Adjustment disorder with depressed mood and eating disorder.
Ms. S twenty one year, female, unmarried, graduate from university, nursing department, unemployed. Was evaluated when she was referred because of continious headache, weight loss and feeling of fatigue and began to spend more and more time in bed which lasts 4 months.
During administering the MMPI, S had not any problems with understanding the test, was not observed any abnormal behavior and complete it in time. The client’s MMPI clinical profile suggest that a client has perfectionist, self-criticism, insecure, dependent and unstable personality. Interpersonal Relations she is a passive-dependent and demanding in relationships. ”Dependent on others”, ”insecure”, ”feeling miserable”, ”unsatisfied” such words and negative feelings of her appearance were observed in Beier sentence completion test. Client reported that for keep in balance her weight she does not eat for several days. It has a correlation with Eating Attitude test result. Beck Depression Test results indicate the same picture feeling of self-unsatisfied.
One study showed that students from health-related department more sensitive in eating attitudes and behaviors than those student who was not related to health department (Gunes, F., & Cal?k, K., 2015).
Adjustment disorder ocur when a person experience a kind of stress which overwhelms ability to adjust and cope. This can include the death of a loved one, divorce, loss of a job. People who are under severe stress and can not cope with it may meet adjustment disorder (Strain & Newcorn, 2007). The patient’s case support statement about it. To be diagnosed with adjustment disorder a patient should experience symptoms within 3 momths of the onset of the stressor. The person’s symptoms may disappear if the stressors ends or when the person learn to adapt to the stressor (Butchers, 2013). Unemployment is severe problem for young people especially for those who live in permanent economic depression with lack prospects of job. Rates of unemployment for blacks are twice as high as they are for whites (Bureau of Labor Statistics, 2013). One of the most dangerous findings is that unemployment, especially when it durable, rise the risk of suicide (Borges et al., 2010; Classen & Dunn, 2011). DSM-5 lists 6 different types of adjustment disorder, one of them adjustment disorder with depressed mood. Symptoms mainly include feeling sad, hopeless and experiencing a lack of pleasure in daily activity (APA, 2013).