Brief psychotic disorder
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F23 is a billable code used to indicate a diagnosis of brief psychotic disorder.
Brief psychotic disorder is characterized by the sudden onset of psychotic symptoms, such as delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior, lasting for at least one day but less than one month. This disorder can occur in response to a significant stressor or may arise without any identifiable stressor. Patients may experience a marked impairment in social or occupational functioning during the episode. The symptoms typically resolve completely, with no residual effects. It is crucial to differentiate this disorder from schizophrenia and other psychotic disorders, as the duration and nature of symptoms are key factors in diagnosis. The onset often occurs in late adolescence or early adulthood, and while the exact etiology remains unclear, genetic, environmental, and neurobiological factors may contribute. Treatment often involves the use of antipsychotic medications, psychotherapy, and support for the patient and their family.
Comprehensive psychiatric evaluation, including history of present illness, mental status examination, and assessment of functional impairment.
Initial evaluation of a patient presenting with acute psychotic symptoms, follow-up assessments to monitor treatment response.
Attention to the patient's psychosocial context and any potential stressors that may have contributed to the onset of symptoms.
Detailed documentation of the patient's presentation, including vital signs, mental status, and any interventions performed.
Patients presenting to the emergency department with acute psychosis, requiring immediate stabilization.
Rapid assessment and intervention are critical; documentation must reflect the urgency of the situation.
Used for initial assessment of a patient with suspected brief psychotic disorder.
Comprehensive evaluation including history, mental status, and functional assessment.
Psychiatric evaluations must be thorough to support the diagnosis.
Symptoms of brief psychotic disorder typically last for at least one day but less than one month. After this period, patients usually return to their premorbid level of functioning.
