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§ 4.130 Schedule of ratings—Mental disorders.

PTSD

A mental health condition that may develop after experiencing or witnessing a traumatic event.

What the rating means

Post-traumatic stress disorder (PTSD) is rated under the General Rating Formula for Mental Disorders in § 4.130. The possible ratings are 0%, 10%, 30%, 50%, 70%, and 100%. Each level is defined by how much your symptoms interfere with work and social 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 reduce your work efficiency only during periods of 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%, your reliability and productivity are reduced. At 70%, you have deficiencies in most areas of life, such as work, family relations, judgment, and mood. At 100%, there is total occupational and social impairment.

What separates each level is the degree to which specific symptoms cause occupational and social impairment, not a diagnosis alone.

Evidence that helps

Medical records documenting your PTSD diagnosis and ongoing treatment help establish the foundation for any rating. To support a 30% rating, records showing depressed mood, anxiety, suspiciousness, panic attacks occurring weekly or less often, chronic sleep impairment, or mild memory loss are relevant. For 50%, evidence of panic attacks more than once a week, flattened affect, impaired short- and long-term memory, impaired judgment, or difficulty maintaining work and social relationships would apply.

For a 70% rating, records or statements reflecting suicidal ideation, near-continuous panic or depression, impaired impulse control, neglect of personal hygiene, or inability to maintain effective relationships are pertinent. For 100%, documentation of gross impairment in thought or communication, persistent delusions or hallucinations, disorientation, or memory loss for close relatives' names or your own occupation would be relevant.

Statements from you or people who know you describing how symptoms affect your ability to work, maintain relationships, and handle daily tasks 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.

  • Erectile dysfunction
  • GERD (acid reflux)
  • High blood pressure
  • Irritable bowel syndrome (IBS)
  • Major depressive disorder
  • Migraine
  • Persistent depressive disorder (dysthymia)
  • Sleep apnea
  • Type 2 diabetes