Dissociative stupor
ICD-10 F44.2 is a billable code used to indicate a diagnosis of dissociative stupor.
Dissociative stupor is a psychological condition characterized by a significant reduction in responsiveness to the environment, often manifesting as a lack of movement, speech, or emotional expression. This state can occur in response to severe stress or trauma, and it is often associated with dissociative disorders. Patients may appear unresponsive or in a trance-like state, which can be mistaken for other medical conditions. The stupor can be a protective mechanism, allowing individuals to detach from overwhelming emotional experiences. It is essential to differentiate dissociative stupor from other psychiatric conditions such as catatonia or severe depression, as the treatment approaches may differ significantly. Management typically involves psychotherapy, particularly trauma-focused therapies, and may include medication for underlying anxiety or mood disorders. Understanding the context of the patient's trauma or stressors is crucial for effective treatment and recovery.
Detailed patient history, including trauma exposure and symptom duration.
Patients presenting with unresponsiveness following traumatic events or severe stress.
Consideration of comorbid conditions such as PTSD or anxiety disorders is essential for accurate coding.
Neurological evaluations to rule out organic causes of stupor.
Patients with altered mental status where dissociative stupor is suspected.
Differentiating between neurological and psychiatric causes of stupor is critical.
Used for patients diagnosed with dissociative stupor requiring therapy.
Document the therapeutic approach and patient response.
Psychiatrists should note the patient's history of trauma and current symptoms.
The primary treatment involves psychotherapy, particularly trauma-focused therapies, to help the patient process their experiences and regain functionality.
