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§ 4.130 Schedule of ratings—Mental disorders.

Conversion disorder

A mental health condition involving neurological symptoms such as weakness or sensory changes without an identifiable medical cause.

What the rating means

Conversion disorder (functional neurological symptom disorder) is rated under the General Rating Formula for Mental Disorders, which VA uses for mental health conditions. The possible ratings are 0%, 10%, 30%, 50%, 70%, and 100%.

The formula focuses on how much your condition affects your ability to work and function socially. 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 effectiveness mainly during periods of significant stress, or they are controlled by continuous medication. At 30%, you generally function satisfactorily but have occasional drops in work efficiency and some intermittent inability to perform work tasks. At 50%, there is reduced reliability and productivity at work and in social situations. At 70%, there are deficiencies in most areas of life, including work, family relations, judgment, and mood. At 100%, there is total occupational and social impairment.

Evidence that helps

Medical records documenting your diagnosis under DSM-5 criteria are the starting point. To support a higher rating, records that describe the specific symptoms listed at each level carry the most weight. For a 30% rating, records showing depressed mood, anxiety, panic attacks occurring weekly or less often, or chronic sleep impairment are relevant. For 50%, documentation of panic attacks more than once a week, memory problems, impaired judgment, or difficulty maintaining work and social relationships helps show that level of impact. For 70%, records reflecting near-continuous panic or depression, suicidal ideation, impaired impulse control, or an inability to maintain effective relationships are significant. For 100%, evidence of gross impairment in thought or communication, persistent delusions or hallucinations, or disorientation to time or place is relevant.

Your own statements, and statements from people who know you, describing how symptoms affect your ability to work, keep up with daily tasks, and maintain relationships can help show the real-world impact of your condition 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.