Can Ptsd Treatment Increase Settlement Value

The question of whether PTSD treatment will increase the value of a personal injury settlement is a common one, and the answer is almost always yes, but it’s significantly more complex than simply paying for therapy sessions. Insurance companies are trained to devalue “soft tissue” injuries and emotional distress. They’re far more comfortable dealing with broken bones and quantifiable medical expenses. Successfully demonstrating the link between the accident and the PTSD, and subsequently proving the necessary ongoing treatment, is what translates into a substantial increase in the settlement amount.
The biggest hurdle is often establishing the causal connection. Insurance adjusters will immediately question whether the PTSD pre-existed the accident, or if it’s the result of unrelated life stressors. This is why comprehensive documentation, from the initial emergency room visit to a thorough psychological evaluation by a qualified expert, is absolutely critical. A strong diagnosis, coupled with a clear treatment plan, dramatically strengthens your position.
For over 13 years, I’ve practiced personal injury law in San Diego, and one of the most valuable lessons I learned working alongside former defense attorneys is how they evaluate claims. They are looking for weaknesses, loopholes, and ways to minimize payouts. Understanding their tactics, and proactively addressing those concerns, is what allows me to maximize recovery for my clients. I routinely see claims with similar injury profiles settle for vastly different amounts depending on the quality of the evidence supporting the psychological impact.
Can I Include Past Trauma in My PTSD Claim?
While an adjuster will absolutely attempt to pinpoint pre-existing conditions, it doesn’t automatically disqualify your claim. California law allows you to recover for the aggravation of a pre-existing condition. For example, if you had mild anxiety before the accident, but the trauma significantly worsened it to the point of a PTSD diagnosis requiring ongoing treatment, you can seek compensation for the exacerbation of your symptoms. The key is to provide strong medical evidence illustrating the ‘before and after’ state of your mental health.
This often involves obtaining medical records from prior therapists or psychiatrists. A forensic psychologist can then provide an expert opinion outlining how the accident directly contributed to the worsening of your condition. Be prepared for the insurance company to request authorizations to access these records – it’s a standard part of their investigation.
What Types of PTSD Treatment Are Most Convincing to Insurers?
Simply attending a few therapy sessions won’t necessarily be enough to significantly increase your settlement value. Insurance companies want to see a consistent, comprehensive treatment plan. Evidence-based therapies like Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) are particularly persuasive because they have a proven track record of success in treating PTSD. Medication management, overseen by a qualified psychiatrist, is also important. A detailed treatment plan, outlining the frequency and duration of therapy, along with a psychiatrist’s progress reports, demonstrates a serious commitment to recovery.
Furthermore, documentation of how PTSD impacts your daily life is vital. This includes loss of sleep, difficulty concentrating, social isolation, and the inability to work. A detailed journal documenting these challenges, along with testimony from family and friends, can provide powerful support for your claim.
How Long Does Treatment Need to Last to Affect My Settlement?
There’s no magic number, but insurance companies typically want to see at least six months of consistent treatment before seriously considering a substantial settlement offer. A shorter treatment period may raise red flags, as it could be perceived as an attempt to artificially inflate the claim value. The longer the treatment, and the more consistent the progress (or lack thereof, if symptoms persist), the stronger your case will be. A minimum of six months of treatment is a good guideline, but longer periods are often beneficial, especially if you’ve experienced significant functional impairment.
It’s crucial to remember that treatment should be ongoing and tailored to your specific needs. Insurance adjusters are adept at identifying superficial treatment plans designed solely to increase settlement value.
What if the Insurance Company Denies the PTSD Component of My Claim?
A denial doesn’t mean the end of the road. Insurance companies often deny claims initially in hopes that the claimant will settle for a lower amount. You have the right to appeal the denial and present additional evidence to support your claim. This is where an experienced attorney can be invaluable. We can gather additional medical evaluations, hire forensic psychologists, and build a compelling case demonstrating the link between the accident and your PTSD.
If the appeal is unsuccessful, filing a lawsuit is often the next step. The discovery process allows us to obtain further evidence, including depositions from the insurance company’s representatives and the medical professionals involved in your care. This can often lead to a more favorable settlement negotiation.
What Role Does Government Tort Claims Play in PTSD Claims?
If your accident involved a government vehicle or employee, the claims process is different. California’s Government Tort Claims Act requires you to file a claim with the government agency within six months of the accident. The government often has a lower tolerance for emotional distress claims, and they may be even more skeptical of PTSD diagnoses. It’s essential to consult with an attorney specializing in government tort claims to ensure you meet all the necessary deadlines and requirements.
Furthermore, the government may have specific medical evaluation requirements for PTSD claims. Failing to comply with these requirements could result in a denial of your claim. An experienced attorney can navigate the complex legal landscape and protect your rights.
|
Attorney Advertising, Legal Disclosure & Authorship
ATTORNEY ADVERTISING.
This content is provided for general informational and educational purposes only and does not constitute legal advice.
Under the California Rules of Professional Conduct and applicable State Bar of California advertising regulations,
this material may be considered attorney advertising.
Viewing or reading this content does not create an attorney-client relationship.
Laws and procedures governing personal injury claims vary by jurisdiction and may change over time.
You should consult a qualified California personal injury attorney regarding your specific situation before taking any legal action.
Local Office:
Morse Injury Law2831 Camino del Rio S #109 San Diego, CA 92108 (619) 684-3092
Responsible Attorney:
Richard Morse, California Attorney (Bar No. 289241).
Morse Injury Law is a practice name and location used by Richard Peter Morse III, a California-licensed attorney.
About the Author & Legal Review Process
This article was prepared by the legal editorial team supporting Richard Peter Morse III,
with the goal of explaining California personal injury law and claims procedures in clear, accurate, and practical terms for injured individuals in San Diego and surrounding communities.
Legal Review:
This content was reviewed and approved by Richard Morse, a California-licensed attorney (Bar No. 289241),
who concentrates his practice on personal injury litigation and insurance claim disputes.
With more than 13 years of experience representing injury victims throughout California,
Mr. Morse focuses on serious personal injury matters including motor vehicle collisions, uninsured and underinsured motorist claims,
premises liability, catastrophic injury, and wrongful death.
His practice emphasizes claims evaluation, insurance carrier accountability, and litigation in California courts when fair resolution cannot be achieved.
|
