Dr Sanil Rege is a Consultant Psychiatrist, and this channel covers all things Psychiatry, Neuroscience and Mental health-related. As an academic lead for Psych Scene, he has provided training to over 10,000 mental health professionals over the years. He founded Psych Scene because he saw a need for comprehensive, world-class training that would boost careers and improve patient care. We aim to create videos that improve the understanding of mental illness globally. Whether you are a doctor, psychiatrist, medical student, psychiatry trainee, nurse, psychologist, social worker or someone who is interested in mental health - This channel will give you a comprehensive and practical overview of mental health disorders. *None of the information on this channel is to be construed as medical advice. Please see a medical doctor for advice. We are unable to provide any specific advice on this channel due to medicolegal reasons.
Is it true most drs wont perscribe this and moat pharmacys dont carry it? Ive been using meth for several years. I first. Was introduced to it when i was 15. I finally was able tinpay attention and enjoy class, understand, and do my homework. I was able to clean and organize. It was a miracle. But i got beat down. Any how 20 years later i am diagnosed with adhd. Ive tried concetra, adderall, and Vyvanse. I will go a nonth trying the med and tweaking the dose with the dr but then i end up relapseing to meth anyway because it works. Im not sure how i would go about this with my dr.
I took methamphetamine (desoxyn gradumet) in the 1980's in 15mg tablets. 2 Tablets plus a cup of coffee made me focused and able to pull 8 hours at grad school. I give it 4 stars, just do not ever exceed this dosage. Plus take a drug holiday every 4 months, for at least one month. I still remember everything I learned, degree in math and physics. Cheers!
Excellent video, very informative and high quality! I had that "toxic" effect from increasing Mirtazapine dose after a gradual decrease. My supportive therapy is Pregabalin 150mg.
Those withdrawal symptoms are the exact same withdrawal symptoms I had with Gabapentin. I was first prescribed Gabapentin in 1997 at 13yrs old after blowing out my knee and took it continuously until after recovering from my 7th surgery on that knee 6yrs ago at age 34. I'd been on the highest dose my doctor could legally prescribe for 2yrs prior to the last surgery. I hated the way it made me feel....icky is the only way I can describe how Gabapentin made me feel and it wasn't really helping anymore so without talking to my doctor or doing any research I just stopped taking it. I don't recommend quitting that way. I had the exact same withdrawal symptoms as the ones in this video...FOR A WHOLE MONTH. On the plus side(I guess?) after going through that it made the 7 days of absolute Hell of withdrawals from quitting heroin cold turkey seem like a cake walk(in retrospect, not at the time lol)
😢 but yet they give it to ADHD kids and others. Adderall is one molecule away from meth. Think about it. Some people are oblivious. Also luds never got removed from society. They changed the name. Facts.. I know what they changed it to. Do you..??
@@PsychiatrySimplified nope snorted both. Do the samething. Also Adderall tends to make me more on the aggression side after use. On speed I just crashed, meaning slept a lot. Also I'm completely clean off the street drugs. So I feel comfortable answer this. So put that in your studies. Half y'all be lying to your clinics and basically have a license to kill. And that's also a fact. No offense, I wouldn't come see y'all useless I absolutely have to.
Hello. The only thing that can help a person with psychosis is to show him the stories of others with psychosis. Such a person lives in the fact that he cannot trust anyone, not even his own mind, because someone else already has access to it. The voices are incredibly realistic, believe me, and the person is convinced that he was left alone for everything. Only similar stories of others with psychosis can lead him to start thinking that it may not be the way he perceives it
I worked as a pharmacy tech back in the early 1980s, when I would work a double shift I would take dexedrine .it was very mild and working in a pharmacy I would simply ask the pharmacist (who would take them himself) it is a schedule 2 controlled substance. It was and still is widely used by nurses, technicians etc.. it is really helpful and nobody makes a big deal about it,
I don't know if Parkinson's has a potential to be lateralized. Maybe it was only the PD. But I have to imagine that taking (especially IV route) doses of things like cocaine and (meth)amphetamine could have resulted in a mild to moderate stroke and/or aneurysm and could have resulted in the lateralized symptoms. The weakness sounds more like a CVA
The biggest mystery is the reason behind Lalit decision. Did he mean to hang to kill his whole family? For what reason? What is the end gain for him? And why killed himself too? And even killed his own child. Or, did he really believe in the worship? Believed that the father would come to untie them? IF SO, why did he strangle his mother?
