Adjustment Disorder

Question 1

ICD 10

Answer 1

Start within 1 mnth and not go on after 6 mnths of stressor. 
Marked distress, imaired func. 
-Subclassif- 
brief dep reac over 1 mnth. 
Prolonged btw 6mnth and 2 yr. 
mixed anx and dep reac.
Predom disturb of other emot.
Predom disturb of conduct.
Allows inclusion of beeravement/ grief reac.

Question 2

Prevalence

Answer 2

5% in psychiatric pts.

20% in gen hosp pts.

Question 3

Aetiology

Answer 3

Stressor.

Indiv predisp.

Question 4

Diffs

Answer 4

PTSD
Medical disorder
Alc and drugs

Question 5

Mx

Answer 5

-bio-
AntiD, anxiolytic, hypnotics if persis and distressing, or if psycho mx unsucc.
-psyhco-
Supportive psychotherapy to impr coping.
Carers, finance, OT, supp grps.
Ventilation/verbilisation of feelings.
Underst meaning of the stressor to them.

Question 6

Prognosis

Answer 6

Recovery in 70%

Major psych probs in 10% eg dep, anx, alc.