Bipolar disorder, current episode depressed, severe, with psychotic features
ICD-10 F31.5 is a billable code used to indicate a diagnosis of bipolar disorder, current episode depressed, severe, with psychotic features.
F31.5 refers to a severe depressive episode in the context of bipolar disorder, characterized by the presence of psychotic features. Patients with this diagnosis experience significant mood disturbances, including profound sadness, hopelessness, and a marked decrease in interest or pleasure in most activities. The psychotic features may manifest as delusions or hallucinations, which can complicate the clinical picture and necessitate careful management. This condition can severely impair daily functioning and increase the risk of self-harm or suicide. Treatment typically involves a combination of mood stabilizers, antipsychotic medications, and psychotherapy. The presence of psychotic features indicates a more severe form of the disorder, requiring close monitoring and a comprehensive treatment approach to mitigate risks and improve patient outcomes.
Detailed notes on mood episodes, psychotic symptoms, and treatment response.
Initial evaluation of a patient presenting with severe depression and psychotic symptoms.
Ensure thorough documentation of all symptoms and treatment adjustments.
Comprehensive history and mental status examination, including risk assessments.
Management of a patient with known bipolar disorder presenting with depressive symptoms.
Coordination with mental health specialists for comprehensive care.
Used for patients with severe depressive episodes requiring intensive therapy.
Document the duration of the session and the therapeutic interventions used.
Psychiatrists should ensure that the session addresses the patient's mood and psychotic symptoms.
Key symptoms include severe depressive mood, loss of interest in activities, psychotic features such as hallucinations or delusions, and significant impairment in daily functioning.
