Other Conditions That May Be a Focus of Clinical Attention

Question 1

Other Conditions That May Be a Focus of Clinical Attention

While not mental disorders, these conditions or problems may be encountered in routine clinical practice and may be coded if:
1.
2.
3.
4.

Answer 1

1. it is a reason for the current visit.
2. it helps explain the need for a test, procedure, or treatment.
3. it plays a role in the initiation or exacerbation of a mental disorder.
4. it constitutes a problem that should be considered in the management plan.

Question 2

Other Conditions That May Be a Focus of Clinical Attention

An individual has engaged in potentially self-injurious behavior with some intent to die, either explicit or inferred from the behavior or circumstances.

Answer 2

Suicidal Behavior

Question 3

Other Conditions That May Be a Focus of Clinical Attention

An individual has engaged in intentionally self-inflicted damage to their body that is likely to induce bleeding, bruising, or pain in the absence of suicidal intent.

Answer 3

Nonsuicidal Self-Injury

Question 4

Other Conditions That May Be a Focus of Clinical Attention

Nonaccidental physical injury to a child. Injury is considered ___________, regardless of intent to hurt. Excludes reasonable, non-injurious discipline.

Answer 4

Child Physical Abuse

abuse

Question 5

Other Conditions That May Be a Focus of Clinical Attention

Acts involving children that are intended to provide __________ __________________ to a parent, caregiver, or other individual who has responsibility for the child.

Answer 5

Child Sexual Abuse

sexual gratification

Question 6

Other Conditions That May Be a Focus of Clinical Attention

Confirmed or suspected egregious acts or omissions by parent(s) or caregiver(s) that deprives child of needs and (potentially) results in physical or psychological harm to a child.

Answer 6

Child Neglect

Question 7

Other Conditions That May Be a Focus of Clinical Attention

Nonaccidental verbal or symbolic acts by parent(s) or caregiver(s) that (potentially) result in significant _______________ harm to a child, excluding physical or sexual abuse.

Answer 7

Child Psychological Abuse

psychological

Question 8

Other Conditions That May Be a Focus of Clinical Attention

Nonaccidental acts of force that (potentially) result in _____________ harm to, or significant fear in, an intimate partner, excluding self-defense.

Answer 8

Spouse or Partner Violence, Physical

physical

Question 9

Other Conditions That May Be a Focus of Clinical Attention

The use of physical or psychological coercion to compel a partner to engage in completed or uncompleted ____________ ________ against their will, or if they cannot consent.

Answer 9

Spouse or Partner Violence, Sexual

sexual acts

Includes completed or uncompleted sexual acts.

Question 10

Other Conditions That May Be a Focus of Clinical Attention

Any egregious act or omission that deprives a dependent partner of basic needs and (potentially) results in physical or psychological harm.

Answer 10

Spouse or Partner Neglect

Potentially results in physical or psychological harm.

Question 11

Other Conditions That May Be a Focus of Clinical Attention

Nonaccidental verbal or symbolic acts that (potentially) result in significant harm to a partner.

Answer 11

Spouse or Partner Abuse, Psychological

Question 12

Other Conditions That May Be a Focus of Clinical Attention

Acts of physical, sexual, or emotional maltreatment between adults are the focus of clinical treatment.

Answer 12

Adult Abuse by Non-Spouse or Non-Partner

Question 13

Other Conditions That May Be a Focus of Clinical Attention

Impaired functioning in behavioral, cognitive, or affective domains is associated with the quality of the parent-child relationship. Consideration should be given to developmental and cultural contexts.

Answer 13

Parent-Child Relational Problems

Question 14

Other Conditions That May Be a Focus of Clinical Attention

A pattern of interaction between siblings is associated with significant impairment in individual or family functioning, or with the development of symptoms affecting the course, prognosis, or treatment of mental or physical health.

Answer 14

Sibling Relational Problem

Question 15

Other Conditions That May Be a Focus of Clinical Attention

The quality of an intimate relationship affects the course, prognosis, or treatment of mental or physical health or distress is associated with impaired functioning in behavioral, cognitive, or affective domains.

Answer 15

Relationship Distress with Spouse or Intimate Partner

Question 16

Other Conditions That May Be a Focus of Clinical Attention

Includes Upbringing Away from Parents,
Child Affected by Parental Relationship Distress,
Disruption of Family by Separation or Divorce, and
High Expressed Emotion Level Within Family

Answer 16

Problems Related to the Family Environment

Question 17

Other Conditions That May Be a Focus of Clinical Attention

Includes illiteracy or low-level literacy; lack of access to schooling, unavailable or unattainable; problems with academic performance or underachievement; discord with teachers, school staff, or other students; problems related to inadequate teaching; and other related problems.

Answer 17

Educational Problems

Question 18

Other Conditions That May Be a Focus of Clinical Attention

Includes problems related to current military deployment status; unemployment; recent change of job; threat of job loss; stressful work schedule; uncertainty about career choices; sexual harassment on the job; other discord with boss, supervisor, co-workers, or others; uncongenial or hostile work environments; other physical or mental strain related to work; sexual harassment; or any other related problems.

Answer 18

Occupational Problems

Question 19

Other Conditions That May Be a Focus of Clinical Attention

The primary nighttime residence is a homeless shelter, a warming shelter, a domestic violence shelter, a motel, or in a temporary or transitional living situation.

Answer 19

Sheltered Homelessness

Question 20

Other Conditions That May Be a Focus of Clinical Attention

Residing in a place not meant for human habitation, such as a public space, a building not intended for residential use, a car, a cave, a cardboard box, or other ad hoc housing situation.

