SIMPLE AND PRACTICAL MENTAL HEALTH
SIMPLE AND PRACTICAL MENTAL HEALTH
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How to not miss the diagnosis of autism spectrum disorder in adults
Simple and Practical Medical Education (simpleandpractical.com) interviewed Edward Brodkin, MD, about autism spectrum disorders in adults (on April 1, 2021). Dr. Brodkin is Director of the Adult Autism Spectrum Program at Penn Medicine and Co-Director of the Autism Spectrum Program of Excellence at the University of Pennsylvania. Here are the questions that we posed to Dr. Brodkin during this interview:
1. In adults, how commonis autism spectrum disorder?
2. How does autism spectrum disorder typically present clinically in adults?
3. Are there differences in how it presents in men versus in women?
4. Mental health clinicians have limited time and need to focus on pressing issues like depression, anxiety, insomnia, and suicidality. Why is it important to identify autism spectrum disorder if it is present in our patients?
5. Why does it often go undiagnosed, even by mental health professionals?
6. What exactly should we do to actively screen for autism spectrum disorder in our patients?
7. What kinds of treatments are available for adults with autism spectrum disorder?
8. What resources does Dr. Brodkin recommend for patients with autism spectrum disorder and their families to learn more?
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Відео

How we can get better outcomes for persons with bipolar disorders
Переглядів 8863 роки тому
Simple and Practical Medical Education's Raj Mago, MD interviewed Joseph Goldberg, MD, an internationally-recognized expert on bipolar disorders about what he thinks are the most important things clinicians, patients, and their family members can do so that we can get better outcomes in bipolar disorders. This interview was recorded on March 30, 2021, on the occasion of World Bipolar Day. For m...
Binge-eating disorder: Interview with Leslie Citrome, MD
Переглядів 1,3 тис.3 роки тому
Rajnish ("Raj") Mago, MD, Editor-in-Chief of Simple and Practical Medical Education (simpleandpractical.com) interviews Leslie Citrome, MD, a leading expert on psychopharmacology, about binge-eating disorder what it is, how it can be identified, and how it can be treated. Here is a link to Dr. Citrome's LinkedIn post about the special issue of Clinical Therapeutics on Eating Disorders that he c...
Epocrates Online-Drug interaction search
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A demonstration of how easy it is to do a drug interaction search in a minute or less.
CBT for brief sessions. Donna Sudak, MD. Part six
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In this interview with Simple and Practical Mental Health, Donna Sudak, MD, a leading expert on cognitive-behavior therapy (CBT) explains why and how CBT can and should be used even in brief and infrequent sessions with patients.
CBT for brief sessions. Donna Sudak, MD. Part five
Переглядів 2857 років тому
In this interview with Simple and Practical Mental Health, Donna Sudak, MD, a leading expert on cognitive-behavior therapy (CBT) explains why and how CBT can and should be used even in brief and infrequent sessions with patients.
CBT for brief sessions. Donna Sudak, MD. Part four
Переглядів 3587 років тому
In this interview with Simple and Practical Mental Health, Donna Sudak, MD, a leading expert on cognitive-behavior therapy (CBT) explains why and how CBT can and should be used even in brief and infrequent sessions with patients.
CBT for brief sessions. Donna Sudak, MD. Part three
Переглядів 4207 років тому
In this interview with Simple and Practical Mental Health, Donna Sudak, MD, a leading expert on cognitive-behavior therapy (CBT) explains why and how CBT can and should be used even in brief and infrequent sessions with patients.
CBT for brief sessions. Donna Sudak, MD. Part two
Переглядів 4987 років тому
In this interview with Simple and Practical Mental Health, Donna Sudak, MD, a leading expert on cognitive-behavior therapy (CBT) explains why and how CBT can and should be used even in brief and infrequent sessions with patients.
CBT for brief sessions. Donna Sudak, MD. Part one
Переглядів 1,2 тис.7 років тому
In this interview with Simple and Practical Mental Health, Donna Sudak, MD, a leading expert on cognitive-behavior therapy (CBT) explains why and how CBT can and should be used even in brief and infrequent sessions with patients.
Shawn Christopher Shea, MD Video 4 Interviewing paranoid patients
Переглядів 4,2 тис.7 років тому
In this part 4 of an interview with Simple and Practical Mental Health, Shawn Christopher Shea, MD, author of "Psychiatric Interviewing: The Art of Understanding, 3rd Edition" gives us tips about how to and how NOT to interview persons who are paranoid.
Shawn Christopher Shea, MD. Video 6: About the book
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In this part 6 of an interview with Simple and Practical Mental Health, Shawn Christopher Shea, MD, author of "Psychiatric Interviewing: The Art of Understanding, 3rd Edition" tells us about the book and its many strengths.
Shawn Christopher Shea, MD. Video 5: Medication Interest Model
Переглядів 3,2 тис.7 років тому
In this part 5 of an interview with Simple and Practical Mental Health, Shawn Christopher Shea, MD, author of "Psychiatric Interviewing: The Art of Understanding, 3rd Edition" gives us tips about how to discuss taking medications using the Medication Interest Model.
Shawn Christopher Shea, MD. Video 3: Validity Techniques
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In this part 3 of an interview with Simple and Practical Mental Health, Shawn Christopher Shea, MD, author of "Psychiatric Interviewing: The Art of Understanding, 3rd Edition" gives us tips about using Validity Techniques to explore sensitive topics other than suicidality.
Shawn Christopher Shea, MD. Video 2: Suicide Assessment
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In this part 2 of an interview with Simple and Practical Mental Health, Shawn Christopher Shea, MD, author of "Psychiatric Interviewing: The Art of Understanding, 3rd Edition" gives us valuable tips about "the delicate art of suicide assessment".
Shawn Christopher Shea, MD Video 1 Psychiatric Interviewing
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Shawn Christopher Shea, MD Video 1 Psychiatric Interviewing
Which risk factors to focus on--Interview with Jack Krauski MD
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Which risk factors to focus on Interview with Jack Krauski MD
Use the past to try to predict the future. Interview with Jack Krasuski MD
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Use the past to try to predict the future. Interview with Jack Krasuski MD
Fallacy of Suicide Prediction
Переглядів 8257 років тому
Fallacy of Suicide Prediction
Transcranial Magnetic Stimulation (TMS ): An interview
Переглядів 7818 років тому
Transcranial Magnetic Stimulation (TMS ): An interview

