Insomnia, often overlooked in its connection to service-related disabilities, holds a significant place in the landscape of veteran health. Leah Bucholz talks about the interplay between insomnia and other mental health conditions, specifically exploring its association with tinnitus and its implications for Veterans Affairs (VA) disability claims.

What is Insomnia?
For the purpose of VA disability ratings, insomnia is categorized as a mental health condition. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), insomnia is defined as a sleep-wake disorder. The DSM-5 outlines criteria for diagnosing insomnia, including dissatisfaction with sleep quality, difficulty initiating or maintaining sleep, early morning awakenings, and the persistence of these symptoms for at least three months.
The impact of insomnia extends beyond the realm of sleep, causing clinically significant distress or impairment in various areas of life. Notably, the disorder should occur at least three nights per week, persist despite adequate opportunities for sleep, and not be exclusively related to other sleep disorders or substance use.
Insomnia and Service Connection
Insomnia can be linked to service on both primary and secondary bases. If a veteran was diagnosed with insomnia during their service, especially with a well-documented history, there is a likelihood of obtaining service connection on a direct or primary basis. However, individual circumstances, such as gaps in care or specific discharge issues, may influence the process.
On a secondary basis, physical conditions, including tinnitus, can contribute to insomnia. Exploring this connection requires an understanding of the research and medical opinions associated with the relationship between tinnitus, mental health, and insomnia.
Tinnitus: A Contributing Factor
Tinnitus, the perception of noise or ringing in the ears, is closely linked to mental health ailments among veterans. Studies, such as “Mental Health Symptoms Among Veterans VA Users by Tinnitus Severity,” highlight the predictive relationship between tinnitus severity and the intensity of other health issues. Tinnitus has been associated with mental health symptoms, emphasizing its connection to broader well-being.
Research articles like “Tinnitus and its Association with Mental Health and Health-Related Quality of Life in an Older Population” and “Correlation of the Tinnitus Handicap Inventory with Depression Anxiety and Veterans with Tinnitus” delve into the nuanced relationship between tinnitus, mental health, and overall quality of life. These studies provide valuable insights for veterans seeking to establish a connection between their tinnitus and insomnia for VA disability claims.
VA Disability Ratings for Insomnia
Understanding the VA disability ratings for insomnia is crucial for veterans navigating the claims process. Consulting legal professionals for accurate and up-to-date information is the best option, but a brief overview can shed light on the potential ratings:
- 0% Level: Diagnosed, but symptoms not severe enough to interfere in occupational or social settings.
- 10%: Occupational or social impairment due to mild or transient symptoms.
- 30%: Occupational and social impairment with decreased work efficiency and intermittent periods of inability to perform tasks.
- 50%: Occupational and social impairment with reduced reliability.
- 70%: Deficiency in most areas with occupational and social impairment.
- 100%: Total occupational and social impairment.
These ratings reflect the severity of symptoms and their impact on daily functioning. Veterans should seek guidance from legal professionals to navigate the intricacies of the rating system.
Navigating the VA Disability Landscape
Insomnia, often linked with mental health conditions, is a critical factor in the realm of VA disability claims. Leah Bucholz’s insights into the primary and secondary connections of insomnia, particularly with tinnitus, provide veterans with a roadmap for establishing service connection. Armed with an understanding of the DSM-5 criteria for insomnia, the relationship between tinnitus and mental health, and the VA disability ratings, veterans can approach the claims process with informed confidence. However, the complexity of the system necessitates collaboration with legal professionals to ensure a thorough and effective approach to VA disability claims.
Also read: What are Nexus Letters for Veterans?
At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.
Our purpose is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.
Understanding the unique challenges veterans face, our commitment lies in delivering exceptional service and support.
Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.
Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.