Cocaine Abuse with Cocaine-Induced Mood Disorder (F14.14)

Name of the Condition

• Common name: Cocaine abuse with mood disorder
• Medical term: Cocaine use disorder with mood disturbance

Summary

Cocaine abuse with cocaine-induced mood disorder is a condition characterized by the misuse of cocaine, leading to significant mood disturbances such as depression or mania. The psychological effects can be severe and interfere with daily functioning.

Causes

The primary cause is the repeated use of cocaine, a powerful stimulant that affects brain chemistry and can lead to addiction. The mood disorder arises as a direct consequence of cocaine's impact on the brain.

Risk Factors

• Frequent use of cocaine
• History of mental health disorders
• Genetic predisposition to addiction
• Exposure to environments where cocaine use is prevalent

Symptoms

• Mood swings, ranging from euphoria to severe depression
• Irritability and agitation
• Anxiety
• Loss of interest in activities once enjoyed
• Changes in appetite or sleep patterns

Diagnosis

• Clinical assessment by a mental health professional
• Patient history and evaluation of substance use
• Psychological evaluation to detect mood disorders

Treatment Options

• Behavioral therapy: Cognitive-behavioral therapy (CBT) to change patterns of thinking or behavior.
• Medications: Antidepressants or mood stabilizers may be used to help manage mood disturbances.
• Support groups: Participation in groups like Narcotics Anonymous for peer support.
• Inpatient rehabilitation programs: For more severe cases, structured treatment programs may be necessary.

Prognosis and Follow-Up

• Prognosis varies depending on the severity of the cocaine use and mood disorder, the individual’s commitment to treatment, and support systems.
• Regular follow-up is crucial to monitor progress and prevent relapse.

Complications

• Risk of developing chronic mood disorders
• Increased risk of cardiovascular issues due to cocaine use
• Potential for substance overdose, which can be fatal

Lifestyle & Prevention

• Abstinence from cocaine and other illicit substances
• Maintaining a balanced diet and regular exercise
• Participating in stress-reduction activities like yoga or meditation
• Regular mental health check-ups

When to Seek Professional Help

• Experiencing severe mood swings or depressive episodes
• Inability to reduce or stop cocaine use despite wanting to quit
• Symptoms of cocaine overdose, such as chest pain or difficulty breathing, require immediate medical attention.

Additional Resources

• Substance Abuse and Mental Health Services Administration (SAMHSA)
• National Institute on Drug Abuse (NIDA)
• American Psychological Association (APA) resources on addiction

Tips for Medical Coders

• Ensure documentation specifies the mood disorder is induced by cocaine.
• Double-check that the substance abuse component is clearly identified as cocaine-related.
• Avoid common errors such as confusing substance-induced mood disorders with primary mood disorders.