КОМЕНТАРІ

  • @JChurchua
    @JChurchua 2 роки тому

    Nervous to get a true diagnosis, due to being afriad of completely shutting down and giving up... Finally realized I may be autistic in my twenties. The more I research the more it makes sense. I have taken several online AQ tests, all have shown "likely aspergers syndrome." Now in my early 30's I feel I struggle with everything.. After several years of being convinced that I am, my mom told a story about how I didnt speak until I was about 18 months old. Interesting, thats one of the common connections with early onset.... life just sucks...

  • @ninayamamoto1077
    @ninayamamoto1077 2 роки тому

    Would love to see bite-sized interviewing techniques on Tiktok?

  • @sofiaharper6349
    @sofiaharper6349 2 роки тому

    I am a 20 yr old with Autism. It is so frustrating that doctors don’t believe I have autism despite my sensory issues, difficulties with socializing & the meltdowns. They think it’s bipolar when though I never have highs or lows, it’s a constant mood.

  • @LALife6
    @LALife6 2 роки тому

    EXCELLENT VIDEO! I’m 42 years old AND resonate 1,000% to this!!

  • @poxyfairy
    @poxyfairy 2 роки тому

    Thank you for this video, this is so important to get out there. As a 40 year old woman currently going through the diagnostic process, it's been a very long and frustrating road to get here.

    • @JChurchua
      @JChurchua 2 роки тому

      How is the process going? Any info on the price out of pocket?

    • @poxyfairy
      @poxyfairy 2 роки тому

      @@JChurchua Thankfully my insurance covers it and just requires a copay for each visit. I feel extremely fortunate! So far I've only had my intake, waiting on my testing appointments. Just a couple more months, ugh.

