2. Mental disorder affecting medical condition Axis I disorder such as major depressive disorder delaying recovery from myocardial infarction. Psychological symptoms affecting medical conditions Depressive symptoms delaying recovery from surgery; anxiety exacerbating asthma. Personality traits or coping style affecting medical condition Pathological denial of the need for surgery in a patient with cancer; hostile, pressured behavior contributing to cardiovascular disease. Maladaptive health behaviors affecting medical condition lack of exercise, unsafe sex, overeating, etc. Stress-related physiological response affecting medical condition Ulcer, hypertension, arrhythmia, or tension headaches Other unspecified psychological factors affecting med. Condition Interpersonal, cultural, or religious factors Psychological Factors Affecting Medical Condition
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6. V - Codes (Relational Problems) May be comorbid condition with another classified disorder. Insurance carriers will not pay for most of these. Relational Problem Related to a Mental Disorder - impaired interaction with family members Parent-Child Relational Problem - impaired communication, overprotection, inadequate discipline Partner Relational Problem - poor interaction between spouses or partners Sibling Relational Problem - causes significant impairment in individual/family functioning Relational Problem NOS - not classified above, (e.g., difficulties with co-workers)
7. V - Codes (Abuse or Neglect) Physical Abuse of Child Sexual Abuse of Child Neglect of Child Physical Abuse of Adult Sexual Abuse of Adult
8. V - Codes (Additional Conditions) Noncompliance With treatment Malingering Adult Antisocial Behavior Child or Adolescent Antisocial Behavior Borderline Intellectual Functioning (coded on Axis II) Age-Related Cognitive Decline Bereavement
9. V - Codes (Additional Conditions) Academic Problem Occupational Problem Identity Problem (not a V-code) 313.82 Religious or Spiritual Problem Acculturation Problem Phase of Life Problem V71.09 No Diagnosis or Condition on Axis I or II 799.9 Diagnosis Deferred on Axis I or II
