Conditions in this section are not mental disorders but are relevant insofar as they may warrant clinical attention or influence diagnosis, course, prognosis, or treatment of a mental disorder. Conditions listed in this section may also be helpful in coding the reason for a patientâs visit or clarifying the need for a test, procedure, or treatment.
Relational Problems
Important relationships such as between intimate adult partners, or child and caretaker, can have a significant impact upon an individualâs mental well-being. These relationships may have a positive, neutral, or negative impact upon mental health. In severe cases, the negative impact of relational problems can have significant psyÂchological repercussions upon the individual affected.
Problems Related to Family Upbringing
- Parent-Child Relational Problem
- Sibling Relational Problem
- Upbringing Away From Parents
- Child Affected by Parental Relationship Distress
Other Problems Related to Primary Support Group
- Relationship Distress With Spouse or Intimate Partner
- Disruption of Family by Separation or Divorce
- High Expressed Emotion Level Within Family
- Uncomplicated Bereavement
Abuse and Neglect
Mistreatment by significant others deserves clinical attention when such mistreatment is a key considerÂation in the diagnosis and treatment of people with mental and other disorders. Conditions in this section may warrant important legal considerations; and the past history of repeated occurrences of abuse and/or neglect may also be noted along with the diagnosis.
Child Maltreatment and Neglect Problems
- Child Physical Abuse
- Child Sexual Abuse
- Child Neglect
- Child Psychological Abuse
Adult Maltreatment and Neglect Problems
- Spouse or Partner Violence, Physical
- Spouse or Partner Violence, Sexual
- Spouse or Partner Neglect
- Spouse or Partner Abuse, Psychological
- Adult Abuse by Nonspouse or Nonpartner
Educational and Occupational Problems
Educational Problems
Conditions in this section are relevant when academic or educational difficulties warrant the need for clinical evalÂuation or influence treatment, diagnosis, or prognosis. Problems addressed may include academic underperforÂmance, underachievement, and problems with teachers, staff, or students. Also worthy of consideration are issues related to illiteracy or low-literacy, and any other problems stemming from education and/or literacy.
- Academic or Educational Problem
Occupational Problems
Conditions in this section are relevant when occuÂpation-related issues warrant clinical evaluation or influence the individualâs treatment or prognosis. Issues involved may include work or work-related stress, difÂficulties getting along with superiors or coworkers, sexual harassment, loss of a job, changes in job condiÂtions, and ambivalence about career choices.
- Problem Related to Current Military Deployment Status
- Other Problem Related to Employment
Housing and Economic Problems
Housing Problems
- Homelessness
- Inadequate Housing
- Discord with Neighbor, Lodger, or Landlord
- Problem Related to Living in a Residential Institution
Economic Problems
- Lack of Adequate Food or Safe Drinking Water
- Extreme Poverty
- Low Income
- Insufficient Social Insurance or Welfare Support
- Unspecified Housing or Economic Problem
Other Problems Related to the Social Environment
- Phase of Life Problem: Inclusion in this category is appropriate when issues pertaining to a lifestyle adjustment or transition warrant clinical attention or influence their treatment. Relevant issue may include retirement, children leaving home, marÂriage, having children, and starting or completing an educational phase.
- Problem Related to Living Alone
- Acculturation Difficulty
- Social Exclusion or Rejection
- Target of (Perceived) Adverse Discrimination or Persecution: Inclusion in this category is approÂpriate when the individual perceives or experiÂences instances of discrimination or persecution that appear to be due their membership (or perceived membership) in certain groups such as race, religion, gender, ethnicity, sexual orientation, political affiliaÂtion, disability, social status, weight, or appearance.
- Unspecified Problem Related to Social Environment
Problems Related to Crime or Interaction with the Legal System
- Victim of Crime
- Conviction in Civil or Criminal Proceedings WithÂout Imprisonment
- Imprisonment or Other Incarceration
- Problems Related to Release from Prison
- Problems Related to Other Legal Circumstances
Other Health Service Encounters for Counseling and Medical Advice
- Sex Counseling: Inclusion in this category is approÂpriate when counseling is sought in relation to sex-related issues such as the individualâs sexual behavior, satisfaction, attitudes, orientation, or eduÂcation, as well as similar issues pertaining to the individualâs partner.
- Other Counseling or Consultation: Inclusion in this category is appropriate when the individual seeks counseling for issues not elsewhere included, such as religious, spiritual or existential concerns, dietary issues, or attempts at smoking cessation.
Problems Related to Other Psychosocial, Personal, and Environmental Circumstances
- Religious or Spiritual Problem Problems Related to Unwanted Pregnancy
- Problems Related to Multiparity: Inclusion in this category is appropriate when issues pertaining to multiparity are deserving of clinical consideration. Such issues may include relational complications among siblings who are twins, triplets, or other mulÂtiparity groupings.
- Discord With Social Service Provider, Including Probation Officer, Case Manager, or Social Services Worker
- Victim of Terrorism or Torture
- Exposure to Disaster, War, or Other Hostilities
- Other Problem Related to Psychosocial Circumstances
- Unspecified Problem Related to Unspecified PsychoÂsocial Circumstances
Other Circumstances of Personal History
- Other Personal History or Psychological Trauma
- Personal History of Self-Harm
- Personal History of Military Deployment
- Other Personal Risk Factors
- Problem Related to Lifestyle: Inclusion in this catÂegory is appropriate when issues specifically related to a type of lifestyle warrant clinical evaluation or directly impact the course, prognosis, or treatment of a mental or other medical disorder. Lifestyle issues addressed may include poor fitness and inadequate exercise, high-risk behaviors, sleep-related problems, and die...
