Psychosis-Symptom Contextualization: 5 rule outs

Farah is a 49-year-old female, who complains of difficulty sleeping (insomnia), feeling sad (depressed mood), and has held the belief that her daughter, Mia, was stealing her money and was trying to poison her food (paranoia).  Ron, the psychiatrist seeing Farah for the first time, examined her and noticed a lump (nodule) in her neck, some hand tremors, and weight loss.  Ron quickly assessed for acute risk, referred Farah to an endocrinologist, who confirmed a diagnosis of hyperthyroidism, treated Farah, and the psychiatric symptoms, including paranoia, subsided.

Symptom Contextualization: Introducing a New and Key Concept

Arianna’s dream was to become a researcher.  “My older brother has been sick and suffering a lot, and I want to help him and also help stop suffering in the world.”  She often said these words to herself, as a way to remember that keeping her promise alive meant hard work, keeping up with great grades, and maintaining her extracurricular activities.  Arianna wanted to be sure she was doing all the right things to get ready for college and in preparation for graduate school.  At age 15; however, Arianna suddenly developed some unusual and disturbing symptoms…

CBT and Cognitive Distortions: 3 more

CBT and Cognitive Distortions: 3 more

“Talking about these cognitive distortions has been helpful. What are some of the other ones?" Vladimir, a colleague who previously did not think much about CBT, has now become a believer.

After providing the background on CBT and an overview of cognitive restructuring and automatic thoughts, I then started to talk with him about cognitive distortions. Here we discuss 3 more...