Primary diagnosis: Anxiety related disorders.
Secondary diagnosis: Disorders of back (discogenic and degenerative).
The claimant was a 47-year-old man.
Alleged disability: post-traumatic stress disorder (PTSD), traumatic brain injury, lower and upper back pain, and neck pain.
He reported difficulty taking care of his personal hygiene and grooming, had mobility limitations, and problems using his right hand. He had difficulty with memory, concentration, completing tasks, and getting along with people. He had difficulty sleeping because of pain and mental issues. He was unable to do house chores. He lived with his family in a small trailer on his parent’s property; his mother and older brother took care of him. He did not like crowds, interacted mostly with his relatives.
Education: 12th grade.
Work experience: US Army for 22+ years. Logistics specialist, warehouse and motor pool supervisor.
The Comparison Point Decision (CPD) date was 03/19/2013 (Administrative Law Judge allowance).
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He was in active duty and multiple times in 2008 he suffered brain trauma (missile attacks and a vehicle impacted the left side of his head; he was wearing a helmet). He received treatment at the Traumatic Brain Injury and Concussion Clinic and received mental health therapy. He suffered changes in his personality, developed intellectual problems, had recurrent nightmares about being in Iraq, had panic attacks, and had difficulty being around others. He also had physical limitations because of back pain. He took multiple medications, including psychotropics and medicines for pain control. The claimant had traumatic brain injury, post-traumatic stress disorder, and cognitive disorder secondary to brain injury. Because of his condition, he was incapable of even low stress
The following is a case study of a two-year-old male client, Charles Finster, Jr, also known as Chuckie, who suffers from anxiety disorder. According to the Diagnostic and Statistical Manual-Fifth Edition, general anxiety disorder is characterized by persistent, excessive, and unrealistic worry about everyday things. Chuckie is the son of Charles “Chas” Finster and the late Melinda Finster, who passed away a few months after Chuckie was born. Chuckie has red hair, buckteeth, freckles, and big, purple glasses. He is often seen hanging around his group of friends who range from ages 1 to 3, which makes him the second oldest in the group. He is the only baby in his group of friends without a mother, until he gets a stepmother, Kira, later on. Chuckie is a target of bullying, along with his friends, of the 3 year old.
Client states “I accepted responsibility for the decision that I made that have led to legal conflicts.” Client appears to cope more effectively with his stress, and is in compliance with all his legal and treatment requirements. Client reported participation in self-help activities/ program, and his family is supportive of his recovery, as
Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties.[1] They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, trembling, twitching, irritability,
Mr. Williams submitted his application for Medicaid benefits on August 5, 2015. The Gulfport Regional Office (RO) forwarded a Disability and Blindness Report to Disability Determination Services (DDS), who has the responsibility of making disability decisions for the Division of Medicaid (DOM), on August 13, 2015. DDS notified the RO on October 16, 2015, that Mr. Williams was not disabled for Medicaid purposes. The RO issued a Notice of Adverse Action on October 23, 2015.
Under 38 C.F.R. § 4.130, Diagnostic Code 9411, a 50 percent schedular rating is said to be appropriate when there is evidence of occupational and social impairment due to a variety of symptoms such 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, impaired judgment, impaired abstract thinking, disturbances of motivation and mood, and difficulty in establishing effective work and social relationships. Given that our veteran was reported by the VA psychiatrist as exhibiting symptoms of memory impairment, difficulty in establishing relationships, and twice-weekly panic attacks, it is clear that a 50 percent rating should be given for the time frame
Client reports the presence of physical health problems. Client has extensive shrapnel wounds as well as old burns to his legs and feet from an IED explosion. He walks with the assistance of a cane for stability. He suffers from chronic pain in legs.
