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Adjustment Disorders

The following subtypes of adjustment disorders are sometimes applicable to PAS children:

309.0 With Depressed Mood.

309.24 With Anxiety.

309.28 With Mixed Anxiety and Depressed Mood.

309.3 With Disturbance of Conduct.

309.4 With Mixed Disturbance of Emotions and Conduct

Each of these types of adjustment disorders may be applicable to the PAS child. The child is indeed adjusting to a situation in which one parent is trying to convince the youngster that a previously loving, dedicated, and loyal parent has really been noxious, loathsome, and dangerous. The programmed data does not seem to coincide with what the child has experienced. This produces confusion. The child fears that any expression of affection for the target parent will result in rejection by the alienator. Under such circumstances, the child may respond with anxiety, depression, and disturbances of conduct.

313.9 Disorder of Infancy, Childhood or Adolescence Not Otherwise Specified

This category is a residual category for disorders with onset in infancy, childhood, or adolescence that do not meet criteria for any specific order in the Classification.

This would be a “last resort” diagnosis for the PAS child, the child who, although suffering with a PAS, does not have symptoms that warrant other DSM-IV childhood diagnoses. However, if one still feels the need to use a DSM-IV diagnosis, especially if the report will be compromised without one, then this last-resort diagnosis can justifiably be utilized. However, it is so vague that it says absolutely nothing other than that the person who is suffering with this disorder is a child. I do not recommend its utilization because of its weakness and because it provides practically no new information to the court.

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The complete original article can be found here:http://www.fact.on.ca/Info/pas/gard02e.htm

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Currently studying Psychotherapy , Cognitive psychology, Biological psychology, Counselling psychology and CBT. I believe in truth, honesty and integrity! ≧◔◡◔≦

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