Podcasts about Conduct disorder

Episode 191: Diagnosis of ADHDFuture Dr. Granat explains how to diagnose Attention Deficit Hyperactivity Disorder. She explained the influence of social media in increasing awareness of ADHD. Dr. Arreaza added input about the validated tools for ADHD diagnosis and highlighted the importance of expert evaluation for the diagnosis of this disorder.  Written by Yen Stephanie Granat, MSIV. Ross University School of Medicine. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Steph: I love podcasts—many of us do—and if you, like me, spend any amount of your leisure time listening to podcasts, perusing the news, or scrolling social media; you've likely noticed an alarming trend in the number of discussions we seem to be having about ADHD. It has grown into a very hot topic over the past couple of years, and for some of us, it seems to have even begun sneaking into our “recommended videos” and across our news feeds! Naturally, for the average person this can spur questions like:“Do I have ADHD? Do we all have it? How can I be certain either way, and what do I do if I find myself relating to most of the symptoms that I'm seeing discussed?”Granted that there is a whirlpool of information circulating around this hot topic, I was hoping to spend a bit of time clearly outlining the disorder for anyone finding themselves curious. I believe that can best be achieved through outlining a clear, concise, and easy-to-understand definition of what ADHD is; outlining what it is not; and helping people sift through the fact and the fiction. As with many important things we see discussed on the internet, we're seeing is that there is much more fiction than fact. Arreaza: I'm so glad you chose this topic! I think it is challenging to find reliable information about complex topics like ADHD. Tik Tok, Instagram and Facebook are great social media platforms, but we have to admit that fake news have spread like a fire in recent years. So, if you, listener, are looking for reliable information about ADHD, you are in the right place. With ADHD, there aren't any obvious indicators, or rapid tests someone can take at home to give themselves a reliable “yes” or “no” test result. People's concerns with ADHD are valid, and important to address, so we will discuss the steps to identify some of signs and symptoms they are seeing on TikTok or their favorite podcaster. Steph: Healthcare anxiety is a vital factor to consider when it comes to large cultural conversations around our minds and bodies; so, I hope to sweep away some of the misconceptions and misinformation floating around about ADHD. In doing so, I want to help alleviate any stress or confusion for anyone finding themselves wondering if ADHD is impacting their lives! We might even be able to more accurately navigate these kinds of “viral topics” (for lack of a better term) next time we see them popping up on our news feeds.Arreaza: The first thing I want to say about ADHD is “the crumpled paper sign.”Steph: What is that?Arreaza: It is an undescribed sign of ADHD, I have noticed it, and it is anecdotal, not evidence based. When I walk into a room to see a pediatric patient, I have noticed that when the paper that covers the examination table is crumpled, most of the times it is because the pediatric patient is very active. Then I proceed to ask questions about ADHD and I have been right many times about the diagnosis. So, just an anecdote, remember the crumpled paper sign.  Steph: When you have patients coming to you asking for stimulants because they think they have ADHD, hopefully, after today, you can be better prepared to help those patients. So, for the average person—anyone wanting to be sure if this diagnosis applies to them—how can we really know?”Arreaza: So, let's talk about diagnosis.Steph: Yes, the clearest information we have is the DSM-5, which defines these disorders, as well as outlines the specific criteria (or “checkpoints”) one needs to meet to be able to have a formal diagnosis. However, this manual is best utilized by a trained professional—in this case, a physician—who can properly assess your signs and symptoms and give you a clear answer. Steph: ADHD stands for Attention Deficit Hyperactivity Disorder. It is among the most common neurodevelopmental disorders of childhood. That is not to say it does not affect adult—it does—and because it can be easy to miss, it's very possible for someone to have ADHD without knowing. Arreaza: I recently learned that ADD is an outdated term. Some people with ADHD do not have hyperactivity but the term still applies to them. Steph: Yes, there are multiple types that I will explain in just a bit. But overall the disorder is most simply characterized by a significant degree of difficulty in paying attention, controlling impulsive behaviors, or in being overly active in a way that the individual finds very difficult to control. (CDC)Arreaza: How common is ADHD?Steph: The most recently published data from The CDC estimates that 7 million (11.4%) of U.S. children between the ages of 3 and 17 have been diagnosed with ADHD. For adults, it is estimated that there are 15.5 million (6%) individuals in the U.S. who currently have ADHD. Arreaza: I suspected it would be more than that. [Anecdote about Boy Scout camp]. Steph: I totally agree. With short videos on TikTok, or paying high subscription fees to skip ads, it feels like as a society we all have a shorter attention span. Arreaza: Even churches are adapting to the new generation of believers: Shorter sermons and shorter lessons.Steph: When it comes to better understanding these numbers, it's also important to know that there are three distinct presentations of ADHD recognized by The CDC and The World Health Organization. Arreaza: The DSM-5 TR no longer uses the word “subtypes” for ADHD. Instead, it uses the word "presentation" to describe the different ways that ADHD may manifest in a person. That reminded me to update my old DSM-5 manual and I ordered it while reading today about ADHD. This means people with ADHD are no longer diagnosed as having a “subtype”. Instead, they are diagnosed with ADHD and a certain “presentation” of symptoms.Steph: These presentations are:Inattentive TypePeople often have difficulty planning or completing tasksThey find themselves easily distracted (especially when it comes to longer, focus-oriented tasks)They can often forget details and specifics, even with things that are part of their daily routineThis used to be referred to as “ADD” (you'll notice the absence of an “H”, segue).Hyperactive-Impulsive TypePeople often have a sense of intense “restlessness”, noticeable even in calm environments.They tend to be noticeably more talkative, and might often be seen interrupting others, or finishing their sentences.They find significant difficulty in being still for extended periods. Because of this, they are often unable to sit through a movie or class time, without fidgeting or getting up and moving around.With this category of ADHD, we often see an impulsiveness that unwittingly leads to risky behavior. Because of this, accidents and bodily injury are more common in individuals with this type of ADHD.Combined TypeThese are individuals who exhibit symptoms from both “Inattentive” and “Hyperactive-Impulsive” ADHD equally.Some listeners might have noticed that the categories are quite different, meaning that ADHD presents in different ways depending on the person! Two people who have ADHD can be in the same room and have vastly different presentations, whilst still having many of the same types of challenges. You also might have noticed what makes the discussion so interesting to the general public, which is also the thing that makes speaking to a professional to get formally tested so important:The diagnostic criteria rely heavily on patterns of behavior, or external variables; rather than on how a person might feel, or certain measurements taken from lab tests.Arreaza: Diagnosing ADHD requires evaluation by a professional who is properly trained for this. Fortunately, we have tools to assist with the diagnosis. The attention deficit must be noted in more than one major setting (e.g., social, academic, or occupational), that's why the information should be gathered from multiple sources, including parents, teachers, and other caregivers, using validated tools, such as:The Neuropsychiatric EEG-Based ADHD Assessment Aid (NEBA), recommended by the American Academy of NeurologyThe Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) and the Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS), recommended by the Society for Developmental and Behavioral Pediatrics.For adults: The validated rating scales include the Adult ADHD Self-Report Scale (ASRS) and the Conners Adult ADHD Rating Scales (CAARS).Steph: This is important because nearly everyone alive has experienced several, if not most, of these behavioral patterns at least once. Whether or not an individual has ADHD, I'm certain we could all think of moments we've had great difficulty focusing or sitting still. Perhaps some of us are incredibly forgetful, or act more impulsively than the average person might find typical. Getting a professional diagnosis is important because it is in skillfully assessing “the bigger picture” of a person's life, or their patterns of behavior, that a skilled physician, who understands the nuances and complexities in these disorders, can properly tell each of us whether we have ADHD, or not.Essentially, most of us could stand to use a bit more focus these days, but far fewer of us would meaningfully benefit from the kinds of treatments and therapies needed by individuals with ADHD to live healthier, more happy and regulated lives.Arreaza: I had a mother who came to discuss the results of the Vanderbilt Questionnaire. I think she left a little disappointed when she heard that, based on the responses from her and the teacher, her son did not have ADHD. Some kids may have behaviors such as being distracted during a meeting, forgetting about homework or having a lot of energy, but that does NOT mean necessarily that they have ADHD, right?Steph: Absolutely! The important thing to remember here is that these patterns of behavior outlined in the DSM-5 are merely an external gauge for a neurological reality. What the science is showing us is that the brains of people with ADHD are wired differently than that of the more “neurotypical” brain. Much like a check engine light would serve as a signal to a driver that something under the hood needs attention; these patterns of behavior, when they begin impeding our day to day lives, might tell us that it's time to see a professional (whether it be an auto mechanic or a trained physician). I think we all know someone who drives with their check engine light and not a care in the world. Arreaza: How serious/urgent is ADHD? Why should we care to make the diagnosis?Steph: Although we've yet to see anyone incur harm solely from having ADHD, it does lead to quite a range of more serious issues, some of which might prove more urgent. In the cases of ADHD, specifically, what we know is that there is a notable degree of dysregulation in some key neurotransmitters, like dopamine and norepinephrine. More plainly, what we are seeing in the brains of people with ADHD is a disruption, or alteration, of some of the brain's key chemicals.These neurotransmitters are largely responsible for much-needed processes like Motivation, Satisfaction, Focus, Impulse control, even things like energy and feelings of happiness. Many of these things serve as “fuel” for our day-to-day lives; things we'd call our “executive function”.  These are also what prove dysfunctional in those struggling with ADHD. It is in this sense that we might be able to bridge a meaningful gap between ADHD as being seen through patterns of behaviorthat signal a real, neurological reality.Steph: We often hear of the brain referenced as a kind of supercomputer. A more accurate assessment might be that the brain is more of a network of interconnected computers that run different processes and require continual communication with one another for our brain to function properly and seamlessly. What we're seeing in members of the population with this diagnosis, is a significant disruption in these lines of communication. Although this is a very broad oversimplification, for the purposes of our metaphor is to think of it like our brain chemicals getting caught in a traffic jam, or parts of our brain attempting to communicate to one another with poor cell signal. Arreaza: Making the diagnosis is critical to start treatment because having that level of dysfunction sounds like having a very difficult life.Steph: Yeah! I think that's why this conversation matters so much. There's a sense of urgency there, because much of life is, in fact, boring. Things like paying bills, exercising and eating well, work and school—these are all things that are vital to health and wellbeing in day-to-day life; and for the more neurotypical brain, these things might prove occasionally challenging. Yet, they are still doable. For those with ADHD however, this goes far beyond mere boredom or “laziness” (which proves to be a trigger term for many—more on that in just a bit).For folks listening, I wanted to offer some statistics that show why this is such a big concern for the public, whether one has a formal ADHD diagnosis or not. The facts are figures are:Children with ADHD are more than five times as likely as the child without ADHD to have major depression.A significant increase in the prevalence of anxiety is seen in ADHD patients, ranging from 15% to 35%, when accounting for overlap in symptoms.There are significant correlations in youth diagnosed with ADHD, and those diagnosed with what are known as “externalizing disorders”. These are things like Conduct Disorder, Disruptive Mood Dysregulation Disorder, and Oppositional Defiant Disorder.We are seeing a much higher rate of academic problems in kids who have ADHD, like reading disorder, impaired verbal skills, and visual motor integration.We're finding that many, if not most, of these connections are being made after diagnosis. In the case of the “internalized disorders”, like depression and anxiety, we're often seeing years between ADHD diagnoses and the diagnoses of major depressive disorder or anxiety disorders. Given this framework, much of the data is theorized to point towards what we call “negative environmental circumstances”, otherwise known as “ADHD-related demoralization”.For children, this often looks like struggling with sitting still during class, failing to get homework done (because they forgot, or couldn't focus on the tasks at hand), and struggling to focus their attention on what their teacher is saying during lecture. These things often lead to bad grades, discipline or forced time sitting still in detention. This can be seen in more problems at home, with children being disciplined often for behavior that they struggle immensely to control.For adults, this can mean forgetting to pay your bills, missing work meetings, having trouble making appointments, or having difficulty with day-to-day tasks, really anything that requires sustained attention. We often see adults with ADHD who are chasing normalcy with caffeine addictions or even struggling with substance use. Arreaza: Substance use disorder actually can be a way for some people living with ADHD to self-treat their symptoms. Steph: These differences between the individual's experience and the world around them can lead to really powerful feelings of failure or inadequacy. They can affect your social life, your sense of community, and even further limit your capacity to seek help.Literacy in these things is so important—not just for the individual who feels that they may have ADHD, but also for those who are likely to encounter people with ADHD in their own lives. Understanding why some of these patterns pop up, even those who might not have a formal diagnosis, can go a long way to properly approaching these behaviors with success and with empathy.Arreaza: Learning about ADHD is fundamental for primary care doctors. We talked about the high prevalence and the influence of the media in increasing awareness and sometimes increasing public panic. So, we have to be prepared to diagnose or undiagnosed ADHD. Steph: Whether we're the physicians in the room, or the patient in the chair, I think it's important to have a clear understanding of what ADHD is and how it can affect lives. Thanks for listening, I hope we were able to teach you a little more about ADHD. ______________Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _______________References:NICHQ-Vanderbilt-Assessment-Scales PDF: https://nichq.org/wp-content/uploads/2024/09/NICHQ-Vanderbilt-Assessment-Scales.pdfADHD: The facts. ADDA - Attention Deficit Disorder Association. (2023, January 11). https://add.org/adhd-facts/American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596.Gnanavel S, Sharma P, Kaushal P, Hussain S. Attention deficit hyperactivity disorder and comorbidity: A review of literature. World J Clin Cases. 2019 Sep 6;7(17):2420-2426. doi: 10.12998/wjcc.v7.i17.2420. PMID: 31559278; PMCID: PMC6745333.Staley BS, Robinson LR, Claussen AH, et al. Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October – November 2023. CDC.Gov, MMWR Morb Mortal Wkly Rep 2024;73:890-895.Danielson ML, Claussen AH, Arifkhanova A, Gonzalez MG, Surman C. Who Provides Outpatient Clinical Care for Adults With ADHD? Analysis of Healthcare Claims by Types of Providers Among Private Insurance and Medicaid Enrollees, 2021. J Atten Disord. 2024 Jun;28(8):1225-1235. doi: 10.1177/10870547241238899. Epub 2024 Mar 18. PMID: 38500256; PMCID: PMC11108736. https://pubmed.ncbi.nlm.nih.gov/38500256/Mattingly G, Childress A. Clinical implications of attention-deficit/hyperactivity disorder in adults: what new data on diagnostic trends, treatment barriers, and telehealth utilization tell us. J Clin Psychiatry. 2024;85(4):24com15592. https://www.psychiatrist.com/jcp/implications-adult-adhd-diagnostic-trends-treatment-barriers-telehealth/Didier J. My four kids and I all have ADHD. We need telehealth options. STAT News. Published October 10, 2024. Accessed October 10, 2024. https://www.statnews.com/2024/10/10/adhd-medication-shortage-telehealth-dea-congress/.Hong J, Mattingly GW, Carbray JA, Cooper TV, Findling RL, Gignac M, Glaser PE, Lopez FA, Maletic V, McIntyre RS, Robb AS, Singh MK, Stein MA, Stahl SM. Expert consensus statement for telepsychiatry and attention-deficit hyperactivity disorder. CNS Spectr. 2024 May 20:1-12. doi: 10.1017/S1092852924000208. Epub ahead of print. PMID: 38764385. https://pubmed.ncbi.nlm.nih.gov/38764385/Gabor Maté: The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture. (2022). Youtube. Retrieved April 27, 2025, from https://www.youtube.com/watch?v=ttu21ViNiC0. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

