Undue concern and preoccupation with stressful events
ICD-10 R46.6 is a billable code used to indicate a diagnosis of undue concern and preoccupation with stressful events.
R46.6 refers to a condition characterized by excessive worry and fixation on stressful life events, which can lead to significant distress and impairment in daily functioning. Patients may exhibit symptoms such as anxiety, irritability, sleep disturbances, and difficulty concentrating. This preoccupation can stem from various sources, including personal, professional, or societal stressors. Clinically, it is essential to differentiate this condition from other anxiety disorders, as it may not meet the full criteria for generalized anxiety disorder or other specific anxiety disorders. The condition can manifest in various ways, including somatic complaints, avoidance behaviors, and changes in social interactions. It is crucial for healthcare providers to assess the impact of these concerns on the patient's overall mental health and quality of life, as well as to explore potential underlying psychological issues that may contribute to the undue concern.
Detailed history of stressors, impact on daily life, and any associated physical symptoms.
Patients presenting with somatic complaints linked to stress, such as headaches or gastrointestinal issues.
Consideration of comorbid conditions such as depression or chronic illness that may exacerbate undue concern.
Acute assessment of mental status, immediate stressors, and any safety concerns.
Patients presenting with acute anxiety attacks or psychosomatic symptoms following a traumatic event.
Rapid assessment and documentation of the patient's mental state and any immediate interventions provided.
Used when a patient presents with undue concern and requires evaluation and management.
Document the patient's history, examination findings, and treatment plan.
Internal medicine providers should focus on both mental and physical health aspects.
R46.6 should be used when a patient exhibits undue concern and preoccupation with stressful events that significantly impacts their daily functioning but does not meet the criteria for a specific anxiety disorder.
