The Board granted service connection for an acquired psychiatric disorder, diagnosed as other specified trauma and stressor related disorder, but denied service connection for erectile dysfunction, insomnia, and a higher rating for left elbow lateral epicondylitis with olecranon bone spur.
The deciding factor: The positive and negative evidence was in approximate balance that the Veteran's other specified trauma and stressor related disorder was caused by an in-service military sexual assault, but there is no competent evidence of record indicating the Veteran has ED or that it is related to active service. The symptoms of insomnia cannot be separately compensated without violating the regulations against pyramiding.
- Claimed conditions
- Acquired Psychiatric Disorder (Other Specified Trauma and Stressor Related Disorder), Erectile Dysfunction (ED), Insomnia, Left Elbow Lateral Epicondylitis with Olecranon Bone Spur
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 10%
- Decision date
- November 13, 2025
- Citation
- A25098434
Veterans Law Judge
Decisions by this judge: 2,240 · Granted: 28% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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. Look up the original decision on VA.gov (opens in a new tab) using citation A25098434.
What this means for you
A partial grant means some issues were granted while others were denied or remanded — common in multi-issue claims. Look at which issues went which way, and how each was argued.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board has remanded the case due to an inadequate opinion regarding the relationship between any current acquired psychiatric disorder and service, specifically a claimed in-service personal assault. The Veteran's contentions are that he did not report or seek treatment for this assault because he feared it would complicate his discharge.
- Denied
The Veteran's claim for a separate disability rating for insomnia is denied as it is subsumed under his service-connected PTSD.,The effective date for the grant of service connection for PTSD is denied as no new and material evidence was submitted within one year of the July 1986 denial, making the June 9, 2017, claim without legal merit.,The effective date for the grant of service connection for OSA is denied as no new and material evidence was submitted within one year of the April 2013 denial, making the June 9, 2017, claim without legal merit.
- Dismissed
The Board has dismissed the Veteran's claim for service connection of Erectile Dysfunction as it was fully granted prior to this decision. The Board has also remanded the issue of service connection for Hypertension.
- Granted
The Board has granted an earlier effective date of October 27, 2021 for the award of service connection for Erectile Dysfunction (ED). The GERD claim is remanded due to a duty-to-assist error.
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