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§ 4.130 Schedule of ratings—Mental disorders.

Major depressive disorder

A mental health condition characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities.

What the rating means

Major depressive disorder is rated under the General Rating Formula for Mental Disorders at 0%, 10%, 30%, 50%, 70%, or 100%.

The formula focuses on how much your symptoms impair your ability to work and function socially. 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 your efficiency mainly during periods of significant stress, or they are controlled by continuous medication. At 30%, you generally function satisfactorily, but you have occasional drops in work efficiency and intermittent periods where you cannot perform occupational tasks, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, chronic sleep impairment, or mild memory loss. At 50%, symptoms cause reduced reliability and productivity. At 70%, symptoms cause deficiencies in most areas of life, such as work, family relations, judgment, or thinking. At 100%, symptoms cause total occupational and social impairment.

Evidence that helps

Medical records documenting your diagnosis, treatment history, and how your symptoms have changed over time are central to any rating. Psychiatry or psychology notes that describe the frequency and severity of specific symptoms — such as panic attacks, memory problems, sleep disruption, depressed mood, suicidal ideation, or disorientation — directly correspond to the criteria that separate one rating level from the next. Results from mental status examinations, such as findings on affect, thought process, impulse control, or orientation, can support higher rating levels.

Records showing how your condition affects your ability to work are also relevant. Employment records, statements from supervisors, or documentation of job loss or reduced hours can reflect the occupational impairment described at the 30%, 50%, 70%, and 100% levels. Statements from you or people who know you describing difficulties with daily tasks, personal hygiene, relationships, or functioning under stress can help show the social impairment the rating criteria require 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.

  • Erectile dysfunction
  • GERD (acid reflux)
  • High blood pressure
  • Sleep apnea
  • Type 2 diabetes