Adjustment Disorder: The Relevance of Differentiated Diagnosis of Psychopathology and Comorbidity and of Psychodynamic Approach for the Inpatient Clinical Psychiatric and Psychotherapeutic treatment

Abstract

Adjustment disorders lead often to admission to a mental health hospital by the reason of complex clinical symptomatology. From a psychodynamic point of view the high rate of comorbidity with affective and psychosomatic disorders or autoaggressive behaviour depends of the premorbid vulnerable personality. Our clinical data indicate the relevance of multimodal diagnostic of the crisis with integration of anthropologic, systemic and psychosocial aspects for a personalized good clinical treatment. Due to complex disease profiles, therapeutic competence, adequate human resources and a structured, but flexible and not only symptomatic therapy are required to facilitate in–patient psychotherapy.