In this episode of Health Matters, Dr. Courtney DeAngelis, a clinical psychologist at NewYork-Presbyterian and Columbia discusses what happens in the mind and body during anxiety, distinguishes between anxiety attacks and panic attacks, and shares effective strategies and practical advice for managing anxiety.___Courtney DeAngelis, PsyD, is an Assistant Professor of Medical Psychology (in Psychiatry) within the Division of Child and Adolescent Psychiatry at Columbia University. She also serves as a licensed clinical psychologist at the Columbia University Clinic for Anxiety and Related Disorders-Westchester (CUCARD-Westchester).Dr. DeAngelis specializes in the assessment and treatment of children, adolescents, and young adults with anxiety, mood, habit, posttraumatic stress, and disruptive behavior disorders. She has expertise in treating OCD, generalized, separation, and social anxiety disorders, specific phobias, posttraumatic stress disorder, and childhood externalizing disorders (ADHD, Oppositional Defiant Disorder, and Conduct Disorder).Throughout her career, Dr. DeAngelis has received specialized training in the provision of several evidence-based treatments, including cognitive behavioral therapy (CBT), exposure and response prevention (EX/RP), functional family therapy (FFT), and trauma-focused cognitive behavioral therapy (TF-CBT). Dr. DeAngelis has more recently received specialized training in the treatment of complicated grief. She is accepting patients of all ages who may be experiencing traumatic stress and/or grief during the COVID-19 pandemic.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Mr. Joe shares some of his impulsive behaviors and educates his audience on ODD, Conduct Disorder, Intermittent Explosive Disorder, Kleptomania, and Pyromania. Please support Mr. Joe, so I can continue on my lifelong podcast journey… https://donate.stripe.com/bIY7vS00WaFfdrydQR Mr. Joe has also started microdosing therapy and highly recommends SoulCybin. They have an incredible selection of products and blends!  Be sure to visit… https://soulcybin.org/mrjoebp  and enter coupon code MRJOEBP to save 15% off your order right now!  In addition, if you would like to browse some amazing chocolate bars, various strains of mushrooms, and dozens of other amazing microdosing products, visit PolkaDot by visiting Mr. Joe's personal link… https://gasstash.com/ref/1000

Hello and welcome to this first episode of Al's Churchill Fellowship. You can read the full report here. This episode draws on peer support specialists working directly with parents and carers living with children with challenging and aggressive behaviour. Focusing on Canada & the USA it considers different models of peer support including social media, virtual and in person. It then considers the role of peer mentors specifically in the Canadian organisation Interwoven Connections based across the province of Ontario that serves a large community through virtual means.  ‘The best way to help families is one at a time. What each individual family needs is so unique the only way to truly help families is by addressing each unique needs and concerns one at a time.' Lillyth Quillin, Parents of Children with Conduct Disorder, California, USA

How do young people become radicalised? Is it nature or nurture? Or something far more complex? Dr John Kasinathan is a forensic psychiatrist who specializes in the treatment of children and adolescents. In this episode, hear about the science of the developing brain, what drives crime in young people, the realities of being an incarcerated child in Australia, and one of the most shocking acts imaginable - a child killing their entire family. If you or anyone you know needs help: Lifeline (Crisis support and suicide prevention) 13 11 14 Kids Helpline (Phone and online counselling service for young people aged 5 - 25) 1800 Respect (National sexual assault, family and domestic violence counselling line) 1800 737 732 Full Stop Australia (National violence and abuse trauma counselling and recovery Service) 1800 385 578 See omnystudio.com/listener for privacy information.

In this episode, I share what I have learned about the links between AuDHD and Personality Disorder and ask questions based on experiences from my own life.

In this captivating episode of Stuttering in Silence, Matt and Gavin explore the mysterious world of clinical lycanthropy and the complexities of conduct disorder. Clinical lycanthropy—a rare delusional disorder where individuals believe they can transform into animals—has fascinated scientists and storytellers alike. We'll examine the psychological roots, case studies, and myths surrounding it. Then, we dive into conduct disorder, discussing the behavioral patterns, causes, and therapeutic approaches for this challenging condition. Join us as we separate fact from fiction and shed light on these intriguing mental health topics

Continuing our series "Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of" we're sharing our conversation with education advocate, Robin, about challenges in getting appropriate accommodations within the academic setting, as well as the common challenge of psychopathy initially being misdiagnosed as autism. Ep 4 of 4.

How do young people become radicalised? Is it nature or nurture? Or something far more complex? Dr John Kasinathan is a forensic psychiatrist who specializes in the treatment of children and adolescents.  In this episode, hear about the science of the developing brain, what drives crime in young people, the realities of being an incarcerated child in Australia, and one of the most shocking acts imaginable - a child killing their entire family.  If the episode affects you, the number for Life Line is 13 11 14. See omnystudio.com/listener for privacy information.

Continuing our series "Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of" we're sharing our conversation with education advocate, Robin, about challenges in getting appropriate accomodations within the academic setting, as well as the common challenge of psychopathy initially being misdiagnosed as autism. Part 3 of 4. References: "Empirical Failures of the Claim That Autistic People Lack a Theory of Mind" by Morton Ann Gernsbacher and Melanie Yergeau. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959478/ The Psychopath Whisperer, Dr. Kent Kiehl

Continuing our series "Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of" we're sharing our conversation with education advocate, Robin, about challenges in getting appropriate accommodations within the academic setting, as well as the common challenge of psychopathy initially being misdiagnosed as autism. Part 2 of 4.

Welcome to The Mental Breakdown and Psychreg Podcast! Today, Dr. Berney and Dr. Marshall respond to a listener question about managing homework issues with a teen diagnosed with Conduct Disorder and ADHD. You can now follow Dr. Marshall on twitter, as well! Dr. Berney and Dr. Marshall are happy to announce the release of their new parenting e-book, Handbook for Raising an Emotionally Healthy Child Part 2: Attention. You can get your copy from Amazon here. We hope that you will join us each morning so that we can help you make your day the best it can be! See you tomorrow. Become a patron and support our work at http://www.Patreon.com/thementalbreakdown. Visit Psychreg for blog posts covering a variety of topics within the fields of mental health and psychology. The Parenting Your ADHD Child course is now on YouTube! Check it out at the Paedeia YouTube Channel. The Handbook for Raising an Emotionally Health Child Part 1: Behavior Management is now available on kindle! Get your copy today! The Elimination Diet Manual is now available on kindle and nook! Get your copy today! Follow us on Twitter and Facebook and subscribe to our YouTube Channels, Paedeia and The Mental Breakdown. Please leave us a review on iTunes so that others might find our podcast and join in on the conversation!

Welcome to The Mental Breakdown and Psychreg Podcast! Today, Dr. Berney and Dr. Marshall respond to a listener question about managing homework issues with a teen diagnosed with Conduct Disorder and ADHD. You can now follow Dr. Marshall on twitter, as well! Dr. Berney and Dr. Marshall are happy to announce the release of their new parenting e-book, Handbook for Raising an Emotionally Healthy Child Part 2: Attention. You can get your copy from Amazon here. We hope that you will join us each morning so that we can help you make your day the best it can be! See you tomorrow. Become a patron and support our work at http://www.Patreon.com/thementalbreakdown. Visit Psychreg for blog posts covering a variety of topics within the fields of mental health and psychology. The Parenting Your ADHD Child course is now on YouTube! Check it out at the Paedeia YouTube Channel. The Handbook for Raising an Emotionally Health Child Part 1: Behavior Management is now available on kindle! Get your copy today! The Elimination Diet Manual is now available on kindle and nook! Get your copy today! Follow us on Twitter and Facebook and subscribe to our YouTube Channels, Paedeia and The Mental Breakdown. Please leave us a review on iTunes so that others might find our podcast and join in on the conversation!

Continuing our series "Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of" we're sharing our conversation with education advocate, Robin, about challenges in getting appropriate accommodations within the academic setting, as well as the common challenge of psychopathy initially being misdiagnosed as autism. Part 1 of 4. Book referenced: Far From the Tree, by Andrew Solomon

In this episode of Pediatric Meltdown, we dive into the complexities of disruptive mood dysregulation disorder (DMDD) and how the DSM-5's new classification aims to solve the puzzle of childhood bipolar misdiagnosis by distinguishing DMDD from other behavioral disorders like conduct disorder and oppositional defiant disorder. Join host Dr. Lia Gaggino and child psychiatry expert Gabreilla Carlson as they explore the intricate challenges of diagnosing and treating irritability and outbursts in children. This episode is essential for anyone struggling to understand or manage aggressive behavior in children, providing a roadmap to better interventions and outcomes. You'll find that today's discussion with Dr. Gabreilla will bring some much-needed clarity to the often-misunderstood world of Conduct Disorder. [03:21-05:54] Understanding Disruptive Mood Dysregulation Disorder (DMDD)Concerns of overdiagnosis of bipolar disorder in children as per changes in DSM-5.Discusses the need for a "diagnostic home" for children exhibiting chronic irritability and frequent outbursts.Differentiates DMDD from bipolar disorder, highlighting less episodic mood change and more persistent irritability.Discusses using medical and psychiatric collaborative approaches for accurate diagnosis.[05:55 - 18:49] Diagnostic Challenges in Pediatric Psychiatry Explores the complexity of diagnosing behavioral disorders in children, stressing the influence of parental worries.Differences between conduct disorder and oppositional defiant disorder in the context of purposeful aggression and core outbursts.Highlights how the underestimation of trauma impacts behavioral assessments.descriptive codes to assist in more accurate diagnosing, particularly in children with overlapping symptoms.[18:50 - 33:15] The Role of Environmental Factors and Parental InvolvementDiscussion on the triggers and antecedents in aggressive behavior management in pediatric patients.Examines the impact of environmental factors, especially in relation to ADHD and pediatric bipolar disorder.Highlights parental involvement as crucial in the management and treatment of behavioral issues.The challenges of finding effective medication for aggression treating irritability specifically in relation to autism.[33:16 - 4613] Resources and Treatment Approaches in Child PsychiatryDetails on Gabreilla's routine evaluation process including her developed rating scale ‘emo eye'.The utility of the ACAP (American Academy of Child and Adolescent Psychiatry) Resource Center resources for clinicians and families. [ACAP Resource Center](https://www.aacap.org)Talks about the necessity of evidence-backed treatment options and FDA approvals for therapy tools.Covers the importance of educating parents using resources such as medication guides available through ACAP.[46:14 - 55:23] Closing segment TakeawayLinks to resources mentioned on the showAACAP Outbursts, Irriitability, and Emotional Dysregulation Resource Center:https://www.aacap.org/AACAP/Families_Youth/Resource_Centers/AACAP/Families_and_Youth/Resource_Centers/Emotional_Dysregulation/Home.aspxAACAP Parent's Medication Guide:

Argh U Mad Episode 104, but episode 3 of The Results, is a new series where we focus on the results of the greats before our time. A place where we highlight the questions from yesterday to determine our answers for today,   This week we highlight Dr, Jennifer Eberhardt, the social psychologist who participated in many groundbreaking research  studies. Her contributuions toward black psychology  gives us scientific backing on how our minds process the same race and vice versa, plus many more, Tune in and let me know your thoughts Support Argh U Mad by visiting arghumad.com for more  

In Episode 3 of this series, we discuss the mistaken belief that psychopathy is caused by trauma. Naturally, trauma doesn't help anyone, but it doesn't cause the neurodevelopmental disorder. Lillyth Quillan, the first parent to publicly use her name and face to say she is the parent of a child with Conduct Disorder/Psychopathy and the founder of as online support groups for such parents, joins us for a series about Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of.

In Episode 2 of this series, we discuss the need for an entirely new diagnostic paradigm. It is vital that psychopathy be viewed as a neurodevelopmental disorder and treated accordingly rather than being ignored and only considered relevant when the person commits criminal acts. Lillyth Quillan, the first parent to publicly use her name and face to say she is the parent of a child with Conduct Disorder/Psychopathy and the founder of as online support groups for such parents, joins us for a series about Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of.

Lillyth Quillan, the first parent to publicly use her name and face to say she is the parent of a child with Conduct Disorder/Psychopathy and the founder of as online support groups for such parents, joins us for a series about Psychopathy, entitled Decoding Psychopathy & Conduct Disorder: An Exploration of the Most Important Neurodevelopmental Disorder You've Never Heard Of. Please join us to learn about this important public health issue and comment any questions you may have.

