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Psychiatric Interviews for Teaching: Psychosis 

University of Nottingham
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Please note that this video has been made by the University of Nottingham for teaching purposes. The psychiatrist is a real psychiatrist but the patient is played by an actor. No real names or personal details have been used.
In this film, an on-call psychiatrist is assessing a young man who has been referred urgently by his GP. The psychiatrist takes a history in which she elicits persecutory delusions, third person auditory hallucinations, running commentary, thought insertion, and somatic hallucinations. She then makes a risk assessment, takes a drug history and assesses risk.
The patient is clearly suffering from a psychotic disorder and the most likely diagnosis is schizophrenia. Differential diagnoses would include a drug-induced psychosis.

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30 янв 2012

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Комментарии : 932   
@kabirvana
@kabirvana Год назад
Being a survivor of psychosis, this video actually made me tear up. I don’t wish it on my worst enemy. Psychosis really is an experience that really messes with how you live your life. I wish everyone well.
@sharfraz6482
@sharfraz6482 Год назад
If you don't mind me asking, do you know/ remember the events that led up to your pyschotic episode? Perhaps what may have caused it?
@geekygirl3137
@geekygirl3137 Год назад
Hello Kabir , i am really sorry to hear what you have been went through. Can you please guide how did you seek support to get out of this?
@supernaturali1692
@supernaturali1692 Год назад
@@sharfraz6482 mine anxiety i was always crying because of the step dad bullying me when i was young then when he left around 15 years old i felt a lot of axiety then felt so depressed when i turned 17 i was doing strange things with my body like pressing my chest my head and felt i had a problem but always went for a walk and stuff ant lost 40kg and felt weaker when i lost weight but I’m better I don’t feel i have physcosis no more because i cured it
@benjamindowers8291
@benjamindowers8291 Год назад
You are an incredible person!
@jedalbano2014
@jedalbano2014 Год назад
I lived through my psychosis also. I remember it vividly. The world was against me. It was terrifying and constant. I could not hide from it. It was the most powerful experience in my life.
@pwbmd
@pwbmd 7 лет назад
0:50 - "My housemates work for MI5 and they're doing stuff to my brain" = Persecutory delusion/paranoia 2:00 - "I can hear them talking about me" = Auditory hallucinations 2:40 - "They're always talking about everything I'm doing" = Running commentary 3:50 - "They're putting stuff in my brain...they're not my thoughts" = Delusion of control/thought insertion 4:15 - "It's MI5" = Preoccupation 5:40 - "I don't leave my room much" = Isolative behavior (negative symptom) 7:00 - "I thought of taking some pills" = Passive suicidal ideation 9:00 - "I smoke a bit of weed" (cannabis associated with increased psychosis in pts w/ schizophrenia) 10:45 - "I'm not ill" = Lack of insight Also of note: Poor eye contact, fidgety/distractable. Anyone notice anything else?
@learnsomethingeveryday9164
@learnsomethingeveryday9164 7 лет назад
nic man
@terryma6011
@terryma6011 7 лет назад
2:00 is ideas of reference, not AH
@kikibee1580
@kikibee1580 7 лет назад
Terry: He says that he hears them when they're not in the room with him, such as either when he's left the room, or even then when he was talking to the Doc. AH. Paul: I originally thought the disheveled look was that he's really not look after himself, or maybe the voices aren't letting him. But then I remembered that the was a uni student, so that's normal. lol. I'm thinking there may be some esteem things wrong as well, as his voice is soft, sometimes murmuring. He seems to be cognitively healthy besides the mental illness, off his appearance, even if he is a student, I may think that he doesn't look after himself because of the voices. He says he not there for himself, he's there for "his mum". That and he didn't keep very good eye contact. Edit: Oh, and he's paranoid, thinks people are out to get him, ie, his roommates poisoning his food.
@naveensilva2312
@naveensilva2312 6 лет назад
Thank you, I wish they had something like this in every video, it really helps to hear what patients say in the real world and connect it to the medical term.
