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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.

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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.

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.
January 2, 2024
Nexus Letter for GERD and IBS
In this post, we’ll explore the Nexus Letter for GERD, including its significance and role in helping you get the VA rating for GERD that you deserve. We’ll also take a look at IBS Nexus Letters and how they can increase your chances of service connection.

Gastroesophageal reflux disease (GERD) and Irritable Bowel Syndrome (IBS) is a condition that affects millions of individuals, including veterans.

For veterans seeking VA benefits related to GERD or IBS, understanding the value of a quality Nexus Letter is crucial.

Get a Nexus Letter

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Nexus Letter for GERD

A Nexus Letter for GERD serves as a vital piece of evidence when applying for VA benefits related to GERD.

A Nexus Letter establishes a connection between a veteran’s service-connected disability, such as PTSD, and the development or worsening of GERD.

It outlines the medical reasoning and professional opinion of a healthcare provider, clearly stating that the veteran’s GERD is a result of their PTSD, making them eligible for benefits.

GERD Nexus Letter: The Missing Link?

Having a comprehensive Nexus Letter can be valuable for veterans looking to service connect their GERD and get the VA rating and benefits for their condition. It serves as a persuasive tool, substantiating the link between PTSD and GERD, ensuring that veterans receive the recognition and assistance they need and deserve.

Consulting a qualified medical professional who understands the nuances of these conditions is essential in drafting a compelling Nexus Letter.

Get a Nexus Letter

How Do I Get a GERD VA Rating?

Obtaining a GERD (Gastroesophageal Reflux Disease) VA rating involves a systematic process within the VA.

To secure a VA rating for GERD, you must provide comprehensive medical evidence supporting the link between your service-connected disability and the development or worsening of GERD symptoms.

Here is the process of establishing service connection involves three essential elements:
- A Current Diagnosis: A documented medical condition diagnosed 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 diagnosis and the documented in-service event, establishing the cause-and-effect relationship between the two.
A crucial step is obtaining a Nexus Letter for GERD from a qualified medical professional.

A GERD Nexus Letter establishes a connection between the veteran’s military service (or an already service-connected disability) and their GERD condition, outlining how it has led to the gastrointestinal issues.

Additionally, thorough medical records, diagnostic reports, and evidence of ongoing treatments significantly strengthen the case.

It’s essential for you to work closely with healthcare providers experienced in VA claims to ensure that your application is well-documented and compelling, increasing your chances of receiving the appropriate GERD VA rating.

GERD Secondary to PTSD VA Disability Ratings

The VA rates GERD secondary to PTSD at 10%, 30%, or 60% depending on severity of symptoms. The highest VA rating for GERD secondary to PTSD is 60%.

In cases where GERD is secondary to PTSD, veterans often wonder about the possibility of obtaining a VA Rating.

The answer is yes—it is indeed possible.

GERD Secondary to PTSD Nexus Letter

By obtaining a Nexus Letter that explicitly states the link between PTSD and GERD, veterans significantly enhance their chances of receiving the benefits they rightfully deserve.

The letter should provide detailed information about the PTSD symptoms and how they have led to the development or aggravation of GERD.

Get a Nexus Letter

Can PTSD Cause GERD?

Yes, research has indicated a strong correlation between psychological stressors, such as PTSD, and gastrointestinal issues, including GERD. Stress can affect the functioning of the esophagus and stomach, leading to symptoms like acid reflux, heartburn, and regurgitation.

Understanding this connection is pivotal when seeking VA benefits for GERD secondary to PTSD.

VA Rating Criteria for Hiatal Hernia and GERD (Gastroesophageal Reflux Disease) at 60%, 30%, or 10%

VA Rating Criteria for Hiatal Hernia/GERD Chart

IBS Nexus Letters

Irritable Bowel Syndrome (IBS) is a debilitating condition that affects numerous veterans, often as a result of their military service.

For veterans seeking benefits related to IBS, obtaining an IBS Nexus Letter can help service connection.

This document acts as a crucial link between a veteran’s service-connected disability and their IBS, providing essential medical evidence required for VA benefit claims.

To secure an IBS Nexus Letter, veterans should consult a knowledgeable healthcare provider, preferably a specialist well-versed in gastrointestinal disorders.

The significance of this letter cannot be overstated, it provides a professional medical opinion, detailing the connection between the veteran’s military service and the development or worsening of IBS symptoms.

With a compelling IBS Nexus Letter in hand, veterans significantly enhance their chances of receiving the benefits they rightfully deserve, ensuring they receive the necessary support and recognition for their service-related health challenges.

Get an IBS Nexus Letter

Conclusion

Obtaining a GERD VA rating is a meticulous process that requires thorough documentation and expert medical support.

Veterans should focus on acquiring a compelling Nexus Letter, backed by detailed medical records and diagnostic reports, to establish the connection between their service-connected disability and GERD.

