What is the most appropriate action when new data strongly contradict the working diagnosis?
QUESTION
Identify the best action when two diagnoses are plausible and both carry high risk if missed.
QUESTION
Identify the best next step when symptoms could reflect substance-induced vs primary disorder.
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ANSWER
Assess timing of use, intoxication/withdrawal effects, and symptom persistence with abstinence. Evaluating substance effects differentiates induced from primary symptoms, clarifying hypotheses through temporal and persistence analysis.