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Old 07-22-2004, 11:41 PM   #1
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robingilbo HB User
psychiatric evaluation

I have my ssdi psychiatric evaluation coming up very soon, and I am literally scared to death about it. Can anyone out there tell me what to expect, and also tell me if they are really going to evaluate me fairly, or just simply try to disprove my claims. i have been treated by my family doctor for years, and I take xanax .5mg 3xdaily, and effexor 150 mg. any response would be greatly appreciated.

 
Old 07-22-2004, 11:46 PM   #2
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robingilbo HB User
Re: psychiatric evaluation

I forgot to add in my original post that I plan on taking a list of all my major symptoms and problems associated with my depression and social anxiety. Is this a wise idea, or a waste of time?

 
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Old 07-23-2004, 03:09 AM   #3
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etIII HB User
Re: psychiatric evaluation

Hello Robingilbo,
There are more questions we would need to help you. Of course we aren't employees of SSI, nor are we Drs.. It sounds as if you're not near a metro-type area (in the boonies?). If your Family Dr. is diagnosing you instead of a psychiatrist...it leaves a big question as to why your Dr. hasn't referred you beforehand to someone who is supposed to be seeing you. My General Practioner is actually specific in Bone doctoring and Deep-sea diving medicine. I asked him for a referal to a Psych. Dr. since they are actually the only ones allowed to prescribe mind altering drugs.

Don't be afraid of the process or the Drs, you are about to encounter. Your Family Dr. must have a reason to believe that you are eligable or you wouldn't be here chatting with us. When there aren't enough specialists in your area, SS will send you to one of theirs. I'm all the way out in the Pacific Ocean. My GP said that when a Neurologist visits the Island of Guam, he'd call me. Our SS office found two of their Drs. on island. On Tuesday the 27th of July will be my appt. with him. I've already had my MRI and X-rays done. Yet that was six months ago.

I've seen four Psychiatrists who dxed me with Major Depression. One of them put down "alcohol dependance". SS told me that wasn't an exceptable reason (against SS rules now). Problem being, I've had depressive problems since my step-mother started terrorizing me at the age of three. My alcohol problems increased when I went into the military. That's where another 5 Psych. Drs. made their prognosis. There was still another Psych. Dr. that I had seen in between. If I have to I'll dig up the other six Psych. Drs. to prove my case.

As far as being evaluated fairly, I do believe their Dr. will be. True SSI is paying them, yet they're job is on the line. There are federal regulations they must follow when examining the patient. All I could suggest is to be yourself and answer all questions truthfully.

Nothing is a waste of time unless you don't try at all. Please let us know what else you plan to provide them and maybe we could help. No...I'm not trying to be nosey! It's just that the more "axis" to your prognosis, the better that it will help you. Sometimes this whole process can be painfully slow. Depression is one of the biggest side-affects we need to deal with here! If they could only look in to our souls, we might find our healing.


Good luck and hope to hear from ya soon!
Ed

 
Old 07-23-2004, 04:04 AM   #4
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crabbyroad HB User
Re: psychiatric evaluation

Robin,

Is this a review part of the disability claim you have filed? I had that with my disability claim before I was given final approval, thinking back I believe it was my last step before receiving my letter of either approval or denial.

I was already under the care of my GP and a pyschiatrist. I already had my diagnosis. All my paperwork had been completed, along with all my records had been sent for review.

My visit with the SSD doctor was quite odd rather, I thought he was going to touch on my disability, and it was all mental tests. Example one of the first things he told me was a word to remember, that at any time he may ask me to recall this word throughout my interview with him, which he did do. Also he had me do mental math in my head, counting backwards by 7's starting with 99. The color of the flag, very bizzare questions. I was perplexed to say the least, I answered all that was asked of me and then after the interview I inquired why we didnt go into my illness, said it was just an interview that they conduct, wouldnt elaborate further.

Is this the type evaluation your having? For a SSD claim?

 
Old 07-24-2004, 12:10 PM   #5
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fl cat HB User
Re: psychiatric evaluation

I know one person that had to have a psych eval with SS dr. She applied in 8/03 saw their dr. in 12/03 and got her first check in 1/04 so it went well for her. I think the more info you bring the easier it is for the dr. to get a clear idea everything you deal with. Good Luck.

