New Study Links PTSD To Sleep Apnea

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Sleep Apnea

Benjamin KrauseA new study shows that higher risk of obstructive sleep apnea (OSA) is linked to higher instances and severity levels of post traumatic stress disorder. 195 veterans of the current wars participated in the study. That study showed sleep apnea increased with severity of PTSD.

According to the Science Daily, the article titled “High risk of sleep apnea in young veterans with PTSD” states:

“The implication is that veterans who come to PTSD treatment, even younger veterans, should be screened for obstructive sleep apnea so that they have the opportunity to be diagnosed and treated,” said co-principal investigator Sonya Norman, PhD, researcher at the San Diego VA, director of the PTSD Consultation Program at the National Center for PTSD, and an associate professor of psychiatry at the University of California San Diego School of Medicine. “This is critical information because sleep apnea is a risk factor for a long list of health problems such as hypertension, cardiovascular disease and diabetes, and psychological problems including depression, worsening PTSD and anxiety.”

How will studies like these affect veterans’ disability ratings? Will new studies like this speed up the process of disability compensation or at least help veterans get service connection?

Source: https://www.sciencedaily.com/releases/2015/05/150519182243.htm

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45 Comments

  1. Sleep Apnea is a relatively new diagnosis so it only makes sense that the percentage of undiagnosed cases would be very high. Whether there is a connection between PTSD & sleep apnea is way too premature at this point.
    Once it becomes part of the main stream medical testing, and a significant number of positives are found within the PTSD community, a comparison would be interesting and welcomed.

  2. You know Ben, there is also a higher risk for a child to health/BIRTH defects too. WHICH THIS MOM IS PISSED BECAUSE MY ELDEST HAS A HEALTH ISSUE! But this is interesting. However, “NO ONE HAS PTSD BEN, THEY PULL OUT THE DSM MANUAL AND FIND SOME OBSCURE DIAGNOSIS. YOU KNOW WHAT REALLY IS DISTURBING? YOU CANNOT GET YOUR RECORDS AND THE PEOPLE THERE SAY WE DON’T KNOW? SO I WAITED, AFTER HICKEYS MOVE TO COVER WHAT I CONSIDER A DISGRACEFUL ACT TO SAY THE VET IS NOT TRUTHFUL, AND THE THE VET STATED FIBRO
    BUT KNOWS NAME DATE AND WHATEVER ELSE THEY BELIEVE IS OKAY TO STEER AWAY FROM SAYING NO PTSD. GEE, GOT MY ACTIVE DUTY FILES, IMAGINE, ALL I STATED IS FACTUAL BASED EVIDENCE. IF THEY PULL THE “NO DATES OF TREATMENT,” THEN THEY DO NOT KNOW THE MEDICAL RECORDS LAW. IT IS NOT MY “LAW,”IT’S FACTS. AS STATED EXPANSIVE MEDICAL BACKGROUND AND I DO THE JOB I WAS TAUGHT “PAY ATTENTION TO THE DETAILS.” IT WASN’T JUST PICKED UP, IT WAS NAVAL BOOTCAMP. BUT IN
    MY ELEMENT SAME LOGIC. THEY NEED TO BE HELD ACCOUNTABLE FOR WHAT THEY WRITE, SAY OR GEE, COMPREHENSION OF WHAT A PERSON STATES BACK TO YOU. I HAVE TO SAY IT, “I CAN GO SOMEWHERE ONCE, AND CAN GO AGAIN. IT’S NOT STREET SIGNS, AND GEE, NO STREETS! IT’S THE SAME LOGIC THAT APPLIES IN EVERYTHING I DO. MAYBE IT’S THE HIKER IN ME THAT WOULD FIND SOME AWESOME SPOTS AND ENJOY THE PEACEFUL MOMENTS. THIS HOWEVER, I BETTER CHECK ON THIS ONE, I FELL ASLEEP FINALLY, BUT NOT TILL I STOPPED SHAKING. THANK HICKEY AND FRIENDS, THE COMPANY WENT BELLY UP THAT DID THE SUICIDE HOTLINE? DID YOU KNOW THAT ONE CONVERSATION WAS THE OTHER PERSON NEVER HAPPENED BEFORE, IT WAS A TOOL FOR ME WITH THE SEVERE PAIN-CAN GIVE YOU SHORT TERM ( I THINK SOME LONG TERM TOO.) BUT I DO HAVE FIBROMYALGIA. YOU KNOW WHAT’S SO COOL? THE NEUROLOGIST ALSO WORKED ZIMBLE WHO BECAME SURGEON GENERAL OF THE NAVY, AWESOME CAPTAIN IN ORLANDO, MY NEURO KNEW HIM UP A PAYGRADE, WE BOTH WERE A BIT SAD HE HAD PASSED ON. THE VA? DONE. I DON’T GIVE TWO FARTS IF YOU DON’T LIKE HOW I TALK TO YOU, TOO BAD, “RESPECT IS EARNED AND DEFINITELY NOT A GIVEN.” MY HOME STATE, IT FIGURES!” BUT UCSD SURPRISING, IT IS KNOWN AS THE PARTYING SCHOOL

