Tuesday, January 29, 2013

Other Conditions That May be a Focus of Clinical Attention


 Psychological Factor Affecting Medical Condition – influences course of gen med condition or interferes with tx
                Mental d/o affecting…
                Psychological symptoms affecting…
                Personality Traits or Coping Style Affecting…
                Maladaptive Health bx Affecting…
                Stress-Related Physiological Response affecting…
                Other or unspecified Factors Affecting…
Medication-Induced Movement D/o’s
                Neuroleptic-Induced Parkinsonism
                Neuroleptic Malignant Syndrome
                Neuroleptic-Induced Acute Dystonia
                Neuroleptic-Induced Acute Akathisia
                Neuroleptic-Induced Tardive Dyskinesia
                Medication Induced Postural Tremor
                Medication-Induced Movement D/o NOS
Other:
                Adverse Effects of Medication NOS

Relational Problems: (tend to be significant in clinical realms but do not have codes - hence usually can't be billed for in outpatient therapy)
                Relational Problem Related to Mental D/o or Gen Med Condition
                Parent-Child Relationship Problem
                Partner Relational Problem
                Sibling Relational Problem
                Relational Problem NOS
Problems related to Abuse or Neglect:
                Physical Abuse of Child
                Sexual Abuse of Child
                Neglect of Child
                Physical Abuse of Adult
                Sexual Abuse of Adult
Additional Conditions:
                Noncompliance with Treatment
                Malingering – intentional production of false or grossly exaggerated physical or psychological symptoms motivated by external incentives such as avoiding work, increase financial benefits, obtaining drugs
                Adult Antisocial Bx – not due to mental illness
                Child or Adolescent Antisocial Bx – isolated acts w/o a pattern
                Borderline Intellectual Functioning – IQ in 71-84 range (coded on Axis II)
                Age-Related Cognitive Decline
                Bereavement – loss of loved one
                Academic Problem – not due to mental d/o
                Occupational Problem
                Identity Problem – regarding goals, friends, sexual orientation, morals/values
                Religious or Spiritual Problem
Acculturation Problem – can follow migration and involved adjustment to a different culture
Phase of Life Problem


American Psychiatric Association. (2000). Diagnositc and Statistical Manual of Mental Disorders Text Revision, 4th ed. Jaypee Brothers Medical Publishers.

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