Conditions secondary to PTSD

PTSD is one of the most common primary conditions, and several physical and mental-health conditions are frequently claimed as secondary to it.

• Obstructive sleep apnea

  Sleep apnea is frequently claimed as secondary to PTSD — disrupted sleep, weight gain, and autonomic changes are recognized contributors. Needs a nexus opinion linking the apnea to the PTSD.

• Erectile dysfunction

  Erectile dysfunction is commonly secondary to a service-connected mental-health condition or its medications (SSRIs). May also support SMC-K (loss of use of a creative organ).

• Gastroesophageal reflux disease (GERD)

  GERD is often claimed secondary to a mental-health condition or its medications. Needs a nexus opinion.

• Hypertension (high blood pressure)

  Chronic stress from a service-connected mental-health condition is a recognized contributor to hypertension.

• Migraine / tension headaches

  Migraines/tension headaches are one of the most commonly claimed secondaries to a service-connected mental-health condition, tinnitus, or a cervical-spine condition. Often ratable at 30-50%.

• Irritable bowel syndrome (IBS)

  IBS is frequently claimed secondary to a service-connected mental-health condition (gut-brain axis) or its medications. Needs a nexus opinion.

• Substance use disorder

  A substance use disorder can be service-connected as secondary to a service-connected mental-health condition (self-medication). Sensitive but recognized; needs a nexus opinion.

Informational only and not a guarantee of service connection. A secondary condition still needs a medical nexus opinion linking it to the primary, and the VA makes the final decision. This is not medical or legal advice.