@drsvetlanaias78
@drsvetlanaias78 6 лет назад
Paul W. Bolin are u a doc? v good observation
@ernestcrane6227
@ernestcrane6227 3 года назад
A lot of people down on the interviewer. I thought her manner was warm, accepting, and empathetic.
@petemavus2948
@petemavus2948 3 года назад
Well she's not quite my cup of tea, but I don't see her leading or anything unprofessional.
@lotussavage1283
@lotussavage1283 3 года назад
she was too robotic and fake, and i really disliked and stressed me when she kept interrupting him uuughh!
@scorpion777silvermoon3
@scorpion777silvermoon3 3 года назад
She did good. She could have laughed but she didn't break character. She takes him seriously and his job... Generally the real petients take forever to trust you. She. Has earned his trust
@scorpion777silvermoon3
@scorpion777silvermoon3 3 года назад
But what makes patients hear voices
@perspgold8945
@perspgold8945 3 года назад
letting him finish a sentence would be more effective
@uniofnottingham
@uniofnottingham 10 лет назад
Remember this gentleman is an actor. :)
@jenss.3613
@jenss.3613 4 года назад
right... OK... Who else is an actor? Tell me. Is your mom an actor as well? Why do you think that is? Would you like to tell me a little more about that?
@ssimarsimar2395
@ssimarsimar2395 2 года назад
You led me to shock
@celia-cj5py
@celia-cj5py 2 года назад
Wow! He's a great actor
@AmeerHamza-iv9sn
@AmeerHamza-iv9sn 2 года назад
Yeah this interview is basically for teaching purpose its a mimicry of the act. We used to do this in our general physical examination in osce exams.
@marialungu9709
@marialungu9709 2 года назад
He's soo great at it
@nh8444
@nh8444 2 года назад
Man, when he says “I don’t know why they’re doing this. I’ve done nothing wrong.” 5:15 it made my heart sink. Imagine being fearful or anxious about something you haven’t done and not knowing that it’s not real. The experience is real in his head, but the actual actions of others around him for others to verify is not. Reminds me of that episode of House, where the boy thinks he has a chip in his neck and that the aliens know where he is. I couldn’t imagine having this happen to my kid.
@raychieeliz7658
@raychieeliz7658 2 года назад
I've been diagnosed with psychosis and let me tell you , it's horrible 😞
@dianakarina8080
@dianakarina8080 Год назад
@@raychieeliz7658 does anything help?
@beautifulragdoll7739
@beautifulragdoll7739 Год назад
It breaks my Heart every day. Watching my son suffering from schizophrenia.
@cheydinal5401
@cheydinal5401 9 месяцев назад
BTW turns out that according to the video description, the patient is actually played by an actor
@NorahCIIV
@NorahCIIV 2 года назад
Suffering with psychosis is like living in hell, I’m not one to break. I’ve suffered with my mental health for a long time but when I went through temporary psychosis I just broke, I heard loads of voices pointing out my flaws and I was in a restaurant and just broke down crying because I genuinely thought the voice’s were the people around me
@hamtaromachina
@hamtaromachina 2 года назад
I'm extremely sorry to hear that. I hope you are doing well. There are a lot of people who love you even if they are strangers. I wish I can give you a hug
@jeanalzaidi908
@jeanalzaidi908 2 года назад
I'm so sorry their is people out here just like you your not alone hugs
@fargoth-ur3363
@fargoth-ur3363 2 года назад
I went into drug induced psychosis almost a year ago and I relate so much. I was forced to go to A&E and the whole time I could hear people in there talking about me constantly, laughing and laughing about the way I looked. Some of them weren’t even real, or weren’t who I thought they were. I almost got up to hit one of them for what I thought he said to me, but I got called in before I did.