In this episode I discuss Conduct Disorder. What is it? How is it diagnoised and treated? The link to the original blog, video and other links: https://deborahbyrnepsychologyservices.com/what-is-conduct-disorder/

Why is it that so little is known or mentioned about Conduct Disorder especially as terms such as ADHD and ODD are pretty much established in schools across the UK? Conduct Disorder is to some extent more specific in many of its symptoms than other behaviour terms and has been a constant in the Diagnostic and Statistical Manual of Mental Disorders (DSM). It's as if we are afraid to talk about let alone diagnose it, so in this week's episode, Fintan O'Regan joins Dale in the studio to shed light on the term ‘Conduct Disorder' and why so little is talked about it. During our discussion, Fintan gives an overview of Conduct Disorder, explaining its defining characteristics and the behaviours observed in school settings. Listen to hear valuable strategies to support pupils and gain insights into distinguishing between impulsive behaviours associated with ADHD and the calculated, premeditated actions associated with Conduct Disorder. “The approach you would take for someone who's non premeditated versus someone who is premeditated is different”. Fintan O'Regan, Behaviour and SEN Consultant   About Fintan O'Regan MA, PGCE BSc Fintan was the Head teacher of the Centre Academy from 1996 -2002, which was the first specialist school in the UK for students between the ages of 7-19 specialising issues related to ADHD, ASD and ODD.     He is an associate lecturer for Leicester University, the National Association of Special Needs, the Institute of Education, the Helen Arkell Dyslexia Centre and the former Vice Chairman of the UK ADHD Network and of the European ADHD Alliance.   Fintan now works as trainer and consultant for schools and school support systems including, Social Services, Health, the Police and Foster carers   with regards to providing behaviour management strategies for children and families struggling with SEND and behaviour issues.    Contact Fintan O'Regan https://twitter.com/FintanOregan www.fintanoregan.com fjmoregan@aol.com   Useful Links Conduct Disorders in Childhood and Adolescence Understanding Conduct Disorder and Oppositional-Defiant Disorder DSM-5 Changes: Implications for Child Serious Emotional Disturbance American Psychiatric Association - Conduct Disorder  O'Regan F (2006) Challenging Behaviours Teachers Pocketbooks  O'Regan F (2006) Troubleshooting Challenging Behaviours  O'Regan F (2018) Successfully Managing Children ADHD Second edition   ·         B Squared Website – www.bsquared.co.uk  ·         Meeting with Dale to find out about B Squared - https://calendly.com/b-squared-team/overview-of-b-squared-sendcast  ·         Email Dale – dale@bsquared.co.uk  ·         Subscribe to the SENDcast - https://www.thesendcast.com/subscribe   The SENDcast is powered by B Squared We have been involved with Special Educational Needs for over 25 years, helping show the small steps of progress pupils with SEND make. B Squared has worked with thousands of schools, we understand the challenges professionals working in SEND face. We wanted a way to support these hardworking professionals - which is why we launched The SENDcast! Click the button below to find out more about how B Squared can help improve assessment for pupils with SEND in your school.

What if you could demystify the complex behaviors of your child? What if you could distinguish between the symptoms of Oppositional Defiant Disorder (ODD) and Conduct Disorder, two disorders often seen in childhood? We, your hosts, Dr. Linton Hutchinson and Stacey Froth, attempt to shed light on these difficult disorders, especially for those preparing for licensing exams. We discuss the key symptoms of ODD, such as anger, irritability, and a defiant attitude that extends far beyond the typical. We explore the vindictiveness in ODD, manifested by an obsessive, disproportionate desire for revenge. Have you noticed your child showing aggressive behavior, property destruction, or continuously breaking rules? It's time to understand Conduct Disorder better. Our conversation in the second half of the episode aims to provide you with the differentiating factors between ODD and Conduct Disorder. While ODD is characterized by resistance against control, Conduct Disorder is marked by attempts to control others. We comprehend that as a parent, these behaviors can induce frustration, discouragement, and even fear. Our objective is to provide clarity, help you navigate these challenges, and empower you with the knowledge to understand these disorders better.If you need to study for your NCMHCE narrative exam, try the free samplers at: CounselingExam.comThis podcast is not associated with the National Board of Certified Counselors (NBCC) or any state or governmental agency responsible for licensure.

NationalCounselingExamWhat if you could demystify the complex behaviors of your child? What if you could distinguish between the symptoms of Oppositional Defiant Disorder (ODD) and Conduct Disorder, two disorders often seen in childhood? We, your hosts, Dr. Linton Hutchinson and Stacy Frost, attempt to shed light on these difficult disorders, especially for those preparing for licensing exams. We discuss the key symptoms of ODD, such as anger, irritability, and a defiant attitude that extends far beyond the typical. We explore the vindictiveness in ODD, manifested by an obsessive, disproportionate desire for revenge. Have you noticed your child showing aggressive behavior, property destruction, or continuously breaking rules? It's time to understand Conduct Disorder better. Our conversation in the second half of the episode aims to provide you with the differentiating factors between ODD and Conduct Disorder. While ODD is characterized by resistance against control, Conduct Disorder is marked by attempts to control others. We comprehend that as a parent, these behaviors can induce frustration, discouragement, and even fear. Our objective is to provide clarity, help you navigate these challenges, and empower you with the knowledge to understand these disorders better.If preparing for your National Counseling Exam visit NationalCounselingExam and try our samplers completely free of charge! It's a fantastic way to identify any areas you might want to review. and brush up on.This podcast is not associated with the National Board of Certified Counselors (NBCC) or any state or governmental agency responsible for licensure.

"Children who won't listen: Conduct disorder"

"Children who won't listen: Conduct disorder (Pidgin)"

Cluster B This show aims to educate the audience from a scientifically informed perspective about the major cluster B personality disorders: narcissism, histrionic, borderline, and antisocial.   Want more mental health content? Check out our other Podcasts: Mental Health // Demystified with Dr. Tracey Marks  True Crime Psychology and Personality Healthy // Toxic Here, Now, Together with Rou Reynolds   Links for Dr. Grande Dr. Grande on YouTube   Produced by Ars Longa Media Learn more at arslonga.media. Produced by: Erin McCue Executive Producer: Patrick C. Beeman, MD   Legal Stuff The information presented in this podcast is intended for educational and entertainment purposes only and is not professional advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Receiving a diagnosis can be emotionally challenging, and leave a person with a lot of understandable questions: What does this mean? What do I do now? How do I relate to this?On this episode Dr. Rick and Forrest Hanson explore what a diagnosis is, how the diagnostic process works, the limitations of diagnosing someone, dealing with the emotions that come up, and how we can better think about and relate to receiving a diagnosis. Throughout the conversation they focus on how we can come to understand ourselves better, and be liberated by that understanding rather than burdened by it.ADHD is used a number of times during this conversation as an example, so if you have an ADHD diagnosis this episode could be particularly interesting.Watch the Episode: Prefer watching video? You can watch this episode on YouTube.Key Topics:0:00: Introduction2:55: What is a diagnosis, and what is the process used to give a diagnosis?6:50: What is the purpose of diagnosing someone?8:50: Situating what defines pathology within our evolutionary and cultural context11:40: Origins of mental health conditions, social environment, and privilege14:40: How diagnosis done, and differentiating between different diagnoses25:05: More discussion on environmental and cultural effects31:10: Three subtypes of ADHD33:00: The emotional complexity of receiving a diagnosis42:30: What helps people in working through the emotions that come up?46:35: Paying attention to your emotional experience as much as solving your problem.49:35: Mental health awareness, resources, and support from others51:00: Rick's response when someone is given a diagnosis58:50: RecapSupport the Podcast: We're now on Patreon! If you'd like to support the podcast, follow this link.Sponsors:MDbio is a plant-based medicine company with natural products that address sleep, anxiety, pain, and immunity. Get your FREE 10-count sample pack by going to mdbiowellness.com and entering the promo code BEINGWELL at checkout!Join over a million people using BetterHelp, the world's largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month!Want to sleep better? Try the Calm app! Visit calm.com/beingwell for 40% off a premium subscription.Ready to shake up your protein Ritual? Being Well listeners get 10% off during your first 3 months at ritual.com/WELL.Connect with the show:Subscribe on iTunesFollow Forrest on YouTubeFollow us on InstagramFollow Forrest on InstagramFollow Rick on FacebookFollow Forrest on FacebookVisit Forrest's website

Conduct Disorder is a behavior disorder diagnosed in children and adolescents. In today's episode, I break down the environment risk factors that contribute to dysfunctional parenting. As parents, we're not perfect and we can always find room to grow.  Take notes and find your area of growth.  Visit etgtoday.com to get started!

