PTSD: what VA needs
- A diagnosis of PTSD that conforms to DSM-5 criteria
- Evidence of an in-service stressor
- A medical link between the stressor and your PTSD
VA relaxes the proof needed for some stressors (38 CFR § 3.304(f)). That includes combat, fear of hostile military or terrorist activity (when a VA or VA-contracted examiner confirms the stressor fits), and military sexual trauma (MST), where VA accepts "markers" such as behavior changes, requests for transfer, or treatment records. You describe your stressor on VA Form 21-0781.
How VA rates mental health conditions
All mental health conditions are rated under one General Rating Formula (38 CFR § 4.130) at 0, 10, 30, 50, 70, or 100 percent. The ratings are based on the level of occupational and social impairment. VA looks at the overall picture: frequency, severity, and duration of symptoms and how they affect work and relationships. It doesn't simply count symptoms off a list.
If you have more than one mental health diagnosis with overlapping symptoms, VA usually assigns one combined mental health rating.
Evidence that helps
- Ongoing treatment records (VA, Vet Center, or private)
- A detailed personal statement about how symptoms affect work, family, sleep, and daily life
- Statements from spouses, family, or fellow service members (VA Form 21-10210)
- Employment records showing missed work, discipline, or job loss
We'll handle it with care and confidentiality.
Official sources
VA: PTSD claims · VA: MST · 38 CFR 4.130
This page is general information, not legal advice, and VA rules change. Last reviewed October 2026.