Adjustment disorder is a group of symptoms, such as stress, feeling sad or hopeless, and somatic symptoms that can occur as a result of failure to adjust in a stressful situation. Due to poor coping skills and precipitating events the person undergoes a Maladaptive pattern of stress management resulting in adjustment difficulties.

1. PRESENTED BY: Ms Mamta Bisht
Lecturer
(Psychiatric Nursing)
ADJUSTMENT DISORDER

2. TRAUMA AND STRESSOR RELATED
DISORDERS (DSM-5)
• Reactive attachment disorder
• Disinhibited social engagement disorder
• Post traumatic stress disorder (PTSD)
• Acute stress disorder-adjustment disorder
• Other specified trauma and stressor related
disorders
• Unspecified trauma and stressor related
disorders
Presented By Mamta Bisht 2

3. ACUTE STRESS DISORDER- ADJUSTMENT DISORDER
Adjustment disorder refers to the
psychological reaction (emotional &
behavioral symptoms) that arise in
response to an identifiable stressor(s)
such as changing circumstances.
Presented By Mamta Bisht 3

4. ACUTE STRESS DISORDER- ADJUSTMENT DISORDER
Definition:
An adjustment disorder is characterized
by a maladaptive reaction to an
identifiable stressor that results in
clinically significant emotional or
behavioral symptoms.
Presented By Mamta Bisht 4

5. ETIOLOGICAL FACTORS
Changes in environment or
circumstances such as:
• Major change of work
• Divorce and separation.
• Transition from school to university
• Migration
• Birth of handicapped child
Presented By Mamta Bisht 5

6. CLINICAL FEATURES
1.Psychological symptoms
• Depression
• Anxiety
• Irritability
• Worry
• Poor Concentration
Presented By Mamta Bisht 6

7. CLINICAL FEATURES
2.Physical symptoms:
Palpitations, rapid breathing, tremors, GI
symptoms
3.Behavioral disturbance: anger, self
harm, substance use, social difficulties,
occupational problems, poor
performance.
Presented By Mamta Bisht 7

8. MANAGING ADJUSTMENT DISORDER
• Talk therapy
• Teach & assist the client to face his
fears and accept the challenges
• Provide emotional support
• Stress management techniques
• Encourage positive thinking and
optimism.
Presented By Mamta Bisht 8

9. MANAGING ADJUSTMENT DISORDER
• Help the person to get back to the
normal routine
• Help the person develop support
system (family and friends)
• Lifestyle modifications : good sleep,
healthy diet and regular physical
exercise
Presented By Mamta Bisht 9

10. Thank you
Presented By Mamta Bisht 10