What's New in the DSM-5-TR? Curt and Katie interview Dr. Michael B. First, MD, editor and co-chair of the American Psychiatric Associations' DSM-5 Text revision, coming out March 2022. We explore: What are the differences between a full update and a text revision? What changes have been made (and how were these changes decided)? What new diagnoses can we expect? Can clinicians continue to use the older DSM-5? How can clinicians advocate for changes in future versions of the DSM? All of this and more in the episode. Interview with Dr. Michael B. First, MD Michael B. First, M.D, is a Professor of Clinical Psychiatry at Columbia University, a Research Psychiatrist in the Division of Behavioral Health Sciences and Policy Research, Diagnosis and Assessment Unit at the New York State Psychiatric Institute, and maintains a schematherapy and psychopharmacology practice in Manhattan. Dr. First is a nationally and internationally recognized expert on psychiatric diagnosis and assessment issues and has conducted expert forensic psychiatric evaluations in both civil and criminal matters, including the 2006 trail of the 9/11 terrorist Zacarias Moussaoui. Dr. First is the Editor and Co-chair of the American Psychiatric Associations' DSM-5 text revision, Editorial and Coding Consultant for the DSM-5, and the chief technical and editorial consultant on the World Health Organization's ICD-11 revision project. Dr. First was the Editor of the DSM-IV-TR, and the Editor of Text and Criteria for DSM-IV and the American Psychiatric Associations' Handbook on Psychiatric Measures. He has co-authored and co-edited a number of books, including the fourth edition of the two-volume psychiatry textbook, A Research Agenda for DSM-V, the DSM-5 Handbook for Differential Diagnosis, the Structured Clinical Interview for DSM-F (SCID-5) and Learning DSM-5 by Case Example. He has trained thousands of clinicians and researchers in diagnostic assessment and differential diagnosis. In this podcast episode we talk about latest updates for the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5-TR. With the upcoming release of the new DSM-5-TR, Curt and Katie reached out to Dr. First, the editor and co-chair of the American Psychiatric Association's DSM-5-TR, to find out what's new and how the DSM committee works. “During the development of [DSM-5-]TR, George Floyd happened, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So, we actually created a committee that went through the entire DSM.” – Dr. Michael First What changes have been made in the new DSM-5-TR? Text revisions occur to avoid letting the text become stale while supporting ongoing updates. New disorders, specifically Prolonged Grief Disorder, have been added. New codes, modeled off symptom codes, created for documenting suicidality and non-suicidal self-injury with another diagnosis. New categories of Unspecified Mood Disorder. New Criteria set for Autism Spectrum Disorder which is more conservative. How are cultural differences addressed in the DSM-5-TR? Starting with DSM-IV, there has been a special committee created for culture and culture related issues Hypothetically, the criteria sets should apply to everyone, but in the text, there is a section on Culture Related Features which is more specific. The impact of the George Floyd protests inspired the creation of a new committee to look for systemic racism, lack of nuances, and prevalence issues within the DSM. There are conflicting opinions if “transness” should be included in the DSM and if it's even a mental disorder. As the DSM is a diagnostic tool to code for insurance, the DSM takes the stance that the Gender Dysphoria diagnosis stay included so individuals can have access to medical intervention and treatment. The Steering Committee for new diagnosis is small, but there is diversity. Before a diagnosis is approved, it is posted for 45 days on the DSM website for all, including people with lived experience, to comment and advocate for diversity What is the Process for Accepting New Diagnose? The steering committee accepts proposals through the DSM portal for new diagnosis Some diagnoses are qualified based on the United States' continued use of ICD-10, whereas the ICD-11 is more progressive. With Complex Post Traumatic Stress Disorder, some of the criteria from the ICD have been incorporated into the DSM diagnosis of PTSD Proposals are floated around often, but they often don't have enough empirical research yet. Proposals need to show a pool of patients who don't fit other diagnoses, a gap in treatment, and a difference from other possible similar diagnoses. New diagnoses will be approved on a continuum, making the electronic DSM-V-TR the most up to date resource. The committee is more conservative in adding a new diagnosis to the DSM because it is hard to remove a diagnosis once it is included. “I'd say the biggest [change] is Prolonged Grief Disorder… Now for a number of years, the concept of Prolonged Grief Disorder was really a hole in the diagnostic system… patients were out there that… were suffering, so they had some kind of mental disorder… That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big hole in the system that allows people to come into your office and not have any place for them.” – Dr. Michael First Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: SuperBill Interested in making it easier for your clients to use their out-of-network-benefits for therapy? SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting started is simple - clients complete a quick, HIPAA-compliant sign-up process, and you send their superbills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. Superbill eliminates that hassle, and clients just pay a low monthly fee for the service. If your practice doesn't accept insurance, SuperBill can help your clients get reimbursed. SuperBill is free for therapists, and your clients can use the code SUPERBILL22 to get a free month of SuperBill. Also, you can earn $100 for every therapist you refer to SuperBill. After your clients complete the one-time, HIPAA-compliant onboarding process, you can just send their superbills to claims@thesuperbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement. By helping your clients get reimbursed without the stress of dealing with insurance companies, SuperBill can increase your new client acquisition rate by over 25%. The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Purchase the DSM-5-TR   Learn about the DSM Learn about the Changes for the DSM-5-TR Dr. Michael First's Email Dr. Michael First's Website Dr. Michael First on Wikipedia Provide Feedback on the DSM Submit Proposals for Changes to DSM-5 Relevant Episodes of MTSG Podcast: What the Grief Just Happened? Antiracist Practices in the Room with Dr. Allen Lipscomb Trans Resilience and Gender Euphoria Death, Dying, and Grief with Jill Johnson-Young, LCSW On the APA Guidelines for Boys and Men What to Know When Providing Therapy to Elite Athletes Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated):   Curt and Katie  00:00 This episode of the Modern Therapist Survival Guide is brought to you by SuperBill. interested in making it easier for your clients to use their out of network benefits for therapy. SuperBill is a service that can help your clients get reimbursed without having to jump through hoops. Getting Started as simple. Clients complete a quick HIPAA compliant signup process and you send their SuperBills directly to us so that we can file claims with their insurance companies. No more spending hours on the phone wrangling with insurance companies for reimbursement. SuperBill eliminates that hassle and clients just pay a low monthly fee for the service. Stay tuned for details on SuperBill therapist referral program and a special discount code for your clients to get a free month of service.   Announcer  00:42 You're listening to the Modern Therapist Survival Guide where therapists live, breathe and practice as human beings to support you as a whole person and a therapist. Here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  00:58 Welcome back modern therapists. This is the Modern Therapist Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about all the things that we do. And we have a pretty big milestone coming up in our profession here where the DSM-5 is transforming into the DSM-5-TR. And we are joined today by one of the very instrumental people behind the updates to this Dr. Michael First. He's professor of psychiatry at Columbia University and editor and co-chair of the DSM-5 talking to us about some of the exciting updates that are happening and a little bit of the process behind it. So thank you very much for joining us here today Dr. First.   Dr. Michael First  01:44 Really, it's a pleasure to be here.   Katie Vernoy  01:46 We're so excited to have you and to have this conversation, we had reached out to our audience for some questions. So we'll try to get to some of those. But our first question that we ask all of our guests is, who are you and what are you putting out into the world?   Dr. Michael First  02:00 Okay, so um, I have a position at Columbia University. I also work at the New York state psychiatric institute. I also have a private practice in New York City, and also a forensic practice. That's pretty pretty busy. And I've my main thing to my life has been DSM, I actually got involved all the way back first at the VA that year, DSM-3 came out in 1986, because I did my residency at Columbia, where Robert Spitzer, who is the king, or whatever, he said, he created the DSM, he put it on the map, so I got to work with him. And I've been working with him and also with the person who did DSM for Alan Francis. And so I've been had my finger in some way, shape, or form every DSM. Oh, and I also work on the ICD 11, who has their own classification. And they're just recently updated theirs as well. So I asked to work on that project.   Katie Vernoy  02:54 Wow, that's awesome.   Curt Widhalm  02:56 So some of us have been practicing a while, my grad school we were on the DSM-4-TR. So I got to see through the transition of DSM-5, but can you maybe provide a little bit of context for what's the goal of a text revision as opposed to a full update and looking at, you know, just kind of jumping into the next number here.   Dr. Michael First  03:18 Let me give you a background of how the text, the 4-TR came about, there was those 3-TR, for example, was the first TR. So it's all started way back in 1980, with DSM-3, which was the first version that had diagnostic criteria. When they were working on it, they had this idea that it was just something that psychiatrist would be interested in. When they publish it, it became this huge hit, you know, it's sold millions of copies really transformed the field, people found that very, very useful. And so, seven years later, they did the DSM-3 are now why that wasn't called DSM-4 simply because the DSM are actually linked to the ICD. And ICD 10 was supposed to be coming out in 1992 or so. Here we were in 1987 today, so we're actually this is an in between DSM-3, DSM 4- revision, so that's why it was called the three R, then DSM-4 comes out in 1994. And then after DSM-4 came out, there was a lot of pushback in the field about APA grinding out a new DSM, every seven years, everybody had to learn it. So things really put the brakes on the DSM. So APA made a decision that we're not going to seven years from now, I'll do with the DSM-5 we're gonna wait and see. What the downside of doing that is the text which is 90 something percent of the book is actually text not just the criteria detects is a really good resource for mental health professionals about diagnosis and prevalence doesn't know anything but treatment, but it's kind of like a super textbook in the sense that it's got the top people in the world working on it. They've kept waiting, waiting, waiting DSM-5, which was clearly going to be at least 10 years if not more away. It ended up being closer to 20 years, the text would have gotten very stale. So that was the motivation to do the DSM-4-TR. Or when they did the 4-TR, or they made the decision, so people wouldn't be bent out of shape about yet another DSM only to revise the text, the diagnostic criteria will go into be unchanged, it turned out there for very, very small changes, because a couple of errors has been found in the DSM 4 like, for example, Tourette's, tic disorders had requirement that the, in order to call somebody diagnose somebody with Tourette's, it had to cause clinically significant impairment and distress. That's a standard DSM phrase. So you're trying to differentiate things that aren't problems, from things that are problems, the neurologist got all bent out of shape about that ticks a tick whether or not it causes impairment, it's still a tick. So we, for example, we deleted that, that criteria, but it's very small stuff like that. So that's why the TR really was just a text revision. So DSM-5 didn't come out until 2013. So with DSM-5 came out, it was a complete redo of all the criteria and the text. And then moving forward, what happened was, is the DSM-5-TR, now, now DSM-5-TR is actually different than the 4-TR, because it is this time, the criteria have changed, they've been changing the criteria. And the way that was accomplished was the fact that we now have APA as a process in place to allow changes to be made on an ongoing basis. That was one of the reasons why the DSM-4 criteria were changed was every time they do a revision, it's a huge expensive, you know, hundreds of people involved process and it because you really want to every time there's a change, you want to make sure that changes, it's been well researched, you consider the pros and cons. So it's a big process. So they realized that moving forward, they APA realized that now that we're not stuck using just books, they could actually have changes made in the DSM on an ongoing basis. And that's what happened since DSM-5 came out. In 2013, there's been a number of changes in the criteria set. So the criteria sets in there five to about 70 of them have some changes, most of them are very, very minor, you're correcting tiny errors, but there's some that are significant. So one of the differences, of course, is that when 4-TR are came out, you could say I want to buy that still say that about five here, but you can say I care about the criteria that he diagnoses, I don't really need to see the text. That's not true. This time, the actual definitions have changed. There's a new disorder in the DSM-5-TR.   Katie Vernoy  07:39 What are the big important changes that we should know about in DSM-5-TR?   Dr. Michael First  07:40 So we've added a disorder it's Prolonged Grief Disorder. So it's much more clinically relevant. The DSM-5-TR, really than the 4-TR was I'd say the biggest is Prolonged Grief Disorder. So you know, when you whenever a new disorders, DSM, that's big news, I've been going through many, many DSM, the press always gets what's the new disorder. So this is a this disorder was has been researched. Now for a number of years, let me the concept of Prolonged Grief Disorder is really a hole in the diagnostic system. So there are individuals who after losing a loved one, normally, you basically adjust at some point, it's always painful maybe to think about the loved one, but you move on with your life. And in that that's a very important part of the grieving process. There are individuals where they're unable to do that they're basically stuck in a grief reaction, month after month. So after a year has elapsed in the person's grieving and preoccupied with grieving, then you could meet the criteria for Prolonged Grief Disorder. So it's can be given until at least a year has elapsed. And these are individuals or a number of individuals who have that problem. And it was really unrecognized, wasn't in the system at all. Now in DSM-5 came out, and there's a pending research appendix in the back. So when DSM-5 was was in preparation, we already knew about this condition, and there was some controversy about how best to define it. So they actually put something in the research appendix called persistent, complex bereavement disorder in the back that is the precursor to what's now called Prolonged Grief Disorder. So it's been around but, So now, after this, we finally got to the point, we felt that the research was clear enough, the case was compelling enough that it would do more harm than good to put it in there. And it went through all the processes within the APA for approval, and it was approved and added to the online version, and now that's going it's in the hardcopy version as well. That's by far the biggest change. Probably the next biggest change has to do with suicide. Now suicide. If you look at the DSM now, suicide is basically a criterion in major depressive episodes, criterion number nine, that's like the biggest suicide of course, as a therapist, what are the most important things that we have to deal with very, very important but the DSM has a little sidelight so to speak. So we felt it was very important for therapists and clinicians and researchers to have a way to indicate the presence of suicidal behavior, independent of depression. Suicidal behavior can occur in a wide variety of mental disorders including no mental disorder at all. So we wanted to have a way to indicate that. So it turns out that there's a mechanism within the ICD 10, which is the coding system. You everybody know that when you write down the diagnostic code, you get paid. That's your that's how the DSM code, that's the code from the International Classification of Diseases, which is a government controlled system, we realize that there are these things called symptom codes in the ICD 10, which are not disorders, but they allow you to list a particular symptom, that is of particular importance. So we actually went and requested from the NCHS, the National Center for Health Statistics to have a new code created for suicidal behavior, current and history of suicidal behavior, and also current non suicidal self injury and history of non suicidal self injury. So there's four separate codes that are now in the book that will allow you, it's optional, obviously, to list those along with the diagnosis. So if you have somebody with Major Depressive Disorder, who's suicidal, you would list both major depressive disorder as a diagnosis. And we also list this special code. In addition, that's so that's a really nice addition. The rest are not quite... so one of them is there's a category that's been added actually restored, called unspecified mood disorder. And what's that? Why is that a big deal? It turns out that, you know, when you first see somebody who has a mixture of mood symptoms, you have to right, you're one of the things about getting paid is you need every time you see the patient or his client, you need to write down a diagnosis.   Katie Vernoy  08:32 Yep!   Dr. Michael First  08:32 What the person look like during that meeting. So let's say you have your first meeting with a client, and they have this, you know, mix of irritability and agitation and a little sad, what would you call that? And you say, Well, you know, I'm going to have to look into maybe I'll check their history more speak to some other previous treaters, we got to write something down. So what the DSM does in general, when you see someone and you don't know what the diagnosis is yet, either because it doesn't fit into any of the diagnoses, or because you simply don't have enough information. That's where these unspecified codes come from. So they typically do you see somebody who is psychotic, and either you don't have enough time to figure out what diagnosis it is, or there simply doesn't fit in the type of psychosis doesn't fit into any diagnosis, you would write down Psychotic Disorder, unspecified. So for mood, there is Bipolar Disorder, unspecified, and Depressive Disorder unspecified. The question is that person who is agitated and irritable, what is it? What would you call that? And there's some implication, if you wrote down Bipolar Disorder, unspecified, then in their record their medical record, the rest of their life will be something that says Bipolar disorder, when in fact, this may simply morph into a case of Major Depressive Disorder, because irritability and agitation is commonly seen in depression. So the real what we had to do, we introduced a new unspecified category that allows you to be neutral about whether it's bipolar or depression. So that's why it's called Unspecified Mood Disorder, which you can use that you're saying no, I don't know what it is. And I'm not I know it's a mood problem, because the symptom is a mood symptom. But I'm not going to commit myself to say whether it's either depressive or bipolar. So it's a new parking place, so to speak, to put your client before you figure out what's going on in a way that's going to be less stigmatized. And that's great. And if it's a couple of corrections to problems in the criteria, that's one of the ones is Autism Spectrum Disorder. So Autism Spectrum, so if you were called in, when we went from DSM-4 to five, that was a new category that was created that used to be autism, autistic disorder, and Asperger's disorder, there are several different and pdds are different types of autism disorders. For DSM-5, they decided to consider the entire thing a spectrum of conditions. So it's now Autism Spectrum Disorder. And it comes with three levels of severity. So Autism Spectrum Disorder is defined, there are two clusters of symptoms. There's the social interaction, social engagement, awkward social reading, social cue, cues, piece of autism, and then there's this preoccupation with unusual interests or repeating words. So there's two separate dimensions of autism, the autism spectrum, so the criteria set was reformulated. And we had to come up with a new algorithm. Now, the challenge here is Autism Spectrum Disorder is really had a huge amount of interest for the past 10, 15 years because of what appears to be this explosion in cases of Autism Spectrum Disorder. And part of that has been argued that people are recognizing it more, and that's why there's more cases, but part of it is over recognizing anyway, that's the kind of little weird and awkward Oh, they're on the spectrum, that's become a common phrase in the English language. Now, if you watch movies and TV start hearing, Oh, that guy's on the spectrum. So it's become incorporated into language. But it also shows that it's been overused and over diagnosed. So when you.. the diagnostic criteria sets, the prevalence often depends upon how you construct the criteria set. So when you have a criteria set, for example, the test five out of 10, if you were to make the requirement three out of 10, the prevalence would go up a lot. If you were to go up to eight out of 10, you would shrink the prevalence. So those kinds of criteria that give you a number out of a larger number has a big effect on prevalence. So when they reformulated the autism criteria set, they wanted to make sure that the the new criteria set was conservative. So that so the way it works is there are three items for the social impairment piece of it, and four of the interest restricted interests problem, the restricted interest is two out of four, the social one was supposed to be three out of three. But if you look at the criteria itself, it just says, including the following wasn't clear if you had to have all the following or any of the following, or whatever it was intended to be all the following because they were very worried about not inflating the rates of Autism Spectrum Disorder. So the new version now has very clearly all of the following. So that I think is good. I don't know how many people were making that error, but certainly was there to be made. And you opened up to different interpretation. I think those are some of the bigger ones. There's lots of small number of small tinkering around. But I think those are probably the most one of the greatest political interest.   Curt Widhalm  16:47 We received a lot of listener feedback and some specific questions as far as some diagnostics that may not be appearing and specifically, some things like Complex PTSD, Developmental Trauma Disorder, Orthorexia, can you explain to our audience a little bit here, as far as what your process is for inclusion, or further research into maybe an inclusion of these in the future? These are things that are being discussed with the APA, and kind of how the decision is made, as far as what do we include? What we kind of continue to  just monitor and see what's out there.   