PTSD (Post-Traumatic Stress Disorder)
PTSD is rated under the General Rating Formula for Mental Disorders (38 CFR § 4.130). The VA looks at how much your symptoms affect your work, relationships, and daily life — not just a diagnosis.
VA Rating Levels
You have a diagnosis and mild symptoms, but they don't significantly affect your work or social life. You can generally function normally.
Mild symptoms that slightly affect your work or social life. You might need medication to stay functional. Occasional trouble sleeping or mild anxiety.
Noticeable impact on work and social life. Occasional decrease in work efficiency during stressful periods. You might have depressed mood, anxiety, trouble sleeping, or mild memory problems.
Significant reduction in work reliability and productivity. Flattened affect, difficulty understanding complex commands, trouble with memory, impaired judgment, difficulty maintaining relationships. Panic attacks more than once a week.
Serious problems at work and in relationships. Suicidal thoughts, obsessional rituals, speech that's hard to follow, near-continuous panic or depression, inability to maintain effective relationships, impaired impulse control (like unprovoked irritability with periods of violence).
Total occupational and social impairment. You can't work or maintain any meaningful relationships. Symptoms may include: persistent delusions or hallucinations, grossly inappropriate behavior, persistent danger of hurting yourself or others, can't perform basic self-care, disoriented to time or place, severe memory loss.
Exam Tips & Key Evidence
- →Be honest and specific about your worst days at your C&P exam — don't minimize symptoms
- →Frequency and severity both matter: how often do symptoms occur and how bad are they?
- →Document how PTSD affects your work, relationships, and daily activities
- →Common secondary conditions: sleep apnea, migraines, hypertension, bruxism
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.130, Diagnostic Code 9411