• Recurring Therapy for Veterans with PTSD

    Post-traumatic stress disorder (PTSD) affects about 20% of US military Veterans. It is also a major cause of mortality for these men and women. While PTSD extends beyond the military, war Veterans are especially susceptible to this condition. 

    Therapy for Veterans with PTSD

    Therapy for Veterans with PTSD

    Not only are Veterans more likely to have PTSD, but they also suffer from a lack of available resources. Timely access to therapy for Veterans with PTSD can have a tremendous positive affect on your quality of life. 

    In this article, we will explore a few of the most common types of recurring PTSD therapies that can help bring relief in both the short and long term.

    What Are My Treatment Options?

    When you dive into PTSD research, it can be hard to sort through all the options, seeing as you have a variety to educate yourself on.

    To help simplify things, we’ve broken down some of the most common and effective therapy options for Veterans suffering from PTSD. 

    Cognitive Behavior Therapy (CBT)

    Mental Health

    Cognitive behavior therapy (CBT) is a kind of psychotherapy that is effective in treating PTSD.

    The great thing about CBT is that its short and long-term results can bring about lasting relief. 

    CBT is centered on the traumatic event(s) regarding treatment. The goal is to identify, examine, and change thought and behavior patterns. It’s an active treatment, meaning that patients will have to engage outside of their weekly sessions. 

    Prolonged Exposure (PE)

    Mental Health

    Prolonged exposure (PE) therapy is a form of CBT that aims to help Veterans stop avoiding trauma triggers.

    While avoiding reminders of your trauma may help alleviate symptoms in the short term, it is not a sustainable solution. PE therapy can help you face your fears and develop healthier thinking and behavioral patterns. 

    PTSD and Migraines

    Cognitive Processing Therapy (CPT)

    Mental Health

    Cognitive processing therapy (CPT) is another form of CBT, but it is different in that it aims to foster recognition and reevaluation of thinking related to trauma.

    The treatment process concentrates on perspective and how people view themselves and the rest of the world after a traumatic event. 

    For Veterans who place blame on themselves for traumatic events, this type of therapy can be especially effective and necessary. CPT helps you learn to evaluate whether your thoughts are based on facts and find more productive ways of viewing your trauma. 

    We offer Mental Health Evaluations and Recurring Therapy for Veterans suffering from PTSD and other mental health issues. To book an appointment with one of our licensed Psychologists or therapists, click here.

    Stress Inoculation Training (SIT)

    Mental Health

    Stress inoculation training (SIT) is a type of CBT that can teach Veterans to reduce anxiety through stress coping skills.

    The main goal of SIT is to teach you to react differently when symptoms arise. SIT can be used as a standalone treatment, but it can also go hand-in-hand with other types of CBT. This can make it an effective addition to any Veteran’s treatment plan.

    Eye Movement Desensitization & Reprocessing (EMDR)

    Mental Health

    EMDR is a type of therapy that is used to treat trauma, depression, phobias and grief.

    This therapy doesn’t require the patient to do much talking in their EMDR appointments past the initial assessment where you’ll talk about your traumas and work out a treatment plan with your therapist.

    During the EMDR appointment, you will think of the stressing event as the therapist leads you through the trauma by way of images, emotions, and body sensations. This therapy helps the logical side of your brain work with the emotional side of the brain to process trauma. 

    Two prerequisites for this therapy are needed. The first is that the patient must have good vision and the second is that the patient must have good coping skills in place because the first few sessions can be very triggering. 

    Although the first few sessions can be hard, there is good news for Veterans who chose this mode of therapy to treat their PTSD. A report by the National Library of Medicine states that “previous published research indicate that EMDR therapy can resolve a single-incident trauma memory in three to-six sessions 77–100% of the time.”

    The Importance of Recurring Therapy

    medical icon

    As you can see, there are lots of options to choose from. Your healthcare provider will be able to assess your symptoms and know which treatment plan is best for your unique needs. 

    In the short term, there are many tips and tricks to alleviate the struggle of PTSD. However, recurring therapy can bring about long-term relief. While it may be tempting to decrease the number of prescribed sessions or skip them altogether, studies show that healing comes with adhering to consistent therapy sessions.

    Recurring Veteran PTSD Therapy

    If you’re looking for a veteran PTSD therapy program, you’ll want to find one that provides high-quality care on a recurring schedule. Getting diagnosed is the first step. After receiving the diagnosis, you may decide that ongoing therapy is the next right step for you.

    Veterans suffering from PTSD could greatly benefit from recurring therapy for PTSD, but it’s not always easy to access the level of high-quality care you deserve.

    Talk with your doctor or therapist about setting up a plan and schedule to get the quality care you deserve.

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    PTSD Nexus Letters  

    In this post, we’ll explore the value of a nexus letter for PTSD. We’ll also examine the role a nexus letter can play in helping you get the PTSD VA rating you deserve.  

    PTSD is more common in veterans than civilians, and some studies show PTSD is three times more likely among deployed veterans compared to those who never deployed (of the same service era).  

    If you’re seeking VA benefits for PTSD, it’s vital that you understand the importance of a nexus letter and how it can benefit your VA claim.  

    PTSD NEXUS LETTER.

