The thing is they're also dealing with motivated patients. It's like screening adults for ADD you're gonna get a fair amount of ppl who specifically want to be Dx w/ Adult ADHD so that they can be prescribed Adderall . The smart ones will go online and quickly get a good overview of what they should say and how they should respond to qu…
The thing is they're also dealing with motivated patients. It's like screening adults for ADD you're gonna get a fair amount of ppl who specifically want to be Dx w/ Adult ADHD so that they can be prescribed Adderall . The smart ones will go online and quickly get a good overview of what they should say and how they should respond to questions in the ADD assessment they're asked to fill out. With these childhood GD cases you've got basically the same thing. A group of highly motivated patients seeking a specific thing who have been told or read online exactly how they should respond to these assessments. So even just checking all the boxes and doing all the assessments isn't really enough.
The psychiatrist really needs to interview the patient in detail to get a more honest view of the patient. Ideally they'd have a neutral non activist therapist talk to them for several sessions. It's much easier to con a quick assessment form than it is to keep up an act for hours of therapy.
If they want any hope of getting something approaching the honest truth they need to evaluate these kids over many sessions and using many different assessments that the patient likely hasn't taken the equivalent of a study prep course for.
It's also critical for doing differential diagnosis. Even without some highly motivated patients who've been coached on how to answer questions there's still a chance someone could score high on GD but the underlying cause be another mental health issue. When it comes to young kids they should be screening for basically everything else and trying out treatments for those discovered conditions before pulling the trigger on permanently life altering medical interventions.
The thing is they're also dealing with motivated patients. It's like screening adults for ADD you're gonna get a fair amount of ppl who specifically want to be Dx w/ Adult ADHD so that they can be prescribed Adderall . The smart ones will go online and quickly get a good overview of what they should say and how they should respond to questions in the ADD assessment they're asked to fill out. With these childhood GD cases you've got basically the same thing. A group of highly motivated patients seeking a specific thing who have been told or read online exactly how they should respond to these assessments. So even just checking all the boxes and doing all the assessments isn't really enough.
The psychiatrist really needs to interview the patient in detail to get a more honest view of the patient. Ideally they'd have a neutral non activist therapist talk to them for several sessions. It's much easier to con a quick assessment form than it is to keep up an act for hours of therapy.
If they want any hope of getting something approaching the honest truth they need to evaluate these kids over many sessions and using many different assessments that the patient likely hasn't taken the equivalent of a study prep course for.
It's also critical for doing differential diagnosis. Even without some highly motivated patients who've been coached on how to answer questions there's still a chance someone could score high on GD but the underlying cause be another mental health issue. When it comes to young kids they should be screening for basically everything else and trying out treatments for those discovered conditions before pulling the trigger on permanently life altering medical interventions.