The Veteran's generalized fatigue and sleep disturbances are attributed to his service-connected PTSD, chondromalacia of the right knee, left knee strain associated with the right knee disability, and other diagnosed conditions. Therefore, service connection for these symptoms is denied.
The deciding factor: The Veteran's fatigue and sleep disturbances are found to be attributable to his service-connected psychiatric disabilities (PTSD) and other diagnosed conditions, rather than a separate undiagnosed illness or chronic multisymptom illness.
- Claimed conditions
- Generalized fatigue, Sleep disturbances
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- May 15, 2018
- Citation
- 18102345
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 18102345.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Remanded (sent back)
The Veteran's claim for service connection for allergic rhinitis, muscle pain, joint pain, sleep disturbances, chronic fatigue, migraine headaches, and sleep apnea is being remanded due to the need for additional medical opinions and examinations.
- Whole decision: Granted
The Board has granted service connection for Post-Traumatic Stress Disorder (PTSD) due to in-service stressors, including exposure to SCUD missile attacks during deployment. Other psychiatric symptoms are considered part of the PTSD diagnosis.
- Whole decision: Remanded (sent back)
The Board has remanded the claims for nonservice-connected pension and special monthly pension due to duty-to-assist errors, including obtaining SSA records and scheduling a VA examination.
- Whole decision: Granted
The Board has granted service connection for PTSD with depression, anxiety/nervousness, sleep disturbances and insomnia, finding that the Veteran's current symptoms are related to in-service stressors.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.