@vksomji
@vksomji Год назад
Yes you are so True and Absolutely Correct. Even I have Experienced this. It's a Blood Sucking Experience. I mean the Brain Sucks. These Blood Sucking Voices makes a Patient or a Victim commit Crime and then the Victim or Patient is made to behave like a Narcissist Person by these Blood Sucking Voices and later such a Patient is Pushed or gets Drifted into Depression by these Voices which Reminds the Patient of the "Remorse" . The Worst thing of Psychosis is that Nobody Believes them. I have Experienced this. Now I am Carrying a REMORSE
@vksomji
@vksomji Год назад
@@fargoth-ur3363 Yes even I have been a Victim of Medication. I experienced a "Worst Psychosis which made me Behave Wild like a Mad Animal during PTSD which was after I completed the Medication Course for treating the "Inception of Psychosis with Depression."... I am Still repenting for the Intake of Medication. Instead I would have been Back to Normal if I was Treated with Hypnotherapy for Removing the Bad Memories from Subconscious Mind.
@fedupwitumboth
@fedupwitumboth 2 года назад
So incredibly sad that the mind can get this sick. Absolutely incredible.
@anonymousperson8739
@anonymousperson8739 2 года назад
My partner has just been diagnosed with paranoid schizophrenia. These are the exact same symptoms he has been going through. It’s so heartbreaking
@jekentmenietje
@jekentmenietje 2 года назад
Best of luck to you both, that must be hard
@owenf2835
@owenf2835 2 года назад
i cant even imagine how difficult that must be for both of you please continue to support him and make sure he takes his meds for it
@Emily-ee1iu
@Emily-ee1iu 2 года назад
My brother has suffered from psychosis for about 7 years now and has recently had an episode. He has the same symptoms and it’s so hard to see him like it, when it’s someone you love and there’s nothing you can really do to help, I understand how hard it must be for you
@misslamsasdwj3736
@misslamsasdwj3736 2 года назад
🙏🏽🙏🏽🙏🏽
@anonymous-dd3gr
@anonymous-dd3gr 2 года назад
My brother have delusional desorder its very difficult to treat
@dragonmaid1360
@dragonmaid1360 5 лет назад
Really nice line of questioning without escalating the situation. Feeling safe is really important I love that she asks about this and continually keeps him at ease as much as possible.
@lotussavage1283
@lotussavage1283 3 года назад
this is a fake interview, they are paid actors
@bettyangel7009
@bettyangel7009 2 года назад
I like the way one question leads to another with good transition from one thought to another.
@bokak379
@bokak379 2 года назад
She asks open questions and gives him the opportunity to speak his thoughts. It's understanding and doesn't infantilise him. Outside of this I many people would benefit from asking people open questions rather than cornering someone into a conclusion that's already been made for them.
@daijadorsey674
@daijadorsey674 2 года назад
Yes she is doing well
@cjgodley1776
@cjgodley1776 Год назад
As someone who has experienced psychosis twice, I can assure you NO doctor has every responded with the empathy displayed by the woman in this training video. In my experience, doctors are sadly NOT trained to treated psychosis as a response to trauma (which, unless it is drug-induced, it is) and are NOT trained to be empathic trauma-informed helpers. They do NOT ask multiple questions, as this woman did, to get to the heart of what is going on. I have not had a single doctor respond the way this woman does in the video.
@oiausdlkasuldhflaksjdhoiausydo
@oiausdlkasuldhflaksjdhoiausydo 2 года назад
Bless all the professionals helping these patients and I don't know how much support these professionals get but they deserve more
@cjgodley1776
@cjgodley1776 Год назад
Unfortunately, in my experience I have not met a single professional who responded like the woman in this video. The "professionals" I have encountered during my two psychotic episodes were brutish, unempathic, and almost sociopathic in their responses. Rather than ask scientific or empathic questions to get to the heart of what was traumatizing me that caused the psychosis in the first place, they simply injected me with a cocktail of medications to make me pass out. I woke up in the psych ward the next day.
@mlisa61
@mlisa61 Год назад
@@cjgodley1776 yes, u have to be careful. They can easily lie about u or write copious notes. they must have evidence before saying such things about u. do they?
@nicholasogburn7746
@nicholasogburn7746 11 месяцев назад
We are trained, largely, to support ourselves. It's not easy - essentially we have to always add one extra client to our caseload: ourselves. The risk of burnout, of compassion fatigue, of becoming a cold and unfeeling unsympathetic automaton just to protect ourselves is...very significant.
