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Overactivity

ICD10CM code

ICD Code R46.3: Overactivity

Name of the Condition

  • Common Name: Overactivity
  • Medical Term: Psychomotor Agitation

Summary

Overactivity, or psychomotor agitation, is a condition characterized by increased movement and mental activity. It is often seen as excessive physical movements and heightened intensity of thoughts, which can interfere with daily life.

Causes

  • Psychological factors: Anxiety, stress, or certain psychiatric disorders.
  • Medical conditions: Hyperthyroidism or neurological conditions.
  • Substance use: Stimulants or withdrawal from certain substances.

Risk Factors

  • Mental health disorders: History of anxiety or mood disorders.
  • Substance use: Use of stimulants or abrupt cessation of sedative drugs.
  • Stressful life events: Traumatic events or significant life changes.

Symptoms

  • Restlessness or inability to stay still
  • Rapid speech or increased verbal activity
  • Difficulty concentrating
  • Fidgeting or relentless similar actions

Diagnosis

  • Clinical evaluation: Based on a thorough history and clinical examination.
  • Psychiatric assessment: Utilizing standardized diagnostic tools or questionnaires.
  • Exclusion of other conditions: Blood tests or imaging to rule out underlying medical causes.

Treatment Options

  • Medications: Antidepressants or antipsychotics help regulate symptoms.
  • Therapy: Cognitive-behavioral therapy to manage thoughts and behaviors.
  • Lifestyle modifications: Stress management techniques such as meditation or relaxation exercises.

Prognosis and Follow-Up

  • With appropriate treatment, individuals often see significant improvement.
  • Regular follow-up is crucial for monitoring and adjusting treatment plans.
  • Long-term outlook depends on underlying cause and adherence to treatment.

Complications

  • Difficulty in social and occupational functioning.
  • Increased risk for secondary conditions like anxiety or depression.
  • Potential for self-harm or impulsive behaviors if not treated.

Lifestyle & Prevention

  • Regular physical activity: Helps manage stress and improve mood stability.
  • Healthy diet: Balanced nutrition to support mental and physical health.
  • Mindfulness practices: Meditation or yoga to enhance mental calmness.

When to Seek Professional Help

  • Persistent restlessness or agitation impacting daily tasks
  • Significant changes in mood or behavior
  • Thoughts of self-harm or harm to others

Additional Resources

Tips for Medical Coders

  • Ensure documentation clearly indicates psychomotor agitation without an underlying primary psychiatric disorder.
  • Verify whether overactivity is a symptom of another condition, as this may affect coding accuracy.
  • Avoid confusion with hyperactive disorders unless explicitly diagnosed.

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