Adjustment Disorders: Coping with Emotional Distress - Psychiatry

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Adjustment Disorder


My girlfriend has been having trouble sleeping at night and often feels like crying.
Just now, she came to my house to sleep, and after about 10 minutes, she suddenly woke up and started crying.
What should I do? She has been feeling down lately and can't sleep.
It seems like there might be a family history of depression.

Hupi Xiaobing, 10~19 year old female. Ask Date: 2016/10/21

Dr. Liang Sunyuan reply Psychiatry


Hello: Companionship and acceptance can provide initial help for individuals with depression.
Recovery from depression typically takes time, and ongoing care and support can improve depressive symptoms.
Additionally, exercise and engaging in hobbies can also be beneficial for depressive states.
If symptoms persist without improvement, it is advisable to seek medical assistance.

Reply Date: 2016/10/21

More Info


Adjustment disorders are a group of psychological responses that occur when an individual has difficulty coping with a significant life change or stressor. These disorders can manifest in various ways, including emotional distress, anxiety, and depressive symptoms. In your girlfriend's case, her recent sleep disturbances, crying episodes, and overall emotional distress may indicate that she is struggling to adjust to a particular situation or stressor in her life.

It's important to recognize that emotional distress can stem from various sources, including personal relationships, family issues, work-related stress, or even underlying mental health conditions such as depression or anxiety. Given that your girlfriend has a family history of depression, it is crucial to approach her situation with sensitivity and understanding.

Here are some strategies that may help her cope with her emotional distress:
1. Open Communication: Encourage her to express her feelings and thoughts openly. Sometimes, simply talking about what is bothering her can provide relief. Let her know that you are there to listen without judgment.

2. Encourage Professional Help: If her symptoms persist or worsen, it may be beneficial for her to seek help from a mental health professional. A therapist or counselor can provide her with coping strategies and tools to manage her emotions effectively. They can also assess whether she may be experiencing a more serious condition, such as depression or anxiety.

3. Establish a Routine: Encourage her to maintain a regular sleep schedule. Going to bed and waking up at the same time each day can help regulate her sleep patterns. Additionally, engaging in calming activities before bed, such as reading or practicing relaxation techniques, may improve her sleep quality.

4. Physical Activity: Regular exercise can significantly impact mood and emotional well-being. Encourage her to engage in physical activities that she enjoys, whether it's walking, dancing, or yoga. Exercise releases endorphins, which can help alleviate feelings of sadness and anxiety.

5. Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation or deep breathing exercises, can help her manage anxiety and emotional distress. These techniques can promote relaxation and help her stay grounded in the present moment.

6. Limit Stressors: If possible, help her identify and limit exposure to stressors in her life. This may involve setting boundaries with certain relationships, reducing workload, or finding ways to manage time more effectively.

7. Social Support: Encourage her to spend time with friends and family who uplift her. Social support is crucial during difficult times, and being around positive influences can help improve her mood.

8. Monitor Symptoms: Keep an eye on her emotional state. If she shows signs of worsening depression, such as persistent sadness, loss of interest in activities, or thoughts of self-harm, it is essential to seek immediate professional help.

In conclusion, adjustment disorders can be challenging, but with the right support and coping strategies, individuals can learn to manage their emotional distress effectively. As her partner, your support and understanding can make a significant difference in her journey toward emotional well-being. Encourage her to seek professional help if needed, and remind her that she is not alone in this process.

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