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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Removal Of Stressor Environment Treat Adjustment Disorder?

If I have been diagnosed with Adjustment disorder, and I know the stressor connected to the first occurance of anxiety and other symptoms, will or should removal of the stressor environment lead to a cure of the disorder? The symptoms have been present for over 6 months now, but removal of the stressor is complicated - it would involve leaving my spouse who recently decided she is gay and we have three young children. I need to know if leaving her will be the only way to step forward.
Wed, 12 Nov 2014
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Psychiatrist,  's  Response
Hi

I had gone through your query.

Adjustment disorder can be precipitated with stress and it will resolve after removal of stressor.

If it wont then it is not adjustment disorder.

If anxiety and mood variation persist after stressor removal then it may be endogenous depression with anxiety.

Endogenous depression has biological origin and can be precipitated by psychological stress or event.

Neurotransmitters ;like serotonin and nor epinephrine play important role in this.

Medicines that are acting on this neurotransmitters will be useful to treat it.

SSRI like escitalopram and sertraline can help.

Need to do proper psychological evaluation and treatment before taking any personal decision.

Psychotherapy and counseling play role in it.

Psychological and social support is necessary.

I hope i have answered your query.

Still if you have query then feel free to ask.

Thank you.
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Does Removal Of Stressor Environment Treat Adjustment Disorder?

Hi I had gone through your query. Adjustment disorder can be precipitated with stress and it will resolve after removal of stressor. If it wont then it is not adjustment disorder. If anxiety and mood variation persist after stressor removal then it may be endogenous depression with anxiety. Endogenous depression has biological origin and can be precipitated by psychological stress or event. Neurotransmitters ;like serotonin and nor epinephrine play important role in this. Medicines that are acting on this neurotransmitters will be useful to treat it. SSRI like escitalopram and sertraline can help. Need to do proper psychological evaluation and treatment before taking any personal decision. Psychotherapy and counseling play role in it. Psychological and social support is necessary. I hope i have answered your query. Still if you have query then feel free to ask. Thank you.