I had my C&P two years ago and they gave me a combined rating of 30% for PTSD/TBI stating that they couldn't tell one from the other. The doc who did the neuro exam said that cognitively I failed the test, but they couldn't determine if it was the PTSD or the TBI. Anyone else have that happen, and if my cognition was so jacked, why such a low rating?
Welcome to the PEB Forum!
Unfortunately, I can't provide any in-depth feedback in reference to a PTSD/TBI combined rating since my DoVA experiences have resulted in the receipt of a separate PTSD rating and a separate TBI rating (via the DoVA NOD appeal process).
From your information above, you stated that you have a PTSD/TBI combined rating of 30% which correlates to the following "General Rating Formula for Mental Disorders" in 38 CFR VASRD §4.130 Schedule of ratings—Mental disorders:
"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)."
That said, do you totally agree that your current PTSD/TBI symptomology reflects the above general rating formula? As such, have your symptomology become worse in the past two years? If so, then you may want to consider requesting a DoVA rating increase by submitting a DoVA disability claim via eBenefits for faster processing. Apparently, at the C&P exam two years ago, your combined PTSD/TBI symptomologies didn't meet the criteria for a higher DoVA rating. Again, has this changed to date?
At this point, do you have any other concerns with the PTSD/TBI 30% combined rating? Meaning, do you believe that your PTSD condition and TBI condition should be separated; therefore, receiving two separate DoVA ratings? If so, then you may want to consider scheduling an appointment with the TBI clinic at your local VAMC for further diagnostic testing. Take care!
Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"
Best Wishes!