    PTSD Nexus Letters and the Role of Mental Health Evaluations

    It’s worth mentioning that veterans should not ask for a PTSD Nexus Letter. To explain why, it’s important for veterans to understand how mental health evaluations work. Following a mental health evaluation, the provider determines what diagnosis or diagnoses a veteran’s symptoms meet the criteria for.

    Since there are specific guidelines for PTSD, it’s common for veterans to think they have PTSD but have a different but closely related diagnosis like other trauma stress disorder, anxiety, or depression.  

    The VA uses the General Rating Formula for Mental Disorders (38 CFR § 4.130) and VA ratings for mental health conditions range from 0% to 100%. 

    NEXUS LETTER FOR PTSD.

    Nexus Letters for PTSD (and Other Mental Health Conditions)

    A nexus letter proves to be a critical piece of evidence for veterans applying for VA disability benefits, which helps connect their mental health condition to their military service.  

    A nexus letter with high-probative value includes: 

    1. The physician’s credentials, particularly ones that make them a trustworthy source for the following opinion (i.e., a cardiologist talking about a heart condition, etc.).  
    1. A reference indicating that the physician composing the letter has thoroughly reviewed the veteran’s medical records and military records related to the claim.  
    1. The physician’s opinion regarding the cause of the current diagnosed condition and its relation to the veteran’s military service.  
    1. Medical rationale that fully supports the physician’s opinion. 

    PTSD Nexus Letter: Your Missing Link?

    A nexus letter is frequently the missing link needed to win a VA disability claim, outlining the professional opinion of the medical provider examining the veteran.  

    Since PTSD generally isn’t diagnosed until long after the stressor injury or event, a PTSD nexus letter with high-probative value can help provide the necessary details for a VA disability claim. 

    Keep in mind that you can’t ask specifically for a PTSD nexus. You must get a mental health evaluation and your provider will determine what diagnoses your symptoms meet criteria for.  

    It’s important to understand that there are very specific guidelines for PTSD, and there are several closely related diagnoses, like anxiety and depression, so it’s vital to receive a proper diagnosis.  

    Secondary Conditions to PTSD

    Frequently, veterans with PTSD develop secondary conditions ratable by the VA. Remember that you’ll need a separate nexus letter for each condition. 

    For example, you would need a nexus letter for migraines secondary to PTSD and a nexus letter for hypertension secondary to PTSD if you suffer from both conditions because of PTSD. 

    Common secondary conditions to PTSD include: 

    • Migraines 
    • Sleep Apnea 
    • GERD (Gastroesophageal Reflux Disease) 
    • IBS (Irritable Bowel Syndrome) 
    • ED (Erectile Dysfunction) 
    • Hypertension 
    PTSD NEXUS LETTERS.

    Service-Connecting PTSD

    To receive a VA disability rating, you must prove that your military service directly caused your PTSD.  

    To service-connect your PTSD, you must provide the following: 

    • A Current Diagnosis: A documented medical diagnosis of PTSD by a qualified healthcare professional. 
    • Evidence of an In-Service Event: Proof of an incident, injury, illness, or aggravation that occurred during military service, substantiated by relevant records or testimonies. 
    • A Nexus or Link: The presence of a connection, supported by credible medical evidence, between the current PTSD diagnosis and the documented in-service event, establishing the cause-and-effect relationship between the two. 

    VA Ratings for PTSD

    The VA rates PTSD at 0%, 10%, 30%, 50%, 70%, or 100%, depending on the severity, frequency, and duration of your symptoms.  

    The highest VA rating for PTSD is 100%, with most veterans receiving between 50% and 70%.  

    You can find the VA ratings for PTSD under 38 C.F.R. § 4.130, Diagnostic Code 9411 Schedule of Ratings for Mental Disorders.  

    Medical Evidence Wins VA Claims

    Whether you need a PTSD nexus letter, a nexus letter for migraines secondary to PTSD, or something else, we make it EASY for veterans to connect with a licensed provider through our HIPAA telemedicine platform—anytime, anywhere! 
     
    From DBQs and Nexus Letters to Mental health evaluations and Telemedicine Evaluations, the team at Telemedica is standing by to serve you. Get the evidence you need to WIN your VA disability claim today

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    Nexus Letter for Sleep Apnea Secondary to PTSD

    Was your sleep apnea VA disability claim denied? 

    Or maybe you’ve received multiple denied VA disability claims. 

    Do you need a medical professional to draft a sleep apnea nexus letter to help you establish a service connection to claim sleep apnea secondary to your PTSD?

    Don’t worry. You’ve come to the right place.

    In this post, we’ll uncover the significance of a nexus letter for sleep apnea secondary to PTSD.

    Nexus Letter for sleep apnea secondary to PTSD

    Nexus Letter for Sleep Apnea Secondary to PTSD

    While the VA doesn’t require a nexus letter to submit a sleep apnea claim, a nexus letter can be an essential piece of evidence to help establish a service connection between rateable mental health conditions like Posttraumatic stress disorder (PTSD) and a sleep disorder like sleep apnea.

    Note: The VA only accepts nexus letters written by licensed providers.

    Winning a VA claim for sleep apnea secondary to PTSD will require a secondary service connection for sleep apnea.

