Adjustment Disorder vs PTSD: What’s the Difference

March 19th, 2025
A psychiatrist looks toward her patient as they sit in a comfortable therapist's office.

Navigating the complex world of mental health can be daunting, especially when trying to understand specific conditions like Adjustment Disorder and Post-Traumatic Stress Disorder (PTSD). Both disorders may arise after stressful events, yet they differ significantly in their symptoms, duration and treatment approaches. 

Understanding Adjustment Disorder

Adjustment Disorder is a mental health condition that occurs when someone is unable to cope with or adjust to a significant life change or stressful event. These events can include job loss, divorce, moving to a new city or other life transitions.

Symptoms of adjustment disorder

The symptoms of adjustment disorder typically start within three months of the stressful event. They can include:

  • Sadness or hopelessness
  • Frequent crying
  • Anxiety
  • Difficulty concentrating
  • Disturbance of conduct, such as reckless driving or starting fights

How long does adjustment disorder last?

The duration of Adjustment Disorder varies. Generally, symptoms last no longer than six months after the end of the stressful event. However, if the stressor persists, the symptoms may continue. In such cases, professional help may be necessary to manage and alleviate the symptoms effectively.

Understanding PTSD

PTSD, or Post-Traumatic Stress Disorder, is a severe mental health condition triggered by experiencing or witnessing a traumatic event, such as natural disasters, combat or sexual assault. Unlike Adjustment Disorder, PTSD is characterized by long-lasting symptoms that can severely impact daily functioning.

Symptoms of PTSD

PTSD symptoms fall into four main categories:

  1. Intrusive Thoughts: Repeated, involuntary memories, flashbacks or nightmares
  2. Avoidance: Steering clear of reminders of the trauma, including places, people or activities
  3. Negative Changes in Thinking and Mood: Feelings of detachment, negative thoughts about oneself or others and difficulty experiencing positive emotions
  4. Changes in Physical and Emotional Reactions: Being easily startled, feeling tense, difficulty sleeping or having angry outbursts

Duration and impact of PTSD

PTSD symptoms can last for months or even years and often require professional treatment. The condition can significantly interfere with the ability to manage daily life tasks and maintain relationships, making timely intervention crucial.

Key Differences Between Adjustment Disorder and PTSD

Cause and trigger

While both disorders can arise from stressful or traumatic events, adjustment disorder is typically linked to more common life changes, whereas PTSD is associated with more severe, life-threatening events.

Symptom duration

Adjustment disorder symptoms generally subside within six months of the stressful event’s conclusion. In contrast, PTSD symptoms can persist for a much longer period and may require ongoing treatment to manage effectively.

Symptom intensity

The intensity of symptoms in PTSD is often more severe and can include physical reactions and intrusive flashbacks, which are not typical of adjustment disorder.

Treatment Options

  1. Psychotherapy: Cognitive-behavioral therapy (CBT) is effective in helping individuals develop coping strategies and improve their stress management skills.
  2. Support Groups: Sharing experiences with others facing similar challenges can provide additional support and encouragement.
  3. Medication: In some cases, medication may be prescribed to address specific symptoms, such as anxiety or depression.

Treatment for PTSD

  1. Trauma-Focused Therapy: This includes Cognitive Processing Therapy (CPT) and Eye Movement Desensitization and Reprocessing (EMDR), which help individuals process and manage trauma-related thoughts and feelings.
  2. Medications: Antidepressants and anti-anxiety medications can be prescribed to help manage symptoms.
  3. Support Groups: Engaging with others who have experienced trauma can provide valuable support and insight into managing the condition.

Practical advice for managing mental health challenges as a family member 

  • Educate Yourself: Understanding the conditions and their treatment options will help you support your loved one more effectively.
  • Be Supportive: Encourage open communication and provide a listening ear without judgment.
  • Seek Professional Guidance: Consider family therapy sessions to learn strategies for supporting your loved one while maintaining your own well-being.

Practical advice for managing mental health challenges as an individual

  • Reach Out for Help: Don’t hesitate to seek professional support. Mental health professionals can provide personalized guidance and treatment.
  • Practice Self-Care: Prioritize activities that promote relaxation and well-being, such as exercise, meditation and hobbies.
  • Build a Support Network: Connect with others who understand your experiences and can offer encouragement and support.

Adjustment Disorder and PTSD Care in Pennsylvania 

Understanding the differences between Adjustment Disorder and PTSD is essential for seeking the right treatment and support. While both conditions can be challenging, with appropriate intervention and support, people can learn to manage their symptoms.

Brooke Glen Behavioral Hospital, located in Fort Washington, PA, is here to help people with adjustment disorder or PTSD get the mental health care they need. If you are struggling with mental health issues, please reach out to our admissions team today at 800-256-5300 or visit our website to learn more. 

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