Cannabis dependence with psychotic disorder, unspecified
ICD-10 F12.259 is a billable code used to indicate a diagnosis of cannabis dependence with psychotic disorder, unspecified.
Cannabis dependence with psychotic disorder, unspecified, refers to a condition where an individual exhibits a pattern of cannabis use that leads to clinically significant impairment or distress, accompanied by symptoms of psychosis. This may include hallucinations, delusions, or disorganized thinking that are directly attributable to cannabis use. The diagnosis is made when the individual meets the criteria for cannabis dependence, which includes tolerance, withdrawal symptoms, and a persistent desire to cut down or control use. The psychotic symptoms must be present during the period of intoxication or withdrawal, and they cannot be better explained by another mental disorder. This condition poses significant challenges in treatment, as the presence of psychosis complicates the management of cannabis dependence. Treatment often requires a multidisciplinary approach, including psychotherapy, medication management, and support groups, tailored to address both the substance use disorder and the psychotic symptoms.
Detailed psychiatric evaluation, including history of substance use and mental health symptoms.
Patients presenting with acute psychosis following cannabis use, or chronic users developing persistent psychotic symptoms.
Careful assessment of the timeline of substance use and onset of psychotic symptoms is crucial.
Comprehensive substance use history, including frequency, quantity, and context of cannabis use.
Patients in withdrawal experiencing psychotic symptoms or those in treatment programs for cannabis dependence.
Integration of behavioral therapies and pharmacological treatments for both cannabis dependence and psychosis.
Used for follow-up visits for patients with cannabis dependence and psychotic symptoms.
Document the patient's mental status, substance use history, and treatment plan.
Psychiatrists should focus on both mental health and substance use aspects.
Cannabis dependence refers to a pattern of cannabis use leading to significant impairment or distress, while cannabis-induced psychotic disorder specifically refers to psychotic symptoms that occur during or shortly after cannabis use, without the dependence criteria.
