# WAC 296-20-340: WAC 296-20-340. Categories for evaluation of permanent impairments of mental health > Washington · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_340 ## Section - **Citation:** WAC 296-20-340 - **Heading:** WAC 296-20-340. Categories for evaluation of permanent impairments of mental health - **Jurisdiction:** Washington - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Washington Administrative Code / Title 296 / Chapter 296-20 / Section 296-20-340 ## Text (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. (2) Any and all permanent worsenings of preexisting personality traits or character disorders where aggravation of preexisting personality trait or character disorder is the major diagnosis; mild loss of insight, mildly deficient judgment, 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 misinterpreted 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 others; shows mild over-activity or depression; personal appearance is mildly unkempt. Despite such features, productive activity is possible most of the time. If organicity is present, some difficulty may exist with orientation; language skills, comprehension, memory; judgment; capacity to make decisions; insight; or unusual social behavior; but the patient is able to carry out usual work day activities unassisted. over-activity or depression; personal appearance is mildly unkempt. Despite such features, productive activity is possible most of the time. If organicity is present, some difficulty may exist with orientation; language skills, comprehension, memory; judgment; capacity to make decisions; insight; or unusual social behavior; but the patient is able to carry out usual work day activities unassisted. (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 from 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. (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 ce 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. (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 psycho-motor retardation, suicidal preoccupation or attempts, or marked agitation as well as depression; marked phobic reactions with bizarre and disruptive behavior; psychophysiological 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 the physical or mental well-being or activities of others; lack of emotional control including marked irritability or overactivity. ## Nearby sections - [WAC 296-20-010 WAC 296-20-010. General information](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_010.md) - [WAC 296-20-015 WAC 296-20-015. Who may treat](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_015.md) - [WAC 296-20-020 WAC 296-20-020. Acceptance of rules and fees](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_020.md) - [WAC 296-20-022 WAC 296-20-022. Payment of out-of-state providers](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_022.md) - [WAC 296-20-023 WAC 296-20-023. Third-party settlement—Excess recoveries](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_023.md) - [WAC 296-20-024 WAC 296-20-024. Utilization management](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_024.md) - [WAC 296-20-025 WAC 296-20-025. Initiating treatment and submitting a claim for benefits](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_025.md) - [WAC 296-20-030 WAC 296-20-030. Treatment not requiring authorization for accepted conditions](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_030.md) - [WAC 296-20-035 WAC 296-20-035. Treatment in cases that remain open beyond 60 days](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_035.md) - [WAC 296-20-045 WAC 296-20-045. Consultation requirements](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_045.md) - [WAC 296-20-051 WAC 296-20-051. Consultations](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_051.md) - [WAC 296-20-055 WAC 296-20-055. Limitation of treatment and temporary treatment of unrelated conditions when retarding recovery](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_055.md) - [WAC 296-20-065 WAC 296-20-065. Transfer of providers](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_065.md) - [WAC 296-20-071 WAC 296-20-071. Concurrent treatment](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_071.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_340. Check the current official text before relying on it. Not legal advice.