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Can I Get VA Compensation for PTSD?

Post-Traumatic Stress Disorder or PTSD is a mental health issue that can be diagnosed and rated by the VA as a service-connected disability. If you are about to retire or separate from military service and suspect you may have a PTSD claim, knowing how the VA reviews and rates this condition for compensation is helpful.

VA policies and procedures for various medical issues, including PTSD have changed over the years. If you filed an earlier claim for PTSD but were denied or you feel you compensation should be reviewed, it’s important to consider your options for an appeal or a new claim with the Department of Veterans Affairs.

Today, VA.gov advises, “You may be eligible for disability benefits if you have symptoms related to a traumatic event (the “stressor”) or your experience with the stressor is related to the PTSD symptoms, and you meet all of these requirements.”

VA Requirements for a PTSD Claim

  • The stressor happened during your service, and
  • You can’t function as well as you once could because of your symptoms, and
  • A doctor has diagnosed you with PTSD

The Department of Veterans Affairs defines PTSD as “a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault.”

Naturally, military service puts people in danger of experiencing traumatic events; a Time Magazine article from as far back as 2015 estimated some 500 thousand U.S. troops who served in wars in the decade or so prior have been diagnosed with PTSD. This condition may not develop immediately following the trauma; those who notice symptoms later should still seek help.

 

>> Frustrated with your VA disability rating?  Get help with increasing your rating to get the compensation you deserve.  Please go here.

 

What is Post-Traumatic Stress Disorder?

Those who suffer from PTSD may relive the traumatic event, have strong feelings about things that remind them of the trauma, and suffer from anxiety they did not have before the event. While intrusive thoughts and other symptoms are common side effects of a traumatic experience, when they persist for more than a few months, PTSD could be the reason.

If You Are a Veteran or Servicemember Suffering Due to PTSD

We’ll examine some important issues about VA compensation for PTSD below, but if you are a veteran and are having a crisis you think may be related to your condition, don’t wait for your VA appointments to seek help.

Call the Veteran Crisis Line at 1-800-273-8255 and press the number 1. You can also send a text message to 838255.

Again, it’s imperative to seek help immediately if you are having a personal crisis, even if you aren’t sure it’s associated with PTSD. Your VA claims appointments are essential, but you should never delay care when needed in favor of waiting for the appointment.

Can I Get VA Compensation for PTSD?

VA.gov says the following options are offered to those who have been reviewed for PTSD and have had their claims approved:

  • VA Health care
  • VA disability payments
  • Treatment for PTSD

VA compensation for mental health issues, including PTSD, is possible if you agree to go through a similar review process as for any other type of VA-rated disability claim. To start this process, you will need to submit to the VA:

It helps to gather other supporting documentation, such as “buddy letters” from friends, family, or coworkers describing you before, during, and after any observable symptoms. A letter from a counselor or therapist noting the same could also make an important difference in handling your claim.

How does the VA determine your condition and whether it is PTSD or not? The VA uses the DSM-5, an industry-standard guide to assigning “appropriate evaluations using the Mental Disorder Criteria in the VA Schedule for Rating Disabilities,” according to the VA official site.

Where to Apply For VA Benefits for PTSD

You can apply online for VA benefits including those for PTSD by using VA Form 21-526EZ. Application for Disability Compensation and Related Compensation Benefits.

Do I Need a VA Mental Health Exam to Apply for Compensation?

The VA does not typically require a performed-by-VA mental health exam for every single mental health-related claim, and VA regulations state that a VA-directed mental health exam is ordered only under certain situations, which may include:

The VA official site says with the exceptions of the list above, no “future exams” are permitted. But what happens when a mental health exam IS required, such as in cases where the VA needs to determine the future of your benefits?

Attending a VA Mental Health Exam

Some might be tempted to skip the mental health examination when required, but the Department of Veterans Affairs is firm about the need for this process. In the absence of the required exam, the VA will review the evidence currently in your records to decide which of the following applies to your case:

When you attend a VA claim exam for any issue, PTSD-related or otherwise, the examiner is only responsible for performing the review and does NOT assign a VA rating for the condition.

The reviewer is not responsible for the final determination of your claim, and only a representative from a VA Regional Office can answer questions about the ratings in your case. Don’t expect the claim reviewer to be able to share anything about the rating process at the time of your exam.

Caveats from the Department of Veterans Affairs

While the VA does accept claims for mental health issues, it advises veterans to take care to claim the right condition as many symptoms for certain conditions, including PTSD may appear in other mental health issues, too.

You should also know that your claim may be reevaluated if there is evidence, an error in the original diagnosis, or if there are signs that your condition is improving. You could receive a change in diagnosis under the following circumstances:

Under the current system, the VA only permits one diagnosis for a mental health condition, which means “any change in diagnosis” should, for VA claims purposes, reflect “the most accurate diagnosis and symptomatology,” according to the VA official site.

You may be able to file a supplemental claim if there is new evidence to support your claim, and you could request that a senior reviewer look at your case.

Contact the VA directly the learn what it takes to file such appeals, and you may be able to get VA assistance locating certain medical records if you need help to support your case.

 

>> Frustrated with your VA disability rating?  Get help with increasing your rating to get the compensation you deserve.  Please go here.

 

 

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