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9404
§ 4.130 Schedule of ratings—Mental disorders.

Obsessive compulsive disorder

A mental health condition characterized by recurring unwanted thoughts and repetitive behaviors or mental acts.

What the rating means

Obsessive compulsive disorder (diagnostic code 9404) is rated under the General Rating Formula for Mental Disorders, which applies to all mental disorders in VA's rating schedule. The ratings available are 0%, 10%, 30%, 50%, 70%, and 100%.

The formula focuses on how much the condition impairs your occupational and social functioning. At 0%, a formal diagnosis exists but symptoms do not interfere with work or social life 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 decreases in work efficiency and intermittent periods of inability to perform occupational tasks. At 50%, there is reduced reliability and productivity at work and in social settings. At 70%, there are deficiencies in most areas of life, such as work, family relations, judgment, and mood. At 100%, there is total occupational and social impairment.

Evidence that helps

Medical records documenting your formal diagnosis of obsessive compulsive disorder are the foundation of any rating. For higher ratings, records that show how severe and frequent your symptoms are matter most. At the 30% level, evidence of depressed mood, anxiety, panic attacks occurring weekly or less often, or chronic sleep impairment would be relevant. At 50%, exam findings showing flattened affect, panic attacks more than once a week, impaired memory, impaired judgment, or difficulty maintaining work and social relationships support that level. At 70%, documentation of suicidal ideation, obsessional rituals that interfere with routine activities, near-continuous panic or depression, or inability to maintain effective relationships is relevant. At 100%, records reflecting gross impairment in thought or communication, persistent delusions or hallucinations, or an intermittent inability to perform basic daily living activities apply.

Statements from you, family members, or coworkers describing how symptoms affect your ability to work, handle stress, maintain hygiene, and sustain relationships can help show the real-world impact of your condition at any 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.