Podcasts about Malingering

The one in which we look into the act and causes of Malingering - pretending to be sick for some monetary gain or another benefit like getting out of school or work. 

Dr Kirk answers patron emails.This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.Become a member: https://www.youtube.com/channel/UCOUZWV1DRtHtpP2H48S7iiw/joinBecome a patron: https://www.patreon.com/PsychologyInSeattleEmail: https://www.psychologyinseattle.com/contactWebsite: https://www.psychologyinseattle.comMerch: https://teespring.com/stores/psychology-in-seattleInstagram: https://www.instagram.com/psychologyinseattle/Facebook Official Page: https://www.facebook.com/PsychologyInSeattle/TikTok: https://www.tiktok.com/@kirk.hondaDecember 18, 2024The Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

Welcome to Episode 39 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 38 of “The 2 View” – Water beads, CRHK Pneumonia, STD treatments, malingering, and more. Segment 1 - Water Beads Joynes HJ, Kistamgari S, Casavant MJ, Smith GA. Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. ScienceDirect. Published October 2024. https://www.sciencedirect.com/science/article/pii/S0735675724003711?via%3Dihub Warning: Popular water beads may cause intestinal blockages in kids. News. UC Davis Health. Children's Health. Published December 13, 2022. https://health.ucdavis.edu/news/headlines/a-warning-this-sensory-toy-is-life-threatening-if-swallowed/2022/12 Water Beads. United States Consumer Product Safety Commission. Cpsc.gov. https://www.cpsc.gov/Safety-Education/Safety-Education-Centers/Water-Beads-Information-Center Segment 2 - WHO Warns of Carbapenem-Resistant Hypervirulent Klebsiella pneumonia Antimicrobial Resistance, Hypervirulent Klebsiella pneumoniae - Global situation. Who.int. World Health Organization. Disease Outbreak News. Published July 31, 2024. https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON527 Choby JE, Howard-Anderson J, Weiss DS. Hypervirulent Klebsiella pneumoniae – clinical and molecular perspectives. J Intern Med. WILEY Online Library. Published November 2, 2019. https://onlinelibrary.wiley.com/doi/10.1111/joim.13007 Segment 3 - STD Treatments Apato A, Cruz SN, Desai D, Slocum GW. Doxycycline adherence for the management of Chlamydia trachomatis infections. Am J Emerg Med. ScienceDirect. Published July 2024. https://www.sciencedirect.com/science/article/abs/pii/S0735675724002250?via%3Dihub The Center for Medical Education. The 2 View: Episode 9. 2 View: Emergency Medicine PAs & NPs. Published September 17, 2021. https://2view.fireside.fm/9 Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. Recommendations and Reports. CDC. Published July 23, 2021. https://www.cdc.gov/mmwr/volumes/70/rr/rr7004a1.htm#chlamydialinfections Segment 4 - Full-dose challenge of moderate, severe, and unknown beta-lactam allergies in the emergency department Anderson AM, Coallier S, Mitchell RE, Dumkow LE, Wolf LM. Full‐dose challenge of moderate, severe, and unknown beta‐lactam allergies in the emergency department. Acad Emerg Med. Wiley Online Library. Published August 2024. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14893 Meghan Jeffres, et al. University of Colorado. Hypersensitivity Type. Beta-lactam allergy tip sheet. Unmc.edu. https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-beta-lactam-cross-reaction-tip-sheet.pdf Milne K. SGEM#452: I'm Still Standing – After The Allergy Challenge. The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em. Published September 14, 2024. https://thesgem.com/2024/09/sgem452-im-still-standing-after-the-allergy-challenge/ Segment 5 - Malingering Alozai UU, McPherson PK. Malingering. In: StatPearls. StatPearls Publishing. NIH. National Library of Medicine. National Center for Biotechnology Information. Last updated June 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK507837/ Forrest JS. Rapid Review Quiz: Recognizing Malingering. Medscape. Published August 21, 2024. https://reference.medscape.com/viewarticle/1001346?ecd=WNLrrq240912MSCPEDITetid6820181&uac=255848DR&impID=6820181 Kadaster AK, Schears MR, Schears RM. Difficult patients: Malingerers, Feigners, Chronic Complainers, and Real Imposters. Emerg Med Clin North Am. Published February 2024. https://www.emed.theclinics.com/article/S0733-8627(23)00067-6/abstract Sherman EMS, Slick DJ, Iverson GL. Multidimensional Malingering Criteria for Neuropsychological Assessment: A 20-Year Update of the Malingered Neuropsychological Dysfunction Criteria. Arch Clin Neuropsychol. NIH. National Library of Medicine. National Center for Biotechnology Information. Published September 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452950/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! Don't miss our upcoming EM Boot Camp this December in Las Vegas: https://courses.ccme.org/course/embootcamp/about

Factitious Disorder, often complex and deeply misunderstood, involves individuals deliberately fabricating, exaggerating, or inducing physical or psychological symptoms to assume the role of a sick person. This disorder is distinct from mere malingering, where an individual feigns illness for personal gain such as financial compensation or avoidance of responsibilities. In Factitious Disorder, the primary motivation is to acquire the identity of a patient, receiving attention and care in a medical setting.

TW: Discussion of child abuse, SA, medicalabuse/trauma, and homocideYour bish finishes discussing Paris in Love, specifically focusing on why Paris hid Pheonix from everyone, inclusing her family.Following this, YBT breaks away from our beloved Bravo shows to cover a news story that took the world by storm. YBT covers the full story behind Gypsy Rose and DeeDee Blanchard and outlines how underlying disorders, familial dysfunction and systemic medical failures led to murder. YBT discusses Munchausen Syndrome by proxy, now called Factitious Disorder imposed on another, as well as malingering, to provide a full insight into the disorders that underly these types of situaitons. YBT provides a signature deep dive into the Blanchard family and outlines potential obstacles Gypsy faces following her release from prison. Hope you all enjoy!Please remember to follow @yourbishtherapist on instagram and YouTube and give a 5 star podcast rating, Thank you!

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Severability and Poison Pill Clause Makes Arbitration Agm't Null and Void. 9th Circuit Revives Rest Break Class Action Against California Retailer. School District Prevails in Employee Termination for Cause Case. Plaintiff Attorney Thomas Girardi is Malingering and Competent to Stand Trial. DOL Publishes a Guide to the New Independent Contractor Test. Budget Deficit Threatens Healthcare Worker $25 Minimum Wage Law. 18 Years of Undisclosed Conflicts of Interest Taint DSM-5 Mandated by LC 3202.3. NIH Partner to Open Neural Clinical Trials Ecosystem in Bakersfield.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Malingering⁠ from the Psychiatry section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

In this episode, the following topics will be discussed:The four different types of malingeringThe early signs of malingering and how to look out for themMalingering to avoid a disciplinary hearingThis podcast  is supported by WorkNest and by Watershed and by the HR Inner Circle (the UK's leading community for smart, ambitious HR Professionals). If you're an HR Professional, come and join me at www.hrsecretstour.com

Release Date: August 10, 2013Guthrie goes to a pawn shop informed that a young boy is trying to sell a $5,000 necklace for $5. He finds that both the boy and his brother were abandoned.Original Air Date: March 4, 1952Support the show monthly at patreon.greatdetectives.netSupport the show on a one-time basis at http://support.greatdetectives.net.Mail a donation to: Adam Graham, PO Box 15913, Boise, Idaho 83715Take the listener survey…http://survey.greatdetectives.netGive us a call 208-991-4783Follow us on Instagram at http://instagram.com/greatdetectivesBecome one of ourfriends on FacebookFollow us on Twitter@radiodetectivesThis show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5901852/advertisement

Overviews what Malingering is and discusses key traits. Describes symptoms, causes and treatment. --- Send in a voice message: https://podcasters.spotify.com/pod/show/lisa-leffel/message Support this podcast: https://podcasters.spotify.com/pod/show/lisa-leffel/support

Münchausen syndrome, or as its now known, factitious disorder causes a sufferer to repeatedly seek medical attention for falsified, exaggerated, or self inflicted Illness. Munchausen by proxy in most cases is abuse. Munchausen by proxy is Munchausen imposed on another, children being the most common victim. Join Dave and Greg as they unpack this phenomenon and try to better understand Munchausen and decide whether or not this should be considered a mental Illness, or if it's something much more nefarious.Support the showFollow Modern Therapist's Guide to Nothing on social media:Instagram: @moderntherapistsguidetonothingTwitter: @MTGN_PodcastIntro and Outro music by 13th Ward Social ClubFollow on Instagram at @13thwardsocialclub and visit https://www.13thwardsocialclub.com/

