Overdiagnosed?

She wasn’t seeking medication for the disorder. She was simply using ADHD as a way to understand some of the mysteries of her past behavior.

The headline in The Guardian:

New study casts doubt on reliability of mental health diagnosis interviews

All I can say is, well, no surprise there.

Diagnosis in mental health has always been a challenge, even more than in other fields.  That’s because of the absence of confirmatory testing.

As one expert explained, if you went to your doctor concerned about having hypertension, perhaps based on some article you read online, their first task would be to check your blood pressure. Begin by confirming the problem, before initiating treatment.

In mental health, this kind of laboratory and radiology testing isn’t available. Instead, practitioners rely on an interview, where they ask questions and interpret the answers. Conclusions are drawn from symptoms as reported by the patient.

It’s vulnerable to bias, both on the part of the patient and the practitioner. There’s too much subjectivity involved in the process.

That results in a degree of variability in...

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Fool Me, Please

...a chatbot doesn’t actually feel anything for the user. It’s simply doing what it was programmed to do. Principally, that’s serving as a perfect mirror.

A New Czar at ONDCP

...newly appointed Drug Czar is Sara Carter, a 45 year-old investigative journalist best known for her reporting on the US-Mexico border, and her appearances as a contributor on the Fox News Network

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Addicted to Exercise?

Like addicts deprived of their drug of choice, the compulsive exerciser may report a deep sense of loss, accompanied by symptoms such as  sleeplessness, irritability, depression, anxiety.

Life in a Hot Spot

Make it a continuing effort, using strategies based in evidence, and harnessing the power of human interaction-- instead of relying on a burst of anti-drug education, however intense.

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One young man explained that he avoided speaker meetings because the “drunkalogues” he heard triggered in him an awful craving for a drink.

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Rage-baited

From a counseling standpoint, it’s a time when we ought to be advising patients to restrict their social media activity, at the very least to selected forums and sites that support recovery goals

Rage-baited

From a counseling standpoint, it’s a time when we ought to be advising patients to restrict their social media activity, at the very least to selected forums and sites that support recovery goals

Parenting Under The Influence

Children raised in such families are more likely to be exposed to violence, to initiate their own substance use at an earlier age, and to have mental health problems in childhood.

Is This Recovery?

...there are other folks out there like these— pretending to sobriety yet still secretly using, and hoping to avoid the sort of trouble that haunted them in the past.

Officers in the House

...with law enforcement agencies taking on vastly different roles, planning and practicing our response appears more important than in the past.

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A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

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