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Tuesday, April 16, 2019

Other Conditions That May Be a Focus of Clinical Attention


The disorders that may be the focus of clinical attention.

By: SOPHIA F. DZIEGIELEWSKI

This group of conditions are not mental disorders. Probst (2013) highlights the importance of this topic in that there may be a fine line between a life problem and a mental disorder.

Life transitions are rich with behavioral transitions, material deprivations, and abandonments that could easily be documented as a mental disorder to facilitate service reimbursement (Probst, 2014). This incentive provides fertile ground for documenting the effects ethical dilemmas and abuse can have on the diagnostic assessment.

To facilitate use of these codes, the list has nine main subject areas: relational problems; abuse and neglect; housing and economic problems; educational and occupational problems; other problems related to the social environment; problems related to crime or interaction with the legal system; other health service encounters for counseling and medical advice; problems related to other psychosocial, personal, and environmental circumstances; and other circumstances of personal history.

For a comprehensive list of the main categories that outline the other disorders that may be a focus of clinical attention, see This Quick Reference. For a complete list of all the codes and subcategories possible in each area, see the DSM-5.

Other Conditions That May Be a Focus of Clinical Attention

Relational Problems
Problems Related to Family Upbringing
Other Problems Related to Primary Support Group
Abuse and Neglect
Child Maltreatment and Neglect Problems
Adult Maltreatment and Neglect Problems
Educational and Occupational Problems
Educational Problems
Occupational Problems
Housing and Economic Problems
Housing Problems
Economic Problems
Other Problems Related to the Social Environment
Problems Related to Crime or Interaction With the Legal System
Other Health Service Encounters for Counseling and Medical Advice
Problems Related to Other Psychosocial, Personal, and Environmental Circumstances

Other Circumstances of Personal History
Problems Related to Access to Medical and Other Health Care
Non-adherence to Medical Treatment
Source: Summarized from the Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition
. Copyright 2013 by the American Psychiatric Association.

With the elimination of the multi-axial diagnostic system used in DSM-IV and DSM-IV-TR, this newly revised chapter (Chapter 22) of other conditions can be helpful. Conditions that document stressors and contributing factors that would have been previously placed on Axis IV allow for some aspect of recognition. In DSM-5, the V codes remain reflective of the ICD-(CM), and the Z codes are related to ICD-10. See the DSM-5s Other Conditions That May Be a Focus of Clinical Attention (pp. 715727) for a full listing of these disorders.

When coding for billing or simply documenting these conditions in the record, the practitioner needs to be sure that the criteria to justify this support diagnostic category are met. Often to support this effort, as discussed later in this chapter, further information may be needed, including psychometric testing such as rapid and self-administered assessment instruments.

Listing other conditions that may be a focus of clinical attention pertinent to the diagnosis can
assist in documenting the supportive information that needs to be in the record. Although these conditions are not mental disorders, the symptoms the client is experiencing may initially present in a severe enough form to make the professional consider assigning a diagnosis.

The circumstances listed in this section are broken into categories. For example, when information is listed under the relational disorders, these supporting circumstances can influence the presentation of the disorder. Once a practitioner is aware of these circumstances, they can influence and in some cases change the disorder identified, as well as the course of treatment.

For example, an older clients reaction to the death of a loved one may be significant enough to meet the criteria for bereavement or major depressive disorder (MDD). In uncomplicated bereavement, however, the individual often recognizes what is happening and contributing to the symptoms reported. Although the symptoms may clearly match what might be present in a major depressive disorder, such as trouble sleeping, lack of appetite, and weight loss, these symptoms could be considered a normal reaction to the death of a loved one.

In uncomplicated bereavement, the symptoms experienced become the focus of clinical attention, and all supportive treatment is related directly to the recent death (APA, 2013). Yet, the individual may ask for treatment and management of these symptoms as a way to speed the grief process and regain his or her prior level of functioning. The symptoms combined with the grief reaction make it difficult to determine whether it is uncomplicated bereavement or indicative of something greater (Wakefield & Schmitz, 2014).

