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Guessing there was medical documentation to back it up or was it out of the blue claim at the last moment? I manage to get copies of my prognosis of PTSD while in Wounded Warrior. He listed (Cpt Jackson Psych Med Officer) all my "issues" along with what I do for coping skills (painting 40K, medicated to sleep more then six hours etc etc) on it

Coupe things though stood out on the eval.

I'm "detached" when I talk to another person
Basically saying I've no emotions and/or feeling. Which is true. Burned out of me

"No Concerns" was another. To Clarify that one. I've no concern about anyone outside my "circle".

"Fear Suppression"

Of course the
Avoid large crowds (no damn malls for me and parks etc etc)
Occasional driving style like I am in convoy and avoiding the usual IED set up
Threat Classification of individuals
Take a knee when a "bang" is heard.

When that earthquake hit in MD while at Meade I was in some Super Market . Felt like a huge explosion. Everyone became very concern and I said "No Concussion so its something else." in casual manner. Everyone was relieved since they took me as subject matter expert on it being I was in uniform...

 sebster wrote:
There was a recent story here in Australia about police who had claimed PTSD. The insurer responsible for the payout denied the claim in many cases and forced the matter in to court. They did this even in instances where leave/retirement was mandated by the police force. They followed claimants around filming then, and took material from their facebook pages (even bypassing security settings to reach it).

So... yeah. I understand there will be a fair few claimants who are manipulating the system. But I think I'd rather accept some cases like that than treat genuine sufferers like how police claimants here have been treated.

Gotta say. The lengths that people will go to "prove" fraud scares me a hell of a lot more than fraud does.

I didn't read every post in extreme detail, but I did notice that no one commented on the various types of PTSD.

There are (to my understanding, based on discussions with a few therapists, two of which specialized in PTSD) two major types.

"Regular" PTSD is associated with distinct events such as combat, rape, child abuse, etc...(typically a crisis of interpersonal nature) that lead to flashbacks, dreams, day dreams, etc of those specific events.

Complex PTSD is typically childhood trauma in the form of a repeated series of events in which the victim is either helpless and unable to escape the pattern of abuse or feels that is the case.

Difference between C-PTSD & PTSD

Although similar, Complex Post Traumatic Stress Disorder (C-PTSD) differs slightly from the more commonly understood & diagnosed condition Post Traumatic Stress Disorder (PTSD) in causes and symptoms.

C-PTSD results more from chronic repetitive stress from which there is little chance of escape. PTSD can result from single events, or short term exposure to extreme stress or trauma.

Therefore a soldier returning from intense battle may be likely to show PTSD symptoms, but a kidnapped prisoner of war who was held for several years may show additional symptoms of C-PTSD.

Similarly, a child who witnesses a friend's death in an accident may exhibit some symptoms of PTSD but a child who grows up in an abusive home may exhibit the additional C-PTSD characteristics...

Source: http://outofthefog.website/toolbox-1/2015/11/17/complex-post-traumatic-stress-disorder-c-ptsd

Just my two cents.

 LordofHats wrote:

 sebster wrote:
There was a recent story here in Australia about police who had claimed PTSD. The insurer responsible for the payout denied the claim in many cases and forced the matter in to court. They did this even in instances where leave/retirement was mandated by the police force. They followed claimants around filming then, and took material from their facebook pages (even bypassing security settings to reach it).

So... yeah. I understand there will be a fair few claimants who are manipulating the system. But I think I'd rather accept some cases like that than treat genuine sufferers like how police claimants here have been treated.

Gotta say. The lengths that people will go to "prove" fraud scares me a hell of a lot more than fraud does.

What a lot of people don't understand about disability adjudication is that pure fraud is pretty rare. By that, I mean people that are wholly fabricating their symptoms or limitations, with an intent to receive benefits they know they aren't entitled to. It is more common in Workers Compensation or employer specific disability, because many claimants see themselves as having "earned" the payout, even if they don't have the full range of symptoms, but it's still a lot less than you think.

However, there is an awful lot of, well, exaggeration and BS. Claimants will wildly overstate their symptoms, and dramatically underestimate what they can actually do. And why not? There's money on the line. This is one reason a good adjudicator will try to look at more than just medical records, and even when looking at medical evidence, try to get multiple sources.

When you do have fraud, it's shockingly easy to catch. Social Security has an investigation team that looks into possible fraud among claimants and beneficiaries, and the technique is simple: they go to the person's house, and ask them about an unrelated law enforcement matter. they just make small talk with the person and their neighbors, and compare it to their own statements. I've read reports from these investigators that will make you laugh out loud. People that claim they can't walk climbing steep stairs without a hitch, people that claim they can't stand other people talking with their neighbors about the game, and my favorite, a person that alleged illiteracy proudly displaying their recent Bachelors degree.