Psychological Injuries and PTSD: How CICA Assesses Trauma Claims

At NJS Law, we work with many clients whose most serious injury is not visible.

While bruises and fractures may heal, psychological injuries and PTSD can last for years, affecting work, relationships and day-to-day life.

The Criminal Injuries Compensation Authority (CICA) does recognise mental health injuries – but the rules are technical, and claims are often under-valued or refused without the right evidence.

This guide explains, in clear terms:

  • Whether you can claim CICA for PTSD and psychological trauma
  • How CICA assesses mental injuries
  • What evidence you need to support your claim
  • How to strengthen your case with specialist help

If you’d like tailored advice, you can speak to our team here: CICA Specialists

Can You Claim CICA for Psychological Injury or PTSD?

Yes. You can make a CICA claim for psychological injury even where there is no physical injury.
You may be entitled to compensation if you developed:

  • Post-Traumatic Stress Disorder (PTSD)
  • Complex PTSD (C-PTSD)
  • Depression linked to the crime
  • Generalised anxiety or panic disorder
  • Adjustment disorder
  • Personality change or long-term behavioural change due to trauma
  • Psychological harm following sexual assault, domestic abuse

To qualify, your condition must be directly linked to a crime of violence that has been reported to the police, and you must be formally diagnosed by a psychologist or psychiatrist.

How CICA Assesses Psychological Trauma Claims

CICA uses strict criteria when it considers a psychological injury. In most cases, it will expect:

  • A formal diagnosis from a consultant psychiatrist or clinical psychologist
  • Clear evidence that your condition is caused by the incident you reported
  • Medical records confirming the duration, severity and impact of your symptoms

A short GP note is rarely enough on its own. The strongest claims usually include a full psychiatric report and ongoing treatment records.

Mental Health Criteria - What CICA Looks For

To award compensation for Mental Health, CICA looks for symptoms that match recognised diagnostic standards (for example DSM-5 criteria), such as:

1. Re-experiencing the trauma

  • Flashbacks
  • Nightmares
  • Intrusive memories

2. Avoidance

  • Avoiding places, people or reminders of the incident
  • Emotional numbing
  • Withdrawing from friends and family

3. Negative Thoughts and Mood

  • Persistent guilt, shame or fear
  • Feeling detached or “numb”
  • Difficulty feeling positive emotions

4. Hyperarousel

  • Being on constant alert
  • Sleep problems
  • Irritability or anger outbursts
  • Being easily startled

You do not need to tick every box, but your medical evidence should show a recognised psychiatric injury, not just ordinary upset or distress.

CICA Compensation Levels for Psychological Injuries

CICA uses a fixed tariff system. The amount you receive depends on how severe and long-lasting your psychological injury is.

While every case is different, psychological injuries often fall into categories along these lines:

  • Moderately severe psychological injury– symptoms lasting a number of years with a significant impact, but with some recovery over time.
  • Severe mental injury – long-term or permanent symptoms that seriously affect work, relationships and independence.
  • Psychological trauma linked to sexual assault or abuse – awards can be higher where there is prolonged abuse, childhood abuse or particularly serious psychiatric harm.

You can only be compensated for the single highest-value psychological injury – CICA does not add multiple mental injuries together.

For some clients, additional compensation may be available for loss of earnings or special expenses.

See our main guide on Criminal Injuries Compensation for more detail.

Common Crimes That Lead to PTSD and Psychological Injury

We regularly see psychological injuries after:

  • Domestic violence and coercive control
  • Sexual assault, rape and serious sexual offences
  • Historic childhood abuse (including institutional or familial abuse)
  • Physical assault and violent robbery
  • Witnessing extreme violence or homicide

If the incident was reported to the police and you’ve suffered a psychological injury as a result, you may have grounds to claim. 

What Evidence Do You Need for a CICA Mental Health Claim?

CICA understands that victims may not have extensive evidence. Still, strong documentation helps your case.

1. Formal Psychological Diagnosis

CICA gives greatest weight to:

  • Consultant psychiatrist reports
  • Clinical psychologist assessments
  • Structured trauma assessments and therapy reports

These should confirm:

  • Your diagnosis (e.g. PTSD, C-PTSD, depression, anxiety)
  • How it links to the criminal incident
  • The severity and likely prognosis

2. Medical Records

Helpful documents include:

  • GP consultations mentioning trauma or mental health
  • Hospital records
  • Medication history (e.g. antidepressants, sleeping tablets)
  • Referral letters to mental health services
  • Notes from counselling or therapy sessions

3. Police Evidence

CICA will want to see that:

  • The crime was reported promptly (or you have a good reason for any delay)
  • You cooperated with the investigation as far as you reasonably could

Your crime reference number and police statements are key documents.

4. Evidence of Daily Impact

To demonstrate how your psychological injury affects your life, you can use:

  • Workplace absence records
  • Occupational health reports
  • Statements from family, friends or support workers
  • Social services involvement
  • Evidence of withdrawing from social activities, education or work

How CICA Decides Between "Severe" and "Moderately Severe" Mental Injury

CICA looks at much more than just your diagnosis label. It may consider:

  • How long your symptoms have lasted
  • Whether you are able to work or study
  • The extent of your social withdrawal
  • Whether you need ongoing therapy or medication
  • Whether there is a realistic chance of recovery

The more serious and long-lasting the impact, the higher the bracket your award is likely to fall into.

Why CICA PTSD Claims Are Often Rejected - And How We Help

Sadly, many psychological injury claims are refused or under-valued.
Common reasons include:

  • No formal psychiatric diagnosis
  • Only GP-level notes with limited detail
  • Insufficient evidence linking the condition to the crime
  • Inconsistencies between medical records and police statements
  • Applications made after the 2-year time limit without a clear exceptional reason

At NJS Law, we regularly review refused CICA cases and identify where:

  • Further medical evidence is needed
  • A clearer link to the crime should be drawn
  • An extension of the time limit can be argued (see: CICA Claim Time Limits)

We then prepare a structured, evidence-based challenge on your behalf.

Can You Claim for PTSD Without Any Physical Injury?

Yes. CICA can award compensation for psychological injury alone.

This is particularly common in:

  • Domestic abuse and coercive control cases
  • Sexual assault and rape
  • Historic childhood abuse

You do not need broken bones or visible wounds for your trauma to be real – and for it to qualify for compensation.

Do You Need a Solicitor for a CICA Psychological Injury Claim?

You are allowed to apply directly, but many clients find the process stressful – especially while managing mental health symptoms.

Working with a specialist CICA team like NJS Law can help you to:

  • Understand how CICA will view your psychological injury
  • Obtain the right psychiatric evidence
  • Present your case in a clear, structured way
  • Seek a fair award that reflects the true impact of your trauma
  • Challenge any refusal or low offer through review and appeal

If you’d like to discuss your situation in confidence, contact us today.

👉 Speak to our CICA team

FAQ – Psychological Injury & PTSD CICA Claims

Do I need a formal PTSD diagnosis to make a CICA claim?

You will usually need a diagnosis from a psychiatrist or clinical psychologist. CICA rarely accepts claims based only on short, informal notes.

Can I claim if my PTSD developed months after the incident?

Yes. Delayed-onset PTSD is recognised. Your medical evidence should explain how the symptoms emerged over time.

Can I claim for psychological injury from childhood abuse many years later?

In some cases, yes. CICA can extend the usual time limit where there are exceptional circumstances and ongoing impact.

What if I have not started therapy yet?

You may still be able to claim, but CICA may request updated evidence. We often advise clients to seek an assessment so their condition is properly documented.

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