Mental Disorders DBQ - Can my civilian psychiatrist fill this out?


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Happy New Year All - especially to anyone reading this from the Middle East.

Quick background: Navy IDES but NARSUM not yet submitted.

QTC Contractor - PhD - Did My TBI/Cognitive Dysfunction/Depression Exam using the Initial Post Traumatic Stress Disorder DBQ
QTC Contractor -MD Neurologist - Did my Initial Evaluation of Residuals of TBI DBQ (I-TBI).

Does anything prevent me from submitting VA Form 21-0960P-2 - MENTAL DISORDERS DBQ (Other than PTSD/Eating Disorders)
From my private/civilian psychiatrist? Will the VA accept this?

Non-IDES PTSD diagnosis from the military. PEB - major depression.

Thank you in advance to anyone who can shed light on this incredibly difficult topic. I have gone through the threads at length.


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You absolutely can have your civilian mental health doctor fill it out. Be aware that the block check in 3A will determine your overall percentage according to the VA guidelines. Get this done and then the VA will conduct a MH CP exam. If your doctors DBQ rates you higher then use it to submit a VaRR. The VA must give your doctor more weight upon consideration than a CP examiner who is just meeting you for the first time.

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; 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 medication0


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I was initially rated 50% for MDD and anxiety by the VA CP exam. I had my civilian psych fill out the DBQ and he out block 3A at “Occupational and social impairment, with deficiencies in most areas” which got my MH rating increased from 50 to 70. I uploaded the DBQ and sent it via my Peblo as well.


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Yes and it is often a wise move. Your doc knows you better than the C&P examiner who usually spend only a small amount of time with an applicant.

Happy 2019


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Folks - sorry about this. But I did review previous posts, but am still confused. My civilian psychiatrist will do the Mental Disorders DBQ. But he is
confused about the DBQ form which states: " Is it possible to differentiate what portion of the occupational and social impairment is caused by each
mental disorder"? My doc is confused because he said most of it is related. How does the VA view this? Do they want it broken out? Sorry guys, but I am down
to the wire. Thank you.


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Most examiners check yes even though you have a lot of overlapping symptoms there is still a difference between the two even if slightly.
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