Opioid dependence with opioid-induced psychotic disorder with delusions
ICD-10 F11.250 is a billable code used to indicate a diagnosis of opioid dependence with opioid-induced psychotic disorder with delusions.
Opioid dependence with opioid-induced psychotic disorder with delusions is characterized by a pattern of opioid use leading to clinically significant impairment or distress, accompanied by the presence of psychotic symptoms such as delusions that are directly attributable to the use of opioids. This condition often arises in individuals who have developed a tolerance to opioids and may experience withdrawal symptoms when not using the substance. The delusions can manifest as false beliefs that are firmly held despite contradictory evidence, often leading to significant functional impairment. The diagnosis requires a thorough assessment to differentiate between primary psychotic disorders and those induced by substance use. Treatment typically involves a combination of pharmacotherapy, such as methadone or buprenorphine, and psychosocial interventions, including cognitive behavioral therapy and support groups. The complexity of managing this condition lies in addressing both the substance dependence and the associated psychotic symptoms, necessitating a multidisciplinary approach to care.
Detailed psychiatric evaluation, including mental status examination and substance use history.
Patients presenting with acute psychosis and a history of opioid use.
Need for careful monitoring of both psychiatric and substance use treatment outcomes.
Comprehensive assessment of substance use patterns, including frequency, quantity, and impact on functioning.
Patients in withdrawal experiencing psychotic symptoms.
Integration of addiction treatment with mental health services.
Used when assessing a patient with opioid dependence and psychotic symptoms.
Comprehensive assessment notes detailing mental status and substance use history.
Psychiatrists should ensure thorough documentation to support the diagnosis.
Opioid dependence refers to the compulsive use of opioids leading to significant impairment, while opioid-induced psychotic disorder is characterized by the presence of psychotic symptoms, such as delusions, that are directly related to opioid use.