    • @JChurchua
      @JChurchua 2 роки тому

      @@poxyfairy So, this isnt a one session thing? Sounds like itll be real expensive for me without any insurance... damnit!!

    • @poxyfairy
      @poxyfairy 2 роки тому

      @@JChurchua Yeah, mine is 4 appointments. Two are 4-6 hours of testing/interviews. I'm sure you could get a diagnosis without the testing, if you can find the right person. I wish this wasn't so expensive, our system is so broken.

    • @JChurchua
      @JChurchua 2 роки тому

      @@poxyfairy Well, I came across it in doing my own research. "why am i so weird." Aspergers hits so many nails on the head! So, I dug deaper and have taken AQ tests off different websites. Each and every one suggests Aspergers as well. All my family, and my ex of a 10 years relationship(3 months broken) are "normal." Not only do they not understand my issues(or the relationship issues) They wont fully accept me telling them I am Autistic, without the clinical, professional diagnosis. I fully understand that too..

  • @iliyakurmi3269
    @iliyakurmi3269 2 роки тому

    I don't really know how to thank you Dr odija on UA-cam for making me to live like my fellow mates and for curing me from diabetes.... thank you so much may God always strengthen you and your work..

  • @celia1888
    @celia1888 2 роки тому

    29 years old, was told by several of my friends (all those who were autistic at least) they thought I was already diagnosed because they recognized the traits. All my previous psychologists and experts on ASD "nah your OCD's not bad enough/you're a woman/you're too old/you don't fit the stereotype/you only have OCD, Depression, Generalized & social anxiety disorder, dyspraxia, avoidant PD and most likely ADHD". Like...according to you I have most of the comorbidities associated with autism but I can't be autistic because I have those ? Sure Jan.

  • @TourWithMe-hb6pq
    @TourWithMe-hb6pq 2 роки тому

    Great info here

  • @tennotsukai87
    @tennotsukai87 2 роки тому

    34 years old and just had my second ASD diagnosis appointment. My first eval went pretty poorly, as I had little knowledge of the encompassing traits for ASD. I was also not understanding the evaluator very well during our meeting and left out a lot of details to evidence supporting those traits. To be honest, I didn't realize the evaluation was being done when it was; I wasn't sure to go into details. It felt pretty devastating being undiagnosed. Though, credit to that evaluator, I have already been diagnosed with different anxiety disorders coming from my military time, so I ended up reading into the dsm-5 to pretty much learn as much as I can about the traits and common elements of having ASD. I can't find anything on there (regarding autism) that does not describe me like a biography to my life. So, I had another appointment recently which seemed to be much better done and better explained. This has definitely been a struggle for me, so I really appreciate seeing a video like this.

  • @Catlily5
    @Catlily5 3 роки тому

    I would not have complained of sensory issues (even though I have them) because I didn't know that I was different than other people and other problems like anxiety and mood problems seem worse. Also I wouldn't have known that a psychiatrist would be interested that socks annoy me or that smells can be so annoying.

    • @sweetpea4967
      @sweetpea4967 2 роки тому

      Yes...questions should be more like do you feel tags in your clothing, have fabrics you don't like or avoid touching, can you hear certain sounds like florescents or feel sounds or smells in your body. Folks have to ask if they remember being told to stop walking on their toes or "stop moving like that", etc. When one doesn't have intellectual deficits it is easy to mask especially since society will tell you over and over if you are not behaving neurotypical.

    • @Catlily5
      @Catlily5 2 роки тому

      @@sweetpea4967 Yeah, society likes to remind me that I am not normal.

  • @jenn_jean_kent_artist
    @jenn_jean_kent_artist 3 роки тому

    Very informative. Thank you.

  • @CinkSVideo
    @CinkSVideo 3 роки тому

    Clinicians are not trained at all in how to recognize autism in adults. They are thrown by facial expressions and hand gestures when the higher intelligence/functioning have well developed masking strategies. With women especially, they are prone to misdiagnose as personality disorders and, thereby cause harm. Key point here is to take a more careful history. That means this likely cannot be accomplished in a two hour interview. This misdiagnosis sends a people out without the correct directed therapies. Better evaluation methods than trying to force fit the ADOS to adults needs to be developed. Additionally, there needs to be training of professionals to work with autistic adults. There are little or no resources for proper help. In order to address the anxiety and depression, you have to start with the autism.