Welcome back to Analyze Scripts, where a psychiatrist and a therapist analyze what Hollywood gets right and wrong about mental health. Today, we analyze the 2013 psychological thriller "Side Effects." Did ya'll remember that Channing Tatum was in this movie becauwe we didn't and it was a nice surprise! Too bad he died. In this episode, we explore Rooney Mara's portrayal of what we initially believe is major depressive disorder but then discover is actually manipulative behavior more consistent with malingering of a sociopathic level. We also discuss all sorts of medications and their side effects, including antidepressants, mood stabilizers, and antipsychotics. We hope you enjoy! Instagram TikTok YouTube Website [00:10] Dr. Katrina Furey: Hi, I'm Dr. Katrina Fury, a psychiatrist. [00:12] Portia Pendleton: And I'm Portia Pendleton, a licensed clinical social worker. [00:16] Dr. Katrina Furey: And this is Analyze Scripts, a podcast where two shrinks analyze the depiction of mental health in movies and TV shows. [00:23] Portia Pendleton: Our hope is that you learn some legit info about mental health while feeling like you're chatting with your girlfriends. [00:28] Dr. Katrina Furey: There is so much misinformation out there, and it drives us nuts. [00:31] Portia Pendleton: And if someday we pay off our student loans or land a sponsorship, like. [00:36] Dr. Katrina Furey: With a lay flat airline or a major beauty brand, even better. [00:39] Portia Pendleton: So sit back, relax, grab some popcorn. [00:42] Dr. Katrina Furey: And your DSM Five and enjoy. [00:57] Portia Pendleton: Today we're going to be talking about side effects, which I had never seen before, which I think some people might find, like, shocking. This is like a movie about a lot. Therapy, mental health, medications. [01:10] Dr. Katrina Furey: Yeah. [01:11] Portia Pendleton: So we're going to be talking about that today. I'm really excited, and I kind of just wanted to say briefly, wow. Like, Channing Tatum was in it, and I was like, is this why everyone watches the movie? Hello, Andrew Law? [01:26] Dr. Katrina Furey: Yeah. [01:27] Portia Pendleton: How long did it take you to figure out who was running the show? [01:32] Dr. Katrina Furey: So I've seen this movie several times. The first time not till the very end. I remember being really surprised. What about you? [01:41] Portia Pendleton: Same. [01:41] Dr. Katrina Furey: Yeah, right. I didn't get it the first time I watched it, I thought I think I thought this was supposed to be a medication side effect. And that was like the whole premise. And then when they got into the insider trading and all this stuff, I was like, oh, whoa. Yeah, I didn't see that coming at all. And then when I rewatched it before recording this episode, I remembered the plot. And so I was really watching Rooney Mars character a lot more closely to see if I could pick up on sort of subtle things that would suggest she was malingering. And they even used that word correctly, which is kind of feigning symptoms for what we call secondary gain, which means, like, to get out of work or to get money in a settlement or to stay out of prison or stuff like that. What did you think about Rooney mara's portrayal of what we think at first is a woman with depression? [02:41] Portia Pendleton: I thought it was great. I thought it also shows how we can be, like, functional. [02:47] Dr. Katrina Furey: Yes. [02:48] Portia Pendleton: So she's working, she is dressed well, but behind the scenes, like someone who's really suffering with kind of it appears, maybe more like major depressive disorders. She's having these episodes versus kind of more persistent depressive disorder, which would just be like persistent depressive depression with periods that you can also have major depressive disorder popping into. [03:13] Dr. Katrina Furey: Right. And they allude to again, I think we'll talk about her before the twist. So when we think she's just depressed and I'm saying just depressed, not to minimize the depression, but because there's more that comes out later, but I thought her eyes. She just looks subdued. She looks sad. She looks flat. She's not really super joyful. Even when they get him out of prison, she hugs him and stuff, but there's not a lot of animation there. And again, maybe that's just her personality, but she does have this suicide attempt where she rams her car into a wall in a parking garage, and when Channing goes to the hospital, he's like, oh, I thought we moved past this to suggest, like, this has happened before. And that's where she meets Jude Law's character, Dr. Banks, in the Er as the psychiatrist evaluating her. [04:08] Portia Pendleton: So what did you think of that? [04:09] Dr. Katrina Furey: Who was he evaluating before her? [04:12] Portia Pendleton: Oh, the man who was kind of delusional. No, I'm sorry. He was not delusional. [04:17] Dr. Katrina Furey: He was Haitian. Yes. [04:18] Portia Pendleton: And so he had seen the ghost of his father driving a cab, and so he kind of attacked the cab. [04:26] Dr. Katrina Furey: I'm glad I brought that up, because I remembered that's a good portrayal. I think that's something we do learn about in our training is putting the symptoms of various mental health conditions within a cultural context, because sometimes what we might think of in the American culture as delusional, like seeing ghosts of relatives who have recently died in other cultures, is not it's, like, normal in those cultures. So that was an interesting depiction of that. And again, an interesting depiction of a black man in New York City coming in and speaking a language the officer can't understand and wanting to sort of restrain him or punish him or take him to jail. And the doctor, in this case, being able to apparently speak French or Creole I think it was French and get a sense for what's really going on and keep him out of jail. So that's an example of not malingering. That's not malingering. That's like the law psychiatry or mental health interface, like, working appropriately. [05:32] Portia Pendleton: That was really great, and I thought it was just, like, a good check mark for him, for his character. [05:40] Dr. Katrina Furey: Yeah. And then now that we're talking about it, like a really interesting juxtaposition to him then moving next door, wherever, and evaluating Emily. Again, a white woman, someone later calls her, like, a fragile bird, attractive and just I guess you're right. I do pick up a lot on the background or the setting. I didn't love that. He didn't close the curtain right away. He starts the interview standing over her. I didn't love that. Just, again, like, a man towering over you and you're feeling really emotional and vulnerable. I don't love sit down so you're level. Don't get too close, though. I like that he didn't get too close. I think eventually he sat. Eventually he closes the curtain. I thought his line of questioning was pretty good in the way that she was saying, like, oh, my head hurts. They said I might have a concussion. And he's like, well, we got to wait for the CT scan. How's your head been lately? That's kind of weird. That's kind of a clunky thing to say. He didn't introduce himself as a psychiatrist right away. I'm not sure why or if that was intentional to see again. Maybe he already suspected she'd withhold things. If he did so, maybe he wanted to see if she'd reveal anything before she knew. That. That, to me now that I'm saying it should have been his first sign that something was off here. He says to her, usually when someone's in a car accident, there's skid marks. You try to avoid hitting the wall, but you went right for the wall. So to us, that suggests a suicide attempt. I can't believe she wasn't hospitalized. [07:27] Portia Pendleton: Well, that was what I was thinking. I was like, she didn't come in with kind of a thought of suicide and now is presenting, after waiting in the air for many hours as safe and has a caregiver or a partner and is evaluated and is sent home and non hospitalized. That happens a lot. Maybe sometimes it shouldn't, but this was an attempt, and this was a really serious attempt. [07:52] Dr. Katrina Furey: Like she rammed her car into the wall. I thought, though, that they did a good job portraying what we sometimes look for, which is called future oriented, like having plans for the future. Like, oh, no, I can't be outside. I have to go to work tomorrow. My husband just got home. I can't do that. At the same time, when I was working in Ers with evaluating patients like this, I don't care how future oriented you are, when you ram your car into the wall, you need to be hospitalized. And the fact that she was able to talk him out of it when that was his first instinct to me is, like, in retrospect, red flag number one. Yeah, right. The fact that she's like, you have an office, right? I'll come see you a handful of times. [08:33] Portia Pendleton: And to me, that was red flag number two, because I don't think that that happens often. I don't know of the ethics behind it, but I just don't think that that's typically available. [08:46] Dr. Katrina Furey: No. Right. [08:47] Portia Pendleton: Like, you'd be referring to, like, a PHP partial hospitalization program, tense about patient program through your hospital. You know what I mean? That would be the treatment exit. [08:55] Dr. Katrina Furey: Not just like, I just ran my car into the walk. I'm going to go see an outpatient psychiatrist. That's not an appropriate level of care for that severe thing that just happened. I think you need at least a couple of days. But again, unfortunately, this should always happen, right? Unfortunately, there's not enough hospital beds. Patients wait and wait and wait in the Er forever. Sometimes insurance won't cover it, even after something like that. I'll never forget my training, working on the inpatient child unit and being told by insurance it was my job to do the peer to peer review because they were denying ongoing a hospitalization for like a twelve year old girl for suicidal thoughts and depression because she hadn't actually attempted anything. So they thought we should discharge her. And it was like, unreal that they told us they're not going to pay for it because she hadn't made an attempt drives me nuts. But anyway, she had made an attempt. She should have been hospitalized. So the fact that she was able to manipulate him into going against his better judgment by appealing to well, I'll see you in your practice. I couldn't tell if he was affiliated with the hospital. It didn't seem like it. It seemed like he was like what we call moonlighting or like picking up. [10:11] Portia Pendleton: Side shifts, which he does talk about later because he's working all these multiple jobs. [10:16] Dr. Katrina Furey: Right, exactly. So maybe he's like, oh, a patient, oh, a couple of times a week maybe it seems like he needs the money. And then we sort of start seeing her meeting with him. And again, the boundary crossings just continue our favorite. So, yeah, we see her starting to open up to him. He starts talking about medication, which again is is warranted. Yeah. When someone presents with significant symptoms of depression status post a suicide attempt, I think that's when she brings up Dr. Seabird's name, which is played by Katherine Zeta Jones, and she gives consent for them to talk to each other about her case, all of which is normal. And then somehow he sees Dr. Sebert at, like it looks like a pharma. By pharma I mean pharmaceutical company, like dinner or talk or something. And Dr. Sebert like, very casually mentions, oh, oblixa, I did write down, being a psychiatrist, the medications Dr. Sebert said she had tried Emily on, wellbutrin, Prozac affects her, and she apparently had problems with sleep and nausea. So that's interesting because those can be common side effects. And we have medications in different classes. We have Prozac, which is an SSRI, effects are an SNRI, and then Wellbutrin, which has a different mechanism of action in which we think of as sort of in this category of medications called like, atypical antidepressants, which just means, like other they work in different ways. So looking at that, my thought as a psychiatrist is did she have adequate trials on any of these? Like, could she tolerate them long enough to see did they really work because these medications take several weeks to kick in? Or did she stop them pretty early because of side effects? Problems with sleep and nausea are really common early side effects that usually go away if you can stay on it and you can prescribe things to sort of help with that in the early stages. It's weird to me that she was only on one SSRI. Then we jump and again, I'm assuming we started with Prozac because that's typical practice, but maybe we didn't. But then you jumped to an SNRI then you jumped to this other thing. It's pretty atypical to jump around so quickly. And then it sounds like she was taking, as prescribed by Jude Lav's character Zoloft, 100 milligrams, which is a pretty high dose. So pretty high to get to 100 so quickly. Those are kind of my thoughts. [12:47] Portia Pendleton: Is that dosage more like along the lines of an OCD patient? [12:53] Dr. Katrina Furey: Not quite. That's a great question. So usually, like with Zoloft, you start around 50. You could start lower if you've never been on medication before to help ease the side effects as you're starting them, or if it's like, a young person or really thin person, you might start lower. 100 is, like, a pretty good dose for depression. I think the way it was depicted in the movie, I just felt like they got there really quick, which, again, you might want to given the severity of her suicide attempt, but usually you might go a little slower. But maybe again, I'm just assuming this was, like her first dose was 100. OCD definitely responds to higher doses of SSRIs compared to things like anxiety and depression. So for Zoloft, the therapeutic windows anywhere from 50 all the way to, like, 400 milligrams for OCD. Oftentimes people with OCD end up somewhere between two to 400, depending on the situation, but 100 could do it. Okay. Some other early boundary crossings that we see between Emily and Dr. Banks first, not hospitalizing her. The second, I would say, is when she found him. It looks like in it looks like maybe like some common area. So his office must be near the hospital or something. Almost gave me the vibe of, like, a cafeteria or something like that atrium that's right where he was sitting with his wife, who was preparing for a job interview, and he gives her a Pranal, and I thought, oh, gosh, he doesn't have great boundaries. You should never prescribe for your spouse or for someone you know? I mean, do do doctors do that sometimes? I'm sure proprietary is a pretty benign medication, but I think it just speaks to his own poor boundaries and why a patient like Emily might be able to sort of sniff that out and use it to her advantage. So all of a sudden, he gets a call with Emily kind of rambling on the phone, I think after she had tried to maybe jump in front of the subway train. And then the officer saved her at the last minute. But then she shows up as he's. [15:09] Portia Pendleton: Trying to his wife staring at a poster of oblixa right in the train station for a while, just like looking at it. And then she kind of walks over. [15:18] Dr. Katrina Furey: To the edge and then toes it. I didn't notice that, but you're probably right, because we'd heard about Oblixa from Dr. Sebert, like, in the scene before, and they kept talking about how you see the ads. You see the ads, and I will say, I hear this all the time from patients. I remember when I started my training, Abilify, there were a lot of ads out there for Abilify, and I had a patient who was like, I want to switch from this medicine. I've been on and been stable on for 20 years to Abilify. So this does come up. I thought that was I wanted to. [15:49] Portia Pendleton: Ask you, so if a patient comes in and they have seen like, a