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9413
§ 4.130 Schedule of ratings—Mental disorders.

Anxiety disorder

Any anxiety state (e.g., generalized anxiety, PTSD) causing excessive fear, worry, or tension

What the rating means

Unspecified anxiety disorder is rated under the General Rating Formula for Mental Disorders, which VA uses for most mental health conditions. Six rating levels are possible: 0%, 10%, 30%, 50%, 70%, and 100%.

At 0%, a diagnosis exists but symptoms do not interfere with work or social life and do not require continuous medication. At 10%, symptoms are mild or come and go, reducing your work efficiency mainly during periods of significant stress, or are controlled by continuous medication. At 30%, you have occasional drops in work efficiency and intermittent periods where you cannot perform work tasks, though you generally function satisfactorily; symptoms at this level include depressed mood, anxiety, panic attacks weekly or less often, chronic sleep problems, and mild memory loss. At 50%, your reliability and productivity are reduced, with symptoms such as panic attacks more than once a week, impaired short- and long-term memory, and difficulty maintaining work and social relationships. At 70%, you have deficiencies in most life areas — work, family, judgment, or mood — with symptoms such as suicidal ideation, near-continuous panic or depression, or inability to establish and maintain effective relationships. At 100%, there is total occupational and social impairment, with symptoms such as gross impairment in thought or communication, persistent delusions or hallucinations, or persistent danger of hurting yourself or others.

Evidence that helps

Medical records showing a formal diagnosis of unspecified anxiety disorder are the starting point. To support a 10% rating, records showing symptoms that appear mainly under stress or notes that continuous medication is needed to keep symptoms in check are relevant. For a 30% rating, records documenting depressed mood, anxiety, panic attacks occurring weekly or less, chronic sleep disturbance, or mild memory difficulties — alongside evidence that you generally function adequately otherwise — connect directly to those criteria.

For a 50% rating, clinical notes recording panic attacks more than once a week, impaired short- or long-term memory, flattened affect, or difficulty following complex instructions are tied to the criteria at that level. For 70%, records or examiner findings describing suicidal ideation, severely impaired impulse control, near-continuous panic or depression, or neglect of personal hygiene align with that level. For 100%, documentation of gross thought disorganization, disorientation, persistent hallucinations or delusions, or an inability to maintain minimal personal hygiene supports that rating. Your own statements and those of people who know you — describing how symptoms affect your work attendance, relationships, and daily functioning — can also reflect these clinical criteria.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.

  • Erectile dysfunction
  • GERD (acid reflux)
  • Migraine
  • Sleep apnea