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1011-Preventing Misdiagnosis in Counseling _ Holistic Health
IntroductionDifferential Diagnosis Overview
Symptom Overlap: Many symptoms, like fatigue, can have multiple causes (e.g., hormonal imbalances, medication side effects, nutrient deficiencies).
Comprehensive Approach: Importance of considering bio-psycho-social factors before diagnosing to avoid missing underlying physical causes.
Talk Therapy Limitations: Emphasizes that some conditions (e.g., atrial fibrillation) cannot be resolved through therapy alone.
Framing Bias in Diagnosis
Definition: A cognitive bias where decision-making is influenced by how information is presented.
Impact: Patients may describe symptoms differently to different professionals (e.g., physical symptoms to doctors, emotional symptoms to therapists), leading to potential misdiagnoses.
Confirmation Bias
Definition: The tendency to favor information that confirms pre-existing beliefs or expectations.
Clinical Implications: Can lead to misdiagnoses by assuming a patient’s issues are solely mental health-related without considering physiological causes.
Availability Heuristic
Definition: A mental shortcut where people rely on immediate examples that come to mind.
Example: Increased diagnoses of personality disorders due to media coverage, potentially leading to over-diagnosis.
Importance of Comprehensive Evaluation
Holistic Approach: Evaluate all aspects of a patient's life (physical, emotional, cognitive, etc.) to determine the root cause of symptoms.
Avoiding Over-Diagnosis: Caution against diagnosing multiple disorders when symptoms might be better explained by a single condition (e.g., CPTSD).
Physiological Causes of Depression
Hormonal Imbalances: Low testosterone, estrogen, thyroid issues.
Nutrient Deficiencies: Low vitamin D, iron deficiency, dehydration.
Sleep Disorders: Sleep apnea, circadian rhythm disruptions.
Other Physical Factors: Chronic inflammation, medication side effects, cardiovascular dysfunction, addiction.
Low Energy and Motivation
Causes: Chronic fatigue syndrome, sleep disturbances, medication side effects, hormonal imbalances, and chronic stress.
Emotional and Cognitive Factors: Depression, anxiety, schizophrenia, PTSD, and cognitive distortions like hopelessness and helplessness.
Sleep Disturbances
Contributors: Sleep apnea, hormonal imbalances, hypervigilance (especially in PTSD/CPTSD), addiction, medication side effects.
Impact on Mental Health: Poor sleep exacerbates issues like low energy, depression, and anxiety.
Attention and Concentration Difficulties
Physical Causes: Blood sugar issues, dehydration, cardiovascular disease, thyroid imbalances.
Cognitive and Emotional Factors: ADD/ADHD, anxiety, depression, schizophrenia.
Social Withdrawal and Isolation
Oxytocin Role: Low levels or ineffective response to oxytocin can lead to social withdrawal.
Mental Health Connections: Common in schizophrenia, autism, anxiety, and depression.
Anxiety and Worry
Nutritional Deficiencies: Imbalances in magnesium, vitamin D, and B vitamins.
Other Causes: Hormonal imbalances, sleep dysfunction, side effects of medications like benzodiazepines and antidepressants.
Addiction: Stress from hiding addiction or withdrawal symptoms can exacerbate anxiety.
Conclusion
Chapters:
00:00:00 - Introduction to Differential Diagnosis and Framing Bias
00:06:54 - Assessment of Depressive Symptoms
00:14:03 - Causes of Depressed Mood
00:20:58 - Underlying Causes of Fatigue
00:28:00 - Factors contributing to sleep dysfunction and low energy
00:34:58 - Sleep Disruptions and their Causes
00:41:37 - Restlessness: Causes and Solutions
00:48:44 - Factors Contributing to Anxiety and Worry
00:55:29 - Causes of Low Motivation
01:02:15 - Wishing You an Amazing Week
Learn more about your ad choices. Visit megaphone.fm/adchoices
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By Dr. Dawn-Elise Snipes
4.7
590590 ratings
IntroductionDifferential Diagnosis Overview
Symptom Overlap: Many symptoms, like fatigue, can have multiple causes (e.g., hormonal imbalances, medication side effects, nutrient deficiencies).
