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Reasons Why the VA Denied Your PTSD Claim

Reasons Why the VA Denied Your PTSD Claim

If you’re trying to get VA disability benefits for post-traumatic stress disorder (PTSD) due to your military service, it may feel like banging your head against a wall. There are strange and confusing rules for VA disability compensation that apply only to PTSD claims, and they often trip up not only veterans, but VA reviewers too!

If you’re having trouble figuring out this confusing issue, reach out to experienced attorneys who can take on the effort for you.

What you need for service connection for PTSD

Generally, you need to show three things for service connection:

  1. A current disability,
  2. An event, injury, or disease during service, and
  3. A causal relationship between the event in service and the current disability.

For PTSD, however, there’s some extra legal requirements. Instead of the three things above for any other claim, PTSD claims require:

  1. A clinical diagnosis of PTSD,
  2. Corroborating evidence—other than the Veteran’s own statements—of an in-service traumatic stressor, and
  3. Medical evidence of a link between the stressor and the current PTSD.

As you can see, each of the three elements for service connection becomes more difficult to prove for PTSD. Why? Who knows.

But instead of just showing current symptoms and diagnosis in your records, VA wants to make sure that the diagnosis conforms to certain standards. And instead of just any credible evidence of an in-service event, VA wants additional evidence from somebody other than the Veteran. And instead of any evidence of a connection to service, VA wants a medical opinion confirming the connection.

Why was your claim denied?

In short, your PTSD claim was probably denied because the evidence VA obtained didn’t conform to the more difficult evidence standards for PTSD claims.

So what should you do?

The best thing you can do is hire an experienced attorney to review the case for you. VA often makes mistakes in PTSD claims and it takes a knowledgeable expert to identify and appeal the issue in most cases.

Aside from that, you should try to develop additional evidence to submit to VA. Read your rating decision carefully to try to identify which of the three elements above VA says are missing, then offer whatever you can think of to prove the missing piece.

This evidence can be statements from people who witnessed your traumatic stressor event or noticed your changes in behavior afterwards, a medical opinion from your treating physician or psychiatric specialist, a thorough description of your symptoms and when they began, newspaper articles about the traumatic stressor, or anything else you can think of to support the three elements above.

If you haven’t filed a claim yet . . .

If you haven’t yet filed a claim for PTSD, don’t wait. Just because you don’t have all the necessary evidence right now does NOT mean you should wait to file. The longer you wait to file, the less backpay you can get if and when you win.

When you file a claim for PTSD, be sure to include as much information as you can about the traumatic event in service. Use VA form 21-0781 to provide this information and be as specific as you can about people, places, and dates. This information will trigger a legal requirement for VA to try to obtain more evidence to support your claim.

And if you don’t have a diagnosis for PTSD yet, it’s usually helpful to submit a statement explaining your symptoms in as much detail as possible. This will often trigger VA’s duty to provide you with an examination to determine your diagnosis.

VA says I have something other than PTSD

If VA says you have a different mental-health disorder, like anxiety or depression, that’s actually usually a good thing! Remember how we learned that PTSD has more difficult evidence standards than every other kind of claim? If VA says your psychiatric condition is actually something other than PTSD, then it’ll be easier for you to prove a connection to service!

And don’t worry; in almost every case your symptoms will receive the same disability rating whether VA calls them PTSD or something else. So in most cases you won’t lose out on any money just because VA doesn’t recognize your condition as PTSD specifically.

Berry Law

The attorneys at Berry Law Firm are dedicated to helping injured Veterans. With extensive experience working with VA disability claims, Berry Law can help you with your disability appeals.

This material is for informational purposes only. It does not create an attorney-client relationship between the Firm and the reader, and does not constitute legal advice. Legal advice must be tailored to the specific circumstances of each case, and the contents of this blog are not a substitute for legal counsel.

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3 Elements Necessary for Service Connection for VA Claims
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