    • JUST FYI, I WRITE IN CAPS BECAUSE MY FIBRO IS BEING A PAIN SO IT DOESN’T MATTER WITH ALL MY GLASSES, BUT THE TBI AND PTSD ACTUALLY WERE THE CONCERNS BACK IN 1991. AS I WOKE UP, I AM FEELING SHORT OF BREATH AND COULD BE PNEUMONIA IT DOESN’T FEEL LIKE THE OTHER FAVORED DAMN THING! SLEEP APNEA ISN’T CONSIDERED NEW BY THE WAY THEY DISCOVERED THIS A WHILE BACK. BUT I DO GET THIS ONE, AND I WILL TRY AND FIND THAT ARTICLE ABOUT PTSD AND A CHILD BORN THAT CAN HAVE HEALTH DEFECS. “HOWEVER, PTSD MUST FIRST EXIST SO YOU HAVE TO KNOW SOME LAME EXCUSES AND GEE ,DOING THE JOB RIGHT AS IT STATES “IF YOUR FILING A CLAIM LET US HELP YOU! WARN OTHERS, GET YOUR RECORDS FIRST REQUEST IN BEFORE THEY TRY AND STOP YOU! ME? I HAVE THEM ALRIGHT, MAN, ARE THEY TOTALLY SCREW UPS, I HAVE VOLUNTEERED IN SOME CAPACITY ALL MY LIFE. ALSO GIVING MONEY FOR UT DALLAS U TEACH PROGRAM FOR MATH AND SCIENCE’S. FUNNY WHEN A CHILD BUT NOW A MAN, SAYS “MOM, YOU’VE ALWAYS LOOKED FOR THE FUTURE, MOST CANNOT SEE BEYOND THEIR HANDS.” WOW. SO I CALL HIM ZEN SOA! ( HE WAS NAMED THAT BEFORE THE AGE OF TWO, BUT COOL BELT BUCKLE TO HAVE AS THE WE’VE KNOW IT CLUB, BEFORE HE WAS BORN! 🙂

  3. Yeah, there would be nothing MORE stress-inducing for me than to have to wear an oxygen mask at night…I would NEVER sleep and have incredibly hard time sleeping as it is…I have a few healthcare friends that tell me that this Sleep Apnea thing is also a laughable SHAM that MILKS INSURANCE…they will **quickly** diagnose anyone that *snores* with Sleep Apnea since ObamaCare was instituted…my own Family Dr. informed me that the Medical Community has en masse figured out this is a sure way to milk insurance, Medicare, Medicaid, or even the VAMC…esp. if person has aforementioned insurances, whether a patient actually needs C-PAC or not. Do not believe the hype….sometimes a snore is only a snore….but to medical community in this ObamaCare World, it’s a $nore.

    • Do you really think the VA diagnosis sleep apnea for the reasons you mention? Sleep Apnea is real. If you have it you can “wake up” up to 100 times per night. It isn’t just snoring that confirms a diagnosis. A sleep study includes continual pulse and oxygen readings. Some people’s O2 levels will drop into the low 80’s before the brain says to wake up and get some air.

      There are other treatments that will help patients with sleep apnea. There is the possibility of surgical correction as well as dental appliances and other new methods which will create a better airway. Also, weight loss may help individuals that are overweight (this is why sleep apnea is co-morbid with being obese).

      The biggest issues with patients who have PTSD is that sleep medication also relax the muscles in your throat which will exacerbate the condition. If you don’t get proper sleep, it will affect your cortisol levels which in turn creates a host of issues, as stated in the article such as diabetes, gastrointestinal issues, depression, anxiety and worsening PTSD.