Comprehensive Approach: Importance of considering bio-psycho-social factors before diagnosing to avoid missing underlying physical causes.
Talk Therapy Limitations: Emphasizes that some conditions (e.g., atrial fibrillation) cannot be resolved through therapy alone.
Framing Bias in Diagnosis
Definition: A cognitive bias where decision-making is influenced by how information is presented.
Impact: Patients may describe symptoms differently to different professionals (e.g., physical symptoms to doctors, emotional symptoms to therapists), leading to potential misdiagnoses.
Confirmation Bias
Definition: The tendency to favor information that confirms pre-existing beliefs or expectations.
Clinical Implications: Can lead to misdiagnoses by assuming a patient’s issues are solely mental health-related without considering physiological causes.
Availability Heuristic
Definition: A mental shortcut where people rely on immediate examples that come to mind.
Example: Increased diagnoses of personality disorders due to media coverage, potentially leading to over-diagnosis.
Importance of Comprehensive Evaluation
Holistic Approach: Evaluate all aspects of a patient's life (physical, emotional, cognitive, etc.) to determine the root cause of symptoms.
Avoiding Over-Diagnosis: Caution against diagnosing multiple disorders when symptoms might be better explained by a single condition (e.g., CPTSD).
Physiological Causes of Depression
Hormonal Imbalances: Low testosterone, estrogen, thyroid issues.
Nutrient Deficiencies: Low vitamin D, iron deficiency, dehydration.
Sleep Disorders: Sleep apnea, circadian rhythm disruptions.
Other Physical Factors: Chronic inflammation, medication side effects, cardiovascular dysfunction, addiction.
Low Energy and Motivation
Causes: Chronic fatigue syndrome, sleep disturbances, medication side effects, hormonal imbalances, and chronic stress.
Emotional and Cognitive Factors: Depression, anxiety, schizophrenia, PTSD, and cognitive distortions like hopelessness and helplessness.
Sleep Disturbances
Contributors: Sleep apnea, hormonal imbalances, hypervigilance (especially in PTSD/CPTSD), addiction, medication side effects.
Impact on Mental Health: Poor sleep exacerbates issues like low energy, depression, and anxiety.
Attention and Concentration Difficulties
Physical Causes: Blood sugar issues, dehydration, cardiovascular disease, thyroid imbalances.
Cognitive and Emotional Factors: ADD/ADHD, anxiety, depression, schizophrenia.
Social Withdrawal and Isolation
Oxytocin Role: Low levels or ineffective response to oxytocin can lead to social withdrawal.
Mental Health Connections: Common in schizophrenia, autism, anxiety, and depression.
Anxiety and Worry
Nutritional Deficiencies: Imbalances in magnesium, vitamin D, and B vitamins.
Other Causes: Hormonal imbalances, sleep dysfunction, side effects of medications like benzodiazepines and antidepressants.
Addiction: Stress from hiding addiction or withdrawal symptoms can exacerbate anxiety.
Conclusion
Chapters:
00:00:00 - Introduction to Differential Diagnosis and Framing Bias
00:06:54 - Assessment of Depressive Symptoms
00:14:03 - Causes of Depressed Mood
00:20:58 - Underlying Causes of Fatigue
00:28:00 - Factors contributing to sleep dysfunction and low energy
00:34:58 - Sleep Disruptions and their Causes
00:41:37 - Restlessness: Causes and Solutions
00:48:44 - Factors Contributing to Anxiety and Worry
00:55:29 - Causes of Low Motivation
01:02:15 - Wishing You an Amazing Week
Learn more about your ad choices. Visit megaphone.fm/adchoices
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