The VA Denied My MST Claim – Should I Just Give Up?
For a veteran who has finally had the courage to speak their truth and file for VA disability benefits relating to their MST, a denial of benefits may feel like a kick in the teeth, another dismissal of their pain and suffering.
It is a painful reality that survivors of sexual harassment or sexual assault know – others may not believe that the incident happened, and even if they believe it, can’t or won’t do anything about it. That situation is exacerbated with military sexual trauma (MST) where there has been a history of inaction in the face of such occurrences, and a hierarchical structure that complicates things.
Should you give up after a denial of your MST claim? Absolutely not. This article will walk you through some of the elements of making a successful MST claim. Perhaps some of these steps or pieces of evidence were not adequately explained or documented and can be corrected on an appeal.
How MST Claims Can Be Proven
The proof requirements for an MST claim are the same as for all VA mental disorder claims. Because most MSTs lead to a diagnosis of PTSD, they are usually handled as PTSD claims.
There are two important parts to an MST claim: (1) “credible evidence” of the trauma-inducing event; and (2) a “nexus” or connection between that event and the resulting trauma symptoms. This may sound difficult, but it is not an insurmountable task.
Credible evidence of trauma-inducing event
A PTSD claim based on an MST has a unique requirement, which is not applicable to other VA mental health disorder claims. This requirement is that Credible Evidence of the Occurrence of the Trauma is provided (“Credible Evidence requirement”). What this means is that you must come forward with evidenceshowing that the alleged in-service trauma actually occurred.
The best evidence of the occurrence of trauma is a contemporary military report or other documentation of the trauma such as a police report.
Sometimes that best evidence is not available, however, for reasons inherent to the nature of sexual trauma. Many victims are embarrassed or feel shame or fear. This is often a problem for soldiers whose minds cannot wrap around the concept of being trained to kill, yet in this particular instance being unable to stop the incident from happening.
Understanding that there are many reasons for no contemporaneous report being made of MST, the VA will also allow MST claimants to satisfy the Credible Evidence requirement by other means, so-called “markers,” or circumstantial evidence of the claimant’s emotional reaction to the MST.
Some examples of markers are the following:
- •Records from official sources of law enforcement of rape crisis centers or mental health counseling centers
- •Hospitals or medical treatment records for sexually transmitted diseases at or near the time of MST
- •Statements from family members, roommates, clergy members, or friends to whom the service member might have confided about the MST
- •Military personnel records showing a decline in behavior or performance soon after the MST
- • Medical records showing irregular eating patterns, or noticeable weight gain or loss soon after the MST
Not all cases of MST have markers like these, however. These well-known markers described above follow the presumption that someone who was the victim of an MST will immediately talk to someone (even if that someone is outside of the military) and that they will noticeably start declining in health or performance. Those presumptions, however, do not apply to all cases.
For some, being subjected to non-consensual sexual harassment or assault results in a different reaction, at least initially and sometimes for an extended period of time. After being subjected to such a violation, they go the other way. Instead of declining in performance, they increase. They push themselves harder and harder as a coping mechanism. They think if they just work hard enough, that if they deny weakness, it will eventually heal the internal wounds of their violation.
Eventually, however, the symptoms catch up with them.
MST cases have successfully been proven without any contemporaneous reporting and without any of the usually recognized markers of sexual trauma.
Nexus between event and trauma
In addition to credible evidence of the trauma-inducing event, you must show a nexus or causal link between the MST and your current mental illness, the so-called “Nexus Requirement.” Only a written opinion from a mental health practitioner (e.g., psychiatrist, psychologist) can satisfy the Nexus Requirement. You can provide a report from your own practitioner, or the VA will schedule an examination.
Even if you provide your own doctor’s report, the VA will typically schedule a claimant for a psychological examination at one of its mental health facilities, and the examiner will prepare a report. At these examinations, you must be sure to give the examiner the full history of the trauma and a full account of your current symptoms.
Your psychological examination is not the time to minimize or play down your symptoms. Be honest. Painfully honest. You may have been trying to “tough it out” ever since the traumatic event occurred, minimizing its impact on your life. However, if you are reading this article, your trauma symptoms may have become severe enough that you cannot ignore them anymore.
During your examination is the time to lay it all on the table, as horrible as the symptoms may seem and as much as you want to wish them away. Talk to those closest to you about things they have observed in your behavior also. They may be seeing patterns in your behavior that you haven’t yet recognized.
Denial of an MST Claim Can be Appealed
If the initial claim determination you receive either denies your MST claim or is rated at a lower percentage than you think is appropriate, there are still many steps that can be taken to change that decision. VA disability claims are often modified upon appeal and a law firm that specializes in veteran claims can help you do that without you having to pay any legal fees upfront.
A skilled VA disability claim lawyer can evaluate your case for any missing pieces of evidence, any technical mistakes, and also help you prepare a written statement or organize your thoughts for testimony before the Board.
MST disability claims are not always easy to prove, but expert assistance can help you in navigating the details of demonstrating your claim and reduce the stress of an unfamiliar administrative process. An initial denial is frustrating, but it is not the end of the process. Do not give up without exploring an appeal.
An appeal of a decision letter from the VA on your disability benefits must be filed within one year of the letter date. Veterans Law Group is focused exclusively on VA disability benefit cases and we do take on even very difficult MST cases.
Veterans Law Group often takes MST cases and allow the veteran to go before the Board and tell their story, even if there are no markers. We have won many cases on appeal, just because they say they don’t believe your story on the initial claim, doesn’t mean we can’t fight it. Although we cannot guarantee results in any particular case, contact us today for a free evaluation of your VA decision and we will let you know if we think we can help you.
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If you are a veteran, or a family member of a veteran, whose work has been affected by their disability and who would like to appeal a VA benefits decision, we would like to speak with you.
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