new medication on TV and it looks and they're excited about it, does that typically make it work better at all? I think Placebo mentioned that in the movie a little bit. [16:06] Dr. Katrina Furey: Yeah, you're right, she did. She was like, I think with your positive endorsement, it could work better. I mean, so certainly we know that the placebo effect is real. So by the placebo effect, I mean, they've done studies and stuff where if you give patients, like a sugar tablet, but you say it's an antidepressant or something, then sometimes the patients start to feel better, like they believe in what you're giving them. And that is part of the art of prescribing medications, I think, is not necessarily using that to your advantage. But it's really important when you're prescribing a medication, whether it's for psychiatric issues or something else, to get buy in, right? Like, if you're prescribing a medicine to someone because they have high blood pressure and you want them to work on it with lifestyle modifications, like with diet and exercise, you want to get buy in that all three methods of targeting the problem are going to be effective. So I think that's the kind of thing where if you come to me and I'm like, well, we could give you Zola, but it doesn't really work, are you going to be like, sure, I'll take that. [17:15] Portia Pendleton: That makes sense. I feel like even with therapy, I think some protocols actually, I don't want to say require, but really you're supposed to kind of speak to the results that have been studied. You're supposed to really kind of like, I don't want to say Hype up the program, but Hype is effective. This works for people, really, to get the bind. So it sounds like it's almost along that line. It's not necessarily like placebo effect in our practice, right? That's a lot of in research trials and stuff like that. But you have to get people's kind of excited to what you're trying to have them do. [17:52] Dr. Katrina Furey: Right? And I think patients will show up having seen ads and commercials and stuff like that for newer medications and wonder about it and some I mean, gosh talk about like buy in. I mean, the the like people like, make these commercials with the goal of, like, kind of manipulating you into wanting to take this specific medication so they can make money from it. And some of these commercials are really intense. [18:18] Portia Pendleton: So I thought at this point, in the movie, this was where we were going. Right. I thought like big pharma was like trying to kind of push this pill. I almost felt like in a little bit of a way it was going to be like the oxy. We secretly know that it's not effective or there is this really bad side effect. We're brushing it on the rug, don't tell anyone. Prescribers. [18:39] Dr. Katrina Furey: Push it, push it. [18:40] Portia Pendleton: But that was not the way this movie ended. But at this point that's what I was thinking. [18:46] Dr. Katrina Furey: Yeah, that's what I thought too is it was going to be all about Big Pharma. And I think unfortunately, you're right. There are stricter laws now about you see, in the movie pharmaceutical reps taking doctors like out to lunch or dinner. And they talk about how back they could be a quote unquote spokesperson for a pill and be flown out to some conference in an exotic location, give a talk for 15 minutes and have their whole vacation comped. Those sorts of things did used to happen. I didn't get to do any of that because they have these stricter laws which are good. Which are good because they did find like surprise, surprise, doing stuff like that did in fact influence physicians prescribing practices. Which makes sense. [19:33] Portia Pendleton: Yeah. And I was thinking same along the lines of this used to be a big practice for residential treatment centers, doing kind of the same thing with big pharma as big Pharma. So they would invite you to come tour their facility in Palm Beach and then you're going to refer your patients with substance use disorders there. It really primarily was kind of a big business with substance use all around this kind of same time. [20:01] Dr. Katrina Furey: Right. [20:01] Portia Pendleton: I feel like this is really popular to do. They want kind of to push patients. And now we are seeing and have seen the effects of this. So specifically talk a little bit about the state of Florida kind of being famous for having a lot of rehab centers. There was kind of in the news, a lot of unethical drug testing. So they'd be billing at really high rates these really expensive complex blood tests and labs and that's kind of how they're getting paid. And all these people have ended up in Florida and then kind of like homeless and then using drugs. Again, like a halfway highland houses. There's this whole pipeline. [20:40] Dr. Katrina Furey: It's very interesting that's the thing is, unfortunately, there is a nefarious pipeline. Where? I don't remember all the details, but unfortunately there have been then, like, big business partnerships, I guess, between a rehab center and a halfway house or where the patient would go afterwards, where then the patient does rehab. They pay out the wazoo they charge for these tests, like you're saying. Then they go to this halfway house that's contracted with the rehab center. And then the halfway house, they get reintroduced to the drug, sometimes on purpose. I think that's the most nefarious egregious thing that's come out. I mean, how disgusting is that? And then they go back to the rehab and it's just a cycle, and it's all for money making, and that just makes me want to vomit. [21:25] Portia Pendleton: Yeah, I mean, it's horrible. And I think that's right. And we've seen that with Big Pharma too, and that's why we don't get this anymore. [21:33] Dr. Katrina Furey: But I thought this was going to be like a movie, like anti Big Pharma. Anyway, we got derailed, but hey, big Pharma. So Emily somehow finds where he is in the atrium again, like, how unclear? And interrupts his combo with his wife. You can tell his wife's annoyed. She's, like, wanting some emotional support from him. This is a really awkward conversation to have in public. Again. He's like, if this just she sort of makes a provocative comment alluding to, like, sort of happened again. And he's like, well, if that's the case, I need to admit you to the hospital. Yes, that's the right step. And then she's like, no, I just need five minutes. I have to get to work. Can we go talk somewhere? And the answer is no. The answer should be no. But she manipulates him or something. [22:24] Portia Pendleton: I thought that it was interesting that his wife was I understand why she was upset. Like, she needed support, and her husband was kind of getting called to this work duty. But I feel like I'm assuming that this doesn't happen ever. This is a strange thing, right? Like a patient coming up to him. So I felt like her reaction almost felt, like, a little strange. If I was out in public and out to dinner with my partner, and we're sitting there and a patient comes up to me and starts talking about what seems to be, like, active suicidality, that would be not normal. My partner would be like, what the **** is happening? [23:06] Dr. Katrina Furey: They wouldn't even get up and leave. [23:08] Portia Pendleton: Right? Sad or mad at me. They would just be like, this is strange. [23:14] Dr. Katrina Furey: Weird. Yeah. [23:15] Portia Pendleton: So I felt like her being mad. [23:17] Dr. Katrina Furey: Just, like, felt off. I think she was mad that he chose to go, but I feel like. [23:25] Portia Pendleton: Within the context, you have to handle that. You don't need to meet with him. You know what I mean? But you have to handle the situation. Whether it's like talking to them outside and saying, this is wildly inappropriate. [23:38] Dr. Katrina Furey: I don't know. Asking her wife, can you go get a security guard? [23:45] Portia Pendleton: Maybe she was pretty. [23:46] Dr. Katrina Furey: That's the thing. I was wondering if there was some competition and if that was intentional. I think now we know it probably was to stir up some feelings of jealousy and stuff. And then they have this mini session, like, on some couch somewhere, and there's that Victoria Secret. Yeah. So they're sitting, like, really close together. Their body language was interesting because she's, like, face toward him with her legs up on the couch. You can see her bare legs. She's just sort of talking to him and pulls out, like, a Victoria's Secret bag, saying, like, I'm really trying. And he acknowledges again, I was like, oh, ick, ick, ick, ick, ick. Yeah. [24:23] Portia Pendleton: And again, the boundary crossing is when he agrees to meet with her also, like, in this public place, so on and so forth, and just meeting with her. But besides that, what he's saying. He's not flirting with her. He's not doing anything, like, inappropriate. Inappropriate in that moment within that context. But I think then we learn later a picture gets taken of them in this moment where she is holding up this Victoria's Secret bag, and they're comfy, quote, unquote, on this couch. But it's like, that is not what was happening. [24:58] Dr. Katrina Furey: Right, exactly. That's why you always have to be so careful. Totally. And this is why boundaries are so important. And this is why it's important to listen to your own gut feelings when you're evaluating new patients, because I think you could pick up some of these subtle red flags really early on and see how this could unfold. And so again, he doesn't hospitalize her against his better judgment, and then things really unravel. So he's like that's when she, Emily, asks, can you start me on Oblixa? Like, my friend so and so is on it. I hear it works. And he'd heard that from Dr. Sebert, who then we find out is, like, really pushing Oblixa. I loved what Dr. Sebert was like. Oh, you can have an Oblixa pen. Yeah. I was like, we should make analyze script pen. [25:49] Portia Pendleton: I have a lot of residential treatment pens. [25:52] Dr. Katrina Furey: I bet you do, right? It's just so classic. So then he puts her on Oblixa instead of Zoloft. And getting back to one of your questions, certainly there are more and more new antidepressants out there. Oblixa. I thought it was so funny the way they picked this fake name because it was like a combo of Abilify. And I thought, like, Trntilix, which are both too. Abilify has been around longer. What about Selexa and Selexa oblixa? They just sort of, like, combined it all. [26:22] Portia Pendleton: And it sounds real. It totally sounds like a medication sounds. [26:26] Dr. Katrina Furey: Like a medicine name. So I thought that was funny. And then I think it kind of starts to work, but she starts having these quote, unquote, like, sleepwalking episodes, which seemed convincing right at first, and then that's why he eventually prescribes this new medicine deletrix or something, which, again, sounds like a convincing medicine name. And that's where he's now participating as a consultant with a pharma trial being paid being paid, like, $50,000, which, again, sounds like a lot. I would have cautioned Dr. Banks to say, okay, after taxes, how much are you really getting, and is it worth it? [27:07] Portia Pendleton: And he does disclose that he did it. Again, it seems some things pretty by the book he's with another patient who he's telling about this trial that he's in and that he is being compensated for it. And he gives her this information that she'll receive the medication at no cost. And it's like, that why people agree. [27:27] Dr. Katrina Furey: To the trial, right? And that's what I think the pharmaceutical industry uses to its advantage. They still provide free samples, which I. [27:35] Portia Pendleton: Think can be right on the one hand, a way to assist people who cannot pay for it initially, or there's just problems with that, too, but that still happens. People still do get free samples of lots of things. Birth control antibiotics, or, like, Vivams, like. [27:56] Dr. Katrina Furey: A new Stimulant, which is really expensive, works great. I prescribe it a lot, but it can be expensive if you don't have good health insurance coverage. So they might give you, like, a quote unquote drug coupon where you can get, like, the first month free, and then you have to pay $600 the rest of the time. Anyway, as we're thinking about this, shout out to Mark Cuban's Pharmacy because they are providing a lot of medications at very affordable rates. Mark Cuban, if you want to sponsor the podcast, please feel free. Anyway, so they add in this new medicine, and then it turns out she murders her husband, basically, right? Like, she again has another one of these quote unquote sleepwalking episodes, ends up stabbing him multiple times, and then goes to sleep and he dies. Before we saw the end of the movie. What did you think about that whole scene? [28:45] Portia Pendleton: I thought that it was I was shocked, but based on another episode of prior episode of her kind of sleepwalking, I was like, I don't want to say, like, it wasn't surprising, but that didn't shock me. Something was going to happen in the movie. I was like, okay, this is it. And then she's going to be like, how are they going to go after her? [29:04] Dr. Katrina Furey: Right? [29:06] Portia Pendleton: Are they going to blame the drug? Are they going to blame her? How will they do this? That's what I was thinking. I was sad to see Channing Tatum go. Martin is his name in the movie, right? [29:21] Dr. Katrina Furey: He's not a Martin. I'm always sad to see Channing Tatum go. Yeah. I like to watch him walk away. Yeah. [29:30] Portia Pendleton: But he you know, he did not walk away. He laid on the floor and blooded out. [29:35] Dr. Katrina Furey: So then she gets shirtless. I know. [29:37] Portia Pendleton: Like, come on, haven't they seen Magic Mike? [29:40] Dr. Katrina Furey: What did you think about Rooney Mara's acting in that scene? Did you buy it? [29:46] Portia Pendleton: I did. [29:46] Dr. Katrina Furey: Yeah. Too the first time. Totally bought it. And that's where I thought the movie was going. Let's see what happens here. And I thought, actually, their depiction of the whole legal process, the not guilty by reason of insanity, the NGRI, I thought that was actually pretty accurate. And again, I'm not a forensic psychiatrist. We hopefully will be having one on in. The next couple of months. But I thought overall, that was a pretty accurate depiction of how that process works. And thank God for things like not guilty by reason of insanity so that people who do commit crimes or murders or what have you when they are in the throes of a mental health episode instead of just being locked up in jail, which unfortunately has become how sad is this? The largest place where mental health treatment is delivered because we don't have enough mental health hospitals in the country. That's a whole other episode and issue. But anyway, those patients can go to, like, a forensic psychiatric unit and receive treatment. Unfortunately, I think oftentimes what then happens is once their sanity is restored sometimes, then they're tried again. I'm not a forensic psychiatrist. Do you understand that differently? [31:01] Portia Pendleton: Yeah. And I think it's interesting why it would go either way. Right. Some people are charged with not guilty by reason of insanity go on to serve their time in an inpatient unit and then are let out right into society. And other people are get off temporarily not guilty by reason of insanity, receive the care and then have to and then are tried. [31:25] Dr. Katrina Furey: Yeah, exactly. [31:25] Portia Pendleton: I'm curious what the differences are. I'm sure it's clear. I just don't know it. [31:29] Dr. Katrina Furey: Well, hopefully when we have her case. [31:31] Portia Pendleton: It sounded like she got the she was going to get R. Right. [31:35] Dr. Katrina Furey: And that's the part where I'm not sure. Does that actually happen? When we have dr. Tobias