Other reactions to severe stress
ICD-10 F43.89 is a billable code used to indicate a diagnosis of other reactions to severe stress.
F43.89 encompasses a range of psychological responses that occur in reaction to severe stressors that do not meet the criteria for more specific diagnoses such as post-traumatic stress disorder (PTSD) or acute stress disorder. Patients may experience symptoms such as anxiety, depression, irritability, and emotional numbness. These reactions can manifest in various forms, including adjustment disorders, anxiety disorders, obsessive-compulsive disorder (OCD), and specific phobias. The symptoms may arise following traumatic events, significant life changes, or chronic stressors, leading to functional impairment in social, occupational, or other important areas of functioning. Treatment often involves psychotherapy, medication management, and stress management techniques, including cognitive-behavioral therapy (CBT), mindfulness practices, and relaxation strategies. Understanding the nuances of these reactions is crucial for accurate diagnosis and effective treatment planning.
Detailed patient history, including stressor identification and symptomatology.
Patients presenting with anxiety, depression, or behavioral changes following a traumatic event.
Consideration of co-morbid conditions and the impact of social determinants of health.
Comprehensive assessment of mental health symptoms and psychosocial factors.
Patients with stress-related symptoms without a clear psychiatric diagnosis.
Integration of mental health screening in routine visits.
Used for patients receiving therapy for stress-related symptoms.
Document the duration of the session and the focus of therapy.
Psychiatrists may require more detailed notes on treatment progress.
F43.89 can be triggered by various stressors, including traumatic events, significant life changes, chronic stress, or ongoing interpersonal conflicts. It is essential to document the specific stressor to support the diagnosis.
