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9201
§ 4.130 Schedule of ratings—Mental disorders.

Schizophrenia

A mental health condition that may cause disruptions in thinking, perception, emotions, and behavior.

What the rating means

Schizophrenia is rated under the General Rating Formula for Mental Disorders, which applies to all mental disorder diagnostic codes in this section of the rating schedule. The possible ratings are 0%, 10%, 30%, 50%, 70%, and 100%.

The ratings turn on how much the condition affects your ability to work and function socially. At 0%, a diagnosis exists but symptoms are not severe enough to interfere with work or social functioning and do not require continuous medication. At 10%, symptoms are mild or transient and reduce your functioning only during periods of significant stress, or your symptoms are controlled by continuous medication. At 30%, you generally function satisfactorily, but you have occasional decreases in work efficiency and intermittent periods of inability to perform occupational tasks, with symptoms such as depressed mood, anxiety, suspiciousness, panic attacks weekly or less often, chronic sleep impairment, or mild memory loss. At 50%, there is reduced reliability and productivity. At 70%, there are deficiencies in most areas of life. At 100%, there is total occupational and social impairment.

Evidence that helps

Medical records documenting your formal diagnosis of schizophrenia are the foundation for any rating. Beyond that, the evidence that matters most is whatever shows how your symptoms affect your ability to work and participate in daily life at the level matching each rating criterion.

For a 50% rating, records showing flattened affect, circumstantial or stereotyped speech, panic attacks more than once a week, memory impairment, impaired judgment or abstract thinking, or trouble maintaining work and social relationships would be relevant. For a 70% rating, documentation of suicidal ideation, near-continuous panic or depression, impaired impulse control, spatial disorientation, neglect of personal hygiene, or inability to maintain effective relationships supports that level. For a 100% rating, evidence of gross impairment in thought or communication, persistent delusions or hallucinations, grossly inappropriate behavior, persistent danger of hurting yourself or others, or disorientation to time, place, or your own name would be significant.

Statements from you, family members, or coworkers describing how symptoms interfere with work tasks, relationships, and daily routines can help show the real-world impact of your condition at any rating 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.