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Condition

VA Nexus Letters for PTSD

Post-traumatic stress disorder tied to a documented or corroborated in-service stressor.

PTSD claims turn on three things: a current diagnosis that meets DSM-5 criteria, a stressor that occurred during service, and a medical opinion connecting the two. Combat stressors and stressors related to fear of hostile military or terrorist activity can be established by your own statement when consistent with the circumstances of service; other stressors generally require corroboration.

What the VA requires

  • A current PTSD diagnosis meeting DSM-5 criteria
  • An in-service stressor, corroborated where required
  • A medical link between the stressor and the current symptoms
  • Documentation of occupational and social impairment

How it is rated

PTSD is rated under the General Rating Formula for Mental Disorders (38 CFR 4.130) at 0, 10, 30, 50, 70, or 100 percent, based on the level of occupational and social impairment — not on symptom count alone.

How we help

  • Telehealth evaluation with a licensed mental health clinician
  • Symptom documentation mapped to the rating criteria the VA actually applies
  • A written opinion linking the diagnosis to your documented stressor
  • Assessment of conditions commonly secondary to PTSD

Commonly claimed as secondary

  • Sleep apnea
  • Hypertension
  • GERD
  • Migraines
  • Erectile dysfunction

Find out which of your conditions a medical opinion can support.

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