Sometimes, what looks like resistance, pride, or even narcissism… turns out to be something else entirely. I once worked with a man who presented a classic case of sex addiction with strong narcissistic features. That was my initial clinical impression. But after we paused, dug deeper, and pursued a full psych evaluation, we discovered he was actually on the autism spectrum. I had missed it. Entirely. And that changed everything. With that new lens, we revised the treatment plan. We shifted how