/ Conditions · Mental health

PTSD VA Claim Guide

PTSD claims hinge on a confirmed diagnosis, a verified in-service stressor, and a nexus tying the two together. The VA rates PTSD under the General Rating Formula for Mental Disorders (0–100%).

38 CFR §4.130

Common symptoms

  • ▸Intrusive memories / flashbacks
  • ▸Hypervigilance, exaggerated startle
  • ▸Avoidance of triggers
  • ▸Sleep disturbance, nightmares
  • ▸Irritability or anger outbursts
  • ▸Detachment from others

Common evidence

  • ▸DSM-5 diagnosis from a qualified provider
  • ▸VA Form 21-0781 stressor statement
  • ▸Buddy/lay statements describing changes
  • ▸Service personnel records placing you at the event
  • ▸C&P exam DBQ for mental disorders

Primary service connection examples

  • ▸Combat exposure
  • ▸Military sexual trauma (MST)
  • ▸Witnessing death or serious injury
  • ▸Convoy/IED incidents

Secondary service connection examples

  • ▸Sleep apnea aggravated by PTSD
  • ▸Hypertension secondary to PTSD
  • ▸GERD secondary to PTSD medications
  • ▸Erectile dysfunction secondary to PTSD medications

Rating basics

Rated 0/10/30/50/70/100% based on occupational and social impairment. 70% requires deficiencies in most areas; 100% requires total occupational/social impairment.

Common denial reasons

  • ✕No verified stressor
  • ✕Diagnosis from non-qualified provider
  • ✕Examiner says diagnosis doesn't meet DSM-5
  • ✕Stressor not corroborated in service records