Monday, July 07, 2014
Tuesday, June 24, 2014
Perhaps there is a psychiatric resident's progress or the fields progress implied in the mood disorder codes. As a first year resident you confront the awe inspiring threatening pellucid black cloud of Major Depression, 296.2. Getting something of a grip, you find that the patient did too but lost it and progressed to 296.3, Major Depression, recurrent. But there is more to mood disorder. Sometimes the patient might have prominent irritability or high moods and be in Bipolar I disorder, manic, 296.4. And sometimes they have been there but are in a state perhaps now indistinguishable from Major Depression but, having been to 296.4, they are now at 296.5, Bipolar I disorder, depressed. And, finally, or not, they may be having alternating or mixed states together and, no longer a child in psychiatry, you see Bipolar I Disorder, mixed, 296.6.