Mixed obsessional thoughts and acts
ICD-10 F42.2 is a billable code used to indicate a diagnosis of mixed obsessional thoughts and acts.
Mixed obsessional thoughts and acts, classified under obsessive-compulsive disorder (OCD), is characterized by the presence of both obsessional thoughts and compulsive behaviors that are not exclusively linked to a single theme. Patients may experience intrusive thoughts that provoke anxiety, leading them to engage in various compulsive acts in an attempt to alleviate that anxiety. These obsessions can manifest as fears of contamination, harm, or the need for symmetry, while compulsions may include repetitive cleaning, checking, or counting behaviors. The mixed nature of this condition complicates the clinical picture, as patients may not fit neatly into the categories of pure obsessional or compulsive disorders. This complexity can lead to significant distress and impairment in daily functioning, affecting personal relationships, occupational performance, and overall quality of life. Effective management often requires a combination of cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), and pharmacotherapy, typically involving selective serotonin reuptake inhibitors (SSRIs). Understanding the nuances of this disorder is crucial for accurate diagnosis and treatment planning.
Detailed patient history, symptom description, treatment plans, and response to therapy.
Patients presenting with anxiety, compulsive behaviors, and significant distress affecting daily life.
Consideration of co-morbid anxiety disorders and the impact of treatment on symptoms.
Comprehensive psychological assessments, including standardized testing and behavioral observations.
Patients undergoing cognitive-behavioral therapy for OCD symptoms.
Focus on behavioral interventions and patient engagement in therapy.
Used for outpatient therapy sessions focusing on OCD management.
Session notes detailing patient progress and treatment focus.
Psychiatrists may also include medication management in their notes.
F42.2 is specifically for cases where patients exhibit both obsessional thoughts and compulsive acts that do not fit into a single theme, making it more complex than other OCD classifications.