Dr. Michael First  17:21 So that's another a change in process when the DSM-5 was done over, however, eight years, they had all these committees, and they would would look what's out there in the literature, and people would write in suggestions. So there's a whole process during the DSM-5 to make lots of major major changes, those committees don't exist anymore. Instead, there's a steering committee. And what the steering committee does is we entertain proposals for new new disorder. So the Prolonged Grief Disorder, even though it was in the appendix, somebody had to come and propose that it be added to DSM-5. But when you put together the proposal, that is, on the DSM portal, there's a whole complicated... we they give an indication of what kind of empirical information is required you and submit your evidence of validity, reliability will make your cost benefit analysis is the harm versus the advantages is balanced in the right direction. So yeah, there's some hurt hurdles to go through to get one of these things in there. And the website lays out what those hurdles are. So now, the system is more reacting to what people suggest rather than coming up with diagnoses on our own. So he says, a little bit of a change. So that's now the process. All the changes you've just mentioned so far were suggested, and then ultimately approved, but let's cover some of the ones you met. So right now, there's really no unless somebody were to write in and say I want Complex PTSD in there. We're not going to be considered unless somebody actually outside the system proposes it and makes it formal proposals. Now, complex PTSD is interesting, because the ICD 11 I mentioned in the beginning that I worked on the ICD 11. On past Complex PTSD, they both PTSD and complex PTSD, in ICD 11. So they made the decision to include that condition. Now, the DSM, turns out that the DSM version of PTSD if you compare it to the ICD, PTSD and complex PTSD, they're elements in the complex PTSD, much of that has been incorporated to the criteria set for PTSD. So it's kind of a little blurry with what's and what's not emphasized, is it typically when Complex PTSD was first proposed, it was a type of PTSD that happened in response to chronic early traumatic experiences often ongoing. That was the original concept, but it turns out, this is from the ICD 11. If you look at the ICD 11 definition, even though they say that's often the kind of trauma that causes Complex PTSD, that's not required. That defines Complex PTSD, at least in the ICD. It's like PTSD, plus some chronic changes in the person to soon have a chronic sense of disconnection, chronic inability to social impairments, they basically been changed, the trauma is so extensive, it's almost like change them as a person. So you have more typical symptoms of PTSD like re experiencing, and avoiding things plus these more fundamental differences in the person. Now, some of those complex PTSD symptoms are now in the PTSD criteria set. So that's what I meant by saying that we sort of took some of the complex and added it to the regular one. So that so here's an example where there are a number of examples where the ICD 11 and the DSM-5 differ. And that's one of them, you know, DSM-5 decided to have a single PTSD category that was a little bit more broad, where ICD 11 decided that they wanted to have two. Some of the other proposals, some I've heard some other proposals, but a lot of these proposals that have been floating around, haven't really reached the stage of enough empirical research, really, to be able to be seriously considered for the DSM, they're potentially good ideas, but none of them have been offered as actual proposals, with proposed evidence to be able to be evaluated, but any of those somebody, and if you're any people listening, want to make such a proposal, you go to the way which you could do that. There's a website, which is easy, www.DSM5.org, if you go to that website, that's the DSM website. On the front page, you'll see there's a it tells you how you can make a proposal and what you need to do to fill out the application.   Katie Vernoy  21:44 It seems like what you're describing is a process to really allow a feedback loop to the steering committee. And you also described the the DSM as being because it's electronic, being a little bit more dynamic in being able to pick these things up.You know, what is the likelihood that one of these diagnoses assuming they've got the empirical research attached with my ended up in the next DSM like like is that?   Dr. Michael First  22:10 Well, to say that there is no next DSM for the time being, it could go in if somebody were to write a proposal today, for Complex PTSD and arguing that the current PTSD isn't covering a very important group of patients that there's a these are the kinds of things you would kind of argument you could make for something like that would include things like the fact that I that diagnosis does exist is hurting people because people are not recognizing it. More so the reason it's hurting them, the treatment for complex PTSD would be different than regular PTSD. That's another part of the compelling case. Another part of the argument is that you need to show that it's somehow distinct from regular PTSD and distinct from other conditions, like adjustment disorder, or, or, you know, this new Prolonged Grief Disorder. So those are the kinds of things you would need to do to make a convincing case, and then you would submit it. And if it goes through the whole process, and was approved, it would now go into the DSM. The hardcopy version, of course, you know, it's not if you buy it, it's not in your version you bought, but the electronic version, it will go into there. So we're in a funny transition now where you have the hardcopy version and the electronic version living side by side. And therefore, if you buy the hardcopy version, you're not, you know, it's it's easy to see the ongoing changes, but APA considers what's approved and in the electronic version to be the official DSM. And the hardcopy, like, the one that's going on sale now is a snapshot of where the electronic version looks like, you know, it looks like now. So everything that's in electronic version is now in hardcopy version. But as things happen, if somebody were to get complex PTSD in there, and it gets in there before the next hardcopy version comes out, then you'll have the situation where it's only on the electronic version, and not in the hardcopy version, but it's it's on the electronic version, you could use it, you know, it doesn't have to be in the hardcopy version to be legitimate diagnosis to make when one of your clients   Katie Vernoy  24:03 That's decided then, I'm not buying a new copy, then I'm just gonna get the electronic version.   Curt Widhalm  24:11 So when you're looking at the research that's submitted, what kind of thresholds are you looking at here? It sounds like part of this is not only the criteria that's maybe showing up in people's offices, but also some of the ways that things are being treated as some of the factors that you look at in how things are included, how things are rolled out, you're kind of kept under some of the existing diagnostics that are there, but what are you really looking for in the research that people are proposing?   Dr. Michael First  24:43 Well, this does not that no one thing I mean, I personally, I'm a clinical utility persons so to me, the most compelling thing is making a case that is going to help people and not hurt them. I mean that person, but that's not sufficient. I mean, you can make a proposal that that's the case but if because there's two things. One is this, say this is a good category to put in there. And then it's how to define it. That's a big problem and lots of concepts are out there. But what would be the criteria set, for example, for Complex PTSD that actually is a distinct group, and wouldn't by accident, include people who don't have complex PTSD? So it's a technical thing is the case for complex PTSD is, like, let's look at what happened with Prolonged Grief Disorder. There's a perfect, so that's already happened. How did that get in there? Well, patients were out there that people were noticing that didn't fit in any of the DSM categories. And they clearly were suffering. So they had some kind of mental disorder. They didn't have as I people say, Oh, well, they have Major Depression. That's not Major Depression, you can have Major Depression, and Prolonged Grief Disorder. But they're not the same at all. Hardly any overlap. So there's a big home system that allows people to come into your office and not have any place for them. So that's the first piece of it, then another compelling thing about comp, Prolonged Grief Disorder is is that psychotherapy that has specifically been developed, it's a variation when a CBT for treating Prolonged Grief Disorder that's been successful. So that's another compelling reason not only are you calling it something, but you have something to offer your clients by saying, Well, this is the recommended treatment. So that's the kind of argument you know, the DSM, it's very the spin, especially since DSM-4 detector, in fact it was a paper that came out before DSM-4 came out called holding the line on diagnostic proliferation, it was very easy, used to be very easy, it sounds like a good idea, we go into the DSM, a couple of problems is that once a category gets into the DSM, it's very, very, very hard to get it out. There's been very few diagnoses which have been deleted, because always some constituency says you will ruin my practice if you get rid of this diagnosis. So that's why knowing that it's easy to get in easier to get in than to get pulled out, you really want to make sure that things that are in the DSM won't need to be pulled out because you've too hastily added. I think there's been kind of a much more conservative view about putting categories in the DSM nowadays than there were back in 20, 30 years ago.   Katie Vernoy  27:13 We also got some some questions and we've had some conversations actually recently about diagnostic criteria that potentially needs to be adapted to fit a more diverse population or an understanding of the diversity in our population. I'm just curious, how culture, other demographic differences, all that all the things, how those things have been addressed in the the text revision, but also kind of the the concept around how you're making sure that the criteria, the descriptions all of the pieces really align with a very diverse population that we that we live in?   Dr. Michael First  27:50 That's a great question. In fact, there's been major efforts, since DSM-4, there was a special committee starting with DSM-4 for culture, culture related issues, how disorders present differently in different cultures. Now, the criteria sets are hypothetically supposed to be vanilla, that apply across all cultures, the way you deal with cultural variations in the text is one section called Culture Related Features. If you look at the content of that text, it's very specific than in this population and may look like this. So it's trying to show how that variability is taken into account. But it's an opportunity to let me tell you about a very important thing that we did with the TR that was basically, it's very interesting was they taking your during the development, During the development of TR, George Floyd happen, and our entire consciousness about systemic racism became sort of raised. Then the question was, are there things in the DSM that are reflective of this kind of systemic racism? So we actually created a committee that went through the entire DSM, looking for, um, not necessarily races as the most extreme case, but things that were not quite nuanced enough, like very often, you know, like, the big one of the big problems, of course, it's like what is race anyway? But that is because you're, you're an African American, are you really different than other people? If you are different, like very often in the DSM, the prevalence section will say this, if we break it down by ethnic group will say of depression in blacks is this and in Latinos Is this the question is why is it different? Is it because of biological reasons among these groups is out twice as if it is a different life experiences? It's lots of huge amount of data that the the disadvantage social settings for some of these groups, is the reason why they're different, not something essential about being Black or Latino. So that was one of the things when they went through the whole book, they're looking to avoid giving a message that something about the race itself is what's causing it to happen. So the way they dealt with it, is that they have a statement that says it's this in blacks and it's not and an extra sentence that says, this difference is likely due to differential exposure to racism or things like that. So it was a very, very thoughtful way of trying to make it clear and de emphasize it also get rid of stigmatizing statements, that to the whole, the whole book went through that thing, and that was really triggered by the awareness that was that was not originally part of the original plan of the TR it was the fact that that happened during the process. A new committee was been doing the process. I'm glad that we had enough time was early enough in the process, that we're able to get it in the DSM-5, I was a little dubious. But we they worked really, really hard that committee to be able to go through the all areas of the text revision to make sure it it worked for across culture, and also not not taking the certain minorities, stigmatized,   Katie Vernoy  30:54 Were any of the diagnoses assessed in that way and determining whether those diagnoses were appropriate across all the different demographic considerations. So one that comes to mind specifically, we recently had a discussion on Trans mental health and Gender Dysphoria is one that that kind of is a requirement to be able to kind of move forward with some of the things for transition. And it was interesting, the conversation was like, Well, I'm not dysphoric it's it's socially, you know, kind of everyone around me is dysphoric about my gender, I'm not and I have to kind of go through this process of saying that I'm dysphoric in order to get the letter that I need for the hormones or whatever, were there, or are there plans to look at kind of the impact of diagnoses or how diagnoses are put together and the impact on folks that are in in typically marginalized populations?   Dr. Michael First  31:44 Well, culturally, I think Trans is a special case, I could get to that whole issue of should trans even be in the DSM. I mean, lots of people in the Trans community don't consider it a mental disorder. So let's get general, we do consider that like Conduct Disorder is a good example, about a lot of the items and Conduct Disorder in minority populations living in high crime area, it's normal, it's like adaptive to do some of the items in the Conduct Disorder criteria sets. And we don't want to give people who are trying to adapt to their typical environment a diagnosis simply because in a different population, it advantage suburban population, it would be evidence of pathology, so you get into text for Conduct Disorder has things in there and the criteria sets get adjusted to drop items that might be overly influenced by culture and not apply to other cultures. And now Trans is a different story. So...   Katie Vernoy  32:38 Okay   Dr. Michael First  32:38 Let me get into that. So the name is also changed DSM-5, it's now called Gender Dysphoria. It used to be Gender Identity Disorder, that's what it was, is up to DSM-5, so they actually changed it from Gender Identity Disorder to Gender Dysphoria to make it less stigmatizing it was felt that saying, there was something wrong with your identity, there's a disorder and your identity was much more stigmatizing than saying that you're upset or it's creating a dysphoria. The fact that the term used in the ICD for this condition is Gender Incongruence, which is very well descriptive term, it's the sense that your assigned gender and your experience gender are incongruent. So the recent the problem, is it. So the individual they say, Well, I'm not dysphoric. I agree, you could say that they shouldn't get any mental disorder. But there's a big problem. How do you get qualified for treatment? Unfortunately, we live in a country, there's lots of things that are very harmful, like, you know, marital strife, child abuse, you can't get paid if you put a code for marital relationship problem on your billing form and submit it, nobody's gonna cover it because the insurance companies and the government have made a decision, unwise in my perspective, that's not my call, to not inlcude, not cover things that are not really ensuring the way they look at us insurance is for medical conditions. That's the basic concept, we're not going to, for example, if you want to get plastic surgery to make yourself look better, and make you feel better, their government says we're not going to cover that because that's sort of a cosmetic thing, even though it makes you feel better. You're not treating a disorder, to have a nose job, for example. There's a whole bunch of things that the government doesn't want to cover, unfortunately, basically, in the ICD, everything is outside of the disorder section, you won't get covered for. Now Gender Dysphoria is in the mental disorder of section, actually, therefore, you could qualify for treatment. If they were to remove it from the DSM entirely, then you would never be able to, insurance companies would not, not to say the insurance companies are happy about covering it, but they would really have a weapon to say well, if it's on the DSM, we have no obligation to cover so what what happened in the ICD 11 which I saw just came out they had the same problem, but they had a different solution. The ICD 11 is all of medicine not just mental disorders. So they had the option of moving Gender Incongruence out of the mental disorder section and moving it somewhere else so that it could still get paid for. And where did they move it, they created a new chapter called Conditions of Sexual Health or something like that. And therefore they were able to put it there. And now it's a condition that could get paid for. The United States, which is still using ICD 11. United States still using ICD 10. So there's no place in ICD 10 to move it. So that's why we're kind of frozen in the situation of it continuing to be in the DSM in that spot, for very utilitarian reasons. I mean, I'll give you another example, somebody who actually heard this case, person had sexual reassignment surgery, and broke took it off as a tax deduction under the health thing. They were challenged by the IRS, they said, Oh, no sex reassignment surgery is a cosmetic procedure, you can't take a deduction for that's their attitude.   Katie Vernoy  35:59 Wow   Dr. Michael First  36:01 It's  very tricky, because again, they don't want to cover things. So it's a balance, yes, it's stigmatizing. But on balance, is it better to deal with the stigma, by virtue of the placement in the DSM, or not have the services covered anymore, we're kind of stuck, there's some talk about moving maybe to a different spot in the DSM to try to help with that. But the code, still, the code, and the code is still mental disorder code. So until the ICD code actually changes, it's going to, it's gonna be a mental disorder, we don't have any control over that. That's the government.   Katie Vernoy  36:35 Sounds really complex.   Curt Widhalm  36:37 So if I can kind of synthesize down some of the important points that I'm hearing here is, in this process, you've taken some of the criticisms from the field of the DSM and made it more inclusive. As far as feedback opportunities for professionals. It's not, you know, committees hidden away in dark rooms, you know, twirling their mustaches, or running their fingers and just, you know, being the arbiters of mental health diagnostics. But one of the major things that I want to emphasize that you've brought up here a couple of times, is that there's a lot of parts of the DSM that are not just the diagnostic lists, that people should read from time to time. And I think that outside of maybe some of the psychopathology classes that grad students have to go through, we sometimes forget that and that a lot of the information that we do break up in our conversations that the text parts, this is the major emphasis of the text revision here is go and read these parts. And it probably answers a lot of the questions and criticisms that we have from the field. And now, more so than ever, it's had an opportunity for a lot more people to at least make suggestions and that feedback has been looked at.   Dr. Michael First  37:51 I can't agree with you more they criteria pretty bare bones. So yeah, on their own, they lots of could discuss argue about what what generally means that's what the text is there for. The text allows you to explain what they are, how do you assess it? As I said, the text is like 99% of the words in the DSM and the criteria, maybe 1% or less. So the text is extremely important. That's why we did the text revision. The difference to the from the last one is we did just leave it to the text, we also have the criteria. But you're absolutely right. Many of these things we dealt with, like this whole thing about systemic racism, if you look at the criteria set, there's nothing in the criteria in the TR, that would indicate that we did anything having to do with our sense sensitivity to race. That's all in the text.   Katie Vernoy  38:35 So to that point, I wanted to check in on a couple of things, because it seems like there's an opportunity for anyone anywhere who's able to do some research make the case they can submit to the committee. But I'm curious about who's at the table who's who's on the steering committee? And are you including folks that is there a diverse population of folks, there are other people with lived experience that are giving feedback, like how are you making sure that there's enough folks at the table to make sure that you continue this process of assessing how you're not managing just not even just culture, but also the lived experience of being autistic or, or other areas of neurodiversity? That there are folks who have psychotic symptoms that are weighing in on some of these things? And what the presentations, those things? I mean, it just it seems like there's, there's such a huge opportunity to have a lot of perspectives. How are you navigating that internally with a steering committee?   Dr. Michael First  39:33 Well, the steering committee is very small, then it goes to a committee are experts, there are women on the steering committee, and there are people who are African American, but it's still Well, obviously, just because there's one African American and a couple of women, it doesn't mean all perspectives are covered. We realize you're not simply a bunch of white guys making the decisions here. Got it tomorrow to the to where but you're making it where do we get those other perspectives? Well, the way we try to deal with that is before when something gets like, lets this go to Prolonged Grief Disorder is a good example. That category was controversial because there are a number of people who felt that you're calling people who are having normal grief, you're calling them having a disorder. And there's a lot of pushback against that category. So what we did is when before somebody gets into the final DSM and approved, it gets posted on the DSM-5 website for 45 days, it's open for comment and we get lots of comments. And that's really the opportunity for people with lived experience to say, you know, you, you clearly didn't take into account this aspect that I live with this, if you didn't get it to committee would read all of that. If they make a good case, then they could change it. Absolutely. So that's the way I mean, being on this tiny group of people who make the decisions. Unfortunately, the limit to how diverse we can make this, there's not that many people, but there are many layers. I mean, even within the American Psychiatric Association, it's got to be approved by this thing called the APA Assembly, which is sort of like Congress, so to speak, with lots of diversity built into that. And then so the so many different levels of approval, that's where some of the diversity comes in. It could it could be make it more, maybe, but that's what we're able to do.   Katie Vernoy  41:15 Well it seems like there's also an opportunity to reach out to diagnostic communities when when a new diagnosis is being presented to make sure that you're getting some of that feedback, it seems like there's there's mechanisms in place, my hope is that there's also efforts to connect with folks with lived experience or those elements so that people can really be ready to take on that 45 day period.   Dr. Michael First  41:37 Right? That's actually quite how do we, We do our best to publicize it. Yeah, but you're right, it'd be great. In fact, we've done that before, I think that this particular case, with Prolonged Grief, I think there are organizations, you know, patient groups, we could go to them and say, you know, like, we made a change in the psychotic section, or clearly, individuals have lots of experience. NAMI and, those kinds of groups. So there have not been any changes, you know, recently that would affect that. But that would be obviously something we would want to do is to go perfect sure that they're aware that the change is there and give them an opportunity to give their feedback.   Curt Widhalm  42:14 Where can people find out more about you and your work?   Dr. Michael First  42:17 I have a website at Columbia, at Columbia, every faculty member gets a website, I happen to have a Wikipedia page. So you could look at that. My email, I don't keep my email addresses secret. That's one thing. I mean, it was very interested in me working with this, if I have to contact an expert to get their email address could be incredibly difficult. You take them in and you type an email. It's nowhere you have to. I don't know why people are so afraid to have their email address public. But I mine has been public. It's been public the entire time I've been in the field. And I'm happy for people to let me know what they think.   Curt Widhalm  42:54 And we'll drop Dr. First's email in our show notes. You can check that out over at mtsgpodcast.com. And we'll include links to a couple of other episodes where we've had some relevant guests in the past talking about things like Prolonged Grief Disorder and some of the other things that we've done and follow us on our social media. Until next time, I'm Curt Widhalm with Katie Vernoy, and Dr. Michael First.   Katie Vernoy  43:21 Thanks again to our sponsor SuperBill.   Curt Widhalm  43:23 If your practice doesn't accept insurance super bill can help your clients get reimbursed. SuperBill is free for therapists and your clients can use the code SuperBill22. That's Super Bill two two to get a free month of SuperBill. Also you can earn $100 For every therapist you refer to super bill. After your clients complete the one time HIPAA compliant onboarding process, you can just send their super bills to claims@the superbill.com. SuperBill will then file claims for your clients and track them all the way to reimbursement by helping your clients get reimbursed without the stress of dealing with insurance companies SuperBill can increase your new client acquisition rate by over 25%.   Katie Vernoy  44:06 The next time a potential client asks if you accept insurance, let them know that you partner with SuperBill to help your clients effortlessly receive reimbursement. Visit thesuperbill.com to get started.   Announcer  44:18 Thank you for listening to the Modern Therapist Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

