Dysthymic disorder
ICD-10 F34.1 is a billable code used to indicate a diagnosis of dysthymic disorder.
Dysthymic disorder, also known as persistent depressive disorder, is characterized by a chronic state of depression that lasts for at least two years in adults (one year in children and adolescents). Patients often experience a depressed mood most of the day, more days than not, along with additional symptoms such as low self-esteem, feelings of hopelessness, fatigue, and difficulty concentrating. Unlike major depressive disorder, dysthymia is less severe but more enduring, which can lead to significant impairment in social, occupational, and other important areas of functioning. The condition may also co-occur with other mood disorders, including major depressive episodes, which can complicate the clinical picture. Treatment typically involves psychotherapy, medication such as mood stabilizers or antidepressants, and lifestyle modifications. Given the chronic nature of dysthymic disorder, ongoing assessment for suicide risk is crucial, as individuals may have a higher propensity for suicidal ideation due to prolonged emotional distress.
Comprehensive mental status exams, detailed history of mood symptoms, and treatment plans.
Patients presenting with chronic low mood, fatigue, and difficulty in daily functioning.
Regular assessments for suicidal ideation and functional impairment are essential.
Routine screening for depression, documentation of patient-reported outcomes, and follow-up care plans.
Patients with chronic complaints of fatigue, sleep disturbances, and low mood without clear physical causes.
Collaboration with mental health specialists for comprehensive care.
Used for ongoing therapy sessions for patients with dysthymic disorder.
Document the duration of the session, treatment goals, and patient progress.
Psychiatrists and psychologists should ensure treatment plans align with coding.
Dysthymic disorder is characterized by a chronic low mood lasting for at least two years, while major depressive disorder involves more severe episodes of depression that can occur intermittently. Dysthymia is often less severe but more persistent.
