33: Adjustement Disorders - Streyffeler Flashcards
DSM5 diagnostic criteria adjustment disorder
emotional/behavioral symptoms in response to stressor occurring within 3 MONTHS of the onset of stressor
not normal bereavement/ not a different diagnosis
does not last more than 6 mo after end of stressor or its consequences
elevated risk of suicide
common diagnosis (5-20% outpatient)
most helpful tx
supportive counseling
may also give medication to address symptoms interfering with functioning
trying to convince a pt that a transition or loss is not really that bad, or trying to help them see the bright side is …
unhelpful
encourage pt to acknowledge both the good and bad aspects
benefits of exercise
stress management - more effective than sedentary activities like reading or watching tv
improved mood
improves body image
what is the relaxation response?
meditation focusing on becoming aware of body and breath (nose)
