1011-Preventing Misdiagnosis in Counseling _ Holistic Health

Counselor Toolbox Podcast with DocSnipes

AllCEUs Counseling CEUs

Mental Health, Education, Social Sciences, Science, Self-improvement, Health & Fitness

4.7 • 667 Ratings

🗓️ 8 October 2024

⏱️ 63 minutes

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Summary

Introduction Differential Diagnosis Overview Symptom Overlap: Many symptoms, like fatigue, can have multiple causes (e.g., hormonal imbalances, medication side effects, nutrient deficiencies). Comprehensive Approach: Importance of considering bio-psycho-social factors before diagnosing to avoid missing underlying physical causes. Talk Therapy Limitations: Emphasizes that some conditions (e.g., atrial fibrillation) cannot be resolved through therapy alone. Framing Bias in Diagnosis Definition: A cognitive bias where decision-making is influenced by how information is presented. Impact: Patients may describe symptoms differently to different professionals (e.g., physical symptoms to doctors, emotional symptoms to therapists), leading to potential misdiagnoses. Confirmation Bias Definition: The tendency to favor information that confirms pre-existing beliefs or expectations. Clinical Implications: Can lead to misdiagnoses by assuming a patient’s issues are solely mental health-related without considering physiological causes. Availability Heuristic Definition: A mental shortcut where people rely on immediate examples that come to mind. Example: Increased diagnoses of personality disorders due to media coverage, potentially leading to over-diagnosis. Importance of Comprehensive Evaluation Holistic Approach: Evaluate all aspects of a patient's life (physical, emotional, cognitive, etc.) to determine the root cause of symptoms. Avoiding Over-Diagnosis: Caution against diagnosing multiple disorders when symptoms might be better explained by a single condition (e.g., CPTSD). Physiological Causes of Depression Hormonal Imbalances: Low testosterone, estrogen, thyroid issues. Nutrient Deficiencies: Low vitamin D, iron deficiency, dehydration. Sleep Disorders: Sleep apnea, circadian rhythm disruptions. Other Physical Factors: Chronic inflammation, medication side effects, cardiovascular dysfunction, addiction. Low Energy and Motivation Causes: Chronic fatigue syndrome, sleep disturbances, medication side effects, hormonal imbalances, and chronic stress. Emotional and Cognitive Factors: Depression, anxiety, schizophrenia, PTSD, and cognitive distortions like hopelessness and helplessness. Sleep Disturbances Contributors: Sleep apnea, hormonal imbalances, hypervigilance (especially in PTSD/CPTSD), addiction, medication side effects. Impact on Mental Health: Poor sleep exacerbates issues like low energy, depression, and anxiety. Attention and Concentration Difficulties Physical Causes: Blood sugar issues, dehydration, cardiovascular disease, thyroid imbalances. Cognitive and Emotional Factors: ADD/ADHD, anxiety, depression, schizophrenia. Social Withdrawal and Isolation Oxytocin Role: Low levels or ineffective response to oxytocin can lead to social withdrawal. Mental Health Connections: Common in schizophrenia, autism, anxiety, and depression. Anxiety and Worry Nutritional Deficiencies: Imbalances in magnesium, vitamin D, and B vitamins. Other Causes: Hormonal imbalances, sleep dysfunction, side effects of medications like benzodiazepines and antidepressants. Addiction: Stress from hiding addiction or withdrawal symptoms can exacerbate anxiety. Conclusion Chapters: 00:00:00 - Introduction to Differential Diagnosis and Framing Bias 00:06:54 - Assessment of Depressive Symptoms 00:14:03 - Causes of Depressed Mood 00:20:58 - Underlying Causes of Fatigue 00:28:00 - Factors contributing to sleep dysfunction and low energy 00:34:58 - Sleep Disruptions and their Causes 00:41:37 - Restlessness: Causes and Solutions 00:48:44 - Factors Contributing to Anxiety and Worry 00:55:29 - Causes of Low Motivation 01:02:15 - Wishing You an Amazing Week Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	Hey there, everybody, and welcome to today's presentation on differential diagnosis and the framing bias.
0:06.7	I'm your host, Dr. Donnelly Snipez.
0:12.6	In this presentation, we're going to review differential diagnosis for symptoms of common mental health issues, such as ADD, ADHD, anxiety, autism, and depression, and
0:23.1	actually schizophrenia.
0:24.3	I should have had that one on there too.
0:26.1	And talk about what we might be missing.
0:31.0	Like a runny nose, most symptoms are common to a variety of problems.
0:36.7	You're going to learn shortly, if you don't already know,
0:39.5	that fatigue can be caused by low testosterone, low estrogen, low thyroid. It can be caused by
0:47.5	withdrawal or intoxication from substances. It can be caused by medication side effects.
0:54.1	It can be caused by nutrient imbalances
0:56.2	and blood sugar problems and even cardiovascular disease. And that's just a few. So we don't want to
1:03.4	rule in or out anything right away. We want to actually do a comprehensive bio-psychosocial diagnosis in order to make sure that we
1:14.4	understand all the causes.
1:16.3	If somebody is feeling fatigued because they've got atrial fibrillation, no amount of
1:22.9	talk therapy is going to fix that.
1:25.8	Now, we can fix the cognitions associated with that, potentially.
1:29.8	We can help them develop tools to cope with having atrial fibrillation, but talk therapy
1:36.8	ain't going to reset the heart. And that's really where I, what I harp on in supervision
1:43.9	and even when doing my own diagnoses, when I talk with
1:47.3	clients, about the importance of looking at the big picture in order to reach maximal gains
1:53.9	and reach your highest quality of life. We don't want people to come to counseling and feel 10% better and then stop there because they're
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