    Secondary Service Connections

    As opposed to a direct service connection, a secondary service connection refers to when a service-connected disability causes another disability—also known as a secondary condition.

    Service connection occurs when you can demonstrate, using medical evidence, lay statements, or military records, that an event, injury, or illness during your military service caused or aggravated your disability.

    You can only receive VA disability benefits for sleep apnea if you can connect your sleep apnea to your military service.

    A secondary service connection occurs when you can prove through similar evidence that an already service-connected disability caused or aggravated another disability.

    sleep apnea secondary to PTSD Nexus Letter

    Sleep Apnea Secondary to PTSD: Nexus Letters

    Not all VA claims need a nexus letter to approve the claim and receive a VA rating. 

    The strength of your sleep apnea VA claim depends on how the evidence establishes a service connection between your documented sleep disorder (sleep apnea) and your PTSD symptoms.

    Asking yourself these three questions can help you decide if you need a nexus letter for sleep apnea secondary to PTSD:

    1. Do you have a current sleep apnea diagnosis that was initially diagnosed while you were in service and is supported by medical evidence in your military medical records? If so, you may not need sleep apnea nexus letters to get VA benefits. 
    2. Are you filing for sleep apnea as a secondary or previously denied claim based on not being service-connected? If yes, consider getting a nexus letter.  
    3. Are you filing for a sleep apnea VA disability rating increase? If so, you don’t need a nexus letter since your claim was approved, and you currently have a sleep apnea rating (and receive VA disability benefits). 

    Sleep Apnea Secondary to PTSD VA Disability Ratings

    The VA rates sleep apnea secondary to PTSD at 0%, 30%, 50%, or 100%, depending on the severity, frequency, and duration of symptoms. 

    The highest VA rating for sleep apnea secondary to PTSD is 100%. 

    DBQ for sleep apnea secondary to PTSD

    Types of Sleep Apnea Secondary to PTSD

    According to Mayo Clinic, there are three types of sleep apnea:

    1. Obstructive Sleep Apnea (OSA) is the most common type of sleep apnea and occurs when the throat muscles relax and block airflow to the lungs. 
    2. Central Sleep Apnea (CSA) occurs when the brain fails to send the correct signals to the muscles that control breathing.
    3. Complex Sleep Apnea or Treatment-emergent central sleep apnea occurs when obstructive sleep apnea turns into central sleep apnea after receiving treatment.

    Over time, sleep apnea can lead to a host of symptoms caused by sleep disturbances, such as:

    • sleep deprivation
    • chronic stress
    • weight gain
    • excessive daytime sleepiness, and
    • overall poor sleep health
    VA Nexus Letter for sleep apnea secondary to PTSD

    VA Disability Nexus Letters for Secondary Conditions

    A nexus letter for a secondary condition is an evidence-based written document from a qualified medical provider stating that an already service-connected disability caused or aggravated another disability.

    Nexus letters for secondary conditions should include the following:

    1. A discussion of supporting evidence. The provider should reference any medical or personal record they’ve reviewed that supports your sleep apnea claim.
    2. An evidence-based rationale. The provider must explain why they believe your service-connected disability caused or aggravated the sleep apnea disability you are now seeking benefits. Referencing a sleep study, sleep test, sleep medicine, CPAP machine, VA sleep lab, case laws, or research journals will help show their evidence-based opinion. 
    3. A nexus opinion. The provider’s opinion that your disability was caused or aggravated by an already service-connected disability should be expressed in terms of likelihood.
      To best adhere to VA guidelines concerning how the VA rates sleep apnea, nexus letters should use language like:
      1. “Is due to” = 100% certain
      2. “More likely than not” = greater than 50% certain
      3. “At least as likely as not” = equal to 50% certain
      4. “Not likely due to” = less than 50% certain
      5. “Is not due to” = 0% chance
      6. List of credentials. The provider must sign and date the letter and list their title, specialty, and other credentials that emphasize their expertise. 

    Note: Preferably, the provider will use “is due to” or “more likely than not,” as these are the strongest. However, the strength of their opinion will depend on the evidence. a Nexus Letter must clearly detail how the current condition was caused by the original.

    Is sleep apnea secondary to PTSD

    Nexus Letter for Sleep Apnea Secondary to PTSD (FAQs) Frequently Asked Questions

    Is sleep apnea secondary to PTSD a VA disability?

    Yes, frequently, veterans can get service connected for sleep apnea secondary to PTSD. 

    However, it’s crucial to note PTSD doesn’t cause sleep apnea. Instead, many veterans can prove PTSD aggravates their sleep apnea. 

    How do I get a VA nexus letter for sleep apnea secondary to PTSD?

    You can receive a sleep apnea secondary to PTSD nexus letter from a licensed medical professional, including one of our Telehealth professionals at Telemedicia. 

    We specialize in nexus letters for:

    • Direct Service Connections
    • Secondary Service Connections
    • Presumptive Service Connections 

    A nexus letter with a high probative value can make your statement stronger.

    Do I need a DBQ for sleep apnea secondary to PTSD?

    A DBQ isn’t required for service-connecting sleep apnea secondary to PTSD; however, it may help secure your claim. Adding a DBQ to your claim makes it a fully developed claim and may benefit you in two ways. It may help streamline your claim through the review and decision process, and it may allow the VA rater to decide the case without sending you to a C&P exam.  