As Frances (2013) summarized so succinctly, when there is clinical doubt, underdiagnosing is always better than overdiagnosing. The label given to a client could last a lifetime. In the case of the grief reaction, this mistake could be costly. As part of normal life transitions as people age, the likelihood of experiencing repeated losses of partners, family, and friends increases. Repeated losses and the constant adjustment process can easily lead to feelings of sadness, disturbed sleep, and loss of appetiteall symptoms that can resemble depression. Although the individual eventually learns to cope with these changes and losses, the responses that occur in the adjustment process vary considerably.

One major change in DSM-5 was the change of name for this category from bereavement to uncomplicated bereavement. This change in title was made to highlight that the symptoms experienced are not beyond a normal reaction to the death of the loved one. Furthermore, taking research evidence into account, the task group also agreed to delete the 2-month bereavement exclusion from major depressive disorder (MDD).

The time frame in the previous edition of the DSM was questioned because research evidence was lacking to support what constitutes normal bereavement, especially in terms of the time frame (2 months versus 6 months versus 1 year) (Wakefield & Schmitz, 2014). Whether clearly supported in the literature or not, taking this information into account and utilizing it provided one important reason for eliminating the bereavement exclusion. Elimination of the 2-month waiting period was formalized in DSM-5 when grief-related systems could be better explained by normal reactions to the death of the loved one. See Chapter 7 on depressive disorders and MDD criteria for a more comprehensive explanation of this change and how it relates to the manifestation of depression and suicidal ideation and intent.

The revised categories such as uncomplicated bereavement are intended to help the client and family and friends within his or her support system, as well as other professional and nonprofessional helpers, to better understand and explain the individuals behaviors. This diagnostic category can also avoid giving the client a label that might not be appropriate.

Another example of this category under other circumstances of personal history, further subdivided into non-adherence to medical treatment, is malingering (coded as V65.2 or Z76.5). Although a client may present with multiple severe individual, occupational, and social problems, if the client meets the criteria for the condition of malingering, careful evaluation and documentation are required.

Malingering is not a mental disorder. It involves the intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives such as avoiding(APA, 2013, p. 726). Acknowledging and clearly documenting these intentionally created symptoms is essential for the practitioner. Examining these symptoms and contrasting them with any external incentives is important for a comprehensive diagnostic assessment.

This category also outlines several situational and environmental conditions where avoidance is most likely to occur, such as military duty, employment, seeking financial compensation, or trying to avoid criminal prosecution. To apply this further, consider a client who wants to qualify for a documented disability in order to receive a disability check. In desperation, the client may feign or grossly exaggerate what he or she is feeling to obtain the disability status. In actuality, with this type of planned, deliberate behavior, the client would not qualify as having a mental disorder related to the reason for visit. In such cases, the clients behaviors are viewed as primarily manipulative. Therefore, a diagnosis of a mental disorder would be inappropriate.

When the chapter is utilized properly, it is easy to see that the conditions that may be the focus of clinical attention can support completion of a thorough comprehensive diagnostic assessment. Although important for use, these conditions should not be applied haphazardly.

For example, to better define malingering, DSM-5 goes beyond what was described in the previous version. The current version defines four circumstances that can help to identify malingering. The first is identifying the reason for the referral. Referrals that come from an attorney with litigation pending or self-referrals in similar circumstances are suspect. The second area is the actual assessment, especially when discrepancies do not match the overall presentation and the practitioner questions if the client is accurately presenting information. The third area relates directly to the clients attitude and whether he or she is cooperative and interested in the assessment process. Does the client either avoid pertinent questions or providing information that could facilitate the diagnostic assessment? Fourth, the client who qualifies for antisocial personality disorder would not meet the criteria supportive of malingering. Using a combination approach and taking into account all four of these items could make a difference in whether this term is applied.

In summary, conditions that may be the focus of clinical intervention can be used to support the diagnosis. This article discusses only some of the supportive conditions. Documenting these conditions is considered essential for completing a comprehensive diagnostic assessment. Although they are not mandatory for inclusion, I believe they should be. Use of this supplemental supporting information is highly encouraged, as life circumstances can often impede any clinical presentation. When they are present, be sure to note them. All practitioners should be familiar with them and able to utilize them in the supportive and supplemental way intended.

References

SOPHIA F. DZIEGIELEWSK, 2015, DSM-5TM in Action, by John Wiley & Sons, Inc.

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