Practice in Action: Diagnosing Differentially

What happens when the symptoms fit… but the diagnosis doesn’t?In this episode of Psyched to Practice, Paul Wagner and Ray Christner break down the messy reality of differential diagnosis and why so many mental health conditions can look nearly identical on the surface. From ADHD and anxiety to autism, depression, sleep problems, medical conditions, and substance use, they explore how clinicians can avoid jumping to conclusions and start asking better questions.Ray shares practical ways to rule diagnoses in and out without getting trapped by confirmation bias, while Paul highlights how curiosity, collaboration, and ongoing assessment can completely change treatment outcomes.They discuss why diagnosis should be treated like a working hypothesis instead of a fixed answer, how overlapping symptoms create false positives, and the danger of diagnostic overshadowing when one diagnosis hides another. The episode also explores why women with ADHD were so often missed for years, how medical conditions can mimic mental health disorders, and why gathering information from parents, spouses, and caregivers can completely change the clinical picture.This episode is packed with practical insights for therapists, psychologists, counselors, and anyone trying to better understand the complexity behind mental health diagnosis.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"