Disorder reaction of the device, or adaptation develops, with noticeable changes in the way of life dictated by the emergency situation.
Adaptation disorder, initiated by varying stresses, can manifest itself in a variety of ways.
Usually, the adjustment disorder follows after a transitional period during which depressive disorders occur, which may differ in structure and duration. With the disorder of adaptation in many patients, depression manifests itself in the form of reduced mood, hopelessness and hopelessness.
Symptoms of adjustment disorder
Patients usually look older than they really are. Noticeably decreased skin turgor, early graying of hair and the appearance of wrinkles. They heavily enter into conversation, but in this case the conversation is supported with difficulty, while the pace of speech is slowed down and they speak in a low voice. They themselves suffer from the fact that it is difficult to collect thoughts, it is difficult to start a new business, and in general, to accomplish something, it is necessary to exert a noticeable strong-willed effort. Attention all the time dissipates and concentrate it on one issue difficult. Hence the difficulty in making decisions, and in the further implementation of them in life. Its incompetence is realized by the patients, but they try to disguise it or hide it, for which they search for various reasons, justifying their inaction.
Almost in all cases of this pathological condition, sleep disorders, such as heavy falling asleep, early waking up in anxiety or frequent waking up at night, are documented. In the morning, after sleep, regardless of its duration, the feeling of vivacity is absent. In some cases, nightmares are haunted. In the afternoon, the mood is noticeably worsened, and even for a minor occasion, eyes are easily "tear-stained".
"On the weather" the body reacts with fluctuations in blood pressure, such symptoms begin to appear, which were not previously observed. It can be sweating, attacks of tachycardia, tingling of the hands, cold extremities, disturbances in the function of the digestive system (impaired appetite, constipation, discomfort in the abdomen). Sometimes, in the case of an adjustment disorder, the main feeling that manifests itself along with a decrease in mood is a feeling of anxiety.
Patients have a strained appearance, taking part in the conversation, accepting a closed posture, when shifting the leg to the leg, the person leans forward slightly and crosses his arms over his chest. In a conversation, people, affected by the disorder of adaptation, enter cautiously and without desire. They do not immediately complain, but after the beginning of the "actual topic", their speech is accelerated, and in the voice there are metallic notes. During the course of the conversation, they watch with difficulty, but without waiting for the interlocutor to speak, interrupt him. They answer questions in an unreasonable and superficial manner. At the same time, they are easily persuaded and persuaded. Responsible for the task are very responsible, but difficulties with concentration of attention and inability to track the sequence of execution of tasks, which leads to gross errors, are affected. As a result, the case is not completed, or ends, but with great delay.
When anxiety develops in people with an adjustment disorder, it occurs immediately after awakening in the early morning hours. This kind of anxious mood drives a person out of bed, but then for an hour or two it decreases and goes away, and a longing comes to him.
The day of people affected by the adaptation disorder is not characterized by activity, and even for help they, on their own initiative, usually do not apply. If they are provoked into a conversation, they complain of apathy and an aggravated mood. To alarm, patients can make complaints only at night examinations, or if the doctor pays attention to this condition.
In the evening, anxiety grows, but by midnight it decreases. Patients consider this time to be the most productive and stable, because there is no sense of anxiety and longing. At this time, it would be better to relax, and the affected adaptations realize this, but here they usually start doing household chores, or watch TV, and they do not sleep until late at night.