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how to apply for ptsd benefits

by Dr. Orlo Schulist Sr. Published 1 year ago Updated 1 year ago
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You can apply for this benefit in any of these ways:

  • Mail the form to the Pension Management Center (PMC) for your state. Find your PMC
  • Work with an accredited representative. Get help filing your claim
  • Go to a VA regional office and get help from a VA employee. Find a VA regional office near you

To get disability compensation, veterans should submit a PTSD claim with VA. First, veterans can download and fill out VA Form 21-526EZ. This can be submitted via mail to the Claims Intake Center, in person at the closest VA Regional Office, or electronically through VA's website.Feb 25, 2022

Full Answer

Does PTSD qualify for disability benefits?

The symptoms of this disorder can significantly interfere with an individual’s ability to function in a work environment. An individual who is unable to successful perform work activities because of PTSD may qualify for one of the main disability programs, either Supplement Security Income (SSI) or Social Security Disability Insurance (SSDI) .

Can you get disability benefits for PTSD?

There are two ways to get approved for disability benefits based on PTSD. The first route is to pass the disability evaluation of the Social Security Administration (SSA). The second way is to obtain a “medical-vocational allowance”. For the first route (evaluation), the SSA uses a 5-step process to decide if you are disabled: Step 1.

How to get Social Security disability approved PTSD?

  • exposure to actual or threatened death, serious injury, or violence
  • subsequent involuntary re-experiencing of the traumatic event (for example, intrusive memories, dreams, or flashbacks)
  • avoidance of external reminders of the event
  • disturbance in mood and behavior, and

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What is the easiest VA disability to claim?

  • Tip #1: Use MyHealtheVet to Get Your Current Symptoms Documented in VA Medical Records
  • Tip #2: Go for High-Value VA Disability Claims (e.g., Mental Health , Lifestyle Impact Claim , Migraines , Sleep Apnea)
  • Tip #3: Have a Doctor Complete DBQs for Conditions Already Service Connected

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What benefits can I get for PTSD?

If you are disabled because of Post Traumatic Stress Disorder that is severe enough to prevent you from working, you may be entitled to Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). You can learn more by filling out a quick and free evaluation form regarding your case.

What do I say to get disability for PTSD?

Write very clearly, or type on a computer if you can. Describe the traumatic events in the order that they happened. Tell where the event happened, what unit you were in at the time, and when it happened (as best you can). Provide as much detail as you can and also describe the feelings you had about what happened.

Is it easy to get disability for PTSD?

Proving that your PTSD is severe enough to be considered a disability is only half of the battle. You will also need to meet the SSA's work credit requirement. You earn work credits by working and earning income. In 2020, you will be awarded one work credit for every $1,410 of income you earn.

Who is eligible for PTSD?

Anyone can develop PTSD at any age. This includes war veterans, children, and people who have been through a physical or sexual assault, abuse, accident, disaster, or other serious events. According to the National Center for PTSD, about 7 or 8 out of every 100 people will experience PTSD at some point in their lives.

Why do PTSD claims get denied?

One of the most common reasons the VA gives for denying PTSD claims is lack of evidence. Obtaining the evidence the VA wants to see to approve a claim can be a challenge; however, it is possible. A knowledgeable PTSD appeals attorney can help veterans present a compelling application while saving them time and stress.

How much disability will I get for PTSD?

On average, most veterans who receive VA disability for their service-connected PTSD are rated at the 70 percent level. Per VA's rating criteria, a 70 percent PTSD rating reflects impairment in most areas such as, work, school, family relations, judgment, thinking, and mood.

What are the 5 stages of PTSD?

What are the five stages of PTSD?Impact or Emergency Stage. ... Denial/ Numbing Stage. ... Rescue Stage (including Intrusive or Repetitive stage) ... Short-term Recovery or Intermediate Stage. ... Long-term reconstruction or recovery stage.

Is PTSD permanent disability?

