Adjustment disorder with anxiety
ICD-10 F43.22 is a billable code used to indicate a diagnosis of adjustment disorder with anxiety.
Adjustment disorder with anxiety is a psychological condition that arises in response to a significant life stressor or change, leading to emotional or behavioral symptoms that are disproportionate to the severity of the stressor. Patients may experience excessive worry, nervousness, and anxiety that can interfere with daily functioning. Symptoms typically manifest within three months of the identifiable stressor and can include restlessness, difficulty concentrating, and sleep disturbances. Unlike generalized anxiety disorder, the anxiety in adjustment disorder is directly linked to the stressor and tends to resolve once the individual adapts to the new situation or the stressor is removed. Treatment often involves psychotherapy, such as cognitive-behavioral therapy, and may include pharmacotherapy for symptom relief. It is crucial for healthcare providers to differentiate adjustment disorder from other anxiety disorders, such as PTSD or OCD, which have distinct diagnostic criteria and treatment approaches.
Detailed patient history, including stressor identification and symptom duration.
Patients presenting with anxiety following job loss, divorce, or other significant life changes.
Ensure that the stressor is clearly documented and that symptoms are linked to it.
Comprehensive assessment of mental health status and stressor impact on daily life.
Patients with anxiety symptoms following a medical diagnosis or significant lifestyle change.
Consider referral to mental health specialists for ongoing management.
Used for therapy sessions addressing anxiety symptoms related to adjustment disorder.
Document the nature of the therapy, patient progress, and linkage to the diagnosis.
Psychiatrists may require more detailed notes on treatment efficacy.
Adjustment disorder with anxiety is specifically linked to a stressor and typically resolves as the individual adapts, while generalized anxiety disorder is characterized by persistent anxiety that is not tied to a specific event.
