BVA Case 22-3242: Ptsd

In a March 2017 VA examination, the examiner opined that, [d]ue to significant concerns regarding the credibility of [the appellant's]self-reported psychological symptoms,this examiner cannot ethically provide a diagnosis at this time.

The examiner explained that when the preponderance of the evidence suggests that the appellant's report is not credible,providing a diagnosis would violate the mental health professional's code of ethics,and determining the type and severity of the appellant's mental health condition would amount to mere speculation.

In a November 2021 VA examination,an examiner opined that the appellant's erectile dysfunction was at least as likely as not related to his PTSD,to include the PTSD medications, R.

For his bladder condition,a November 2021 VA examiner opined that the condition was less likely than not related to his PTSD,to include as due to medication,was not aggravated by his PTSD or medication for PTSD,and did not preexist service.

The Board denied entitlement to service connection for bladder dysfunction and a disability rating in excess of 70% for the entire appeal period for PTSD.

As for the appellant's bladder condition,the Board found the November 2021 VA examination probative,reviewing its conclusions that it was less likely than not that the appellant's bladder condition related to his PTSD,to include his psychiatric medications.

The Board then noted that there was no equally probative opinion supporting an association to the appellant's PTSD and explained that the appellant was not competent to provide a nexus opinion because that issue is medically complex,requiring an opinion based on knowledge of multiple organ systems in the body and the possible chemical effects of medication.

The Board noted that because the appellant received consistent treatment during the period on appeal,the clinicians were able to observe the appellant during numerous mental status examinations in VA mental health treatment records.