Adjustment Disorder

Elizabeth Hoy, MD, MS, Gabriel Sánchez, MD and Eduardo Camps-Romero, MD Reviewed 06/2017
 


BASICS

DESCRIPTION

Adjustment disorder (AD) 
  • Development of emotional/behavioral symptoms due to an identifiable stressor(s) and occurring within 3 months of onset of stressor(s) (1)

  • Diagnostic and Stati...

DIAGNOSIS

HISTORY

DSM-5 requires: 
  • Occurs within 3 months after onset of stressor(s)

  • Marked by distress that is in excess of what would be expected within context, given the nature of the stressor, and/o...

TREATMENT

GENERAL MEASURES

  • Treatment for AD is under investigation, although brief psychological interventions are preferred.

  • Symptoms resolve after resolution of stressor(s) and its consequences.

MEDICATION

ONGOING CARE

PATIENT TEACHING

Coping skills for life stressors 

PROGNOSIS

Short term: improvement within 6 months of elimination of stressor and consequences 

COMPLICATIONS

  • Increase risk of attempts and co...

REFERENCES

Carta MG, Balestrieri M, Murru A et al. Adjustment disorder: epidemiology, diagnosis and treatment. Clin Pract Epidemiol Ment Health.  2009;5:15. [View Abstract on OvidInsights]
Casey...

ADDITIONAL READING

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Publishing; 2013. 

CODES

ICD10

  • F43.20 Adjustment disorder, unspecified

  • F43.21 Adjustment disorder with depressed mood

  • F43.22 Adjustment disorder with anxiety

  • F43.24 Adjustment disorder with disturbance of conduct

  • F43.23 Adju...

PEARLS

  • Short-term disorder: occurs within 3 months of a stressor(s) and should resolve within 6 additional months from termination of stressor(s) or consequences of stressor(s)

  • Suicide risk should be a...

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