90822 Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management

Name of the Procedure:

Individual Psychotherapy, Insight Oriented, Behavior Modifying, and/or Supportive (in an inpatient hospital, partial hospital, or residential care setting, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management)

Summary

This is an in-depth psychotherapeutic session lasting about 75 to 80 minutes where a patient receives personalized therapy aimed at understanding and managing their thoughts, behaviors, and emotions. This session is conducted in inpatient, partial hospital, or residential care settings, and includes medical evaluation and management during the session.

Purpose

• Medical condition or problem addressed: Various mental health conditions, such as depression, anxiety, bipolar disorder, PTSD, and other psychological disorders.
• Goals or expected outcomes: To improve emotional and behavioral functioning, provide insights into personal and interpersonal issues, and develop coping strategies. Additionally, to manage and evaluate the patient's medical and psychological health.

Indications

• Specific symptoms or conditions: Severe depression, anxiety disorders, bipolar disorder, substance abuse, PTSD, chronic mental health issues, and severe stress-related problems.
• Patient criteria or factors: Patients experiencing significant psychological distress, those in need of intensive support and medical management, and individuals requiring a structured therapeutic setting.

Preparation

• Pre-procedure instructions:
  • Patient should be well-rested.
  • Avoid alcohol or recreational drugs.
  • List of current medications should be reviewed by the healthcare provider.
• Diagnostic tests or assessments: Psychological evaluation, medical history review, and possibly other diagnostic tests as deemed necessary by the healthcare provider.

Procedure Description

1. Initial Assessment: Review of patient's medical and psychological history.
2. Therapeutic Interaction: The therapist engages in face-to-face discussion with the patient, employing insight-oriented techniques, behavior-modifying strategies, and/or supportive counseling.
3. Behavioral Interventions: Application of cognitive-behavioral techniques and supportive dialogue.
4. Medical Evaluation and Management: Simultaneous monitoring and evaluation of the patient's medical condition, medication adjustments if necessary.

Tools/Equipment: Minimal; predominantly involves therapeutic techniques. Anesthesia or Sedation: Not applicable.

Duration

Approximately 75 to 80 minutes.

Setting

Inpatient hospital, partial hospital, or residential care setting.

Personnel

• Primary therapist (psychiatrist, psychologist, or licensed therapist)
• Nursing staff (if medical evaluation is required)
• Psychiatric nurse practitioners (for medication management)

Risks and Complications

• Common risks: Emotional distress as difficult issues are addressed.
• Rare risks: Potential exacerbation of symptoms, dependency on therapy.
• Management: Continuous monitoring, supportive care, and medication adjustments as needed.

Benefits

• Expected benefits: Improved mental health, better coping mechanisms, enhanced self-understanding, and behavioral change.
• Realization of benefits: May vary; some improvements might be noticed immediately, while others may take several sessions.

Recovery

• Post-procedure care/instructions: Follow-up sessions, continued medication adherence, engagement in recommended therapeutic activities.
• Recovery time: Varied, typically ongoing as part of a comprehensive treatment plan.
• Restrictions/Follow-up: As directed by the therapist or healthcare provider. Regular follow-up sessions are usually recommended.

Alternatives

• Other treatment options: Group therapy, medication alone, outpatient therapy, day programs, other forms of psychotherapy (e.g., cognitive-behavioral therapy).
• Pros and cons of alternatives: Alternatives may offer reduced intensity and less frequent monitoring but might be less effective for severe cases.

Patient Experience

• During the procedure: Patients might feel emotional distress or relief, depending on the subjects discussed.
• After the procedure: Possible emotional tiredness or catharsis; a sense of support and relief. Pain management typically not necessary, comfort is provided through therapeutic support and a safe environment.