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Warning-sign checks

Adjustment disorder: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Use emergency services for immediate danger, a suicide attempt, a specific plan with intent, or a risk of harming someone else.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the treating professional sooner if symptoms worsen, interfere more with eating, sleeping, work, school, or caregiving, or if alcohol or drug use is increasing.

    A new period of unusually high energy, very little need for sleep, hallucinations, or severe confusion also needs prompt assessment because another condition may be present.

    Seek urgent help for thoughts of self-harm without immediate intent, rapidly worsening hopelessness, or an inability to manage basic needs.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up allows the clinician and patient to review whether symptoms, functioning, and the stressor are improving.

    Visits may also assess sleep, substance use, treatment side effects, and the need for additional practical support.

    Routine follow-up is appropriate when symptoms are stable or gradually improving.

    Follow-up should not stop solely because a set amount of time has passed; it should reflect recovery, safety, and current needs.

The article also says

If symptoms continue after the stressor has ended, the diagnosis and treatment plan may need to be reviewed.

Every sign above is quoted from the sofidex article on Adjustment disorder. If you are not sure, err upward — it is always reasonable to be checked.