PTSD: Post Traumatic Sarcasm Display

I went through another evaluation this week at the VA. The exams themselves are pretty stressful and could aid or assassinate your disability rating.My diagnosis is older than the cavalry and I figure that telling the truth gives me less to to remember and then stress over….The VA uses a Global Assessment of Functioning Scale (GAF) in part to determine your disability level. The real scale goes like this:

91 – 100
Person has no problems OR has superior functioning in several areas OR is admired and sought after by others due to positive qualities

81 – 90
Person has few or no symptoms. Good functioning in several areas. No more than “everyday” problems or concerns.
71 – 80
Person has symptoms/problems, but they are temporary, expectable reactions to stressors. There is no more than slight impairment in any area of psychological functioning.
61 – 70
Mild symptoms in one area OR difficulty in one of the following: social, occupational, or school functioning. BUT, the person is generally functioning pretty well and has some meaningful interpersonal relationships.
51 – 60
Moderate symptoms OR moderate difficulty in one of the following: social, occupational, or school functioning.
41 – 50
Serious symptoms OR serious impairment in one of the following: social, occupational, or school functioning.
31 – 40
Some impairment in reality testing OR impairment in speech and communication OR serious impairment in several of the following: occupational or school functioning, interpersonal relationships, judgment, thinking, or mood.
21 – 30
Presence of hallucinations or delusions which influence behavior OR serious impairment in ability to communicate with others OR serious impairment in judgment OR inability to function in almost all areas.
11 – 20
There is some danger of harm to self or others OR occasional failure to maintain personal hygiene OR the person is virtually unable to communicate with others due to being incoherent or mute.
1 – 10
Persistent danger of harming self or others OR persistent inability to maintain personal hygiene OR person has made a serious attempt at suicide.

I checked with several vets and found that GAF corresponds loosely to disability rating as follows:

1-20 = 100% or $2,527 a month and free medical care at the VA

30-50 = 50-70% or $356 to $1,161 a month and free medical care at the VA

60 might rate you at 30% if other factors are an issue. That would give you 30% disability and $356 a month and limited care at the VA

So, you can see that the VA leprechauns guard the golden gates of Brigadoon pretty well…

So, time for a little fun…

I stumbled across several spoofs of the GAF as it relates to the VA and I decided to modify one for you. It is not to make light of the disorder, but to spoof a broken system. Like my mom used to say: You have to laugh to keep from crying…

VA GAF

91 – 100 Not much happening and you can tolerate most stress very easily. Your spouse is away for a couple of days and you sneak your dog into the bedroom. One of your kids is wearing his pants below his underwear, but still talks about going to Brown University.

81 – 90 Some minor setbacks. You are late with your AT&T bill but, screw ’em, they have turned into a monopoly again anyway. You have spent $300 more in overages on hold with the VA about your claim. You think Siri is beginning to understand your needs. The dog has wet on the bedroom carpet, but it is dark enough she’ll never notice.

71 -80 AT&T is texting you. You dictate replies to them through Siri. The teachers strike has the kids at home 24/7 and you tell them that if you hear Gotye one more time they will just be somebody that you used to know.

61 – 70 AT&T has discontinued service. Your artillery ears can barely hear the high pitched ringtone on your Cricket phone. The dog has hemorrhoids and drags his butt all the time. The kids duct-taped the neighbor boy to a stolen shopping cart, pushed him into the forest preserve pond and uploaded their Jackass spoof to Youtube. The police are trying to call your old number. You miss Siri: You wanted to ask her why a boxing ring is square.

51 – 60 Your kids have decided to enlist in the military in lieu of jail time. You and the dog howl in harmony. You’d play drinking games if there was any booze left. Cooking distracts you from NCIS and just isn’t worth the effort. The VA has told Homeland Security about your threats.

41 – 50 Your wife has decided to move back in with her dysfunctional family. The VA Homeless program will not accept you as long as you have 3 more months before your bank actually evicts you. You think you can teach the dog to dance and audition for America’s Got Talent. The sun is getting noisier every morning.

31 – 40 The only thing that gets you off the couch is chest pains. You are sure the dog is talking to the cat about you. You asked the cute activist next door to occupy your underpants. The police have your new number.

21 – 30 You siphoned gas from the neighbor’s leaf blower and are going to fix this problem once and for all. The ungrateful dog criticizes you on Twitter and your Klout score hits an all time low.

11 – 20 They move you to a facility where the WWII vets keep trying to get you to surrender. The VA finally approved your claim, but appointed your ex-wife as custodian of your affairs. She promises to give you money for Bingo. You start a blog, because the voices in your head NEED TO BE HEARD. They don’t change your diapers nearly as often as before.

0 – 10 The nurses refuse to take you to the bathroom until you stop yelling, “FIRE IN THE HOLE” and your kids have no more room in their closets for your Afghans sweaters. Your VA claims adjudicator is promoted to regional director for his efficiency. You and reality dissolve your civil union.