F4323: Mixed Anxiety and Depressive Disorder Explained - Psychiatry

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F4323/Adjustment disorder with mixed anxiety and depressed mood?


I would like to ask, because a little over a year ago, the doctor said I was diagnosed with depression, but I recently found that the records indicate F43.23 / Adjustment disorder with mixed anxiety and depressed mood.
Could you please clarify how this condition is classified? Thank you.

Niming, 10~19 year old female. Ask Date: 2022/05/05

Dr. Wang Yaoting reply Psychiatry


Hello: "Adjustment disorder" refers to a condition that develops within three months following a clearly identifiable stressor, characterized by an extreme inability to adapt to the stress, resulting in symptoms such as anxiety, tension, and depressive moods.
Once the stressor is removed, the duration of symptoms is usually not prolonged (typically less than six months), meaning that as the stress diminishes, the symptoms also lessen.
This is different from patients with major depressive disorder, who often cannot identify a single, obvious stressor.
You may want to discuss the diagnosis further with your consulting physician.
I hope this answers your question :)

Reply Date: 2022/05/05

More Info


F4323, or Mixed Anxiety and Depressive Disorder, is classified under the category of adjustment disorders in the International Classification of Diseases (ICD). This diagnosis typically arises when an individual experiences emotional or behavioral symptoms in response to a significant stressor or life change. The symptoms can manifest as a combination of anxiety and depressive moods, which can significantly impact daily functioning.

In your case, the diagnosis of F4323 indicates that your symptoms are related to an identifiable stressor that occurred within the last three months. This could be a major life event such as a job loss, relationship issues, or any other significant change that has led to feelings of anxiety and depression. Unlike major depressive disorder (MDD), where the symptoms persist without a clear external cause, adjustment disorders are typically transient and improve once the stressor is resolved or the individual learns to cope with it effectively.

The symptoms you may be experiencing, such as feelings of sadness, anxiety, and difficulty concentrating, are common in mixed anxiety and depressive disorders. These symptoms can be distressing and may lead to a decreased quality of life. It's important to note that while the symptoms may feel overwhelming, they are often manageable with appropriate treatment.

Treatment for F4323 generally involves a combination of psychotherapy and, if necessary, medication. Cognitive-behavioral therapy (CBT) is particularly effective for addressing the thought patterns and behaviors associated with anxiety and depression. This type of therapy helps individuals identify and challenge negative thoughts, develop coping strategies, and improve emotional regulation.

In some cases, medication may be prescribed to help alleviate symptoms. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), are commonly used to treat both anxiety and depressive symptoms. However, the choice of medication should be made in consultation with a healthcare provider, who can consider your specific symptoms, medical history, and any potential side effects.

It's also essential to engage in self-care practices that can support your mental health. Regular physical activity, a balanced diet, adequate sleep, and mindfulness practices such as meditation or yoga can all contribute to improved emotional well-being. Building a support network of friends, family, or support groups can also provide a sense of community and understanding.

If you have concerns about your diagnosis or treatment plan, it is crucial to discuss them with your healthcare provider. They can provide clarity on your diagnosis, help you understand the implications of F4323, and work with you to develop a comprehensive treatment plan tailored to your needs.

In summary, F4323 represents a mixed anxiety and depressive disorder that arises in response to identifiable stressors. While it can be distressing, effective treatments are available, and with the right support, individuals can learn to manage their symptoms and improve their quality of life.

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