Opioid dependence with opioid-induced psychotic disorder
ICD-10 F11.25 is a billable code used to indicate a diagnosis of opioid dependence with opioid-induced psychotic disorder.
Opioid dependence with opioid-induced psychotic disorder is characterized by a pattern of opioid use leading to clinically significant impairment or distress, accompanied by the presence of psychotic symptoms directly attributable to opioid use. Patients may experience hallucinations, delusions, or disorganized thinking as a result of their opioid consumption. This condition often arises in individuals who misuse prescription opioids or illicit opioids, leading to a cycle of dependence and exacerbation of mental health issues. The diagnosis requires careful assessment of the patient's history, including the duration and quantity of opioid use, the onset of psychotic symptoms in relation to opioid use, and the exclusion of other potential causes of psychosis. Treatment typically involves a combination of pharmacotherapy, such as methadone or buprenorphine, and psychosocial interventions, including cognitive-behavioral therapy and support groups, to address both the substance use disorder and the associated psychotic symptoms.
Detailed psychiatric evaluation, including mental status examination and history of substance use.
Patients presenting with acute psychosis following opioid use or those with chronic opioid dependence exhibiting psychotic features.
Consideration of differential diagnoses and the impact of co-occurring disorders on treatment.
Comprehensive assessment of substance use history, including types of opioids used and duration of use.
Patients in withdrawal experiencing psychotic symptoms or those in treatment programs with a history of opioid dependence.
Integration of psychosocial support and monitoring of treatment adherence.
Used for follow-up visits for patients with opioid dependence and psychotic symptoms.
Document the patient's history, mental status, and treatment plan.
Psychiatrists should ensure comprehensive mental health assessments are included.
Opioid dependence refers to the compulsive use of opioids leading to significant impairment, while opioid-induced psychotic disorder specifically involves the presence of psychotic symptoms that arise as a direct result of opioid use.
