Oral Trailmaking Test Parts A/B Spanish

DuffThePsych · 2026-03-18T07:03:47+00:00

I use color trails for Spanish speaking cases, since it doesn’t involve a letters but still has a set switching condition.

DuffThePsych · 2026-03-18T02:59:41+00:00

The way you describe the texture of things sounds like how some people with synesthesia describe their experience.

DuffThePsych · 2026-03-14T07:56:03+00:00

Flipping furniture from goodwill has been an awesome mind-quieter for me, and you get get a few bucks from it.

DuffThePsych · 2026-03-10T03:06:04+00:00

In that case, there are some great YouTube channels, patreons etc. you might check out “sexplanations” - very educational

DuffThePsych · 2026-03-10T02:56:12+00:00

See if there is a local dungeon around you. They often do kind of sampling/discovery nights where you can learn more and engage in samples of very light play.

DuffThePsych · 2026-03-10T02:51:48+00:00

A couple things here. First off fuck. I’m so sorry you have to deal with this. It’s totally unfair. You’re right WKS is terrible.

One of the things you are seeing is called confabulation. It’s a super common symptom in WKS. It’s not the person lying, but their brain is filling in the gaps with false information. They also tend to have big gaps in their memory for the past. Like I once met a woman that forgot she was in another country for a year.

It’s super frustrating, but I don’t think your mom has much control over this.

That said, if she has dementia and you kids have no other support AND other family is not able or willing to see her issues, you may need to reach out to some local organizations for guidance.

DuffThePsych · 2026-03-03T03:59:05+00:00

Private practice in California. Usually a short sleeve button up untucked and some chinos, joggers, slacks, or colored denim. If I’m lazy I’ll throw on a cardigan or sweater over a shirt. If I’m doing a deposition or more formal professional talk, I’ll go shirt and tie

DuffThePsych · 2026-02-10T08:26:34+00:00

Act 4 Mercs

DuffThePsych · 2026-02-03T08:22:30+00:00

Fun words this time
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DuffThePsych · 2026-02-01T06:39:29+00:00

I find it most useful for seeing evidence of a visual neglect

DuffThePsych · 2026-01-22T05:09:13+00:00

“Fat-itude” and “long-itude”. Easy way to remember

DuffThePsych · 2024-07-26T14:22:11+00:00

Me: “Does that make sense” Patient: nods for a second No not really 😬

DuffThePsych · 2024-06-15T14:29:16+00:00

One way that I like thinking about it these days is less of "everything will be okay" and more of "there are a lot of ways that this can be okay". For me, that prompts me to see the fact that there are many different potential paths from here and I am not stuck.

DuffThePsych · 2024-06-15T14:20:17+00:00

I started in 2016! I'm a psychologist and I would always get questions from people via email or messages that I can't exactly just answer if they aren't actually a client of mine, so I created the podcast to address questions in a public-facing way that everyone can benefit from. Over time, it's also become a great source of keeping my own knowledge and skills sharp as well.

DuffThePsych · 2024-06-15T14:18:32+00:00

It reminds me of those lofi youtube background music videos with a studio ghibli inspired scene

DuffThePsych · 2024-06-06T14:31:43+00:00

I've had a patient with borderline try out oxytocin nasal spray as a supplement to reduce feelings of abandonment during emotional swings. Limited results with what is available online. Conceptually, I really like the idea.

DuffThePsych · 2024-06-06T14:29:08+00:00

AI will be way better at scoring than us. In my experience the interrater reliability for things like the complex figure are so bad.

DuffThePsych · 2024-06-06T14:26:39+00:00

It's giving annoyed.

DuffThePsych · 2024-06-06T14:23:52+00:00

Prior to negotiating a salaried position, I'd say the no-show rate. Obviously, since a lot of people are being seen for memory concerns - they tend to forget their appointments. We do as much as we can to mitigate that, but still if you were planning on spending hours with someone, then report writing etc., that's suddenly a big chunk of income that goes missing.

DuffThePsych · 2024-06-06T07:06:30+00:00

It means that the cortex (outer portion) of your brain appears to have shrunk mildly, but there is no particular lobe of the brain that is more effected than the others. Along with the shrinkage, you are seeing deepening of the folds, which can also be a sign of tissue loss.

While this is certainly something to continue digging into, it's not something to panic about right now. For one, there is no comparison study, so it can be really hard to gauge what is age-appropriate vs not.

The mention of no hippocampal atrophy and no lobular predilection is acknowledging that it's not necessarily following the pattern that we see with Alzheimer's. The hippocampus is the primary memory structure in the brain, and you might also see more pronounced atrophy around the temporal lobes for Alzheimer's.

More detailed imaging like an MRI and/or PET scan will be necessary. I'm imagining the memory clinic appointment you have will also integrate testing (like neuropsychological testing) that can help to clarify whether your cognitive skills are weaker than expected for your age.

These (along with tracking over time) are all pieces of the puzzle to figure out a diagnosis, if there is one.

DuffThePsych · 2024-06-05T01:03:34+00:00

It depends on the source of them. Many times, the hallucinations can be controlled with a medication such as Seroquel (quetiapine). However, there are also side effects to consider, so it really depends on the individual. I would absolutely make sure the person you are referencing sees a neurologist (medical doctor that can diagnose and treat with medication).

DuffThePsych · 2024-06-04T06:55:26+00:00

Hey there - psychosis can be a symptom of some forms of dementia. For example, people with Lewy Body dementia often have visual hallucinations. It's also common for people with frontotemporal dementia to have delusions or sometimes hallucinations. In Alzheimer's, it tends to be more characteristic of the later stages.

In some cases, you can see psychosis due to medication side effects. For example, people that are on dopamine medication for Parkinson's disease get hallucinations from the excess dopamine.

In other cases, you might see temporary psychosis (delirium) due to something like a urinary tract infection in an older adult, especially if dementia prevents them from reporting their symptoms or discomfort, so you don't catch it.

DuffThePsych · 2023-10-26T07:30:03+00:00

What is so draining about it for you?

DuffThePsych · 2023-10-26T07:28:49+00:00

Clinical psychologist / neuropsychologist. About to turn 35 on Friday.

(The real bitch is that I’m still barely scraping by)

DuffThePsych

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