Adjustment Disorder

When facing a major life change, like a breakup, a move, a new job or the loss of a loved one, it is normal to feel a little off balance. But if you find yourself still feeling down after a couple of months and unable to find ways to cope you may have developed an adjustment disorder. Sometimes called "situational depression” an individual with an adjustment disorder often has many of the symptoms common to depression, such as worry, crying, sadness, feeling hopeless and overwhelmed, anxiety, fatigue, or insomnia. Adjustment disorders are very common and can affect anyone at any age. Unlike depression, an adjustment disorder is generally temporary and typically goes away once the individual is able to find ways to manage the situation. Consequently, treatment from a mental health professional for adjustment disorders is usually only needed for a short period of time.

Local experts in Adjustment Disorder

Kerry Ogden

Licensed Professional Counselor

MA, LPC

This diagnostic label is a generic, clinical way of saying 'the only constant is change.' Being an adult is stressful. It's easy to lose sight of what matters most. Think of feelings of confusion, restlessness and overwhelm - to name a few - as indicators of where to put your attention.

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Katie Azarow (She/Her)

Licensed Clinical Social Worker

LCSW, CADC I

I have worked with many teenagers and young adults who struggle with major life transitions. Honoring the intensity of these experiences and helping clients successfully move forward has been a cornerstone of my work in community mental health.

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Laura Wozniak (she/her)

Licensed Clinical Social Worker

LCSW BCD

Most people present with a life issue such as career, health or divorce. This issue must be addressed respectfully starting with the clients' concerns. If longer-standing personality, mood or other serious issues are complicating resolution and well-being, trust has been established to address those as well. Many of my clients struggle with historic mood issues as well as current problems.

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Terri Mishler

Clinical Psychologist

Sometimes it is challenging to adjust to difficult life events, and therapy can help you get past the difficult changes.

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Carlyn Glaser (she/her)

Licensed Professional Counselor

MS LPC

Years of working with clients in transition, especially in working with college students and survivors of domestic violence.

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Joseph Eaton

I spent the last 17 years at the Urgent Walk-in Clinic. While Adjustment Disorder has a specific clinical meaning, I would propose that most of the client's I saw during that time would fit the common understanding of that category: having difficulty adjusting to some aspect of their lives. Entheogens help get one out of thinking and feeling traps.

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Pearl Health Center

Licensed Professional Counselor

Life can be unpredictable and stressful at times. Our therapists can help clients navigate through these turbulent phases, and get to a place of increased resiliency and inner strength.

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Blake Locher (he/him)

Licensed Professional Counselor

LPC, CRC

Junctures in life can affect our mood, our beliefs, and even our core identity. Events like moving to a new town, a break up, the onset of a disability, or a change in job can spin us out. However, these events can also lead to growth and greater life satisfaction. Working towards this goal involves tolerating discomfort, building self-determination, and finding the meaning in our struggle.

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Veronica Carmenate

Clinical Psychologist Resident

Support regarding transitions/adjustment.

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Sarah Craig (She/they)

Licensed Professional Counselor Intern

M.A. Counseling and Guidance

Sometimes we have trouble adjusting to the changes that life brings. I’m here to help you sort through your experience of this.

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Kimberly Woodworth

Licensed Professional Counselor Intern

CACREP accredited program and institution delved into this education.

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Jane Mayer

Licensed Clinical Social Worker

Specializing in life transitions, I work with clients who are facing the sometimes harrowing transitions that we encounter as humans: changing or ending relationships, learning to relate with our families healthily, partnering with significant others, parenting, occupational change, aging and grief and loss.

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Christa Cummins

Licensed Professional Counselor Intern

Life transitions and change, whether chosen or otherwise, can bring feelings of anxiety, depression, and feeling 'stuck'. I'm here to support you as we explore potentially difficult choices and actions to find confident ways of being authentic and true to yourself.

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Beth Bloom (she/her)

Clinical Psychologist

Psy.D.

I have both the training and clinical experience to treat issues related to adjustment, including life transitions, crises, grief/loss, and post-traumatic stress.

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Maxine Burton

Licensed Clinical Social Worker

I have treated individuals and couples, and undergoing various types of adjustments and challenges.

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Jeff Guenther (he/him)

Licensed Professional Counselor

LPC

Adjustment issues that I typically treat in my practice are adjusting to life after a break up or divorce, adjusting to your new environment after college and adjusting to moving to a new city and settling in after a big move. Many of my clients are new transplants here to Portland and are in need of some support while they settle into town.

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Zachary Newman, LPC, LMFT

Licensed Professional Counselor

M.A., LPC, LMFT

For over 20+ years, I've assessed, evaluated and successfully treated a wide range of adjustment disorders. The work is collaboratively based and may look at the impact of singular or cumulative stress and its exacerbation of depression, anxiety, cognitive impairment and/or relationship issues. The DSM defines "disorders," though my preference is to view these times as bumps in the road from which we can learn, grow and make positive changes.

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Ruth Diaz

Professional Counselor

If you have adjustment disorder, you might be experiencing a combination of distressing emotions and behaviors that arose following a recent traumatic or life-changing experience, which have led to difficulties in work, school, and/or relationships. I help by increasing awareness of how you are already coping with what happened and increasing your skill set in coping better with the aftermath.