As a person diagnosed with bpd.. I agree one hundred percent with the speaker...Dr.. that the name or label needs change.. complex trauma disorder sounds easier on the ear if I'm explaining my psychosis to someone..without instant judgment.. I see it in their body language, and other ways.. Do it now!!!
SNRIs are one of the most dangerous antidepressants worsening glaucoma... but i don't get it Tramadol one of SNRIs little effect on IOP compared to Duloxetine?? it can even stop glaucoma pressure outbursts.. pls answer
@@PsychiatrySimplified not as bad as Duloxetine got 38 from Duloxetine 22 grom Trsmadol 10 points apart... its even weird that morphine can even lower down IOP.. btw I am a case of severe closse angle glaucoma 💚💚💚
Excellent video. I am suffering from withdrawl symptoms from desvenlafaxine even being switched to prozac to mitigate the symptoms. My Dr don't believe me. What can I do? I am terribly lost. I give all my money to find a solution. Hugs from Spain. Please I need help.
Its difficult to provide advice as its an individualised approach. 1. Focus on sleep 2. In second part of video i discuss medications such as mood stabilizers or clonidine, prazosin etc which can be used depending on the symptoms one has 3. Discuss the above with the doctor - as it is important to differentiate between when withdrawal symptoms are becoming worse and may be overlapping with hyperarousal and agitation
This is really interesting because I am currently experiencing agitated depression and I have been lucky enough to get a priority psychiatrist assessment booked due to being a clinician myself. A couple of years ago I had a facial palsy and a scan identified more white matter intensities than I should have for my age. I lost a lot of weight to look after myself and slow any progression but when I ask GP about it they say the scan likely not a good indication and not to worry about it? Thoughts?
Clinical symptoms should be the focus. The prescence of white matter hyperintensities should prompt 1. Proactive treatment or investigation of vascular factors 2. The depression is likely to be melancholic due to involvement of subcortical areas - involving cognition, activity, anhedonia dimensions. Hence the choice of AD to be broad spectrum usually. 3. Agitation / sleep dysfunction likely comorbid. 4. Obstructive sleep apnea can be comorbid here as it is a vascular risk factor The WMHs indicate a vulnerability and point to the nature of depresion and treatment. Ps not advice
I am tapering onto another medication (Sertraline to Vortioxetine) for various reasons, mainly the continued need for an antidepressant, but also to avoid the impact of complete SSRI withdrawal which, in itself, comes with many warning labels which include suicidal moods and other adverse effects such as insomnia, nausea, brain zaps, anxiety etc etc. My main concern is that it will be like the brain having been rewired (neural connections) to avoid depression is suddenly firing up previously subdued emotions. After taking 100mg Sertraline for 14 years I have reached the point where I feel as if I have a type of emotional 'Locked In' syndrome, unable to feel anything about everything!. The thought process is not affected (fully cognitive) but nothing is triggered, so there is no frustration either. It will be like breaking out of my comfortable safe cocoon just to feel (what are now much missed) emotions again. Scary!
Does flow state also involve like how when Messi decides to make a movement, any, he is able to do so with precision like where he touches the ball, the pressure on the ball, and where he puts the shot and the aim? How can this be achieved?
Yes that's correct - so one of the key areas involved is insula which essentially computes a number of things based on past experiences - pressure on ball, touch, anxiety as part of game etc but because its been ‘trained’ there is no anxiety - so the frontal cortex is abale to make a decision much more effectively. Its achieved through rehearsal and repetition. Another effective way is through differential learning - exposure to increasing complexity. Thomas tuchel uses that style of training.
@@PsychiatrySimplifiedalso I have listened somewhere that in Adhd the prefrontal cortex develops slowly, does that give someone more time to develop more implicit memories?
