Table 2 Stepped care algorithm for adjustment disorder, exhaustion disorder, and distress
Step | Disorder | Treatment |
|---|---|---|
1 | Mild stress disorder (4DSQ distress-subscale 10–20) for < 2 months or Moderate stress disorder (4DSQ distress-subscale > 20) for < 1 months or Adjustment disorder < 2 months | Bibliotherapy Individual psychoeducation Monitoring by care manager Involvement of relatives |
2 | Moderate stress disorder (4DSQ distress-subscale > 20) for > 1 month or Mild stress disorder (4DSQ distress-subscale 10–20) for > 2 months or Adjustment disorder for > 2 months and 4DSQ 10–20 distress-subscale or Adjustment disorder for > 1 month and 4DSQ distress-subscale > 20 | Stress coaching Bibliotherapy Individual psychoeducation Monitoring by care manager Involvement of relatives |
3 | Exhaustion disorder according to the National Board of Health and Welfare in Sweden | MBSR Stress coaching Bibliotherapy Individual psychoeducation Monitoring by care manager Involvement of relatives |