Collaborating with experienced healthcare professionals and understanding the nuances of VA claims will go a long way to helping you get the VA rating, benefits, and monthly compensation you deserve for your service-connected conditions.

Medical Evidence Wins VA Claims

Whether you’re needing a Nexus Letter for GERD secondary to PTSD, a Nexus Letter for IBS, 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 team at Telemedica is standing by to serve you. Get the evidence you need to WIN your VA claim today.
December 12, 2023
VA Claim Denied With Nexus Letter?
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If you had a VA claim denied with nexus letter, you may wonder what went wrong.

While nexus letters aren’t required, they frequently help bridge the gap between an award and denial on your VA disability claim. However, they aren’t always the golden ticket to a winning claim.

Receiving a VA claim denial can be discouraging, but we’re here to help.

Today, we’re covering reasons why your VA claim was denied with a nexus letter and your next steps.

Why Was My VA Claim Denied With Nexus Letter?

A Nexus Letter is a powerful tool in supporting a VA disability claim; however, not all nexus letters are created equally, and having one doesn’t guarantee an approved claim.

If you received a VA claim denied with a nexus letter, you should review the decision and ensure your nexus letter is listed in the evidence section.

Next, review the “Reasons for Decision” section to determine the VA’s rationale and reason(s) for the denial.

In addition, certain disabilities are more challenging to service connect than others, regardless of the amount of medical evidence you provide.

For example, many veterans have difficulty service connecting sleep apnea because it’s not always easy to prove your military service caused the condition.

Let’s examine why your VA claim was denied despite providing a nexus letter.

VA Claim Denied With Nexus Letter: 6 Reasons Why
1. Lack of credibility
2. Conflicting evidence
3. Service connection not specified
4. Lack of specificity in nexus letter
5. Lack of current diagnosis
6. Human error on the VA’s side
Three Things Needed to Win a VA Claim

When reviewing your claim, the VA will look for the following three key aspects:
1. A Current diagnosis
2. Evidence of an in-service event, injury, illness, or aggravation
3. A nexus, or link, between the first two via competent medical evidence
If one or more of these aspects are missing from your VA claim, you may end up with a denied claim, despite providing a nexus letter.

What You Can Do Next

You don’t have to think of a denied claim as a closed door, especially if you believe you are entitled to benefits and compensation.

The following are potential next steps to getting the benefits you deserve.

File an Appeal

You have three decision review options If you disagree with the VA and the decision was dated on or after February 19, 2019.
1. File a Supplemental Claim if you have new and relevant information the VA didn’t consider before.
2. Request a Higher-Level Review if you believe there’s an error with the VA’s decision on your claim.
3. Request a Board Appeal if you want a Veterans Law Judge at the Board of Veterans’ Appeals to review your case.
Gather Additional Evidence

You may need additional evidence to back your claim and bolster your case. When filing a VA claim, it’s always best to provide medical evidence with high probative value.

According to M21-1, Adjudication Procedures Manual, evidence has a high probative value if it:
- Makes a matter material to the determination more or less likely, AND
- Has sufficient weight, either by itself or in combination with other evidence, to persuade the decision-maker about a fact.
It’s always best to find doctors who write nexus letters with a background in treating veterans and are familiar with the unique situations they bring.

Seek Additional Help

Our team at Telemedica offers Nexus Letters based on previous disability conditions related to:
- Direct Service Connections
- Secondary Service Connections
- Presumptive Service Connections
To help write you a winning nexus letter, we’ll need the following pieces of information:
- DD214
- Benefits Summary
- Current diagnosis of medical condition
We also recommend providing the following:
- Blue Button Report
- Personal Statements
- Buddy Letters
- Medical Records
To Wrap Up

While nexus letters can prove vital in winning a VA disability claim, they don’t always secure approval. If you feel stuck, we can help.

You can start the process of winning your VA claim by booking an appointment with one of the licensed providers at Telemedica. Contact us today!
December 5, 2023
Mental Health Evaluation (7 Key Facts for Veterans)
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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.

Book a Mental Health Evaluation

#1 What is a 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:
- Calling 988
- Texting 838255
- Starting a confidential chat
#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.

Book a Mental Health Evaluation

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!
August 23, 2023
Does the VA Still Accept DBQs?
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What veteran doesn’t want a higher disability rating? If that sounds appealing to you, then you want to consider having a VA Disability Benefits Questionnaire (DBQ) filled out by a licensed medical provider. A VA DBQ helps C&P examiners gather essential medical information to process a veteran’s disability claims.

While you aren’t required to submit a VA DBQ, it can potentially lead to a higher disability rating. This post will cover the basics of VA DBQs and whether your claim would benefit from one.

What is a VA DBQ?

