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9412
§ 4.130 Schedule of ratings—Mental disorders.

Panic disorder or agoraphobia

A mental health condition involving sudden episodes of intense fear or avoidance of places where escape might be difficult.

What the rating means

Panic disorder and/or agoraphobia is rated under the General Rating Formula for Mental Disorders at 0%, 10%, 30%, 50%, 70%, or 100%. Every level above 0% is defined by how much the condition limits your ability to work and take part in daily life.

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 only reduce your work efficiency during periods of significant stress, or your symptoms are controlled by continuous medication. At 30%, you generally function satisfactorily, but you experience occasional drops in work efficiency and intermittent periods of inability to perform occupational tasks. At 50%, your reliability and productivity at work or in social settings are reduced. At 70%, you have deficiencies in most areas of life, such as work, family relations, judgment, or mood. At 100%, there is total occupational and social impairment.

Each level lists example symptoms that are characteristic of that level, but VA looks at the overall picture of occupational and social impairment, not whether every listed symptom is present.

Evidence that helps

Medical records that document a formal diagnosis of panic disorder and/or agoraphobia are the starting point. Records from psychiatrists, psychologists, or other treating providers that describe your specific symptoms, how often they occur, and how severe they are help establish which rating level fits your situation.

For the 30% level, records showing panic attacks occurring weekly or less often, chronic sleep impairment, depressed mood, or mild memory loss are relevant. For 50%, documentation of panic attacks more than once a week, impaired short- or long-term memory, impaired judgment, or difficulty maintaining work and social relationships matters. For 70%, records reflecting near-continuous panic, suicidal ideation, impaired impulse control, or inability to establish and maintain effective relationships are significant. For 100%, evidence of gross impairment in thought or communication, persistent danger of hurting yourself or others, or disorientation to time or place is relevant.

Statements from you or people who know you describing how symptoms affect your ability to work, complete daily tasks, and maintain relationships can also reflect the occupational and social impairment that separates one level from another.

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.