In an e-mail dated March 20 out of an office of the Department of Veterans Affairs, a VA employee wrote: "Given that we are having more and more compensation-seeking veterans, I'd like to suggest that we refrain from giving a diagnosis of PTSD straight out.
Consider a diagnosis of Adjustment Disorder, R/O PTSD." The National Institutes of Health defines adjustment disorder as an "abnormal and excessive reaction to a life stressor, such as starting school, getting divorced, or grief" and says that symptoms "usually do not last longer than six months."
Compare that to the definition for PTSD, which "can occur after you've seen or experienced a traumatic event that involved the threat of injury or death" and which, in some cases, "can last for many years."
Now, Citizens for Responsibility and Ethics in Washington (CREW), which broke the story, has submitted Freedom of Information Act requests seeking "all records pertaining to any guidance given regarding the diagnosis of PTSD."
"It is outrageous that the VA is calling on its employees to deliberately mis-diagnose returning veterans in an effort to cut costs," said CREW Executive Director Melanie Sloan.
25 May, 2008
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