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A Closer Look

How we feel and function can be shaped by health, experiences, relationships, and everyday circumstances. Looking more closely helps guide care that fits the person.

What changes have you noticed in yourself or someone else?

Choose an example to explore what may be contributing

Changes in mood: You may feel different than usual, or notice a change in someone’s mood or emotional responses. Contributing factors hidden

Changes in mood

You may feel different than usual, or notice a change in someone’s mood or emotional responses

Split-level view of a clear mountain lake in Austria, with mountains and shoreline above the waterline and rocks underwater. Photograph by naturepics_li; iStock Stock ID 1191741633.

Illustrative examples, not a diagnosis or a complete list of possibilities. Differences do not automatically mean something needs to be fixed

Sharing this approach

Sharing this approach

Looking beyond first impressions matters in clinical care, counseling, and everyday support. Our professional presentations explore how to question assumptions, recognize overlapping needs, and bring different perspectives together.

NEI Fall Congress — Scientific Poster Session

November 7, 2026

Upcoming

When “Behavior” Is the Symptom: Avoiding Diagnostic Overshadowing in Adults with IDD

When “Behavior” Is the Symptom: Avoiding Diagnostic Overshadowing in Adults with IDD

Amanda Barrett, APRN, PMHNP-BC · Brad Young, BCBA, LPC

Four retrospective clinical cases examine how medical, neurological, psychiatric, trauma-related, and environmental factors can be overlooked when changes in behavior are attributed too quickly to an existing condition.

NADD Annual Conference

October 2026

Diagnostic Overshadowing in Clinical Practice: What We Get Right, What We Miss, and What Can Help

Diagnostic Overshadowing in Clinical Practice: What We Get Right, What We Miss, and What Can Help

Brad Young, BCBA, LPC · Amanda Barrett, APRN, PMHNP-BC

Recognizing assumptions and strengthening clinical decision-making.

Exploring diagnostic overshadowing, cognitive biases, and practical techniques for questioning assumptions and strengthening clinical decision-making.

Wyoming Department of Health

2025

Behavioral & Psychiatric Collaboration at Wyoming Life Resource Center

Behavioral & Psychiatric Collaboration at Wyoming Life Resource Center

Amanda Barrett, APRN, PMHNP-BC · Brad Young, BCBA, LPC

Bringing psychiatric and behavioral perspectives together in complex care.

Examining how psychiatric and behavioral perspectives can inform integrated assessment, coordinated treatment planning, medication decisions, and interdisciplinary collaboration in complex care settings.

Wyoming 211 Conference

2025

Supporting Mental Health in People with ID/DD: Assessment and Counseling for Depression and Anxiety

Supporting Mental Health in People with ID/DD: Assessment and Counseling for Depression and Anxiety

Brad Young, BCBA, LPC

With contributions from Amanda Barrett, APRN, PMHNP-BC

Making mental health assessment and counseling more accessible for people with ID/DD.

Exploring barriers to mental health assessment and adapted counseling strategies supporting more accessible care for people with intellectual and developmental disabilities.

Explore support that fits

Explore support that fits