C&P exam DBQ

Brokin1104

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PEB Forum Veteran
Registered Member
Is there any way to see what the providers filled out on the DBQ form? My MH examiner said he would have my paperwork done the same day of my exam.
 

RonG

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Is there any way to see what the providers filled out on the DBQ form? My MH examiner said he would have my paperwork done the same day of my exam.
I suppose it depends on the process in which one is a part of, at least to some degree.

As a regular retiree, I took a DBQ to my (private) urologist;
he quickly completed it;
gave it to me;
I sent it to the VA;
my claim was approved.

I doubt it would work that way during IDES processing. Those who have experienced the process will address that issue.

Good luck,
Ron
 

heathro1281

Well-Known Member
PEB Forum Veteran
Registered Member
@Brokin1104 I received my DBQs shortly before my VA ratings and IPEB decision from my PEBLO. I would ask him to send you your DBQs. I have a new PEBLO so he shared everything he ever received with me.
 

Brokin1104

Member
PEB Forum Veteran
Registered Member
I suppose it depends on the process in which one is a part of, at least to some degree.

As a regular retiree, I took a DBQ to my (private) urologist;
he quickly completed it;
gave it to me;
I sent it to the VA;
my claim was approved.

I doubt it would work that way during IDES processing. Those who have experienced the process will address that issue.

Good luck,
Ron
Thank you
 

7869jake

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
If the C&P was done by an actual VA doc then the DBQs can be printed off at any VA hospital/clinic. If they were done by QTC, it varies how folks have got them, but I just did a standard records request via mail to the VA intake center. Took about 3 weeks for them to send everything on a CD.
 

tony292

PEB Forum Regular Member
PEB Forum Veteran
Jake is correct any VA clinic can print them. Also you can view them on myhealthevet once you sign up for premium account then click on the blue button.
 

Guardguy11

Super Moderator
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Is there anyway to guess my ratings based on my MH health DBQ?
No need to guess. You should be able to read your DBQ and see what keywords they used. Read below to see what percentage you will get.

100% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual cannot take care of himself at all. Constant or near-constant hospitalization and one-on-one supervision is required.
Medications: This individual requires psychiatric medication at all times.
Symptoms: Some or all of the following symptoms will be present.
– Regular or constant delusions or hallucinations and the inability to tell fact from fiction
– Completely inappropriate behavior (like drooling, mumbling, shouting, etc.)
– There is constant danger of hurting self or others (including suicidal tendencies)
– Significant memory loss, including not being able to remember names of close friends, family, or self, and other important information
– The individual cannot understand the idea of time or place
– The individual cannot properly reason, think or communicate logically
– Constant anxiety, fear, suspicion
The Ability to Work: This individual cannot work at all.
Social Relationships: This individual cannot participate in any relationships. In other words, they cannot interact or build a relationship with another person. Family members may care for them, but it is only a one-way relationship. They cannot seek, invite, or encourage any relationships.
70% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual cannot take care of himself most of the time. He is in the hospital or a care facility or is being taken care of by family members all of the time, and requires one-on-one supervision 50% of the time. This person cannot take care of his own personal hygiene.
Medications: This individual requires psychiatric medication at all times.
Symptoms: Some or all of the following symptoms will be present.
– There is the regular possibility of hurting self or others (including suicidal tendencies)
– This individual often cannot communicate logically
– This individual is actively psychotic, but may have intermittent contact with reality
– Obssessive-compulsive behavior that causes repetitive physical actions that interfere completely with daily necessary activities
– Severe, constant anxiety
– Mood often changes radically, without warning.
– Almost constant severe depression or panic, with the inability to function at all in stressful situations
– This individual cannot control impulsive actions like anger, violence, etc.
– Often disoriented to time and place
The Ability to Work: This individual may not be able to work at all or may be severely under-employed (such as a former intelligence analyst now working part time as a custodian).
Social Relationships: This individual cannot participate in any relationships most of the time. In other words, they cannot interact or build a relationship with another person. Family members may care for them, but it is normally only a one-way relationship. They cannot seek, invite, or encourage any relationships the majority of the time.
50% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual is occasionally hospitalized, but can mostly take care of the basic personal needs like bathing or going to the bathroom, although their personal hygiene may not be kept up regularly. They may also be able to function in areas like shopping, driving, cleaning, etc.
Medications: This individual requires psychiatric medication at all times.
Symptoms: Some or all of the following symptoms will be present.
– Trouble expressing or showing emotions (This doesn’t mean that they are just reserved. It basically means that they are completely blank the majority of the time), or shows the wrong or inappropriate emotion for the situation
– Always shows significant signs of anxiety
– Regularly gives unnecessary or unrelated details when communicating
– Two or more panic attacks a week
– Trouble understanding complex directions
– Trouble remembering things (forgetting to complete tasks, etc.)
– Trouble thinking logically and often has poor judgment
– A serious lack of, or a seriously increased, mood or motivation
– Occasional delusions or hallucinations
– Regular to nightly trouble sleeping (nightmares, insomnia, anxiety, etc.)
– Complaints of physical symptoms, like pain, that do not have a physical cause
– Suicidal thoughts, but no definite plan to hurt himself
The Ability to Work: This individual may try to work, but will not be able to hold a job for more than 3 or 4 months because of their inability to remember or follow all directions or other similar reasons based on the symptoms or circumstances described under this rating. (In other words, they wouldn’t lose their job simply because they have anger issues and would regularly get in fights. A person like that could also not hold a job more than 3 or 4 months, but they would still be considered able to work). This individual would only be hired for jobs like cleaning, picking up trash, or other simple-task jobs.
Social Relationships: Like his ability to work, this individual may try to build and engage in relationships, but these relationships would not last long in most situations. Divorce or other breaks in relationships and friendships could occur due to his inability to properly participate in a relationship.
30% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual may have occasional, short hospitalizations, but can entirely take care of himself most of the time.
Medications: This individual usually requires medication to function normally.
Symptoms: Some or all of the following symptoms will be present.
– Spikes or drops in mood, like depression
– Often anxious or becomes easily stressed
– Panic attacks occur, but no more than once a week
– Difficulty sleeping (nightmares, insomnia, anxiety, etc.)
– Mild memory loss could include regularly forgetting names or directions
– Often suspicious of other people, particularly ones he does not know
The Ability to Work: This individual will be able to work and will usually function normally. There may, however, be occasional times where he is unable to properly fulfill all job requirements. This could result in occasionally losing his job.
Social Relationships: Like his ability to work, this individual will normally have fairly stable relationships. These relationships, however, will not be great and will often be strained by the symptoms of his condition. Divorce or breakups could occur, but not in every case.
10% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual will always be able to take care of himself and will very rarely, if ever, be hospitalized.
Medications: This individual may or may not be taking medication. Meds may be taken all the time, or only during stressful times. They satisfactorily keep all symptoms under control.
Symptoms: Some or all of the following symptoms will be present, but only during times of significant stress. The majority of the time there are no symptoms.
– Mild depression or other mood changes
– Mild to moderate anxiety
– Mild panic attacks may occur, but very rarely
– Occasional difficulty sleeping (nightmares, insomnia, anxiety, etc.)
– A range of other, very mild symptoms, which could include suspiciousness of strangers and hyperarousal
The Ability to Work: This individual will be fully employable and will very rarely have any problems at work that are caused by the mental condition.
Social Relationships: This individual will have full, functional relationships with only occasional, mild stresses that are caused by the condition.
0% rating: If a mental condition has been diagnosed but there are no symptoms that impair social or occupational functioning or require medication, then it is rated 0%.
 

Brokin1104

Member
PEB Forum Veteran
Registered Member
No need to guess. You should be able to read your DBQ and see what keywords they used. Read below to see what percentage you will get.

100% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual cannot take care of himself at all. Constant or near-constant hospitalization and one-on-one supervision is required.
Medications: This individual requires psychiatric medication at all times.
Symptoms: Some or all of the following symptoms will be present.

