Adjustment disorder with mixed disturbance of emotions and conduct
ICD-10 F43.25 is a billable code used to indicate a diagnosis of adjustment disorder with mixed disturbance of emotions and conduct.
Adjustment disorder with mixed disturbance of emotions and conduct is a psychological condition that arises in response to identifiable stressors, leading to emotional and behavioral symptoms that are more severe than expected. This disorder is characterized by a combination of emotional disturbances, such as anxiety and depression, alongside conduct issues, which may include disruptive behaviors or violations of societal norms. Patients may experience feelings of hopelessness, irritability, and anxiety, while also exhibiting behaviors such as aggression or defiance. The onset of symptoms typically occurs within three months of the stressor, and they can significantly impair social, occupational, or other important areas of functioning. Treatment often involves psychotherapy, stress management techniques, and, in some cases, pharmacotherapy to address specific symptoms. Understanding the interplay between emotional and conduct disturbances is crucial for effective management and coding of this condition.
Comprehensive psychiatric evaluations, including history of present illness, mental status examination, and treatment plan.
Patients presenting with stress-related symptoms following life changes such as divorce, job loss, or trauma.
Ensure that the documentation clearly reflects the mixed emotional and conduct disturbances to support the use of F43.25.
Detailed psychological assessments, including standardized testing and behavioral observations.
Clients experiencing emotional distress and behavioral issues following significant life stressors.
Document the specific stressor and the resultant emotional and behavioral responses to justify the diagnosis.
Used for therapy sessions addressing adjustment disorder symptoms.
Document the nature of the therapy, progress notes, and treatment goals.
Psychiatrists and psychologists should ensure that the therapy aligns with the diagnosis.
Adjustment disorder is specifically triggered by identifiable stressors and includes both emotional and behavioral symptoms, while anxiety disorders can occur without a specific stressor and may not include conduct disturbances.