10-33 363 on page 10,2nd sentence, “The examiner noted that the Veteran’s claims file had not been reviewed. The veteran stated that he had been diagnosed with cervical strain in 2005 after being rear-ended in a parking lot, but the pain had resolved within weeks”. Which I DID NOT SAY. This the only proof the doctor have, maybe he misunderstood or gotten my words twisted, but I repeated I never said I was diagnosed or rear end in a parking lot. I never was rear-ended in anyone parking lot. What I told the examiner was when I was on my way back from Iraq the VA examiner diagnose me with a cervical strain from all the convey trips. (See DA Form 638, APR 2006 Achievement #3). This is the first and only time I ever been diagnosis with any neck injury or problem by a VA doctor. Docket No. 10-33-363 dated March 04, 2013 on page 3 last paragraph, “In this case, the Veteran was afforded a VA general medical examination in September 2008 for his orthopedic claims, including the neck. At that time, the Veteran reported that he injured his neck in November 2007, when a blast while riding in a Humvee threw his head against a window. The Veteran reported ongoing pain that he described as 8 out of 10. Following examination and testing, the examiner diagnosed cervical strain. The examiner, however, did not offer an opinion as to the etiology of the neck disability.” Continue on page 4 Docket No. 10-33-363 dated March 04, 2013, “Based on the
He has been diagnosed with Persistent Depression Disorder, which is self-reported to have gotten worse since the TBI. The veteran has attempted to make appointments with a psychologist at the VA, but he reports that those appointments have been canceled. He wears hearing aids and has a knee injury, which he will have surgery on in the future.
One of the most common disorders in our society today is generalized anxiety disorder. I am going to dive in to the methods of treatment and thoroughly discuss the various ways this disorder is handled. I experience anxiety when it comes to being in large bodies of water and also when I see spiders. Treatment options for anxiety disorders range from herbal remedies to prescribed medication. There are so many treatment options that I had no idea were even a possibility. The treatments I am going to talk about and describe in depth are ones that I researched and were shown to have the highest success rate. This could be
The claimant underwent a Mental Diagnostic Evaluation by George M. DeRoeck, Psy.D. on June 17, 2015. He reported to Dr. DeRoeck he was rated 70% disabled due to Post Traumatic Stress Disorder. He state he likes to watch TV in his room and fish. He also stated he avoided any reminders of violence in the media, feels tense and has flashback/intrusive thoughts about “anything burning.” Has also is iable to obtain restful sleep and is prone to lost periods of time. He began receiving outpatient treatment in 2007 via medication management and counseling at the VA. He attended inpatient treatment in July of 2013 for several months. He also attended a six-month program in October or November of 2013. At the time of the evaluation, he was going
The claimant was diagnosed with severe major depression with psychotic features, panic disorder, and rule out schizophrenic disorder. She met the disability listing 12.04. She lived with her parents and never worked. She showed symptoms of mental instability when she started school.
In analyzing the case study of Mr. Pete P., several factors become apparent. The patient is new to the dental practice, a recovering alcoholic, and suffers from anxiety, which can be assumed from a current prescription of Xanax. Anxiety disorder is a condition that affects everyday activities such as performances at work, school, and within relationships. Anxiety can be split into to three main categories including generalized, panic, and social anxiety disorder. As stated by the National Institute of Mental Health (2009), generalized anxiety disorder display excessive anxiety or worry for months and face several anxiety-related symptoms.” Anxiety disorder is long term and can worsen over time the. Generalized anxiety disorder is the traditional
active military duty. The definition of “serious” injury can be hard to prove as the
Even though the concept of Illness Anxiety Disorder has been around for many years, a lot has still been left undiscovered. The advancements in a treatment or the root of the cause been left full of educated guesses and backed up with very little evidence. Those who have suffered from this haven’t had much assistance with this disorder that comes with a life time of stress and anxiety. Those with Illness Anxiety Disorder are usually just seen as unreasonable and turned away by doctors or too terrified to even seek medical attention. The problem is in the excessive fear of the illness and with that just being seen as over-dramatic or a joke is part of the problem as well. Hopefully in the years to come, this mental disorder will have more answers surrounding it than questions and those in need of assistance and care will finally have access to it.
Military: N/A Health: He rated current health as poor, stating bad lungs from previous bouts with pneumonia, and a bad back due to a 17% curvature of the spine causing muscle spasms in his lower back. Limitations: None Mood: No history of depression or mania. Sleep: Occasional nightmares (2 to 3 times monthly).