Adjustment Disorders
Life inevitably brings change, and while most people adapt, some find it extremely difficult to adjust to major stressors or life events. When the emotional and behavioural response to stress becomes overwhelming, it may be diagnosed as an adjustment disorder. These conditions are common but often overlooked, leaving many people struggling silently.
At Sunshine Clinic Private Hospital, our team of psychiatrists, psychologists, and counsellors provides specialised support for people experiencing adjustment disorders. Whether through inpatient care, outpatient day programs, or targeted therapies, we help patients regain balance, manage distress, and return to healthy functioning.
Adjustment disorders are emotional or behavioural responses to a stressful life event or change, such as divorce, job loss, serious illness, or bereavement. Unlike typical stress reactions, the distress in adjustment disorders is more intense and longer-lasting, significantly interfering with work, relationships, and wellbeing.
Symptoms can include sadness, anxiety, irritability, hopelessness, withdrawal from others, or risky behaviours. These symptoms typically appear within three months of the stressful event and may resolve within six months if the stressor is removed. However, for some people, they persist and require professional support.
The direct cause is a stressful life event, but how each individual responds depends on factors such as personal resilience, support networks, coping skills, and pre-existing mental health conditions. Adjustment disorders are not signs of weakness – they are legitimate mental health conditions triggered by life stressors that feel overwhelming.
Adjustment disorders are among the most common diagnoses in psychiatric settings worldwide. In Australia, they are frequently seen in hospitals and private practices, though exact numbers are difficult to capture as many cases go undiagnosed. Australian research suggests adjustment disorders may account for up to 20% of mental health presentations in outpatient settings, particularly following significant medical illness or workplace stress.
Certain factors increase the likelihood of developing an adjustment disorder, including:
- Previous mental health concerns such as anxiety or depression
- Lack of supportive relationships
- High levels of ongoing stress
- Childhood trauma or earlier life adversity
- Major health diagnoses or sudden changes in living circumstances
At Sunshine Clinic Private Hospital, treatment is tailored to each patient’s needs. Options may include:
- Psychological therapies such as Cognitive Behaviour Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavioural Therapy (DBT) to build coping skills
- Mindfulness and relaxation training to reduce stress and improve resilience
- Creative and expressive therapies, including music and art therapy, which provide safe ways to process emotions
- Inpatient care for those needing intensive support during crisis
- Outpatient day programs to help patients integrate therapy into their everyday lives
Types of Disorders Treated
Adjustment Disorder with Anxiety
Overview
This type is marked by excessive worry, nervousness, restlessness, and difficulty concentrating. Patients may also experience physical symptoms such as headaches or stomach upset.
Causes
Often triggered by stressful events such as relocation, school transitions, or workplace difficulties.
Prevalence in Australia
Anxiety-related adjustment disorders are frequently diagnosed in both young people and adults, especially following major life changes.
Treatment Options
CBT, mindfulness-based programs, and rTMS for co-occurring mood symptoms may be recommended. Outpatient programs focusing on stress management are highly effective.
Adjustment Disorder with Depressed Mood
Overview
Characterised by feelings of sadness, hopelessness, tearfulness, and withdrawal from usual activities. It may resemble depression but is specifically linked to an identifiable stressor.
Causes
Common causes include bereavement, illness, separation, or financial hardship.
Prevalence in Australia
Adjustment disorder with depressed mood is particularly common in medical and rehabilitation settings, where people are adjusting to new diagnoses or disabilities.
Treatment Options
CBT, supportive counselling, and creative therapies are highly beneficial. Medication may sometimes be used for short-term relief of symptoms, especially when depression is severe.
Adjustment Disorder with Mixed Anxiety & Depressed Mood
Overview
This presentation includes both anxiety and depressive symptoms, such as nervousness, low mood, and difficulty functioning.
Causes
Triggered by stressful changes or events that overwhelm coping capacity.
Prevalence in Australia
Mixed presentations are some of the most frequently seen forms of adjustment disorders in clinical practice.
Treatment Options
Combination therapy using CBT, ACT, and group programs. Outpatient programs at Sunshine Clinic provide structure and peer support, which can accelerate recovery.
Adjustment Disorder with Behavioural Disturbances
Overview
In some cases, stress reactions may present as behavioural changes, such as irritability, defiance, reckless behaviour, or even aggression. This type is often seen in adolescents but can affect adults too.
Causes
Family conflict, school or workplace stress, and sudden life disruptions are common triggers.
Prevalence in Australia
Behavioural adjustment disorders are common in younger populations but are often under-recognised in adults.
Treatment Options
DBT, counselling, family therapy, and structured inpatient or outpatient support are recommended. Creative arts therapies and movement-based programs offered at Sunshine Clinic can also be particularly effective.
Why Choose Sunshine Clinic Private Hospital?
Adjustment disorders are temporary but can feel overwhelming when they occur. Left untreated, they may progress into longer-term mental health conditions such as major depression or anxiety disorders. Early intervention makes recovery faster and prevents complications.
- At Sunshine Clinic Private Hospital, we provide:
Access to psychiatrists, psychologists, and counsellors with expertise in adjustment disorders - A choice between inpatient care for crisis support and outpatient day programs for structured recovery
- Innovative therapies such as rTMS for patients with overlapping mood symptoms
- Holistic care that includes mindfulness, creative arts, and music and movement programs
- A compassionate, supportive environment where patients and families feel heard and understood
We believe that even in the face of overwhelming stress, recovery and resilience are possible. With the right care and support, individuals can adjust to life’s challenges and move forward with confidence.
Comprehensive Private Mental Health Care in Melbourne’s West
Sunshine Clinic offers psychiatry consulting services, as well as inpatient and outpatient programs tailored to support recovery, resilience, and long-term wellbeing.