Your Mental Health Diagnosis: From Adjustment Disorder to Affective Disorders - Psychiatry

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I would like to inquire about "mental health diagnosis."


First of all, I would like to thank the physician for taking the time to read and respond amidst their busy schedule.
🙏🏻 I have been seeing a psychiatrist for about two months.
Initially, the diagnosis was "F43.23 Adjustment Disorder with Mixed Anxiety and Depressed Mood." Later, due to some circumstances, an additional diagnosis of "F39 Mood Disorder" was added.
Recently, I switched to a different physician, and the primary diagnosis changed to "F39 Mood Disorder," while the additional diagnosis became "F43.23 Adjustment Disorder with Mixed Anxiety and Depressed Mood." I have a couple of questions: 1.
Does this diagnosis mean that I have transitioned from an adjustment disorder to a mood disorder? 2.
I have looked up the diagnosis "F39," which is described as "Unspecified Mood Disorder." What does this mean? I'm a bit unclear about what "unspecified" refers to.
😅 Thank you again for the physician's patient reading.
🙏🏻

Xiao Mo, 20~29 year old female. Ask Date: 2022/10/22

Dr. Yu Quanxun reply Psychiatry


Hello: It seems that your mental and physical circumstances may be affecting your life; perhaps concerns or various other factors and feelings have led you to seek a deeper understanding of mental health diagnoses.
It is commendable that you are willing to explore and understand your current state.
Throughout the journey of self-exploration, many users of mental health resources have observed that during interactions and discussions with their care teams, they gradually explore both their internal and external resources and strengths, in addition to their mental health challenges and diagnoses.
They have also noted that this multifaceted and ongoing self-understanding is an important foundation for personal growth and navigating life's ups and downs.
A mental health diagnosis is a result of a historical summary of one's mental and physical state and is one of many aspects considered when collaborating with healthcare providers to overcome difficulties.
Therefore, it is challenging to deduce the underlying reasons solely based on the diagnosis and its changes, and I kindly ask for your understanding.
To avoid misunderstandings, I recommend discussing your questions with your treating physician to obtain answers that are more aligned with your actual situation.
Yuli Hospital cares about you.

Reply Date: 2022/10/22

More Info


Thank you for your thoughtful questions regarding your mental health diagnosis. It’s commendable that you are seeking to understand your situation better, and I appreciate your patience as we navigate this complex topic together.

1. Understanding the Transition from Adjustment Disorder to Affective Disorder: Your initial diagnosis of "F4323 with mixed depressive and anxious mood in adjustment disorder" indicates that your symptoms were primarily a response to a specific stressor or life change. Adjustment disorders are typically characterized by emotional or behavioral symptoms that arise within three months of a stressor and usually resolve once the individual adapts to the situation. However, if your symptoms persist beyond this period or if they evolve into more pervasive mood disturbances, it may lead to a diagnosis of an affective disorder, such as depression or anxiety disorders.

The subsequent diagnosis of "F39 Affective Disorder" suggests that your symptoms may have progressed beyond the context of a specific stressor and are now more generalized. Affective disorders encompass a range of mood disorders, including major depressive disorder and bipolar disorder, and can significantly impact your daily functioning and quality of life. The change in diagnosis reflects a deeper understanding of your mental health condition by your healthcare providers, indicating that your symptoms may not solely be tied to external stressors but may also involve underlying mood regulation issues.

2. Understanding "F39: Unspecified Affective Disorder": The term "unspecified" in the context of mental health diagnoses means that while your symptoms align with an affective disorder, they do not meet the specific criteria for any one disorder within that category. This could be due to a variety of reasons, such as the presence of mixed symptoms that do not fit neatly into established diagnostic categories or insufficient information to make a more precise diagnosis. It is important to note that "unspecified" does not diminish the validity of your experiences; rather, it indicates that your healthcare provider is still gathering information to better understand your condition.

In clinical practice, the diagnosis can evolve as more information is gathered through ongoing assessments, treatment responses, and discussions about your symptoms. This process is not uncommon and reflects the dynamic nature of mental health conditions. It is essential to maintain open communication with your healthcare provider about your experiences, as this will aid in refining your diagnosis and tailoring an effective treatment plan.

Additional Considerations: Given the complexity of mental health diagnoses, it may be beneficial for you to engage in therapy or counseling alongside any medical treatment you may be receiving. Therapeutic approaches such as cognitive-behavioral therapy (CBT) can help you develop coping strategies, address negative thought patterns, and improve emotional regulation. Additionally, support groups or peer support can provide a sense of community and understanding as you navigate your mental health journey.

Lastly, it is crucial to remember that mental health is a spectrum, and many individuals experience fluctuations in their symptoms over time. Seeking help is a sign of strength, and with the right support and treatment, many people find ways to manage their symptoms effectively and lead fulfilling lives.

If you have further questions or concerns, I encourage you to discuss them with your healthcare provider, who can offer personalized insights based on your unique situation. Thank you for your openness, and I wish you the best on your journey toward understanding and improving your mental health.

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