    As with other secondary conditions to PTSD, the more relevant, strong evidence you provide, the better your chances are of winning your VA disability claim. 

    Medical Evidence Wins VA Claims

    Whether you need a Nexus Letter for sleep apnea secondary to PTSD or something else, we make it EASY for veterans to connect with a licensed provider through our HIPAA-compliant telemedicine platform—anytime, anywhere!

    From DBQs and Nexus Letters to Psych Evals and Telemedicine Evaluations, the Telemedica team is standing by to serve you. Get the evidence you need to win your VA claim today.

  • What is a VA Psych Evaluation?

    If you or someone you love has a mental health condition, you understand its toll on daily life. A VA psych evaluation is essential to determine whether your mental health condition relates to your service time. 

    A VA psych eval can be important in determining your final disability rating, including your due compensation. Diagnosing mental health conditions isn’t always easy because there isn’t always something tangible to examine. 

    However, a psych evaluation allows you to let your voice be heard and detail how your condition has impacted your daily life. 

    VA PSYCH EVALUATION

    How Do I Get a VA Psych Evaluation?

    You can schedule a VA psych evaluation with a VA healthcare provider or a civilian doctor who can assess and diagnose your condition. 

    We can also help with the process. Telemedica has licensed psychologists who can offer professional opinions and complete a psych or VA mental health evaluation

    While they don’t guarantee a diagnosis or that the VA will agree with them, they will provide an Independent Medical Opinion (IMO) that provides evidence of mental health conditions and how they have affected your life. 

    Since our psychologists don’t work for the VA, they can provide an unbiased opinion of your diagnoses and recommend a service-connection. Still, the final decision lies in the VA’s hands. 

    How Do I Prepare for a Psych Evaluation?

    We understand the idea of a VA psych evaluation can be overwhelming, but you can prepare yourself in several ways. For example, don’t schedule anything else on the day of your psych evaluation to keep your focus on the appointment. 

    In addition, take time to reflect on the primary ways your condition has affected your life. Whether you seek advice from Telemedica or the VA, you want to have a few vital points to make your claim. 

    You don’t have to prepare pages of reasons to discuss. Sometimes less is more when it comes to proving your VA claim. 

    VA MENTAL HEALTH EVALUATION QUESTIONS

    Questions Asked During a Psych Evaluation

    During your psych evaluation, the psychologist will discuss your life before, during, and after the military. Since it can be sensitive, take the time beforehand to reflect on how your condition has impacted your daily life. 

    Examples of VA mental health evaluation questions include:

    • Current symptoms 
    • Personal and family history of mental health issues 
    • Medical history
    • Social history 

    You must be honest during your psych evaluation, especially since this could be your only chance at showing the VA the impact of your mental health condition. Your psych eval can help determine the severity of your mental health condition, leading to potential benefits. 

    How the VA Evaluates Mental Health Conditions

    When you submit a claim for a specific mental health condition, the VA will process the claim and thoroughly review all medical and non-medical evidence surrounding your claim. A psych evaluation helps the VA determine several factors, including:

    • Whether your time in the service caused the condition
    • The severity of your condition
    • The impact of your condition on daily life

    Typically, the VA will schedule a compensation & pension (C&P) exam to determine the severity of your condition. The VA refers to the Diagnostic and Statistical Manual of Mental Disorders (DSM IV or DSM-5) when determining the actual evaluation of the mental health condition. 

    Once diagnosed, eligible veterans are assigned ratings from the VA Schedule for Rating Disabilities. 

    Do I Need a Psych Evaluation to Receive a Disability Rating?

    Most mental health conditions require a psych eval to assess the situation better and assign a suitable disability rating. Generally, not all disabilities require a psych evaluation; however, it could increase your chances of getting military disability benefits. 

    What Happens After a Psych Evaluation?

    After completing your psych evaluation, the VA will review your claim and follow up with critical questions. They will mail you a decision letter once they have decided on your claim. 

    The time it takes to receive a decision can vary based on its complexity and other factors, but you can check the status online

    If you decide to complete your psych evaluation with Telemedica, we will provide you with an IMO, which you can present to the VA as part of your claim. 

    How Telemedica Can Help With Your Psych Evaluation

    Telemedica’s licensed psychologists can help provide you with an IMO and will directly upload it to the secure online portal. Our psychologists are doctors in psychology and can provide their professional opinion on your condition. 

    You can contact us with any questions; we will gladly assist you. 

  • Mental Health Evaluation (7 Key Facts for Veterans)

    As you prepare to submit a claim for VA disability, you may be asked to attend a mental health evaluation.

    But what is a mental health evaluation, and do you need one before you submit your VA claim? 

    This post will look at 7 key facts to guide you through the process of your mental health evaluation, leaving you feeling confident as you walk into your appointment.

    #1 What is a Mental Health Evaluation?

    Mental Health Evaluation.

    A mental health evaluation is essential in helping identify specific disorders that could result in a VA disability rating. A licensed professional conducts the evaluation and allows you to discuss your condition. 

    Afterward, the VA will determine which diagnosed mental health condition relates to your claim. VA disability ratings range from 0-100% for mental health conditions, with most veterans falling into the 30-70% category.  

