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§ 4.130 Schedule of ratings—Mental disorders.

Illness anxiety disorder

A mental health condition characterized by excessive worry about having or developing a serious illness.

What the rating means

Illness anxiety disorder is rated under the General Rating Formula for Mental Disorders, which VA uses for most mental health conditions. Ratings of 0%, 10%, 30%, 50%, 70%, and 100% are possible. The formula measures how much the 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 temporary and reduce your work efficiency mainly during periods of significant stress, or they are controlled by continuous medication. At 30%, you generally function satisfactorily, but you experience occasional drops in work efficiency and intermittent periods of difficulty with occupational tasks, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, or chronic sleep problems. At 50%, your reliability and productivity are reduced. At 70%, you have deficiencies in most areas of life, such as work, family relations, and judgment. At 100%, there is total occupational and social impairment.

Evidence that helps

Medical records documenting your diagnosis under DSM-5 criteria form the foundation of any rating. Records that describe the frequency, duration, and severity of your symptoms are directly tied to where you fall on the rating scale. For example, notes showing panic attacks more than once a week, impaired memory, or flattened affect support the 50% criteria, while records reflecting suicidal ideation, near-continuous panic or depression, or inability to maintain effective relationships support the 70% level.

VA examination reports that describe how your symptoms affect your ability to understand complex instructions, manage stress, or sustain work performance are relevant at multiple levels. Statements from you, family members, or coworkers describing real-world effects — such as difficulty keeping a job, problems with hygiene or personal appearance, or trouble maintaining relationships — can show occupational and social impairment. Records of hospitalizations, crisis interventions, or medication history can also reflect symptom severity across the 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.