PTSD VA ratings are one of the most confusing and frustrating parts of the VA disability system.

Many veterans feel frustrated when they meet symptom criteria but still receive a lower rating, are misunderstood during C&P exams, or see others with similar symptoms awarded higher percentages.

There’s no shortage of confusing information about nexus letters for PTSD. Many veterans do everything right — they research, find a doctor, gather evidence, wait months for a decision — only to get denied. Meanwhile, others seem to get high PTSD ratings without a letter at all.