PTSD 4Q and PCL-C scores?

CaptainJack

PEB Forum Regular Member
Registered Member
Hello everyone,
Tried searching and didn't come up with any answers, so I thought I'd post to see if anyone knows.
I just got a print out of my medical file for this year and found a PTSD questionaire in there that had the following; PTSD 4Q was negative, score 2 and a PCL-C was performed and was negative, score
was 38.
Anybody have any idea what these scores mean in relationship to my claim for PTSD? I havn't had
the official exam/interview yet, but I did meet with a mental health person that asked these 17 questions.
Thanks for any help,
Jack
 
Not sure, I go to my Psyc QTC saturday. So i guess well see what goes on. I am no shrink or psyc by any means, but im pretty sure that they are looking for details, stressors, and residual type of effects for certain situations. And of course weather or not it affects your life or work somehow im sure.
 
PTSD 4Q is the name of a screening test (cutoff is 3). Having seen it, I believe it is designed as an easy screening test to see if one should be seen by a mental health professional. It is definitely not a substitute for a clinical interview using the DSM IV TR diagnostic criteria. Just as a qualifier, I went to grad school for a degree in psychology after retiring from active duty, and work as a marriage and family therapist. The PCL-C is listed as the PTSD Checklist – Civilian Version (PCL-C). There is also a PCL-M (military version.

How is the PCL Scored?
1) Add up all items for a total severity score
or
2) Treat response categories 3–5 (Moderately or above) as symptomatic and responses
1–2 (below Moderately) as non-symptomatic, then use the following DSM criteria for a
diagnosis:
- Symptomatic response to at least 1 “B” item (Questions 1–5),
- Symptomatic response to at least 3 “C” items (Questions 6–12), and
- Symptomatic response to at least 2 “D” items (Questions 13–17)
 

Attachments

I think these types of exams/tests are bogus if used by themselves as a basis for a PTSD finding.

While they may be valid tools for various purposes, according to DoD and Service regulations, the DSM-IV is the sole standard that should be used in diagnosing conditions (though, I have seen various memos reference DSM-IV TR, officially, this is not the current standard- for purposes of mental health conditions, I don't see much variance between these two documents, though). Now, there may be a valid issue if, based on whatever diagnostic tools/exams (such as MMPI, or other exams), the examiner finds that one of the DSM-IV criteria are not met (basically, a finding discounting whether one of the criteria, such as re-experiencing the trauma). But, in my opinion, the issue is not whether someone scores at a certain cut-off or answers a question or set of questions in a certain way. The only criteria is whether they meet diagnostic criteria under the DSM-IV. (As an aside, I think this was part of the underlying problem at Ft. Lewis; from the cases I have seen, it looks like they used bogus "alternate" criteria in diagnosing- or failing to diagnose- PTSD....as in most of my experiences in the military, I have found that when you deviate from the regulations or law, you are skating on thin ice).
 
Well, it appears my "informal" mental health meeting was a pre-screen/test for the formal hearing(yet to be scheduled); great.
I guess a few too many "a little bit" and not enough "moderately" answers. Should have defaulted to moderately when there was doubt.
I knew this was going to be a long, hard road and I should have been game on right from the get-go.
Thanks Jason and Brent for the input.
Jack
 
Hello everyone,
Tried searching and didn't come up with any answers, so I thought I'd post to see if anyone knows.
I just got a print out of my medical file for this year and found a PTSD questionaire in there that had the following; PTSD 4Q was negative, score 2 and a PCL-C was performed and was negative, score
was 38.
Anybody have any idea what these scores mean in relationship to my claim for PTSD? I havn't had
the official exam/interview yet, but I did meet with a mental health person that asked these 17 questions.
Thanks for any help,
Jack
 
im going for my second c&p exam in 3yrs for mst/ptsd mt pcl sores were 4&5 gaf scores 45,55,65 from 3 psycologists. I have no friends and have no feelings of love or sex drive. I have low energy and isolate my self from others what is my chance of getting a disability rating and how much? thank you lakeclay
 
Those scores and GAF scores are utterly meaningless. Below is how your ptsd ratings will be determined:

http://www.vba.va.gov/pubs/forms/VBA-21-0960P-3-ARE.pdf

That is the PTSD DBQ form. It does need to be filled out by a psychiatrist or psychologist. I had two done by psychiatric nurse practitioners and the VA accepted and used them to increase mine from 50% (VA CP psych exam) to 70%. It is extremely helpful for the person doing. The DBQ to know how section 4 and section 7 align with the VA language for rating purposes. These sections will align with the criteria below:

VA mental health Rating criteria key wording:
Total occupational and social impairment, due to such symptoms as: gross impairment in thought process 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 functionindependently, 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 occasionaldecrease in work efficiency and intermittent periods of inability to perform occupational tasks (althoughgenerally 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%

Jason and Maparker, please I am begging you make a ptsd sticky so people don't have to hash out the same questions over and over again!!!
 
Jason and Maparker, please I am begging you make a ptsd sticky so people don't have to hash out the same questions over and over again!!!

What do you specifically request here? Happy to do anything that helps folks, but, I am not sure what your are asking....there are entire subforums devoted to this topic and there are ways to search for the information referenced/requested. If I can make things easier to reference, I am all in for helping folks reach the relevant information/references.
 
Just the VA mental health rating criteria I posted above. I copy and paste that sometimes several times a week. We are always getting new members with mental health questions asking how they will be rated.
 
Top