    While you can only be rated for one mental health condition, the VA will review your medical records to understand how your mental health conditions affect your social and industrial functioning. 

    For example, if you suffer from PTSD and depression from your military service, you will receive the highest rating based on how the condition affects your life. So, if you receive a 70% rating for PTSD and a 50% for depression, you will be awarded a 70% disability rating. 

    Generally, a mental health evaluation lets the VA know more about your condition and how it impacts your daily life. 

    While it can be uncomfortable to discuss personal information, like your mental health, it’s essential to be open, so you can receive the benefits and compensation you deserve.

    #2 Why Do I Need a Mental Health Evaluation?

    If you are seeking a VA disability rating for a mental health disorder, you’ll likely be required to have a mental health evaluation. This evaluation helps the VA understand the severity of your condition and how it affects your daily life. 

    In addition, a mental health evaluation helps determine which condition you will be rated for. The VA refers to the Diagnostic and Statistical Manual of Mental Disorders (DSM IV or DSM 5) when assigning appropriate evaluations using the Mental Disorder Criteria in the VA Schedule for Rating Disabilities. 

    A mental health evaluation can help with early detection and intervention for your condition and allow you access to mental health care services, which can greatly improve your quality of life.

    If you require mental health services immediately, you can connect with a Veteran Crisis Line responder any time of the day by:

    #3 Can I Get a Mental Health Evaluation Near Me?

    Most likely, yes! If you currently see a primary care physician, they can help you make an appointment with a VA mental health provider close to your home. 

    You can also connect with VA mental health providers through the VA telemental health program, allowing you to chat with someone from your computer or mobile device. 

    If you don’t currently use VA medical services, you can find the nearest VA medical center or Vet center to schedule an appointment. 

    Sometimes getting an appointment with the VA is challenging, but we can help. Telemedica offers mental health exams with our team of licensed and professional providers who will perform one of the following:

    • One-time mental health assessment that can include a diagnosis, or
    • Comprehensive, evidence-based medical examination 

    All you have to provide is your DD214 and benefits summary, but we also recommend providing personal statements, buddy letters, and medical records to help support your claim.

    #4 What is a Mental Health Evaluation Like?

    The idea of a mental health evaluation may seem intimidating, but remember, the professional on the other side is there to help. Generally, the evaluation will begin with discussing your current symptoms and any family history of mental health conditions. 

    You don’t have to do anything to prepare for your evaluation; instead, take time for self-care on the day of your exam to help clear your head. 

    However, remember to be honest during your evaluation and be open about your problems. The clearer picture you present, the greater your chance of winning your VA disability claim.

    #5 What Questions Are Asked During a Mental Health Evaluation?

    Every mental health eval is different because every veteran is different. However, common questions are asked, which can help you prepare for your exam. 

    Examples of questions you might be asked during your VA mental health evaluation include:

    • What are your symptoms?
    • Was there a specific event in your military service that brought on your symptoms?
    • How often do your symptoms affect your daily life?
    • How long do your symptoms last?
    • Are you taking medication for your condition?

    It’s a good idea to keep a diary in the weeks leading up to your evaluation so you don’t forget anything at your appointment. You can also talk to a close friend or family member about their thoughts on your condition and see it from their perspective. 

    Finally, try to avoid answering with a yes or no, and instead, explain your answers and thoroughly provide information about your condition and symptoms. However, it’s always important to never exaggerate your symptoms during a mental health evaluation.  

    #6 How Long Does a Mental Health Evaluation Take?

    While there is no set time for a mental health evaluation, you can expect to be there for about 1-2 hours. The time varies from one person to the next because everyone has different needs and conditions. 

    Generally, a mental health evaluation with Telemedica takes about an hour, but you can request extra time if needed. Our licensed professionals want you to feel as comfortable as possible, so don’t hesitate to ask for additional time. 

    If you received a mental health evaluation from the VA and didn’t feel like you were given adequate time, you should report your concern to the VA.

    #7 How Much is a Mental Health Evaluation?

    While you don’t typically have to pay for a mental health evaluation through the VA, you may incur expenses associated with travel. However, the VA provides specific services for free related to mental health, like readjustment counseling and a registry health exam. 

    Interested in receiving a mental health evaluation through Telemedica? You can check our prices online and book an appointment today. 

    Need Additional Assistance With Your Mental Health Evaluation?

    Our team of licensed professionals is standing by at Telemedica to help with your mental health evaluation. We understand the importance of getting the benefits and compensation you deserve, and we can help with your journey to success. You can contact us today to see how we can help you!

  • What Is a Mental Health Evaluation?

    Before veterans can receive help from the VA, they have to go through a mental health evaluation. This evaluation is the first step towards a diagnosis and treatment from the VA. 

    Here’s what you need to know about what a mental health evaluation is and how to best prepare for it. 

    What to Expect During a Mental Health Evaluation

    A mental health evaluation is like a physical, but for your mental health. The goal is to provide a better picture of how a veteran feels, reasons, thinks, and remembers.

