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