Why relaxing is so much work.
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The fundamentals of therapy
Anthony D. Smith LMHC
Cruel, aggressive, untruthful: Sounds a lot like antisocial personality. Or does it? Sadistic personality disorder may no longer be in the DSM, but it's still a recognized condition.
Soaring misdiagnosis rates means there's a good chance a patient's prior diagnosis is inaccurate. Check the math when you see these signs.
Blindly accepting patients' past diagnoses can lead to applying interventions for conditions they don't have and prolonging suffering.
Is it delirium or dementia? These conditions may seem similar, but differentiating between the two could help to save a life.
Psychiatric problems caused by general medical conditions can have odd symptoms and erratic patterns. Learn to assess for unusual histories and presentations with these four tips.
Common psychiatric symptoms are often mimicked by general medical complications. Learn how to assess if your patient needs a referral for medical evaluation before psychotherapy.
Some people seeking psychological care may instead need medical intervention.
Do you consider if patients' symptoms are provoked by a general medical condition?
Some diagnoses have similar symptoms, and thus, one symptom can't justify a diagnosis. A symptom must be contextualized to its pattern for accurate diagnosis and better treatment.
Diagnosing from one symptom is a key contributor to psychiatric misdiagnosis. Examples of the perils of this bad practice abound, but two simple questions can stop this habit.
Some people are driven to rage by noises; others get nasty under nutritional deficits. Learn to recognize if this is your patient and how to address these unique encounters.
Histrionic personality and conversion disorder are puzzling enough independently. What happens when they occur together, and how can it be treated?
The emotional turmoil inherent in Histrionic Personality Disorder makes it a candidate for mysterious medical symptoms like Nancy's.
Histrionic Personality Disorder may conjure images of theatrical seduction and glamour. However, it’s a façade for the wounds of an ugly past, and a thin veil for what lurks below.
Socially-disengaged, emotionally-detached, hard to understand. Sounds a lot like like autism. But is it?
Cyclothymia is a perpetual see-saw of scattered moods wearing away at 1% of the population, but do you know this bipolar-spectrum illness when you see it?
Some people feel compelled to manufacture serious illnesses in themselves or others. What's behind this deception, and how can we tell fact from fiction?
Social anxiety is often misconstrued as being "antisocial," but the two couldn't be more distant. Socially-anxious people want interaction, but lead hidden, often depressed, lives.
Unspecified psychiatric diagnoses may sound vague, but they have unique applications. Learn the situations calling for it and how to properly apply the diagnosis.
Diagnoses containing Other and Unspecified are common, but are they accurately applied? Learn to differentiate these seemingly synonymous terms and how to accurately employ them.
Oppositional on one hand; submissive on the other, passive-aggressive personality is very confusing. Learn how this personality is a distinct condition that deserves recognition.
Eating disorders aren't always obvious and evaluating for them should be part of initial assessments. Learn five tips to easily integrate questioning about them into your interviews.
Various myths surround borderline personality disorder, perpetuating the stigma of the condition. Learn the truth about four of the biggest misunderstandings.
Self-sabotage and martyrdom are cornerstones of the forgotten Masochistic Personality. Learn to recognize the clues, and what it means for treatment.
The World Health Organization now recognizes Gaming Disorder. Are you attuned to the signs in your patients and children? Learn to evaluate for the negative effects of screen time.
Learn to differentiate antisocial personality from mere antisocial behavior, and why the distinction matters for treatment and ethics.
Paranoia is well-known but little understood. Here's what it really is.
Gloomy, bitter, pessimistic, and brooding. Sounds a lot like a depressive episode. Or is it their personality? Learn the difference and why it matters.
Suspiciousness and magical thinking. Odd behaviors and speech patterns. Unusual affective expressions. Sounds a lot like Schizophrenia. Or does it?
Do you have questions about how to easily and compassionately explain patients' diagnoses? Read on for examples and four easy points to guide this important process.
Diagnosis is an important part of treatment, but some patients are left in the dark.
Anthony Smith, LMHC, has 20 years of experience that includes the roles of therapist, juvenile court evaluator, professor, and counseling supervisor.