Nightmare disorder
ICD-10 F51.5 is a billable code used to indicate a diagnosis of nightmare disorder.
Nightmare disorder is characterized by recurrent, distressing dreams that typically involve threats to the safety or well-being of the individual or others. These nightmares often lead to awakening from sleep, accompanied by significant anxiety or distress. The condition can result in sleep disturbances, daytime fatigue, and impaired functioning. Nightmares are more prevalent in children but can persist into adulthood, often exacerbated by stress, trauma, or underlying mental health conditions. Diagnosis is based on the frequency and impact of the nightmares on the individual's sleep quality and daily life. Treatment may include psychotherapy, particularly cognitive-behavioral therapy, and in some cases, medication may be prescribed to alleviate symptoms. Understanding the psychological and physiological factors contributing to nightmare disorder is crucial for effective management and treatment.
Detailed patient history, including trauma history, sleep patterns, and treatment response.
Patients presenting with recurrent nightmares following trauma or significant stress.
Consideration of comorbid mental health disorders and their impact on treatment.
Sleep studies, detailed sleep logs, and assessments of sleep quality.
Patients undergoing evaluation for sleep disorders with reported nightmares.
Integration of polysomnography results with clinical findings.
Used when assessing the psychological impact of nightmares on a patient.
Document the assessment findings and treatment recommendations.
Psychiatrists may use this code in conjunction with F51.5 for comprehensive care.
The primary symptoms include recurrent distressing dreams that lead to awakening, often accompanied by anxiety or fear, and significant distress or impairment in social, occupational, or other important areas of functioning.
