Jonathan Murphy, PMHNP-BC, opens the DSM-5-TR and works the Lindsay Clancy case the way a clinician actually works a differential, starting with the forensic cautionary statement at the front of the book that almost nobody covering this trial has read.

This episode covers:

• What the DSM-5 actually is, including its function as a billing and coding system and why "it's all made up" misses the point
• The manual's own instructions on use, and why criteria are not meant to be applied in cookbook fashion
• The cautionary statement for forensic use and why a diagnosis carries no necessary implication about control over behavior
• Brief psychotic disorder criteria and the one day to one month duration requirement
• Malingering and the four indicators the manual says to consider, three of which are present here
• Antisocial personality disorder and why it does not fit
• Narcissistic personality disorder read directly from the criteria and diagnostic features
• The OCPD differential and where it separates from narcissistic presentation
• Why ADHD and impulsivity make fast conclusions from media coverage particularly risky
• Growing up in Duxbury and what the status dynamics look like from the inside
• Telepsychiatry versus in person for clinical observation

The longest episode of Actually ADHD so far.

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.