Can adaptive disorder be cured?
summary
Adaptive disorder, mainly emotional disorders, its manifestations are diverse, such as depression, anxiety, can also be manifested as maladaptive conduct disorder, which has some relationship with age. The most common emotional symptoms in adults are anxiety, depression and related physical symptoms, but they can not reach the diagnostic criteria of anxiety or depression.
Can adaptive disorder be cured?
The intensity of mental stress events causing adaptive disorder is weak, and most of them are common events in daily life. For example, the most common events of teenagers are parents' discord or divorce, moving to other places, and the change of learning environment (such as upgrading from a rural middle school to a City University); Among adults, the most common ones are marital conflict, economic problems, or birth of disabled children; The most common problems of the elderly are retirement, social status changes and loss of children. In the face of these stress events that need to adapt, most people can adapt well, and individuals with poor adaptability may have adaptive disorder.
Young people mainly have conduct disorders, such as infringing others' rights and interests or behavior not in line with their age requirements, playing truant, stealing, lying, fighting, drinking, destroying public property, and starting sexual behavior too early. Children can show degenerative phenomena, such as bed wetting, childish speech or thumb sucking. Symptoms are not necessarily consistent with the nature of stressors, and the severity of symptoms is not necessarily consistent with the intensity of stressors. Generally speaking, the manifestation and severity of symptoms mainly depend on the personality characteristics of patients before the disease. The course of disease is generally less than 6 months. If stressors persist, the course of disease may be prolonged. Regardless of the length of the course, the onset of disease is rapid and slow, and the prognosis is good, especially in adult patients.
After changing the environment or eliminating the stressors, the mental symptoms of some patients with mild adaptive disorder can gradually disappear. Therefore, stressors should be reduced or eliminated as far as possible. For example, parents should be encouraged to accompany hospitalized children to reduce the sense of fear of the hospital. Drug therapy is mainly applied to those with severe symptoms or to strengthen the effect of psychotherapy. Short term use of anti anxiety drugs, antidepressants or sedative hypnotics.
matters needing attention
For patients with severe symptoms, psychological treatment and drug treatment should be given in time to promote the remission of symptoms. Psychotherapy is a common method of treatment, doctors should make individual treatment plan according to the specific situation of patients. The commonly used methods are cognitive therapy, catharsis therapy, relaxation training, systemic desensitization, stress immune training and so on. The basic principle is to help patients face the stress dilemma positively, release negative emotions, and choose effective coping style. Individual and collective family therapy can be used. It should be pointed out that for children, it is not to treat the children themselves, but to guide their parents.