Founding Cohort

LODHI-A Clinician Training

A limited founding cohort of clinicians is being assembled for in-depth training in the LODHI-A methodology. The first group will shape program design alongside the curriculum, and members will be selected based on fit with the program’s clinical focus. Applications are open.

Accreditation

CME accreditation is in progress. The program is being designed to meet CME requirements for psychiatrists, psychologists, and primary care clinicians.

Who It’s For

Psychiatrists, primary care physicians, psychologists, psychiatric nurse practitioners, physician assistants, licensed clinical social workers, licensed professional counselors (LPCs, LMHCs, LPCCs), and other clinicians trained in diagnostic assessment.

Prerequisite

Prior familiarity with DSM-5-TR criteria and general differential diagnosis in adult psychopathology. No prior LODHI-A experience required.

Curriculum

What the program covers

01

Conversational Forensics in Practice

Interview technique drills and recorded examples demonstrating how to conduct a rigorous evaluation as a clinical conversation. Rapport-building language, open-ended probing, and the transitions that preserve narrative flow while covering all diagnostic domains.

02

Running Differential Mechanics

Hypothesis management across all nine modules. How to track competing diagnostic possibilities in real time, when to strengthen or weaken hypotheses as evidence accrues, and how to avoid confirmation bias when a patient presents with a strong preferred narrative.

03

Compensation Detection

The specific probes that surface hidden scaffolding in high-functioning adults. How to distinguish genuine resilience from unsustainable compensation, and how to identify the inflection points where compensatory systems are beginning to fail.

04

Executive Function Assessment Using Brown’s Six Clusters

Structured assessment of Activation, Focus, Effort, Emotion, Memory, and Action. How to elicit domain-specific examples without leading the patient, and how to integrate executive function data into the broader diagnostic formulation.

05

Red Flag Identification and Validity Assessment

Presentation patterns that warrant additional scrutiny: drug-seeking, accommodation-seeking, social media overidentification, and fabricated or exaggerated histories. How to probe these concerns without becoming adversarial with genuinely struggling patients.

06

Cultural and Gender-Specific Probing

Adapting the interview for women, racial and ethnic minorities, immigrants, and trauma survivors. How to distinguish culturally normative behavior from pathology and how to detect presentations that traditional instruments systematically miss.

07

Case-Based Differential Work

Working through composite clinical cases representing common LODHI-A differential challenges: ADHD versus anxiety, ADHD versus trauma, ADHD versus bipolar, ADHD in the high-functioning professional who has researched the diagnosis extensively.

08

Documentation and Clinical Formulation

Synthesizing interview data into a cohesive formulation. How to write the evaluation in a way that supports clinical reasoning, withstands external scrutiny, and communicates the diagnostic impression clearly to the patient and to referring providers.

Apply to the Founding Cohort

Tell us about your practice. Selection will prioritize clinicians whose caseload and setting align with the program’s focus on complex adult ADHD differential work.

Founding cohort members’ preferences will directly inform program design. Select all that would work for you.

In the meantime: read about the methodology · compare instruments · review the FAQ