Great video ! I have to keep watching it to understand how to help my son . He tried Zoloft had very bad side effects, he can’t talk normal, only repeating words and very bad ocd. Can NAC help or other supplements? I just want him to be back to normal that he can talk normal . Thank you
Thanks for the video . I saw you have been replying to many comments. Just wondering , my son has severe vocal tic , neuro asked him to try Zoloft , but after 7 dats, vocal tic reduce but trigger ver bad OCD, he can not say sentences only repeating words. Now Zoloft stopped after 14 days but side effects did not go away . We seen many drs all asked to try different SSRI . We are now 3rd of taking NAC and hope this can help . Do you have any suggestions? Thank you
Sorry to hear? Age? If tics - discuss clonidine or guanfacine as these are considered up the hierarchy nowadays. Esp as if SSRIs worsened the OCD - its possible sleep is disturbed? And arousal increased. Important to look at sleep esp if less than 18. Ps not advice. I've done videos on clonidine and guanfacine
Thanks for replied and I understand it’s not advise🙏. He is 13 , was on Guanfacine since age 9 but beginning of this year vocal tic was loud , the new neurologist switched to Zoloft 25mg 1st week and 50mg 2nd week to see. Unfortunately after 1st 50mg , he started to repeated words and walking repeating we stopped the med after 14 days . We see. Many we just want to change back to before, speech is regression , behavior is regression. It’s 2 months now😭 . I saw this video and understood more. But the drs they keep recommending SSRI and said we should keep trying😭 . Sorry to bother you , do you currently see patient? Please if you do I can zoom or try to be there . I am in radiology field i understand 😞 I tried Zpack for 5 days was better but after zpack symptoms got worse again. Sleep is a problem . Now he doesn’t take Guanfacine , neuro switched to Clonidine but with Clonidine, he has sleeping issue, takes 1-2 hrs to fall sleep, he didn’t have sleeping issue with Guanfacine. Unfortunately my house got broken into recently, his repeating and OCD got ver bad 😭
rTMS is very effective apparently. But testimonials differ. Do I believe vulnerable people are mis attributing their symptomology to this novel method? Maybe. Do I believe magnetic pulses can benefit mental illness? Maybe. It needs further study before confirming.
Hi dr i used since past 20 years ssri medicine but i have choronic insomnia can i use it ??is it any serious side effect like liver damge etc plzzz reply
It can be used but it isn't efffectivebin treating insomnia and can worsen sleep architecture. In such cases augmentation may be needed to discussion about treating insomnia is needed. Please have a discussion with the doctor. We can't provide individualized advice. Ps not advice. Wish you well
I am helping edit an e textbook chapter on antipsychotic meds and I would like to link to your video, which gives such a clear explanation of your experience. Would you be happy for us to link to this clip under the fair use policy? Thank you very much.
I originally was taking NAC for congestion/ mucus but I noticed the ability to find words faster while speaking eliminating stuttering or embarrassing brain fog moments. The clarity I’ve noticed is phenomenal
I have been reporting agitation (agitated depression) to my GP but they just see it as anxiety when it is completely different! How can I get them to understand? I'm a mental health clinician and still they don't hear it!
Have you considered a referral to a psychiatrist? And if insomnia is present which is often present as part of agitation then consider addressing that by stating the insomnia - which Gp’s may be more comfortable treating until one can see a psychiatrist. Often way is to consider the diagnosis of agitated depression or mixed states which as labels may be more understandable? Ps not advice . But hope you get some relief.
Thank you for your reply. I have worked in all the planned and urgent care services so have concerns re anonymity. I know the 2 local community treatment team psychiatrists very well. have reached out to practitioner health to see what they say (for practitioners who have concerns about accessing confidential care in their locality).
The aim isn’t to oversimplify it. Things become simpler to understand when we repeat exposure to the knowledge over time. The essence of learning. There is too much material out there that oversimplifies aspects via exclusion of material. The video is actually a simplified version of the concepts. I would recommend viewing a few of the other videos on this topic I’ve done and then come back. If it’s the sort of effort you want to put in
