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Your complete roadmap to securing VA disability benefits for post-traumatic stress disorder

70%
Average PTSD Rating

11-20%
Veterans Have PTSD

$3,737
Monthly at 100%

PTSD affects millions of veterans, yet many struggle to get the VA disability benefits they deserve. Whether you’re filing your first claim or appealing a denial, this comprehensive guide will walk you through every step of establishing service connection for PTSD.

Warning: Important Update: As of 2024, the VA has updated PTSD criteria to align with DSM-5-TR. Make sure your claim addresses the current diagnostic requirements, not outdated DSM-IV criteria.

The Three Essential Requirements for PTSD Service Connection

To establish service connection for PTSD, you must prove these three elements:

1

Current PTSD Diagnosis

A diagnosis from a qualified mental health professional using DSM-5-TR criteria

Key Point: Diagnosis must be current and meet all DSM-5-TR criteria

2

In-Service Stressor

A verified traumatic event that occurred during military service

Key Point: Combat veterans get presumptive credibility for stressors

3

Medical Nexus

Medical evidence linking your current PTSD to the in-service stressor

Key Point: A strong nexus letter can make or break your claim

Qualifying PTSD Stressors

The VA recognizes several categories of traumatic stressors:

Combat-Related

  • Direct combat engagement
  • IED/mortar attacks
  • Witnessing casualties

Fear-Based

  • Fear of hostile action
  • Terrorist activities
  • Ongoing threats

MST-Related

  • Sexual assault
  • Sexual harassment
  • Physical assault

Non-Combat

  • Training accidents
  • Motor vehicle accidents
  • Natural disasters
Good News for Combat Veterans: If you have a combat-related MOS, campaign medal, or Combat Action Ribbon, your lay testimony alone can establish the stressor occurrence—no additional verification needed!

Evidence You Need to Win Your Claim

Medical Evidence

  • Current PTSD diagnosis
  • Treatment records
  • Therapy notes
  • Medication history
  • Nexus letter from psychiatrist

Service Records

  • DD-214
  • Service treatment records
  • Unit records
  • Awards and decorations
  • Performance evaluations

Supporting Evidence

  • Buddy statements
  • Spouse/family statements
  • Employer letters
  • Police reports (if applicable)
  • VA Form 21-0781

VA PTSD Rating Criteria & Compensation

PTSD ratings are based on occupational and social impairment:

Rating Symptoms & Impairment Monthly Pay
0% Diagnosed but symptoms controlled by medication $0
30% Occasional decrease in work efficiency, intermittent inability to perform tasks $524.31
50% Reduced reliability, weekly panic attacks, difficulty with relationships $1,075.16
70% Deficiencies in most areas, suicidal ideation, near-continuous symptoms $1,716.28
100% Total occupational and social impairment $3,737.85

*2024 rates for veteran only, no dependents

Common PTSD Claim Challenges (And How to Overcome Them)

Challenge: “Lack of treatment records from service”

Many veterans didn’t seek mental health treatment while active duty due to stigma.

Solution: Use buddy statements, performance changes, and post-service treatment to establish chronicity. A nexus letter can explain delayed treatment.

Challenge: “Stressor can’t be verified”

Non-combat stressors often lack documentation.

Solution: Submit unit records, morning reports, or news articles. For MST, look for “markers” like behavior changes or transfer requests.

Challenge: “C&P examiner minimized symptoms”

Brief exams often miss the full picture of PTSD impact.

Solution: Submit a comprehensive nexus letter that addresses all symptoms and functional impacts. Include detailed lay statements.

PTSD Secondary Conditions

PTSD often causes or aggravates other conditions that may qualify for additional compensation:

Sleep Apnea

50% of PTSD patients

Depression

Common comorbidity

Migraines

Stress-induced

Substance Abuse

Self-medication

Hypertension

Chronic stress

GERD

Anxiety-related

Pro Tip: File secondary claims after your PTSD is service-connected. Each secondary condition can add 10-50% to your combined rating.