VA Permanent and Total (P&T) Disability for PTSD A PTSD disability rating may become permanent and total if VA determines that it meets the 100 percent criteria set forth by the rating schedule and there is zero chance of improvement.

Can u work with PTSD?

Managing Work Life With PTSD Others are able to continue with their job and function well in their workplace. They may have milder symptoms or have developed a level of control over displaying their emotions to others.

How do I get a 70% PTSD rating?

Per VA's rating criteria, a 70% PTSD rating reflects that you display impairment in most areas such as, work, school, family relations, judgment, thinking, and mood. 70% PTSD rating lists several symptoms that affect occupational and social function.

Can you claim PTSD and anxiety?

Anxiety and Depression are common symptoms of PTSD, though they also may be separate diseases without a PTSD diagnosis. Bipolar disease is another example. If the disease arises during military service, or because of military service, the disease is compensable.

Am I eligible for disability benefits from VA?

You may be eligible for disability benefits if you have symptoms related to a traumatic event (the “stressor”) or your experience with the stressor...

What does VA consider to be a traumatic event?

We consider any of these to be a traumatic event: You suffered a serious injury, personal or sexual trauma, or sexual violation, or You were threa...

What kind of disability benefits can I get?

Health care Compensation (payments) Treatment for PTSD

How do I get these benefits?

You’ll need to file a claim for disability compensation. Find out how to file a claim for disability compensation When you file a disability claim,...

What Is Post-Traumatic Stress Disorder?

PTSD is the development of symptoms following an extreme traumatic event involving personal exposure to actual or threatened death or serious injur...

Who Qualifies For Veterans Disability Benefits?

In order to qualify for any type of veterans disability benefits, certain criteria must be met. First, the veteran must currently have a medically...

How to Obtain Disability Benefits

In order to obtain disability benefits, a veteran with PTSD must first undergo an evaluation at a VA medical facility. A psychiatrist at the VA med...

Streamlined PTSD Regulations

New regulations that went into affect on July 13, 2010 streamlined the process for veterans suffering from PTSD to obtain benefits, and easier for...

How Does The VA Determine A Disability Rating For Veterans Suffering from PTSD?

Compensation amounts for disabled veterans are determined based on a rating system. Each disability's severity is measured in 10% increments, rangi...

What evidence is needed for PTSD?

Medical evidence provided by a doctor must include a detailed description the person’s PTSD, notation on what intensifies symptoms and how the symptoms affect his/her ability to function at home and at work, and documentation on how the person’s account of PTSD matches the doctor’s observations.

How long does PTSD last?

In fact, approximately half of all adults completely recover in about three months; however, some individuals live with it for a year or more, and some can live with PTSD for more than 50 years (American Psychiatric Association, 2013). ...

What is the main disability program?

The United States government operates two main disability programs: Social Security Disability Insurance (SSDI). Social Security provides financial assistance to people with little or no income, including people living with any mental illness, PTSD included.

Can I get Social Security if I have PTSD?

Having PTSD alone doesn’t qualify someone for social security, even if they can’t work. To receive SSI disability benefits for PTSD, someone must live below the poverty line and have minimal access to financial resources. SSDI is the other federal organization that provides financial benefits.

Can you get a medical vocational allowance if you have PTSD?

If someone doesn’t meet the full disability requirements, he/she may still obtain a medical-vocational allowance. Despite the fact that the above criteria aren’t fully met, if the person is unable to work due to the effects of PTSD such as sleep problems (and resulting fatigue), difficulty concentrating, memory problems, and more, he/she is eligible to receive PTSD benefits in the form of a medical-vocational allowance.

Is PTSD a disability?

PTSD Can Be a Disability. The severity of the effects of PTSD range from relatively mild—only fairly disruptive to someone’s life—to severely debilitating. When PTSD’s effects are severely disruptive, PTSD is a disability. In the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) the American Psychiatric Association (2013) ...

Can a person with PTSD get disability?

