Increased Precautions We're Taking in Response to COVID-19
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Red River Hospital to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Red River Hospital.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Signs & Effects of Adjustment Disorder

Red River Hospital helps individuals struggling with adjustment disorder build a strong foundation for long-term recovery. Serving Wichita Falls, TX, Red River is the leading provider of adjustment disorder treatment.

Understanding Adjustment Disorder

Learn about adjustment disorder

Resulting in emotional or behavioral responses to a single event or multiple stressors, adjustment disorder is known to cause significant impairment is several areas of a person’s daily functioning. Be it divorce, a natural disaster, or recurring stress, such as a degenerative medical condition, adjustment disorder is characterized by anguish that is out of proportion to the severity of the triggered stress. Not to be confused with the normal stages of grief, a person with adjustment disorder displays grief reactions beyond what is accepted culturally, religiously, or as appropriate for an individual’s developmental age.

Beginning three months after the initial stressor or event, and lasting no longer than six months, adjustment disorder can stem from life events such as leaving one’s parental home for the first time or getting married. However, a stressful acute event, such as getting fired from a job or the sudden death of a loved one, can trigger symptoms of the disorder immediately.


Adjustment disorder statistics

Research has shown that people receiving treatment in an outpatient mental health setting are diagnosed with adjustment disorder 5-20% of the time. However, those receiving inpatient mental health treatment obtain an adjustment disorder diagnosis around 50% of the time. Lastly, it is important to note that adults with the disorder are more prone to an emotional response to stressors, while children and adolescents have a greater likelihood to present with acting out behaviors.

Causes and Risk Factors

Causes and risk factors for adjustment disorder

The specific identifiable cause of adjustment disorder has yet to be realized by researchers. However, many mental health professionals agree that genes, changes in brain chemistry, and influences from a person’s environment can play a role in the development of adjustment disorder. The following dynamics have been shown to contribute to an eventual diagnosis:

Genetic: Those who are genetically predisposed to other mental illnesses or certain medical conditions could be more susceptible to adjustment disorder. Mental illnesses, which are known to have genetic ties, such as anxiety, could cause an adverse and subsequent extreme response to a life stressor.

Physical: Experiencing trauma has the potential to alter one’s brain chemistry. Activating the brain’s fight or flight response and causing a surge of neurotransmitters when in distress, especially if done on a frequent basis, can change a person’s emotional and behavioral response due to this chemical change. Susceptibility to adjustment disorder is then increased as the individual’s ability to respond normally to stress is hindered.

Environmental: Repeated exposure to environmental stress can result in an adjustment disorder diagnosis. Residing in a high-crime area or witnessing domestic violence are both examples of recurrent traumas. Moreover, a experiencing a single severe environmental event, like a natural disaster, can bring about symptoms concurrent with adjustment disorder.

Risk Factors:

  • Experiencing the loss of a loved one
  • Ending an intimate relationship
  • Having another mental disorder
  • Lacking social skills
  • Lacking appropriate coping skills
  • Being a victim of assault, abuse, and/or neglect
  • Surviving a natural disaster
  • Being diagnosed with a progressive medical condition
  • Experiencing a traumatic event
  • Repeated exposure to violence
  • Experiencing a major life change (e.g., getting married, moving out-of-state, etc.)
Signs and Symptoms

Signs and symptoms of adjustment disorder

The signs and symptoms of adjustment disorder can vary person to person. Depending on the triggering stressor(s) that led to onset, the person’s ability to cope, and the level of impairment experienced, the following signs and symptoms can manifest in a person suffering from adjustment disorder:

Behavioral symptoms:

  • Disinterest in activities once enjoyed prior to the stressor(s)
  • Being argumentative
  • Using and/or abusing substances
  • Vandalism
  • Demonstrating lack of impulse control
  • Tearfulness
  • Strong desire to be alone
  •  Being defiant
  • Missing work and/or school

Physical symptoms:

  • Inability to sleep
  • Heart palpitations
  • Chest pains
  • Headaches
  • Stomachaches
  • Fatigue
  • Muscle tension
  • Nausea
  • Appetite changes
  • Diarrhea

Cognitive symptoms:

  • Lack of concentration
  • Inability to commit to plans
  • Feeling overwhelmed
  • Trouble with memory

Psychosocial symptoms:

  • Increased levels of stress
  • Separation anxiety
  • Increased anxiety
  • Inability to experience pleasure
  • Hostility
  • Feelings of desperation
  • Unstable mood
  • Suicidal thoughts
  • Hopelessness
  • Depressed mood
  • Aggressive outbursts

Effects of adjustment disorder

Symptoms of adjustment disorder can have short and long-term effects on a person’s life without proper treatment. And while these symptoms tend to dissipate after about six months, without treatment, adjustment disorder can result in the following effects:

  • Social withdrawal or isolation
  • Family discord
  • Decreased performance at work or school
  •  Change in interpersonal relationships
  • Complications in medical conditions
  • Substance use
  • Self-injury
  • Suicidal attempts
  • Development of other mental health disorders
  • Loss of employment
Co-Occurring Disorders

Adjustment disorder and co-occurring disorders

While adjustment disorder often accompanies a progressive medical illness, other mental health disorders are frequently diagnosed at the same time as adjustment disorder. Examples of mental illness that are co-occurring are:

  • Depressive disorders
  • Mood disorders
  • Anxiety disorders
  • Phobias
  • Conduct disorder
  • Selective mutism
  • Eating disorders
  • Learning disorders
  • Attention deficit/hyperactivity disorder
  • Oppositional defiant disorder

What sets us apart?

We understand the many pressures, concerns, and frustrations that can accompany the effort to find the best treatment option, and we are dedicated to doing all that we can to make this a more efficient and effective process.

Understanding, Expert Staff
Individualized Treatment Plan
Optional Family Involvement
Call for Free Insurance Verification
  • Aetna
  • Beacon Health Options
  • Blue Cross Blue Shield
  • Cigna
  • Humana
  • Medicaid
  • Medicare
  • Tricare
  • and more...

I had an awesome experience, it was great to know how many people care.

– Former Resident
Marks of Quality Care
  • The Joint Commission (JCAHO) Gold Seal of Approval
  • The Jason Foundation