 
Old 07-25-2004, 04:46 AM   #6
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robingilbo HB User
Re: psychiatric evaluation

I have spinal stenosis, DDD, with nerve root impingement, and I also claime depression and anxiety as part of my ilneses on my disability claim. I worry as to whether they are going to evaluate my depression, or just do some weird memory tests to see if i can be placed in another job. I did spend 10 days in a mental hospital in 1990, but the place is out of business, and the medical files are being hard to find. I certainly feel that I qualify for disability based on the the 3 failed back surgeries I have had. I have all the pain and motor and sensory loss in my leg that they require, and 4 MRI's that show nerve root impingement. However, I am afraid of this psychiatric evaluation as I have heard that it is more of a memory, concentration type evaluation, than a depression evaluation. I think I will take a list of all my depression and anxiety complaints with me, just in case they may really want to know, and help. than you all for your responses, and i hope this gives you more info to better understand my fears.

 
Old 08-15-2004, 09:05 PM   #7
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ragshooter HB User
Followup?

So? How did it go?

My first eval the shrink was totally disinterested but I got the disability anyhow. I just went through my 4 year re-eval and the shrink was a different one and better but the result was the same. Like you, I took notes with me, my meds, everything.

I honestly was never afraid of the process though there was some fear that the money might disappear, but hese guys, and you'll note I got two totally different types, seem to do their job honestly. They have nothing to gain by making your life worse than it is, and nothing to lose by improving it. I suppose the worst that might happen is you'd get some cynic that thinks the whole world is goldbricking. -Rod-

 
Old 08-20-2004, 03:17 AM   #8
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robingilbo HB User
Re: psychiatric evaluation

Thank you all for your concern and questions. I went to the pschiatric evaluation, and he did exactly what everyone else said would be done. I had to count backwards by 7's from 99. I had to repeat large numbers backword and forward. I had to remember a group of words that he had given me earlier in the interview. However, contrary to what others have said, he did ask a lot of questions about my anxiety and depression. Such as when did the symptoms begin, what triggers my episodes of anxiety and depression, does my medication help, etc. It has been 3 months since I applied for ssdi, and when I called the claims adjudicator, about 2 weeks after the pschiatric evaluation to see if they needed help in obtaining all my medical records, she told me that my file was complete and that it had been sent to the disability determination specialists. I had to assume at that point, that they had received all my medical records from the various hospitals and doctors I have seen, and that I should recieve a determination in a couple of weeks. Judging from what I have read on these boards, 3 months till determination is quite fast, so I got my fingers crossed that I will get approved, since I did have a mountain of evidence, including MRI's, neurosurgeons reports, and a letter from from my regular physician who I have seen for 20 years. I know that none of these things assure an approval, but it is my understanding that the more medical information you have, the better your chances are of initial approval. As a final note, the psychiatrist they sent me to suggested that I see a local pschologist for cognitive behavior therapy, and a better comination of anxiety and depression medication. Can anyone out there give me some sort of answer as to how long the DDS will take to make a decision, assuming all the medical records are in order. They said 2 weeks, but I am taking that with a grain if salt. However, I have high hopes.

 
Old 09-03-2004, 04:19 AM   #9
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Gammy42 HB User
Re: psychiatric evaluation

Robin, When continuing disability review (CDR) came around SSDI sent me to one of their psychiatrist, he gabe me a very faborable decision, almost better than my own . Yes, take any important medical information... you may have about any other condition.

