Psychiatric: what evidence wins at the Board

For psychiatric appeals, how often the Board granted the issue when the record held each kind of evidence, and how often when it did not. Measured from the decisions themselves; every number carries its fraction.

What this is computed from: evidence types detected in the full text of 1,929,585 public Board of Veterans' Appeals decisions (va.gov/vetapp), joined to the issue-level outcome. The tables use only single-issue decisions with a clean parse in complete crawl years (1992–2025) — 971,127 decisions — so each evidence flag attaches to exactly one decided issue. A split is shown only when both sides have at least 30 decisions. Every count opens its decisions in the Board decision finder, with links to the full text on va.gov. Data build: 2026-10-16.

Service connection for Psychiatric (n = 42,546)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record69% (2,823/4,088)37% (7,519/20,100)+32 pts16% (801/4,905)
Private physician opinion, letter or DBQEvidence in the record54% (3,249/6,025)39% (7,093/18,163)+15 pts20% (1,568/7,650)
Disability Benefits Questionnaire in the recordEvidence in the record67% (787/1,182)42% (9,555/23,006)+25 pts34% (619/1,807)
Third-party lay statements (spouse, buddy, employer)Evidence in the record43% (1,200/2,792)43% (9,142/21,396)+0 pts20% (691/3,503)
Service treatment records document the condition or injuryEvidence in the record38% (3,701/9,675)46% (6,641/14,513)-8 pts24% (3,126/12,931)
Service treatment records silent for the conditionEvidence in the record27% (2,474/9,098)52% (7,868/15,090)-25 pts13% (1,396/10,630)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued32% (2,301/7,198)47% (8,041/16,990)-15 pts10% (786/8,039)
Board hearing held or testimony takenProcedure42% (4,959/11,882)44% (5,383/12,306)-2 pts37% (7,210/19,484)
Social Security records in the fileEvidence in the record28% (852/3,012)45% (9,490/21,176)-17 pts39% (1,916/4,964)
Vocational expert or assessmentEvidence in the record30% (82/275)43% (10,260/23,913)-13 pts22% (80/362)
Medical literature or treatise citedEvidence in the record53% (1,127/2,130)42% (9,215/22,058)+11 pts33% (1,081/3,227)
Functional loss / DeLuca factors argued (rating cases)Theory argued41% (439/1,070)43% (9,903/23,118)-2 pts27% (408/1,498)
Presumptive service connection discussedTheory argued29% (3,257/11,142)54% (7,085/13,046)-25 pts12% (1,554/12,817)
Secondary service connection (38 CFR 3.310) in playTheory argued45% (4,004/8,836)41% (6,338/15,352)+4 pts33% (4,575/13,660)
Combat service / 1154(b) in playTheory argued38% (2,191/5,784)44% (8,151/18,404)-6 pts14% (976/6,821)
Military sexual trauma / personal assault claimTheory argued53% (1,005/1,909)42% (9,337/22,279)+11 pts28% (731/2,652)
A medical source gave a negative nexus opinionEvidence in the record48% (4,282/8,865)40% (6,060/15,323)+9 pts30% (3,909/12,824)
No nexus opinion of recordEvidence in the record13% (234/1,826)45% (10,108/22,362)-32 pts11% (239/2,087)
VA examination or VA medical opinion obtainedEvidence in the record44% (8,581/19,490)37% (1,761/4,698)+7 pts39% (12,455/32,226)
Board found a VA exam or opinion inadequateHow the Board read the record50% (2,261/4,557)41% (8,081/19,631)+8 pts51% (4,822/9,425)
Board found the VA exam or opinion adequateHow the Board read the record21% (351/1,636)44% (9,991/22,552)-23 pts4% (63/1,702)
Board found the veteran's statements credibleHow the Board read the record74% (1,548/2,099)40% (8,794/22,089)+34 pts5% (117/2,221)
Board found the veteran's statements not credible or inconsistentHow the Board read the record7% (87/1,196)45% (10,255/22,992)-37 pts4% (54/1,258)
PTSD stressor corroborated, verified or concededHow the Board read the record61% (315/514)42% (10,027/23,674)+19 pts13% (77/592)
PTSD stressor not corroboratedHow the Board read the record23% (200/874)44% (10,142/23,314)-21 pts10% (100/977)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record91% (4,268/4,670)31% (6,074/19,518)+60 pts1% (69/4,750)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record4% (345/8,484)64% (9,997/15,704)-60 pts0% (24/8,560)
Duty-to-assist error foundHow the Board read the record52% (186/358)43% (10,156/23,830)+9 pts83% (1,827/2,213)
Board ordered a new exam or addendum opinionProcedure51% (1,584/3,127)42% (8,758/21,061)+9 pts78% (11,508/14,714)
AMA favorable finding acknowledgedProcedure81% (1,074/1,334)41% (9,268/22,854)+40 pts31% (605/1,957)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

