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Complex Presentation

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If one or more of the following are present, consider the patient’s condition to be complex:

  • Suicidal/homicidal risk 
  • Significant and prolonged dysfunction (e.g. WSAS >20)
    • Work and Social Adjustment Scale (WSAS) 
  • Possible bipolar disorder
    • Mood Disorder Questionnaire (MDQ) 
  • Substance abuse
    • AUDIT-C 
    • DAST-10
  • Psychosis
  • Personality disorder
    • Borderline personality screener (seven or more positive answers is a positive screen)
  • ADHD
    • ADHD screener
    • ADHD scoring instructions
  • Elderly
  • Diagnostic uncertainty
  • Refractory to treatment



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