Evidence Checklist: Persistent Depressive Disorder (Dysthymia)

Psychiatric evaluation documenting symptoms at claimed levelCritical

A thorough evaluation by a psychiatrist or psychologist that documents specific symptoms, their frequency, and their impact on occupational and social functioning.

Nexus opinion linking condition to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your condition is connected to your military service, with specific rationale.

C&P examination with adequate assessment of all symptomsCritical

The VA-scheduled exam should assess all symptoms at your claimed rating level. If the exam was inadequate (too brief, wrong specialty), document this for appeal.

Ongoing mental health treatment recordsCritical

Records from your therapist, psychiatrist, or counselor showing consistent treatment, symptom frequency, and severity over time.

Medication history and response documentation

Records showing what medications you have tried, dosage changes, side effects, and whether symptoms are controlled or uncontrolled.

Documentation of occupational impact (missed work, job changes, terminations)

Employment records, performance reviews, or employer statements showing how your condition affects your ability to work.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Mental Disorders

A standardized VA form completed by a qualified mental health provider that captures all rating-relevant symptoms in the format raters need.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.