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9416
§ 4.130 Schedule of ratings—Mental disorders.

Dissociative amnesia or identity disorder

A mental health condition involving inability to recall personal information or the presence of two or more distinct identities.

What the rating means

Dissociative amnesia and dissociative identity disorder are rated together under diagnostic code 9416. VA rates both conditions using the General Rating Formula for Mental Disorders, which applies to mental health conditions across the rating schedule. Ratings of 0%, 10%, 30%, 50%, 70%, and 100% are possible.

The dividing line between each level is how much your symptoms reduce 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 brief and only cause problems 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 of inability to perform work tasks. At 50%, symptoms cause reduced reliability and productivity. At 70%, symptoms create deficiencies in most life areas such as work, family relations, judgment, and mood. At 100%, symptoms cause total occupational and social impairment.

Evidence that helps

Medical records that document your formal diagnosis of dissociative amnesia or dissociative identity disorder are the foundation of a claim. Records showing the frequency and severity of your symptoms help establish which rating level fits your situation. For a 30% rating, evidence of depressed mood, panic attacks occurring weekly or less, chronic sleep problems, or mild memory loss — such as forgetting names or recent events — would be relevant. For 50%, records reflecting panic attacks more than once a week, impaired short- and long-term memory, impaired judgment, or difficulty maintaining work and social relationships matter. For 70%, documentation of suicidal ideation, near-continuous panic or depression, impaired impulse control, or inability to maintain effective relationships is relevant. For 100%, evidence of memory loss for close relatives' names or your own name, persistent delusions or hallucinations, or persistent danger of hurting yourself or others supports that level. Statements from you or people who know you describing how symptoms affect your work performance, daily tasks, and relationships can help show the real-world impact of your condition.

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.