What mental illness is characterized by selective abstraction (cognitive distortion)?

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Differential Diagnosis for Selective Abstraction

  • Single most likely diagnosis
    • Depressive Disorder: Selective abstraction is a cognitive distortion where an individual focuses on a single, often negative aspect of a situation while ignoring other, more positive aspects. This is commonly seen in depressive disorders, where individuals may have a pessimistic outlook and tend to selectively focus on negative information.
  • Other Likely diagnoses
    • Anxiety Disorder: Similar to depressive disorders, anxiety disorders can also involve selective abstraction, where individuals may focus on perceived threats or negative outcomes, exacerbating their anxiety.
    • Post-Traumatic Stress Disorder (PTSD): Individuals with PTSD may exhibit selective abstraction by focusing on traumatic aspects of their experience, while ignoring other, more neutral or positive aspects.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Psychotic Disorder: In some cases, selective abstraction can be a feature of psychotic disorders, such as schizophrenia, where individuals may focus on delusional thoughts or perceptions while ignoring contradictory evidence.
    • Neurocognitive Disorder: Certain neurocognitive disorders, such as frontotemporal dementia, can affect cognitive processing and lead to selective abstraction, although this would be a less common presentation.
  • Rare diagnoses
    • Obsessive-Compulsive Personality Disorder: While not typically characterized by selective abstraction, individuals with obsessive-compulsive personality disorder may exhibit a rigid and narrow focus on specific details or aspects of a situation, which could be mistaken for selective abstraction.
    • Autism Spectrum Disorder: In some cases, individuals with autism spectrum disorder may exhibit selective attention or focus on specific details, which could be misinterpreted as selective abstraction. However, this would be a rare and atypical presentation.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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