The more I work with clients with ADHD and explore the common threads that link us together, the less satisfied I am with the screening tools that are used. It’s not that the tools are inaccurate, it’s that they are incomplete, in my opinion. It is hard to boil the lived experience of ADHD down to 18 questions on a form, I’ll give you that, and you probably don’t want to make the form too long or complicated or the client will get distracted, forget that they are doing it, get bored and put it down and lose it, etc. Having said that, I find that one of the advantages of being a clinician who actually lives with an ADHD brain is that I can sometimes go beyond the surface-level questionnaires and dig a bit deeper into the more subtle aspects of being this way. For this reason, I have come up with my own questionnaire. It is not scored, there is no rating scale and there is no cutoff, categorical designation that tells you whether you “have it” or not. Instead, read through it, or have someone read it to you and think on each item: Can I relate […]
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Complex Trauma: When the Whole is More Painful than the Sum of its Parts (PART 1)
Complex Trauma: When the Whole is More Painful than the Sum of its Parts (PART 1)
Post-Traumatic Stress Disorder Post Traumatic Stress Disorder (PTSD) is diagnosed when an individual displays a cluster of symptoms that include various manifestations of the following: dissociation (feeling removed from reality), re-experiencing (flashbacks), and increased arousal (heightened stress response). In order for a diagnosis of PTSD to occur, however, these symptoms need to be as a result of the individual having been directly exposed to an event that threatened their life and/or safety or that of another individual. This criterion is known as the A1 criterion, since it is the primary criterion that must be present in order for diagnosis to occur. Amongst the general population, 7-8% of people will end up with PTSD at some point in their life. Within certain groups of people, however, such as individuals with substance-use disorders, the rate of diagnosis is much higher. For example, in one sample of substance-abusing psychiatric patients, researchers found that 90% had experienced physical/sexual assault and at least 50% met the diagnostic criteria for crime-related PTSD. However, there is a new direction of understanding with regard to trauma-related stress reactions; it is referred to as complex PTSD (CPTSD). Individuals in this category meet all of the same diagnostic criteria as […]
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