Adjustment Disorders
Adjustment disorders may cause serious problems in daily life.
An adjustment disorder occurs when the patient's reaction to a stressful event:
- Is more severe than the expected amount of distress.
- Affects relationships or causes problems at home or work.
- Includes symptoms of depression and anxiety or other emotional, social, or behavioral problems.
Adjustment disorders may be caused by cancer diagnosis, treatment, recurrence, or the side effects of treatment.
An adjustment disorder usually begins within three months of a stressful event and lasts no longer than six months after the event is over. Some patients may develop a chronic adjustment disorder because they have many causes of distress, one right after another.
An adjustment disorder may become a more serious mental disorder such as major depression. This is more common in children and adolescents than in adults. (See the PDQ summary on Pediatric Supportive Care 1 for more information.)
Counseling can help patients with adjustment disorders.
Individual (one-to-one) and group counseling have been shown to help cancer patients with adjustment disorders. Counseling may include treatment that focuses on the patient's thoughts, feelings, and behaviors. The following are methods that may help patients cope:
- Relaxation training.
- Biofeedback.
- Mental imagery exercises.
- Problem-solving.
- Plan for events that may happen in the future.
- Change beliefs that are not true.
- Distraction.
- Thought stopping.
- Positive thoughts.
Counseling may be combined with antianxiety medicine or antidepressants.
Counseling should be tried before medicine. Some patients are not helped by counseling or develop a more severe mental health problem, such as severe anxiety or depression. These patients may be helped by an antianxiety or antidepressant medicine along with counseling. (See the PDQ summary on Depression 2 for more information.)
Glossary Termsadjustment disorder (uh-JUST-ment dis-OR-der)A condition in which a person responds to a stressful event (such as an illness, job loss, or divorce) with extreme emotions and actions that cause problems at work and home.antidepressant (AN-tee-dee-PREH-sunt) A drug used to treat depression.anxiety (ang-ZY-eh-tee) Feelings of fear, dread, and uneasiness that may occur as a reaction to stress. A person with anxiety may sweat, feel restless and tense, and have a rapid heart beat. Extreme anxiety that happens often over time may be a sign of an anxiety disorder.biofeedback (BY-oh-FEED-bak) A method of learning to voluntarily control certain body functions such as heartbeat, blood pressure, and muscle tension with the help of a special machine. This method can help control pain.cancer (KAN-ser) A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is a cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is a cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is a cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord. Also called malignancy.chronic (KRAH-nik) A disease or condition that persists or progresses over a long period of time.cope (kope) To adjust to new situations and overcome problems.counseling (KOWN-suh-ling) The process by which a professional counselor helps a person cope with mental or emotional distress, and understand and solve personal problems.depression (dee-PREH-shun) A mental condition marked by ongoing feelings of sadness, despair, loss of energy, and difficulty dealing with normal daily life. Other symptoms of depression include feelings of worthlessness and hopelessness, loss of pleasure in activities, changes in eating or sleeping habits, and thoughts of death or suicide. Depression can affect anyone, and can be successfully treated. Depression affects 15-25% of cancer patients.diagnosis (DY-ug-NOH-sis) The process of identifying a disease, such as cancer, from its signs and symptoms.distraction (dis-TRAK-shun) In medicine, a pain relief method that takes the patient's attention away from the pain.distress (dih-STRESS) Extreme mental or physical pain or suffering.guided imagery (GY-did IH-muh-jree) A technique in which a person focuses on positive images in his or her mind. It can help people reach a relaxed, focused state and help reduce stress and give a sense of well-being. Also called imagery.medicine (MEH-dih-sin) Refers to the practices and procedures used for the prevention, treatment, or relief of symptoms of a diseases or abnormal conditions. This term may also refer to a legal drug used for the same purpose.mental health (MEN-tul helth) A person’s overall psychological and emotional condition. Good mental health is a state of well-being in which a person is able to cope with everyday events, think clearly, be responsible, meet challenges, and have good relationships with others.PDQ PDQ is an online database developed and maintained by the National Cancer Institute. Designed to make the most current, credible, and accurate cancer information available to health professionals and the public, PDQ contains peer-reviewed summaries on cancer treatment, screening, prevention, genetics, complementary and alternative medicine, and supportive care; a registry of cancer clinical trials from around the world; and directories of physicians, professionals who provide genetics services, and organizations that provide cancer care. Most of this information, and more specific information about PDQ, can be found on the NCI's Web site at http://www.cancer.gov/cancertopics/pdq. Also called Physician Data Query.recurrence (ree-KER-ents) Cancer that has recurred (come back), usually after a period of time during which the cancer could not be detected. The cancer may come back to the same place as the original (primary) tumor or to another place in the body. Also called recurrent cancer.relaxation technique (ree-lak-SAY-shun tek-NEEK) A method used to help reduce muscle tension and stress, lower blood pressure, and control pain. Examples of relaxation techniques include tensing and relaxing muscles throughout the body, guided imagery (focusing the mind on positive images), meditation (focusing thoughts), and deep breathing exercises.side effect (side eh-FEKT) A problem that occurs when treatment affects healthy tissues or organs. Some common side effects of cancer treatment are fatigue, pain, nausea, vomiting, decreased blood cell counts, hair loss, and mouth sores.symptom (SIMP-tum) An indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain. |
Table of Links | |
| 1 | http://www.cancer.gov/cancertopics/pdq/supportivecare/pediatric/Patient |
| 2 | http://www.cancer.gov/cancertopics/pdq/supportivecare/depression/Patient |