Your PTSD Claim Action Plan

1

Get Your Current Diagnosis

See a psychiatrist or psychologist for formal PTSD diagnosis using DSM-5-TR criteria.

Timeline: 1-2 weeks

2

Gather Your Evidence

Collect service records, medical records, and write your stressor statement.

Timeline: 2-4 weeks

3

Obtain Nexus Letter

Get expert medical opinion linking PTSD to military service.

Timeline: 2-3 weeks

4

File Your Claim

Submit online via VA.gov with all supporting evidence.

Timeline: 1 day

5

Prepare for C&P Exam

Review your symptoms, be honest about impact on daily life.

Timeline: 30-90 days after filing

Insider Tips from a VA Psychiatrist

Dr. Lee’s Top 5 PTSD Claim Tips:

1
Document Everything NOW

Start a symptom journal today. Include nightmares, flashbacks, avoidance behaviors, and how PTSD affects work/relationships.

2
Be Specific About Your Stressor

Vague statements hurt claims. Include dates, locations, unit information, and specific details about the traumatic event.

3
Don’t Minimize at Your C&P Exam

Describe your worst days, not your best. The VA rates based on maximum impairment, not average function.

4
Get Buddy Statements

Statements from fellow service members who witnessed your stressor or behavior changes are gold for your claim.

5
Consider a Nexus Letter

A well-written nexus letter from a psychiatrist can overcome weak C&P exams and fill gaps in your service records.

C&P Exam vs. Independent Nexus Letter

Aspect C&P Exam Nexus Letter
Exam Duration 15-30 minutes 60-90 minutes
Records Review Often minimal Comprehensive
Provider Choice VA assigns You choose
Focus VA perspective Veteran perspective

Frequently Asked Questions

Q: Can I get PTSD service-connected without combat?

Yes! Non-combat stressors like MST, training accidents, natural disasters, and witnessing death can all qualify. The key is establishing that the stressor occurred during service.

Q: What if I wasn’t diagnosed with PTSD in service?

Most PTSD claims are approved without in-service diagnosis. You need current diagnosis and evidence linking it to service. Delayed onset is common and recognized by VA.

Q: How long does a PTSD claim take?

Average processing time is 120-150 days. Having all evidence ready when you file can speed this up. Incomplete claims take much longer.

Q: Can I work with PTSD rated at 70%?

Yes. A 70% rating means deficiencies in most areas but not total impairment. Many veterans work with accommodations. Only 100% PTSD rating considers ability to work.

Real Success Stories

“After two denials, Dr. Lee’s nexus letter finally got my PTSD service-connected at 70%. The difference was night and day—he actually understood military trauma.”

– Marine Veteran, Iraq

“My MST claim was approved on the first try. The nexus letter addressed everything the VA needed to see. Worth every penny.”

– Army Veteran


Key Takeaways


  • PTSD requires three elements: current diagnosis, in-service stressor, and medical nexus

  • Combat veterans get presumptive stressor credibility—huge advantage

  • 70% is the most common PTSD rating, worth $1,716.28/month

  • Secondary conditions can significantly increase your combined rating

  • A strong nexus letter can overcome weak C&P exams and missing records

Ready to Win Your PTSD Claim?

Dr. Ronald Lee, MD specializes in PTSD nexus letters. As a Harvard-trained psychiatrist who trained at the VA, he knows exactly what the VA needs to see.

PTSD Nexus Letter: $600

Includes 90-minute evaluation & comprehensive letter

Schedule Free Consultation

Disclaimer: This information is for educational purposes only. Each case is unique, and outcomes depend on individual circumstances. Past results do not guarantee future outcomes.

Need a PTSD Nexus Letter?

Dr. Lee provides expert Independent Medical Opinions for PTSD VA claims, helping veterans establish service connection with evidence-based nexus letters.

Learn about our PTSD Nexus Letter service →

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