Name of the Condition

• Bipolar Disorder, Current Episode Manic Severe with Psychotic Features
• ICD-10 Code: F31.2

Summary

Bipolar disorder with a current episode characterized by severe manic episodes with psychotic features is a serious psychiatric condition. Individuals experience extreme mood changes, including high energy, erratic thoughts, and possible hallucinations or delusions, which can significantly disrupt daily life.

Causes

The precise causes are not fully understood, but they likely involve a combination of genetic, neurobiological, and environmental factors. Brain chemistry imbalances and a family history of bipolar disorder or other mental health issues may play a role.

Risk Factors

• Family history of bipolar disorder or other mood disorders
• Periods of high stress or trauma
• Substance abuse
• Major life changes or events

Symptoms

• Elevated or irritable mood
• Increased energy and activity levels
• Inflated self-esteem or grandiosity
• Decreased need for sleep
• Rapid speech and racing thoughts
• Impulsive, reckless behavior
• Psychotic symptoms such as hallucinations or delusions

Diagnosis

A comprehensive psychiatric evaluation is key, potentially supplemented by questionnaires or mood diaries. In some cases, lab tests may be done to rule out other medical conditions with similar symptoms.

Treatment Options

• Medications: Mood stabilizers, antipsychotic medications, and sometimes antidepressants.
• Psychotherapy: Cognitive-behavioral therapy (CBT) and other forms of therapy to manage symptoms and improve coping strategies.
• Hospitalization: May be necessary during severe episodes to ensure safety.

Prognosis and Follow-Up

With appropriate treatment, individuals can manage their symptoms effectively, although some may experience recurring episodes. Regular follow-ups with mental health professionals are crucial to monitor the condition and adjust treatments as needed.

Complications

• Increased risk of substance abuse
• Relationship difficulties
• Occupational setbacks
• Greater risk of suicide

Lifestyle & Prevention

• Adhere to prescribed medications and therapy sessions
• Maintain a stable routine, including regular sleep and exercise
• Avoid alcohol and recreational drugs
• Learn stress management techniques

When to Seek Professional Help

Immediate medical attention is necessary if experiencing severe mood changes, psychotic symptoms, or thoughts of self-harm—or if current medication is not managing symptoms effectively.

Additional Resources

• National Institute of Mental Health (NIMH): www.nimh.nih.gov
• Depression and Bipolar Support Alliance (DBSA): www.dbsalliance.org

Tips for Medical Coders

• Confirm the presence of both manic and psychotic features when coding.
• Avoid confusion with other types of bipolar disorder or mood disorders by cross-referencing patient history and symptomatology.
• Double-check for additional codes if depressive or mixed episodes are also present.