sappysoul
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People with Personality Disorders(PDs) are very good at playing "normal" when they need to and can be very convincing. Part of the problem of diagnosing someone with a PD is that the behaviors or characteristics of PDs are in many ways "normal behaviors" what makes them abnormal is that they are taken to an unhealthy level. (hope I am making sense here). So, it is no surprise to me that she could get thru an interview or two with a psychologist and be seen as normal. I doubt she would be able to escape a diagnosis if they observed her on a more regular basis. MOO
It is impossible to diagnose a PD after one interview IMO. You would need a complete history compiled from multiple sources as well as several interviews with the person. Can you imagine sitting down with Casey and having little or no information from others? Mental health professionals cannot read minds or magically recognize lie from truth. You can only work with what the person brings to you and in Casey's case reality would be in short supply. You have to look at patterns of behavior and that couldn't be accomplished, at least not well, in just a couple of interviews.