Please enable JavaScript.
Coggle requires JavaScript to display documents.
35yo woman being sad dx: Adjustment Disorders - Coggle Diagram
35yo woman being sad
dx: Adjustment Disorders
treatment
Cognitive Behaviour Therapy
definition of adjustment disorder
a maladaptive emotional and/or behavioural response to an identifiable psychosocial stressor
capturing those who experience difficulties adjusting after a stressful event at a level disproportionate to the severity or intensity of the stressor
prevention
developing healthy coping skills and learning to be resilient may help you during times of high stress
call on your inner strength, increase your healthy habits and rally your social supports in advance
Pathophysiology
In a study evaluating the relation of blood serotonin concentrations to underlying psychiatric disorders, Rao et al observed that patients with adjustment disorders had a significantly higher maximal binding capacity of the platelet serotonin-2A receptor
These findings were consistent with those in other psychiatric patients who were suicidal and suggested that loss of control over suicidal impulses may be associated with a reduction in the availability of serotonin and an upregulation of the serotonin-2A receptors
risk factors
Stressful events
Divorce or marital problems
Relationship or interpersonal problems
Changes in situation, such as retirement, having a baby or going away to school
Adverse situations, such as losing a job, loss of a loved one or having financial issues
Problems in school or at work
Life-threatening experiences, such as physical assault, combat or natural disaster
Your life experiences
Experienced significant stress in childhood
Have other mental health problems
Have a number of difficult life circumstances happening at the same time
complications
they can eventually lead to more serious mental health problems such as anxiety disorders, depression or substance abuse.
etiology
Intrinsic factors
Age; sex; intellectual, emotional, and ego development; coping skills; temperament; and past experiences
Extrinsic factors
Parents and support systems; expectations, understanding, skills, maturity, and support available from the child’s larger environment
diagnose
Signs and symptoms
Feeling sad, hopeless or not enjoying things you used to enjoy
Frequent crying
Worrying or feeling anxious, nervous, jittery or stressed out
Trouble sleeping
Lack of appetite
Difficulty concentrating
Feeling overwhelmed
Difficulty functioning in daily activities
Withdrawing from social supports
Symptoms of an adjustment disorder start within three months of a stressful event and last no longer than 6 months after the end of the stressful event.
Diagnostic Criteria
DSM-5
Onset of emotional or behavioural symptoms must occur in response to identifiable stressor, and within 3 months of the stressor
These symptoms are clinically significant
ICD-11
Presence of an identifiable psychosocial stressor(s). Symptoms emerge within 1 month of the stressor
Presence of an identifiable psychosocial stressor(s). Symptoms emerge within 1 month of the stresso
(a) excessive worry about the stressor
(b) recurrent and distressing thoughts about the stressor
differential diagnose
PTSD
Bipolar disorder episode depression
Acute stress disorder
Anxiety disorder with depression
Education
Patients and families should be reassured that the emotional and physical effects of stressful events are understandable and often self-limited.
Patients should be encouraged to identify relatives, friends, and community resources that can provide support during the acute period.