BVA Case 200504-98676: PTSD

BVAReal Board of Veterans' Appeals decision · January 17, 2024 · P.M. DILORENZO

Outcome
Remanded
Decision Date
January 17, 2024
Judge
P.M. DILORENZO
Service Era
November 1996 to November 2001

Conditions Claimed

PTSDDepressionPsychiatricKneeSleep ApneaAnkleHeartGIArthritis

What would this rating pay you? (2026 rates)

Official 2026 VA monthly compensation, including the 2.8% COLA increase.

per month ·  per year, tax-free

Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.

2026 base rates, all ratings (veteran alone)
RatingMonthly (2026, incl. 2.8% COLA)
10%$180.42
20%$356.66
30%$552.47
40%$795.84
50%$1,132.90
60%$1,435.02
70%$1,808.45
80%$2,102.15
90%$2,362.30
100%$3,938.58
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Issues on Appeal

PTSDDepressionPsychiatricKneeSleep ApneaAnkleHeartGI

Why It Was Decided This Way

If evidence was submitted either (1) during the period after the AOJ issued the decision on appeal and prior to the Board hearing, or (2) more than 90 days following receipt of the VA Form 10182, the Board did not consider it in its decision.

Although further delay is regrettable, for the following reasons, the Board finds that remand of this claim is warranted to correct the error of the AOJ to satisfy VA's duty to assist under 38 U.

The examiner was also asked whether the Veteran's OSA is at least as likely as not related to service, to include documented complaints of fatigue, or aggravated beyond its natural progression by the service-connected depressive disorder.

In doing so, the examiner failed to address the Veteran's lay statements where he asserts that he was waking up in the middle of the night with a burning sensation in his mouth with what he thought were panic attacks.

79, 85 (2006) (stating that speculative medical opinion as to causation cannot establish medical nexus to service).

Additionally, the Board finds that the opinion is inadequate to form the basis of secondary service connection because the examiner failed to consider the Veteran's obesity as an "intermediate step" with any of the Veteran's service-connected disabilities.

However, the examiner failed to address whether the Veteran's service-connected depressive disorder, or any other service-connected disability is a causal factor for the Veteran's obesity.

However, the examiner failed to address whether the Veteran's fatigue as a "competent/symptom of his depression" is a causal factor of the Veteran's obesity, and thus, an intermediate step between the Veteran's OSA and his service-connected depressive disorder.

Authorities Cited

Lendon v. NicholsonSee Ardison v. BrownSee Stefl v. Nicholson

Regulations Cited (38 CFR / 38 USC)

38 CFR 20.130338 CFR 20.20238 CFR 20.30038 CFR 20.30338 CFR 20.802(a)38 CFR 3.103(c)(2)(ii)38 USC 510338 USC 7105

Denial Type

No Nexus|Duty To Assist|Inadequate Exam

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