Adjustment disorder

Question 1

features?

Answer 1

mood and behavioral symptoms onset within 3 months of an identifiable stressor.
marked distress and/or functional impairment.
does not meet the criteria for another DSM- 5 disorder.

Question 2

differential diagnosis?

Answer 2

normal stress response ( not excessive, no significant imairement).
acute stress disorder ( traumatic event, intrusive re-experiencing).
major depressive disorder ( > or equal 2 weeks, 5/9 symptoms, depressed mood +SIGECAPS.

Question 3

management?

Answer 3

psychotherapy is treatment of choice.
adjunctive pharmacotherapy ( short term, reserved for rapid relief of impairing symptoms (ex: sleep aid, anxiolytic).

Question 4

SIGECAPS

Answer 4

sleep disturbance, interest loss, guilt excessive, energy low, concentration impaired, appetite disturbance, psychomotor agitation/retardation, suicidal ideation.