Cocaine abuse with cocaine-induced psychotic disorder with delusions
ICD-10 F14.150 is a billable code used to indicate a diagnosis of cocaine abuse with cocaine-induced psychotic disorder with delusions.
Cocaine abuse with cocaine-induced psychotic disorder with delusions is characterized by the chronic use of cocaine leading to significant psychological disturbances. Patients may experience delusions, hallucinations, and other psychotic symptoms as a direct result of cocaine intoxication or withdrawal. The condition is often marked by a pattern of compulsive drug-seeking behavior, which can lead to severe impairment in social, occupational, and interpersonal functioning. Cocaine acts as a powerful stimulant, affecting neurotransmitter systems in the brain, particularly dopamine pathways. The onset of psychotic symptoms can occur during periods of high use or during withdrawal, complicating the clinical picture. Treatment typically involves a combination of behavioral therapies, support groups, and, in some cases, pharmacotherapy to manage symptoms and reduce cravings. Understanding the interplay between cocaine use and psychotic symptoms is crucial for effective diagnosis and treatment.
Detailed psychiatric evaluations, including mental status exams and substance use history.
Patients presenting with acute psychosis following cocaine use or withdrawal.
Need for careful assessment of co-occurring mental health disorders.
Comprehensive substance use assessments and treatment plans.
Patients in detoxification programs experiencing psychotic symptoms.
Integration of behavioral therapies and pharmacotherapy in treatment plans.
Used during initial evaluation of a patient with cocaine-induced psychosis.
Comprehensive assessment notes detailing mental status and substance use history.
Psychiatric evaluations must be thorough to support diagnosis.
F14.150 includes the presence of delusions as a symptom of cocaine-induced psychotic disorder, while F14.149 does not.