    • @sofiaharper6349
      @sofiaharper6349 2 роки тому

      I’m in that boat right now. SSRI’s only caused me more pain and caused me to develop symptoms I never struggled with before.

  • @prf76
    @prf76 3 роки тому

    I’m 45 and think I have undiagnosed ASD. Debating whether to get a formal diagnosis or not.

    • @JChurchua
      @JChurchua 2 роки тому

      You married? Have a "normal" life? just keep moving forwars. Im 33, Think I am Undiagnosed autistic and have struggled forever and no one realises why. I finally realized I think I am ASD1, and since afew family stories have corresponded with that being factual. Im afriad getting a diagnosis now will cause me to fall apart, rather than bring closure...

    • @prf76
      @prf76 2 роки тому

      @@JChurchua I’ve since been and spoken to my Dr and have been referred for a diagnosis. I’ve had a lot of struggles, particularly with almost every person I know saying I’ve said and done things that I haven’t said and done. Either every person in the world is a pathological lier, or there’s something in the way I communicate and interact with other people. To answer your questions, yes I’m married, she thinks I have ASD too. I don’t see having ASD as a bad thing, it would be a huge positive for me.

  • @Eirini80
    @Eirini80 3 роки тому

    I know that some people with asd have no sensory issues.Is it true?

  • @DunkingDurant35
    @DunkingDurant35 3 роки тому

    Good overview. 36 year old woman with clinically diagnosed autism here; I wasn't diagnosed until age 29. There was little awareness of higher functioning forms of autism, especially in women, when I was growing up in the 1990s. I was simply seen as a quiet, nerdy, quirky type. As an adult, it became more obvious when I left the safety and predictability of the academic world and entered the working world, which requires greater social and adaptive abilities. Among the things that make my diagnosis clear are my tendency to take humor very literally, a greater need for scheduling and sameness, very intense focus on interests, certain repetitive/soothing stims and motor behaviors, tactlessness/bluntness and slowness to understand more "proper" social cues, and meltdowns when there's simply too much going on in my environment. When I'm at baseline -- which is easy to maintain in school or church type environments where things are structured, calm, and predictable -- I may not appear "autistic." But in a more rapidly moving and changing environment where greater levels of sociability are required...those are the environments where I struggle.

  • @chinmaydoctor
    @chinmaydoctor 3 роки тому

    nice video

  • @chinmaydoctor
    @chinmaydoctor 3 роки тому

    Nice video

  • @jillancantor2821
    @jillancantor2821 3 роки тому

    Thank you for continuing to educate us all

  • @katiekonrad9717
    @katiekonrad9717 3 роки тому

    Very helpful. Thank you!

  • @sarcoprion
    @sarcoprion 3 роки тому

    Hi I enjoy this video pls make more in the future

  • @thomashall4232
    @thomashall4232 4 роки тому

    Why has he got an unloaded gun if he lives in a rough neighbourhood?

  • @thomashall4232
    @thomashall4232 4 роки тому

    Suicide is unpredictable. Doctor says he can predict suicide. Doctor is wrong.

  • @DB-zg8hy
    @DB-zg8hy 5 років тому

    Simply the greatest clinician/interviewer in modern history. Read any published material by this guy, watch any tape where he is interviewing a patient, and its clear, he’s mastered arguably the most complex type of assessment in medicine.

  • @Lensynth
    @Lensynth 7 років тому

    Awesome interview! Very informative!

  • @Lensynth
    @Lensynth 7 років тому

    Very informative.

  • @aghoury
    @aghoury 7 років тому

    This part about suicide assessment is the most important part in this interview

  • @aghoury
    @aghoury 7 років тому

    Thanks for this amazing interview with Prof Shea

  • @heatherbai5325
    @heatherbai5325 7 років тому

    thank you. the examples are so useful.