Cannabis dependence with psychotic disorder with hallucinations
ICD-10 F12.251 is a billable code used to indicate a diagnosis of cannabis dependence with psychotic disorder with hallucinations.
Cannabis dependence with psychotic disorder with hallucinations is characterized by a pattern of cannabis use that leads to clinically significant impairment or distress, accompanied by the presence of psychotic symptoms such as hallucinations. This condition arises when an individual develops a tolerance to cannabis, experiences withdrawal symptoms upon cessation, and exhibits compulsive use despite negative consequences. The psychotic disorder component indicates that the individual experiences hallucinations, which can be auditory, visual, or tactile, and are often distressing. These symptoms can significantly impair social, occupational, and personal functioning. The diagnosis requires a thorough clinical assessment, including a detailed history of substance use, mental health evaluation, and consideration of other potential causes of psychosis. Treatment typically involves a combination of psychotherapy, psychoeducation, and, in some cases, pharmacotherapy to manage psychotic symptoms. Early intervention is crucial to prevent further deterioration of mental health and to support recovery.
Detailed mental health evaluations, including history of substance use and current symptoms.
Patients presenting with acute psychosis following cannabis use, or chronic users developing persistent psychotic symptoms.
Consideration of co-occurring mental health disorders and the need for a multidisciplinary approach to treatment.
Comprehensive substance use history, including frequency, quantity, and context of cannabis use.
Patients in withdrawal experiencing psychotic symptoms, or those in recovery with a history of cannabis dependence.
Integration of addiction treatment strategies with mental health interventions.
Used for ongoing therapy for patients with cannabis dependence and psychosis.
Document the duration of the session and the focus on substance use and psychotic symptoms.
Psychiatrists may need to coordinate care with addiction specialists.
Cannabis dependence refers specifically to the physiological and psychological reliance on cannabis, while cannabis use disorder encompasses a broader range of issues related to cannabis use, including social and functional impairments.
