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9440
§ 4.130 Schedule of ratings—Mental disorders.

Chronic adjustment disorder

A mental health condition involving prolonged emotional or behavioral symptoms in response to an identifiable stressor.

What the rating means

Chronic adjustment disorder is rated under the General Rating Formula for Mental Disorders, which VA uses for most mental health conditions. The possible ratings are 0%, 10%, 30%, 50%, 70%, and 100%.

At 0%, a diagnosis exists but symptoms do not interfere with your occupational or social functioning and do not require continuous medication. At 10%, symptoms are mild or transient and reduce your work efficiency only during periods of significant stress, or your symptoms are controlled by continuous medication. At 30%, you experience occasional decreases in work efficiency and intermittent inability to perform occupational tasks, though you generally function satisfactorily; symptoms at this level include depressed mood, anxiety, suspiciousness, panic attacks weekly or less often, chronic sleep impairment, or mild memory loss.

At 50%, there is reduced reliability and productivity due to symptoms such as panic attacks more than once a week, impaired judgment, memory impairment, or difficulty maintaining effective work and social relationships. At 70%, there are 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. At 100%, there is total occupational and social impairment, with symptoms such as gross impairment in thought processes, persistent delusions or hallucinations, or persistent danger of hurting yourself or others.

Evidence that helps

Medical records documenting your diagnosis of chronic adjustment disorder and the specific symptoms your provider has observed are central to your rating. For lower ratings (10% and 30%), records showing occasional drops in work performance, sleep difficulties, mild memory lapses, anxiety, or depressed mood — along with any prescribed continuous medication — help establish those levels. For a 30% rating, notes reflecting that your routine functioning, self-care, and conversation remain generally intact are also relevant.

For a 50% rating, records showing panic attacks occurring more than once a week, impaired short- or long-term memory, impaired judgment, or difficulty sustaining work and social relationships are useful. For 70%, treatment notes, hospitalization records, or crisis documentation reflecting suicidal ideation, near-continuous depression or panic, or impaired impulse control support that level. For 100%, records showing the most severe symptoms — such as disorientation, memory loss for close relatives or your own name, or persistent danger to yourself or others — are relevant.

Your own statements, and statements from family members or coworkers, describing how symptoms affect your ability to work, manage daily tasks, and maintain relationships can also help show the degree of occupational and social impairment at any level.

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.