"I AM WRITING ON BEHALF OF VETERAN BRANDON BRACKETT WITH WHOM I HAVE A PROFESSIONAL RELATIONSHIP. I AM A LICENSED MENTAL HEALTH PROVIDER - A PSYCHOLOGIST AT THE OMAHA VETERAN AFFAIRS MEDICAL CENTER. AS THE PRIMARY MENTAL HEALTH/BEHAVIORAL HEALTH CLINICIAN WORKING WITH THIS VETERAN, I AM WELL AWARE OF HIS EMOTIONAL/BEHAVIORAL HEALTH CONDITION AS WELL AS THE FUNCTIONAL LIMITATIONS THAT ARE IMPOSED BY HIS MENTAL HEALTH PRESENTATION. THIS VETERAN INITIALLY PRESENTED TO THIS CLINIC BEGINNING IN SEPTEMBER 2018 AND I HAVE PERSONALLY MET WITH HIM ON FIVE OCCASIONS AS WELL AS PSYCHOLOGICAL TESTING. THIS VETERAN HAS PARTICIPATED IN A TOTAL OF 7.5 CLINICAL HOURS OF PSYCHOTHERAPY WITH THIS PROVIDER AS WELL AS A CLINICAL PERSONALITY ASSESSMENT. THROUGHOUT THE TIME SPENT WITH THIS VETERAN HE HAS BEEN EVALUATED FOR HIS MENTAL HEALTH NEEDS AND POTENTIAL UNDERLYING SYMPTOMOLOGY. IT IS BELIEVED THAT HIS IS CURRENTLY NOT EXPERIENCEING A LEVEL OF PSYCHOSIS AND/OR MENTAL HEALTH RELATED CONCERNS ACCORDING TO THE DIAGNOSTIC AND STATISTICS MANUAL 5TH EDITION (DSM-5). OF NOTE, IT WAS PREVIOUSLY STATED THAT THIS VETERAN WAS EXPERIENCING A DISORDER, HOWEVER, AT THAT TIME AND NOW IT WAS UNFOUNDED AND NO OFFICIAL DIAGNOSIS WAS PLACED IN THE VETERAN'S CHART. IT IS BELIEVED THAT HIS PREVIOUS SYMPTOMOLOGY WAS LIKELY EXACERBATED BY RELATIONAL DISCORD ASSOCIATED WITH FAMILIAL STRAIN - SPECIFICALLY HIS PRIOR RELATIONSHIP. ADDITIONALLY THIS VETERAN DOES NOT HAVE A HISTORY OF MALADAPTIVE DRUG USE BEHAVIORS OR VIOLENCE WHATSOEVER. THROUGHOUT MY INTERACTIONS WITH THIS VETERAN HE HAS NOT DISPLAYED OR REPORTED ANY ONGOING SYMPTOMS RELATED TO FATIGUE/LOSS OF ENERGY, LOSS OF INTEREST OR PLEASURE IN ACTIVITIES AND HOBBIES, DECREASED CONCENTRATION, CHANGES IN MOOD INCLUDING INCREASED IRRITABILITY, FEELING ANXIOUS/TENSE, CONSTANT WORRY ABOUT A VARIETY OF STRESSORS, DIFFICULTY SHUTTING OFF HIS MIND, INCREASED STARTLE RESPONSE, CONSTANTLY FEELING ON GUARD, OR FLASHBACKS, FREQUENT WAKING DURING THE NIGHT, NONRESTORATIVE SLEEP, OR FREQUENT NIGHMARES. IT IS MY PROFESSIONAL OPINION THAT THIS VETERAN IS NOT CURRENLTY STRUGGLING WITH A DSM-5 MENTAL HEALTH DISORDER. IN FACT, THIS VETERAN WAS ABLE TO PROVIDE, AND HAVE VERIFIED A HISTORY OF COMMUNITY ENGAGEMENT WITH NO ADVERSE LEGAL SITUATIONS. HE CURRENLTY WORKS AS THE HEAD WOMEN'S LACROSSE COACH AT MIDLAND UNIVERSITY AS WELL AS BEING ON FACULTY SPENDING 30% OF HIS TIME IN A TEACHING ACAPACITY TO ENCOURAGE AND DEVELOP STUDENTS' MINDS. THIS VETERAN HAS ACTIVELY PARTICIPATED IN PSYCHOTHERAPY SERVICES WITH THIS PROVIDER AND HAS DEMONSTRATED APPROPRATE AND PROGRESSIVE EFFORTS THROUGHOUT HIS COURSE OF TREATMENT. SINCERELY, JXXXXX X. XXXN, PH.D."