Quick Guide - California State University, Northridge
Quick Guide
Adjustment Disorder
The essential feature of Adjustment Disorder is: the development of clinically significant emotional or behavioral symptoms in response to an identifiable psychosocial stressor or stressors.
Characteristics
a. Symptoms must develop within 3 months after the onset of the stressor
b. Must have marked distress in excess of what would be expected given the nature of the stressor
c. Diagnosis is not used if disturbance meets the criteria for another specific Axis I disorder or is an exacerbation of a preexisting Axis I or Axis II disorder.
d. Diagnosis may be used with an Axis I or Axis II disorder if they do not account for the pattern of symptoms that have occurred in response to the stressor.
e. Diagnosis is not used when symptoms represent Bereavement.
f. Adjustment Disorder must be resolved within 6 months of termination of the stressor (or its consequences).
g. May persist long than 6 months if is occurs in response to a chronic stressor
Subtypes
309.0 With Depressed Mood
Depressed mood, tearfulness, feelings of hopelessness
309.24 With Anxiety
Nervousness, worry, jitteriness, or (in children) fears of separation from attachment figures
309.28 With Mixed Anxiety and Depressed Mood
Combination of above
309.3 With Disturbance of Conduct
Violation of right of others; e.g., truancy, vandalism, reckless driving, fighting
309.4 With Mixed Disturbance of Emotions and Conduct
Both emotional symptoms (e.g., depression, anxiety) and disturbance of conduct
309.9 Unspecified
Maladaptive reactions (e.g., physical complaints, social withdrawal) that is not one of the subtypes.
Duration of Symptoms
Acute - symptoms for less than 6 months
Chronic - symptoms 6 months or longer: Applies when there is a chronic
stressor or stressor has enduring consequences.
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