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I Feel Like I'm Being Underdiagnosed Because I Don't Abuse Drugs, Alchohol.

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At the end of the day, none of us control veteran rating scales... but I can tell you that any PTSD rating has nothing to do with drugs and alcohol, as they are diagnosed as comorbid diagnoses.

Veterans Affairs agencies work not only on PTSD with their rating scales... they use the total cluster of diagnoses and their unique severity.
 
I have always answered very close to the truth. I don't drink often because I am afraid of becoming an alcoholic. I don't use drugs because I'm afraid of losing my VA/retired benefits. I have other escapist behaiviors like spending the day in daydreams, or online gaming all day, every day...

I am assuming you retired from the US Military, if so, then my VA specific comments will make more sense.

First, I too am retired (US Army, 27+ yrs), and VA rated service connected disabled (100%). PTSD is only one of the things VA has rated me as having, I also have a boat load of real physical ailments too.

You say that you "always answered very close to the truth". That COULD be part of your problem with the VA. Don't be "very close" to the truth, let it ALL hang out when talking to them. It will have two important benefits for you. First, and most important is that it will let them know just where you are coming from and just what it is you have so they can then give you the correct treatment regimen. You not being fully truthful has caused them to have an imperfect diagnosis which leads to an imperfect treatment. Second, when being evaluated, your honesty and full disclosure is crucial for them to be able to give you the rating you truly need.

While I am not saying to become an alcoholic or drug addict, you are mistaken in your belief in that becoming one will be an automatic end to those earned benefits. Truth is, if it did ever happen (and I pray it doesn't), the VA has multuple locations and programs to treat that too. Most Veterans who end up needing those treatments need them because of trying to escape / overcome / forget / deal with issues that are Service connected, so VA takes them in. Also, if you are in Category 1 (50% or higher, I think. Check their website), then you can get treated for anything, Service connected or not, by the VA. Check their website or call them for verification.

There is only one thing that will cause a loss / suspension of benefits and that is incarceratio, and I think you get them back once you are released. Once again, check directly with VA for verification.

My brother is an alcoholc, but has been sober for over 20 years. He now works with substance abusers and has provided my with a ton of information over the years. The big thing to remember in addiction is not to look at "how much" the addict / abuser is doing or using, but to look at the effect it has on the individual. If quantity were the only criteria, then the person who only had 1 drink on Friday night would not be an alcoholic. However, if that person is constantly thinking about it and counting down the time all week until they can have it, then they MAY be an alcoholic. That is a greatly simplified example, and it is a much more in depth process to determine / diagnose, but you get the idea. That being said, look at the effects on you by going online and daydreaming and the effects on you when you can't do it for whatever reason. Addictive behavior is addictive behavior, and none of it is healthy. Talk with your therapist about the effects, not just the quantity.

Bottom line, I understand how dificult it can be to tell some VA head shrinker what you got going on inside your grape, but you have to do it. You have to do it for the reasons I laid out above. Full disclosure with your therapist is a requirement if you really want to be able to deal with / overcome this crap.

BTW: 11B4P Master Blaster, CIB, EIB, standard fruit salad.
 
Retired Navy. 20 yrs. 70% for GAD (generalized anxiety disorder), + 10% for health issues. I'm reaplying for PTSD. I wasn't able to submit the paperwork they sent me because of my anxiety. I'm seriously thinking of changing my T. I've brought up stuff in regards to wanting to drink all the time, but because I don't he just kind of passes over the issue. He does this with a lot of issues I have. He is mostly focused on my anxiety because it's the most severe issue I'm faced with on a daily basis. This is one of the reasons I've "almost" been truthful with my T. I don't want to pour my guts out only to have it dismissed as a side issue. There are a few issues I haven't taken ownership of yet that I'm still working on myself (denial). I guess I'll have to work on recognizing them and admitting to them so I can begin working on them as well.

At times I'm really mired in dark fantasies of torturing and killing some of my ex-coworkers. This is a dark side of me that I don't like to admit I have. To admit it to someone else is to make it more real. I also strugle with anger managment and I know if I bring it up during sessions I may become a raging lunatic and the safety of my T might become an issue. I have brought it up, but didn't spend much time on it to avoid the rising rage inside.

I don't drink because alcoholism runs in my family, and I came very close to becomeing one when I first enlisted trying to live up to the stereotypical image. Get off work, get stooopid drunk.

When I was in highschool I "experimented" with pot, ya.... that's my story and I'm stickin to it. I often want to try it as well to see if I can find some relief from this horrible anxiety. Anxiety is my biggest issue I deal with on a daily basis. It's horrible all day every day usually. I'm well aware that pot can increase anxiety, but I'm also aware there are many "flavors" that each have a different effect on the mind and body. Also, I'm not looking to take enough to get high, just to take the edge off my anxity. I really DON'T want to get high, or drunk, I just need to escape this crushing anxiety. I live in a state that allows medical marijuana. Yes I'm aware of the Federal Gov's position on pot.

My PTSD/anxiety started to get out of control in late 08. The medications I've been given so far from the VA haven't really done much for my anxiety and I'm losing hope that they will ever find one or a combination that does the trick. If they do find something that works I'm affraid of the serious side effects which are all too common. Currently I'm on two medications that are addictive. One is for pain, one for anxiety. I'm not looking fwd to dealing with them if I do get addicted. I don't take them at the prescribed or daily level for fear of becoming addicted.

I hope this makes sense, my anxiety at the moment is almost unbareable, and I probably should have waited to post.
 
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