Adjustment Disorder | Adjustment disorder DSM-5

5-MinuteClinicalConsultTagsTypeyourtagnamesseparatedbyaspaceandhitenterSearchAdjustmentDisorderBasicsDescriptionAdjustmentdisorder(AD)Developmentofemotional/behavioralsymptomsduetoanidentifiablestressor(s)andoccurringwithin3monthsofonsetofstressor(s)(1)DiagnosticandStatisticalManualofMentalDisorders5thEdition(DSM-5)overview:VarioustypesWithdepressedmood—feelingsofdepression,tearfulness,orfeelingsofhopelessnessWithanxiety—nervousness,worry,orjitteriness,or,inchildren,fearsofseparationfrommajorattachmentfiguresWithmixedanxietyanddepressedmood—acombinationofdepressionandanxietyWithdisturbanceofconduct—thereisviolationoftherightsofothers,majorage-appropriatesocietalnorms,andrulesWithmixeddisturbanceofemotionsandconductUnspecifiedincludesmaladaptivereactionsthatarenotclassifiedasoneoftheothersubtypes.EpidemiologyIncidenceVariesamongpopulationHighincidenceduringtimesofdisasterandinpatientswithchronicillnessesCommondiagnosisinclinicalsettingPrevalenceVariesamongpopulation11–18%amongprimarycare(2)10–35%inconsultationliaisonpsychiatry(2)EtiologyandPathophysiologyIndividualvulnerabilityandriskplayagreaterroleinADthaninotherpsychiatricdisorders(3).FactorsthatleadtodevelopmentofADinchildrenandadolescentsaresimilartothosefoundinadultsandareadjustedforstageoflife.RiskFactorsWomen>men(3)YoungerageHighrateofstressorsOthermentalhealthproblemsUnstablefamilyenvironment,divorceMilitaryserviceNaturaldisastersGeneralPreventionGoodcopingmechanismstostressorsEstablishingsupportCommonlyAssociatedConditionsPersonalitydisorderspreviouslylinkedtoAD(Fewstudiesshowatruecorrelation.)SuicideattemptsandcompletedsuicideSubstanceabuseDiagnosisHistoryDSM-5requires:Occurswithin3monthsafteronsetofstressor(s)Markedbydistressthatisinexcessofwhatwouldbeexpectedwithincontext,giventhenatureofthestressor,and/orbysignificantimpairmentinsocial,occupational,orotherimportantareasoffunctioningDonotdiagnoseifthedisturbancemeetscriteriaforanothermentaldisorderandisnotanexacerbationofapreexistingmentaldisorder.Doesno


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