Adjustment Disorder (Treatments)

The primary goal of treatment is to relieve symptoms and help the person achieve a level of functioning comparable to that before the stressful event.

Most mental health professionals recommend a form of psychosocial treatment, such as individual psychotherapy, family therapy, behavior therapy and self-help groups. Realistic short-term goals should be made at the start of therapy, as the course of adjustment disorder is short-term in nature.

Goals of therapy will often center around social supports available to the individual in the form of family, friends and community. The individual's coping and problem solving skills will be explored and developed. Relaxation techniques might be explored to deal with feelings of stress. Treatment will include eliciting the patient's concern and helping the individual understand his or her role in the stressors; reviewing and reinforcing positive steps the patient has taken to deal with the stress; teaching ways to cope or avoid stressors in the future; helping the individual to place stressors in perspective to overall life; helping the individual to understand his reaction to the stressors; and helping the individual view stressors as chance for positive change or improvement.

Family therapy as well as effective communication and coping-with-stress skills may be recommended for cases in which the patient is younger (child, adolescent). When medications are used, it is in addition to psychosocial treatment. Prescription medication may be helpful in easing the depression or the anxiety associated with adjustment disorder. However, treatment of adjustment disorders usually excludes use of medication.

Adjustment Disorder is defined as beginning within three months of the onset of an identifiable stressor and lasts no longer that six months after the stressors have ceased. Most people recover without any remaining symptoms if they have no previous history of mental illness and have access to stable social support. Individuals suffering from adjustment disorders should work to develop and maintain healthy diets and sleeping patterns, as well as a strong social support system.

Adjustment Disorder. Last reviewed 05/07/2007

Sources:

  • American Psychiatric Association
  • National Cancer Institute
  • National Institutes of Health
  • Pelkonen M, Marttunen M, Henriksson M: Suicidality in adjustment disorder

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