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

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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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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Arrival Counseling annie dolle LCSW (she/her/hers)

Licensed Clinical Social Worker

LCSW

Make time to explore what ails you. I will follow you wherever you'd like to go, only this time you will be well supported. Lets find our way into the pain so that the path out can be cleared.

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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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Saren Craig (They/Them)

Professional Counselor Associate

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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Christa Cummins (she/her)

Professional Counselor Associate

MA, NCC

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

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Katie Azarow (She/Her)

Licensed Clinical Social Worker

LCSW

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, PsyD

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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Ashley Parkinson (she/her/hers)

Licensed Clinical Social Worker

LCSW, CADC-I

I enjoy supporting people through life transitions, as these can be times of great growth and learning (as well as challenge and exhaustion). I have experience working with college students in "quarter-life crisis," as well as people facing "mid-life overwhelm" as they manage relationships, career, health, and caregiving of children and elders. Although stress is a normal part of big life changes, having support during difficult times can reduce symptoms and prevent further complications.

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Rachel Cazavilan (she/her)

Licensed Professional Counselor

LPC

Life can be stressful and change can be hard. I act as a consistent landing place & am available to support and encourage through change. I teach people how to assess their lifestyles...how they’re feeding and treating their bodies...in relation to the sense of wellness they have in their daily lives. I support professionals in learning to manage the stresses of their work and growing leadership or building their business. And I am registered with the State to Supervise LPC and LMFT interns. 

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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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Donna Prinzmetal (she/her)

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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Jennifer Stratton (She/Her/Hers)

Licensed Professional Counselor

LPC

Each stage and phase of life has unique challenges and opportunities for an evolved self to emerge. We are certainly feeling change simmering on every level in our current world. On some levels, we adjust quickly to change--we are designed to adapt. But we evolve slowly--almost minutely--over time. I love offering a safe and supportive place for clients to pay attention to themselves and the ways they are being stretched in the change process--and walking with them through that process.

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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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Professional Counselor Associate

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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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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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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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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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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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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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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Julie Lucisano (she/her)

Licensed Clinical Social Worker

LCSW

I utilize Interpersonal Psychotherapy, a modality uniquely suited for folks experiencing stress related to changes in their life including changes in employment/careers, relationships, physical health, change in living environment, and new roles (e.g. becoming a caregiver or parent). Since 2011, I have been working with folks encountering transitions in their lives - including pregnancy and postpartum, re-entry following incarceration, and early recovery.

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Courtney Watson (She/Her)

Professional Counselor Associate

MA, Professional Counselor Associate, CHT

Whether you face the loss of a job, move to a new city, shift careers, live through a pandemic, or any other transition in life, change is difficult to manage. Sometimes, we don't know why we are struggling, but we are. IFS can help clarify where the pain is and what we need in order to soothe that pain. Reach out to find out more.

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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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Krystal Marcinkiewicz

Licensed Professional Counselor

MA, LPC

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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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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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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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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Sasha Rosenfels, MA, LMFT (She/her)

Licensed Marriage Family Therapist

LMFT

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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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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Matthew Beeble (He/Him)

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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Kimberly Woodworth (She/Her)

Professional Counselor Associate

MS, LPC-Intern, NCC

Experience with clients in navigating big life cycle changes in my practice is common.

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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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Veronica Carmenate (she/her)

Clinical Psychologist Resident

Ph.D.

Support regarding transitions/adjustment.

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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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