    An assessment is usually a one-on-one meeting with a licensed professional where you talk about your mental health. This may include conversations about:

    • Current symptoms: Self-identification of symptoms is a key part of a mental health evaluation. How you feel and what you notice in your own thoughts and behaviors are excellent benchmarks when determining your mental health.
    • Family history: A veteran’s family history will include a brief look into family members and their mental health. Having family members with depression, anxiety, ADD/ADHD, bipolar disorder, obsessive-compulsive disorder, schizophrenia, addictions, or dementia, increases your risk for similar mental health issues. 
    • History of substance use and abuse: Your history will include legal prescriptions, alcohol, tobacco, and illegal substances. Be honest in your evaluation about the frequency and amount of substances you currently use or have used. Remember: strict federal privacy regulations protect the information you share – it will not be used against you. 
    • Medical history: Chronic disease or illness can affect your mental health and put you at a higher risk of depression. 
    • Social history: This will include aspects of your life that can affect your mental health that may be less obvious. This may include conversations about your diet, exercise, friends, and social habits. 
    Mental Health Evaluation

    How Can I Prepare for a Mental Health Evaluation?

    You don’t have to do anything special to qualify or prepare for an evaluation. Being willing to honestly talk about your mental health is the best first step. 

    Mental Health Evaluation

    However, if you are worried or anxious about the mental health test, take 15 to 20 minutes to consider these questions to help you prepare: 

    • What are your mental health symptoms? 
    • What are your troubling thoughts and behaviors?
    • What makes the symptoms worse?
    • How long do the symptoms last? 
    • How often do the symptoms occur? 

    How Do I Navigate a Mental Health Evaluation? 

    It can be easy to feel overwhelmed when talking about your emotions. Below are a few recommendations for how to best navigate your mental health evaluation if you’re feeling nervous. 

    Be honest throughout your examination:

    It’s normal to feel uncomfortable talking about your mental health, but the examiner can only get the full picture if you’re honest. If you are worried about being accurate, invite your spouse or significant other to sit in the examination with you. They may be able to fill in the gaps and give an objective point of view. 

    Focus on how you are actually doing rather than how you would like to be doing:

    If you are having a difficult time, notice that something isn’t right, or are worried about your health, be honest. The more direct you are, the better the evaluation will go. Being honest about your state of mind will also give the examiner a clearer picture of your condition – the more information the better!

    Be direct with your provider:

    By being clear about your problems and knowing what to say, you can control the evaluation. If you’re afraid that you don’t know how to explain yourself, practice beforehand how to accurately explain your symptoms to another person.  If you tend to forget your train of thought when you get overwhelmed, try writing your thoughts down so you don’t miss anything you wanted to discuss.

    Mental health evaluation

    How Long Will a Mental Health Evaluation for Disability Claims Take? 


    There is no set time for a mental health assessment, because the mental health evaluation questions are determined by the condition(s) listed on your claim for benefits.
     

    Depending on the number and types of disabilities claimed, your examination time can vary. Mental Health Evaluations through Telemedica typically last for about 60 minutes, but more time can be added to the evaluation at the veteran’s request.

    If you are scheduling a Mental Health Evaluation with a provider you are unfamiliar with, you can always ask how long the appointment will last so you can be properly prepared. 

    Schedule a Mental Health Evaluation with Telemedica

    Do you need medical evidence for your VA disability claim? Telemedica’s Psych Team conducts Mental Health Evaluations for veterans across the US though a secure, telehealth platform. Contact the Telemedica Psych Team today to see how we can help.

  • What Is EMDR Therapy and How Does it Work?

    Are you a veteran living with mental health challenges? We have good news for you—your options when it comes to therapy and treatment are not limited! Many treatments are available to manage symptoms and guide you towards recovery. One of the most exciting solutions is Eye Movement Desensitization and Reprocessing therapy (most often identified by the acronym EMDR), but what is it, and how do you know if it’s a good option for you? 

    What is EMDR Therapy and How Does it Work

    If you’re wondering what EMDR therapy is and how it works, we’ve got answers. EMDR is a simple eight-step process that can yield extraordinary results. In this blog, we provide more information about EMDR therapy and give some guidance on how to tell if it’s a good option for you.

    A Brief Overview of EMDR Therapy


    EMDR therapy is a lesser-known treatment option compared to more traditional therapies, however, it is quickly gaining popularity in western therapy practices.

    As more and more people begin to recognize the many benefits of EMDR, it’s becoming a widely recommended solution for veterans with with mental health afflictions. 

    The Process of EMDR Trauma Therapy

    EMDR therapy is a simple eight-step process that can make all the difference for veterans. A typical session lasts about 60-90 minutes, and each session follows the eight phases outlined below.

    The number of sessions each patient needs depends on their circumstances. Some people experience massive relief after just one or two sessions. Once you talk to a doctor about your mental health concerns, they can give a realistic idea of your treatment timeline. 

    EMDR Therapy

    The eight phases of an EMDR therapy session are as follows: 

    • Step 1: Gather the patient’s history and plan the treatment timeline.
    • Step 2: Prepare for the session by discussing the upcoming process.
    • Step 3: Conduct an assessment to identify a specific image from a target event, delve into an existing negative belief, and determine a new positive belief.
    • Step 4: Go through a desensitization process using sets of eye movements, sounds, or taps.
    • Step 5: Practice the new positive belief to replace the existing negative one.
    • Step 6: Conduct a body scan to identify residual tension in the body triggered by the target event.
    • Step 7: Use self-calming techniques to solidify the results and provide coping resources.
    • Step 8: Evaluate the experience and discuss what specific thoughts and feelings arose during the session.

