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§ 4.130 Schedule of ratings—Mental disorders.

Schizoaffective disorder

A mental health condition combining symptoms of schizophrenia with mood disorder episodes such as depression or mania.

What the rating means

Schizoaffective disorder is rated under the General Rating Formula for Mental Disorders. VA looks at how much your symptoms reduce your ability to function at work and in social and personal life, then assigns a percentage that reflects that level of impairment.

A 100% rating reflects total occupational and social impairment from symptoms such as gross impairment in thought processes or communication, persistent delusions or hallucinations, grossly inappropriate behavior, persistent danger of hurting self or others, intermittent inability to perform activities of daily living, disorientation to time or place, or memory loss for names of close relatives, your own occupation, or your own name. A 70% rating reflects deficiencies in most areas of life — work, family relations, judgment, thinking, or mood — from symptoms such as suicidal ideation, near-continuous panic or depression, impaired impulse control, or inability to maintain effective relationships. A 50% rating reflects reduced reliability and productivity from symptoms such as flattened affect, panic attacks more than once a week, or impaired memory and abstract thinking. A 30% rating reflects occasional decreases in work efficiency from symptoms such as depressed mood, anxiety, panic attacks weekly or less often, or mild memory loss. A 10% rating applies when symptoms only decrease work efficiency during periods of significant stress, or when symptoms are controlled by continuous medication. A 0% rating means a formal diagnosis exists but symptoms do not interfere with occupational and social functioning and do not require continuous medication.

Evidence that helps

Medical records that document your diagnosis and describe your symptoms in detail are central to any rating. Treatment records from psychiatrists, therapists, or other providers that show how often symptoms occur, how severe they are, and how they have changed over time directly tie to the criteria at each level. Records showing persistent delusions, hallucinations, disorientation, or danger to self or others support the higher levels. Notes reflecting suicidal ideation, speech disturbances, impaired impulse control, or an inability to maintain relationships support a 70% level. Findings of flattened affect, panic attacks, or memory and judgment problems support a 50% level.

For lower ratings, records showing depressed mood, anxiety, mild memory loss, or sleep impairment — especially tied to stress — are relevant. Medication records showing continuous use to control symptoms can support a 10% rating even when other symptoms appear mild. Statements from you and from people who know you — family members, coworkers, supervisors — describing how your symptoms affect your daily tasks, your ability to keep a job, maintain hygiene, and interact with others 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.