      Vets have been given ratings for sleep apnea secondary to PTSD. The main thing is that a doctor must link the two for a claim to be successful. To date, few doctors will make that leap.

      Believe me, I know what it can do. Years of undiagnosed PTSD and sleep apnea has ruined my health. Pray, you never are affected by it. Peace, brother

      • I agree with all of what you said Dan, and can add that those whose sleep apnea is severe can be in serious danger. I’ve known several people with it, 2 would fall asleep at their desk in seconds because they didn’t get proper sleep at night. The cpap helped both. A third always looked like he would fall asleep on his feet. The last fell asleep while driving one morning and rolled his truck totalling it. Luckily he and the guy with him were wearing seat belts and were uninjured, but the truck was just incredibly destroyed. Rolling a truck on a mountain road with boulders in the ditch will do that. It convinced him to get help. He got the machine and his health has improved greatly. I believe I have it, but have not had a sleep study in years. The VA did one about 12 years ago, and I was so disgusted with the method I never went back. I started the procedure very late, dozed for about 10 minutes and the tech said he had enough information to declare I didn’t have it. It was certainly not how I sleep at home which is deeper and snoring.

    • I appreciate each of your comments and yet I am saddened by most of them. Your service is not taken for granted on my part and my desire is that your treatment for both obstructive sleep apnea and PTSD would be beneficial to both you and your families. Sleep apnea has been around for centuries; however, just like cancer or cardiac disease or any other maladie, the research had to first recognize its existence, and then work toward treatment options. Many have died for lack of appropriate treatment; many have died due to inability to tolerate treatment, and many have died because they refused the treatment.
      Your comments regarding the masks and the pressure are valid, as I work in the field of sleep medicine (18 years) and deal with this on a daily basis with our patients. There are solutions to most of these comments. Some involve customizing the masks; some involve dealing with the mind. The first one is fairly easy; the latter, well, you know better than me how difficult that can be…but I have worked with many veterans with PTSD and with claustrophobic post traumatic event non-veterans and our successes are in the 90th percentile.
      What I am trying to say is that if you have OSA, please don’t give up on treatment.
      Two words: Reggie White….textbook example of a big strapping guy, the picture of health, who left his CPAP machine sitting in the closet…he died in his sleep…fact.

      • Paula, hopefully you see this. Given your experience, can you describe what is involved in a sleep study test that would check for sleep apnea? What are the procedures, length of time of the test?
        I had a sleep study by the VA years ago. It seemed like they were fitting me in to their schedule. It was very late, and by the time they had all the wires connected, it was close to midnight. I believe it was over by 3am. The technician claimed he had data showing about 10 minutes of REM sleep, and that was enough for the test. I felt like I had barely dozed, and it certainly was not like the deep sleep I normally have where I wake up so groggy I can barely walk straight.

  4. I’ve also been diagnosed with sleep apnea and given a CPAP machine. But,try though I may I can’t wear it and get any sleep! I feel like I’m being smothered when I have that mask on my face. They have tried different masks and face devices but I can’t sleep comfortably with any of them.

  5. This is really good information. I’m currently fighting for SC for PTSD, and I’ve already been rated for sleep apnea, but the VA considers it NSC. I’ll bookmark this page for when I get my PTSD rating.

  6. The problem is that this study is poorly designed and does not control for the obvious confounding effects, for example the fact that the VA rewards a high disability percentage (typically 50%) for sleep apnea and, consequently, young veterans are “coached” to claim this disorder. It is now a well publicized fact that VA sleep apnea claims have sky-rocketed because of the expansion of knowledge about this flaw in the VA rating tables, diverting limited resources from more severe service-connected injuries and disabilities. Sleep apnea is well known to run in families and highly correlated with being over-weight. By publishing bad science that attempts to “link” PTSD with sleep apnea incidence, the authors we will put at risk legitimate claims for PTSD. VA officials are probably now licking their chops at the possibility of denying one of the disorders on some claims because one is “covered” in the percentage disability awarded for the other. Getting VA and societal acceptance of PTSD as a legitimate disability has been hard enough without contaminating it with an obvious scam like claiming that sleep apnea causes 50% disability.

