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Rating guide · Mental health

PTSD Ratings: How the VA Measures It

Illinois Guard and Reserve members, active-duty soldiers who passed through Rock Island Arsenal, and veterans of every era carry memories they rarely share. The VA rates PTSD by how much it disrupts work and relationships, and that disruption can be documented.

  • Levels in everyday terms
  • 2026 pay by level
  • Backing up the stressor
  • Exam preparation

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What Each Level Looks Like Day to Day

  • 10%: mild symptoms that flare mostly during stressful stretches, or that medication controls.
  • 30%: you function, but poor sleep, worry, wariness of others or an occasional panic attack now and then disrupt your work.
  • 50%: your reliability has slipped. Panic hits more than once a week, memory and drive are weaker, and keeping relationships going takes real effort.
  • 70%: problems reach into nearly everything: job, family, thinking and mood, often with near-continuous depression, outbursts of anger or pulling away from people.
  • 100%: symptoms are severe enough that you can’t work and can’t sustain a social life.

The regulation’s exact language appears in the table below. Raters look at frequency, severity and duration, and symptoms that aren’t on the list still count toward the rating.

38 CFR 4.130 · DC 9411

PTSD Rating Criteria and Monthly Pay

RatingVA criteria2026 pay (alone)
100%Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.$3,938.58
70%Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships.$1,808.45
50%Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.$1,132.90
30%Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).$552.47
10%Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication.$180.42
0%A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.$0.00
Criteria in force as of October 2026. Pay effective December 1, 2025 for a single veteran; a spouse, children or dependent parents raise the amount at 30% and up. Proposed changes to the mental health formula have not taken effect.
Service connection

Backing Up the Event Behind the Diagnosis

A PTSD claim needs three things: a diagnosis, a medical opinion tying it to service, and support for the stressor. What counts as support depends on the kind of event:

  • Combat: if you engaged the enemy, your own statement can be enough when it fits the circumstances of your service.
  • Fear of hostile military or terrorist activity: rocket and mortar attacks, roadside bomb threats and convoy duty qualify when a VA or VA-contracted psychiatrist or psychologist confirms the event is adequate to support the diagnosis.
  • Personal assault, including MST: special evidence rules apply. Our MST claims guide explains them.
  • Accidents, training deaths and other stateside events: unit records, incident reports and buddy statements can corroborate what happened.
Exam prep

Getting Ready for the PTSD Exam

Illinois veterans may be examined at a VA facility, at a VA-contracted examiner’s office, or over telehealth. Whichever it is, bring:

  • A one-page list of your symptoms and how often each one happens
  • Real examples: jobs you quit or lost, blowups at home, avoiding stores or crowds, problems behind the wheel
  • A written statement from a spouse, family member or someone you served with

If you want counseling while the claim is pending, the Quad Cities Vet Center in East Moline offers readjustment counseling for combat veterans and their families, separate from the claims process. PTSD can also lead to or worsen other conditions, such as sleep apnea, migraines and GERD, which may earn their own ratings.

FAQ

PTSD VA Rating: Common Questions

How much is a 100% PTSD rating worth in 2026?

$3,938.58 per month for a veteran with no dependents, effective December 1, 2025. A spouse or children increase that amount.

Will working full time keep me from a 70% rating?

No. Schedular ratings aren’t cut because you have a job. Only TDIU depends on being unable to hold substantially gainful employment.

I have PTSD and depression. Do I get two ratings?

No. VA gives a single rating that covers all of your mental health diagnoses together.

I served stateside the whole time. Can I still claim PTSD?

Yes. Events like training accidents or assaults can support service connection when the stressor is corroborated.

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