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Adjustment disorder

Perturbatio adaptationis · Porucha přizpůsobení

What it is

Distress and trouble coping out of proportion to an identifiable stressor — divorce, job loss, illness — starting within a month and usually easing within six months as the person adapts.

Symptoms & signs

  • Preoccupation with the stressor
  • worry, low mood, tearfulness
  • poor sleep
  • withdrawal from others
  • trouble at work or school

🚩 Get help if…

  • call 112 / 911 now Thoughts of suicide with a plan or intent
  • see a doctor soon Heavy drinking or drug use to cope
  • see a doctor soon Low mood most days for over two weeks, or not eating or sleeping
  • see a doctor soon No improvement six months after the stress ended

Where it strikes

Medical treatment

  • Assess for depression and suicide risk
  • Brief psychological therapy (CBT, problem-solving) — small trials mixed evidence
  • Short-term medication for sleep or anxiety only mixed evidence
  • guided self-help

Natural & lifestyle

  • Keep a routine, sleep and activity
  • lean on friends and family
  • limit alcohol

Emerging & experimental

  • Internet-based self-help programmes
  • stress-management apps

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Herbal combination (Euphytose) — one trial in adjustment disorder with anxiety early / small studies
  • Mindfulness — reduces stress; little specific research mixed evidence
  • Chamomile tea — traditional calming; untested here anecdotal / traditional

ICD codes