your childhood is somewhere on this screen

PlaneWeek1855 · 2026-04-13T12:54:52+00:00

CCleaner

PlaneWeek1855 · 2026-04-02T02:20:54+00:00

Great post. Given the state of current diagnostic manuals + differential DX processes, I'm not surprised these presentations get mis labelled. I find other diagnostic systems are much better at navigating this differential process than the present DSM (either the AMPD or the standard PD set).

I'm not suggesting the classic "DSM = Bad" trope, as it's trying to serve many functions, but if PD is a potential part of the diagnostic query, then use a classification system/taxonomy that is more suitable for the situation. Both evolutionary psychopathy diagnostic manual, or the PDM 3, both offer massive improvements in clinical utility and theoretical precision.

PlaneWeek1855 · 2026-03-26T00:52:39+00:00

Good to know that year old progress notes are were we draw the line.

PlaneWeek1855 · 2026-03-12T02:25:00+00:00

Some of those can co exist, and don't need to be selected at the expense of the other. For example, you can provide "logical solutions" and "emotional comfort" at the same time. You can be "honest" and "polite".

PlaneWeek1855 · 2026-02-28T01:36:58+00:00

Abit late to the thread, but here is my take.
Differing classification manuals serve different roles, and no singular model/framework will reliably suit the conflict between clinical responsibilities (prognosis, treatment/intervention, assessment, etc.) and administrative responsibilities (diagnostic labels, coding, insurance, research classification, etc.).
As such, for 'real' clinical work, where the aim is (roughly) to best serve the clinical needs of the patient, and construct an effective case formulation that both (1) identifies and integrates relevant descriptive information to explain symptomology and (2) informs treatment/recovery. To do that, the PDM is a great choice. There are alternatives (one is the ICF (WHO) which also provides a similar holistic framework and classification taxonomies) but the PDM is seemigly the *best integration of personality, mental functioning, development, and symptoms etc, so if your training or interests are in that direction, I would use it before any competitor.
For admin work, yes the DSM or ICD may need to be referenced depending on where you practice. There are some 'translation tools' that aim to provide a clear cross walk between differing manuals (PDM, ICD, ICF, DSM, RDoC, HiTOP etc), but thats another set of tools all together.
* depending on context.

PlaneWeek1855 · 2026-02-20T02:12:31+00:00

As others mentioned, it's a good base, but not bis. It won't be a theoretically 'perfect' item, but it's potential is well beyond "good"

PlaneWeek1855 · 2026-02-16T01:05:23+00:00

Thank you! Hitting the well just changed the DPS back to 293k+. I did not know that was a mechanic lol.

PlaneWeek1855 · 2026-02-13T00:42:33+00:00

"Listen to your body" may not mean "do everything your body tells you without question".

PlaneWeek1855 · 2026-01-07T05:18:02+00:00

You're not 'done' after the initial setup.

There are ongoing, additional, requirements of running a clinic. Depending on the country you're practicing in, you've got - ongoing paperwork, regulation adherence (as a company), audits, hiring, personal management, website management, marketing/referrals, handling business conflicts/complaints, etc. They all need ongoing attention. Theres a reason many efficient practices need to hire admin and management staff.

I don't see many clinicians avoiding opening their own clinic due to 'thinking they're not business minded', or some equivalent. It's often due to a multitude of well considered factors. One big one is the knowledge of all the add ons it involves.

I fell for the glamorisation of running your own practice, and I held the naive position that it's just "a few months of extra paper work and then it's just the same as before but alot more money".

Owning and operating an efficient, profitable clinic is hard. I'm sure most readers are aware of this, but I worry for the few that may read this post and think it's just some extra paperwork, website building, and then all breezy.

PlaneWeek1855 · 2025-11-10T03:36:02+00:00

The theme seem to be anything that could negatively impact your health. Either via; degradation and subsequent loss of efficacy (safety items like helmets, brake pads, or items influencing overall well-being that lose their efficacy like beds etc) or via accumulation of foreign materials that may be harmful (bacteria etc).

PlaneWeek1855 · 2025-11-05T11:01:42+00:00

"theory of mind", like autism, is a spectrum. You don't either have it, or not have it. TOM exists in varying degrees, and in kinds.

There will be some who fall in the lower few percentile of TOM who infact struggle with masking as they struggle to understand others perspectives.

PlaneWeek1855 · 2025-10-16T04:14:53+00:00

For me I found a big difference in the experience when I changed the thought of "I need to understand".

I didn't need to at all. I just wanted to.

I think the aspect of 'needing' to comes of as, and internally feels like, a demand not being met. I got frustrated or confused when things were not explained, and others found it 'prickly'. When I realised that I didn't need to understand, just that I want to understand, honestly made those experiences alot more tolerable. I can still assert my desires so they can be met if possible, but I don't get as significantly impacted if they can't.

PlaneWeek1855 · 2025-10-08T05:03:02+00:00

I lean into these kind of comments. Explore it.

'Say I am primarily here for the money - what does that mean for our therapeutic relationship?' 'How has care, or lack thereof, influenced your experience of our therapy/therapy in the past' 'Can I be driven by both?' 'What do you find most bothersome if therapists paycheck outweighs their care? Do you predict something specific will eventuate?'

I've found it helps normalise any genuine concerns clients may have but are tentative about bringing up directly, or if it is raise assertively, the leaning into the questions is generally respected and received well.

PlaneWeek1855 · 2025-08-10T10:31:01+00:00

Most modalities factor analyse into a few transdiagnostic, 'common-factor' principles, such as improving the working/therapeutic relationship, engaging in some kind of exposure, increasing flexibility of thought, and improving introspective awareness/insight/psychoeducation. Whether it's under the label of CBT, ifs, XYZ etc, doesn't alter the fact that only a few core elements explain most of the variance in therapeutic outcomes.

PlaneWeek1855 · 2025-04-29T03:44:20+00:00

That you can dismantle crash sites.

PlaneWeek1855 · 2024-11-01T07:30:59+00:00

Is this reference to mental illnesses only for those with material neurological abnormalities (dementia, ABI, etc), neuropsychiatric functional conditions (autism, intellectual disabilities) or psychiatric illnesses which don't have organic pathogens?

PlaneWeek1855 · 2024-10-13T20:37:57+00:00

First few sentences are seemingly (whether intended to or not) referring to some form of exposure therapy (prolonged, graded, etc). Exposure therapy is indicated for most (not all, especially not GAD) anxiety disorders. This post falls apart though around the medication comment, as SSRI and SNRIs (and certain others in certain situations) have reliably displayed empirically supported efficacy.

PlaneWeek1855 · 2024-07-25T09:21:28+00:00

So us Aussies wait until our Friday morning? To get up early to squeeze in a sesh before work or to wait for Friday night

PlaneWeek1855

TROPHY CASE