INTERNATIONAL CLASSIFICATION OF DISEASES

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309 Adjustment reaction

          Mild or transient disorders lasting longer than acute stress reactions (308.-)
          which occur in individuals of any age without any apparent pre-existing mental
          disorder. Such disorders are often relatively circumscribed or situation-
          specific, are generally reversible, and usually last only a few months. They
          are usually closely related in time and content to stresses such as bereave-
          ment, migration or separation experiences. Reactions to major stress that
          last longer than a few days are also included here. In children such
          disorders are associated with no significant distortion of development.
          Excludes: acute reaction to major stress (308.-)
           neurotic disorders (300.-)

309.0 Brief depressive reaction

          States of depression, not specifiable as manic-depressive, psychotic or
          neurotic, generally transient, in which the depressive symptoms are usually
          closely related in time and content to some stressful event.
          Grief reaction
          Excludes: affective psychoses (296.-)
           neurotic depression (300.4)
           prolonged depressive reaction (309.1)
           psychogenic depressive psychosis (298.0)

309.1 Prolonged depressive reaction

          States of depression, not specifiable as manic-depressive, psychotic or
          neurotic, generally long-lasting; usually developing in association with
          prolonged exposure to a stressful situation.
          Excludes: affective psychoses (296.-)
           brief depressive reaction (309.0)
           neurotic depression (300.4)
           psychogenic depressive psychosis (298.0)

309.2 With predominant disturbance of other emotions

          States, fulfilling the general criteria for adjustment reaction, in which the
          main symptoms are emotional in type [anxiety, fear, worry, etc.] but not
          specifically depressive.
          Abnormal separation anxiety Culture shock

309.3 With predominant disturbance of conduct

          Mild or transient disorders, fulfilling the general criteria for adjustment
          reaction, in which the main disturbance predominantly involves a disturbance
          of conduct. For example, an adolescent grief reaction resulting in aggressive
          or antisocial disorder would be included here.
          Excludes: disturbance of conduct NOS (312.-)
           personality disorder with predominantly sociopathic or asocial
           manifestations (301.7)

309.4 With mixed disturbance of emotions and conduct

          Disorders fulfilling the general definition in which both
          emotional disturbance and disturbance of conduct are prominent
          features.

309.8 Other

          Adjustment reaction with elective mutism
          Hospitalism in children NOS

309.9 Unspecified

          Adaptation reaction NOS Adjustment reaction NOS
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INTERNACIONAL CLASSIFICATION OF DISEASES