If you're someone who questions the utility of oppositional defiant disorder, conduct disorder, and other disruptive behavior diagnoses - this episode is for you! The post 262. Beyond ODD and Conduct Disorder w/ Dr. Akeem Marsh & Dr. Lara Cox appeared first on The Testing Psychologist.

Links for Dr. Grande YouTube channel Dr. Grande's Patreon Want more mental health content? You might also be interested in these other Ars Longa podcasts: Mental Health // Demystified with Dr. Tracey Marks  Healthy // Toxic Ars Longa Media To learn more about us and this podcast, visit arslonga.media.  The information presented in this podcast is intended for educational purposes only and should not be construed as mental health advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Howdy gang, we're very excited this week because we have social worker, former podcaster, and all-around good-ass person Maria Guido with us! We talk about Maria's work, our own mental health struggles, the nonsense that is "Conduct Disorder", and surprise parent meetings before getting into your questions: A message from the real Audrey heads | Gex in the bedroom | How to find big can gf | What are some options for dealing with depression when you don't have access to therapy | Partner dropping tons of money on goddamn NFTs | What DND classes would we be? Thanks again to Maria for joining us! You can find her on twitter @Sandernista412 and past episodes of The Worst Week Yet And thank you for tuning in! You can hear more of us with Maria on this week's bonus show at Patreon.com/RFTB Here's the TED talk on depression that Audrey mentioned: https://www.ted.com/talks/andrew_solomon_depression_the_secret_we_share

Defining the criteria of conduct disorder, discussed in every episode this season!email: whatswrongwiththempod@gmail.cominstagram: @whatswrongwiththempodtiktok/twitter: @WWWTpodJoin our Patreon: patreon.com/wwwtpod

Dr. Turner, a first-generation college student, is a Louisiana native (born and raised in Baton Rouge) who discovered his interest in psychology later in his undergraduate career while attending Louisiana State University (LSU). He originally had plans to become a pediatrician and go to medical school but after taking a child psychology course, he knew this was the right fit for him as he wanted to help children and families. In this podcast, Dr. Turner shares how this drive and passion helped guide him during his academic career as he earned his M.S. and Ph.D. in clinical psychology at Texas A&M University. He completed his postdoctoral fellowship in Baltimore, MD through the Kennedy Krieger Institute which is a children's hospital affiliated with Johns Hopkins University School of Medicine. Dr. Turner is an Assistant Professor of Psychology at Pepperdine University where he teaches courses on multicultural psychology, research methodology, and child psychopathology. He is also a licensed clinical psychologist. In the clinical setting, he is known as “Dr. Earl” and he incorporated this into the title of his mental health podcast “The Breakdown with Dr. Earl” which focuses on issues related to Black men and boys. He also addresses the stigma in the Black community by changing the way people view seeking therapy or mental health. Dr. Earl increases awareness of, and treatment for, different types of mental health issues and highlights Black professionals and therapists on the show. Dr. “Earl” Turner is a mental health advocate and writes a blog “The Race to Good Health” and is Founder and Executive Director of Therapy for Black Kids (T4BK). He explains that the idea for T4BK came to him during the pandemic, but the content and website wasn't released until earlier this year in February. He recognized that as a result of the “subtle racial reckoning this last summer” most of the conversations were focused on adults and not so much on kids, specifically Black kids. Therefore, he created Therapy for Black Kids to provide information and resources to “help parents deal with the challenges of racial injustice and foster resilience to promote healthy development.” During the podcast interview, Dr. Turner's drive and passion shines through and he admits that his favorite approach is using cognitive theories in his research as it shapes our life and our interactions. When I asked him what the most important thing he has learned in life, he responded “continue fighting for whatever is important to you.” Connect with Dr. Turner: Facebook | LinkedIn | Twitter | Instagram | Youtube | WebsiteConnect with the Show: Facebook | LinkedIn | Twitter https://vimeo.com/567216486 Interests and Specializations Over the last 10-15 years, Dr. Turner has served in leadership positions within the American Psychological Association (APA), published research, served on editorial boards, and provided therapy services for children, adolescents, and adults with behavioral and emotional problems such as depression, anxiety, and stress management. He also specializes in the diagnosis and treatment of disruptive behavior disorders such as Conduct Disorder, Oppositional Defiant Disorder, Attention-Deficit Hyperactivity Disorder (ADHD), and developmental disorders (e.g., Autism Spectrum Disorder). Education Bachelor of Science (B.S.), Psychology; Louisiana State University.Master of Science (M.S.), Clinical Psychology; Texas A&M University.Doctor of Philosophy (Ph.D.), Clinical Psychology; Texas A&M University. Other Sources and Links of Interest Dr. Turner at Psychology TodayDr. Turner at US NewsDr. Turner at HuffPostDr. Turner Book on AmazonDr. Turner at Google ScholarDr. Turner National Register Award for Excellence Podcast Transcription 00:00:05 BradleyWelcome to the Master's in Psychology podcast, where psychology students can learn from psychologists, educators, and practitioners to better understand what they ...

This week on Open Sources Guelph, we're coming down from May Day, Star Wars Day, and Cinco de Mayo. The news week was almost as busy with provincial pandemic politics this week focused on the long-term care enigma, and the conundrum of anti-lockdown protestors. Federally, the sexual misconduct story in the military keeps getting bigger, and then there's this other big education story in northern Ontario... This Thursday, May 6, at 5 pm, Scotty Hertz and Adam A. Donaldson will discuss: Care Bares. Last week, there were two reports about long-term care in Ontario, and they both said the same thing: the province got caught with their pants down at the start of the pandemic, and a lot more people died in care because of those shortcomings. The minister in charge of the file, Dr. Merrilee Fullerton, tried to respond this week, and let's just say it didn't go very well. Have any lessons been learned from these reports? Lonely Trinity. The Ontario attorney general's office forced the doors of Trinity Bible Chapel closed last weekend. It was the first time that this church, which routinely flaunts stay at home orders and capacity limits, was pre-emptively acted against by local authorities who have been too often skittish about taking action against lockdown scofflaws. Is that tune finally changing, and what happens this coming weekend in Waterloo? Conduct Disorder. The Federal government's problems ridding the Canadian Forces of sexual misconduct keep adding up. This week, it was the head of the military intelligence school that was forced to resign, while the opposition have called on the Justin Trudeau's chief of staff Katie Telford to resign over the mixed messaging about how much the PMO knew about these deep routed problems. We'll try to sort out the mess. College Tumor. While all universities and colleges in the province are struggling with the financial pressures of the pandemic, Laurentian University has filed for creditor protection. With liabilities of over $300 million, Laurentian has slashed its educational programs in response by chopping 58 undergrad programs, 11 grad programs, and 116 teaching positions. How did this happen, and can Laurentian be saved? Open Sources is live on CFRU 93.3 fm and cfru.ca at 5 pm on Thursday.

Nicole discusses a childhood disorder based around aggression, lack of empathy, and a disregard for rules. How is it diagnosed? What does treatment look like? And why is early intervention so important? This is part 1 of a series on Antisocial Personality Disorder and sociopathy.

High-Yield Question-Based Review of Impulse control and disruptive behavior disorders with their age considerations Discussion of Differential Diagnosis of Oppositional Defiant Disorder, Conduct Disorder, Intermittent Explosive Disorder, Disruptive mood Dysregulation Disorder, Pyromania, Kleptomania

November 11, 2020 | Episode 12 Shawn Francis & Brian Altounian chat with globally recognized, autism specialist, researcher & author Dr. Jennifer Dustow. It is Dr. Dustow's personal mission to assist children in learning and growth in a safe environment. Her research-based approach allows her to reach into the worlds of children and plug them back in so they can actively participate in the world around them. It is her passion to help children and to ensure that each child is treated as an individual, possessing unique abilities that should never be overlooked. ​ Dr. Dustow is a Cognitive Behavioral Learning Specialist. She is the founder and director of the nonprofit Cornerstone Educational Preschool, which offers virtual classes to preschool-age children from a fully equipped classroom in Lanai City, Hawaii. Her child-centered curriculum is based on her scientific, published research findings in the field of autism. ​ Through her private practice, Dr. Dustow works with families and caregivers in individual consultations. She also provides professional support in maintaining academic awareness, facilitating tactical team approaches, achieving school accreditation, and designing behavioral strategies for children of all ages. ​ Additionally, she has worked with students in adolescent day treatment programs to provide services for individuals medically classified as Attention Deficit Hyperactive Disorder (ADHD), Conduct Disorder, Autism Spectrum, Oppositional Defiant, Impulse Control, Specific Learning Disability (SLD), as well as unclassified behavior and emotional disorders. ​ Dr. Dustow believes in a collaborative stance with the child's family members, Department of Education personnel, treatment team members, referral sources, along with other community providers to achieve functional outcomes. She holds a Doctoral of Education from Argosy University and is active in the community, volunteering her skills to: ​ The Suicide & Crisis Center Helping Hands Hawaii The Salvation Army Family Treatment Services (Kula Kokua School) Traumatic Brain Injury Committee, Hawaii Branch (Board member since 2005) Website: https://www.drjenniferdustow.com/ Facebook: https://www.facebook.com/wearejusttwo... Instagram: @just_two_dads @iamshawnfrancis @brianaltounian #justtwodads #specialneedsparenting #autismspecialist #autismresearcher #autismauthor

This episode discusses Disruptive, Impulse-Control, and Conduct Disorders, including Oppositional Defiant Disorder, Conduct Disorder, Intermittent Explosive Disorder, Pyromania, and Kleptomania. 

