Before the Exam Review your medical records and know your diagnosis, diagnostic code, and current treatment plan Write a detailed personal statement describing how your condition affects your daily life, work, and relationships Note your worst days — the VA rates based on your overall impairment, not your best day List all medications you take for this condition and their side effects Prepare a timeline of your condition from onset through current symptoms Keep a symptom journal for 2 weeks before the exam: nightmares, flashbacks, avoidance, anger episodes Note how PTSD affects your relationships — spouse, children, coworkers, friends Be prepared to discuss your trauma history (you can keep it brief but must establish the stressor) Review the PTSD rating criteria (0%, 10%, 30%, 50%, 70%, 100%) so you understand what the examiner is assessing
During the Exam Be honest — do not exaggerate or minimize your symptoms Describe your worst days, not just how you feel right now If something hurts during a range-of-motion test, say so Mention all functional limitations: sleep, work, chores, driving, social activities Report flare-ups: how often, how long, how severe, and what triggers them Do not say "I'm fine" out of habit — describe your actual condition The examiner will ask about: nightmares, flashbacks, hypervigilance, avoidance, emotional numbing, irritability, concentration, memory Describe how PTSD affects your ability to maintain employment Mention if you avoid crowds, public places, or social situations Report any suicidal or homicidal ideation honestly Discuss how PTSD affects sleep quality and quantity