Adjustment disorder with depressed mood
ICD-10 F43.21 is a billable code used to indicate a diagnosis of adjustment disorder with depressed mood.
Adjustment disorder with depressed mood is a psychological condition that arises in response to a significant life stressor or change, leading to emotional and behavioral symptoms that are disproportionate to the severity of the stressor. This disorder is characterized by feelings of sadness, hopelessness, and a lack of interest or pleasure in daily activities. Patients may also experience anxiety, difficulty concentrating, and changes in sleep or appetite. The symptoms typically develop within three months of the identifiable stressor and can last for up to six months after the stressor has ended. It is important to differentiate this condition from other mood disorders, as the symptoms are directly linked to the stressor and are not due to a pre-existing mood disorder. Treatment often involves psychotherapy, such as cognitive-behavioral therapy, and may include medication for managing symptoms of depression. Understanding the context of the stressor is crucial for effective treatment and management.
Detailed patient history, including stressor identification and symptom duration.
Patients presenting with depressive symptoms following a divorce, job loss, or other significant life changes.
Ensure that the stressor is clearly documented and linked to the patient's symptoms.
Comprehensive assessment of mental health status and any physical health concerns.
Patients with somatic complaints that may be linked to adjustment disorder.
Consider referral to mental health specialists for further evaluation and treatment.
Used for patients receiving therapy for adjustment disorder.
Document the duration of the session and the focus of therapy.
Psychiatrists and psychologists should ensure that the treatment plan aligns with the diagnosis.
Adjustment disorder is specifically triggered by a stressor and is time-limited, while major depressive disorder can occur without an identifiable stressor and may last longer.
