Insomnia Due to Other Mental Disorder (ICD F51.05)

Name of the Condition

• Common Name: Insomnia
• Medical Term: Insomnia due to other mental disorder

Summary

Insomnia due to other mental disorder refers to difficulty in falling or staying asleep predominantly caused by another underlying mental health condition. It affects a person’s overall health and well-being due to persistent sleep disturbances.

Causes

• Associated mental health conditions such as anxiety disorders, depression, bipolar disorder, or schizophrenia.
• Stress related to psychological conditions can exacerbate sleep disruptions.

Risk Factors

• Pre-existing mental health disorders.
• History of trauma or significant life stressors.
• Irregular sleep schedules or poor sleep hygiene.

Symptoms

• Difficulty falling asleep, staying asleep, or waking up too early.
• Daytime fatigue or sleepiness.
• Difficulty concentrating or paying attention.
• Mood disturbances such as irritability or depression.

Diagnosis

• Clinical evaluation focusing on sleep history and psychiatric assessment.
• Sleep diaries or questionnaires to assess sleep patterns.
• Nocturnal polysomnography or actigraphy if further evaluation is required.

Treatment Options

• Cognitive Behavioral Therapy for Insomnia (CBT-I) to modify sleep-related behaviors and thoughts.
• Pharmacological treatments such as sleep aids or medications to address the underlying mental disorder.
• Lifestyle changes and sleep hygiene education to improve sleep quality.

Prognosis and Follow-Up

• Prognosis varies depending on the effective management of the underlying mental disorder.
• Regular follow-up with mental health professionals to monitor both psychiatric symptoms and sleep quality.

Complications

• Impaired cognitive function and daytime performance issues.
• Increased risk of psychiatric relapse or worsening of mental health symptoms.
• Physical health problems related to chronic sleep deprivation.

Lifestyle & Prevention

• Establishing a consistent sleep schedule and relaxing bedtime routine.
• Creating a comfortable sleep environment, free of distractions.
• Managing and treating mental health conditions with professional help.

When to Seek Professional Help

• Persistent sleep difficulties affecting daytime functioning and quality of life.
• Symptoms of a mental disorder severe enough to impair daily activities.
• Emergent signs of mental health deterioration such as suicidal thoughts or extreme mood swings.

Additional Resources

• National Institute of Mental Health (NIMH)
• Anxiety and Depression Association of America (ADAA)
• Local sleep disorder clinics or support groups.

Tips for Medical Coders

• Carefully review the patient’s medical record to confirm the presence of an underlying mental disorder causing insomnia.
• Ensure accurate distinction from primary insomnia or insomnia related to other health conditions.
• Avoid coding errors by cross-referencing the mental disorder diagnosis applicable to the patient’s record.