Psychotic disorders

[kdmds]

I am trying to determine what diagnoses exactly count as 'psychotic disorder' for section I. I know they will trigger on the QM's if I don't code them properly. My DON told me 'delusional disorder' counted. Is 'mood disorder' considered psychotic as well? Is there a list somewhere. Help asap is appreciated!

[MrChicagoRN, RN]

Most people with mood disorders are not psychotic. Mood Disorders: Dysthymic Disorder and Cyclothymic Disorder

there are also many functional people with delusional disorders, so I would argue against psychosis unless the delusion severely interfered with their lives and daily functioning.

I suggest consulting a DSM for definitions of psychosis.

[Talino]

These are the common types. However, a psychiatrist's diagnosis must be present to code it.

Schizophrenia - The most common psychotic disorder is schizophrenia. Patients with this condition experience changes in behavior, delusions and hallucinations that last longer than six months. Those diagnosed with this type of disorder often show a decline in social function, school and work.

Schizoaffective Disorder - Patients with schizoaffective disorder have symptoms of both a mood disorder, such as depression and schizophrenia.

Schizophreniform Disorder - When a patient with schizophrenia has symptoms that last fewer than six months are diagnosed with schizophreniform disorder.

Brief Psychotic Disorder - When a patient has only short, sudden episodes of psychotic behavior, the condition is diagnosed as brief psychotic disorder. These episodes are typically a response to a stressful situation and usually last less than a month.

Delusional Disorder - Patients that have false, fixed beliefs involving real-life situations that could be true, such as having a disease or being conspired against, are diagnosed with delusional disorder. These delusions persist for at least one month.

Substance-Induced Psychotic Disorder - withdrawal from substances like methamphetamines and alcohol cause delusions and hallucinations. This is known as substance-induced psychotic disorder.

Psychotic Disorder Due to a Medical Condition - When psychotic disorder symptoms are a result of illnesses that affect the function of the brain, such as a brain tumor, the patient is diagnosed with psychotic disorder due to a medical condition.

[MrChicagoRN, RN]

Talino,

You are correct that a psychiatrist, or other qualified mental health professional, must provide the diagnosis. There is a danger that a person with delusions, or beliefs that are not commonly shared, gets incorrectly tagged with a label of psychosis.

Could you also cite your source please?

[Talino]

http://www.webmd.com/schizophrenia/guide/mental-health-psychotic-disorders

http://www.psychguides.com/guides/psychotic-disorders/

[Nativejenny]

I personally don't check the psychosis box unless there is a dx specifying it's presence.