wasser on in a couple of months, we will ask him. [31:43] Portia Pendleton: And it was a really short time. Right. And I think they also had to kind of convince her because at first she was like, no, I don't want to have to go there. I'm not going to be able to leave. And they were like, no, this is the golden egg. You got the best offer. It's 1% that this actually works. [32:00] Dr. Katrina Furey: I thought it was really weird that the state and the defense both wanted her psychiatrist to be their expert witness and that he would agree either way. Didn't you think that was weird? [32:14] Portia Pendleton: So I thought at first, before the twist, that the state was involved somehow with big pharma. I thought it was very strange that he was being approached. That lawyer, that guy. [32:29] Dr. Katrina Furey: I just felt like that would, like. [32:31] Portia Pendleton: It seemed like he had some other motive. [32:34] Dr. Katrina Furey: And that's what I was just like. [32:36] Portia Pendleton: And I was wondering if they were trying to get him, the psychiatrist on board so that he could speak to that it's not the drug. Right. And try to get the drug off. That's what I was thinking. [32:47] Dr. Katrina Furey: But again, Dr. Banks, like, what a conflict of interest. I feel like that's pretty like Psychiatry 101 where you should not be you. [32:58] Portia Pendleton: Can'T be the actions treating and her psychiatrist. You have to be one or the other. [33:05] Dr. Katrina Furey: Not only her past treater. Like when this happened, but you continue to treat her while she's in the forensic unit. Again, that doesn't track for me. That's not really what happened. No, I think any psychiatrist who would unfortunately find themselves in this situation would a, call your malpractice, who will appoint your defense, and B you're not involved anymore. [33:28] Portia Pendleton: Right. [33:28] Dr. Katrina Furey: So the fact that he kept getting involved, I think speaks to how she kind of had her hooks in him and he felt compelled, do you think, to clear his own name? [33:37] Portia Pendleton: I think so. [33:38] Dr. Katrina Furey: I think it was both. [33:39] Portia Pendleton: I think he wanted to clear his own name because at this point, he was being harassed by people who were really unhappy with him. His wife seems unhappy with the situation. His practice seems unhappy with the situation. I think he was trying in half to clear his name and then on the other half, I think he felt sorry for her and wanted to help her. [34:03] Dr. Katrina Furey: And he probably felt like some degree of responsibility, having been the prescriber. And I think prescribing something that he's in getting a kickback for. And even though he's, like, upfront about it, I think maybe he had some guilt there. But in the real world, that's not what happens. Actually, this does happen where attorneys will try to get you to be their expert witness. That actually happens all the time. But you're taught pretty early on and pretty clearly that that's a really bad idea because it's such a conflict of interest. Even if it's like your patients involved in a lawsuit and you're not really related, but your testimony, I guess, could support they're getting more damages or something. That's such a conflict of interest because if you do it or you could just affect the therapeutic alliance and you don't want to mess with that. [34:54] Portia Pendleton: We only really do it if we are like, subpoenaed. And sometimes subpoenas, I think we really only have to follow through if it's like they're from the state. I think you can kind of fight sometimes a subpoena or push back on it for what they're asking for when it's like a private attorney. [35:12] Dr. Katrina Furey: And that's why you always just call your malpractice and they tell you what to do. So anyway, I don't think his malpractice. [35:18] Portia Pendleton: Would have advised him to do this. [35:20] Dr. Katrina Furey: You see his colleagues telling him, like, you need to stop. Get off the case. And then he asks his colleague for Adderall because he's kind of a mess. And I was like, oh, gosh, no. [35:38] Portia Pendleton: So then this twist happens, right? [35:40] Dr. Katrina Furey: So then, you know, we love a twist. Like, one day we'll have a boundaries jingle and then we'll also have, like, a twist. Yeah, that sounds like a tornado. [35:48] Portia Pendleton: So I feel like for me personally, I got a little confused initially. Like, I maybe I was doing two things at the same time. I wasn't totally engrossed in the movie. I don't know. It took me a couple of minutes to be like, okay, so we're going. [36:05] Dr. Katrina Furey: In a totally different direction here, right? Yeah. It felt like whiplash. Yeah. [36:09] Portia Pendleton: So Rudy Mara's character is Malingering. [36:12] Dr. Katrina Furey: Yeah. Turns out this whole time we see. [36:14] Portia Pendleton: That she is working with Katherazada Jones's character. Dr. Sebert was her old psychology and love interest. Yes. Which is very inappropriate, obviously. I feel like we don't even need to talk about that. It's obviously inappropriate. [36:27] Dr. Katrina Furey: And I feel like Hollywood loves to depict psychiatrists and patients boning. They just do. And it just really drives me nut. Yeah. [36:37] Portia Pendleton: It's really like any other really horrible thing to happen in any other field. Yes, it happens, but it's so rare, so bad. This isn't the norm. [36:50] Dr. Katrina Furey: So teacher thing. That's like, less, probably less. Right. But I did not see that coming. Like, the first time I saw this movie that turns out like they've been in cahoots the whole time and to get money. [37:08] Portia Pendleton: So that's their plan is to get this payout from causing which is kind of wild to think about all of these chain reactions to make them rich. That's how it is. So they apparently have been kind of planning to take down Dr. Banks. Right. They send him pictures. They send his wife pictures of him and her, Emily, together, which looks really sexually compromising. They float this past patient of his into his practice. So they want him out. It sounds like there was, like a death of a past patient. She took her life and she named. [37:46] Dr. Katrina Furey: Him right, in her suicide note. And he said, this is all delusional. This relationship never happened. [37:52] Portia Pendleton: Which I don't think it did. [37:54] Dr. Katrina Furey: I think he's telling the truth. And unfortunately, things like that do happen. Yeah. And so, gosh, what a lot of planning. [38:02] Portia Pendleton: It almost seems like too much, too. [38:05] Dr. Katrina Furey: Far fetched for it all to fall into place that way. [38:08] Portia Pendleton: But he starts to get, like he starts to figure it out. And he is appearing to be, like, crazy. Right. He's, like, staying up late. [38:15] Dr. Katrina Furey: He has this whole wall of all these pictures they always do with, like, a red pen and X's and, like, string taped up. And then he does give the sodium what is it? Ambutol? Truth serum. Basically. He supposedly gives her truth serum to. [38:31] Portia Pendleton: See if and at this point, we still think that he did. [38:34] Dr. Katrina Furey: Right. [38:35] Portia Pendleton: So we find out later that it was just like saline when he is telling the police or the lawyer for the state about it. And first of all, what he did is so unethical. Like unethical. And he can get in a lot. [38:48] Dr. Katrina Furey: Of trouble for it. [38:48] Portia Pendleton: So the lawyer is like, I don't. [38:50] Dr. Katrina Furey: Want to hear this. I don't want to know. [38:51] Portia Pendleton: You need to delete this. You need to get rid of it. [38:53] Dr. Katrina Furey: Because he films her. Right. [38:54] Portia Pendleton: And you can't be tried twice. So the lawyer is like, even if this is true, we have these laws that prohibit double jeopardy, I think it's called. Again, things are moving really fast, and we're starting to see that apparently she has concocted this plan with her old psychiatrist, and they were going to pin. [39:11] Dr. Katrina Furey: It on whoever evaluated her. It just happened to be him, and he just happened to have this history that sort of helped with their case. And then he's like, oh, no, you're not going to pin it on me. I'm going to pin it on you. And then it turns out that then Dr. Sebert and Emily are sort of pinning it on each other, but he starts lying and deceiving and manipulating almost as bad as Emily was to begin with. Yeah. So it's just really interesting. [39:37] Portia Pendleton: So it seems like they get her to wear a wire, emily, when she goes and meets with Dr. Sebert and gets her to kind of confess what's going on, and then Dr. Sebert feels because they're going to have sex. So she feels this pack on her back, and then the door opens and the police are there. [39:57] Dr. Katrina Furey: I know. [39:57] Portia Pendleton: And then I'm like, oh, Emily gets away. [40:00] Dr. Katrina Furey: Right? [40:01] Portia Pendleton: You think that she made this deal, she can't be tried again, and that's not the case. [40:08] Dr. Katrina Furey: So then you see they're all trying to pin it on Dr. Banks. They want her to be restored to sanity so that she can be discharged from the unit and sort of go live her happy life with Dr. Seabird. But she's supposed to keep seeing him to avoid being hospitalized. And she thought it was just going to be like, okay, let's pretend I'm seeing you, but not really. Like, you know the drill. I was malingering the whole time. I don't really need medications, blah, blah, blah. But then he's like, no, I'm going to prescribe you Thorazine and Depicote, both of which are they work. They're heavy hitters, man. Like, Thorazine is really sedating Depicode again, the side effects they mentioned from these meds were spot on. You can lose your hair with Depicode. You also gain a ton of weight. You're really sluggish cognitively. You can get a lot of acne. [40:57] Portia Pendleton: So who would be prescribed those? Like, what kind of a patient would be prescribed Thorazine and Depicote? Or either? [41:05] Dr. Katrina Furey: Yeah. So Depicote is under the class of medications called mood stabilizers, which we use for things like bipolar disorder. You do not use it in women of childbearing age because it has been shown to be associated with a birth defect, specifically neural tube defects, which lead to things like spina bifida. In pregnancy, you always take a high dose Folate, and you can take extra. If you have to be on Depicode, if that's, like, the only mood stabilizer that's ever stabilized your bipolar disorder, then by all means, you need to stay on it. But it's not the first one we use. Also, so many side effects, and there's newer mood stabilizers like lamctal. Lithium has been around forever. But it's like a really good one that's effective. It has low side effects, too. And then Thorazine is an older antipsychotic, which he does acknowledge and is true. It's what we call like a typical antipsychotic like Haldol that is used for psychotic disorders. So things like schizophrenia, we use it a lot in the emergency room and inpatient setting to also help with sedations. Like, if you're so psychotic or manic that you are unable to sleep, you'll often get Thorazine to sort of help promote sleep. So you can imagine how much fatigue goes along with it. Sluggishness. It can be very drying. Like your mouth is really dry. It's not pleasant. So he's basically, like putting her into a pharmacological prison is basically what he's doing and making sure that she has to go get drug tested to show that she's actually taking it or she's going to go back in the hospital. So he gets the final one over. [42:38] Portia Pendleton: So she is like, no, right, and runs out of there, tries to escape, and that's when she is not then right following. And I think he knows this, that she's going to have this reaction. So she kind of goes to get in the cabin, run away, and the police are waiting for her. He kind of knew all along. [42:55] Dr. Katrina Furey: I think he tipped him off that this is going to happen. He probably didn't say, like, I'm going to do this and she's going to do that. He probably was like, she's been acting odd. Can you be waiting? And then she goes back, I think to the forensic psych unit, which honestly, that's where she belongs. Yeah, that's where she belongs. Given everything that happened. Gosh, that movie had a lot of twists and turns, lots of ups and downs. I feel like there's probably so much more we could talk about, but this episode has already been really long. I thought it was interesting, Portia, that you didn't seem as into this movie as I was. Do you think it's because I prescribe? [43:30] Portia Pendleton: I don't know. What's funny, too, is that one of my friends who's not in the field at all, really loved this movie and recommended it. And I don't know, I feel like. [43:42] Dr. Katrina Furey: I was a little bored, actually. Yeah, you yawned a lot as we were recording this. [43:48] Portia Pendleton: I don't know what that says. [43:50] Dr. Katrina Furey: That's why I feel like I also. [43:51] Portia Pendleton: Missed things throughout it. [43:54] Dr. Katrina Furey: Do you think it's because we've been talking a lot about psychopaths, like with you, and maybe you're just kind of over it for right now. Maybe Tatum died. Yeah. Maybe this Zach grief is too much for you to bear. Maybe, yeah. [44:09] Portia Pendleton: I have no idea. I think that's interesting though. I was like bored. I feel like, oh, no, pay attention. Pay attention. [44:16] Dr. Katrina Furey: I know. And I couldn't wait for us to record this episode and watch it again. And you're like, over here, yawning. And I'm like, and then they got the side effect right, and then they did this right. Then they did this wrong. Maybe someday we'll have a patreon and we can record a bonus episode where we explore that reaction further. Maybe. [44:34] Portia Pendleton: This felt unbelievable to me. [44:36] Dr. Katrina Furey: I think it did. [44:37] Portia Pendleton: It did. And I think that's where I was. [44:39] Dr. Katrina Furey: Just like, this wouldn't really happen. No, it's totally I mean, again, I think once the twist came into play, then you're like, oh, God, that's what this movie is. That's so unbelievable. You know what? I think it's important that we do analyze scripts that we don't like. Yeah. All right, well, I don't want to hold you up any longer. We'll wrap up this episode. Thanks for listening. I hope that whoever's listening isn't Yawning. We'll see. Please don't forget to rate, review and subscribe follow us on Instagram at Analyze scripts. DM us. Send us an email, analyze Scriptspodcast@gmail.com and let us know what you want us to analyze next. Put you to sleep. Like this movie put portion to sleep. [45:23] Portia Pendleton: Thanks so much for listening. [45:25] Dr. Katrina Furey: See you later. Bye. [45:31] Dr. Katrina Furey: This podcast and its contents are a copyright of Analyzed Scripts. [45:35] Dr. Katrina Furey: All rights reserved. [45:37] Dr. Katrina Furey: Any redistribution or reproduction of part or all of the contents in any form is prohibited. Unless you want to share it with. [45:44] Dr. Katrina Furey: Your friends and rate, review and subscribe, that's fine. [45:47] Dr. Katrina Furey: All stories and characters discussed are fictional in nature. No identification with actual persons, living or deceased places, buildings, or products is intended. [45:56] Dr. Katrina Furey: Or should be inferred. [45:58] Dr. Katrina Furey: This podcast is for entertainment purposes only. The podcast and its contents do not constitute professional mental health or medical advice. Listeners might consider consulting a mental health provider if they need assistance with any mental health problems or concerns. As always, please call 911 or go directly to your nearest emergency room for any psychiatric emergencies. Thanks for listening and see you next time.

