Name of the Condition

• Adjustment Disorder with Anxiety
• ICD-10 Code: F43.22

Summary

Adjustment disorder with anxiety is a psychological response to an identifiable stressor or life change, resulting in significant anxiety that disrupts everyday functioning.

Causes

• This condition typically arises from a specific life event or change, such as a job loss, divorce, moving to a new city, or the death of a loved one.

Risk Factors

• Previous experiences with stress or trauma.
• Lack of a strong support network.
• History of mental health disorders.
• Major life changes or external stressors.

Symptoms

• Excessive worry.
• Nervousness and irritability.
• Difficulty concentrating.
• Physical symptoms like palpitations or headaches.

Diagnosis

• Clinical interview and psychological evaluation.
• Diagnosis is generally based on the individual's history and symptomatology in response to a stressor within the past three months.

Treatment Options

• Psychotherapy, such as cognitive-behavioral therapy (CBT), to develop coping strategies.
• Medications, like anti-anxiety drugs or antidepressants, to manage symptoms.
• Stress management techniques and support groups.

Prognosis and Follow-Up

• Generally favorable if treated promptly, with most individuals recovering fully as the stressor is resolved or managed.
• Follow-ups may include continued therapy or periodic evaluations to prevent recurrence.

Complications

• Development of more severe anxiety disorders or depression.
• Impaired social, occupational, or other important areas of functioning.

Lifestyle & Prevention

• Regular physical activity and healthy eating.
• Routine stress management practices like meditation or yoga.
• Building a supportive network of family and friends.

When to Seek Professional Help

• Persistent or worsening symptoms that interfere with daily life.
• Difficulty enjoying usual activities or handling responsibilities.

Additional Resources

• American Psychological Association (APA)
• Anxiety and Depression Association of America (ADAA)
• National Institute of Mental Health (NIMH)

Tips for Medical Coders

• Ensure the stressor and resultant symptoms are clearly documented.
• Avoid misclassification with other anxiety disorders.
• Only code F43.22 if the anxiety is predominant and in direct response to a stressor.