/ 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