Major depressive disorder, recurrent
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F33 is a billable code used to indicate a diagnosis of major depressive disorder, recurrent.
Major depressive disorder, recurrent (F33) is characterized by the presence of multiple episodes of major depression, which can significantly impair an individual's ability to function in daily life. Each episode is marked by a persistent low mood, loss of interest or pleasure in activities, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or excessive guilt, and recurrent thoughts of death or suicide. The recurrent nature of this disorder distinguishes it from a single episode of major depression, as individuals may experience multiple episodes throughout their lifetime, often with varying severity and duration. The diagnosis requires careful assessment of the patient's history, including the frequency and duration of depressive episodes, as well as any associated psychosocial stressors. Treatment typically involves a combination of psychotherapy and pharmacotherapy, including mood stabilizers and antidepressants. Given the high risk of suicide associated with recurrent major depressive disorder, thorough risk assessment and ongoing monitoring are critical components of care.
Comprehensive psychiatric evaluations, including history of present illness, past psychiatric history, and risk assessments.
Patients presenting with recurrent depressive episodes, treatment-resistant depression, and comorbid anxiety disorders.
Documenting the patient's response to treatment and any changes in symptoms or functioning.
Routine screening for depression, documentation of patient-reported outcomes, and follow-up care plans.
Patients with chronic medical conditions experiencing depressive symptoms, and those requiring referrals to mental health specialists.
Ensuring proper communication with mental health providers regarding treatment plans and patient progress.
Used for outpatient therapy sessions for patients with recurrent major depressive disorder.
Document the duration of the session, treatment goals, and patient progress.
Psychiatrists and psychologists should ensure that therapy notes reflect the patient's mental status and response to treatment.
Recurrent major depressive disorder is characterized by multiple episodes of depression, while a single episode involves only one occurrence. The recurrent nature requires documentation of the history and impact of previous episodes.
