Primary service-connected condition

DC 9400 — Generalized anxiety disorder

Also known as: anxiety, generalized anxiety, Generalized anxiety disorder, GAD, worry, panic, nervousness, anxious, substance abuse, alcoholism, addiction

Mapped secondary conditions
8

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary Secondary

Generalized anxiety disorder Hiatal hernia and paraesophageal hernia

7346
Strong

How the connection is commonly explained

Anxiety increases stomach acid production and worsens reflux

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety increases stomach acid production and worsens reflux and request a nexus opinion linking Hiatal hernia and paraesophageal hernia to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Irritable bowel syndrome (IBS)

7319
Strong

How the connection is commonly explained

Anxiety directly affects gut motility through the gut-brain axis

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety directly affects gut motility through the gut-brain axis and request a nexus opinion linking Irritable bowel syndrome (IBS) to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Major depressive disorder

9434
Strong

How the connection is commonly explained

Anxiety and depression are highly comorbid conditions

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety and depression are highly comorbid conditions and request a nexus opinion linking Major depressive disorder to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Hypertensive vascular disease

7101
Moderate

How the connection is commonly explained

Chronic anxiety elevates blood pressure over time

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing chronic anxiety elevates blood pressure over time and request a nexus opinion linking Hypertensive vascular disease to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Migraine

8100
Moderate

How the connection is commonly explained

Anxiety is a well-documented migraine trigger

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety is a well-documented migraine trigger and request a nexus opinion linking Migraine to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Sleep Apnea Syndromes

6847
Moderate

How the connection is commonly explained

Anxiety disrupts sleep patterns and may worsen sleep-disordered breathing

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety disrupts sleep patterns and may worsen sleep-disordered breathing and request a nexus opinion linking Sleep Apnea Syndromes to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Temporomandibular disorder (TMD)

9905
Moderate

How the connection is commonly explained

Anxiety causes jaw clenching and teeth grinding

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety causes jaw clenching and teeth grinding and request a nexus opinion linking Temporomandibular disorder (TMD) to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Generalized anxiety disorder Tinnitus, recurrent

6260
Moderate

How the connection is commonly explained

Anxiety heightens awareness of tinnitus symptoms

Filing tip

File as a secondary claim to DC 9400 (Generalized anxiety disorder). Provide medical records showing anxiety heightens awareness of tinnitus symptoms and request a nexus opinion linking Tinnitus, recurrent to your service-connected condition.

Relationship type: Caused by
View condition detail

This condition may also be secondary to

Arteriosclerotic heart disease
DC 7005
Strong

Fear of cardiac events causes significant anxiety

Asthma, bronchial
DC 6602
Strong

Breathing difficulties and fear of attacks cause significant anxiety

Barrett's esophagus
DC 7207
Strong

Barrett's esophagus causes anxiety due to cancer risk and required surveillance endoscopies.

Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck
DC 7800
Strong

Social anxiety from visible scarring

Colitis, ulcerative
DC 7323
Strong

IBD causes severe anxiety through fear of flare-ups, urgency episodes in public, and concern about surgery.

Crohn's disease or undifferentiated form of inflammatory bowel disease
DC 7326
Strong

Crohn's causes severe anxiety through fear of flares, urgency episodes, and concern about complications and surgery.

Erectile dysfunction, with or without penile deformity
DC 7522
Strong

Performance anxiety and relationship stress from ED

Fibromyalgia
DC 5025
Strong

Chronic widespread pain causes significant anxiety

Grand mal
DC 8910
Strong

Fear of seizures and their unpredictability

Hyperthyroidism, including, but not limited to, Graves' disease
DC 7900
Strong

Hyperthyroidism directly causes anxiety, panic attacks, and nervousness through excess thyroid hormone stimulation of the nervous system.

Irritable bowel syndrome (IBS)
DC 7319
Strong

Fear of episodes and unpredictability causes significant anxiety

Leukemia
DC 7703
Strong

Leukemia causes anxiety through fear of recurrence, treatment side effects, and mortality concerns.

Malignant neoplasms of the breast
DC 7630
Strong

Fear of recurrence, treatment side effects, and life disruption from breast cancer commonly cause generalized anxiety disorder.

Meniere's syndrome
DC 6205
Strong

Fear of vertigo episodes causes persistent anxiety

Narcolepsy
DC 8108
Strong

Narcolepsy causes anxiety through unpredictable sleep attacks, cataplexy episodes, and driving/safety fears.

Peripheral vestibular disorders
DC 6204
Strong

Chronic vertigo and balance disorders cause severe anxiety through fear of falling, inability to drive, and unpredictable episodes.

Posttraumatic stress disorder
DC 9411
Strong

Generalized anxiety commonly develops alongside or as a result of PTSD.

Tinnitus, recurrent
DC 6260
Strong

Persistent tinnitus is a well-documented cause of anxiety.

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010)
DC 5242
Moderate

Chronic pain and worry about physical decline commonly lead to anxiety.

Degenerative arthritis, other than post-traumatic
DC 5003
Moderate

Fear of worsening condition and loss of function causes anxiety

Dermatitis or eczema
DC 7806
Moderate

Chronic itching and flare-ups cause anxiety

Detachment of retina
DC 6008
Moderate

Retinal detachment causes anxiety through sudden vision loss, surgical recovery, and fear of recurrence in the other eye.

Diverticulitis and diverticulosis
DC 7327
Moderate

Recurrent diverticulitis causes anxiety through fear of flare-ups, potential surgery, and dietary restrictions.

Endometriosis
DC 7629
Moderate

Anxiety frequently develops secondary to endometriosis due to chronic pain uncertainty, fear of infertility, and unpredictable symptom flares.

Hearing loss
DC 6100
Moderate

Hearing loss causes anxiety through difficulty in social situations, fear of missing important sounds, and communication frustration.

Intervertebral disc syndrome
DC 5243
Moderate

Pain, missed work, and fear of future limitations often contribute to anxiety.

Lumbosacral or cervical strain
DC 5237
Moderate

Chronic pain and physical limitations often cause anxiety about future function and employment.

Median nerve, paralysis
DC 8515
Moderate

Fear of losing hand function and work capability

Migraine
DC 8100
Moderate

Fear of migraine episodes and their unpredictability commonly causes anxiety.

Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis
DC 7508
Moderate

Recurrent kidney stones cause anxiety due to severe pain episodes, fear of recurrence, and ER visits.

Neurogenic bladder
DC 7542
Moderate

Anxiety develops from fear of incontinence episodes in public, driving, work, and social settings.

Open-angle glaucoma
DC 6013
Moderate

Glaucoma causes anxiety through fear of progressive vision loss and blindness.

How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.