When that happens, the person living with PTSD can qualify to get PTSD disability benefits.

Who can treat PTSD?

Medical records showing how PTSD affects your ability to function. Doctors and professionals who specialize in treating PTSD include: Psychiatrists – medical doctors who can both prescribe medication and offer psychotherapy. Psychologists – doctors whose main focus is psychotherapy or talk therapy.

How many hours a day can you work with PTSD?

However, the main focus in a Social Security disability claim is usually on the symptoms you experience from PTSD and how those symptoms affect your ability to engage in physical and mental work-related activities eight (8) hours per day, five (5) days per week (full-time).

How long does a disability last?

For the SSA to consider you disabled, you must have a medically determinable physical or mental impairment (or a combination of impairments) that is severe and has lasted or is expected last one (1) year or end in death. If your medical condition is not that severe, you will not be found to meet the requirements for Social Security disability ...

How long does it take for PTSD to go away?

While it’s normal to feel distressed after such an event, this feeling of distress should normally disappear after a few months. But for a person who has PTSD, the symptoms last longer, may start later, or may come and go over a long time. PTSD symptoms have four types.

What is PRW in SSA?

If the SSA decides you can perform any of your past relevant work (PRW), you will be found not disabled. To be PRW, the work must have been substantial gainful activity (SGA); performed in the fifteen (15) year relevant period; and performed long enough to learn the job. If the SSA decides you cannot perform your past relevant work, or you have not worked in the past fifteen (15) years, the SSA goes on to Step 5.

What are the symptoms of PTSD?

Another is avoidance, in which the patient tries to avoid things, people, and situations related to the event. The third group of symptoms is about having more negative feelings and beliefs – for example, developing a new sense of guilt or believing that the world is dangerous. The fourth symptom type is called hyperarousal, which means being ‘keyed up’, jittery, irritable, short-tempered, and/or reckless.

How many steps does the SSA use to determine if you are disabled?

For the first route (evaluation), the SSA uses a 5-step process to decide if you are disabled:

What Am I Entitled To

VA Benefits for PTSD: How to Properly File and WIN Your VA PTSD Claim (*NEW TIPS!*)

Individual Unemployability Benefits & Your Ptsd Claim

Veterans that cant work because of severe PTSD may be eligible for Total Disability Individual Unemployability benefits. The VA will consider not just your PTSD but other mental and physical conditions too. PTSD Individual Unemployability benefits pay the same as a 100% rating. However, you are not required to obtain a 100% rating to be eligible.

How To Apply For Ptsd Va Benefits

If you are a U.S. Vietnam war veteran or a U.S. Iraq war veteran, then up to 17% of you will have combat-related PTSD, or post traumatic stress disorder . If you have PTSD related to combat duty, then you may qualify for VA disability benefits.

Appeal The Decision Or File A New Claim

The most straightforward approach is to appeal VAs decision on the original claim. You have up to one year after the first rating has been assigned to do so. If its been past one year, you can simply file a new claim.

Pros: Appealing A 90 Percent Va Disability Rating

If your 90 percent VA disability rating appeal is successful, your pay will be increased by over $1,000 per month.

Am I Eligible For Disability Benefits From Va

You may be eligible for disability benefits if you have symptoms related to a traumatic event or your experience with the stressor is related to the PTSD symptoms, and you meet all of the requirements listed below.

A Few Key Rating Principles And Pointers

The Schedular Rating is only a START point Extra-schedular Ratings and Analogous Ratings help you to fine-tune your rating to your specific/unique and severe symptoms.

How to get disability benefits for PTSD?

How to Obtain Disability Benefits. In order to obtain disability benefits, a veteran with PTSD must first undergo an evaluation at a VA medical facility. A psychiatrist at the VA medical center must provide a diagnosis of PTSD in order for a veteran to be able to obtain disability benefits for PTSD. The veteran must also apply for disability ...

What forms do you need to file for PTSD?