Increased rating for Psychiatric (n = 9,342)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record48% (43/89)32% (1,535/4,747)+16 pts15% (17/114)
Private physician opinion, letter or DBQEvidence in the record40% (327/814)31% (1,251/4,022)+9 pts16% (160/995)
Disability Benefits Questionnaire in the recordEvidence in the record39% (147/377)32% (1,431/4,459)+7 pts24% (123/506)
Third-party lay statements (spouse, buddy, employer)Evidence in the record39% (102/259)32% (1,476/4,577)+7 pts12% (35/300)
Service treatment records document the condition or injuryEvidence in the record33% (227/679)32% (1,351/4,157)+1 pts8% (58/760)
Service treatment records silent for the conditionEvidence in the record33% (67/206)33% (1,511/4,630)-0 pts5% (12/240)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued40% (40/100)32% (1,538/4,736)+8 pts6% (7/117)
Board hearing held or testimony takenProcedure36% (606/1,673)31% (972/3,163)+5 pts40% (1,217/3,069)
Social Security records in the fileEvidence in the record38% (146/388)32% (1,432/4,448)+5 pts54% (456/849)
Vocational expert or assessmentEvidence in the record35% (80/228)33% (1,498/4,608)+3 pts44% (182/413)
Medical literature or treatise citedEvidence in the record34% (30/87)33% (1,548/4,749)+2 pts26% (33/129)
Functional loss / DeLuca factors argued (rating cases)Theory argued40% (117/291)32% (1,461/4,545)+8 pts19% (74/383)
Presumptive service connection discussedTheory argued34% (56/164)33% (1,522/4,672)+2 pts8% (15/196)
Secondary service connection (38 CFR 3.310) in playTheory argued33% (316/962)33% (1,262/3,874)+0 pts25% (332/1,342)
Combat service / 1154(b) in playTheory argued32% (149/462)33% (1,429/4,374)-0 pts13% (69/545)
Military sexual trauma / personal assault claimTheory argued37% (11/30)33% (1,567/4,806)+4 pts21% (8/38)
A medical source gave a negative nexus opinionEvidence in the record32% (82/257)33% (1,496/4,579)-1 pts17% (55/322)
No nexus opinion of recordEvidence in the record35% (17/49)33% (1,561/4,787)+2 pts12% (7/57)
VA examination or VA medical opinion obtainedEvidence in the record32% (1,458/4,513)37% (120/323)-5 pts39% (2,990/7,575)
Board found a VA exam or opinion inadequateHow the Board read the record32% (122/382)33% (1,456/4,454)-1 pts55% (482/875)
Board found the VA exam or opinion adequateHow the Board read the record24% (83/340)33% (1,495/4,496)-9 pts9% (32/373)
Board found the veteran's statements credibleHow the Board read the record51% (93/182)32% (1,485/4,654)+19 pts3% (6/189)
Board found the veteran's statements not credible or inconsistentHow the Board read the record16% (9/58)33% (1,569/4,778)-17 pts3% (2/60)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record83% (443/533)26% (1,135/4,303)+57 pts0% (1/546)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record14% (353/2,493)52% (1,225/2,343)-38 pts0% (0/2,523)
Duty-to-assist error foundHow the Board read the record30% (16/53)33% (1,562/4,783)-2 pts71% (153/215)
Board ordered a new exam or addendum opinionProcedure33% (115/350)33% (1,463/4,486)+0 pts87% (2,511/2,876)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

