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, 4^th ed. Jaypee Brothers Medical Publishers.

Personalaity Disorders

A personality disorder states that the pattern of inner experience and bx deviates from expectations of the individual’s (not the therapist’s) culture. This could be in cognition, affectivity, interpersonal functioning, and impulse control.

Cluster A Personality Disorders:

                Paranoid Personality D/o – suspiciousness of others (w/o basis)

                Schizoid Personality D/o – detachment from social relationship and restricted emotional range

                Schizotypal Personality D/o – social/interpersonal deficits due to acute discomfort with close relationships

 

Cluster B:

                Antisocial Personality D/o – disregard for and violation of the rights of others

                Borderline Personality D/o – instability in interpersonal relationships, self-image, and affects

                Histrionic Personality D/o – pervasive and excessive emotionality and attention-seeking bx

                Narcissistic Personality D/o – pattern of grandiosity, need for admiration, lack of empathy

Cluster C:

                Avoidant Personality D/o – feeling inadequate, hypersensitive to negative evaluation, pattern of social inhibition

                Dependent Personality D/o – need to be taken care of leading to submissive and clinging bx and fear of separation

                Obsessive-Compulsive Personality D/o – orderly, perfectionist, preoccupation with mental and interpersonal control, in an inflexible and closed way

                Personality D/o NOS – might be presence of features for multiple diagnoses but not full for anyone in particular

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

Impulse Control D/o's and Adjustment D/o's

Impulse Control Disorders Not Elsewhere Identified

Intermittent Explosive D/o – failure to resist aggressive bx

Kleptomania – impulses to steal

Pyromania – deliberately sets things on fire

Pathological Gambling

Trichotillomania – pulling out of one’s hair

Impulse-Control D/o NOS

Adjustment Disorders

Development of emotional or behavioral symptoms in response to stressors occurring within 3 months of onset of stressor. Distress is in excess of what would be expected normally and impairs social or occupational functioning. It can have the following specifiers:

   Acute or Chronic

   With Depressed Mood

   With Anxiety

   With Mixed Anxiety and Depressed Mood

   With Disturbance of Conduct

   With Mixed Disturbance of Emotions and Conduct

   Unspecified

I don't know if it's appropriate or not, but I know that a lot of psychiatrists/psychologists/therapists diagnose adjustment disorder with one of the specifiers initially in order to prevent diagnosing with a more intense diagnoses that they might not meet criteria for. For example, diagnoses typically stay with the person for life and if you diagnose them with RAD or MDD or even Generalized Anxiety D/o, they are stuck with that. Adjustment disorder just states that they are going through a rough time and aren't able to get through it like most people can.

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