In this episode we're continuing the "go round" and discussion of Antisocial Personality Disorder as well as Conduct Disorder and Oppositional Defiant Disorder in children.  This episode will give a preview of the frauditor material coming in Season 3 (the material that was pushed off).

Dr. Kirk answers patron emails.Become a patron of our podcast by going to https://www.patreon.com/PsychologyInSeattleEmail: www.psychologyinseattle.com/contactThe Psychology In Seattle Podcast. This content is for educational and informational purposes only. Although Kirk Honda is a licensed marriage and family therapist, this content is not a replacement for proper mental health treatment. Always seek the advice of your mental health provider regarding any questions or concerns you have about your mental health needs.

These are the Damiens and the Children of the Corn of the world. These are our future citizens of our penitentiaries. These are our children with conduct disorder. In this episode, we cover what conduct disorder is, why it happens and treatment options.

My Co-host is Sue Parry, retired Occupational Therapist and Mother of three grown sons who were all diagnosed "at-risk" for ADHD, Conduct Disorder and various learning disabilities when they were of school age. Her personal experiences with the mental health system left her outraged at how health care and educational professionals allowed her children and millions of others to be physically and psychologically hurt by the myths of ADHD and a host of other so-callled mental illnesses , the increasing use of powerful brain diasbling drugs and bogus therapies. Sue Parry's name appears in the acknowledgments of many books including "Talking Back To Ritalin," Naughty Boys: Anti-social Behavior, ADHD and the Role of Culture, and "A Disease Called Childhood: Why ADHD Is an Epidemic." She has testified at the National Institute of Mental Health and the FDA. We will discuss what must be done to protect our children and our democracy from this authoritarian and unscientific onslaught to the life and education of our future citizens.  

This week’s podcast is by special request from some of our listeners. We are in unprecedented times and one of the big questions is how to parent our kids when many of us are trying to sort things out ourselves. What signs to look for that indicate our kids are under stress? How to create routines? How to explain to our kids about what is going on around us during these challenging times?, etc… Our guest this week is Beatrice Moise (Bea). Beatrice (Bea) Moise, M.S., BCCS., is a Board Certified Cognitive Specialist, Writer and National Speaker. She is the creator of A Child Like Mine,LL , a company created for educating parents of children with unique behavioral and learning needs, while giving them the tools they need to be successful at home. She is a respected and trusted parenting coach and consultant. She serves as a Board of Trustees Member at KidsWithPossAbilities, and The Lunch Project. She is a writer and has a monthly blog called “Thrive” in Charlotte Parent Magazine. Her writing is also featured in Autism Parenting Magazine, Carolina Parent , PsychBytes , ShrinkTank and she is a contributing author in Southeast Psych’s Guide for Imperfect Parents: A Book Written By Imperfect Therapists. She was featured in an inspiring documentary called Look to the Sky that takes a look at what is possible for the world and our own lives. Bea has worked as a Behavioral Consultant for years with extensive experience involving parents of children who have a variety of diagnoses such as Autism Spectrum Disorders, Anxiety Disorder, Conduct Disorder, Oppositional Defiant Disorder, & ADHD. She has assisted hundreds of families on Parent Management Training. She is providing parents with tools and practical techniques and teaching strategies. She is very passionate about children and believes that working with families is both rewarding and enjoyable. She loves facilitating the needs of children to feel successful in their learning, emotional and social well-being, academic success as well as have a positive self-esteem. The most rewarding part of her day is when she has equipped parents with the tools they need to parent effectively. She has a Bachelor of Science in Psychology and holds a Master of Science in Mental Health Counseling with a specialty of Applied Behavior Analysis from Nova Southeastern University. We are very fortunate to have Bea as a guest on our podcast.

We get it, kids can be terrible sometimes. But can they be diagnostically terrible? Tune in to find out! Did you learn something new? Share this episode with a friend and help them be as smart as you are. Sharing this podcast and leaving a review are the BEST ways to help Reverse Psychology grow! Be sure to subscribe (and get that newly smart friend to subscribe, as well) to get every new episode the day it comes out. Follow us on facebook for updates and email us at Rev.PsychCast@gmail.com for any question/comments/concerns.okayloveyoubyeFind out more at https://reverse-psychology.pinecast.co

Host Sam Harris is joined by Fintan O Regan, an expert in the field of challenging behaviour, ADHD, oppositional behaviour and conduct disorder. Fintan is an SEN and behaviour consultant for the schools network and someone with a wealth of experience working with young people as well as support others to work effectively with them. He has written several important and extremely useful books including ‘Can’t learn, won’t learn, don’t care.’ These publications and his SF3R model were very formative in Sam and BISnets approach. It was seeing Fintan present around 2009 that inspired Sam to want to become a trainer in a similar area. Fintan gives some of his background and ideas around support, as well as some useful information around ADHD, ODD and especially conduct disorder. He also gives some top tips and ideas for parents at home with young people with ADHD to engage them in learning and Sam drops in some of his own along the way. To find out more about Fintan and to access the 100 top tips he mentions in the episode head to https://www.fintanoregan.com Follow BISnet activities and services at https://www.cedaonline.org.uk/bis-net Or on Facebook @Bisnetpage Twitter @cedabisnet

In this episode we welcome Lydia Radke on the show to talk about Conduct Disorder. We chat about what Conduct Disorder is, symptoms, and how it affects the children diagnosed with this disorder. We break down the differences between conduct disorder, antisocial personality disorder, and psychopathy. Lydia talks about different emotional responses children with Conduct Disorder have (vs ODD), the role of empathy in this disorder, and treatment options.Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated.To apply to work with us, or more information on Being UnNormal check out our website at www.beingunnormal.comFollow us on social media!Facebook: https://www.facebook.com/beingunnormalInstagram: https://www.instagram.com/beingunnormalpodcastSupport the show (http://www.pateron.com/beingunnormal)

There are childhood misfits, and then there are children of the corn. In this episode we're going to help you discern whether your kid is one or the other... hopefully the former. Conduct Disorder and Oppositional Defiant Disorder commonly occur in childhood, but that does not mean your kid will be a serial killer. Most people go on to live happy, successful lives.  UPC is a Forensic, Psychology, and True Crime Podcast that takes on: True Crime: serial killers, murders, stalkers, cults, forensic analysis Psychology: mental illness, social phenomenon, mob mentality, psychoanalysis, etc.  Culture: Sexuality, Satanic Panic, love, Tv analysis, movie analysis.  We are an independent psychology podcast. Help us keep UPC free of ads and on the air. Please consider supporting the show and get access to our "Stalkers Only" archive, and help be a part of the creative process.  Support the show--> patreon.com/upcpodcast show notes http://www.upcpodcast.com/archive1/ODD Like us on @upcpodcast on Facebook/Twitter/Instagram/Youtube. 

Of all the clinical disorders in the world none is more famous than psychopathy. They are a perfect stock villain for movies capable of being an unfeeling thug, a sadistic serial killer or Machiavellian mastermind all on a writer’s whim. How close does that get to the actual reality? Popular culture has plenty to say about psychopaths with movies, tv shows, documentaries and plenty of books which tell you all you would ever want to know but have you ever listened to a bona fide expert cut through the myths? This episode brings psychopathy expert Stephane de Brito to the microphone to go through the myths and realities of psychopaths. We also go into how psychopathy cannot be seen in children nor how merely being anti-social to the point of violence is enough either. Want to know more, then download and get ready for psychology on psychopathy and conduct disorder. This episode even ends with a grisly tale. For more on Stephane de Brito please see our Floating Brains page on https://watercoolerneuroscience.co.uk/ For more information on episodes, polls and extra content please check out Https://www.patreon.com/WCNeuro Tags: psychopath, psychopathy, sociopathy, anti-social personality disorder, conduct disorder, criminal psychology, offending, Stephane de Brito

This weeks topic is all about bipolar disorder and why ADHD often gets misdiagnosed as bipolar disorder. Tracy posted a simple question in her Facebook Group, HAVE YOU BEEN MISDIAGNOSED WITH BI-POLAR DISORDER? She was shocked at how many women had been and so she decided to research the subject.    You’ll learn:  When bipolar disorder is often misdiagnosed  What symptoms bipolar disorder and ADHD often share What bipolar disorder actually is The DSM requirements to be diagnosed with bipolar disorder Why bipolar disorder can’t be ignored and must be treated What mania is  What hypomania is What the symptoms of a major depressive episode are What the greates risk of bipolar disorder is The different types of bipolar disorder The difference between Bipolar 1 and Bipolar 2 What the difference is between episodic and contextual emotional changes How sleep looks different in ADHD vs. Bipolar Disorder How uncontrollable talking and distractibility looks different in ADHD vs. Bipolar Disorder How emotional sensitivity looks different in ADHD vs. Bipolar Disorder How Bipolar Disorder looks different than ADHD in kids specifically around emotion If a diagnosis of ADHD makes you more likely to also have Bipolar Disorder If a diagnosis of Bipolar Disorder makes it more likely that you’ll also have ADHD Why it’s so difficult to get an accurate diagnosis of bipolar disorder The link between Bipolar Disorder and Conduct Disorder and Oppositional Defiant Disorder in kids If a fiery intense temper is indicitive of ADHD That bipolar disorder is linked to the creative and artistic temperament and intelligence. Why heightened creativity or artistry only happens in hypomania and what part of the brain is involved in this   https://www.healthline.com/health/bipolar-disorder/bipolar-diagnosis-guide#misdiagnosis   https://www.dbsalliance.org/education/bipolar-disorder/bipolar-disorder-statistics/   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945875/   https://www.amazon.com/Driven-Distraction-Revised-Recognizing-Attention/dp/0307743152/ref=sxts_sxwds-bia?keywords=driven+to+distraction&pd_rd_i=0307743152&pd_rd_r=e42c6b4c-039c-488c-8de3-1ee73673c519&pd_rd_w=MmbvX&pd_rd_wg=aAl18&pf_rd_p=a5491838-6a74-484e-8787-eb44c8f3b7ff&pf_rd_r=D23JDS1MMMPKD5WFVZBY&psc=1&qid=1571599484   https://www.amazon.com/Taking-Charge-Adult-Russell-Barkley/dp/1606233386/ref=sr_1_3?crid=10XCWKJ5MK5VD&keywords=taking+charge+of+adult+adhd+by+russell+barkley&qid=1571859558&sprefix=taking+charge+of+adult+adhd+russel%2Caps%2C198&sr=8-3   https://www.adhdrewired.com/roberto-olivardia-could-be-bipolar-disorder/   https://www.ncbi.nlm.nih.gov/pubmed/10826661

Mental Health—no longer a taboo subject  For many years mental health was considered a taboo subject. Even though, in 1949 the month of May was designated Mental Health Month by Mental Health America. Also, October 10th, 1992, was chosen as World Mental Health Day to bring awareness to mental health issues around the world. Indeed, mental health awareness is at the forefront now more than before.  In fact, we have been witnessing the result of untreated mental illness in the headlines. And sadly, it has been the cause of horrific loss of life through shootings in schools, churches, workplaces, malls, theaters, and nightclubs.   Who does mental illness affect?   Believe it or not, most people have had moments of not feeling mentally healthy. For example, that moment when you felt like you were about to lose your mind. Yep, that moment right there--the moment or moments that just popped into your mind. Now when we break down some of the different mental health problems, we will better understand why mental health awareness is so important.  According to mentalhealth.gov, there are several different types of mental health issues that can affect a person’s thinking. And therefore, affecting one’s mood, and behavior. Such as the following disorders: Anxiety - a fear or dread response to situations or objects. This can include phobias, panic, and obsessive-compulsive disorders. Behavioral – a pattern of disruptive behaviors that last for at least six months in young people. It causes problems at home, in school, and in other social situations. Behaviors such as Oppositional-Defiant Disorder (ODD), Attention Deficit Hyperactive Disorder (ADHD), and Conduct Disorder. Obsessive-Compulsive Disorder (OCD) – repeating upsetting thoughts [obsessing] and doing the same actions repeatedly [compulsions] to appease those thoughts. Personality – distressing personality traits that cause problems for the person. It can happen in school, at work, and or in social relationships. This can include borderline personality disorder and antisocial personality disorder. Eating - extreme emotions and behaviors concerning one’s weight and eating habits. The behaviors can include binge eating, bulimia, and anorexia. Mood – persistent feelings of extreme sadness, extreme happiness, or shifting between the two. This can include depression, Seasonal Affective Disorder (SAD), self-harm, and bipolar disorder. Trauma and Stress-Related – can occur after experiencing or seeing a traumatic event. Post-traumatic stress disorder (PTSD) makes a person stressed out and, in many cases, afraid long after the danger has passed. Psychotic Disorders – this can include delusions and hallucinations. An example is someone with schizophrenia.  When looking at the above disorders, mental health problems are more common than people realize. Actually, one in five American adults has experienced a mental health issue (Mental Health Myths and Facts).   Our thoughts are directly linked to how we view life  On the Mental Health: Cyber Bullying, Depression, and Suicide episode, Lady V and I discussed how our thoughts are directly linked to how we view life. We also discussed the connection between cyberbullying, depression, and suicide with our special guest and resident millennial Alexis. She shared how she has witnessed people cyberbullying others on social media because of their opinions or artistic expression.  This week our special guest and resident counselor Melinda Fields, who has a Bachelor's degree in Psychology and a Master's degree in Human Services and Counseling, shares some clinical insights on mental health awareness.   Warning signs of mental health issues  First, Ms. Melinda explained the difference between someone who gets sad and someone who is suffering from major depression [clinical depression]. She says everyone gets sad from time to time. So, if you’re just sad for just a few days, that's fine.

