PERMANENT IMPAIRMENTS OF MENTAL HEALTH

Category 1:

Nervousness, irritability, worry or lack of motivation following an injury and commensurate with it and/or other situational responses to injury that do not alter significantly the life adjustment of the patient may be present.

Category 2:

Any and all permanent worsening of pre-existing personality traits or character disorders where aggravation of pre-existing personality trait or character disorder is the major diagnosis
mild loss of insight, mildly deficient judgement, or rare difficulty in controlling behavior
anxiety with feelings of tension that occasionally limit activity
lack of energy or mild apathy with malaise
brief phobic reactions under usually avoidable conditions
mildly unusual and overly rigid responses that cause mild disturbance in personal or social adjustment
rare and usually self-limiting psycho-physiological reactions
episodic hysterical or conversion reactions with occasional self-limiting losses of physical functions
a history of mis-interpreted conversations or events, which is not a preoccupation
is aware of being absentminded, forgetful, thinking slowly occasionally or recognizes some unusual thoughts
mild behavior deviations not particularly disturbing to other
shows mild over-activity is possible most of the time
If organicity is present, some difficulty may exist with orientation, language skills, comprehension, memory, judgement, capacity of make decisions, insight, or unusual social behavior; but the patient is able to carry out usual work day activities unassisted.

Category 3:

Episodic loss of self-control with risk of causing damage to the community or self
moments of morbid apprehension
periodic depression that disturbs sleep and eating habits or causes loss of interest in usual daily activities but self-care is not a problem
fear motivated behavior causing mild interference with daily life
frequent emotogenic organ dysfunctions requiring treatment
obsessive-compulsive reactions which limit usual activity
periodic losses of physical function form hysterical or conversion reactions
disturbed perception in that patient does not always distinguish daydreams from reality
recognizes his fantasies about power and money are unusual and tends to keep them secret
thought disturbances cause patient to fear the presence of serious mental trouble
deviant social behavior can be controlled on request
exhibits periodic lack of appropriate emotional control
mild disturbance from organic brain disease such that a few work day activities require supervision.

Category 4:

Very poor judgment
marked apprehension with startle reactions, foreboding leading to indecision, fear of being alone and/or insomnia
some psychomotor retardation or suicidal preoccupation
fear-motivated behavior causing moderate interference with daily life
frequently recurrent and disruptive organ dysfunction with pathology of organ or tissues
obsessive-compulsive reactions causing inability to work with others or adapt
episodic losses of physical function from hysterical or conversion reactions lasting longer than several weeks
misperceptions including sense of persecution or grandiosity which may cause domineering, irritable or suspicious behavior
thought disturbance causing memory loss that interferes with work or recreation
periods of confusion or vivid daydreams that cause withdrawal or reverie
deviations in social behavior which cause concern to others
lack of emotional control that is a nuisance to family and associates
moderate disturbance from organic brain disease such as to require a moderate amount of supervision and direction of work day activities.

Category 5:

Marked apprehension so as to interfere with memory and concentration and/or to disturb markedly personal relationships
depression causing marked loss of interest in daily activities, loss of weight, unkempt appearance, marked psychomotor retardation, suicidal preoccupation or attempts, or marked agitation as well as depression
marked phobic reactions with bizarre and disruptive behavior
psychophysicological reactions resulting in lasting organ or tissue damage
obsessive-compulsive reactions that preclude patient's usual activity
frequent or persistent loss of function from conversion or hysterical reactions with regressive tissue or organ change
defects in perception including frank illusions or hallucinations occupying much of the patient's time
behavior deviations so marked as to interfere seriously with physical or mental well-being or activities of others
lack of emotional control including marked irritability or overactivity.