the following examples: Does not sit with back to a wall. No delusions or hallucinations. obsessive-compulsive behavior is present but is not severe.
Thought processes are impaired as he has confusion, has slowness of thought and has difficulty understanding directions. Reports mental confusion, slowness of thought, difficulty understanding directions. Judgment is not impaired. Abstract thinking is normal. Memory is impaired and the degree is moderate - problems with retention of highly learned material, forgets to complete tasks. There are passive thoughts of death, no plan. Homocidal ideation is absent.
Remarks
The following changes have occured to claimant's psychosocial functional status and quality of life following the traumatic exposure: social isolation, reduced effectiveness and increased interpersonal conflict. The effects of PTSD symptoms on claimant's employment and overall quality of life include social isolation, reduced effectiveness and increased interpersonal conflict due to depression, irritability and issues with concentration and memory. No pre-trauma factors.
The best description of the claimant's current psychiatric impairment is psychiatric symptoms cause occupational and social impairment with deficiencies in most areas such as work, school, family relations, judgemjent thinking and mood. The above statement is supported by the following symptoms: suicidal ideation, near continuous depression affecting the ability to function independently, appropriately and effectively, difficulty in adapting to stressful circumstances (including work or a work-like setting), inability to establish and maintain effective relationships and social isolation, issues with concentration. Currently, he has difficulty maintaining effective family role functioning because of his depression. Currently, he is unable to perform recreation or leisurely pursuits. He has difficulty understanding complex commands because he forgets part of the command. Based upon the examination, the claimant needs to seek follow up treatment."
Narsum:
"will not be able to perform duties in austere or combat environments. He continues to complain of nightmares, traumatic anger, issues with memory and concentration, irritability, depression and panic attacks."
"will require medication/behavioral health management indefinitely. It is not likely that he will be able to return to full-duty in 5 years" (That statement makes me wonder about PDRL vs TDRL)
Impact on military duty performance:
"The Soldier is incapable of reliably performing a number of military requirements including weapons firing, deployment, and being responsible for the well-being of other Soldiers." (makes me feel worthless but whatever)
QTC:
Mental Status Examination
The claimant is a reliable historian (LOL). Orientation is within normal limits. Appearance and hygiene are appropriate. Behavior is appropriate. He has poor eye contact during the exam. Affect and mood shows mood swings, anxiety and depressed mood. Reports depression, anxiety and irritability. Communication is within normal limits. Speech is within normal limits. Claimant shows impaired attention and/or focus. Reduces effectiveness. Panic attacks are present and occur more than once a week. The attacks occur more in crowds. There are signs of suspiciousness with the following examples: Does not sit with back to a wall. No delusions or hallucinations. obsessive-compulsive behavior is present but is not severe.
Thought processes are impaired as he has confusion, has slowness of thought and has difficulty understanding directions. Reports mental confusion, slowness of thought, difficulty understanding directions. Judgment is not impaired. Abstract thinking is normal. Memory is impaired and the degree is moderate - problems with retention of highly learned material, forgets to complete tasks. There are passive thoughts of death, no plan. Homocidal ideation is absent.
Remarks
The following changes have occured to claimant's psychosocial functional status and quality of life following the traumatic exposure: social isolation, reduced effectiveness and increased interpersonal conflict. The effects of PTSD symptoms on claimant's employment and overall quality of life include social isolation, reduced effectiveness and increased interpersonal conflict due to depression, irritability and issues with concentration and memory. No pre-trauma factors.
The best description of the claimant's current psychiatric impairment is psychiatric symptoms cause occupational and social impairment with deficiencies in most areas such as work, school, family relations, judgemjent thinking and mood. The above statement is supported by the following symptoms: suicidal ideation, near continuous depression affecting the ability to function independently, appropriately and effectively, difficulty in adapting to stressful circumstances (including work or a work-like setting), inability to establish and maintain effective relationships and social isolation, issues with concentration. Currently, he has difficulty maintaining effective family role functioning because of his depression. Currently, he is unable to perform recreation or leisurely pursuits. He has difficulty understanding complex commands because he forgets part of the command. Based upon the examination, the claimant needs to seek follow up treatment."
