More help from Maurice…
The VA has awarded you a service connection for PTSD. Now, it will review the most current clinical evidence available to it so as to assess how the severity of your symptoms impairs you—including your ability to work and your degree of social function. A schedule is used with definitions and percentages that have been set by VA regulations. They have established Diagnostic Codes (DC) for a range of psychiatric (and medical) disorders. Provision is made for the degree of severity of related symptoms. From this, a corresponding disability percentage is assigned. Typically, the VA evaluates the level of psychiatric disability under common criteria, irrespective of your specific diagnosis. This includes PTSD. You can share this information with your psychiatrist and request a report or opinion letter describing your disability or impairment that you can submit to the VA.
It’s worth noting that even though the severity of your symptoms do not satisfy the diagnostic criteria for a 100% rating level, you may qualify under a different VA regulation that permits them to compensate you at the 100% level—insofar as the medical evidence demonstrates that you are unable to obtain or maintain gainful employment and that this is a consequence of your service-connected PTSD. This is called, a TDIU or IU. It stands for “total rating on the basis of individual un-employability due to service-connected disability.”
In ascending order, these are the definitions and percentages (rating levels) the VA uses for mental disorders:
0%: A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.
10%: Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by continuous medication.
30%: Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).
50%: Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.
70%: Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a work-like setting); inability to establish and maintain effective relationships.
100%: Total occupational and social impairment, due to such symptoms as: gross impairment in thought process or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.
The Bottom Line: If all of this sounds a bit daunting, please don’t worry. My staff and I understand it. We’re uniquely qualified to guide you to a fair and equitable outcome that’s based on your unique circumstances. Feel free to contact us for a free case evaluation.