EDUCATION LIBRARY

Understand the clinical questions behind the VA claim process.

Plain-language guides explain exams, evidence, mental health questions, and common report types. Start where you are. You do not have to learn everything at once.

01 / START WHERE YOU ARE

Which statement sounds most like you?

Your answer points to a useful place to begin. It does not choose a service or decide what your claim needs.

03 / CLAIMS EDUCATION

Exams, evidence, and medical opinions.

Learn what each part does, what question it may answer, and how it fits with the rest of the record.

01

What is a nexus letter?

A nexus letter answers one medical relationship question. It does not decide the claim.

Read the guide

02

Mental health C&P exams

The examiner gathers clinical facts. VA—not the examiner—decides the claim.

Read the guide

03

Template nexus letters

A strong opinion may use a set format, but its facts and reasoning must be personal.

Read the guide

04

Mental health and TDIU

A diagnosis alone does not show work limits. The report must explain what symptoms do at work.

Read the guide

06

Direct mental health claims

The key question is when the condition began and whether the full evidence supports a link to service.

Read the guide

07

Secondary mental health claims

A possible link is not enough. The opinion must explain how the link fits this veteran’s history.

Read the guide

08

Compare common report terms

Start with the question that needs an answer. Then choose the right exam or report.

Read the guide

09

Markers for personal assault or MST

A marker may support the timeline. One marker does not prove an assault, and no marker does not mean the assault did not happen.

Read the guide

10

How to gather your records

Start early, ask for the right record set, and keep the files in a clear order. You do not need to send the same page many times.

Read the guide

11

What official audits say about C&P exams

The audits show recurring system weaknesses. They do not show that every exam is poor or that every examiner acts in bad faith.

Read the guide

04 / AREAS OF FOCUS

Start with the kind of question your claim raises.

These guides explain what each area means, what a psychologist reviews, and what facts may help make the question clear.

PTSD

Trauma, symptoms, and the link between them

Explore this area

05 / MENTAL HEALTH EDUCATION

Symptoms, diagnoses, and daily effects.

Use short examples to see why timing, symptom patterns, and real-life effects matter.

01

Mental health conditions guide

A symptom list can help you learn. It cannot diagnose you. Diagnosis depends on the full pattern, timeline, causes, and daily effects.

Read the guide

02

Suicide risk and getting help

Stay calm and ask directly. Listen without judging. The next step depends on whether the thoughts are brief, getting stronger, or tied to a plan and intent.

Read the guide

03

Firearms, privacy, and emergency laws

A safety talk, an emergency mental health hold, and a red flag order are different things. None happens automatically because a veteran reports a troubling thought.

Read the guide

04

Insomnia, PTSD, and depression

The first job is to define the sleep problem. Then the clinician can study what may be causing or worsening it.

Read the guide

05

Moral injury and PTSD

Moral injury names an experience. PTSD names a clinical condition.

Read the guide

06

PTSD and the DBQ

The form organizes facts. The examiner gives those facts clinical meaning.

Read the guide

06 / THINK LIKE AN EXAMINER

Turn a broad concern into a clear clinical question.

A diagnosis is only one part of the picture. A clinician also looks at the timeline, other possible causes, and what symptoms change in daily life.

07 / NEXT STEPS

Use the next step that fits.

Keep learning, check what may be missing, or ask Dr. Bell a question.