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10 Cards in this Set

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Adjustment Ds:
By definition, the symptoms must begin within ? months of the stressor and must remit within ? months of removal of the stressor
By definition, the symptoms must begin within 3 months of the stressor and must remit within 6 months of removal of the stressor
A variety of subtypes of adjustment disorder are identified in the text revision of the fourth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), varying on the particular predominant affective presentation. These include :??????
adjustment disorder with
depressed mood,
anxious mood,
mixed anxiety and depressed mood,
disturbance of conduct,
mixed disturbance of emotions and conduct, and
unspecified type.
Adjustment Ds:
Gender are diagnosed with the disorder twice as often as gender, and single gender are generally overly represented as most at risk

In children and adolescents, gender stats?
Women are diagnosed with the disorder twice as often as men, and single women are generally overly represented as most at risk

In children and adolescents, boys and girls are equally diagnosed with adjustment disorders
Adjustment Ds most frequently diagnosed in (age group?)
adolescents
Common stressors for teens, adults?
Among adolescents of either sex, common precipitating stresses are school problems, parental rejection and divorce, and substance abuse. Among adults, common precipitating stresses are marital problems, divorce, moving to a new environment, and financial problems.
Up to ? percent of persons with specific medical problems or stressors have been diagnosed with adjustment disorders
50%
Any genetic connection to adjustment ds?
Some studies suggest that certain persons appear to be at increased risk both for the occurrence of these adverse life events and for the development of pathology once they occur.
6 month resolution criteria for adjustment disorder starts when?
onset of event,
onset of sx,
termination of stressor,
termination of stressor consequences
Once the stressor or its consequences has terminated, the symptoms do not persist for more than an additional 6 months.
DDX of Adjustment Ds's
MDD,
Uncomplicated bereavement
Brief Psychotic Ds
Anxiety Ds
Somatization
Substance
Disruptive behaviour Ds
Academic Problems
Occupational Problem
Identity Problem
Any downfalls to tx adjustment ds with psychotx?
patients can find therapists' attention, empathy, and understanding, which are necessary for success, rewarding in their own right, and therapists may thereby reinforce patients' symptoms. Such considerations must be weighed before intensive psychotherapy is begun; when a secondary gain has already been established, therapy is difficult. Patients with an adjustment disorder that includes a conduct disturbance may have difficulties with the law, authorities, or school. Psychiatrists should not attempt to rescue such patients from the consequences of their actions. Too often, such kindness only reinforces socially unacceptable means of tension reduction and hinders the acquisition of insight and subsequent emotional growth. In these cases, family therapy can help