Grief and adjustment disorders

1. adjustment disorder

1.1. definition

1.1.1. abnormal response to stress

1.1.2. starts within 3 months of stressor

1.1.3. ends before 6 months after stressor

1.1.4. does not meet any other criteria or normal grief

1.1.5. clinically significant

1.2. subtypes

1.2.1. with depressed mood

1.2.2. with anxiety

1.2.3. mixed depression and anxiety

1.2.4. disturbance of conduct

1.2.5. mixed disturbance of emotion and conduct

1.2.6. unspecified

1.3. Management

1.3.1. Psychotherpay

1.3.1.1. supportive techniques for crisis

1.3.2. pharmacological

1.3.2.1. only if needed

2. Grief

2.1. definitions

2.1.1. grief

2.1.1.1. الحزن

2.1.1.2. the emotional process of reacting to the loss of loved one through death

2.1.2. bereavement

2.1.2.1. الثكل أو الحرمان

2.1.2.2. the objective situation one faces after the loss

2.1.3. mourning

2.1.3.1. public display of grief

2.1.3.2. الحداد

2.1.3.3. affected by culture

2.2. phases of grief

2.2.1. shoch

2.2.1.1. minutes to weeks

2.2.2. acute distress

2.2.2.1. weeks to months

2.2.2.2. anger

2.2.2.3. bargning

2.2.2.4. depression

2.2.3. resolution

2.2.3.1. months to years

2.2.3.2. acceptance

2.3. bereavement or depression?

2.3.1. onset (within 2 months of bereavement)

2.3.2. duration of symptoms is less than 2 months

2.3.3. mild functional impairment

2.3.4. no family or personal history of major depression

2.4. management

2.4.1. support

2.4.2. psychotherpay

2.4.3. pharmacological in severe cases