The veteran must also supply certain documentation, including a DD 214 Certificate of Release or Discharge from Active Duty, or other separation papers for all periods of service, and copies of medical records including the mental health evaluation done at the VA medical facility. Additionally, the VA will accept Form 21-4138 Statement in Support of a Claim, which may include a letter from the veteran detailing the events that triggered the PTSD or the symptoms suffered by the veteran, as well as letters from friends or family members describing the impact of PTSD on the veteran.

What is a 100% disability rating for PTSD?

For example, a veteran experiencing total occupational and social impairment, gross impairment of thought processes and communication, persistent delusions or hallucinations, persistent danger of hurting himself or others, intermittent inability to perform the activities of daily living, memory loss, or disorientation about time and place would be assigned a 100% disability rating. On the other hand, a veteran with PTSD experiencing only mild or transient symptoms that decrease work efficiency and the ability to perform occupational tasks only during periods of significant stress, or whose symptoms are controlled by continuous medication, would be assigned a disability rating of 10%.

What does PTSD feel like?

The person suffering from PTSD experiences intense fear, helplessness or horror, and may re-experience the traumatic event. He or she may also try to avoid stimuli associated with the trauma, and may experience numbing of general responsiveness or persistent symptoms of increased stimulation.

How is disability compensation determined?

Compensation amounts for disabled veterans are determined based on a rating system. Each disability's severity is measured in 10% increments, ranging from 10% to 100% disabled. A higher percentage rating given to a veteran's disability results in a higher level of compensation received by the veteran.

How long does it take for a PSTD to occur?

The symptoms occur for longer than one month and cause significant disruption in social or work-related functioning. Events that trigger PSTD are referred to by the VA regulations as "stressors" and may include natural disasters, accidents, and deliberate man-made events or disasters, including war.

When did the PTSD regulations go into effect?

Streamlined PTSD Regulations. New regulations that went into affect on July 13, 2010 streamlined the process for veterans suffering from PTSD to obtain benefits, and easier for non-combat veterans to prove that their PTSD is a result of a stressor related to "fear of hostile military or terrorist activity," if the stressor is consistent with ...

Who can help with PTSD appeal?

A Veterans Service Officer can explain how to file an appeal. The Service Officer may be able to help you gather the information you need to make a successful appeal. You may want to contact a Service Officer who is an expert in helping Veterans who have PTSD-related claims.

What are some examples of PTSD?

For example, work or money problems can lead to symptoms. Medical problems such as heart disease or diabetes, or mental health problems such as depression or anxiety, can have symptoms that look like PTSD. That is why you should see a provider who is trained to know which of your symptoms might be PTSD.

What is the VA hotline?

Most of the staff are Veterans themselves. During normal business hours, you can call 1-800-905-4675 (Eastern) or 1-866-496-8838 (Pacific). The Vet Center program also has a 24/7 hotline, with all calls answered by combat Veterans: 1-877-WAR-VETS (1-877-927-8387). VA special PTSD clinics and programs. VA also has special PTSD clinics and programs ...

How long does it take to get a VA disability?

The process of applying for a VA disability for PTSD can take several months. It can be confusing and quite stressful. Veterans Service Organizations (VSOs) can help Veterans and family members with VA disability claims. VSOs provide Service Officers at no cost. Service Officers know all about every step in the application and interview process. They can provide practical help and moral support. Some Service Officers are experts in helping Veterans with PTSD disability claims.

What are the types of treatment for veterans?

Several types of education and treatment are helpful to Veterans and their family members. These include: Classes on dealing with stress, anger, sleep, relationships, and PTSD symptoms. One-to-one, group, and family counseling. Medications. For more information, please see Treatment Basics.

Does the National Center for PTSD provide diagnosis?

The National Center for PTSD provides education and conducts research on trauma and PTSD. We do not provide diagnosis or treatment of PTSD.

When did VA extend benefits?

