Affective problems may include feelings of sadness, apathy, or anger about the other in- dividual in the relationship. Clinicians should take into account the developmental needs of the child and the cultural context.
716 Other Conditions That May Be a Focus of Clinical Attention
V61.8 (262.891) Sibling Relational Problem
This category should be used when the focus of clinical attention is a pattern of interaction among siblings that is associated with significant impairment in individual or family function- ing or with development of symptoms in one or more of the siblings, or when a sibling relational problem is affecting the course, prognosis, or treatment of a sibling’s mental or other medical disorder. This category can be used for either children or adults if the focus is on the sibling re- lationship. Siblings in this context include full, half-, step-, foster, and adopted siblings.
V61.8 (262.29) Upbringing Away From Parents
This category should be used when the main focus of clinical attention pertains to issues regarding a child being raised away from the parents or when this separate upbringing af- fects the course, prognosis, or treatment of a mental or other medical disorder. The child could be one who is under state custody and placed in kin care or foster care. The child could also be one who is living in a nonparental relative’s home, or with friends, but whose out—of—home placement is not mandated or sanctioned by the courts. Problems related to a child living in a group home or orphanage are also included. This category excludes issues related to V60.6 (Z593) children in boarding schools.
V61.29 (262.898) Child Affected by Parental Relationship Distress
This category should be used when the focus of clinical attention is the negative effects of parental relationship discord (e.g., high levels of conﬂict, distress, or disparagement) on a child in the family, including effects on the child’s mental or other medical disorders.
Other Problems Related to Primary Support Group
V61.10 (263.0) Relationship Distress With Spouse or Intimate Partner
This category should be used when the major focus of the clinical contact is to address the quality of the intimate (spouse or partner) relationship or when the quality of that rela- tionship is affecting the course, prognosis, or treatment of a mental or other medical dis- order. Partners can be of the same or different genders. Typically, the relationship distress is associated with impaired functioning in behavioral, cognitive, or affective domains. Ex- amples of behavioral problems include conﬂict resolution difficulty, withdrawal, and overinvolvement. Cognitive problems can manifest as chronic negative attributions of the other’s intentions or dismissals of the partner’s positive behaviors. Affective problems would include chronic sadness, apathy, and / or anger about the other partner.
Note: This category excludes clinical encounters for V61.1x (Z69.1x) mental health ser- vices for spousal or partner abuse problems and V65.49 (270.9) sex counseling.
V61.03 (263.5) Disruption of Family by Separation or Divorce
This category should be used when partners in an intimate adult couple are living apart due to relationship problems or are in the process of divorce.
V61.8 (263.8) High Expressed Emotion Level Within Family
Expressed emotion is a construct used as a qualitative measure of the ”amount" of emo- tion—in particular, hostility, emotional overinvolvement, and criticism directed toward a family member who is an identified patient—displayed in the family environment. This category should be used when a family’s high level of expressed emotion is the focus of clinical attention or is affecting the course, prognosis, or treatment of a family member’s mental or other medical disorder.
V62.82 (263.4) Uncomplicated Bereavement