The mental health C&P exam unsettles a lot of veterans, and the instinct to "hold it together" for an hour is strong. But this exam measures you against the General Rating Formula for Mental Disorders in 38 CFR § 4.130, and holding it together can cost you the accurate rating.
What the examiner is scoring
The formula rates by how much your symptoms impair occupational and social functioning — from mild interference at 10% up to total impairment at 100%. The examiner is documenting the frequency, severity, and duration of your symptoms, not diagnosing you fresh.
Be honest about the bad days
- Panic attacks, memory and concentration problems, sleep disruption
- How symptoms affect work, relationships, and daily functioning
- Thoughts of self-harm — never minimize these
You are not complaining; you are giving the examiner the facts the formula requires. Describe your typical bad week, not your best hour.

