In this episode, we uncover the high rates of misdiagnosis in Fetal Alcohol Spectrum Disorders (FASD) and provide specific screening questions, such as the "4Ps Plus" method, to improve detection in your clinical practice. We dive into the psychiatric management of Trisomy 21, outlining appropriate pharmacologic interventions for comorbidities like anxiety, ADHD, and autism-related irritability while addressing the impact of implicit bias on care. The discussion extends to dysmorphology essentials, highlighting when to suspect genetic conditions like 22q deletion syndrome in patients presenting with behavioral challenges. We also navigate the legal and ethical landscape of decision-making for young adults with intellectual disabilities, comparing guardianship with supported decision-making models to preserve patient autonomy. Finally, we review rece ...