ADJUSTMENT DISORDER
ADJUSTMENT DISORDER
- Disorders characterized by emotional responses to stressful events like financial problems, medical illness, relationship problems or death of a loved one.
Symptoms:
- Symptom complex includes anxiety & depressive symptoms.
- Depressed mood
- Worry
- Feeling of inability to cope.
- Disturbance in individuals daily functioning.
Differential diagnosis:
- Depression –
- Depression follows negative life event.
- Differentiated by delineating uncomplicated bereavement/grief reactions.
- In uncomplicated bereavement:
- Symptoms & dysfunctions developing are within expected limits.
- In adjustment disorder:
- Symptoms & dysfunction are beyond expectable reaction to stressor.
Other differential diagnosis:
- PTSD
- Brief psychotic disorders.
- Diagnoses should be given precedence if their diagnostic criterion are met, irrespective of stressors presence.
Treatment:
- Psychotherapy – Treatment of choice.
- Supportive psychotherapy commonly used.
- Medications –
- Adjuvant to psychotherapy.
- Antidepressants & antianxiety drugs.
Exam Important
- Disorders characterized by emotional responses to stressful events like financial problems, medical illness, relationship problems or death of a loved one.
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