Summary: <p>Differential Diagnosis<br> Exploring the Framing Bias<br> Instructor: Dr. Dawn-Elise Snipes<br> Executive Director: AllCEUs.com, Counselor Education and Training<br> Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery</p> <p>Counseling CEUs are available at <a href="https://www.allceus.com/member/cart/index/search?q=framing+bias">https://www.allceus.com/member/cart/index/search?q=framing+bias</a><br> Objectives<br> ~ Define the framing bias<br> ~ Explore medial, substance and mood symptoms which may overlap<br> ~ Identify how many “problem” behaviors are semi-functional adaptations to help the person survive<br> ~ Develop an understanding for how a positive change in any one area can lead to positive changes throughout the system</p> <p> </p> <p>Framing Bias<br> ~ Tendency to react to a particular set of symptoms in different ways depending on how or where it is presented<br> ~ Medical practitioners: Depression, Anxiety, Physical<br> ~ May miss bipolar, substance intoxication or withdrawal, normal reactions to psychosocial stressors<br> ~ Mental health clinicians: Mental health, normal reactions to psychosocial stressors<br> ~ May miss medical, substance<br> ~ Substance abuse clinicians: Substance, normal reactions<br> ~ May miss mental health and medical<br> Framing Bias<br> ~ Problem (Finding the cause of the symptoms)<br> ~ If it is caused by medical, psychosocial issues, psychotropics will (likely) not help much<br> ~ If it is caused by substances, psychotropics may help “bridge the gap”<br> ~ If symptoms are caused by a mental health issue which exists independently of substance use, recovery needs to address both<br> Framing Bias<br> ~ Find the cause of low water pressure<br> ~ Leaks:<br> ~ Water pressure coming into the house is fine, but doesn’t make it to where it needs to be<br> ~ Dripping faucets, running toilet, poor fittings<br> ~ Crack in the line<br> ~ Pressure reducing valve malfunctioning</p> <p>Anxiety: Generalized<br> ~ Symptoms<br> ~ At least 6 months of “excessive anxiety and worry” about a variety of events and situations.<br> ~ The presence for most days over the previous six months of 3 or more (only 1 for children) of the following symptoms:<br> ~ Feeling wound-up, tense, or restless<br> ~ Easily becoming fatigued or worn-out<br> ~ Concentration problems<br> ~ Irritability<br> ~ Significant muscle tension<br> ~ Difficulty with sleep</p> <p> </p> <p>Anxiety: Panic Disorder<br> ~ Symptoms<br> ~ Palpitations, pounding heart, or accelerated heart rate<br> ~ Sweating<br> ~ Trembling or shaking<br> ~ Sensations of shortness of breath or smothering<br> ~ Feeling of choking<br> ~ Nausea or abdominal distress<br> ~ Feeling dizzy, unsteady, lightheaded, or faint<br> ~ Derealization (feelings of unreality) or depersonalization (being detached from oneself)<br> ~ Fear of losing control or going crazy or dying<br> ~ Paresthesias (numbness or tingling sensations)<br> ~ Chills or hot flushes</p> <p> </p> <p>Depression and Dysthymia<br> ~ Major Depressive Episode<br> ~ A. Five (or more) of the following have been present nearly every day during the same 2-week period<br> ~ depressed mood most of the day<br> ~ markedly diminished interest or pleasure in all, or almost all, activities<br> ~ significant changes in eating patterns.<br> ~ insomnia or hypersomnia<br> ~ psychomotor agitation or retardation nearly every day<br> ~ fatigue or loss of energy<br> ~ feelings of worthlessness or excessive or inappropriate guilt<br> ~ diminished ability to think or concentrate, or indecisiveness,<br> ~ recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation<br> Mania/Hypomania<br> ~ Symptoms<br> ~ A distinct period of abnormally and persistently elevated, or irritable mood, lasting at least 1 week<br> ~ Inflated self-esteem or grandiosity</p>
