The adjustment disorder criteria in the DSM-5 also help differentiate adjustment disorder from other trauma- and stressor-related disorders. One of the main DSM criteria for adjustment disorder is that its symptoms must occur in response to a stressor and must happen first, before a diagnosis of anxiety disorder, depression, or other mental health disorder. When professionals use the adjustment disorder criteria in the DSM-5, they can make a differential diagnosis that is, they can distinguish adjustment disorders from other disorders with similar symptoms. Adjustment disorder can mimic other disorders, such as depression, anxiety disorders, substance abuse, personality disorders, and more. DSM-5 Adjustment Disorder Criteria and Differential DiagnosisĪ large part of helping someone receive the correct treatment is knowing exactly what is going on. These all are normal human reactions to stressors however, when they meet the DSM criteria for adjustment disorder, a diagnosis is made and a proper treatment plan can begin. Sometimes, people exhibit irritability, anger, or aggression. Low mood is another response to a stressor. Sometimes people experience anhedonia they lose their sense of pleasure and enjoyment. Specifying the type of adjustment disorder someone is experiencing helps the person receive the correct treatment.Īnxiety and fear are common human responses to stressors. When diagnosing an adjustment disorder, clinicians examine the specific DSM-5 criteria for adjustment disorder and match the person’s symptoms to the subtypes. Unspecified (symptoms don’t quite meet the criteria for any of the defined categories).Adjustment disorder with disturbance of conduct.Adjustment disorder with mixed depressed mood and anxiety.Adjustment disorder with depressed mood.The manual specifies adjustment disorder with The DSM-5 criteria for each type of adjustment disorder relate to its specific symptoms. All share the above criteria specifically, they are precipitated by an obvious stressor, cause distressful symptoms, and are time-limited. There are six subtypes of adjustment disorder delineated in the DSM-5. Types of Adjustment Disorder in the DSM-5 Once the stressor is removed or the person has begun to adjust and cope, the symptoms must subside within six months.The reaction isn’t part of normal bereavement.Distress and impairment are related to the stressor and are not an escalation of existing mental health disorders.Symptoms must be clinically significant-they cause marked distress and impairment in functioning.Distress that is out of proportion with expected reactions to the stressor.In addition to exposure to one or more stressors, other DSM-5 criteria for adjustment disorder must be present. The DSM-5 defines adjustment disorder as “the presence of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s)” (American Psychiatric Association, 2013). Developed and published by the American Psychiatric Association (2013), the DSM-5 is the widely accepted authority on mental illness. Adjustment disorder is often difficult to diagnose because it shares symptoms with other mental health disorders thus, professionals turn to the DSM-5, for adjustment disorder criteria. When someone has difficulty coping with a stressor and meets criteria outlined in The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), he/she can be diagnosed with adjustment disorder.
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