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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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