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§ 4.130 Schedule of ratings—Mental disorders.

Bipolar disorder

A mental health condition characterized by extreme mood swings ranging from depressive lows to manic or hypomanic highs.

What the rating means

Bipolar disorder is rated under the General Rating Formula for Mental Disorders, which applies to mental health conditions across the board. VA assigns one of six possible ratings based on how much the condition affects your occupational and social functioning.

A 0% rating means bipolar disorder has been formally diagnosed but symptoms do not interfere with work or social life and do not require continuous medication. A 10% rating applies when symptoms are mild or transient, affecting work only during periods of significant stress, or when symptoms are controlled by continuous medication. A 30% rating reflects occasional decreases in work efficiency and intermittent inability to perform work tasks, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, or mild memory loss. A 50% rating reflects reduced reliability and productivity due to symptoms such as flattened affect, panic attacks more than once a week, impaired judgment, or difficulty maintaining work and social relationships.

A 70% rating reflects deficiencies in most areas of life—work, family, judgment, or mood—with symptoms such as suicidal ideation, near-continuous panic or depression, or inability to maintain effective relationships. A 100% rating reflects total occupational and social impairment, with symptoms such as persistent delusions or hallucinations, gross impairment in thought or communication, or persistent danger of hurting yourself or others.

Evidence that helps

Medical records that document the frequency, severity, and duration of your symptoms are central to how VA evaluates bipolar disorder. Records showing how often mood episodes occur, how long they last, and how they affect your ability to work or care for yourself help establish where your symptoms fall within the rating formula.

For a 30% or 50% rating, exam findings documenting panic attacks, memory problems, speech disturbances, impaired judgment, or difficulty with complex tasks are relevant. For a 70% rating, records showing suicidal ideation, significant impulse control problems, near-continuous depression or panic, or an inability to hold relationships or adapt to workplace stress directly address those criteria. For a 100% rating, clinical notes documenting persistent delusions, hallucinations, disorientation, or inability to maintain basic personal hygiene are key.

Statements from you or people who know you—describing how symptoms affect your attendance, work performance, relationships, and self-care on a day-to-day basis—can also reflect the occupational and social impairment the formula measures at each level. Mental health treatment records, including hospitalization history and medication records, round out the picture of how the condition affects your functioning.

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.