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Insomnia and Tinnitus in Veterans Disability

tinnitus and insomnia va disability

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.

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Danielle McClaskey

Client Relations Specialist U.S. Navy Veteran

In her active-duty service in the United States Navy, Danielle undertook a variety of responsibilities, ranging from essential administrative duties to providing crucial medical care. Her multifaceted contributions played a pivotal role in enhancing her fellow service members’ operational effectiveness and well-being.

As a disabled veteran, she developed a profound understanding of the unique challenges faced by her fellow service members. Now, in her civilian role, Danielle is a valued member of the Prestige Veteran Medical Consulting team, where she continues to leverage her extensive background and educational achievements to provide exceptional support to veterans.

Leticia

LETICIA

ADMINISTRATIVE ASSISTANT

Leticia has been in the medical field for nearly 14 years. She has always had a passion for medicine and caring for her community. Leticia has spent the last 4 years caring for veterans and first responders with alcohol and substance abuse in a medical rehabilitation setting whilst continuing her education working towards a degree in software development.

Someday she hopes to develop medical software that further enhances the patient’s experience in medical care. Leticia has a deep respect and love for those who have served as she comes from a family of law enforcement and military veterans.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Julie Pereira

JULIE PEREIRA:

ADMINISTRATIVE ASSISTANT

During her Active-Duty time in the US Navy as a Hospital Corpsman, Julie provided medical administration
and patient care services in the field, the hospital, and base medical office settings.  This military medical and
administrative background has given Julie the hands-on experience and extensive knowledge necessary to
provide unparalleled service to her fellow Veterans through the Prestige Veteran Medical Consulting team.

Julie’s educational achievements include a Bachelor of Arts with a minor in Human Services and a pre-nursing associate in arts and science.

Julie has been inspired by her firsthand knowledge of navigating the VA Benefits process. She has dedicated
most of her adult life to serving Veterans through her knowledge derived from her military and civilian medical
education and training.

Jennifer Januta

JENNIFER JANUTA

U.S ARMY VETERAN, CHIEF OPERATIONS OFFICER

During her Active-Duty service in the Army, Jennifer supported various research efforts centered on combat casualty care and Soldier performance. Her military background gave her unique insights into veterans’ distinct challenges, ultimately inspiring her to join the Prestige Veteran Medical Consulting team.

Jennifer’s educational achievements include a master’s in molecular biology from George Washington University and a master’s in data science from Texas Tech University. Jennifer wholeheartedly dedicates herself to utilizing her knowledge and expertise gained from 15 years of healthcare experience to impact the well-being of those who have served positively.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Leah - Meet the Team

LEAH BUCHOLZ, PA-C

U.S ARMY VETERAN, MEDICAL EXPERT & FORMER C & P EXAMINER

Meet Leah, the founder, and leader of our organization. ​​A combat veteran herself, she understands the unique challenges veterans face, making her mission about much more than running a successful business. It’s about the opportunity to provide a legacy of exceptional service for our heroes.​

​“It is essential to remember that there is no greater honor than caring for service members on the battlefield. Continuing to care for Veterans after separation is an opportunity that I have been afforded to extend that care in this new battlefield related to service-incurred disabilities.”

Her inspiration comes from years of military experience working alongside her fellow servicemembers, particularly key leaders who have influenced her journey, applying their wisdom to her path. She values her team deeply, most of whom are also disabled combat veterans, each member a trusted individual sharing her vision.

 “Driven by passion and purpose, I aim to create a sustainable change that empowers veterans and future generations.”

Leah’s journey hasn’t been without challenges. From overcoming and living with her service-related disabilities to navigating work-life balance, she’s learned to face each hurdle head-on with resilience.  Like many of her veteran brothers and sisters, her early background consisted of limited resources and opportunities. Her military service has helped shape her into a steadfast leader, offering relatable inspiration to others.

Join us in celebrating Leah, a compassionate leader, and resilient veteran, driving our mission to serve those who served our nation.