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1、AdjustmentDisordersACategoryofCompromise?Somepeoplereacttoamajorstressorintheirliveswithextendedandexcessivefeelingsofanxiety,depressedmood,orantisocialbehaviors.Thesymptomsdonotquiteadduptoacutestressdisorderorposttraumaticstressdisorder,nordotheyreflectan
2、anxietyormooddisorder…buttheydocauseconsiderabledistressorinterferewiththeperson’sjob,schoolwork,orsociallife.Shouldweconsidersuchreactionsnormal?No!saystheDSM-IV-TRSomewherebetweeneffectivecopingstrategiesandstressdisorderslietheAdjustmentDisorders.Theesse
3、ntialfeatureofAdjustmentDisorderis:Thedevelopmentofclinicallysignificantemotionalorbehavioralsymptomsinresponsetoanidentifiablepsychosocialstressororstressors.DSM-IV-TRlists sixtypes ofAdjustmentDisorders309.0WithDepressedMood:Depressedmood,tearfulness,feel
4、ingsofhopelessness309.24WithAnxiety:Nervousness,worry,jitteriness,or(inchildren)fearsofseparationfromattachmentfigures.DSM-IV-TRlists sixtypes ofAdjustmentDisorders3.309.28WithMixedAnxietyandDepressedMoodCombinationofdepressedmood,tearfulness,feelingsofhope
5、lessnessandnervousness,worry,jitteriness,or(inchildren)fearsofseparationfromattachmentfigures.DSM-IV-TRlists sixtypes ofAdjustmentDisorders4.309.3WithDisturbanceofConductViolationofrightsofothers;e.g.,truancy,vandalism,recklessdriving,fighting.DSM-IV-TRlist
6、s sixtypes ofAdjustmentDisorders5.309.4WithMixedDisturbanceofEmotionsandConductBothemotionalsymptoms(e.g.,depression,anxiety)anddisturbanceofconductDSM-IV-TRlists sixtypes ofAdjustmentDisorders309.9UnspecifiedMaladaptivereactions(e.g.,physicalcomplaints,soc
7、ialwithdrawal)thatisnotoneofthesubtypes.AdjustmentDisorder(con’t.)AdjustmentDisordershouldnotbediagnosedifthereactiontostressis:Whatmightbeexpected,giventhesituationandDoesnotcausesignificantimpairmentinsocialoroccupationfunctioningAdjustmentDisorder(con’t.
8、)CharacteristicsSymptomsmustdevelopwithin3monthsaftertheonsetofthestressorClientmusthavemarkeddistressinexcessofwhatwouldbeexpectedgiventhenatureofthestressorDiagnosisisnotusedifdisturbancemeetsthecrit
