KJ Green

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Relationship Issues (clincally referred to as Relationship Distress With Spouse or Intimate Partner) at present do not belong to a unique category of clinical diagnoses. Currently they fall under the clinical diagnostic criteria for Stress (Adjustment Disorder). However, there is some consideration for adding a unique category of clinical diagnoses for Relationship Issues. A description of that category is below.


Clinical Diagnostic Criteria

Relationship Issues
(Relationship Distress With Spouse or Intimate Partner)

This category should be used when the major focus of the clinical contact is to address the quality of the intimate (spouse or partner) relationship or when the quality of that relationship is affecting the course, prognosis, or treatment of a mental or other medical disorder. Partners can be of the same or different genders. Typically, the relationship distress is associated with impaired functioning in behavioral, cognitive, or affective domains. Examples of behavioral problems include conflict resolution difficulty, withdrawal, and overinvolvement. Cognitive problems can manifest as chronic negative attributions of the other's intentions or dismissals of the partner's positive behaviors. Affective problems would include chronic sadness, apathy, and/or anger about the other partner.

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