adjustement disorder (and prolonged grief reactions)

Question 1

ICD 10 definition of adjustment dirosder

Answer 1

states of subjective distress and emotional disturbance, interferencing with social function and perform after SIGNIFANT event (not always death-can be going to uni)
within 1 month of stress event, not lasting over 6m

Question 2

Aetiology and RF of adjustment dirosder

Answer 2

Maladaptive pscyho response to stress events

any age of onset -technically over 20% of pt could have one

Question 3

Sx of adjustement disorder

Answer 3

onset within weeks of stressful event - las <6m
anxiety, depression, with NO biological sx of depression,
sx should not be sufficient/severe enough to justify full diagnosis
deemed greater than expected but not as bad as depress/anxiety

Question 4

What is a normal grief reaction

Answer 4

grief can be normal/abnormal/prolonged
normal -
Shock (days) > anger > guilt> searching > sadness> acceptance
during searching -can have vivid dreams of dead person being alive/pseudo hallucination

Question 5

What is abnormal/prolonged grief reaction

Answer 5

Delayed onset, greater intensity or prolongation of reaction (longer than 6m), preoccupation with neg thoughts
sucicide ideation, hallucinations

more common if relation with deceased was weird, or sudden death

distinguish from depression -
sadness are focused on person lost (in depression sx are more free floating)
not expect many bio sx of depression

Question 6

Ix of adjustement disorder and grief reaction

Answer 6

full hx and possible Collateral

MSE

Question 7

Mx of adjustement disorder and grief reaction

Answer 7

biopschoscial -support, reassurance and problem solving for them often all thats needed

adjustment -
can use antidepressants, anxiolytics/hypnotics
and supporitve councelling

Prolonged/abnormal grief - anti depressants and coucnelling can be used

prognosis -
short term interuption to life
sx resolve after resoluton of cause/time