What are the coping skills for depression

Psychiatry, psychosomatics & psychotherapy

An adjustment disorder is a reaction to a one-off or ongoing stressful life event, which can be expressed in negative changes in the state of mind (affective symptoms) or in disorders of social behavior (interpersonal). It occurs when people cannot accept a new difficult psychological or physical condition for a longer period of time or cannot adequately adapt to the new life situation. The adjustment disorder is characterized by states of subjective distress and emotional impairments, social relationships and performance are limited, which can lead to a high degree of suffering.

Triggering stressors can be, for example, (chronic) family or professional conflicts or problems, financial difficulties, physical illnesses, illnesses or deaths in the family / friends, the birth of a child, legal problems or even moving. Not the objective severity of the event, but the subjective feeling of stress, the amount of previous difficult experiences, the individual resilience and coping skills are decisive for the development of the disease and its severity. An adjustment disorder usually does not last longer than six months, except for the longer depressive reaction.

Where is the line between a normal and a pathological reaction?

In the course of life, people are exposed to a number of negative, stressful life events, which are usually dealt with adequately and dealt with with dignity. Strong feelings of anger, sadness, consternation and helplessness, which are triggered by various stressful situations or strokes of fate, are normal reactions. Normal reactions are characterized by the fact that the person concerned is still able to behave appropriate to the situation and various degrees of freedom are retained, i.e. not all areas of life are under the impression of the stress. At which threshold therapeutic help is necessary can be clarified in a conversation with a psychiatrist. In therapy, ways are then sought to reduce the stress or - if this should not be possible - to learn to deal better with the stress.

Classification of adjustment disorders

According to the ICD-10, so-called subtypes are distinguished based on the predominant symptom:

  • Brief depressive reaction
  • Prolonged depressive response (can last up to 2 years)
  • Mixed anxiety and depressive response
  • With predominantly impairment of other feelings
  • With predominant conduct disorder
  • With mixed disorder of feelings and social behavior
  • With other predominantly mentioned symptoms