Healthcare providers use a VA DBQ during exams, including the Compensation & Pension (C&P) exam, to help rate and record a veteran’s disability. The VA then obtains the DBQ from the physician to determine a disability rating.

A VA DBQ typically includes a diagnosis of the condition, past and present medications, signs and symptoms, and the functional impact of the condition.

Does the VA Still Accept DBQs?

The VA still accepts DBQs, and in 2021, they began allowing the use of public DBQs, meaning it was no longer required to have a VA or VA-contracted physician complete the form. Now, veterans can have their preferred doctor fill out a VA DBQ.

While any civilian provider can complete a VA DBQ, it’s best to go directly to your physician, as the VA has a higher value on their viewpoint. Some civilian doctors will refuse to complete a DBQ, but they can still address the questions on the form and add relevant information to your medical records.

What are Public VA DBQ Forms?

If you choose to have a civilian physician complete a VA DBQ, you provide them with a VA Public DBQ form. While it is highly recommended to obtain a VA DBQ, the VA won’t reimburse you for expenses related to an examination by your private doctor.

There are 71 Public DBQ forms, some specific to a condition, while others are more general. For example, the VA DBQ for Depression and Anxiety falls under the VA DBQ Mental Disorders, while the VA DBQ for Radiculopathy typically falls under the VA DBQ Back (Thoracolumbar Spine).

More specific DBQs include:
If your doctor can’t find your exact condition listed on a VA DBQ, they will find the one most closely related.

You must print out a VA DBQ form before visiting your doctor, which they will review and complete at your appointment. Once completed, you’ll keep a copy for your records and send the completed form to the VA. It’s always best to review the form before mailing it to ensure the information is accurate.
July 11, 2023
What Is a Mental Health Evaluation?
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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.
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.

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.

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.
June 13, 2023
What Veterans Can Do About Chronic Pain
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Veterans living from chronic pain is an all-too-familiar story. In 2019, military veterans of nearly every age were more likely to experience chronic pain than nonveterans:
- 27.1% vs. 9.4% for ages 20–34
- 27.7% vs. 17.7% for ages 35–49
- 37.2% vs. 26.3% for ages 50–64
While unfortunate, if you’re a veteran experiencing chronic pain, there is some relief. In addition to the suggestions below, you can get help from veteran-friendly providers to help diagnose and treat your chronic pain. With the proper medical evidence and treatment plan, you can address your chronic pain head on and manage your symptoms.

Before we go any further, let’s cover the definition of chronic pain.

Veteran Chronic Pain Defined

Johns Hopkins Medicine defines chronic pain as “longstanding pain that persists beyond the usual recovery period.”

This pain may be “on-and-off” or continuous and may affect you to the point that you “can’t work, eat properly, take part in physical activity, or enjoy life.”

Just a few of the types of chronic pain that veterans may experience are:
- Neck, back, and/or joint pain
- Headaches and/or migraines
- Scar tissue pain
- Muscle/myofascial pain (like fibromyalgia)
- Neurogenic (nerve) pain
The VA considers chronic pain to qualify for disability (you may qualify for VA disability benefits for Chronic Pain) if all three of these conditions are met:

1. It is a medically diagnosed condition.

2. It is the result of an in-service event, injury, or illness.

3. The veteran is in possession of a medical Nexus Letter, which connects the condition to military service.

When you’re ready to move forward with the process of getting VA disability benefits, it’s important to seek out a diagnosis and/or a Nexus Letter to provide as medical evidence and bolster your claim.

6 Suggestions for Managing Veteran Chronic Pain

You’re not forced to let chronic pain manage your life. These tips can help you manage your pain, so it doesn’t manage you.

1. Goals

Goal setting can help you be productive and progress toward something you want—like taking a hike with your dog. One step at a time, you’ll get closer to achieving your goal, keeping your mind motivated and engaged while you’re at it.

2. Relaxation Techniques

Since pain instinctively puts and keeps the body and mind in fight or flight mode, veterans with chronic pain suffer physically and mentally from all the ongoing stress. To combat this stress and allow the body/mind to relax, learn and practice the following techniques:
- Progressive muscle relaxation
- Diaphragmatic breathing
- Meditation/guided imagery
- Yoga/tai chi/qigong
3. Cognitive Behavior and Acceptance and Commitment Therapies

Patients of CBT and ACT work to change their mindset from “Why me?” to “What now?” This can be a very empowering paradigm shift. These therapies help you, as a veteran, move past the guilt and depression chronic pain can cause so you can feel more in control of your present and future life.

4. Slow and Steady Activity

Keeping your body immobile seems like a good idea to reduce pain, but the opposite can sometimes be the best choice. Getting up and moving gets the blood flowing and keeps the muscles strong.

