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§ 4.130 Schedule of ratings—Mental disorders.

Delirium

A state of sudden confusion and altered awareness that may develop rapidly and fluctuate throughout the day.

What the rating means

Delirium is rated under the General Rating Formula for Mental Disorders, a shared formula that applies to most VA-rated mental health conditions. Six ratings are possible: 0%, 10%, 30%, 50%, 70%, and 100%.

The dividing line between levels is how much your symptoms affect your ability to work and participate in social life. At 0%, a diagnosis exists but symptoms do not interfere with work or social functioning and do not require continuous medication. At 10%, symptoms are mild or transient and reduce work efficiency only during significant stress, or are controlled by continuous medication. At 30%, you generally function satisfactorily but have occasional drops in work efficiency and intermittent periods when you cannot perform occupational tasks. At 50%, your reliability and productivity at work are reduced. At 70%, you have deficiencies in most areas of life, such as work, family relations, judgment, and thinking. At 100%, there is total occupational and social impairment.

Evidence that helps

Medical records documenting a formal diagnosis of delirium are the starting point. For a 10% rating, records showing symptoms appear mainly under stress or that continuous medication is needed to keep them controlled would be relevant. For 30%, records or statements showing occasional drops in work performance alongside symptoms such as depressed mood, anxiety, panic attacks occurring weekly or less often, chronic sleep impairment, or mild memory loss help support that level.

For 50%, evidence of reduced reliability or productivity at work, such as panic attacks more than once a week, impaired short- and long-term memory, impaired judgment, or difficulty understanding complex commands, would be relevant. For 70%, records reflecting deficiencies across most life areas, such as suicidal ideation, impaired impulse control, spatial disorientation, or neglect of personal hygiene, are pertinent. For 100%, documentation of gross impairment in thought or communication, persistent delusions or hallucinations, disorientation to time or place, or memory loss for names of close relatives, own occupation, or own name would support that level. Your own statements and statements from people who know you about how symptoms affect your work and daily life can reflect these criteria as well.

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.