When a therapist inherits a client with a previous diagnosis, even if it is from someone whose opinion they trust, it can’t hurt to review the facts. Newtherapisthub explains why.
Historical documentation does not include a thoughtful diagnostic formulation and is missing information like symptom context, duration, and only focuses on a symptom or two.The patient diagnosed themselves.
To expand on the final item, with online diagnostic checklists, media portrayals, and pharnaceutical commercials, it is easy for a patient to quickly take to what they assume are accurate depictions of particular mental illnesses.
The above does not mean your patient could not very well experience the diagnosis being reviewed, but they do leave more room for error. Considering that upwards of 40% of people in mental health care are misdiagnosed , erring on the side of caution is never a bad thing. Your patients are more likely to improve, and you'll feel moreBeatson, J.A., Broadbear, J.H., Duncan, C., Bourton, D., & Rao, S. .
Diagnostic and Statistical Manual of Mental Disorders: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA: American Psychiatric Association, 2013. Fresson, M., Meulemans, T., Dardenne, B., & Geurten, M. . Overdiagnosis of ADHD in boys: Stereotype impact on neuropsychological assessment.Glazier, K., Swing, M., & McGinn, L.K. . Half of obsessive-compulsive disorder cases misdiagnosed: Vignette-based survey of primary care physicians.Rakofsky, J.J. & Boadie, B.G. . The over-under on the misdiagnosis of bipolar disorder: A systematic review.
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