Recurring themes
Patterns that show up again and again when medical causes are missed behind psychiatric labels. Each theme is reviewed before it appears here.
All themes
Minimum lab panel before psych referral
Clinicians and patients describing a standard panel: CBC, CMP, thyroid, B12, ferritin, vitamin D, HbA1c.
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Nutrient deficiencies mimicking psychiatric illness
B12, iron/ferritin, and vitamin D deficiencies reported as reversible causes of mood and cognitive symptoms.
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Thyroid screening before psychiatric diagnosis
Recurring theme: thyroid dysfunction presenting as psychiatric symptoms; advocates for TSH/free T4 testing first.
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Wilson's disease misdiagnosed as psychiatric illness
Cases where Wilson's disease presents with psychosis, catatonia, or movement disorders but is labeled primary schizophrenia without adequate metabolic and genetic workup.
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