Obsessive-compulsive disorder
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F42 is a billable code used to indicate a diagnosis of obsessive-compulsive disorder.
Obsessive-compulsive disorder (OCD) is a chronic mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that the individual feels driven to perform. These obsessions and compulsions can significantly interfere with daily functioning and quality of life. Common obsessions include fears of contamination, fears of harming oneself or others, and fears of making a mistake. Compulsions may involve excessive cleaning, checking, counting, or repeating actions. The disorder can manifest in various forms and severity, often leading to significant anxiety and distress. Diagnosis is typically made based on clinical evaluation, including a thorough history and assessment of symptoms. Treatment options include cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), and pharmacotherapy with selective serotonin reuptake inhibitors (SSRIs). Early intervention and a comprehensive treatment plan are crucial for managing symptoms effectively.
Detailed patient history, symptom severity, treatment response, and any co-occurring disorders.
Initial diagnosis of OCD, treatment planning, and ongoing management of symptoms.
Documentation must clearly outline the nature of obsessions and compulsions, as well as the impact on daily functioning.
Comprehensive psychological assessments, including standardized measures of OCD symptoms.
Cognitive-behavioral therapy sessions focusing on exposure and response prevention.
Therapist notes should reflect the therapeutic process and patient progress in managing OCD symptoms.
Used for therapy sessions focused on managing OCD symptoms.
Session notes must detail the therapeutic approach and patient progress.
Psychiatrists and psychologists should ensure that the therapy aligns with the treatment plan for OCD.
OCD is characterized by unwanted obsessions and compulsions that cause significant distress, while obsessive-compulsive personality disorder involves a pervasive pattern of perfectionism and control without the presence of true obsessions or compulsions.
