Certain infectious and parasitic diseases
Certain infectious and parasitic diseases Certain infectious and parasitic diseases
F30.1 Mania without psychotic symptoms Mood is elevated out of keeping with the patient's circumstances and may vary from carefree joviality to almost uncontrollable excitement. Elation is accompanied by increased energy, resulting in overactivity, pressure of speech, and a decreased need for sleep. Attention cannot be sustained, and there is often marked distractibility. Self-esteem is often inflated with grandiose ideas and overconfidence. Loss of normal social inhibitions may result in behaviour that is reckless, foolhardy, or inappropriate to the circumstances, and out of character. F30.2 Mania with psychotic symptoms In addition to the clinical picture described in F30.1, delusions (usually grandiose) or hallucinations (usually of voices speaking directly to the patient) are present, or the excitement, excessive motor activity, and flight of ideas are so extreme that the subject is incomprehensible or inaccessible to ordinary communication. Mania with: · mood-congruent psychotic symptoms · mood-incongruent psychotic symptoms Manic stupor F30.8 Other manic episodes F30.9 Manic episode, unspecified Mania NOS F31 Bipolar affective disorder A disorder characterized by two or more episodes in which the patient's mood and activity levels are significantly disturbed, this disturbance consisting on some occasions of an elevation of mood and increased energy and activity (hypomania or mania) and on others of a lowering of mood and decreased energy and activity (depression). Repeated episodes of hypomania or mania only are classified as bipolar. Includes: manic-depressive: · illness · psychosis · reaction Excludes: bipolar disorder, single manic episode ( F30.- ) cyclothymia ( F34.0 ) F31.0 Bipolar affective disorder, current episode hypomanic The patient is currently hypomanic, and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past. F31.1 Bipolar affective disorder, current episode manic without psychotic symptoms The patient is currently manic, without psychotic symptoms (as in F30.1), and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past. F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms The patient is currently manic, with psychotic symptoms (as in F30.2), and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past. 186 WHO’s ICD-10
F31.3 Bipolar affective disorder, current episode mild or moderate depression The patient is currently depressed, as in a depressive episode of either mild or moderate severity (F32.0 or F32.1), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past. F31.4 Bipolar affective disorder, current episode severe depression without psychotic symptoms The patient is currently depressed, as in severe depressive episode without psychotic symptoms (F32.2), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past. F31.5 Bipolar affective disorder, current episode severe depression with psychotic symptoms The patient is currently depressed, as in severe depressive episode with psychotic symptoms (F32.3), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past. F31.6 Bipolar affective disorder, current episode mixed The patient has had at least one authenticated hypomanic, manic, depressive, or mixed affective episode in the past, and currently exhibits either a mixture or a rapid alteration of manic and depressive symptoms. Excludes: single mixed affective episode ( F38.0 ) F31.7 Bipolar affective disorder, currently in remission The patient has had at least one authenticated hypomanic, manic, or mixed affective episode in the past, and at least one other affective episode (hypomanic, manic, depressive, or mixed) in addition, but is not currently suffering from any significant mood disturbance, and has not done so for several months. Periods of remission during prophylactic treatment should be coded here. F31.8 Other bipolar affective disorders Bipolar II disorder Recurrent manic episodes NOS F31.9 Bipolar affective disorder, unspecified F32 Depressive episode In typical mild, moderate, or severe depressive episodes, the patient suffers from lowering of mood, reduction of energy, and decrease in activity. Capacity for enjoyment, interest, and concentration is reduced, and marked tiredness after even minimum effort is common. Sleep is usually disturbed and appetite diminished. Self-esteem and self-confidence are almost always reduced and, even in the mild form, some ideas of guilt or worthlessness are often present. The lowered mood varies little from day to day, is unresponsive to circumstances and may be accompanied by so-called "somatic" symptoms, such as loss of interest and pleasurable feelings, waking in the morning several hours before the usual time, depression worst in the morning, marked psychomotor retardation, agitation, loss of appetite, weight loss, and loss of libido. Depending upon the number and severity of the symptoms, a depressive episode may be specified as mild, moderate or severe. Includes: single episodes of: · depressive reaction · psychogenic depression · reactive depression Version for 2007 187
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F30.1 Mania without psychotic symptoms<br />
Mood is elevated out of keeping with the patient's circumstances <strong>and</strong> may vary<br />
from carefree joviality to almost uncontrollable excitement. Elation is<br />
accompanied by increased energy, resulting in overactivity, pressure of speech,<br />
<strong>and</strong> a decreased need for sleep. Attention cannot be sustained, <strong>and</strong> there is often<br />
marked distractibility. Self-esteem is often inflated with gr<strong>and</strong>iose ideas <strong>and</strong><br />
overconfidence. Loss of normal social inhibitions may result in behaviour that is<br />
reckless, foolhardy, or inappropriate to the circumstances, <strong>and</strong> out of character.<br />
F30.2 Mania with psychotic symptoms<br />
In addition to the clinical picture described in F30.1, delusions (usually<br />
gr<strong>and</strong>iose) or hallucinations (usually of voices speaking directly to the patient)<br />
are present, or the excitement, excessive motor activity, <strong>and</strong> flight of ideas are so<br />
extreme that the subject is incomprehensible or inaccessible to ordinary<br />
communication.<br />
Mania with:<br />
· mood-congruent psychotic symptoms<br />
· mood-incongruent psychotic symptoms<br />
Manic stupor<br />
F30.8 Other manic episodes<br />
F30.9 Manic episode, unspecified<br />
Mania NOS<br />
F31<br />
Bipolar affective disorder<br />
A disorder characterized by two or more episodes in which the patient's mood<br />
<strong>and</strong> activity levels are significantly disturbed, this disturbance consisting on some<br />
occasions of an elevation of mood <strong>and</strong> increased energy <strong>and</strong> activity (hypomania<br />
or mania) <strong>and</strong> on others of a lowering of mood <strong>and</strong> decreased energy <strong>and</strong> activity<br />
(depression). Repeated episodes of hypomania or mania only are classified as<br />
bipolar.<br />
Includes:<br />
manic-depressive:<br />
· illness<br />
· psychosis<br />
· reaction<br />
Excludes: bipolar disorder, single manic episode ( F30.- )<br />
cyclothymia ( F34.0 )<br />
F31.0 Bipolar affective disorder, current episode hypomanic<br />
The patient is currently hypomanic, <strong>and</strong> has had at least one other affective<br />
episode (hypomanic, manic, depressive, or mixed) in the past.<br />
F31.1 Bipolar affective disorder, current episode manic without psychotic<br />
symptoms<br />
The patient is currently manic, without psychotic symptoms (as in F30.1), <strong>and</strong><br />
has had at least one other affective episode (hypomanic, manic, depressive, or<br />
mixed) in the past.<br />
F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms<br />
The patient is currently manic, with psychotic symptoms (as in F30.2), <strong>and</strong> has<br />
had at least one other affective episode (hypomanic, manic, depressive, or mixed)<br />
in the past.<br />
186 WHO’s ICD-10
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