Total Social & Occupational Imparment


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I'm going through MEB/PEB. I finished all exams, went to legal, and the board found me unfit for Schizophrenia.

The language I located towards the end of the NARSUM said the examiner opined it is likely to result in "Total social and occupational impairment". That sounds pretty damning as far as my condition goes. I hope for 100% as it's difficult to leave the house and while the WTU is understanding, it definitely isn't demanding past me having to remember appointment times which is difficult enough when confusion is a constant battle.

Just curious what others who are more experienced think of the statement and if I have some hope of a higher percentage. Thank you.


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Have you seen your CP exams yet? They will have the dbq filled out and from that you can usually extrapolate the percentage.


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I finished them all. I was mainly reading the NARSUM. I'll look through the huge stack of papers under it and find the right one. Thanks.


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The C&P exam paperwork sets th percentage, not the NARSUM. But the NARSUM is probably quoting the C&P paperwork.

geraldine jones

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c and p examiner checked the box for Total occupational and social impairment.
does this mean that i will receive 100 percent compensation?


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Yes total occupational and social impairment is a 100% rating:

General Rating Formula for Mental Disorders:

Total occupational and social impairment, due to such symptoms 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 (including maintenance
of minimal personal hygiene); disorientation to time or place; memo
loss for names of close relatives, own occupation, or own name 100%

Occupational and social impairment, with deficiencies in most areas,
such as work, school, family relations, judgment, thinking, or mood,
due to such symptoms as: suicidal ideation; obsessional rituals
which interfere with routine activities; speech intermittently illogical,
obscure, or irrelevant; near-continuous panic or depression affecting
the ability to function independently, appropriately and effectively;
impaired impulse control (such as unprovoked irritability with periods
of violence); spatial disorientation; neglect of personal appearance and
hygiene; difficulty in adapting to stressful circumstances (including
work or a worklike setting); inability to establish and maintain
effective relationships 70%

Occupational and social impairment with reduced reliability and
due to such symptoms as: flattened affect; circumstantial,
circumlocutory, or stereotyped speech; panic attacks more than once
a week; difficulty in understanding complex commands; impairment
of short- and long-term memory (e.g., retention of only highly learned
material, forgetting to complete tasks); impaired judgment; impaired
abstract thinking; disturbances of motivation and mood; difficulty in
establishing and maintaining effective work and social relationships 50%

Occupational and social impairment with occasional decrease in work
efficiency and intermittent periods of inability to perform occupational
(although generally functioning satisfactorily, with routine
behavior, self-care, and conversation normal), due to such symptoms
as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or
less often), chronic sleep impairment, mild memory loss (such as
forgetting names, directions, recent events) 30%

Occupational and social impairment due to mild or transient symptoms
which decrease work efficiency and ability to perform occupational
tasks only during periods of significant stress, or; symptoms controlled
by continuous medication 10%

A mental condition has been formally diagnosed, but symptoms are not
severe enough either to interfere with occupational and social
functioning or to require continuous medication0%
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