For Veterans who served in a theater of combat operations after November 11, 1998, some benefits have been added. In January, 2008, the period of eligibility for free health care was extended from two to five years. VA operates a yearly enrollment system that helps make sure that Veterans who are eligible can get care.

How many people have PTSD?

According to the National Center for PTSD, as many as eight million Americans may be struggling with post-traumatic stress disorder (PTSD) during any given year. PTSD is a complex mental health condition and may sometimes be complicated by conditions like traumatic brain injuries (TBIs) or pre-existing depression and anxiety.

What is traumatic experience?

A traumatic or stressful event may be an experience or witnessed experience that elicits feelings of intense fear, horror, and helplessness. This could be the result of active military combat, sexual or physical assault, childhood abuse, a serious car accident, or even a natural disaster.

How many first time SSDI applications are denied?

Not to mention, the SSA itself reports that more than two-thirds of first-time SSDI applications are denied.

What is trauma related disorder?

According to the SSA, trauma- or stressor-related disorders may be caused by “ experiencing or witnessing a traumatic or stressful event, or learning of a traumatic event occurring to a close family member or close friend, and the psychological aftermath of clinically significant effects on functioning.”

What is the blue book for disability?

In addition to listing conditions that may qualify for disability, the blue book also describes the criteria applicants must meet in order to receive benefits. For trauma- and stressor-related disorders such as PTSD or complex PTSD, the following requirements must be met.

Can I get SSDI for PTSD?

Alternatively, you may also qualify for SSDI benefits due to PTSD if your mental disorder is considered serious and persistent. The SSA defines this as a medically documented history of the disorder for at least two years in conjunction with evidence of both of the following:

Is PTSD a mental illness?

In short, yes. Post-traumatic stress disorder is included in the Social Security Administration’s blue book (a list of disabling impairments the agency uses to determine eligibility). PTSD is classed as a mental disorder; more specifically, the SSA considers it a “trauma- and stressor-related disorder.”

How is PTSD approved by the SSA?

Post traumatic stress disorder cases are approved by SSA either by satisfying the criteria under Section 12.06 of the Blue Book, or by medical vocational allowance. Most PTSD claims are approved as a medical vocational allowance. If SSA finds that your PTSD symptoms are not severe enough to meet the listing, it will award a medical allowance if ...

What is the best way to support a post trauma disability claim?

Working closely with medical professionals and a qualified Social Security disability attorney or advocate to collect and present the appropriate documentation to support your disability claim in front of the Disability Determination Services (DDS) can help to ensure that your Post Traumatic Stress Disorder disability case will have the highest possible chance of success.

What is PTSD in psychology?

Post traumatic stress disorder (PTSD) is an anxiety disorder triggered by a traumatic event. You can develop PTSD when you experience or witness an event that causes intense fear, helplessness, or horror.

What is PTSD in the military?

These cases are classified as PTSD. PTSD has also been called post traumatic stress syndrome, battle fatigue, or shell shock. However, not only does it sometimes affect war survivors and those who have served in combat, it can also result from childhood abuse, rape, violence, or even a traumatic natural catastrophe, such as a hurricane.

How long does it take for PTSD to start?

PTSD symptoms usually begin within three months of a traumatic event. Sometimes, however, reaction can be delayed, sometimes for years. Symptoms can come and go and are often more likely to occur during times of stress in your life, or if something happens in your daily life to trigger a memory of the traumatic event.

How to treat post traumatic stress disorder?

It can include one or more of the following: counseling and psychotherapy or medications (including anti-depressants, anti-anxiety drugs, and anti-psychotics). An alternative therapy is eye movement desensitization and reprocessing.

What should be included in a disability claim?

When presenting your disability claim, your medical records should include at least one detailed description of the anxiety reaction you experience. That description should include the nature, duration, and frequency of the anxiety reaction and the effect (s) the anxiety reaction has on your ability to function.

What is PTSD in the military?

