Psychological Nexus Opinions & Record Service Reviews in Colorado and Across the US

Clear, clinically grounded documentation for your disability worker's compensation, or administrative case.

If you need clear documentation connecting psychological and medical conditions, Monarch Counseling Services provides independent nexus opinions based on thorough record review. Each case is evaluated using clinical expertise, documented history, and symptom timelines to determine whether a relationship may exist.

Monarch Counseling Services Psychological Nexus Opinions in Colorado and Nationwide

Record review services for disability claims, workers’ compensation, and administrative documentation.

Many disability, workers’ compensation, and administrative claims require documentation explaining whether a medical or psychological condition may be related to another condition or event. A psychological nexus opinion is a professional clinical opinion based on review of medical and psychological records that evaluates whether a causal relationship, contribution, or aggravation may exist between documented conditions. Monarch Counseling Services provides independent psychological record review and nexus opinion services for individuals seeking administrative documentation related to disability claims, workers’ compensation claims, and similar administrative determinations.

What is a Psychological Nexus Opinion and Records Review?

Monarch uses clear, clinically supported evidence to document the connection between your symptoms and conditions.

A psychological nexus opinion is a professional review that looks at whether a mental health condition may be connected to another medical condition or set of symptoms.

This is based on:

  • Reviewing your medical and mental health records
  • Understanding how trauma and stress can affect the body and mind
  • Looking at your documented health history
  • Tracking when symptoms started and how they developed over time
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Who needs a Psychological Nexus Opinion?

This service is designed for individuals who need clinical documentation to support a disability, workers’ compensation, or administrative claim. If you need...

  • A psychological nexus opinion for a disability claim
  • Workers' compensation nexus opinion
  • A mental health nexus letter for insurance or administrative review
  • Evaluation of whether trauma or stress-related conditions may be connected to physical or neurological symptoms

What you must have when contacting Monarch for a Psychological Nexus Opinion

  • An existing diagnosis or prior clinical evaluation
  • Medical or psychological records available for review

What we do as part of a Psychological Nexus Opinion at Monarch

  • Records review, evaluation, and consultation
  • Prepared reports & nexus opinion reports for administrative documentation

What we don't do as part of a Psychological Nexus Opinion at Monarch

  • Psychological testing or independent clinical examination
  • Ongoing therapy or psychological treatment
  • Expert witness testimony, litigation consulting, depositions, or court appearances related to these reports

Claims we provide support for at Monarch Counseling

Monarch Counseling Services provides psychological nexus opinion and record review services for individuals with a diagnosis seeking administrative documentation in Colorado and across the United States.

How we approach Psychological Nexus Opinions and Reporting at Monarch

Record review services for disability claims, workers’ compensation, and administrative documentation.

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Initial Case Screening

A brief initial screening to determine whether your case may qualify for a psychological nexus opinion and whether sufficient documentation is available.

  • Identifies if the request falls within professional scope
  • Reviews whether records may support further analysis
  • Provides clear next steps
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Psychological Nexus Opinion Report

Monarch Counseling Services provides focused, record-based clinical reviews to evaluate whether psychological conditions may be connected to other documented conditions. This report evaluates whether a psychological condition may cause, contribute to, or aggrivate another documented condition or set of symptoms.

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Psychological Aggravation Review

A focused record review assessing whether trauma-related psychological conditions may worsen or influence physical or neurological symptoms.

Common areas of review include:

  • Chronic pain conditions
  • Migraine disorders
  • Neurological symptoms
  • Stress-related somatic conditions
Its easy! See if Monarch can help you prove the connection between your symptoms and your mental health conditions

Records Review Process at Monarch

This service is designed for individuals who need clinical documentation to support a disability, workers’ compensation, or administrative claim.

1.

Initial Pre-Screening Questionnaire

Completed Online

2.

Client and Provider Service Agreement

Reviewed and Signed

3.

Initial Records Review Screening

Completed by Provider

4.

Relevant Documentation Submitted

Through the Online Portal

5.

Detailed Medical & Psychological Records Review

Completed by Provider

6.

Nexus Opinion Report Prepared & Delivered

From Provider to Client

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Sheila Simons, LPC-S, NCC, CCTS-I

Compassionate, professional provider and expert evaluator

Meet our Clinician, Sheila Simons

Founder of Monarch Counseling Services & Licensed Professional Counselor Supervisor

Sheila Simons, LPC-S, NCC, CCTS-I is a Licensed Professional Counselor Supervisor practicing in the State of Colorado and founder of Monarch Counseling Services. She is a National Certified Counselor and Certified Clinical Trauma Specialist – Individual (CCTS-I) with specialized training in trauma-related psychological conditions.

Ms. Simons has been practicing independently as a trauma-focused clinician since 2018. Her clinical training includes the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) and advanced Eye Movement Desensitization and Reprocessing (EMDR), both widely used in the assessment and treatment of trauma-related disorders. Her clinical work focuses on trauma-related conditions including PTSD, anxiety disorders, depressive disorders, and stress-related psychological responses.

Monarch specializes in Psychological Nexus Opinions for...

  • Trauma-Related Conditions

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  • PTSD

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  • Anxiety & Depressive Disorders

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  • Stress-Related Psychological Responses

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Looking for a psychological nexus opinion or record review consultation?

Frequently Asked Questions

Check out our answers to common questions about VA Disability Nexus Letters, Independent Medical Opinions, and Monarch's approach to providing evaluations.