What is Adjustment Disorder and How to Deal with Change | Ask a Therapist |

Adjustment disorder is an abnormal and excessive reaction to an identifiable life stressor. The reaction is more severe than would normally be expected and can result in significant impairment in social, occupational, or academic functioning. Symptoms must arise within three months of the onset of the stressor and last no longer than six months after the stressor has ended.

The response may be linked to a single event (a flood or fire, marriage, divorce, starting school, a new job) or multiple events (marital problems or severe business difficulties). Stressors may be recurrent events (a child witnessing parents constantly fighting, chemotherapy, financial difficulties) or continuous (living in a crime-ridden neighborhood).

Adjustment disorders are associated with high risk of suicide and suicidal behavior, substance abuse, and the prolongation of other medical disorders or interference with their treatment. Adjustment disorder that persists may progress to become a more severe mental disorder, such as major depressive disorder.

Symptoms: Depressed mood, Impaired occupational/social functioning, Agitation, Trembling or twitching, Physical complaints (e.g. general aches and pains, stomachache, headache, chest pain)
Palpitations Conduct disturbances (e.g. truancy, vandalism, reckless driving or fighting), Withdrawal, Anxiety, worry, stress and tension
Note: Symptoms may vary widely. The person may or may not be aware of the stressor causing the disturbance.

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