In this episode: Spring break, marvelous whales, Calvin's note, #RHONJ, bumping Amy, gestures, Ritz in strange places, malingering, Top Chef mistakes, traveling snakes, Today in Yiddish, hair stories, mysterious gloves, Gwyneth's attorneys, Vanderpump Rules, Seeking Brother Husband, local NextDoor drama, and The Best Quiz Show Ever! 

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

David Eagleman, an noted neuroscientist and author of "How We Decide," talks about how our brains make decisions and how things like headbands can affect our judgments.

Malingering is the conscious misrepresentation of psychiatric symptoms for a secondary gain (such as hospitalization, obtaining disability benefits, avoiding criminal responsibility, proceedings or sentencing, or avoiding military service). In today's episode of the podcast, we are joined by Dr. Philip Resnick and Dr. Alex Scott as we discuss the topic of malingering.   Link to blog here.

Navigating the Social Media Self-Diagnosis Trend Curt and Katie chat about the TikTok Mental Health and the self-diagnosis trend. We dig into what diagnosis is (and what is actually useful about diagnosis). We also explore the concerns with social media self-diagnosis as well as how we can support our clients with getting accurate assessment and treatment.   Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about self-diagnosis and the impact of social media We have both heard about TikTok diagnoses in our practices and wanted to talk about how therapists might navigate this new trend.   What is the TikTok trend of self-diagnosis? Lots of influencers on social media are sharing content Unvetted content creators Some good information mixed in with very vague information that can be confusing What is diagnosis? “The way I see diagnosis is that it's a construct… It's labeling folks that seem to fall together with similar symptoms. And the medical model says, that's a real thing. And then we can do treatments or prescribe medication for it... And so, to me, some of the self-diagnosis stuff is almost colluding with this medical model that's saying, if you have a couple of these things over here, and a couple of those things over here, then you have this label, this label is a real thing. And that blows my mind, because I think a lot of folks in the self-diagnosis realm are trying to kind of push up against the establishment, but they're lending credence to this idea that diagnosis is a real, concrete thing versus a tool to help with treatment planning, and to understanding us better.” – Katie Vernoy, LMFT Rosenhan experiment (experiment showing that malingering patients will probably be misdiagnosed) Constructs of things that typically fall together Effective for treatment planning and getting this treatment covered by insurance Identity versus something to heal What are concerns with social media self-diagnosis? “The point of having a professional be able to properly evaluate is looking through that more nuanced clinical eye in order to look at where the threshold is that actually meets diagnostic [criteria] versus actually just having some characteristics in common with [the diagnosis]. Somebody can be nervous, does not mean that they have anxiety… What is pathologizing normal feelings?” – Curt Widhalm, LMFT Focusing in on small elements and then having that frame their full life experience Seeking only confirmatory diagnosis versus allowing for differential diagnosis Clinicians who are not doing full assessments to support clients who have self-diagnosed Clients who do not need treatment taking slots from those who do need assessment and treatment Lack of nuance in the social media content that doesn't include information on differential diagnosis Inaccurate treatments based on inaccurate self-diagnosis Malingering and factitious disorder risk Pathologizing normal feelings Being inundated with so much information Confirmatory bias How to support clients who have sought diagnostic information on social media and google? “What started the whole thing… clinicians under diagnosing, undervaluing client feedback, not asking all the right questions. And so, folks are feeling dissatisfied with what we're doing and heading to the interweb to understand better what it is that's going on.” – Katie Vernoy, LMFT Therapists need to listen to their clients, so they don't feel the need to go elsewhere for information Identify what is resonating for clients and explore what it means to them Educate clients about differential diagnosis Walk through their research (to listen and to help vet sources) Take your client seriously and support them in getting the help they need   Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: Thrizer Thrizer is a new modern billing platform for therapists that was built on the belief that therapy should be accessible AND clinicians should earn what they are worth. Their platform automatically gets clients reimbursed by their insurance after every session. Just by billing your clients through Thrizer, you can potentially save them hundreds every month, with no extra work on your end. Every time you bill a client through Thrizer, an insurance claim is automatically generated and sent directly to the client's insurance. From there, Thrizer provides concierge support to ensure clients get their reimbursement quickly, directly into their bank account. By eliminating reimbursement by check, confusion around benefits, and obscurity with reimbursement status, they allow your clients to focus on what actually matters rather than worrying about their money. It is very quick to get set up and it works great in completement with EHR systems. Their team is super helpful and responsive, and the founder is actually a long-time therapy client who grew frustrated with his reimbursement times The best part is you don't need to give up your rate. They charge a standard 3% payment processing fee! Thrizer lets you become more accessible while remaining in complete control of your practice. A better experience for your clients during therapy means higher retention. Money won't be the reason they quit on therapy. Sign up using bit.ly/moderntherapists if you want to test Thrizer completely risk free! Sign up for Thrizer with code 'moderntherapists' for 1 month of no credit card fees or payment processing fees! That's right - you will get one month of no payment processing fees, meaning you earn 100% of your cash rate during that time. 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! The Rosenhan experiment Articles: TikTok Mental Illness Diagnosis Deconstructing TikTok Videos on Mental Health: Cross-sectional, Descriptive Content Analysis Young People Are Using TikTok to Diagnose Themselves With Serious Mental Health Disorders. What's Behind This Trend? TikTok and the Dangers of Self-Diagnosing Mental Health Disorders Why "TikTok Diagnoses" Are on the Rise Why the nature of TikTok could exacerbate a worrisome social media trend Young Women Are Self-Diagnosing Personality Disorders, Thanks To TikTok   Relevant Episodes of MTSG Podcast: What's New in the DSM-5-TR: An interview with Dr. Michael B. First Portrayals of Mental Health and Therapy in the Media: An interview with Danah Davis Williams, LMFT Should Therapists Correct Their Clients? It's Not a Chemical Imbalance: An interview with Dr. Kristen Syme Is Therapy an Opiate of the Masses? Speaking Up for Mental Health Awareness: An interview with Metta World Peace   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: Patreon Buy Me A Coffee 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 https://groomsymusic.com/

Ep. 97 ✨ “Criminal Psychology, Murder, Insanity, & Trauma” with Dr. Lina Haji” Topics 1- 00-4:092- 4:10- 6:03 main areas of study 3- 6:03 - 11:14 Malingering and how can you assess/prove insanity ? 4- 12:22-22:30 The real definition of trauma, Post Traumatic Stress Disorder, trauma bonding, how much responsibility can we place on an offender if they have trauma? 5-22:33 -31:25 characteristics of a serial killer, difference between psychotic vs psychopathic 6- antisocial vs asocial 7- Cluster B Disorders, Personality disorders 8- Dr. Haji shared her favorite diagnosis- Schizophrenia 9- the loyalty, respect, and care that inmates have, Dr. Haji's favorite patient 10-is there a difference between women and men psychopaths? Do we all have some type of diagnosis? End Dr. Haji's Favorite serial killer - Richard Ramirez Listen

Arise to Christmas: Arise to Unexpected Decisions (The Malingering Magi) - Ken WetmoreThroughout the Christmas story we encounter people who are called to arise to faith. The Magi are one of the greatest examples of this. They exhibited faith by believing the Scriptures and following a star to Jesus. They showed their faith through the gifts they brought. They acted in faith to leave by a different route when told to do so by God in a dream. This Christmas, arise to have faith in the Messiah's call to you.One of our #WholeLifeReflections this week asked: Who do you “write off” as not having any religious wisdom and/or relationship with God?Let us know your response by reaching out to us with your questions and comments using the information below:■ Text/Voicemail: 407-965-1607■ Email: podcast@wholelife.churchSUBSCRIBE NOW to our weekly podcast Speaking of Grace to listen to the message this podcast was based on - https://speaking-of-grace.captivate.fm/listenlinksOur weekly message from the WholeLife Church and all of our #WholeLifeTakeAways are in each episodes ‘show notes' for you to listen to, discuss, and share with family and friends. The previous weekend's sermon is released every Tuesday, with our pastors and guest speakers inviting you into a lifelong friendship with God. Thank you for listening! Our show is available on Apple Podcasts, Spotify, Stitcher, iHeart Radio, and anywhere you listen to podcasts! If you've enjoyed this episode, please share it on social media at the following links and while you're there, say ‘hello'! Twitter: https://twitter.com/wholelifeorl Facebook: https://www.facebook.com/wholelifeorlandoInstagram: https://www.instagram.com/wholelifeorlando NEXT WEEK 12/10/22: Arise to Christmas: Arise to Unexpected Challenges (Herod) - Ken WetmoreWatch the message that this episode is based on our website: https://wholelife.church/mediaTo find out more about WholeLife Church, visit our website: https://WholeLife.ChurchUse the #hashtags: #WholeLifePodcast #WholeLifeReflections #ThisIsWholeLife #ThisIsUS #WeAreFamily #Christmas2022 #ARISE

Arise to Christmas: Arise to Unexpected Decisions (The Malingering Magi) - Ken WetmoreThroughout the Christmas story, we encounter people who are called to arise to faith. The Magi is one of the greatest examples of this. They exhibited faith by believing the Scriptures and following a star to Jesus. They showed their faith through the gifts they brought. They acted in faith to leave by a different route when told to do so by God in a dream. This Christmas, arise to have faith in the Messiah's call to you.This weeks #WholeLifeReflections: Who do you “write off” as not having any religious wisdom and/or relationship with God?When has God asked you to arise in faith and follow a “star” to God's plan for you?Is there anywhere right now that God is asking you to arise in faith?Reach out to us with your questions and comments using the information below:■ Text/Voicemail: 407-965-1607■ Email: podcast@wholelife.churchSUBSCRIBE NOW: This Is Whole Life - https://this-is-whole-life.captivate.fm/listenlinksOur companion podcast, This Is WholeLife, is where we dive deeper into the message and topic with Pastor Ken and Pastor Jeff, along with host Randy Magray. It's the perfect midweek commute podcast to stay in touch with what's being talked about at WholeLife Church, and we encourage your questions, comments, and feedback which we will share in the next episode! Thank you for listening! Our show is available everywhere you listen to podcasts! If you've enjoyed this episode, please share it with your family and friends and on social media, where you will find us at the following links! Follow and say hello! ïTwitter: https://twitter.com/wholelifeorl ïFacebook: https://www.facebook.com/wholelifeorlando ïInstagram: https://www.instagram.com/wholelifeorlando NEXT WEEK 12/10/22: Arise to Christmas: Arise to Unexpected Challenges (Herod)- Ken WetmoreTo learn more about WholeLife Church, visit our website: www.WholeLife.Church The theme music for Speaking of Grace was written, produced, and performed by WholeLife Church's own Phillip Burks - https://www.phillipburks.com/.Use the #hashtags: #WholeLifePodcast #WholeLifeReflections #ThisIsWholeLife #ThisIsUS #WeAreFamily #Christmas2022 #ARISE

True Crime Personality and Psychology True Crime Psychology and Personality is a podcast that profiles criminal personalities, discusses personality disorders, and examines real life events from a scientifically informed perspective.   Want more mental health content? Check out our other Podcasts:  Mental Health // Demystified with Dr. Tracey Marks  Healthy // Toxic Cluster B: A Look At Narcissism, Antisocial, Borderline, and Histrionic Disorders 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: Christopher Breitigan and 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

After a lifetime spent caring for her disabled parents, Helen had her own children, and began to suspect her mum was deliberately pretending to be unwellShe began reading her mother's 55 years' worth of diaries after her death in 2016 and discovered her mum's deception went far beyond anything she had imaginedShe wrote My Mother, Munchausen's, and Me in the aftermath, piecing together the truth about her parents, her childhood, and her identitySome key points from our interview:• How Unbroken means moving forward with happened to her without it defeating her• How after she read her mother's diaries, she realised that her whole childhood was founded on lies• How it took her many years to realise that her childhood was abusive as she had been gaslit by her mother for years and it didn't occur to her to question it• How her mother controlled her thoughts, ran her down constantly, believing she was a failure, telling her what she liked and didn't like- since she has developed mental health awareness.• How her mother's symptoms of Parkinson's didn't match the illness and even her Parkinson's nurse realised she wasn't being truthful about her condition• How she chose to forgive her mother as she wanted to be free of her grip on her, but it's continuous work• How she's determined to create the best life she can for her and her family and will love wholeheartedly and sincerely even though it terrifies her to be vulnerable*Factitious disorder, malingering, hypochondriasis all are similar meaning terms.www.helennaylorwriter.com"Unbroken: Healing Through Storytelling" features  individuals who have all triumphed after adversity and have not just bounced back in life, but forward and are now making a difference for others.Hosted by Madeleine Black, the show will share stories of all the amazing people Madeleine has met on her own journey as an author/speaker and these stories will heal, motivate, inspire and bring hope when they share their wisdom and knowledge with her.She really believes in the power that comes when we share our stories, that in fact we are not story tellers but story healers. Tune in to discover what helped them to stay unbroken and together we will discover that none of us are broken beyond repair.You can find out more about Madeleine, her story and her memoir, Unbroken,  from her website: https://madeleineblack.co.uk/You can listen to the full extended series of incredible stories on https://www.buzzsprout.com/1386718Watch edited highlights on YouTube:https://www.youtube.com/c/MadeleineBlackUnbroken

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports.He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

The artificial intelligence Lexman interviews Devon Larratt about his latest project, a novel about a group of people who suffer from a disorder called creams syndrome. They discuss the implications of the disorder and the ways in which it differs from other mental illnesses.