    • I have had two friends die of Sleep Apnea! they were not over weight, in good physical condition and both were Vietnam Veterans. Each did have PTSD and the gift of Agent Orange…both died in their sleep and it was not heart related. The VA in Martinez, California if not the entire Northern California Veterans Administration Medical System is a FUBAR and no matter what has been said or done they still give non treatment for medical issues…on a scale of one to ten this medical system is the worst on this part of the earth. The VARO in Oakland, California and the various VSO’s and NSO’s do nothing that is a challenge and for me they have done way more harm than any good they could possibly do. They test for this and that see that the veteran Sleep Apnea and does NOTHING at all! Dealing with the VA for the past 47 year’s because of a head wound that I received while working on Pat Phillips who was shot in the chest in an ambush in Vietnam! I was retired from the United States Army for, (penetrating head wound that left a “two square inch hole in my skull” with metal from the shrapnel imbedded in my brain. The VARO denied that I ever had a TBI! They cannot connect the dots and my best guess is that they are nothing more than hires from the people looking for work out side at The Home Depot!” I have a hard time wearing the mask as well and have found that units that fit into the nostril seem to be more less constricting but the noise the CPAP machine makes is what keeps me from sleeping the entire night through. We have to clean the hose everyday or it will cause other problems. Any bogus dental problems will detour the wearing of the CPAP as well. They the VA medical if not the total system has been a waste of my time and I am very fortunate that the low class doctors, pa’s and other lame medical personnel have not killed me! Not all doctors are useless I must say, only about nine out of ten are! FTVA! FBO!

      • I have complex ptsd and now sleep apnea. I cannot possibly wear a mask that controls my breath (cpap) due to ptsd issues, so I was given an oxygen machine (Visionaire V?) with a mask that has holes in it, there is also a nose tube if one prefers (like o2 in the hospital). No forced air, no seal, just something that has a constant flow of oxygen. This actually brought my o2 concentration from way under normal to the bottom level of normal and has lowered the number of incidents of stopped breath.

        It has not healed sleep apnea, but it has eased symptoms. For those having trouble with cpap, this is an option until something better.

        I got it through medi-cal. I know this is a veterans page, and I am not a veteran. I was looking for info on links between ptsd and sleep apnea.

        Please see to an oxygen machine with a open mask or nose applicator, or I’ve even held the darn tube during a sleep study. It actually does make a difference, no constraints. A water jar can be added for hydration. I place the loud device in another room and use a longer hose.

        Peace to you all.

      • How can you coach a “Sleep Study?” James I believe you are nothing more than a useless VA doctor that can’t even put a Band Aid.

    • how the hell can one be coached! I had a sleep study with 23 electrodes stuck to my head…please tell me how those results could be coached..

    • These are hot button issues for tons of people. PTSD is real but the number of “vets” that receive it are being coached, not OSA. As stated you cant coach anyone of this. My problem with trying to link PTSD with other health concerns just tries to tie a physical condition to a condition that is unseen.

      80 percent of vets that have PTSD are diagnosed correctly but then are “coached” to the symptoms. Why? Because if you don’t have 100% PTSD then you don’t matter. So vets keep trying to reach this number because they want validation to say see…. I am affected.

      The PTSD rating is screwed up, if the public truly knew why a good portion of the vets are rated at 100% for PTSD they would throw a pitchfork party.

      Combat Vets and MST cases should be the ONLY 100% vets out there with special consideration given on very extenuating circumstances for others. Being a support poge on a base that has been labeled hostile but never being exposed is BS. People forget that when they enlisted in the military you are a target 100% of the time.

    • I understand your point, however, there isn’t any validity on it. I just got diagnosed with Sleep Apnea myself. I asked my doctor to test me for it after I read a study linking PTSD with Sleep Apnea.
      What you need to understand is that there isn’t any way, shape or form that someone or anyone or any information out there can or could or would coach any young veteran to mask or disguise or fake or simulate the effects of Sleep Apnea. There is absolutely no way, and if I am wrong, then why don’t you take some of your blessed time and teach us how it is possible of such a thing?

      I am 100% disabled with Chronic PTSD. Very severe mind you.. So would you say that my PTSD has been “coached”?..why don’t you try to fly to Iraq like I did in 2005 and 2008 and have some of the “fun” I had overthere? They you may have an inkling of knowledge what situations, conditions and circumstances would lead to conditions and diagnosis like Sleep Apnea. I suspected of SA back in 2009 after returning from my second deployment, but, in our “warrior mindset” I disregard the symptoms I was reflecting. If it wasn’t for another vet friend of mine who told me about it, I would have never known for sure and I could have more severe health problems in the future.

