Name of the Condition

• Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified
• ICD-10 Code F19.259

Summary

This condition involves a dependence on substances other than alcohol or tobacco, accompanied by psychotic symptoms caused by these substances. These symptoms can disrupt an individual's perception and behavior, impacting daily life.

Causes

The condition is primarily caused by the chronic use of psychoactive substances, which may alter brain chemistry. These substances could include hallucinogens, inhalants, or other drugs excluding alcohol and tobacco.

Risk Factors

• Prolonged use of psychoactive substances
• A personal or family history of substance abuse or mental health disorders
• Environmental factors such as stress or trauma
• Peer pressure and social influences

Symptoms

• Dependence-related behaviors such as cravings and withdrawal symptoms
• Psychotic symptoms including hallucinations, delusions, or disorganized thinking
• Changes in behavior, mood, or functioning

Diagnosis

• Thorough psychiatric evaluation and clinical assessment
• Reviewing the patient's history of substance use and related behaviors
• Use of standardized diagnostic criteria and interviews

Treatment Options

• Detoxification to manage withdrawal symptoms
• Psychotherapy, such as cognitive-behavioral therapy (CBT), to address substance abuse and psychotic symptoms
• Medications such as antipsychotics to manage psychotic episodes
• Support groups and rehabilitation programs

Prognosis and Follow-Up

• Prognosis varies; early intervention can improve outcomes.
• Regular follow-ups are crucial for monitoring progress and preventing relapse.
• Long-term management may be required to address both dependence and psychotic symptoms.

Complications

• Chronic mental health conditions
• Deterioration in personal and social functioning
• Increased risk of accidents or self-harm

Lifestyle & Prevention

• Avoidance and reduction of psychoactive substance use
• Stress management and coping strategies
• Engagement in supportive treatment environments and peer groups

When to Seek Professional Help

• Experiencing hallucinations or delusions
• Inability to stop substance use despite negative consequences
• Severe mood swings or significant changes in behavior

Additional Resources

• National Institute on Drug Abuse (NIDA)
• Substance Abuse and Mental Health Services Administration (SAMHSA)
• American Psychiatric Association

Tips for Medical Coders

• Ensure accurate documentation of both substance dependence and induced psychotic symptoms.
• Avoid coding errors by distinguishing between substances and ensuring specificity as per ICD guidelines.
• Be aware of differentiation from similar conditions related to alcohol or tobacco use.