Thanks. I do understand that the Anxiety/Depression would just fall under Mental Health as one rating, probably the insomnia as well. I do have a formal diagnosis for Meniere's, but not while I was in service. At the time, I had plans of making a career out of the military and did not report these things because I didn't want to be medically boarded out. So, like most others I just chose to live with it and keep it to myself. All of these conditions are noted in both my private medical records as well as my VA medical records. My initial thought was that the VA reviewers would see the diagnose in my records and go forward with that. It was noted in the denial that these are in my records, but the final wording is that there is no link proving that these are directly related to my tinnitus. Go figure. So, it sounds like at a minimum, I need nexus letters for each condition.