Predominant disturbance of emotions

This code represents an acute emotional reaction or disturbance that is disproportionate to the precipitating stressor. It signifies a transient and severe emotional state, often characterized by anxiety, depression, or a mixture of both, that significantly impairs daily functioning.

Use this code for patients presenting with a sudden onset of severe emotional distress following an identifiable psychosocial stressor, where the symptoms do not meet criteria for a more specific mood or anxiety disorder. Documentation should clearly indicate an acute, time-limited emotional disturbance without evidence of pre-existing psychiatric illness or psychotic features.

• Differentiate from Adjustment Disorder (309.xx) which implies a less severe or more prolonged reaction to stress.
• Avoid using if the patient's symptoms meet criteria for a specific anxiety disorder (e.g., Panic Disorder, GAD) or depressive disorder.
• Ensure documentation specifies the acute nature and the predominant emotional disturbance (e.g., "acute emotional distress with prominent anxiety").