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*****As an Amazon Associate/Affiliate, I may receive a commission for purchases made through the link below: https://amzn.to/4nbRyv2 Welcome to The Therapist Explains VA Mental Health Disability Ratings Series—your clear, research-backed guide to understanding how the VA decides mental health claims for PTSD, anxiety, depression, and neurocognitive disorders under 38 CFR § 4.130 – The General Rating Formula for Mental Disorders. I’m Craig Carlton, a veteran and trauma-focused therapist with Royal Rock Counseling & Consulting LLC. In this episode, we break down: ✅ The 38 CFR 4.130 rating formula for mental disorders ✅ How clinicians use the DSM-5-TR to diagnose conditions like GAD, PTSD, or Vascular Neurocognitive Disorder ✅ Common veteran challenges when proving service connection ✅ Step-by-step claim strategies—from neuroimaging evidence to nexus letters and lay statements ✅ How to align your symptoms with the VA rating scale (0–100%) Timestamps/Key Moments 00:00 Intro | Welcome to “The Therapist Explains” VA Mental Health Ratings Series 00:37 Why this series matters | Lived experience + clinical insight for veterans 00:47 How the VA rates mental health | Understanding 38 CFR 4.130 01:04 DSM-5-TR overview | How clinicians and the VA define mental health conditions 01:15 What you’ll get in every episode | DSM overview, research, claim strategy, next steps 01:26 Free resource | VA Mental Health Claim Self-Assessment & Decision Tree download 01:44 Crisis support reminder | Veterans Crisis Line 988 (Press 1) 01:57 Disclaimer | Educational content only – not legal or medical advice 02:22 Community support | Subscribe + help other veterans reclaim their voice and health 02:48 Transition | Beginning the journey toward a fully developed VA claim 03:05 Diagnostic Code Focus | Vascular Neurocognitive Disorders overview 03:27 Rating scale | 0–100% under 38 CFR 4.130 03:40 DSM-5-TR criteria | Cognitive decline & executive dysfunction 04:27 Clinical differentiation | When symptoms mask as other disorders 04:51 Neuroimaging evidence | Vascular lesions & white-matter disease 05:31 Key symptom features | Processing speed, emotional instability, executive dysfunction 06:25 Research highlight | Sachdev (2014) on diagnostic challenges for veterans 07:42 Why service records are limited in field or ship settings 07:58 Building a Strong Claim – Part 1 | Neuroimaging + Neuropsych Eval + Nexus Evidence 09:45 Building a Strong Claim – Part 2 | Lay Statements + Secondary Connections + Ratings 11:10 Emphasizing Occupational & Social Impairment (70–100%) 11:56 Appeal Tips | Supplemental Claim (20-0995) with new relevant evidence 12:11 Closing Support | Royal Rock Counseling & Consulting resources 12:36 Download Your Free Decision Tree + Connect with Royal Rock Counseling 12:54 Outro | Live Royally and Live Well #VADisability #VAMentalHealth #Veterans #PTSD #Anxiety #Depression #VANeurocognitiveDisorder #38CFR4130 #RoyalRockCounseling #TheTherapistExplains Reference: Sachdev, P. S., Kalaria, R., O'Brien, J., Skoog, I., Alladi, S., Black, S. E., Blacker, D., Blazer, D., Chen, C., Chi, H., Ganguli, M., Jellinger, K., Jeste, D. V., Pasquier, F., Paulsen, J., Prins, N., Rockwood, K., Roman, G., & Scheltens, P. (2014). "Diagnostic criteria for vascular vognitive disorders: a vascog statement." Neurobiology of Aging, 35(12), 206-218. doi: 10.1097/WAD.0000000000000034 📘 Download the Free VA Mental Health Claim Self-Assessment & Decision Tree: https://drive.google.com/file/d/18aHm... ⚠️ Disclaimer: This content is for educational purposes only. Royal Rock Counseling and Consulting, LLC is not affiliated with the Department of Veterans Affairs and does not file or prosecute VA claims. 📞 If you or a veteran you know needs immediate help: Call the Veterans Crisis Line at 988, then press 1. You are not alone. 🙏 Support this mission: Like 👍 | Subscribe 🔔 | Share this video to help other veterans and families live royally and live well. 📌 Connect with Me 🌐 LinkedIn: / craig-carlton-3066b8357 📧 Email: [email protected] 📱 Facebook: https://www.facebook.com/profile.php?... 🎙 Book Me for Speaking/Training: [email protected] Has this video helped you? If so, buy us a coffee and support more impactful content: https://buymeacoffee.com/cjcarlton0v