Adjustment disorder with disturbance of conduct
ICD-10 F43.24 is a billable code used to indicate a diagnosis of adjustment disorder with disturbance of conduct.
Adjustment disorder with disturbance of conduct is characterized by the development of emotional or behavioral symptoms in response to an identifiable stressor, occurring within three months of the onset of the stressor. This condition manifests as a significant disturbance in conduct, which may include behaviors such as aggression, defiance, or violation of societal norms. Patients may exhibit symptoms such as irritability, impulsivity, and difficulty in social interactions. The disturbance in conduct is disproportionate to the severity or intensity of the stressor and causes significant impairment in social, occupational, or other important areas of functioning. It is crucial to differentiate this disorder from other anxiety disorders, PTSD, and conduct disorders, as the treatment and management strategies may differ significantly. Effective management often involves psychotherapy, stress management techniques, and, in some cases, pharmacotherapy to address co-occurring symptoms of anxiety or depression.
Comprehensive assessment of the patient's history, stressor identification, and symptom severity.
Patients presenting with behavioral issues following a significant life change, such as divorce or job loss.
Ensure that the documentation clearly outlines the relationship between the stressor and the conduct disturbance.
Detailed history of the child's behavior, family dynamics, and any recent changes in environment or routine.
Children exhibiting aggressive behavior after parental separation or bullying incidents.
Consider developmental factors and ensure that the stressor is age-appropriate.
Used for therapy sessions addressing behavioral issues related to adjustment disorder.
Document the duration of the session, the focus of therapy, and the patient's response.
Psychiatrists should ensure that the treatment plan aligns with the diagnosis.
Adjustment disorder is a temporary response to a specific stressor, while conduct disorder is a more chronic condition characterized by a pattern of behavior that violates societal norms.
