The symptoms can vary in structure and gravity. Adjustment disorder, depending on the dominant in the clinical manifestations are differentiated as follows: F43.20 brief depressive reaction is a transient state of mild depression, lasting no more than a month; F43.21 prolonged depressive reaction slight depression as a reaction to prolonged stress situation, lasting no more than two years; F43.22 Mixed anxiety and depressive reaction - is presented as anxious, and depressive symptoms, the intensity does not exceed a mixed anxiety and depressive disorders (F41.2) or other mixed anxiety disorder (F41.3); F43.23 dominated violations of other emotions symptoms has a diverse structure of affect, are anxiety, depression, anxiety, tension and anger. Symptoms of anxiety and depression may meet the criteria for mixed anxiety and depressive disorders (F41.2) or other mixed anxiety disorder (F41.3), but their intensity is not sufficient for the diagnosis of a specific anxiety or depressive disorders. This category should be used for the reactions of childhood, where in addition there are signs of regressive behavior, such as enuresis or thumb sucking; F43.24 with a predominance of behavioral disorder affecting primarily the social behavior, such as aggressive or dissocial its shape in the structure of grief in adolescence age; F43.25 mixed disorder of emotions and behavior are determined are as emotional expression, and violations of social behavior; F43.28 other specific predominant symptoms, and 3) the symptoms do not exceed the duration of 6 months from the date of termination of the stress or its consequences except for the lingering depressive reaction (F43.21). The differential diagnosis of Mild concussion may not directly accompanied by obvious neurological signs, but lead to a protracted affective symptoms and disturbances of concentration. Malnutrition during the protracted effects of stress may also independently lead to organic brain syndromes, including impaired memory and concentration, emotional lability, headaches and dizziness. Distinguish between organic brain syndromes, similar to PTSD, the presence of help change the personality of the organic type, changes in sensory or level of consciousness, focal neurological, delirious and amnesic symptoms, organic hallucinosis, intoxication and withdrawal. Diagnostic picture may complicate widely used in Koping behavior of patients with PTSD abuse alcohol, drugs, caffeine and tobacco. Endogenous depression is a frequent complication of PTSD and should be subjected to intensive care because comorbidity significantly increases the risk of suicide. When such complications should be diagnosed both disorders. Patients with PTSD may develop symptoms of phobic avoidance, such cases from simple phobias helps to distinguish the nature of the primary stimulus and the availability of other inherent in PTSD symptoms.
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