Part 2 of 4. Personality disorders: dimensional vs categorical. Biology and mental health. Insanity, IQ, and criminal responsibility. Reality and delusion. Rorschach. Malingering. Rosenhan experiment. Delusional disorder. Schizophrenia. QAnon. Pizzagate. Timothy McVeigh. UNABomber. Anders Breivik. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Heather is answering this very question using examples from the 1996 film, Primal Fear. In his film debut and Oscar nominated performance, Edward Norton portrays a murderer capable of convincing everyone around him he has Multiple Personality Disorder. Heather and Kristen break down the complexities of malingering and diagnosing the mental health condition, Dissociative Identity Disorder (having two or more identities). Movie Clips References: Diagnostic and statistical manual of mental disorders: DSM-5. (2017). Arlington, VA: American Psychiatric Association. Tracy, D., & Rix, K. (2017). Malingering mental disorders: Clinical assessment. BJPsych Advances, 23(1), 27-35. doi:10.1192/apt.bp.116.015958. Detecting-Clinical-and-Simulated-Dissociative-Identity-Disorder-With-the-Test-of-Memory-Malingering.pdf (researchgate.net) Dissociative Identity Disorder: A Pathophysiological Phenomenon (researchgate.net)

Episode 202: Mathew Charles Lamb was a troubled and disturbed youngster. He was born in Windsor, Ontario, unwanted, to a teenage mother and bounced from one relative's home to another, never having close relationships with any of them. To him they were merely his keepers. The rules they laid out for him to follow were bothersome to him. Young Matt was incorrigible. He became violent early on, many of the other kids in his family and in the neighbourhood were terrified of him. After a number of run ins with local police and several violent incidents involving firearms, one including a shootout with police, Mathew Lamb was jailed  in the Kingston Pen for the first time — he was just 16. At 18 years old, only days after an early release, Mathew Charles Lamb, went on a shooting spree in Windsor, killing two strangers and wounding two more. Sources: City Of Windsor Canada's Most Dangerous Places 2020 - Macleans.ca The Windsor Star - Google News Archive Search Mathew Charles Lamb | Murderpedia, the encyclopedia of murderers Read Watching the Devil Dance Online by William Toffan | Books Mathew Charles Lamb - Wikipedia House of Commons Debates, 30th Parliament, 2nd … - Canadian Parliamentary Historical Resources New Book Documents Canada's First Spree Killer and Windsor Native Matthew Lamb | 519 Magazine Book - The Psychopath Test About: Mathew Charles Lamb   Support the show: https://www.patreon.com/darkpoutine See omnystudio.com/listener for privacy information.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports.He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports. He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports.He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports. He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports.He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports.He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports. He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports. He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works.

1. Personality Disorders 2. Malingering 3. Factitious Disorders 4. Somatic symptom and related disorders 5. Eating disorders 6. Gender dysphoria 7. Sexual dysfunction 8. Sleep terror 9. Enuresis 10. Narcolepsy 11. Substance use disorder 12. Gambling disorder --- Send in a voice message: https://anchor.fm/zusmle/message

Resources Mentioned:NAN Position Paper on Symptom Validity Assessment: Practice Issues and Medical Necessity https://www.nanonline.org/docs/PAIC/PDFs/NANsvt.pdfProfessional Liability Insurances-American Professional Agency, Inc. https://www.trustinsurance.com/-The Trust https://www.apa.org/members/your-membership/benefits/insurance-Assessment of Feigned Cognitive Impairment, Second Edition (Dr. Sobel co-authored a chapter)https://www.amazon.com/Assessment-Feigned-Cognitive-Impairment-Second/dp/1462545556/ref=sr_1_2?dchild=1&keywords=kyle+boone+neuropsychology&qid=1624249934&sr=8-2 About Dr. Sobel Dr. Sobel is a licensed forensic psychologist practicing in the state of California (PSY 27461). Over the course of her career, Dr. Sobel has worked extensively with mentally ill offenders within both state/county facilities and the community. Trained in both psychological assessment and various evidence-based treatment modalities, her specialty areas include intellectual and neurocognitive assessment, malingering, trauma, perinatal and maternal mood and anxiety disorders, mitigation, competency to stand trial, criminal responsibility, and violence risk assessment. Dr. Sobel has written and reviewed hundreds of forensic reports and successfully testified in both the Los Angeles and Kern County Superior Courts.Contact Dr. Sobel:https://www.drnataliesobel.comEmail:  drsobel@drnataliesobel.com About Dr. Vienna Co-founder and Clinical Director of Vienna Psychological Group, Inc., Dr. Vienna is a licensed psychologist (PSY26945) that specializes in forensic and neuropsychological evaluations. She completed her Doctorate in Clinical Forensic Psychology at Alliant International University- California School of Forensic Studies. She is in her 2nd year of a two year post-doc neuropsychology specialization program. Additionally, she holds two master's degrees in Forensic Science and Forensic Psychology.  She earned her bachelor's degree at The University of Arizona.Dr. Vienna began her career working with Tarzana Treatment Center in 2006, prior to obtaining her doctorate degree.  During the course of her doctorate training, she completed practicum rotations through College Hospital adult and adolescent inpatient psychiatric units and The Men's Forensic Outpatient Program at Twin Towers Correctional Facility.  Dr. Vienna received her pre-doctoral resident training at the Los Angeles County Department of Mental Health (DMH) with the Jail Mental Health unit at Twin Towers Correctional Facility (TTCF), Century Regional Detention Facility (CRDF), and The Women's Community Reintegration Services and Education Center (WCRSEC).  She completed her postdoctoral training through the Los Angeles County Department of Mental Health (DMH), with the Juvenile Justice Program at Challenger Memorial Center – Probation Camp and Barry J. Nirdoff Juvenile Hall.Dr. Vienna has held additional assignments at Twin Towers Correctional Facility and the Inmate Reception Center (IRC) as a staff clinical psychologist where she performed initial psychiatric evaluations, housing determinations, and suicide risk assessments. Dr. Vienna has also worked on countywide psychiatric mobile response teams (PMRT) and mental evaluation teams (MET) with the Los Angeles County Sheriff's Department where she was partnered with a law enforcement officer in a police vehicle to provide crisis evaluations to individuals in psychiatric or emotional crisis. Dr. Vienna conducted numerous station briefings and behavioral health trainings to law enforcement personnel.Dr. Vienna is appointed to the Los Angeles County Superior Court Expert Panel of Psychologists and the Los Angeles County Juvenile Delinquency Panel of Experts. She has expertise is areas of neurodevelopmental disorders (intellectual disabilities, autism, etc.), transfer to adult cases, trauma (PTSD and adverse childhood experiences), and substance abuse. She has also met Peace Officer Standards and Training (POST) continued professional experience (CPE) to conduct public safety pre-employment psychological evaluations. She is a member with the American Psychological Law Society (APLS), National Academy of Neuropsychology (NAN), and International Critical Incident Stress Foundation (ICISF).Contact Dr. Vienna:Office: 626-709-3494 | Email: support@vpg-corp.comwww.viennapsychologicalgroup.com   

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports. He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreword in other published works. www.abuse-excuse.com Our radio shows archives and programming include: A Different Perspective with Kevin Randle; Alien Cosmic Expo Lecture Series; Alien Worlds Radio Show; Connecting with Coincidence with Dr. Bernard Beitman, MD; Dick Tracy; Dimension X; Exploring Tomorrow Radio Show; Flash Gordon; Jet Jungle Radio Show; Journey Into Space; Know the Name with Sharon Lynn Wyeth; Lux Radio Theatre - Classic Old Time Radio; Mission Evolution with Gwilda Wiyaka; Paranormal StakeOut with Larry Lawson; Ray Bradbury - Tales Of The Bizarre; Sci Fi Radio Show; Seek Reality with Roberta Grimes; Space Patrol; Stairway to Heaven with Gwilda Wiyaka; The 'X' Zone Radio Show with Rob McConnell; and many other! That's The ‘X' Zone Broadcast Network Shows and Archives - https://www.spreaker.com/user/xzoneradiotv *** AND NOW *** The ‘X' Zone TV Channel on SimulTV - www.simultv.com The ‘X' Chronicles Newspaper - www.xchroniclesnewspaper.com

Dean Tong is an internationally noted author, certified forensic consultant, certified child forensic interviewer and expert witness, concentrating in the areas of high-conflict divorce, child custody, abuse accusations, albeit, sexual or physical child abuse, domestic violence, et al, Parental Alienation, and Sexual Allegations In Divorce (SAID). Mr. Tong has tendered testimony as an expert witness in cognitive child developmental psychology and best practice forensic child interview methods, as well as the handling/mis-handling of protective investigations by CPS and the Police et al. He has tendered and testified as an expert witness in civil and criminal court cases from 15 States in the USA and was retained as an expert by a law firm in Surrey, British Columbia, Canada in a case of alleged repressed memory which was tried in February 2007. Courts have accepted Tong's testimony in the areas of cognitive child developmental psychology; best practice methodology of forensic child interviews of children allegedly abused on DVD, Video, Audio, or transcript; signs and symptoms of truly abused versus non-abused children, source monitoring and proper versus improper CPS/ Police child abuse investigations, SAID, Parental Alienation, Malingering or Munchausen By Proxy or Factitious Disorder, Sexual deviancy/interest testing and profiling, de facto/de novo Sexual Abuse Treatment Program (SATP) counseling, and critique of child custody evaluations and reports. He has consulted on protracted divorce, custody and abuse-related cases for 25 years. He's worked Court cases from all 50 United States. And his services have been granted by Judges in several Juvenile Dependency and Criminal Court cases across America who don't have the financial means to bring him into a case so the Courts order The State to pay his fees. Of significance to protective parents and mothers who have lost child custody or may lose child custody in the future due to alleged false allegations of abuse, coaching, parental alienation, or Munchausen Syndrome by Proxy (Factitious Disorder by Proxy) or Malingering, et al Mr. Tong has been retained to assist like mothers and their attorneys in several of these cases, nationally. Please visit www.DrPhil.com and type in Dean Tong in the search box. Dean Tong was a media commentator during the trials and tribulations of Kobe Bryant (2004 - MSNBC), and Michael Jackson (2005 - FOX News and Court-TV). Tong has additionally appeared on Dateline, ABC Prime Time Live and CBS 48 Hours. He has authored 3 books, a scientific peer-reviewed journal article, and contributed book chapters and a Foreward in other published works. For Your Listening Pleasure all the radio shows available on The 'X' Zone Broadcast Network with our compliments, visit - https://www.spreaker.com/user/xzoneradiotv. Our radio shows archives and programming include: A Different Perspective with Kevin Randle; Alien Cosmic Expo Lecture Series; Alien Worlds Radio Show; Connecting with Coincidence with Dr. Bernard Beitman, MD; Dick Tracy; Dimension X; Exploring Tomorrow Radio Show; Flash Gordon; Jet Jungle Radio Show; Journey Into Space; Know the Name with Sharon Lynn Wyeth; Lux Radio Theatre - Classic Old Time Radio; Mission Evolution with Gwilda Wiyaka; Paranormal StakeOut with Larry Lawson; Ray Bradbury - Tales Of The Bizarre; Sci Fi Radio Show; Seek Reality with Roberta Grimes; Space Patrol; Stairway to Heaven with Gwilda Wiyaka; The 'X' Zone Radio Show with Rob McConnell; and many other! That's The ‘X' Zone Broadcast Network Shows and Archives - https://www.spreaker.com/user/xzoneradiotv *** AND NOW *** The ‘X' Zone TV Channel on SimulTV - www.simultv.com The ‘X' Chronicles Newspaper - www.xchroniclesnewspaper.com

For this episode, Robin is once again joined by Brittany to discuss all things Lori Vallow!We sift through the most recent Vallow news: Lori has been declared incompetent to stand trial. What does this mean? What if she is faking it? What happens now? What's going to happen with Chad Daybell? Will his trial proceed? And finally, the question on everyone's mind: Is Prosecutor Rob Wood going to ask for the death penalty? ---------------------------------------------We Saw the Devil: Website: http://www.wesawthedevil.com Twitter: http://www.twitter.com/WeSawtheDevil Instagram: http://www.instagram.com/wesawthedevilpodcastPatreon: http://www.patreon.com/wesawthedevil --------------------------------------------- We would like to thank our Executive Producers: AJ CBren WMaureen M RoseannMichele K Ylana Dawn M Faye S Christy K Emalie SDenise BAshley M Cristi R Shawna S Iris-Dora S Michelle P

There are several disorders so branded with taboo, stigma, and legal consequences that they are almost never diagnosed and very little research has been done on them. These patients are literally seen by every specialty, often without knowing it, and without a good solution. I am hoping this podcast brings awareness to this important topic and gives providers insight into the power of empathy in helping these patients. Link to Blog. Link to Resource Library. 

