Medicine’s M-Bomb: Malingering Diagnosing someone as a “malingerer” is about as close to dropping a verbal “bomb” as you can get in the realm of medical diagnosis. Basically, you are calling the patient a liar -- there is no kinder way of putting it.
The dangers, of course, are many: you may be missing the real diagnosis; delaying essential treatment; and blackening the name and reputation of an innocent individual. This dreaded issue of malingering comes up not only in psychiatry, but in neurology, pain medicine, forensic settings, and sometimes, in family practice.
Counseling Gifted and Creative Teens with Symptoms of Depression I began to look into the prevalence of depression in adolescents after my experiences working with teens in public high schools and community-based mental health clinics. As these young adults entered my office complaining of feelings of “not belonging,” “being different” and “feeling misunderstood,” I noticed certain similarities in their hobbies and interests. Many of them were highly introspective, gifted in certain areas, with artistic interests and an aptitude for abstract thinking.
Undoubtedly, most of my adolescent clients seemed to go through some type of inner struggle during the process of identity formation. However, feelings of melancholy and themes of existential depression seemed to make a more frequent appearance in my sessions with highly creative and intellectually gifted teens.
The idea that creative or intellectually gifted adolescents might experience particularly angst-ridden emotions compared to their counterparts is not new. In a recent study by Young et. al (2012), a higher incidence of symptoms of depression was found in adolescents involved in arts activities.
Pathologizing the Human Condition: Does it Really Help? The American Psychiatric Association recently published a new version of the Diagnostic and Statistical Manual (DSM). The DSM-5 is what medical, mental health, and chemical dependency professionals use to diagnose developmental, mental health, substance abuse ...
Antidepressants: Does Mechanism Matter? While it’s certainly interesting to theorize about neurotransmitters and antidepressants, the recent STAR-D findings bring up a difficult topic: Does mechanism matter?
Recall that the ...