The Ability to Work: This individual cannot work at all.
Social Relationships: This individual cannot participate in any relationships. In other words, they cannot interact or build a relationship with another person. Family members may care for them, but it is only a one-way relationship. They cannot seek, invite, or encourage any relationships.
70% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual cannot take care of himself most of the time. He is in the hospital or a care facility or is being taken care of by family members all of the time, and requires one-on-one supervision 50% of the time. This person cannot take care of his own personal hygiene.
Medications: This individual requires psychiatric medication at all times.
Symptoms: Some or all of the following symptoms will be present.

The Ability to Work: This individual may not be able to work at all or may be severely under-employed (such as a former intelligence analyst now working part time as a custodian).
Social Relationships: This individual cannot participate in any relationships most of the time. In other words, they cannot interact or build a relationship with another person. Family members may care for them, but it is normally only a one-way relationship. They cannot seek, invite, or encourage any relationships the majority of the time.
50% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual is occasionally hospitalized, but can mostly take care of the basic personal needs like bathing or going to the bathroom, although their personal hygiene may not be kept up regularly. They may also be able to function in areas like shopping, driving, cleaning, etc.
Medications: This individual requires psychiatric medication at all times.
Symptoms: Some or all of the following symptoms will be present.

The Ability to Work: This individual may try to work, but will not be able to hold a job for more than 3 or 4 months because of their inability to remember or follow all directions or other similar reasons based on the symptoms or circumstances described under this rating. (In other words, they wouldn’t lose their job simply because they have anger issues and would regularly get in fights. A person like that could also not hold a job more than 3 or 4 months, but they would still be considered able to work). This individual would only be hired for jobs like cleaning, picking up trash, or other simple-task jobs.
Social Relationships: Like his ability to work, this individual may try to build and engage in relationships, but these relationships would not last long in most situations. Divorce or other breaks in relationships and friendships could occur due to his inability to properly participate in a relationship.
30% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual may have occasional, short hospitalizations, but can entirely take care of himself most of the time.
Medications: This individual usually requires medication to function normally.
Symptoms: Some or all of the following symptoms will be present.

The Ability to Work: This individual will be able to work and will usually function normally. There may, however, be occasional times where he is unable to properly fulfill all job requirements. This could result in occasionally losing his job.
Social Relationships: Like his ability to work, this individual will normally have fairly stable relationships. These relationships, however, will not be great and will often be strained by the symptoms of his condition. Divorce or breakups could occur, but not in every case.
10% rating: This rating will have the majority of the following circumstances and symptoms:
The Ability to Care for Yourself: This individual will always be able to take care of himself and will very rarely, if ever, be hospitalized.
Medications: This individual may or may not be taking medication. Meds may be taken all the time, or only during stressful times. They satisfactorily keep all symptoms under control.
Symptoms: Some or all of the following symptoms will be present, but only during times of significant stress. The majority of the time there are no symptoms.

The Ability to Work: This individual will be fully employable and will very rarely have any problems at work that are caused by the mental condition.
Social Relationships: This individual will have full, functional relationships with only occasional, mild stresses that are caused by the condition.
0% rating: If a mental condition has been diagnosed but there are no symptoms that impair social or occupational functioning or require medication, then it is rated 0%.
Thanks. I think I fall under 100%.
 

tony292

PEB Forum Regular Member
PEB Forum Veteran
Check what box is checked in block 3.A, or 4.A if it’s the PTSD DBQ. Then compare the block check to the first sentence (occupational and social impairment statement) in the following:

General Rating Formula for Mental Disorders:

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; memo
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 medication0%


Once you’ve done that you’ll know what you’re wrong will likely be. Raters go off if the 3A/4A block check when assigning percentages.
 

Brokin1104

Member
PEB Forum Veteran
Registered Member
Check what box is checked in block 3.A, or 4.A if it’s the PTSD DBQ. Then compare the block check to the first sentence (occupational and social impairment statement) in the following:

General Rating Formula for Mental Disorders:

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; memo
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 medication0%


Once you’ve done that you’ll know what you’re wrong will likely be. Raters go off if the 3A/4A block check when assigning percentages.
Block 4a is marked “Total occupational and social impairment”
 
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