 
Old 09-03-2004, 06:08 AM   #10
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Re: psychiatric evaluation

Soo, Robin, How did you do on the tests?i am rather curious about this as I recieved a letter just yesterday that i have that psyc eval on the 22nd of this month.I am absolutely horrid at any kind of math and really don't understand the reasoning behind these types of tests myself.Purple?any expert ideas on this?i would not be able to do that counting back by sevens unless I was able to use the fingers and toes method,lol.i am actually kind of looking forward to this as my depression has just gotten worse and worse,and I also very honestly told them when i put in my reconsideration papers that my depression really went down hill fast after I recieved the denial letter from them.God, i was just devistated by that and they basically told me I had no severe pain,no impairments,and i could stand sit and use both hands despite the fact that I have very well documented(by at least three docs)severe nerve damage and impairments and three seperate pain syndromes(central pain,radiculopathy/myelopathy,and RSD.)all caused by a surgery done on the inside of my spinal cord to remove what were basically a glob of bleeding blood vessels.The NS managed to damage the nerves from C-6 all the way through T-2,and also damaged the thalamic and cortico spinal tracts.and the topper here was when they managed to also cause significant damage to my sympathetic nervous system.The SNS damage alone would be more than enough,at least you would think, would be enough to satisfy them .I also cannot use my L hand anymore for really anything useful.i have alot of nerve damage and significant muscle wasting and cannot even pinch my fingers together.If I stand for more than ten minutes my R leg swells up like a balloon.My knee is the size of a grapefruit 24/7.and my entire r side is severly affected by the tract and SNS damage.I am seriously wondering here if ANYONE there ever even took a look at my files!!How can you in all seriousness, tell someone that they can use their hand when you cannot pinch, have nerve damage and muscle wasting.That all has been very well documented by EMG and my physiatrist?I just don't understand these people you know?sorry for rambling here,what were we talking about again??.i am really hoping that once I see this doc on the 22nd, and tell them what all i have been through over these last three and espescially the last year and they see the documentation of my ongoing and worsening depression, that they will finally see just how badly I am really doing here.I have been seeing a phsycologist for well over about a year and a half with regard to my depression and she has documented things pretty well for me.Ihave also been on zoloft and lexapro and just had to have a raise in the lexapro last month as I was starting to feel that darkness start to creep back in again.it really is not doing as well as I had hoped unfortunetly.i hope things work out for you robin,please keep your fingers crossed for me as well will ya,i will be hoping and doing the crossed fingers for you too.thanks for listening to me ramble.sorry,Marcia
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 09-26-2004, 05:35 AM   #11
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leather green HB User
Re: psychiatric evaluation

I had to go to there Doctor's 2 of them, I am not for sure of the results. I never got any Info. I have attorney in Evansville Indiana, woods and woods I hear they are fair.
I was asked a few Questions by last Doctor But the first one asked me a lot of memory Questions for 3 hours. I had a bllod clot and Bleed in brain.. a stroke.
they read a story and then you respond by telling what you remember, as they ask the question several times during the interview. I was so tired. No decision yet it has been over a year. Well good luck.
leather

 
Old 10-06-2004, 11:16 PM   #12
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lillypad HB User
Re: psychiatric evaluation

The system will allow you to give them anything you want for backup. If you have a pain diary take it.

The tests given by the shrink for me were perfomance/cognitive types that are fairly objective. I say that because I did poorly and I was feeling poorly!

They don't just sit down and chat, from my experience!

 
Old 10-12-2004, 12:34 PM   #13
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tenngal31 HB User
Re: psychiatric evaluation

Hi i also had my psyc.evaluation on the 11th of oct. for severe depression and angxity. my disibities are as follows i have valvular heart disease for which i had open heart surgery for ,im diabetic i have kidney disease and one is not funtioning and the other is abnormal,Intersistial cystitis of the bladder.,restless leg and bowel trouble. and copd i have to say ny psyc. eval went real well i think this md is backing me for the most part.im keeping my fingers crossed and gl to all of you Kat

 
Old 10-20-2004, 11:25 PM   #14
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christina1984 HB User
Re: psychiatric evaluation

i have just had a ssi hearing.. there was a judge, a psychiatrist and another person in the room typing everything down. at first it was intimidating but the judge was very polite.. bringing a list of your diagnosis, problem and the medications you are on and have been on is a good idea. if its possible try to get a lawyer or a case manager who specializes in the field, they know more about how this all works, and what to mention to the judge. and answer honestly. basically the judge asked me simple question, how long ive been on medication, been going to therapy, describe my normal day... things like that..
a year before this i was also given a memory test, and to count numbers backwards, who was the last president..
whatever the test may be.. always be honest with your answers.. and it doesnt hurt to be prepared with a list.

good luck

 
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