Dissociative fugue
ICD-10 F44.1 is a billable code used to indicate a diagnosis of dissociative fugue.
Dissociative fugue is a subtype of dissociative disorder characterized by sudden, unexpected travel away from home or customary work locations, accompanied by an inability to recall one's past (personal history). This condition often arises in response to severe stress or trauma, such as emotional or physical abuse, natural disasters, or significant life changes. Individuals may assume a new identity or engage in complex behaviors without awareness of their actions. The fugue state can last for hours, days, or even longer, and upon recovery, the individual typically has no recollection of the events that occurred during the fugue. The condition is often associated with other mental health disorders, including anxiety disorders, PTSD, and depression, making accurate diagnosis and treatment essential. Treatment may involve psychotherapy, cognitive-behavioral therapy, and anxiety management techniques to address underlying issues and promote coping strategies.
Detailed patient history, including trauma history and mental status examination.
Patients presenting with sudden memory loss and travel history, often following a traumatic event.
Consideration of comorbid conditions such as PTSD and anxiety disorders is crucial for accurate coding.
Comprehensive psychological assessments and therapy notes detailing the patient's experiences and coping mechanisms.
Therapeutic settings where patients discuss episodes of fugue and their emotional triggers.
Documentation should reflect the therapeutic interventions used to address underlying anxiety and trauma.
Used for therapy sessions addressing the underlying causes of dissociative fugue.
Therapy notes must detail the patient's experiences and coping strategies.
Psychiatrists and psychologists should document the therapeutic approach and progress.
Primary symptoms include sudden, unexpected travel away from home, inability to recall personal history, and sometimes assuming a new identity. These symptoms often occur after a traumatic event.
