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Med Clin North Am. 2014 Sep;98(5):1065-77. doi: 10.1016/j.mcna.2014.06.006. Epub 2014 Jul 9.

Seasonal affective disorder, grief reaction, and adjustment disorder.

Author information

  • 1Department of Family Medicine, University of Washington, 331 Northeast Thornton Place, Box 358732, Seattle, WA 98125, USA. Electronic address: josborn@fammed.washington.edu.
  • 2Department of Family Medicine, University of Washington, 331 Northeast Thornton Place, Box 358732, Seattle, WA 98125, USA.
  • 3Department of Family Medicine, University of Washington, Box 356390, Seattle, WA 98195, USA. Electronic address: akost@uw.edu.

Abstract

Seasonal affective disorder is a subtype of other affective disorders. The most studied treatment is light therapy, although second-generation antidepressants are also an option. Grief reactions are normal for patients experiencing loss, and primary care providers (PCPs) should be aware of both the expected course of grief and the more severe symptoms that indicate complex grief. Adjustment disorder is a time-limited abnormal response to a stressor. PCPs can manage patients with adjustment disorder by arranging counseling, screening for suicidality, assessing for substance abuse, and ruling out other psychiatric diagnoses. At present there are no reliable data to suggest medication management.

Copyright © 2014 Elsevier Inc. All rights reserved.

KEYWORDS:

Adjustment disorder; Complex grief; Diagnosis; Grief reaction; Seasonal affective disorder; Treatment

PMID:
25134873
[PubMed - indexed for MEDLINE]
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