In today's episode, Dr. Vienna interviews Dr. Stephanie, forensic psychologist, about her experience working on a mental health team with law enforcement. Dr. Stephanie gives very hands on practical advise during her interview. She discusses the following:  Practical tips and strategies to work in fast paced environmentsWorking in a patrol vehicleOfficers' use of Deescalation techniquesInvoluntary psychiatric evaluationsABOUT DR. VIENNACo-founder and Clinical Director of Vienna Psychological Group, Inc., Dr. Vienna is a licensed psychologist (PSY26945) that specializes in forensic and neuropsychological evaluations. She completed her Doctorate in Clinical Forensic Psychology at Alliant International University- California School of Forensic Studies. She is in her 2nd year of a two year post-doc neuropsychology specialization program. Additionally, she holds two master's degrees in Forensic Science and Forensic Psychology.  She earned her bachelor's degree at The University of Arizona.Dr. Vienna began her career working with Tarzana Treatment Center in 2006, prior to obtaining her doctorate degree.  During the course of her doctorate training, she completed practicum rotations through College Hospital adult and adolescent inpatient psychiatric units and The Men's Forensic Outpatient Program at Twin Towers Correctional Facility.  Dr. Vienna received her pre-doctoral resident training at the Los Angeles County Department of Mental Health (DMH) with the Jail Mental Health unit at Twin Towers Correctional Facility (TTCF), Century Regional Detention Facility (CRDF), and The Women's Community Reintegration Services and Education Center (WCRSEC).  She completed her postdoctoral training through the Los Angeles County Department of Mental Health (DMH), with the Juvenile Justice Program at Challenger Memorial Center – Probation Camp and Barry J. Nirdoff Juvenile Hall.Dr. Vienna has held additional assignments at Twin Towers Correctional Facility and the Inmate Reception Center (IRC) as a staff clinical psychologist where she performed initial psychiatric evaluations, housing determinations, and suicide risk assessments. Dr. Vienna has also worked on countywide psychiatric mobile response teams (PMRT) and mental evaluation teams (MET) with the Los Angeles County Sheriff's Department where she was partnered with a law enforcement officer in a police vehicle to provide crisis evaluations to individuals in psychiatric or emotional crisis. Dr. Vienna conducted numerous station briefings and behavioral health trainings to law enforcement personnel.Dr. Vienna is appointed to the Los Angeles County Superior Court Expert Panel of Psychologists and the Los Angeles County Juvenile Delinquency Panel of Experts. She has expertise is areas of neurodevelopmental disorders (intellectual disabilities, autism, etc.), transfer to adult cases, trauma (PTSD and adverse childhood experiences), and substance abuse. She has also met Peace Officer Standards and Training (POST) continued professional experience (CPE) to conduct public safety pre-employment psychological evaluations. She is a member with the American Psychological Law Society (APLS), National Academy of Neuropsychology (NAN), and International Critical Incident Stress Foundation (ICISF).Contact Dr. Vienna:Office: 626-709-3494 | Email: support@vpg-corp.comwww.viennapsychologicalgroup.com

For the 32nd episode of Snippets, we have Dr. S.Ambika, Head of the Neuro-Ophthalmology Department, Sankara Nethralaya, conversing with us about " The Do's and Don'ts of unexplained vision loss ".In this podcast, she also touches on the impactful topic of Malingering. Feedback form:https://forms.gle/k7LVRkuNSFgeuib78 Follow us on Facebook:https://www.facebook.com/SNippets-106093427853136 - for weekly updates!! Twitter: https://twitter.com/SnippetsP Subscribe to our podcast on the respective platforms. --- Send in a voice message: https://anchor.fm/sankara-nethralaya/message

Kristin and Dr. Feldman discuss MBI (Munchausen by Internet) including 2 cases shared on this podcast. Marc D. Feldman, M.D. is Clinical Professor of Psychiatry and Adjunct Professor of Psychology, the University of Alabama (UA), Tuscaloosa, Alabama. A Distinguished Fellow of the American Psychiatric Association, he is the author of more than 100 peer-reviewed articles in the professional literature. Dr. Feldman is an international expert in factitious disorder, Munchausen syndrome, Munchausen by proxy, and malingering, and his credits include the following five books: Feldman MD, Yates GP. Dying to Be Ill: True Stories of Medical Deception. New York: Routledge; Dutch edition published by Boom Uitgevers, The NetherlandsFeldman MD, Ford CV. Patient or Pretender: Inside the Strange World of Factitious Disorders, New York: John Wiley & Sons; paperback edition; Dutch edition published by Uigetgeverij Wreldbibliotheek bv, The Netherlands; Farsi edition published as Bimar ya bimarnama, published by Nashre Paykan, Tehran, Iran; Japanese edition published by Hara-Shobo Company, JapanFeldman MD, Eisendrath SJ (eds). The Spectrum of Factitious Disorders, Washington, DC: American Psychiatric Press, Inc.Feldman MD, Feldman JM. Stranger Than Fiction: When Our Minds Betray Us, Washington, DC: American Psychiatric Press, Inc.Feldman MD. Playing Sick: Untangling the Web of Factitious Disorder, Munchausen Syndrome, Munchausen by Proxy, and Malingering, New York: Routledge Press; German edition (Wenn Menschenkrank spielen) published by Verlag Ernst Reinhardt GmbhDr. Feldman’s work has been the subject of stories in more than 200 magazines and newspapers, including The New York Times, The Los Angeles Times, The Chicago Tribune, the Philadelphia Inquirer, and USA Today. Among Dr. Feldman’s television and radio appearances are Good Morning America, Larry King, Dateline, 20/20, ABC World News Tonight, Court TV, CNN, Discovery Health, MSNBC Nightly News, Fox News, CBC News, CBS News, Donahue, Dr. Phil, HBO, and National Public Radio. He is listed in The Best Doctors in America. He is an Honors graduate of Dartmouth College and Dartmouth Medical School, and the psychiatric residency at Duke University Medical Center, where he later joined the faculty. He was formerly Vice Chair and Medical Director in the Department of Psychiatry and Behavioral Neurobiology at the University of Alabama at Birmingham (UAB) and has served as Regional Medical Director of United Behavioral Health, Inc., a managed care company. Dr. Feldman is board-certified in psychiatry by the American Board of Psychiatry and Neurology. He is a member of the workgroups for the revisions of the factitious disorder diagnoses for the upcoming DSM-5-TR and ICD-11. www.munchausen.com

The Root of the Problem is about finding the cause of illness and offering proven alternatives to improve health. Dr. Taber is a practicing family practitioner who also specializes in Osteopathic Manipulative Medicine and can offer treatments for the structure of the human body that in turn affects function. What if a disease has an emotional component? Discussing the physical, spiritual, financial, mental, environmental, and intellectual cause of illness along with the emotional components sets Dr. Taber apart from most family practitioners.  Dr Taber currently works for the California Correctional Health Services as a prison doctor at a men's maximum security prison. She discusses her experience and how practicing medicine in the prison system can be the same and much different than private practice.

It's hard to comprehend that there are parents who intentionally make their children sick. We'll examine one of the most notorious cases of Munchausen by Proxy that eventually escalated to murder. References: Baron Munchausen. (n.d.). Retrieved January 26, 2020, from https://en.wikipedia.org/wiki/Baron_Munchausen Kahan, B., & Yorker, B. C. (1991). Munchausen Syndrome by Proxy: Clinical Review and Legal Issues. Behavioral Sciences & the Law, 9(1), 73–83. https://doi.org/10.1002/bsl.2370090109 Kettler, S. (2019, April 4). The story of Gypsy Rose Blanchard and her mother. Retrieved January 26, 2020, from https://www.biography.com/news/ gypsy-rose-blanchard-mother-dee-dee-murder Rogers, R. (2004). Diagnostic, Explanatory, and Detection Models of Munchausen by Proxy: Extrapolations from Malingering and Deception. Child Abuse & Neglect: The International Journal, 28(2), 225–238. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=eric&AN=EJ731568&site=eds-live Rossi, A. (Producer), & Carr, E. L. (Director). (2017). Mommy dead and dearest [Motion picture]. USA: HBO. Unal, E. O., Unal, V., Gul, A., Celtek, M., Dıken, B., & Balcıoglu, İ. (2017). A serial Munchausen syndrome by proxy. Indian Journal of Psychological Medicine, 39(5), 671-674. https://doi.org/10.4103/ 0253-7176.217017 Yates, G. g. peter. yates@gmail. co., & Bass, C. christopher. bass@oxfordhealth. nhs. u. (2017). The perpetrators of medical child abuse (Munchausen Syndrome by Proxy) – A systematic review of 796 cases. Child Abuse & Neglect, 72, 45–53. https://doi.org/10.1016/j.chiabu.2017.07.008

When Captain Blackmore has a bad day it is left to Commander Caddox to manage a rampaging slug, a speciest ambassador and a crew with a tendency to absentmindedly abandon their posts. Find us! Email: thepennypeepshow@gmail.com  Twitter: @PennyPeepshow Facebook: https://www.facebook.com/PennyPeepshow/  Instagram: https://www.instagram.com/thepennypeepshow/ Hosted on Acast. See acast.com/privacy for more information.

Happy New Year all! Grab your knapsacks and get ready to ride the rails with us as we honor the great tramp Utah Phillips then visit some of our favorite odd spots in Southern Cali.  Plus we have a scholastic book story and more. Enjoy

What does neuropsychological evaluation tell us about honesty, exaggeration, effort, and malingering?   Interview with Neuropsychologist Arnold Purisch, PhD  Dr. Dan Gardner's YouTube and Podcast channels and his website do NOT offer medical advice. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. See full Disclaimer: http://bit.ly/dgdisclaimer **SUBSCRIBE FOR VIDEOS ** *Interviews of brain injury survivors, family, and healthcare treaters *Your Peripheral Brain (assistive technology tips)* SUBSCRIBE TO VIDEOS http://bit.ly/tbirecovery-subscribe **SUBSCRIBE TO PODCAST** https://dangardner.podbean.com/ **SUBSCRIBE TO NEWSLETTERS** Traumatic Brain Injury Recovery Updates http://bit.ly/tbiupdates Your Peripheral Brain - Assistive Tech Updates http://bit.ly/dgtechtips

Dr. Dixon and Dr. Berezin discuss malingering in the psychiatric emergency department, the Netflix series 13 Reasons Why, and whether responses to item 9 of the Patient Health Questionnaire (PHQ-9) predicts suicidal behavior among outpatients with diagnoses of psychotic disorders.

