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2025 ICD-10-CM code F60.7

Dependent personality disorder (DPD) is characterized by excessive emotional dependence on others and a constant need for reassurance and support.

Follow the official ICD-10-CM coding guidelines and the DSM-5 criteria for diagnosing Dependent Personality Disorder.Ensure accurate documentation supports the assigned code.

Not applicable to ICD-10 codes.

Medical necessity for treatment of DPD is established when the patient's symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. The impairment should be demonstrated through the documentation requirements.The treatment plan should be evidence-based and tailored to the patient's specific needs.

The clinical responsibility for diagnosing and treating DPD usually falls on psychiatrists or psychologists. Other mental health professionals may also be involved in treatment.

IMPORTANT:Consider other personality disorders (e.g., F60.0-F60.6, F60.9) if the symptoms don't perfectly align with F60.7.Refer to the DSM-5 for differential diagnosis.

In simple words: Dependent personality disorder means someone relies too much on others for emotional support and decision-making.They may have low self-esteem, fear being alone, and struggle to disagree with others.They often put others' needs before their own and may tolerate mistreatment.

Dependent personality disorder (DPD), also known as asthenic, inadequate, or passive personality disorder, is a personality disorder defined by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior. Individuals with DPD exhibit low self-confidence, helplessness, insecurity, and difficulty making decisions without excessive reassurance. They fear separation and loneliness, readily agree to others' wishes, require constant affirmation, are highly sensitive to criticism, and are prone to anxiety and stress. This dependence can make them passive and accepting of abuse. Diagnosis is based on patient history, physical and psychiatric examinations, interviews, and comparison with DSM criteria. Treatment usually involves psychotherapy and cognitive-behavioral therapy (CBT); medication may be used to address associated conditions like depression and anxiety.

Example 1: A 30-year-old woman seeks therapy due to chronic feelings of inadequacy and inability to make decisions without her partner's input. She is constantly seeking reassurance and validation, and feels overwhelmed by the thought of being alone., A 45-year-old man is referred to a psychiatrist by his primary care physician due to symptoms of anxiety and depression that he attributes to a feeling of helplessness in various aspects of his life.He has significant difficulty expressing his own needs and constantly seeks approval from his family members., A 25-year-old individual presents to a mental health clinic following a recent breakup. She describes feelings of intense distress, hopelessness, and a profound sense of loss and helplessness related to this separation.She states that she doesn't know how to manage daily tasks and feel overwhelmed by her sense of helplessness.

Comprehensive documentation should include a detailed patient history encompassing social, personal, and familial relationships,a thorough mental status exam,information obtained from collateral sources (family, friends), and a clear rationale for the diagnosis based on DSM-5 criteria.Documentation should describe the patient's levels of anxiety, depression, self-esteem, and adaptive functioning.If treatment is provided, progress notes should detail the treatment modality, session frequency and duration, and the patient's response to therapy.

** Differential diagnosis is crucial to distinguish DPD from other personality disorders and mood disorders.Always consult the DSM-5 and relevant clinical guidelines for accurate coding.

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