vidual’s treatment or prognosis. Examples of such transitions include entering or
completing school, leaving parental control, getting married, starting a new career, be-
coming a parent, adjusting to an “empty ne st” after children leave home, and retiring.
V60.3 (Z60.2) Problem Related to Living Alone
This category should be used when a problem associated with living alone is the focus of
clinical attention or has an impact on the in dividual’s treatment or prognosis. Examples of
such problems include chronic feelings of lonelin ess, isolation, and lack of structure in car-
rying out activities of daily living (e.g., i rregular meal and sleep schedules, inconsistent
performance of home maintenance chores).
V62.4 (Z60.3) Acculturation Difficulty
This category should be used when difficulty in adjusting to a new culture (e.g., following
migration) is the focus of clinical attention or  has an impact on the individual’s treatment
or prognosis.
V62.4 (Z60.4) Social Exclusion or Rejection
This category should be used when there is an  imbalance of social power such that there is
recurrent social exclusion or rejection by others. Examples of social rejection include bul-
lying, teasing, and intimidation by others; be ing targeted by others for verbal abuse and
humiliation; and being purposefully excluded fr om the activities of peers, workmates, or
others in one’s social environment.
V62.4 (Z60.5) Target of (Perceived) Adverse Discrimination or Persecution
This category should be used when there is perceived or experienced discrimination
against or persecution of the individual based on his or her membership (or perceived