level of fitness ) to 4 ( a medical condition or physical defect which is below the level of medical fitness for retention in the military service ) ) . On the accompanying medical history , the Veteran denied having or having had frequent trouble sleeping , frequent or terrifying nightmares , depression or excessive worry , and nervous trouble of any sort . In addition , the August 1964 ACDUTRA separation examination report shows psychiatric examination was normal . His neuropsychiatric status was assigned a profile of " 1 . " On the accompanying medical history he denied having or having had frequent trouble sleeping , frequent or terrifying nightmares , depression or excessive worry , and nervous trouble of any sort . Furthermore , and although