PTSD (post-traumatic stress disorder) decisions — 2013

The Veteran's acquired psychiatric disorder, diagnosed as PTSD, has been characterized by irritability, flashbacks and insomnia; obsessional rituals, impaired impulse control, near-continuous panic or depression affecting ability to function independently, spatial disorientation, illogical or obscure speech, neglect of personal appearance and hygiene, difficulty in adapting to stressful circumstances, and an inability to establish and maintain effective relationships sufficient to warrant an increased rating. The criteria for a higher rating have not been met.

The Veteran's claim for an increased initial rating for PTSD is being remanded due to the need for additional development, including obtaining updated private treatment records and scheduling a VA examination.

The Board has remanded the case for additional development due to outstanding VA treatment records, particularly those from the Veteran's hospitalization in August and September 2011. The appeal will be reconsidered after these records are obtained.

The Veteran's PTSD resulted in moderate impairment prior to August 26, 2011 and some social isolation since then. The Board found the evidence did not support ratings higher than those already assigned.

The Veteran's sleep apnea claim was not granted, but his PTSD was granted with an increased rating to 70 percent effective April 19, 2010. The decision is mixed as some issues were granted and others denied.