VA Mental Health Claims

Everything you need in one place to file a successful VA mental health claim. Mental health conditions are among the most-claimed VA disabilities, and almost all of them, PTSD, depression, anxiety, and bipolar disorder, are rated on one shared scale (38 CFR 4.130) that depends on how the condition affects your work and daily life, not on the label your doctor uses. This hub covers how the rating formula works, the condition guides, how to prove a stressor or military sexual trauma, traumatic brain injury, and the diagnostic codes behind each claim.

One-page guide: Mental Health Research Summary Summary of the RateMyVSO mental-health research datasets: 67,219 depression, 48,330 anxiety, 8,906 schizophrenia and 5,098 bipolar Board decisions, each counted separately. Opens the full-size chart, free to save or print. One-page guide: Mental Health Claim in One Page One-page mental-health VA claim overview covering diagnosis, service connection, medical nexus, functional impairment, evidence, and claim preparation. Opens the full-size chart, free to save or print.
Flowchart showing how to develop a mental-health claim from a current diagnosis through direct, secondary, aggravation, PTSD, personal-assault, or TBI-overlap routes, functional evidence, examination, occupational and social impairment analysis, and VA decision review.
Visual guide: General Mental Health Claim Development Flowchart View full size · All 19 visual guides
Start here: how mental health is rated
Condition guides
Proving service connection
Traumatic brain injury & SMC
Service Connection Pathways
Mental-health service-connection map separating direct service connection, secondary causation, and secondary aggravation.
Visual guide: Direct, Secondary, and Aggravation Pathways View full size · All 19 visual guides

How the VA Rates Mental Health

With a few exceptions, every service-connected mental health condition is rated under the same scale: the General Rating Formula for Mental Disorders at 38 CFR 4.130. The rating turns on occupational and social impairment, how much the condition interferes with holding a job and maintaining relationships, not on which diagnosis you carry.

RatingWhat it reflects
0%Diagnosed, but symptoms are mild or controlled and do not impair work or social function.
10%Mild symptoms with occasional decrease in work efficiency during periods of stress.
30%Occasional impairment, depressed mood, anxiety, mild memory loss, but generally functioning.
50%Reduced reliability and productivity, panic attacks, impaired judgment, difficulty with relationships.
70%Deficiencies in most areas, work, school, family, mood, with serious symptoms.
100%Total occupational and social impairment.
Only one mental health rating, usually. When you have more than one service-connected mental condition (say PTSD and depression), VA assigns a single evaluation, because the symptoms overlap. It does not stack separate percentages. Eating disorders (codes 9520-9521) are the main exception, rated on their own criteria.

If your mental health condition alone keeps you from holding steady work but you are rated below 100%, you may qualify for Total Disability based on Individual Unemployability (TDIU), which pays at the 100% rate.

Related visual guides. Printable one-page charts for the pre-filing checklist and more: Mental Health Claim Checklist · see all 18

This hub is for educational purposes only and is not medical or legal advice. Rating criteria come from 38 CFR 4.130. For help with your claim, find a VSO representative near you.