Answer 20

Unsheltered Homelessness

Question 21

Other Conditions That May Be a Focus of Clinical Attention

Examples include a lack of heat or electricity, infestation by insects or rodents, inadequate plumbing and toilet facilities, overcrowding, lack of adequate sleeping space, and excessive noise.
Consider cultural norms.

Answer 21

Inadequate Housing

Question 22

Other Conditions That May Be a Focus of Clinical Attention

3 Other Housing Problems Categories

Answer 22

1. Discord with Neighbor, Lodger, or Landlord
2. Problem Related to Living in a Residential Institution (not related to a change in living situation)
3. Other Housing Problem

Question 23

Other Conditions That May Be a Focus of Clinical Attention

Areas to consider include lack of adequate food or safe drinking water, extreme poverty, low income, insufficient social or health insurance or welfare support, or other related problems.

Answer 23

Economic Problems

Question 24

Other Conditions That May Be a Focus of Clinical Attention

Includes Problem Related to Living Alone, Acculturation Difficulty, Social Exclusion or Rejection, Target of (perceived) Adverse Discrimination or Persecution, and other related problems.

Answer 24

Problems Related to the Social Environment

Question 25

# Other Conditions That May Be a Focus of Clinical Attention Areas to be considered include conviction in criminal proceedings, imprisonment or other incarceration, problems related to release from prison, and problems related to other legal circumstances.

Answer 25

Problems Related to Interaction with the Legal System

Question 26

# Other Conditions That May Be a Focus of Clinical Attention Includes Problem Related to Lifestyle, Problems Related to Unwanted Pregnancy; Problems Related to Multiparity (multiple pregnancies, births, or children); Discord with Social Service Provider, Including Probation Officer, Case Manager, or Social Services Worker.

Answer 26

Problems Related to Other Psychosocial, Personal, and Environmental Circumstances

Question 27

# Other Conditions That May Be a Focus of Clinical Attention Unavailability or Inaccessibility of Health Care Facilities or Other Helping Agencies

Answer 27

Problems Related to Access to Medical and Other Health Care

Question 28

# Other Conditions That May Be a Focus of Clinical Attention Personal History of Psychological Trauma or Military Deployment

Answer 28

Circumstances of Personal History

Question 29

# Other Conditions That May Be a Focus of Clinical Attention Includes Genetic Counseling, Sex Counseling, Dietary Counseling, and Other Counseling or Consultation

Answer 29

Other Health Service Encounters for Counseling and Medical Advice

Question 30

# Other Conditions That May Be a Focus of Clinical Attention A desire to walk about that is associated with a mental disorder and leads to significant clinical management or safety concerns. Code mental disorder first.

Answer 30

Wandering Associated with a Mental Disorder

Question 31

# Other Conditions That May Be a Focus of Clinical Attention A normal reaction to the death of a loved one. Culture is considered when evaluating duration and expression of symptoms. Major Depressive Episode and Prolonged Grief Disorder should be ruled out.

Answer 31

Uncomplicated Bereavement

Question 32

# Other Conditions That May Be a Focus of Clinical Attention Problems associated with adjustments to life-cycle transitions.

Answer 32

Phase of Life Problem

Question 33

# Other Conditions That May Be a Focus of Clinical Attention Distressing experiences that involve loss or questioning of faith, problems associated with conversion to a new faith, or questioning of spiritual values not necessarily related to an organized church or religion.

Answer 33

Religious or Spiritual Problem

Question 34

# Other Conditions That May Be a Focus of Clinical Attention Antisocial behavior of adults that is not attributable to a mental disorder that may include behaviors of some professional thieves, racketeers, or dealers in illegal substances.

Answer 34

Adult Antisocial Behavior

Question 35

# Other Conditions That May Be a Focus of Clinical Attention Non-patterned antisocial behavior of children or adolescents that is not attributable to a mental disorder.

Answer 35

Child or Adolescent Antisocial Behavior

Question 36

# Other Conditions That May Be a Focus of Clinical Attention Nonadherence to an important aspect of treatment for mental disorder or another medical condition for reasons such as discomfort resulting from treatment, expense personal value judgements or religious or cultural beliefs, age-related debility, or the presence of a mental disorder.

Answer 36

Nonadherence to Medical Treatment

Question 37

# Other Conditions That May Be a Focus of Clinical Attention The focus of clinical attention is the client’s weight.

Answer 37

Overweight or Obesity

Question 38

# Other Conditions That May Be a Focus of Clinical Attention The intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives such as avoiding military duty, avoiding work, obtaining financial compensation, evading criminal prosecution, or obtaining drugs. May represent adaptive behaviors. Not Factitious Disorder which lacks external motivators. Not Functional Neurological Symptoms Disorder or other symptom-related mental disorder.

Answer 38

Malingering Should be strongly considered when a client is referred by an attorney; marked discrepancy between claims and objective findings or observations; lack of cooperation during diagnostic evaluation or treatment; presence of antisocial personality disorder.

Question 39

# Other Conditions That May Be a Focus of Clinical Attention An objectively identified decline in cognitive functioning consequent to the aging process that is within normal limits. Not better explained by specific mental disorder or neurological condition.

Answer 39

Age-Related Cognitive Decline

Question 40

# Other Conditions That May Be a Focus of Clinical Attention Not mild Intellectual Developmental disorder, but difficulties in intellectual and adaptive functions that are the focus of clinical attention.

Answer 40

Borderline Intellectual Functioning