All Psychiatric issues, every benefit type (n = 61,787)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record68% (3,050/4,494)41% (12,700/31,198)+27 pts16% (845/5,372)
Private physician opinion, letter or DBQEvidence in the record54% (4,250/7,877)41% (11,500/27,815)+13 pts19% (1,860/9,838)
Disability Benefits Questionnaire in the recordEvidence in the record62% (1,172/1,889)43% (14,578/33,803)+19 pts30% (804/2,714)
Third-party lay statements (spouse, buddy, employer)Evidence in the record44% (1,483/3,354)44% (14,267/32,338)+0 pts18% (752/4,137)
Service treatment records document the condition or injuryEvidence in the record39% (4,410/11,250)46% (11,340/24,442)-7 pts22% (3,313/14,740)
Service treatment records silent for the conditionEvidence in the record28% (2,686/9,650)50% (13,064/26,042)-22 pts13% (1,447/11,268)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued32% (2,421/7,473)47% (13,329/28,219)-15 pts10% (812/8,361)
Board hearing held or testimony takenProcedure44% (6,997/16,047)45% (8,753/19,645)-1 pts36% (9,308/26,109)
Social Security records in the fileEvidence in the record34% (1,354/4,020)45% (14,396/31,672)-12 pts39% (2,624/6,697)
Vocational expert or assessmentEvidence in the record46% (424/925)44% (15,326/34,767)+2 pts28% (367/1,310)
Medical literature or treatise citedEvidence in the record52% (1,231/2,350)44% (14,519/33,342)+9 pts33% (1,175/3,554)
Functional loss / DeLuca factors argued (rating cases)Theory argued44% (706/1,593)44% (15,044/34,099)+0 pts25% (541/2,188)
Presumptive service connection discussedTheory argued30% (3,466/11,709)51% (12,284/23,983)-22 pts12% (1,600/13,467)
Secondary service connection (38 CFR 3.310) in playTheory argued45% (5,007/11,064)44% (10,743/24,628)+2 pts31% (5,210/16,637)
Combat service / 1154(b) in playTheory argued39% (2,629/6,707)45% (13,121/28,985)-6 pts14% (1,136/7,929)
Military sexual trauma / personal assault claimTheory argued53% (1,069/2,021)44% (14,681/33,671)+9 pts27% (765/2,801)
A medical source gave a negative nexus opinionEvidence in the record48% (4,613/9,624)43% (11,137/26,068)+5 pts30% (4,106/13,808)
No nexus opinion of recordEvidence in the record14% (279/1,956)46% (15,471/33,736)-32 pts12% (260/2,243)
VA examination or VA medical opinion obtainedEvidence in the record46% (13,171/28,944)38% (2,579/6,748)+7 pts37% (16,966/46,398)
Board found a VA exam or opinion inadequateHow the Board read the record49% (2,661/5,413)43% (13,089/30,279)+6 pts51% (5,635/11,124)
Board found the VA exam or opinion adequateHow the Board read the record26% (567/2,206)45% (15,183/33,486)-20 pts4% (102/2,314)
Board found the veteran's statements credibleHow the Board read the record72% (1,771/2,444)42% (13,979/33,248)+30 pts5% (125/2,580)
Board found the veteran's statements not credible or inconsistentHow the Board read the record9% (120/1,318)45% (15,630/34,374)-36 pts4% (58/1,385)
PTSD stressor corroborated, verified or concededHow the Board read the record60% (323/536)44% (15,427/35,156)+16 pts13% (79/616)
PTSD stressor not corroboratedHow the Board read the record23% (207/895)45% (15,543/34,797)-22 pts10% (102/1,001)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record91% (5,488/6,033)35% (10,262/29,659)+56 pts1% (73/6,148)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record9% (1,164/12,673)63% (14,586/23,019)-54 pts0% (24/12,811)
Duty-to-assist error foundHow the Board read the record39% (275/702)44% (15,475/34,990)-5 pts73% (2,069/2,839)
Board ordered a new exam or addendum opinionProcedure49% (1,903/3,855)43% (13,847/31,837)+6 pts79% (15,270/19,234)
AMA favorable finding acknowledgedProcedure79% (1,132/1,425)43% (14,618/34,267)+37 pts30% (619/2,066)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

Reading these tables honestly

Association, not cause. A positive nexus opinion appears in the records of granted appeals far more often than in denied ones. That does not mean any letter wins; it means the Board grants when the evidence supports the claim, and a nexus opinion is how that support usually reaches the file.

Appeals are not claims. Every decision here is an appealed denial. Grant rates at the Board say nothing about the share of initial claims VA grants.

Findings are outcomes in disguise. Rows under "how the Board read the record" — credibility, benefit of the doubt, an inadequate exam — describe how the judge decided, not evidence to gather. They are shown because they say which arguments the Board actually reaches for.

Detection is by text pattern. Each evidence type is found by reading the decision for finding-shaped language with negation handling; precision was read on samples before publication and is stated per feature in the method notes below. Expect a few percent of misclassified rows, not zero.

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See also: Psychiatric decisions · all conditions · outcome rates.

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