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Bipolar: The Difference between Mania and Hypomania
Key Distinctions in Mania and Hypomania


Same Behavior, Different Function
A client says, “I can’t get started.” That is an important clinical observation. It is also incredibly ambiguous. How many possible diagnoses or explanations have already flashed through your mind? Difficulty initiating tasks is frequently associated with ADHD. But “I can’t get started” is not an ADHD symptom with only one possible meaning. It is a description of an experience—and many different processes can produce that experience. What Does “I Can’t Get Started” Actually M


When “Pediatric Bipolar Disorder” Wasn’t Bipolar Disorder
For a time, children with chronic irritability, severe emotional outbursts, and dramatic shifts in behavior were increasingly diagnosed with pediatric bipolar disorder. The reasoning seemed plausible. These children could be intensely reactive, impulsive, aggressive, distractible, and difficult to settle. Their emotions sometimes appeared to shift rapidly. Because irritability can occur during mania, some clinicians began to view this pattern as a childhood version of bipolar


How Do You End an Assessment?
We always talk about how to do an assessment, but what about how to end the testing?


Intelligence, History and Assessment: What they have in common
Understanding our psychological history is crucial for shaping effective current practices in mental health support. The intertwined relationship between intelligence, historical context, and thorough assessment sheds light on how these elements inform our present-day methodologies. Often, in the rush of our day-to-day responsibilities, we may overlook the journey that led us to our current practice. It's easy to lose sight of the passion that first ignited our commitment to


What is your favorite method for assessing tests? Are you utilizing it effectively?
Oh, the Wechsler Test? Let us discuss the Wechsler assessments and their applications in evaluating IQ and cognitive skills. The Wechsler test has been a staple in psychological evaluation for many years, and it remains a key tool for clinicians and evaluators today. Most testing professionals incorporate this test into their assessments at least weekly, underscoring its widespread use in the field. However, it's crucial to ask ourselves: are we applying the Wechsler test app


Can Testing Ever Be Objective? Understanding Standards in Mental Health Assessments
Do you know how to create an unbiased, objective assessment?


Skeletons in the Closet: The Dark Side of Psychological History
Psychology has some troubling aspects in its history, including asylums, electric shock therapies, and non-regulated experimentation. It's important to acknowledge that when we learn better, we do better. However, this doesn't mean we shouldn't know about and respect the origins of our current practices.


Understanding ADHD: The Misdiagnosis and Its Implications
It might never be ADHD. When is the assessment not correct?


Know Your Learning Disability Special Education Categories
When evaluating young children for possible learning difficulties, it's important to understand the categories defined by the Individuals with Disabilities Education Improvement Act of 2004 (IDEA). This legislation provides a framework for identifying specific types of learning disabilities, which are critical for determining eligibility for special education services. While we are covering how IDEA defines these areas today, it’s also important to keep in mind that the schoo


What do you think: Do people accurately report their own psychological symptoms?
What do you think: Do people accurately report their own psychological symptoms?
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Dr. Keen's Musings
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