Curious: Do you treat patients who are clearly intellectually gifted and neurodivergent differently than those who seem to be neurotypical?
I have a friend who suspects they are gifted and AuDHD (both undiagnosed), and after years of trying therapy and admitting that those sessions have become rant sessions instead of anything therapeutic. This time they asked for recommendations from their psychiatrist and said they need someone who are used to dealing with very smart patients, because they would like someone who would challenge their unhealthy thinking patterns. So my question is to psychiatrists on this feed: 1) can my friend come across as full of themselves when saying this to a psychiatrist? 2) is their assessment that counsellors and psychologists who are not used to treating gifted patients often get “out-talked” by a patient very good at intellectualising their problems? And 3) do psychiatrists treat their gifted and/or neurodivergent patients differently than neurotypical patients