ADHD Kids: Challenges With The Law  While the CDC estimates that ADHD occurs in 10% of the general population, its prevalence in our jails has been estimated at 50% or higher. Additionally, in about 65% of cases, ADHD is present with a co-occurring mental health condition. Studies also show that inmates with related mental health conditions stay in the system between 5 and 8 times longer than inmates without mental health impairments. This is further compounded by the fact that the risk of substance abuse disorder doubles when ADHD is present and further triples when ADHD is present with Conduct Disorder. ~ Robert TudiscoRobert Tudisco – A Lawyer Experienced With ADHD Kids Here Robert takes on many imperatives that surround ADHD children with legal issues – and gives us hard, straight answers. Consider this essential perspective: children and adolescents with ADHD & co-occurring conditions experience a much higher risk of school discipline & criminal prosecution. Robert is a nationally recognized author, motivational speaker, and non-profit management consultant, in addition to being a practicing attorney at the law firm of Barger & Gaines, in Irvington NY. My firm recommendation for those interested in ADHD kids and the law: This mandatory listen to lawyer He is a past member of the National Board of Directors of Children and Adults with Attention Deficit Disorder (CHADD), serving as a member of its Public Policy Committee since 2003, and as Committee Chair from 2005 through 2008. Robert is also a former Vice President of the Attention Deficit Disorder Association (ADDA). Since his diagnosis, he has researched and written extensively on the subject of special education law and disability advocacy, as well as the over-representation of individuals with ADHD and co-occurring mental health conditions in the juvenile/criminal justice systems, compared to that in the general population. He is a frequent resource for the media on these subjects including CBS News, New York Times Magazine, Newsweek, ABC News, The BBC, NBC's Today Show, CNN, USA Today, Seattle Times. Robert has been published in ATTENTION® Magazine and regularly contributes to adult, parenting, and legal issues, in addition to serving on its Editorial Advisory Board from 2004 through 2014. He was also the legal expert columnist for ADDitude Magazine from 2007 through 2012. How – Rob's Legal Insights On ADHD Kids: Law, Child, School, & Parental OptionsHis personal story – the first epiphany [2:37] He began to see patterns in those he represented [4:19] Red flags for challenges in the legal community [6:22] Diagnosis goes far beyond proper legal defense [9:49] Dr. Jennifer Freed is on a similar mission [10:21] – Dr. Freed's CBJ Episode Here: http://corebrainjournal.com/035 (CBJ/035) “Under the law” details: the school, parents, and your child [21:42] Prevent reoccurrences of the same disciplinary challenges [23:23] Note: Get your child out of the line of fire [28:23] Excellent review of the larger picture – girls, ADD, comorbid diagnoses [36:00] The important issue of diversion – kids sharing drugs [38:54] CoreBrain Academy Training DetailsPreview these CoreBrain Academy ADHD Coursework details: – ADHD101 – 55 lessons + coaching: How to Measure, Target , & Treat brain/biomedical realities https://www.corebrainacademy.com/courses/adhd-treatment-failure (https://www.corebrainacademy.com/courses/adhd-treatment-failure) The PM Drop – ADHD Minicourse: Learn how to use these most common problems to correct Treatment Failure results & comorbid conditions not initially recognized. https://www.corebrainacademy.com/courses/pm-drop (https://www.corebrainacademy.com/courses/pm-drop) Prediction Rules – Know & Use Basic Science Med Rules before starting any stimulant medications. https://www.corebrainacademy.com/courses/prediction-rules...

Today we discuss ODD and the importance of treatment through parent training and family therapy, learning problem-solving skills, learning social skills, and using medication to treat coexisting conditions.Information from: https://bit.ly/2DUiKMd Email me at DiagnosisExplainedPodcast@gmail.com. Join me on Patreon at https://www.patreon.com/diagnosisexplained. Please rate and subscribe to the program at https://podcasts.apple.com/us/podcast/id1458994414&ls=1

Listen in as Heather and Gabriel explore the Disruptive, Impulse Control, and Conduct Disorders. In this episode, they discuss the diagnostic criteria, differential diagnosis, and treatment recommendations for Oppositional Defiant Disorder, Conduct Disorder, and Intermittent Explosive Disorder. Join the conversation by emailing contact@informedconsentpodcast.com

Listen in as Heather and Gabriel explore the Disruptive, Impulse Control, and Conduct Disorders. In this episode, they discuss the diagnostic criteria, differential diagnosis, and treatment recommendations for Oppositional Defiant Disorder, Conduct Disorder, and Intermittent Explosive Disorder. Join the conversation by emailing contact@informedconsentpodcast.com

Reframing the discussion around what motivates and inspires our children. We also walk through using 5% of our time to charge the other 95%. Be intentional with the goal discussion. The future of your kids is worth it! https://www.additudemag.com/parenting-a-defiant-adhd-child/

Welcome to The Mental Breakdown and Psychreg Podcast! Today, Dr. Berney and Dr. Marshall discuss the extremely challenging and intentional behaviors associated with Conduct Disorder. Learn more about the 1st Mental Health Bloggers Conference here. You can now follow Dr. Marshall on twitter, as well! Dr. Berney and Dr. Marshall are happy to announce the release of their new parenting e-book, Handbook for Raising an Emotionally Healthy Child Part 2: Attention. You can get your copy from Amazon here. We hope that you will join us each morning so that we can help you make your day the best it can be! See you tomorrow. Become a patron and support our work at http://www.Patreon.com/thementalbreakdown. Visit Psychreg for blog posts covering a variety of topics within the fields of mental health and psychology. The Parenting Your ADHD Child course is now on YouTube! Check it out at the Paedeia YouTube Channel. The Handbook for Raising an Emotionally Health Child Part 1: Behavior Management is now available on kindle! Get your copy today! The Elimination Diet Manual is now available on kindle and nook! Get your copy today! Follow us on Twitter and Facebook and subscribe to our YouTube Channels, Paedeia and The Mental Breakdown. Please leave us a review on iTunes so that others might find our podcast and join in on the conversation!

CONTENT WARNING: CHILD ABUSE! In this episode we disuss the psychology of  THE classic horror slasher, Michael Myers, in Halloween (1978 & 2007 versions). We compare and contrast the depiction of Michael Myers as well as Dr. Loomis in the 1978 John Carpenter version with the 2007 remake by Rob Zombie. We review the Adverse Childhood Events Scale (ACES) as well as debate whether Michael shows symptoms of Conduct Disorder, Dissociation due to Childhood Trauma, Reactive Attachment Disorder or a combination of all three. We also discuss the ethics violations displayed by Dr. Loomis and debate the impact these movies have on mental health stigma. Tune in to learn more and follow us on Facebook, Twitter, and Instagram!

Mental health is a major issue in America, and millennials must also deal with this issue.  For many there is such a powerful stigma attached to mental illness and working with a therapist, that they fail to seek and receive the treatment they need.  The NO SLEEP team will discuss this issue on tonight's program and hopefully provide listeners with sound advice that will help those in need of assistance, and help their families and friends learn how they may encourage them to seek help. Tonight's special guest on NO SLEEP is DaJavon Davis, who is a Licensed Marriage and Family Therapist with over four years of experience working with a variety of age groups from diverse environments. He has worked with children, adolescents, adults, families, and couples in various settings including outpatient, residential treatment facilities, and in-home services. DaJavon strongly believes that therapy is a way to help people explore and develop new ways to experience life. DaJavon specializes in the assessment and treatment of Anxiety, Oppositional Defiant Disorder, Conduct Disorder, ADHD, Depression, Post-Traumatic Stress Disorder, Social Learning issues, LGBT issues, Couple/Marital Issues, and Family Conflict. DaJavon is a firm believer that sometimes people need someone to talk to that will listen to them without judgment and accept them for who they are at that moment. DaJavon provides a warm, open and nurturing environment that is built through a trusting therapeutic relationship. He believes that it is through the therapeutic relationship that change can occur and hope is regained.

Find out more at www.mentalhealthbookclub.com Trigger warning: this podcast discusses extreme cruelty to animals. Get our next book here The Secret Psychiatrist www.thesecretpsychiatrist.com Facebook Twitter Instagram If you feel suicidal call 999 immediately. If you need to talk you can contact: Samaritans on: 116 123 (UK) 116 123 (ROI) Find out more at their website … Continue reading "Episode 29 – Conduct Disorder and Oppositional Defiant Disorder with The Secret Psychiatrist"

Can children really suffer or demonstrate mental health issues? The answer is yes. However how would one know the symptoms? What are the causes and can such be prevented? Do you know the difference between a childhood developmental disorder and a childhood mental health disorder? Childhood disorders are psychological disorders and issues that are commonly diagnosed when an individual is a child or teen. Most are able to recognize ADD, ADHD or Conduct Disorder just to name a few. However, for many the symptoms of depression, anxiety, schizophrenia, Bi-Polar Disorder can be very difficult to recognize and often can present a challenge for many parents not to mention the individual experiencing the symptoms.  When it comes to mental health one would agree that this has been hot topic considering that when an individual commit a crime against humanity or kill themself the word mental health is frequently used. However most individuals have a better understanding or may be perhaps more willing to explore assistance for mental health concerns when the individual is an adult. But what is one to do when the individual is a toddler, child, or teen? Mental health is an important part of overall health for children as well as adults. For many adults who have mental health symptoms the symptoms may have been present during their childhood but were not recognized or addressed during their childhood or youth. So what is a parent to do? Where can one go to obtain assistance for their child? What treatment options are available?  Join Dr. Feebly Wooden and I as we discuss and educate individuals regarding mental health issues amongst our youth. Let's not be in denial. This is not a joke and our children need our support, understanding and guidance. Give us a call at 516 387-1914 on 11/13/17 at 12pm Pacific  

With a child that defies adult authority, hits, kicks, steals, starts fires, you have a very stressed out life. Where and how these disorders get their roots comes from their genetics, potential mental diagnosis along side and how they are raised. Oppositional Defiant and Conduct Disorder children are well on their way to becoming an Anti-Social Personality at 18 (ie...prison). This show is about how to identify these childhood disorders and stop them in their tracks. Homes, schools and other children's lives are at stake, as well as the child with the disorder. Tune in and learn about how to deal with these critters!

With a child that defies adult authority, hits, kicks, steals, starts fires, you have a very stressed out life. Where and how these disorders get their roots comes from their genetics, potential mental diagnosis along side and how they are raised. Oppositional Defiant and Conduct Disorder children are well on their way to becoming an Anti-Social Personality at 18 (ie...prison). This show is about how to identify these childhood disorders and stop them in their tracks. Homes, schools and other children's lives are at stake, as well as the child with the disorder. Tune in and learn about how to deal with these critters!

When you're in the Empathy step, are you seeking information about a child's concerns or unmet needs?  It's the former...when you're focused on the latter, you're more likely to hear about the child's solutions (rather than his or her concerns), and brainstorming solutions shouldn't occur until the Invitation.  

>   Substance Dependence Things you should know Use of one or more substances leads to a clinically significant impairment or distress Signs and Symptoms See Diagnosis below Diagnosis Physical assessment Laboratory test Toxicology screening – using either blood or […] The post Substance abuse, Acute Stress Disorder & Conduct disorder appeared first on Physician Assistant Exam Review.

Topic - Child Sociopathy.  Mom said, “You know, Tom kinda scares me.  He lies, threatens us physically, steals, is selfish, doesn't take responsibility for himself, doesn't care about others, and never apologizes.  No matter how much I punish him, his behavior doesn't change." Tom is a child with Conduct Disorder.  It's diagnosed when people break rules, are callous, narcissistic and unemotional.  They are aggressive, deceitful and destructive.  Be aware that Attention-Deficit/Hyperactivity Disorder which can lead to Conduct Disorder.  If not treated, it evolves into antisocial personality disorder, criminal behavior and sociopathy.  Sociopathy occurs along with depression which can lead to addictions.  It's a horrifying cycle of destruction.  Yes, these behaviors are seen in very young children and it can be inherited from fathers.  Be informed and intervene. --- Send in a voice message: https://anchor.fm/drclaudia/message

Dr. Greene's guest on today's program is Tuija Lehtinen, a school psychologist in Haninge, Sweden, who is currently overseeing a project in which the Collaborative & Proactive Solutions (CPS) model is being implemented in all 16 public schools, with children aged 6-16. Tuija filled is in on how her school system has organized the effort, along with some of the bumps in the road so far.

Dr Mark Porter puts the Pharmaceutical Industry in the spotlight as some clinical trials are criticised for testing new drugs against a weaker rival so that the results appear much better than they really are. Kamran Abbasi takes on Dr Bina Rawal from the Association of British Pharmaceutical Industry to discuss if the hurdles are being set too low, so that a new therapy comes out on top. And what if sustained periods of adversity in childhood are associated with permanent structural changes in brain development? So suggests new research into adolescents with Conduct Disorder - a controversial diagnosis given to 1 in 20 teenagers in the UK with aggressive or anti-social behaviour. Many of these children will have been exposed to severe abuse, but do these findings have implications for common family discord that lasts months or years? Mark Porter investigates.

Lachlan Patterson if on this very special episode of Jim and Eddie TalkS hit.  Recovering from the fallout of the last episode, the podcast is led to new heights with Lachlan at the helm.  See where he takes us when Jim and Eddie TalkS hit. 

Guest: Matthew Nock, PhD Host: Cathleen Margolin, PhD Dr. Matthew Nock talks about Conduct Disorder, the most frequent psychological referral for young people and a major public health problem.