Originally Posted by M14E2
Now I hear todays (non-vet) millennial/snowflake generation claiming PTSD for every negative childhood or adolescent event they experienced. They're not responsible for their actions , they need drugs , they can't hold a job and must go on disability for the seemingly mildest event.
I'm sure many are claiming PTSD because of the recent election results!
I am going to make some Generalizations here to make my point:
There is a huge difference in PTSD as viewed by Veterans Administration Psychiatrists(et al) versus 'Civilian' Doctors.
Because for Decades, the VA system has been inextricably tied to the VA Disabiity Ratings System. A Veteran only receives a Disability (Monetary) Benefit if they are Diagnosed with PTSD BY the VA(having a 'Civilian' Medical Diagnosis does not work) and given a percentage rating by the VA. A PTSD Disability Rating could range from 10% to 100% and the monthly benefit would be based on that % Rating. A Rating of Less Than 10% will not generate a Monetary Benefit.
So, the VA is historically reticent to Diagnose Veterans with PTSD because of the resultant Monetary Benefits. At various times, there have been 'exposes' where the VA has been shown to have directed Doctors and staff to be more 'conservative' in issuing PTSD Diagnoses for that reason.
On the other hand, Civilian Psychologists, Psychiatrists, et al...have no such concerns when diagnosing PTSD! They are Not Employees of the Social Security Administration(versus the VA)so they cannot be told to be more...Conservative!
Also, a Diagnosis of PTSD is virtually never a stand-alone Diagnosis, but is tied to a diagnosis of, for example, Major Depressive Disorder, AND PTSD.
The Social Security Adminstration in granting a Disablity based upon a psychological condition relies upon Civilian Doctors, not 'SSA' Doctors, however they do use Administrative Law Judges to Deny(Contest)claims for disability it does agree are justified.
So, Yes, in the 'Civilian World'...a Psychiatrist might well add a Diagnosis of PTSD to a Diagnosis of Major Depressive Disorder...solely on the basis that the individual was very close to a Relative or Friend who died, and now is significantly depressed...simply because that is the best Explanation of what is going on...and because there are no direct and immediate (Financial!) consequences...as compared to the VA System!
CAVman in WYoming