  7. I was told i have this and given the machine was also not able to use it. Every time i opened my mouth it would take my breath away. I had to stop using it, i do have ptsd and until the va agree with the findings i won’t even try for disability i know they will flat out turn it down. It took me forty years to get them to find my record and for me to get my disability and finally treatment. The machine may help some but not all. I really like reading my fellow veterans concerns and comments.

  8. I underwent sleep apnea test at VA behest when I told them that my last years in the field I had los a lot of sleep and it was affecting me . I was given a machine for therapy and had to change the face mask
    because it did not work properly. I am not overweight, eat sparingly and try to sleep 8 hours a day.
    At least I have stopped grinding my teeth at night. Some soldiers might be gaming the system.
    But many of us have been so sleep deprived for more than 10 years or more and our problem is real.

  9. I received my full face sleep apnea machine in March 2015. For the first three months it did not work for me. When using it, I woke up feeling worse than I did before I got it. It would collapse on my face making it difficult to for me to breath. I had to be doing something wrong, so I did some research to see if the problem could be resolved. The information that I found stated that the mask will not work when air escapes when wearing it; this means the mask is not properly sealed. A mask liner was recommended to resolve the problem. I went on amazon and ordered “Silent Night CPAP Mask Liners (Full Face Medium).” The first night I used it, I woke up feeling awesome the next day, and have felt that way ever since! The liner seals the mask resolved all of the problems. If you find that your mask is not working, give it a try. I promise you will not be sorry.

    • May, there is a “Nasal Pillow,” the VA can get for you. I know what you mean on the mask and it is 50/50 that it works, the “Pillow lets you sleep on your side. It still has some Issues but far less than the mask in my opinion. The CPAP machine drives me nuts but, going to bed at about nine p.m. and taking a warm/hot shower before bed gets me relaxed and I can get at least five to six hours (more if my cat doesn’t wake me) I found her along side a busy road and she weighed one pound and five oz., now she is twelve pounds and thinks I am her mom…wake’s me at six every morning just to meow and snuggle in my arm pit. Only thing is now she is asleep and I get to look at the ceiling. They have three sizes of
      “Pillow’s” so you can get the closes fit. Really, helped me. Sleep Apnea can kill I have lost two friends that had a CPAP and one left it at home and was a thousand miles away when he realized it. He died in his sleep and the other just laid down for a nap while his family was going to pick up some Pizza…Try it.

  10. 7+ years of waking up with a headache every day, falling asleep while at a stop light, falling asleep on the job, trouble concentrating, and severe irritable condition. Finally, my primary care provider decided to take the risk and sent me for a sleep study, though I did not fit the “profile = obesity” to have sleep apnea.

    survived 42 IEDs, sleep deprivation in a combat zone, “night shift on the road – tour of duty with the 11Bravo MOS”,

    PTSD related to Sleep apnea – both are aquired conditions from that experience and compensation or no compensation, I am glad to have a CPAP machine though it is awkward to wear. The relief of less frequent headache, less severe headaches, and not falling asleep while driving is enough for me. If I get compensation for that also, don’t really care. I did my job, I served honorably and saved some lives doing it.

    Some may play a game, but if you spent 18 months doing what I did. Met some of the WW II Vets, Korean War Vets and Vietnam War Vets that I have met at the VA you wouldn’t care what games others play to get benefits as long as those who I met get their benefits, it is worth it.

    • Thank you for your post! I’m scheduled for a sleep study tomorrow thru the VA that was requested by my PCP. From corresponding with my psychologist and my psychiatrist, they’ve determined that I do have PTSD and possibly sleep apnea. I have suffered from disabling migraine headaches since February so your post just gave me hope that I’m on track to be headache free, or at least a decrease in headaches. Thanks!!

      • See if your treatment team can get you to see a neurologist! They can scan your brain to make sure nothing going on! Ask the neurologist what’s best for your migraines!

        I know they really hurt sometimes!

      • I’ve seen 2 different neurologists and had MRIs done. Neither could find anything wrong and told me that I basically have to wait it out which is definitely not what I wanted to hear.

      • I’m glad you had the scan! It’s very important to have things ruled out!

        I know when people get stressed out, that can cause migraines!

        You may want to make sure you check your house for some sort of leak in your gas line!

