Adjustment disorder

For patient information click here

Adjustment disorder
ICD-10	F43.2
ICD-9	309
DiseasesDB	33765
MedlinePlus	000932
MeSH	D000275

WikiDoc Resources for Adjustment disorder
Articles
Most recent articles on Adjustment disorder Most cited articles on Adjustment disorder Review articles on Adjustment disorder Articles on Adjustment disorder in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Adjustment disorder Images of Adjustment disorder Photos of Adjustment disorder Podcasts & MP3s on Adjustment disorder Videos on Adjustment disorder
Evidence Based Medicine
Cochrane Collaboration on Adjustment disorder Bandolier on Adjustment disorder TRIP on Adjustment disorder
Clinical Trials
Ongoing Trials on Adjustment disorder at Clinical Trials.gov Trial results on Adjustment disorder Clinical Trials on Adjustment disorder at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Adjustment disorder NICE Guidance on Adjustment disorder NHS PRODIGY Guidance FDA on Adjustment disorder CDC on Adjustment disorder
Books
Books on Adjustment disorder
News
Adjustment disorder in the news Be alerted to news on Adjustment disorder News trends on Adjustment disorder
Commentary
Blogs on Adjustment disorder
Definitions
Definitions of Adjustment disorder
Patient Resources / Community
Patient resources on Adjustment disorder Discussion groups on Adjustment disorder Patient Handouts on Adjustment disorder Directions to Hospitals Treating Adjustment disorder Risk calculators and risk factors for Adjustment disorder
Healthcare Provider Resources
Symptoms of Adjustment disorder Causes & Risk Factors for Adjustment disorder Diagnostic studies for Adjustment disorder Treatment of Adjustment disorder
Continuing Medical Education (CME)
CME Programs on Adjustment disorder
International
Adjustment disorder en Espanol Adjustment disorder en Francais
Business
Adjustment disorder in the Marketplace Patents on Adjustment disorder
Experimental / Informatics
List of terms related to Adjustment disorder

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Adjustment disorder refers to a psychological disturbance that develops in response to a stressor. Adjustment disorders are caused by specific sources of stress, such as severe personal crisis (divorce, death of loved one, recent abuse, recent job changes) or major unexpected negative events (tornado or fire destroys a person's home). The usual symptoms mimic depression, anxiety, or sleep disorder; however the disturbance disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder.

Differential Diagnosis

• Acute stress disorder
• Major depressive disorder
• Normative stress reactions
• Personality disorders
• Post traumatic stress disorder

Epidemiology and Demographics

Prevalence

Adjustment disorder is a common condition. The prevalence of adjustment disorder is:

• 5,000-20,000 per 100,000 (5-20%) in the outpatient mental health treatment setting.
• Up to 50,000 per 100,000 in the hospital psychiatric consultation setting of the overall population.

Risk Factors

• Stressors (divorce, death of loved one, recent abuse, recent job changes)
• Major unexpected negative events (tornado or fire destroys a person's home)

Natural History, Complications and Prognosis

Adjustment disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder.

Diagnosis

Diagnostic Criteria

DSM-V Diagnostic Criteria for Adjustment Disorder

“

A.The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s). AND B.These symptoms or behaviors are clinically significant, as evidenced by one or both of the following: 1. Marked distress that is out of proportion to the severity or intensity of the stressor,taking into account the external context and the cultural factors that might influence symptom severity and presentation. 2.Significant impairment in social, occupational, or other important areas of functioning. AND C.The stress-related disturbance does not meet the criteria for another mental disorder and is not merely an exacerbation of a preexisting mental disorder. AND D.The symptoms do not represent normal bereavement. AND E.Once the stressor or its consequences have terminated, the symptoms do not persist for more than an additional 6 months. Specify whether: With depressed mood: Low mood, tearfulness, or feelings of hopelessness are predominant. With anxiety: Nervousness, worry, jitteriness, or separation anxiety is predominant. With mixed anxiety and depressed mood: A combination of depression and anxiety is predominant. With disturbance of conduct: Disturbance of conduct is predominant. With mixed disturbance of emotions and conduct: Both emotional symptoms (e.g., depression, anxiety) and a disturbance of conduct are predominant. Unspecified: For maladaptive reactions that are not classifiable as one of the specific subtypes of adjustment disorder.

”

Symptoms

The usual symptoms mimic depression, anxiety, or sleep disorder