Understanding Adjustment Disorders
Adjustment disorders are a group of conditions that can occur
when you have difficulty coping with a stressful life event. These can include the
death of a loved one, relationship issues, or being fired from work. While
everyone encounters stress, some people have trouble handling certain
The inability to adjust to the stressful event can cause one
or more severe psychological symptoms and sometimes even physical symptoms. There
are six types of adjustment disorders. Each type is associated with distinct
symptoms and signs. Adjustment disorders can affect both adults and children.
Adjustment disorders are treated with therapy, medication, or
a combination of both. With help, you can usually recover from an adjustment
disorder quickly. The disorder typically doesn’t last more than six months,
unless the stressor persists.
Recognizing the Symptoms of Adjustment Disorder
The mental and physical symptoms associated with adjustment
disorder usually occur during or immediately after you experience a stressful
event. While the disorder lasts no longer than six months, your symptoms may
continue if the stressor isn’t removed. Some people have just one symptom.
Others may experience many symptoms.
The mental symptoms of adjustment disorders can include:
- acting rebellious or impulsive
- acting anxious
- feeling sad, hopeless, or trapped
- withdrawn attitude
- lack of concentration
- loss of self esteem
- suicidal thoughts
There is one type of adjustment disorder that is associated
with physical symptoms as well as psychological ones. These physical symptoms
- muscle twitches or trembling
- body pain or soreness
Types of Adjustment Disorder
There are six different types of adjustment disorders. Each
type is associated with different symptoms:
disorder with depressed mood
diagnosed with this type of adjustment disorder tend to experience feelings of
sadness and hopelessness. It’s also associated with crying. You may also find that
you no longer enjoy activities that you formerly enjoyed.
disorder with anxiety
associated with adjustment disorder with anxiety include feeling overwhelmed,
anxious, and worried. People with this disorder may also have problems with
concentration and memory. For children, this diagnosis is usually associated
with separation anxiety from parents and loved ones.
disorder with mixed anxiety and depressed mood
with this kind of adjustment disorder experience both depression and anxiety.
disorder with disturbance of conduct
of this type of adjustment disorder mainly involve behavioral issues like
driving recklessly or starting fights. Teens with this disorder may steal or
vandalize property. They might also start missing school.
disorder with mixed disturbance of emotions and conduct
linked to this type of adjustment disorder include depression, anxiety, and
diagnosed with adjustment disorder unspecified have symptoms that aren’t associated
with the other types of adjustment disorder. These often include physical symptoms
or problems with friends, family, work, or school.
What Causes Adjustment Disorders?
A variety of stressful events can cause an adjustment
disorder. Some common causes in adults include:
- death of family member or friend
- relationship issues or divorce
- major life changes
- illness or health issue (in you or
someone you’re close with)
- moving to a new house or place
- sudden disasters
- money troubles or fears
Typical causes in children and teenagers include:
- family fights or problems
- problems in school
- anxiety over sexuality
Who Is at Risk of Developing Adjustment Disorder?
Anyone can develop an adjustment disorder. There isn’t any
way to tell who out of a group of people experiencing the same stressor will
develop an adjustment disorder. Your social skills and methods for coping with
other stressors may determine whether or not you develop an adjustment
How Is Adjustment Disorder Diagnosed?
In order to be diagnosed with an adjustment disorder, you
must meet the following criteria:
- experiencing psychological or behavioral
symptoms within three months of an identifiable stressor or stressors occurring
in your life
- having more stress than would be
ordinary in response to a specific stressor, or stress that causes issues with relationships,
in school or at work, or experiencing both of these criteria
- the improvement of symptoms within six
months after the stressor or stressors are removed
- symptoms that are not the result of
How Is Adjustment Disorder Treated?
If you are diagnosed with an adjustment disorder, you would
probably benefit from treatment. You may require only short-term treatment or
may need to be treated over an extended period of time. Adjustment disorder is
typically treated with therapy, medications, or a combination of both.
Therapy is the primary treatment for an adjustment disorder. Your
doctor or healthcare provider may recommend you see a mental health
professional. You may be referred to a psychologist or mental health counselor.
However, if your doctor thinks that your condition requires medication, they
may refer you to a psychiatrist or psychiatric nurse practitioner.
Going to therapy can help you return to a regular level of
functioning. Therapists offer you their emotional support and can help you
understand the cause of your adjustment disorder. This together can help you
develop skills to cope with future stressful situations.
There are several kinds of therapies used to treat adjustment
disorders. These therapies include:
- psychotherapy (also called counseling or
- crisis intervention (emergency
- family and group therapies
- support groups specific to the cause of
the adjustment disorder
- cognitive behavioral therapy, or CBT
(focuses on solving problems by changing unproductive thinking and behaviors)
- interpersonal psychotherapy, or IPT
(short-term psychotherapy treatment)
Some people with adjustment disorders also benefit from
taking medications. Medications are used to lessen some of the symptoms of
adjustment disorders, such as insomnia, depression, and anxiety. These
What Is the Long-Term Outlook?
The outlook for recovering from an adjustment disorder is
good if you are treated quickly and correctly. You should recover quickly. The
disorder doesn’t usually last more than six months in most people.
How to Prevent Adjustment Disorders
There’s no guaranteed way to prevent an adjustment disorder. However, learning
to cope and be resilient can help you deal with stressors. Being resilient
means being able to overcome stressors. You can increase your resilience by:
- developing a strong network of people to support
- looking for the positive or humor in hard
- living healthfully
- establishing good self-esteem
It can be helpful to prepare for a stressful situation if you know you will
need to confront it in advance. Thinking positively can help. You can also call
your doctor or therapist to discuss how you can best manage especially