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Heather Lokteff

Licensed Professional Counselor

Life is full of adjusting to changing circumstances. These are the adjustment issues I often run into in my practice: moving to a new city, a break-up or divorce, a career change, becoming a parent or empty-nester, graduating college, just to name a few!

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Sabrina Walters (she/her)

Licensed Marriage Family Therapist

LMFT, LPC, Certified Gottman Therapist

So often when we are going through a transition in life, we hit some bumps along the way. It is normal, and I hope to help smooth the way to a new place in your life.

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Diana Groener

Licensed Professional Counselor

Life throws many curveballs at us. I will assist you in building and re-building your identity as you adjust to the unexpected turns your life takes.

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Kimberly Filla (she/her)

Licensed Clinical Social Worker

LCSW

Life Transitions occur more often than is brought to our awareness. It is until we slow down, we can then see, feel, and acknowledge what is going on around and within us. Therapy can help make sense of all of this and help you through the life adjustments.

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Jennifer Stratton

Licensed Professional Counselor

We are evolved as a species to fear the unknown and our brain helps us feel safe by developing short cuts based on repetition and assimilation. The problem is that our modern lives are in constant states of flux and change. Whether entering a new era of life, moving to a new place, growing into family life or healing from a loss, navigating change alone can be challenging. I'd like to help!

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Eric Blakeley (he/him)

Licensed Clinical Social Worker

LCSW

Whether it be from changes we choose ourselves or those that are dictated by life, adjusting to new circumstances can be emotionally taxing. My task in therapy is to help you regain your bearing and find new energy and bring fresh attention to the way your life is evolving.

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Sally Nicoletti, MS, NCC

Professional Counselor

Change is hard. We welcome changes like a new baby, a new home, a promotion or a new job. These are all good things, but even positive change has inherent loss, something is left behind. This can be confusing. Experiencing unwanted or unexpected change or loss can be overwhelming. Counseling can help you navigate through the process of adjustment.

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Matthew Beeble

Licensed Professional Counselor

Adjustment Disorder is an experience that many people have. It is often what brings someone back into therapy or causes someone to seek therapy for the first time. Many of the clients I have been working with over the years begin therapy when their life is thrown off by a major life event. Much of the work I have done has involved processing and adjusting to significant life changes.

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Deah Partak (She/her)

Licensed Clinical Social Worker

CADCII, ACS

Life takes many twists and turns. Changes can be unexpected, planned, natural, feared, or welcomed. Sometimes the emotional stress can feel like too much. Change is inevitability; letting it control our emotions is not. There is always the opportunity to transform and promote growth and wellness. I look forward to the chance to help you transform and grow.

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Naomi Jackson (She/Her)

Licensed Marriage Family Therapist

Are you recently divorced or going through a breakup? Have you recently started a new job and are having difficulty adjusting to your new situation? If so, I specialize in working with clients who are having difficulty adjusting to a situation in thier life.

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Donna Prinzmetal

Licensed Marriage Family Therapist

I help people with a variety of life transitions. If you have recently experienced a change in relationship, work, or family status, you might be feeling overwhelmed, depressed or anxious. Therapy can help you make sense of the changes in your life and can also help you make positive choices when embarking on a new path.

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Jennie Hagen (She/Her)

Licensed Professional Counselor

LMHC, LPC

Change is inevitable, but transitions can shake up our emotions, thoughts, and sense of self. It's very common for people to have intense reactions to new or different life circumstances. Together, we can find ways to help ease the discomfort of a new situation and begin to feel positive about going through changes.

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Karel Chan, LPC

Licensed Professional Counselor

Any change or shift in life can be disorienting, even if it's something good like a new home or new job. Sometimes it's a sudden change that wasn't your choice, like a breakup. In some senses, you've lost a part of your identity. I can help you reshape and redefine your identity, and embrace your present while continuing to honor your past.

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Heather Vliet (she/her)

Licensed Professional Counselor

Children and teens sometimes struggle to successfully negotiate life's ups and down -- adjustment to transitions, losses and stressors bring them into counseling to learn more adaptive ways of relating and managing.

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Sasha Rosenfels, MA, LMFT

Licensed Professional Counselor

Along our journey through life, we often experience a stressor or series of stressors that may be understandably overwhelming. In sessions, individuals unpack these experiences, identify and process the affects they've had and build tools to help them manage both the emotional and logistical consequences of these stressors.

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Karen Maloney, MA, LPC

Licensed Professional Counselor

The goal when treating this disorder is symptom relief and behavior change. The hope is to identify what is causing the distressing behavior and emotions and address them effectively.

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Licensed Professional Counselor Intern

Change can be unsettling. Life transitions whether personal, relational, medical, academic, or professional can evoke anxiety, depression or decrease in functioning. Maps that served one context may be in need of revision to navigate the next phase.

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Krystal Marcinkiewicz

Licensed Professional Counselor Intern

Life is full of both expected and unexpected transitions, and change can be challenging, exciting, puzzling, and/or scary. My goal is to assist clients in exploring situations that are causing discomfort and adjustment and process the experience(s) to find comfort, relief, and/or contentment in moving forward.

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Allison Hajdu-Paulen (she/her)

Licensed Clinical Social Worker

LCSW

I have extensive experience working with clients who are in the midst of difficult and significant changes whether that's starting a new academic program, changes to family or relationship dynamics, changing careers, or moving.

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