The Veteran's PTSD was granted a total 100 percent evaluation due to symptoms including anger, hypervigilence, irritability, sleep impairment, nightmares, flashbacks, poor concentration, constant intrusive thoughts, panic attacks, emotional numbness and detachment, persistent suicidal ideations, a suicide attempt, homelessness, unemployment, a sense of a foreshortened future, the inability to establish and maintain effective work, school, or social relationships, and a clinical prognosis of total occupational and social impairment.

The Board remands the claim for service connection for an acquired psychiatric disorder to ensure a proper examination and etiology opinion are provided.

The Board granted service connection for PTSD, generalized anxiety disorder, and somatic symptom disorder, as well as presumptive service connection for basal cell carcinoma under the PACT Act. Service connection was denied for chronic fatigue syndrome, irritable bowel syndrome, right restless leg syndrome, left restless leg syndrome, an increased rating for psychiatric disorder, bilateral hearing loss, a left forehead surgical scar, and allergic rhinitis.

The Board denied service connection for an acquired psychiatric disorder, including PTSD, as the Veteran did not have a diagnosis of PTSD or any other psychiatric disorder during the appeal period.

The Board granted service connection for multiple conditions, including an acquired psychiatric disorder, sleep apnea, hypertension, and various musculoskeletal and skin disabilities.