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§ 4.130 Schedule of ratings—Mental disorders.

Somatic symptom disorder

A mental health condition characterized by excessive focus on physical symptoms that causes significant distress or impairment.

What the rating means

Somatic symptom disorder is rated under the General Rating Formula for Mental Disorders, which applies to mental health conditions across the rating schedule. Six ratings are possible: 0%, 10%, 30%, 50%, 70%, and 100%.

At 0%, a 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 your work efficiency only during periods of significant stress, or your symptoms are controlled by continuous medication. At 30%, you have occasional decreases in work efficiency and intermittent periods of inability to perform work tasks, though you generally function satisfactorily, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, chronic sleep impairment, or mild memory loss. At 50%, there is reduced reliability and productivity, with symptoms such as panic attacks more than once a week, impaired judgment, memory problems, or difficulty maintaining work and social relationships. At 70%, there are deficiencies in most areas of life, with symptoms such as suicidal ideation, near-continuous panic or depression, or inability to establish and maintain effective relationships. At 100%, there is total occupational and social impairment, with symptoms such as persistent delusions, gross impairment in thought or communication, or persistent danger of hurting yourself or others.

Evidence that helps

Medical records documenting your diagnosis of somatic symptom disorder and the treating provider's observations about the severity of your symptoms are central to any rating. At lower levels, records showing that symptoms appear mainly under stress, or that continuous medication keeps them controlled, support a 10% rating. For 30%, records reflecting occasional work difficulties alongside symptoms like depressed mood, sleep problems, anxiety, or mild memory loss are relevant.

For a 50% rating, exam findings or treatment notes describing panic attacks occurring more than once a week, impaired short- or long-term memory, flattened affect, or difficulty sustaining work and social relationships help show that level of impairment. For 70%, documentation of suicidal ideation, near-continuous panic or depression, or inability to maintain relationships is significant. For 100%, clinical observations of grossly disorganized thinking, persistent delusions or hallucinations, disorientation, or inability to care for yourself are relevant.

Your own statements, and statements from people who know you, describing how symptoms affect your ability to work, manage daily tasks, and maintain relationships can help show the real-world impact 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.