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§ 4.130 Schedule of ratings—Mental disorders.

Cyclothymic disorder

A mental health condition involving persistent mood swings between mild depression and elevated mood over extended periods.

What the rating means

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

The key factor at every level is how much the condition affects your ability to work and function socially. At 100%, symptoms cause total occupational and social impairment — things like gross impairment in thought or communication, persistent delusions or hallucinations, or disorientation to time or place. At 70%, there are deficiencies in most areas of life, such as suicidal ideation, near-continuous panic or depression, or inability to maintain effective relationships. At 50%, reliability and productivity are reduced, with symptoms such as panic attacks more than once a week or impaired judgment. At 30%, there are occasional decreases in work efficiency, with symptoms such as depressed mood, anxiety, or chronic sleep impairment. At 10%, symptoms are mild or transient and only affect work during periods of significant stress, or are controlled by continuous medication. At 0%, a formal diagnosis exists but symptoms do not interfere with occupational or social functioning and do not require continuous medication.

Evidence that helps

Medical records documenting your diagnosis of cyclothymic disorder are the foundation of your claim. Records from psychiatrists, psychologists, or other treating providers that describe the specific symptoms you experience — and how often — directly support the rating criteria. For higher ratings, records showing symptoms such as suicidal ideation, panic attacks, impaired impulse control, or disorientation to time or place are particularly relevant.

Findings from a VA or private mental health examination carry significant weight. The examiner will assess how your symptoms affect your thinking, mood, judgment, speech, and behavior, and will describe the degree of occupational and social impairment. Treatment records showing ongoing or continuous medication use can support at least a 10% rating. Statements from you, your family members, coworkers, or supervisors describing how your symptoms affect your ability to work, maintain relationships, handle daily tasks, or manage personal hygiene help connect clinical findings to the rating criteria at each 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.