ABSTRACT
There are many reasons the clinician may need to request the managed care company in charge of a particular case to approve further treatment sessions. The reasons come from two valid sources: either the stressor that elicited the maladaptive reaction on the part of the patient or circumstances on the part of the patient. The first group of reasons range from lack of change in the chronic psychosocial stressor, to new stressors introduced in the picture of an initial acute stressor, to, finally, the cascading of stressors as a consequence of the initial acute or chronic stressor that elicited the patient's maladaptive reaction constituting the Adjustment Disorder.
