Low self-esteem
ICD-10 R45.81 is a billable code used to indicate a diagnosis of low self-esteem.
Low self-esteem is characterized by a pervasive sense of inadequacy and self-doubt, often leading to negative self-perception and feelings of worthlessness. Individuals may exhibit signs such as withdrawal from social interactions, reluctance to engage in new activities, and a tendency to criticize themselves harshly. Clinically, low self-esteem can manifest through various symptoms, including anxiety, depression, and difficulty in making decisions. It may also be associated with physical symptoms like fatigue or psychosomatic complaints. The condition is not classified under other specific mental health disorders but can significantly impact an individual's quality of life and functioning. It is essential for healthcare providers to recognize low self-esteem as a legitimate concern that may require intervention, including counseling or therapy, to help patients develop healthier self-perceptions and coping strategies.
Detailed patient history, including psychosocial factors and any comorbid conditions.
Patients presenting with chronic fatigue, anxiety, or depressive symptoms without a clear medical cause.
Consideration of how low self-esteem may affect treatment adherence and overall health outcomes.
Acute assessment of mental status and any immediate safety concerns.
Patients presenting with suicidal ideation or acute distress related to low self-esteem.
Rapid evaluation of risk factors and appropriate referrals to mental health services.
Used when providing therapy to address low self-esteem.
Document the therapeutic approach and progress notes.
Mental health specialists should ensure comprehensive documentation of the patient's self-esteem issues.
Yes, R45.81 can be used in conjunction with other mental health diagnoses if low self-esteem is a significant issue impacting the patient's treatment and quality of life.
