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§ 4.130 Schedule of ratings—Mental disorders.

Generalized anxiety disorder

A mental health condition characterized by persistent and excessive worry about various aspects of daily life.

What the rating means

Generalized anxiety disorder is rated under the General Rating Formula for Mental Disorders, which VA uses for most mental health conditions. The formula has six possible ratings: 0%, 10%, 30%, 50%, 70%, and 100%.

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 work efficiency only during periods of significant stress, or are controlled by continuous medication. At 30%, you generally function satisfactorily but have occasional drops in work efficiency and some periods when you cannot complete occupational tasks, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, chronic sleep problems, or mild memory loss. At 50%, your reliability and productivity are reduced, with symptoms that may include panic attacks more than once a week, impaired judgment, memory problems, or difficulty maintaining work and social relationships.

At 70%, you have deficiencies in most life areas — 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 thought or communication problems, persistent delusions or hallucinations, or disorientation to time or place.

Evidence that helps

Medical records that document your diagnosis and describe how your symptoms have changed over time are central to any rating. Mental health treatment notes showing the frequency and severity of panic attacks, sleep disturbance, memory problems, or mood disturbances help establish whether your symptoms match the 10%, 30%, or 50% level. Records reflecting panic attacks occurring more than once a week, or showing impaired judgment and difficulty sustaining work relationships, support consideration at the 50% level.

For the 70% level, records showing suicidal ideation, near-continuous panic or depression, or a pattern of inability to maintain relationships are relevant. For 100%, documentation of gross impairment in thought or communication, persistent delusions or hallucinations, disorientation, or inability to perform basic daily tasks carries weight.

Statements from you, family members, or coworkers describing how symptoms affect your ability to work, handle stress, care for yourself, and maintain relationships fill in details that clinical notes may not fully capture. Records of hospitalizations, medication changes, or crisis interventions can also reflect severity at the higher rating levels.

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.

  • Erectile dysfunction
  • GERD (acid reflux)
  • Migraine
  • Sleep apnea