The Six Types of
Adjustment Disorders:
Are You Struggling to Adjust to Major Life Changes?

Life can throw us many curveballs. Some challenges and changes are expected and some may seem to come out of left field. Regardless of whether you saw a major life change coming or not, it can be difficult to adjust to. If you find yourself struggling to accept a recent change or move forward, you aren’t alone. You may be experiencing what is called an Adjustment Disorder. While the name may sound scary, Adjustment Disorders are treatable and are generally short lived, lasting six months or less. With the right intervention you can find the support you deserve and move forward. Counseling may be just what you are looking for. 

Know the Symptoms

Symptoms of Adjustment Disorder, as identified by the Mayo Clinic, can include the following: 

  • Feeling sad or hopeless 
  • Not enjoying things you used to enjoy
  • Frequent crying
  • Feeling nervous, anxious or on edge
  • Irritability 
  • Feeling as if you can’t handle things or don’t know where to start
  • Difficulty sleeping
  • Appetite changes (overeating or not eating enough)
  • Trouble concentrating
  • Having difficulty with daily tasks
  • Withdrawing from family and friends 
  • Not doing important things, such as going to work or paying bills
  • Thoughts of suicide

Symptoms of Adjustment Disorder generally begin within three months of a major life change or stressor and last about six months. If the stressor is ongoing symptoms can last much longer. With proper interventions symptoms can be treated and will eventually dissipate. 

Types of Adjustment Disorder

According to Healthline, the six types of adjustment disorders are:

  1. Adjustment disorder with depressed mood – This type of adjustment disorder manifests depressive symptoms, such as sad mood, irritability, hopelessness, and anhedonia or the inability to find interest and enjoyment in things that they used to enjoy. 
  2. Adjustment disorder with anxiety – This type of adjustment disorder can result in intense, pervasive and unfounded fears or worries. They may also have problems with memory and focus. Children may refuse to go to school, and become confused easily, or they may express irritability or anger.
  3. Adjustment disorder with mixed anxiety and depressed mood – A person diagnosed with this type of adjustment disorder is likely to exhibit both anxiety and depressive symptoms.
  4. Adjustment disorder with disturbance of conduct – A person with this type can exhibit irresponsible behaviors that can endanger their safety (or that of others) and/or their health. These behaviors can include extreme defiance, aggressiveness, or driving recklessly to name a few. Adolescents with this disorder may skip school, engage in risky behavior, or associate with unhealthy influences.
  5. Adjustment disorder with mixed disturbance of emotions and conduct – This type of adjustment disorder can be manifested in symptoms that are associated with anxiety, depression and/or concerning behaviors.
  6. Adjustment disorder unspecified – The symptoms associated with this type of condition often include social concerns, relationship problems and physical symptoms.

The Risks and Complications 

It is true that adjustment disorder can be short-term, but only when the stressor is removed, or you have eventually adjusted to the circumstances. They can last longer without interventions or if the stressor is ongoing, such as unemployment or a serious health concern.

There are times we cannot avoid tragic and painful life events. Getting sick, losing someone dear, having problems at work, moving to a different school, or having relationship problems – are life changes and transitions that can stress and overwhelm you. Feeling this way is natural. If you are having difficulty adjusting to a major life change or stressor, you aren’t alone, therapy can help. 

Treatment for Adjustment Disorders

Adjusting to major life changes can be overwhelming, it can be natural to experience difficulty adjusting to them. If you are having a hard time adjusting, you’re not alone. Counseling can be extremely helpful, allowing you space to process your experience and find ways to effectively cope. 

There are many evidenced based approaches that can help, Cognitive Behavioral Therapy is among the most effective. Find the therapist that is right for you with Carolina Counseling Services – Southern Pines, NC. 

CCS contracts with licensed therapists and counselors who are skilled in treating adjustment disorders. Call today to schedule your first appointment. Online Counseling and in person sessions are available!

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