Just be careful to not push yourself too hard. Even if your body feels like it’s good to keep going, you may suffer for it in the following days. Take it slow and steady—your body will thank you. As always, check with your primary care physician before starting any exercise regime, especially if you are living with an ongoing condition.

5. Healthy Diet

While it’s not always easiest to reach for healthy options, healthy diet and lifestyle changes can have a profound impact on overall health and even mental wellbeing. Eating an anti-inflammatory, colorful diet will go a long way toward fighting painful flare-ups.

6. Make the Most of the Good Times

When your body feels relatively good, be sure to take advantage of it by spending quality time with those you care about the most. It can be helpful to keep a symptoms log so you can track which activities or situations improve your pain and which activities or situations tend to worsen your symptoms. That way you can focus on more of the good things that help improve your condition and be mindful of the things and activities that have a tendency to set you back.

Telemedica is Here to Help

If you’re a veteran with chronic pain, you may be able to receive VA disability benefits. Telemedica can help you take the first step. We help veterans get proper medical evidence for their condition so they can file a stronger claim.

Contact us today through email, phone, or live chat and get the support you deserve.
June 8, 2023
What Is EMDR Therapy and How Does it Work?
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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?

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.

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
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.
May 5, 2023
Why & How to Get Evaluated for Depression
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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!
April 28, 2023
Nexus Letters for Veterans with Skin Conditions
How to Get a Nexus Letter for VA-ratable skin conditions like Rosacea, Psoriasis, and Vitiligo

When you think of getting help for service-related issues, your thoughts may immediately turn to PTSD or muscle pain. But the breadth of service-related issues reaches further than these commonalities. Even chronic skin conditions can be attributed to your service.

If you think your chronic skin condition may result from your time in the military, let’s talk about how to get help with a VA Nexus letter.

Get a Nexus Letter

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Nexus Letter for Skin Conditions

The Link Between Service & Chronic Skin Conditions

Certain events during your service may have led to your current chronic skin condition. Chemical exposure can lead your skin to absorb the toxin into your body, causing health hazards, including chronic skin conditions.

Meanwhile, chronic stress from service-related anxiety or PTSD can also exacerbate skin ailments.

There are several skin conditions common among Veterans, including:
- Rosacea: Characterized by a large collection of small red bumps on your cheeks and around your face. It may also create small, pus-filled blisters. Rosacea tends to flare up for a few weeks to a few months and can disappear on its own, though it often returns.
- Psoriasis: An immune-mediated disease that produces a scaly rash anywhere on your body. This happens when your immune system accelerates skin cell growth without telling your body to shed your existing skin, leading to a build-up of excess skin.
- Vitiligo: A pigmentation disorder where patients see small or large patches of skin slowly lose color. While vitiligo may be triggered by genetics or an autoimmune disorder, intense stress or trauma to your skin can also cause the condition.
Get a Nexus Letter

Getting a Skin Condition Diagnosis Can Help

Many people with these types of skin conditions may not feel compelled to seek a diagnosis or treatment. However, a diagnosis for your chronic skin condition is the first step toward living more comfortably within your own skin. A doctor can reveal what treatment options are available to you and what you can do in your day-to-day life to better manage the symptoms.

Diagnosing skin conditions is a relatively simple process. Most doctors only need to look at the affected area to get a good idea of what the condition is. They’ll also ask for your medical history, possible allergic reactions that might be causing the condition, and other skin-affecting problems.

In some cases, your doctor may have to perform a skin biopsy or culture test to diagnose more complicated or nuanced conditions. You are then educated on next steps and optional treatments.

Why You Should Get a Nexus Letter for Your Skin Condition

A Nexus Letter is a document that makes the case that your condition is related to either direct, secondary, or presumptive service connections.

The Nexus letter can then be added to your VA claims file, which makes it much easier for Veterans to win their claim for medical compensation from your VA disabilty benefits.

Get a Nexus Letter

Benefits of Connecting with Veteran-Friendly Doctors

Every doctor should be sympathetic toward Veterans and the medical conditions they carry from their service. However, connecting with medical providers who have experience working with Veterans can help clients obtain a timely, professional, and positive resolution.

Telemedica’s network of medical professionals all have extensive experience helping Veterans obtain accurate and professional medical evidence. And with doctors licensed all across the US, you’re able to connect with a Veteran-friendly doctor near you, via telehealth appointment.

Take Back Control of Your Skin Condition

If you’re dealing with skin conditions as a result of your service, contact us today to talk to a member of our Customer Service team about getting started on your path to wellbeing.

To get help with your VA Nexus letter, Telemedica will match you with a medical professional qualified to diagnose your skin condition (or any other service-related condition). Once the provider has conducted a thorough review of your medical documents and related evidence (through what we call a chart review), they can draft a Nexus letter asserting the service connection to your condition, if warranted.

Get a Nexus Letter
February 10, 2023