Dr. Rosenblum gets personal with his background and how it relates to sifting through the lies. How to weed out drug seekers and malingerers  How Fidel Castro influenced your Board Prep?     Subscribe to our mailing list * indicates required Email Address  *                         References www.inc.com/bill-murphy-jr/how-to-tell-if-someone-is-lying-10-tells-and-clues-.html Download the PainExam App for iPhone and Android DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another's health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.    Copyright © 2018 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.    

In this episode: Somatoform Disorders including malingering, factitious, somatic symptom, conversion, and illness anxiety. Welcome to Medical Student StudyCast. Where I have the questions and you have the answers. The goal of this podcast is to help medical students study for high yield topics and actively test knowledge. Timestamp: 00:00 Intro 00:50 Somatoform Intro 01:30 Malingering and Factitious 04:20 Somatic Syndrome and Conversion 08:00 Illness Anxiety 08:55 Rapid Review Written, produced and recorded by Josh Bradford. Comments, constructive criticism, or questions please contact at medicalstudentstudycast@gmail.com Support by donating to anchor.fm/medical-student-studycast or patreon.com/medicalstudentstudycast Tags: Somatiform, lying, faking, primary gain, secondary gain, stress, psychiatry clerkship, psychiatry rotation, rotations, psychiatric, behavioral health, USMLE, COMLEX, step 2, level 2, clinical, shelf exam, medicine --- Support this podcast: https://anchor.fm/medical-student-studycast/support

Medico legal reporting of malingering Dr Howard Ryland in conversation with Dr Derek Tracy and Professor Keith Rix This, the second of two BJPsych Advances podcasts on Malingering, focuses on the medico legal reporting of malingering.

The process of clinical assessment The first of two linked BJPsych Advances podcasts recorded at the RCPsych International Congress, Dr Howard Ryland is in conversation here with Dr Derek Tracy and Professor Keith Rix on the complex topic of Malingering.

Walker Foland is an emergency physician practicing in Michigan and in this episode breaks down why pseudoseizures, now termed PNES (Psychogenic Nonepileptic Seizures), are a real disease.   Sign up for the ERcast mailing list Are patients with PNES ‘faking it’? PNES is a conversion disorder: an unconscious manifestation of psychological trauma. Walker treats PNES patients with haloperidol or olanzapine with the thinking that this is psychological, not true epilepsy PNES is not ‘faking it’ or lying   Challenges Patients with PNES may also have true epileptic seizures Diagnosing PNES, or separating it from epilepsy, may take video EEG monitoring, a neurologist, and sometimes prolonged periods of time to figure things out   How to tell the difference between an grand mal epileptic seizure vs PNES vs faking it? PNES Seizures related to a specific stimulus (sound foods, body movement) Frequency and amplitude of concussions: same frequency through the seizure with varying amplitude. Maintenance of consciousness and may have some of the below may guard the face with passive hand drop resist eyelid opening visual fixation on a mirror Whit Fisher, Dr Procedurettes, squirts water in the face of patients where there is thought of PNES.  If they grimace, probably not an epileptic seizure. Faking Seizures Talking Purposeful movement Avoids injury May use convulsions as a way of harming staff Intermittently awake and vocal during the episode Epileptic seizure Convulsive frequency decreases, amplitude increases as seizure progresses No response to pain Allow passive eye opening   A 2010 article from the Journal of Neurology Neurosurgery and Psychiatry broke down the evidence of what other elements can help distinguish PNES from epileptic seizures. Duration over 2 minutes suggests PNES, but we’ve all seen epileptic seizures last for a long time, status, and some PNES can be super short Happens in sleep. Evidence suggests that if the event happens in sleep, that is probably episode. PNES episodes happen when awake Fluctuating course such as a pause in the rhytmic movement, epileptic seizures usually don’t pause and then restart, a pause favors PNES Flailing. You’d think the flailing patient has PNES for sure because epilepsy doesn’t flail, but it does! Flailing is much more common in PNES, but not so much so that it’s a clear distinguishing factor Urinary incontinence, more common in epilepsy, but does happen in PNES. Post-ictal recovery period. Surely, this is the sine qua non of epilepsy.  It is way way more common following generalized epileptic seizures but happens in around 15% of PNES. The sterterous breathing (noisy, labored) that we see after generalized tonic clonic epileptic seizures suggests epilepsy and is not a characteristic of PNES   Walker’s take home points PNES patients aren’t ‘faking it’ This is a real disorder, it's just not epilepsy References Chen, David K., and W. Curt LaFrance Jr. "Diagnosis and treatment of nonepileptic seizures." CONTINUUM: Lifelong Learning in Neurology 22.1, Epilepsy (2016): 116-131. PMID:26844733 Avbersek, Andreja, and Sanjay Sisodiya. "Does the primary literature provide support for clinical signs used to distinguish psychogenic nonepileptic seizures from epileptic seizures?." Journal of Neurology, Neurosurgery & Psychiatry 81.7 (2010): 719-725.Full Text PMID:20581136  Shen, Wayne, Elizabeth S. Bowman, and Omkar N. Markand. "Presenting the diagnosis of pseudoseizure." Neurology 40.5 (1990): 756-756. Full Text PMID:2330101

This episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering. Episode Overview Two categories of psychiatric illness are covered in this episode Factitious Disorder Malingering Individuals suffering from factitious disorders fabricate symptoms of illness to fulfill the sick role (primary gain) Individuals suffering from malingering fabricate symptoms of illness to obtain something (secondary gain) Despite the fact that we may suspect either factitious disorder or malingering, we must strive to objectively assess the patient for concrete evidence of disease If no objective evidence of disease exists in a patient, do not investigate with needless and/or harmful diagnostic modalities Refer back to their primary care physician If you are suspecting factitious disorder by proxy, the safety of your patient should always be your first priority  Core Questions What is a factitious disorder and what is malingering? List the DSM-5 diagnostic criteria for factitious disorder imposed on self (FDIS) List the DSM-5 diagnostic criteria for factitious disorder imposed on another (FDIA) List four characteristics of malingering

This episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering. Episode Overview Two categories of psychiatric illness are covered in this episode Factitious Disorder Malingering Individuals suffering from factitious disorders fabricate symptoms of illness to fulfill the sick role (primary gain) Individuals suffering from malingering fabricate symptoms of illness to obtain something (secondary gain) Despite the fact that we may suspect either factitious disorder or malingering, we must strive to objectively assess the patient for concrete evidence of disease If no objective evidence of disease exists in a patient, do not investigate with needless and/or harmful diagnostic modalities Refer back to their primary care physician If you are suspecting factitious disorder by proxy, the safety of your patient should always be your first priority  Core Questions What is a factitious disorder and what is malingering? List the DSM-5 diagnostic criteria for factitious disorder imposed on self (FDIS) List the DSM-5 diagnostic criteria for factitious disorder imposed on another (FDIA) List four characteristics of malingering

13 December 2016 BJPsych Advances Podcast Dr Howard Ryland in conversation with Dr Derek Tracy and Professor Keith Rix. This, the second of two BJPsych Advances podcasts on Malingering, focuses on the medico legal reporting of malingering. Article published in the March 2017 issue of BJPsych Advances Read the full article here: Malingering mental disorders: Medicolegal reporting Keith J. B. Rix and Derek K. Tracy https://doi.org/10.1192/apt.bp.116.015966

13 October 2016 BJPsych Advances Podcast The first of two linked BJPsych Advances podcasts recorded at the RCPsych International Congress, Dr Howard Ryland is in conversation here with Dr Derek Tracy and Professor Keith Rix on the complex topic of Malingering. Published in the January 2017 issue of BJPsych Advances Read the full article here: Malingering mental disorders: Clinical assessment Derek K. Tracy and Keith J. B. Rix https://doi.org/10.1192/apt.bp.116.015958

Opioids are extraordinary agents that have been used for millennia for the relief of pain and suffering; however, the history of opioids is also one of abuse and addiction. In the US, we are in the midst of a devastating iatrogenic chapter in this history, a prescription opioid epidemic that kills 15,000 Americans per year by overdose and destroys hundreds of thousands of lives and families.In this presentation we will consider the magnitude and consequences of the current epidemic; describe how clinical organizations and clinicians were appropriated by the pharmaceutical industry so that Americans–5% of the world’s population–consume more prescription opioids than the rest of the world combined; and discuss strategies for managing patients who present to emergency departments with acute or chronic pain complaints that account for our competing mandates to palliate and protect.These strategies center on an assessment of the likelihood that using opioids will deliver benefit or cause harm. For patients at low risk to be harmed by opioids, utilize aggressive multimodal analgesia, including opioids as needed to control acute pain, and prescribe optimal outpatient non-opioid analgesia with a small number of breakthrough opioids if indicated. For patients at high risk to be harmed by opioids, including patients with chronic pain and patients with flags for opioid misuse, avoid using opioids in the ED and outpatient settings, utilize non-opioids to manage symptoms, and, when misuse is suspected, nudge the patient to addiction treatment. The goals of optimal opioid stewardship are to provide effective symptom relief while preventing de novo cases of addiction, to control the supply of opioids in the community, and to protect existing addicts from further harm while promoting recovery. For slides, the HELPCard treatment referral business card, and phraseology to use when managing patients at risk for opioid misuse, go to http://emupdates.com/help

The words for today are: Rarefy, Cloying, Malingerer, Officious. VictorPrep's vocab podcast is for improving for English vocabulary skills while helping you prepare for your standardized tests! This podcast isn't only intended for those studying for the GRE or SAT, but also for people who enjoy learning, and especially those who want to improve their English skills. I run the podcast for fun and because I want to help people out there studying for tests or simply learning English. The podcast covers a variety of words and sometimes additionally covers word roots. Using a podcast to prep for the verbal test lets you study while on the go, or even while working out!  If you have comments or questions and suggestions, please contact me at @SamFold or send me an email at sam.fold@gmail.com. Check out the podcast website at VictorPrep.com or the Facebook page at Facebook.com/victorpreplearning

Guthrie goes to a pawn shop informed that a young boy is trying to sell a $5,000 necklace for $5. He finds that both the boy and his brother were abandoned. Original Air Date: March 4, Read more ...

Derick Wade (professor and consultant in neurological rehabilitation at the Oxford Centre for Enablement) and Nick Ward (JNNP associate editor and reader in clinical neurology at UCL) discuss the past, present and future of measuring and predicting recovery after stroke.And poor effort, exaggeration and malingering can be used to explain why individuals post-concussion report persistent symptoms inconsistent with the severity of their injury. However Jonathan Silver (clinical professor of Psychiatry at New York University School of Medicine) writes in August’s JNNP that social psychology and behavioural economics reveal other factors. Killian Welch (consultant neuropsychiatrist in Edinburgh, UK) discusses them with him.See also:Functional abilities after stroke: measurement, natural history and prognosis http://tinyurl.com/awo4hv5Effort, exaggeration and malingering after concussion http://tinyurl.com/a7tgcf2

There is a phenomenon that we all see in workers’ comp cases, whether representing the claimant or the insurer. An insurer or its medical expert might call it symptom magnification. In this edition of Workers’ Comp Matters, host Attorney Alan S. Pierce, welcomes Attorney Douglas Jones, founder and Member-in-Charge of the law firm, Jones Dietz, PLLC, to look at the process, discuss related topics such as malingering as opposed to a more legitimate form of pain disorder and touch on the broader subject of fraud, which many people equate to symptom magnification.

In this podcast, Dr Gerald Rosen talks about malingering and the motivations that can lead to simulated psychiatric disorder. He explains how to deal with a suspected case and how to achieve the best outcome whilst maintaining the therapeutic relationship, providing case examples and advice from his own wealth of clinical experience.

Guest: Michael Schiesser, MD Host: Leslie P. Lundt, MD One of the most difficult challenges in medicine can be the decision to use a potentially addicting opioid medication to treat pain. We don't want to give malingering drug seeking patients meds they can abuse or sell on the street yet we don't want to withhold treatment to those who need it. Host Dr. Leslie Lundt welcomes internist Dr. Michael Schiesser to discuss managing this potentially difficult population.

Guest: Robert Heilbronner, PhD Host: Bill Rutenberg, MD As a neuropsychologist, Dr. Heilbronner is often asked upon to evaulate malingering. Does a patient have a valid reason to be avoiding work after an injury? Are they exagerating their symptoms? How can a neuropsychologist help evaluate whether or not someone is malingering?