Reaction to severe stress, and adjustment disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F43 is a billable code used to indicate a diagnosis of reaction to severe stress, and adjustment disorders.
F43 encompasses a range of psychological responses to severe stressors, including adjustment disorders, acute stress disorder, and post-traumatic stress disorder (PTSD). These conditions arise when individuals experience significant life changes or traumatic events, leading to emotional and behavioral symptoms that can disrupt daily functioning. Adjustment disorders are characterized by emotional or behavioral symptoms occurring within three months of a stressor, while PTSD involves more severe symptoms that persist for over a month following exposure to a traumatic event. Common symptoms include anxiety, depression, irritability, and difficulty concentrating. The diagnosis requires a thorough clinical assessment, including the identification of the stressor and the duration of symptoms. Treatment often involves psychotherapy, medication, and stress management techniques, focusing on helping individuals cope with their reactions and adjust to their circumstances.
Detailed patient history, including stressor identification and symptom duration.
Patients presenting with anxiety following a traumatic event or significant life changes.
Consideration of co-morbid mental health conditions and their impact on treatment.
Comprehensive assessment of psychosocial factors and referral notes if applicable.
Patients with stress-related symptoms without prior psychiatric history.
Coordination with mental health specialists for comprehensive care.
Used for outpatient therapy sessions for adjustment disorders.
Session notes detailing the patient's progress and treatment goals.
Psychiatrists and psychologists should document the therapeutic approach and interventions used.
Acute stress disorder occurs within three days to one month following a traumatic event, while PTSD symptoms persist for more than a month. Both conditions share similar symptoms, but the duration and timing of symptom onset are key differentiators.
