A veteran with a 70% rating for depression and anxiety asks why VA is still requiring a C&P exam for TDIU. Isn’t the rating already high enough? Here’s why VA does this: Your prior mental health exams focused on diagnosis and symptom severity—not whether those symptoms prevent you from working. For TDIU, VA must answer a different question: • Can you maintain substantially gainful employment? • Do your mental health symptoms interfere with attendance, concentration, reliability, or productivity?
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“VA awarded me 70% for TBI, depression, and anxiety under one rating. Is that correct?” It depends on your symptoms. If your TBI symptoms are different from your mental health ones, you could qualify for separate ratings. ✅ If the main TBI symptom is depression or anxiety, that’s considered pyramiding, meaning it’s covered under one mental health rating. ✅ But if you have distinct TBI symptoms — like headaches, dizziness, Meniere’s disease, or cognitive issues such as getting lost or trouble rem
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