In the past, PTSD has also been called war neurosis, shell shock, and battle fatigue. Post-traumatic stress disorder (PTSD) is a form of anxiety disorder. The disorder develops after the person is subjected to the risk ...

What is PTSD in psychology?

Post-traumatic stress disorder (PTSD) is a form of anxiety disorder. The disorder develops after the person is subjected to the risk of injury or death to themselves or someone close to them. Unlike other anxiety disorders, PTSD can occur quite a considerable amount of time after the traumatic event has occurred.

How to file a VA disability claim?

To file a disability claim with the Veterans Administration (VA), you will need to submit a special application, VA Form 21-526, Veterans Application for Compensation and/or Pension, to the VA. The specific department to submit to is the Compensation and Pension Service within the Veterans Benefits Administration (VBA). You can also file a claim online at the VA's website at www.ebenefits.va.gov.

What is stressor in VA?

The stressor is one that is likely to have happened in the locations and circumstances of the veteran's service (and there is no evidence to contrary). Because you no longer have to provide evidence that the traumatic event occurred, you will have an easier -- and faster -- time getting VA benefits.

What is the VA form for disability?

To file a disability claim with the Veterans Administration (VA), you will need to submit a special application, VA Form 21-526, Veterans Application for Compensation and/or Pension, to the VA. The specific department to submit to is the Compensation and Pension Service within the Veterans Benefits Administration (VBA).

What is the VA form 21-526?

To make a claim with the Veterans Administration (VA), a soldier returning from active duty will need to submit a special application (VA Form 21-526) to the Veterans Benefits Administration (VBA).

Can PTSD qualify for VA disability?

Regulations passed in 2010 made it easier for veterans with post-traumatic stress disorder to qualify for VA disability benefits . The following requirements must be met. The veteran has a PTSD diagnosis. The veteran's symptoms are related to a traumatic event (the "stressor").

Who can diagnose PTSD?

You have a PTSD diagnosis from a licensed doctor. If you haven’t yet received a diagnosis, talk to a licensed psychiatrist, psychologist or psychotherapist.

How does PTSD affect your life?

Negatively impact your daily life. Everyone gets upset, angry or feels down now and then. PTSD symptoms can make it hard or impossible to keep a job, maintain relationships and complete daily living tasks. Are very upsetting to you and your loved ones.

What is the VA form 21-0781?

Use VA Form 21-0781 if your PTSD symptoms result from a personal assault. For all other PTSD cases, download and complete VA Form 21-0781a instead. Once approved, you’ll receive free health care, treatment for your PTSD symptoms and monthly disability payments from the VA.

How long does PTSD last?

You likely have an eligible PTSD claim for VA disability benefits if your symptoms: Last longer than 30 days.

What is the most common mental disability for veterans?

Post-traumatic stress disorder ( PTSD) is the most common service-connected mental disability that affects veterans. In fact, PTSD accounts for 63% of approved VA disability claims for mental health issues in 2019. This condition usually occurs in military personnel exposed to traumatic events while on active duty.

What are the negative thoughts and feelings of trauma?

You try to avoid certain people, places or situations that remind you of the traumatic event. Negative thoughts and feelings are more common for you than positive ones. You tend to indulge in unhealthy behaviors, such as excessive smoking, drinking, doing drugs, reckless driving, etc.

What happens if the VA doesn't approve my claim?

That way, you can get free claim advice that applies to your situation without ever leaving your home! If the VA doesn’t approve your benefits application, you’ll owe $0 for legal assistance. And if you do win, then you’ll only pay a small, one-time fee.

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Step 1. Are You working?

  • Post-traumatic stress disorder (PTSD) is an extreme stress reaction to a traumatic event that can occasionally be classified as a disability. When that happens, the person living with PTSD can qualify to get PTSD disability benefits.
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Step 2. Is Your Medical Condition “Severe”?

Step 3. Does Your Medical Condition Meet Or Equal The Severity of A listing?

Step 5. Can You Do Any Other Type of Work?

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