    What Mental Health Conditions Does EMDR Treat?


    EMDR stands for Eye Movement Desensitization and Reprocessing. It is known as a trauma therapy option that can help treat:

    • PTSD
    • Anxiety
    • Childhood or complex trauma
    • Chronic pain
    • Addictions
    • Unresolved grief
    • Phobias and fears
    EMDR Therapy

    When dealing with depression, EMDR can help manage the symptoms that come with it. For veterans struggling with PTSD, anxiety, and other mental health afflictions, EMDR can be a new and welcome source of relief.

    Am I a Good Candidate for EMDR Therapy?


    EMDR could be the perfect solution for you whether you want to try different therapy modalities or are already benefiting from traditional therapies but want an extra boost for your healing.

    EMDR is different from traditional talk therapy or counseling. If you want to try something new, EMDR is an action-based option that could be a wonderful alternative.

    Discussing Your Options with Your Doctor

    Having a safe environment to discuss your mental health concerns is imperative. When you talk with your doctor or therapist, they listen and will know how to address your concerns. Ask questions and be honest and direct with what you need. 

    Your doctor will allow you to exercise all of your healthy options. Some providers even offer EMDR therapy online via telehealth. This is an excellent help for veterans who aren’t able to visit with their provider in person or for those who need additional accessibility.

    Telemedica Can Help On Your Path to Overall Well-Being

    There’s a lot of talk about EMDR and how it can help, but the truth is that you are a unique individual with specific needs. There are many different elements to consider when seeking treatment for a mental health condition, and having a team in your corner can make it easier to understand the process. 

    Telemedica’s staff is here to do just that. Contact us today and find out how we can guide you on your mental health journey.

  • Why & How to Get Evaluated for Depression

    Have you noticed depressive tendencies in yourself? Depression is more than just having a bad mood—it’s a mood disorder for which many people (and veterans in particular) need help with through diagnosis and treatment. The easiest way veterans can receive a diagnosis and treatment for their depression is to start by getting a Mental Health Evaluation.

    In this article, we explain:

    • Why you should get therapy for depression
    • How to get evaluated for depression
    • Where you can get a depression evaluation 

    How to Get Evaluated for Depression

    There are only a few steps to take when receiving an evaluation for depression. Once you have an official diagnosis and your symptoms are identified, you can start receiving care or treatment for your mental health condition and begin to heal.

    Step 1: Partner with a Veteran-Focused Provider

    To get a service-connected depression diagnosis, it’s important to work with a veteran-friendly doctor near you, or through a telehealth provider such as Telemedica. We will pair you with a licensed mental health professional who specializes in mental health disorders and is familiar with veteran issues—many of the Telemedica providers and staff members are veterans themselves. 

    Step 2: Gather Required Medical Evidence

    Before getting started with an evaluation, it’s important to gather your medical evidence – i.e., doctor’s notes, VA records, buddy letters, DD214, and any other pertinent records that may be helpful in supporting the severity of your condition.

    Step 3: Work with a Psychiatrist or a Licensed Provider

    Our psychological team is comprised of psychiatrists (as well as clinical psychologists) and physician assistants who are qualified to provide an evaluation for depression. If you’re seeking out a Mental Health Evaluation through Telemedica, you will log on to a secure, HIPAA complaint, veteran friendly platform from the comfort of your home. Your provider will perform an assessment based on the DSM5 to identify your exact diagnosis. 

    The Benefits of Working with Veteran-Friendly Doctors Near You


    While many people experience depression at some point in their lives, veterans come with a set of unique life experiences; experiences that people who’ve never served may not fully understand.

    Ideally, you’ll want to get your depression evaluation from someone familiar with the issues veterans face. Below are a couple of the most notable benefits of working with a veteran-friendly provider.

    More Empathetic and Knowledgeable Care

    At Telemedica, we have a large community of mental health professionals located all over the country. Many of them are veterans, military spouses, or active duty themselves, ready to connect and provide the missing link (medical evidence) for your VA disability claim. Additionally, many of our providers are also C&P examiners. 

    Veteran-friendly healthcare providers can be more empathetic to your circumstances. They also use VA friendly language, which can bolster your claim and may improve your chances of getting your service-related depression approved for benefits.

    Telehealth at Your Convenience

    Can’t make it to the doctor’s office? Or can’t find a veteran-friendly doctor near you? We’re more than happy to come to you via telehealth. Our medical professionals are ready to connect through email, phone call, and live video chat to help you get evaluated for depression (or the appropriate mental health diagnosis you need for your claim).

    What Other Options Do I Have?

    Therapy can help! Ignoring your symptoms of depression, hoping they go away on their own, may feel easier than seeking treatment. But there’s a better way.

    Seeking treatment for your depression can lift the fog and help you gain a better perspective on life. 

    Depression is one of the most common mental health conditions but therapy and medication can help a great deal. 

