Other impulse disorders
ICD-10 F63.89 is a billable code used to indicate a diagnosis of other impulse disorders.
F63.89 encompasses a range of impulse control disorders that do not fit neatly into other specified categories. These disorders are characterized by an inability to resist a temptation, urge, or impulse that may harm oneself or others. Individuals may engage in behaviors such as compulsive gambling, shopping, or sexual activity, which can lead to significant distress or impairment in social, occupational, or other important areas of functioning. The impulsive behaviors often arise in the context of underlying personality disorders, such as borderline or antisocial personality disorder, where emotional dysregulation and interpersonal difficulties are prevalent. Additionally, these disorders may intersect with issues of gender identity and maladaptive behaviors, as individuals may struggle with societal norms and personal identity, leading to impulsive actions as a coping mechanism. Accurate diagnosis requires a thorough clinical assessment, including a detailed history of the individual's behavior patterns, emotional responses, and any co-occurring mental health conditions.
Detailed patient history, including behavioral patterns and emotional responses, treatment plans, and progress notes.
Patients presenting with compulsive behaviors, emotional dysregulation, or co-occurring personality disorders.
Consideration of comorbid conditions and the impact of impulsive behaviors on the patient's overall mental health.
Comprehensive psychological assessments, including standardized testing and behavioral observations.
Assessment of maladaptive behaviors in therapy settings, particularly in relation to identity issues.
Focus on therapeutic interventions and their effectiveness in managing impulsive behaviors.
Used for therapy sessions addressing impulse control issues.
Session notes must detail the focus on impulse control and any progress made.
Psychiatrists and psychologists should document the therapeutic approach and patient engagement.
F63.89 includes a variety of impulsive behaviors such as compulsive gambling, shopping, sexual activity, and other actions that individuals struggle to control, leading to negative consequences.
F63.89 is used when the specific impulse disorder does not fit into more defined categories like kleptomania or pathological gambling. A thorough assessment of the patient's behaviors and their impact is essential.
