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Adjustment Disorder

Adjustment Disorder with Depressed Mood: An adjustment disorder is caused by a stressful event or change in one's life such as divorce, job loss, illness, etc. The disorder begins within three months of the stressful event.

Even positive events such as going away for college, getting married, or having a baby can trigger an adjustment disorder. In children, starting school, moving, an illness in the family, or divorce between parents can cause adjustment disorders.

Many, but not all, adjustment disorders involve a depressed mood.

Symptoms of an adjustment disorder may be emotional (depression and/or anxiety) or behavioral or a combination of both. The symptoms last longer than "normal" and cause noticeable impairment in day-to-day functioning. Impulsive or violent behavior (e.g. getting into fights) is more common in children with adjustment disorders than adults.

Most adjustment disorders resolve within six months. Psychotherapy is the main treatment. If an adjustment disorder with depressed mood persists longer than six months, the diagnosis may be changed to major depression. In this case, medication is often prescribed. People with a history of depression or anxiety are more likely to develop an adjustment disorder.

While an adjustment disorder is usually self-limiting, treatment is important. Psychotherapy can prevent an adjustment disorder from evolving into a serious mental health disorder such as major depression or generalized anxiety disorder. A person with adjustment disorders is also at an increased risk for suicide.

In addition to psychotherapy, relaxation techniques and exercise may help manage stress and symptoms of depression and anxiety.

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