    Here are just some of the benefits of seeking treatment for chronic depression:

    • Improve your interactions with others—Therapy can help you connect with your emotions and provide tools for communicating how you feel.
    • Learn lifelong coping skills—Therapy doesn’t only help you cope with your depression, it also helps you gain valuable skills to use in all areas of life. For example, therapy can teach you self-acceptance and emotional regulation.
    • Instill more control in your life—Taking strides to strengthen your mental health can motivate you to get tasks done and accomplish your goals. 

    How to Get Evaluated for Depression: We Can Help!

    If you have depression, it’s time to take the first step to access the benefits you deserve to live a healthier life. 

    Even if you’ve struggled to get a mental health diagnosis for your condition before, Telemedica’s knowledge of the veteran experience can help! 

    Get started today!

  • How to Help a Veteran in Crisis: 5 Signs and 4 Ways to Help

    It’s important to support our nation’s heroes and help Veterans in their time of need. We hope this resource will educate you on how to help a Veteran in crisis, particularly when it comes to their mental health.

    To start, we’d like to shed some light on some prevalent mental health issues within the Veteran community.

    how to help a Veteran in crisis

    How Many Veterans Battle with Mental Illness?

    Mental Health

    The Wounded Warrior Project, an organization that focuses on empowering Veterans to get help from, and be more involved with their communities, has found the following trends from user surveys:

    1. 72% experienced depression, with 53% presenting moderate to severe symptoms.
    2. 74% experienced anxiety, with 63% presenting moderate to severe symptoms
    3. 25% of surveyed Veterans have had suicidal thoughts within the past 12 months.
    4. 16% of surveyed Veterans experienced military sexual trauma (67% of those being women).
    5. 75% of surveyed Veterans experienced PTSD as a result of their service, with 49% presenting moderate to severe symptoms.
    how to help a Veteran in crisis

    Another study from BMC Women’s Health found that women are more likely to develop service-related mental health conditions when compared to their male counterparts.

    PTSD: 29% of female Veterans vs. 12% of male Veterans

    Depression: 46% of female Veterans vs. 21% of male Veterans

    Suicidal ideation: 27% of female Veterans vs. 11% of male Veterans

    5 Signs of Someone Battling a Mental Illness

    Mental Health

    There are many potential symptoms someone may exhibit when struggling with mental health disorders. This is because different conditions can manifest different traits.

    This is because different conditions can manifest different traits. Additionally, many symptoms are internal, making them difficult for you to pick up on.  

    Regardless, here are five common signs family members of Veterans may observe that can hint at an underlying battle with mental health.

    1. Excessive worrying: It’s normal to have a little anxiety throughout the day, like worrying you left the stove on after you’ve left the house. Excessive worrying, however, can be debilitating. This is when fears and anxiety creep into your everyday life, keeping you from functioning optimally.
    2. Extreme mood changes: A little fluctuation in mood is nothing to worry about. But when someone’s mood is unpredictable, even to themselves, that can be a sign of a larger issue. 
    3. Avoidance of friends or social situations: Many people who have mental illness can feel overwhelmed in social scenarios, even if they’re surrounded by friends and family. If you find that Veterans in your life aren’t as willing to come out to socialize, that may be your sign to check in on them.
    4. Changes in eating habits: People with anxiety disorders can have very different relationships with food. Some over eat as a coping mechanism, while others lose their appetite altogether. A change in either direction may be an indication that they have experienced a significant change in mood or mental state.
    5. Changes in sex drive: You may notice a sudden change in their sex drive. People with depression tend to lose interest in activities they once enjoyed, including sex

    Ways You Can Help a Veteran in Crisis

    Mental Health

    There’s a lot you can do to better support the Veterans in your life who are going through mental health challenges. 

    Here are four suggestions for how to help a Veteran in crisis.

    1. Educate Yourself About Their Illness
      There is a lot of nuance to mental health illnesses. While you may never be an expert, you can do your best to educate yourself on these nuances so you have a baseline to help the Veterans in your life. The National Alliance on Mental Illness has a resource that addresses the basics of many of the most common mental health disorders Veterans may experience. This is a great place to start your educational journey.
    2. Help Them Find Treatment
      If the Veteran in your life is willing to seek treatment, you can help them get there. This may start with getting a proper diagnosis for their condition. Securing a diagnosis will help open the door to future treatment options. If you are a family member or spouse of the Veteran, you may want to work closely with their treatment team so you can stay in the loop on what their home treatment should look like.
    3. Be Patient
      The path toward better management of mental health disorders is far from linear. There may be times of significant progress, but other times it may seem like no progress has been made at all. Just be patient and trust the process. It can be hard to get a holistic view of one’s progress, so focus on small successes in the meantime.
    4. Take Care of Yourself
      You can’t be very helpful to others if you aren’t taking care of yourself. Don’t think of it as being selfish—just think of it as an opportunity to recharge. Eat healthily, exercise regularly, and don’t forget to indulge in your favorite activities. You may consider attending therapy for yourself.
    how to help a Veteran in crisis

    Veteran Mental Health Resources to Know About

    To supplement your own education, here is a list of Veteran mental health resources that may be helpful:

    Help Veterans Towards the Path of Peace

    If you’re witnessing a loved one in their struggle with mental illness, get some help. Telemedica is here to connect Veterans and their families with the resources they need. Contact us today for more information.