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Question

Normal stress or adjustment disorder?

What's the difference between normal stress and an adjustment disorder?

Answer

from Daniel K. Hall-Flavin, M.D.

Stress is a normal psychological and physical reaction to positive or negative situations in your life, such as a new job or the death of a loved one. Stress itself isn't abnormal or bad. What's important is how you deal with stress.

When you have so much trouble adjusting to a stressful change that you find it difficult to go about your daily routine, you may have developed an adjustment disorder. An adjustment disorder is a type of stress-related mental illness that can affect your feelings, thoughts and behaviors. An adjustment disorder can occur in both adults and children.

Signs and symptoms of an adjustment disorder can include:

  • Anxiety
  • Poor school or work performance
  • Relationship problems
  • Sadness
  • Thoughts of suicide
  • Worry
  • Trouble sleeping

If you're dealing with a stressful situation in your life, try self-help measures, such as talking things over with caring family or friends, practicing yoga or meditation, getting regular exercise, and cutting back on your to-do list. If these techniques don't help and you feel like you're still having a hard time coping, talk to your doctor.

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References
  1. Adjustment disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Oct. 1, 2012.
  2. Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed Oct. 1, 2012.
  3. Sadock BJ, et al. Kaplan and Sadock's Comprehensive Textbook of Psychiatry. 9th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009. http://www.psychiatryonline.com. Accessed Oct. 1, 2012.
  4. Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 1, 2012.
  5. Casey P, et al. Adjustment disorders: The state of the art. World Psychiatry. 2011;10:11.
AN01768 Jan. 29, 2013

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