        I know first hand, how these headaches can make you want to be just left alone!

        I’ve had to have shots and I hate them, they hurt almost as much!

        I take excedrin, when I feel one coming on!

      • Hi James,

        I have checked my surroundings so often that it’s become habit. I had an appointment this morning at the pain clinic and they are trying Battlefield acupuncture. This is supposed to help for the pain from the migraines as well as my new diagnosis of fibromyalgia. Now I have to wait for the results from my sleep study that I did last night. Non stop pain is very unbearable and makes my depression from PTSD worse.

  11. I received severe obstructive sleep apnea diagnosis on December 2015 along with continued PTSD and TBI counseling. I’ve filed increase for sleep apnea before my year mark of being retired from Jan 2015. Will there be a 2016 rating change for severe sleep apnea rumored at 50 percent. Please advise.

    Brad

  12. I have suffered from PTSD for 42 years. Many years it was masked beneath a cloud of alcoholism. Long buried things uncovered, and sleep habits worsened. Sleep Apnea created another layer of problems which in turn made sleep more difficult. One VA study called it the “Sleeping with One Eye Opened” syndrome (fearing the cause of the PTSD) I lay awake with the CPAP running trying to sleep, removing the mask and noise I fall asleep. Severe back pain and medications add another layer. I haven’t slept longer than 3 hours at a time for over 15 years and it has taken its toll. God Bless those of you who know what I am talking about. Still waiting for answers on this side of the Pale.

    • I know what you are talking about. I have same problem with very little sleep and waking up during the night. This has been ongoing since coming back from Vietnam in 1969. I have PTSD and obstructive sleep apnea along with psoriasis, headaches, allergic rhinitis, and arthritis. I have been prescribed a CPAP machine. Also, I have nose bleeds less frequent now than when they started back in ’60s. I am thinking about filing for the sleep apnea disability rating soon. Currently have rating of 30 per cent for PTSD.

    • I am with you guys. The worst part about it is laying awake while everyone else is sleeping. I hate that part of it. My wife observed that I will do anything I can to avoid going to bed at night. I wait until the last minute while I am very groggy from my meds and then I fall out for four hours or so. People that don’t have this don’t understand what kind of issues we deal with since getting discharged. I also self medicated with Mr. Budweiser and various other drinks. Once I slowed down on my drinking all of these other problems surfaced. I was discharged in 1973 and I have been dealing with this since then. In 1995 my back gave away and that started round 2 of a very bitter struggle. As it turns out I just got approved for my back pain being connected to my time in the military. I am waiting for the remand to be completed before I will find out how much back pay I will get. I am so thankful that they approved that. I just want to say that you are not alone in your struggles and there are thousands of us that burn the midnight oil. God bless you guys.

  13. Vietnam non-sleeper
    I’ll mention this because I did not see it here so far. My CPAP machine rests in the closet also. With it on, I wake up gasping for air. Because of back pain I toss from side to side a dozen times a night. The hose does not follow very well. It hardly matters though, because I would have had to wake up to relieve myself because of prostate anyway. My sleep habits deny me the help a CPAP would otherwise offer me. Thankfully I am rated as a mild case. I could not sleep hardly at all if not for the “Breathe Right” strips I use. I am finally going to file for Sleep Apnea disability from the V.A. LOL.

  14. I currently have a Ptsd rating of 30 per cent and recently diagnosed with obstructive sleep apnea. What rating would I have now?

  15. Is there any new info on ptsd and obstructive sleep apnia?

    I was just diagnosed today eith sleep apnea?

    It appears that ptsd just keeps giving.

  16. Go figure. As if PTSD sufferers don’t have enough to deal with already! The worst part is that sleep apnea leads to poor sleep which surely exacerbates the symptoms of PTSD. How awful.

  17. I am 50% for ptsd and my appeal was remanded for more information. I have been on a CPAP for at least ten years. I w as diagnosed by a specialist and have been saved by the CPAP.

    My question is where can I find a doctor who will agree that these two are related? The VA won’t touch it because they wont get involved in any appeal. I live in Tucson Arizona and don’t know where to go from here. Does anyone have any suggestions?

  18. After being denied Sleep Apnea by the VA and then re-opening the claim, I was denied again. I had a doctor write me a NEXXUS stating that my sleep apnea and PTSD were tied together. Again denied, my PTSD is at 70% and even with the CPAP I still wake up at night. What do I do now?

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