@sachanielsen9134
@sachanielsen9134 8 месяцев назад
I'm so sorry this happened to you@@cjgodley1776 !! I am currently studying to become a psychologist and hope to be the one that in the future can empathetically help people who have had bad experiences like yourself!!
@andreasjansen1678
@andreasjansen1678 2 года назад
I just recently suffered from psychosis due to undiagnosed bipolar disorder but now that I've been diagnosed and am being treated I cant even fathom having thoughts like that again.
@MrTruckerf
@MrTruckerf Год назад
My gosh that's wonderful to hear!
@stephenalbertkurtz588
@stephenalbertkurtz588 Год назад
She never contradicts him or expresses doubt about the truth of what he's saying. If she did, he wouldn't have trusted her to go on. She's very sensitive. Good for her!!
@neil73
@neil73 8 лет назад
If you have a family member or friend that is like this, they tend to explode in anger when you point out the flaws in their perception of persecution - then they'll blame you and everyone else instead of looking inward or asking for help. They'll look for anything and everything to back up their theories - even a glance from a stranger walking down the street can be enough to make them think they are persecuted. It's one of the worst mental illnesses because it all seems so real to the person whose suffering from this, and the patient can be at real risk of being hurt or hurting someone
@kylerobinson1805
@kylerobinson1805 7 лет назад
yeah id love to see if my powers if persuasion can help a person see they are delusional like talk to then on a psychological level using logic and reasoning
@josephwhite7960
@josephwhite7960 5 лет назад
If you come at this from a scientific stand point you'll understand why it's so frustrating for these people. You shouldn't have to persuade a person just like the one in this video of anything. All you'd have to do is lay out the facts and he would underatand what is going on. If he doesn't then there's probably a miscommunication of some sort.
@mjennifer142
@mjennifer142 4 года назад
I hope you forgive your friend.
@janisgay5507
@janisgay5507 3 года назад
I know people don't like her right, okay s, but she is get a lot of info with him feeling negatively judged. She approaches him as if is credible.
@bobsbeats3950
@bobsbeats3950 3 года назад
@@josephwhite7960 What facts are those?
@Blue0000FF
@Blue0000FF 3 года назад
Wow! This guy is an actor. He's terrific with his acting! I thought he was for real.
@besiaug
@besiaug 3 года назад
There are some people around who faces the same things he said!! Might you felt like joke :)
@littleBrownDwarf
@littleBrownDwarf 7 лет назад
It's very interesting that although the cause of the delusions is likely chemical/biological, the actual delusions themselves are deeply culturally rooted (e.g. housemates, Mi5, tracking devices, brain chips, conspiracies, etc). In some other cultures schizophrenic people are more likely to have positive delusions, and their delusions are not often viewed negatively by family and friends. In many cases, delusions involve voices of dead loved ones, and these "patients" are viewed as chosen people who help the dead to communicate with the living. They're viewed as having a gift, not a disease. I find that fascinating.
@lucaschmidt8913
@lucaschmidt8913 7 лет назад
yes in India/Africa they have there anscestors talking to them
@DariusJablonskis
@DariusJablonskis 6 лет назад
Do you think these type of illnesses is more prevalent in western cultures ?
@KindOldRaven
@KindOldRaven 5 лет назад
That's fascinated me as well.
@KoshVader
@KoshVader 5 лет назад
It's hard to tell because we only have diagnosis rates to go on and more people in the west have access to mental health care.
@igorbuarque
@igorbuarque 4 года назад
Me too. I like how psychiatry has this particularity in which a disease may mean completely different symbols in different cultures.
@jigmesam
@jigmesam Год назад
Psychiatrist has perfected the warm, disarming and comforting "okay". She should do an asmr video of her just saying that for an hour - I'd sleep for a month.
@workingfortheirfuture
@workingfortheirfuture Год назад
I suffered psychosis (persecutory delusional disorder) for almost a decade after my dad passed (I now understand that I had traits as a child along the way). The worst of it was dealing with my wife’s ex boyfriend at the same time … playing mind games with us and stalking here - police couldn’t do anything about him - I broke down numerous times because I was being told it’s not real… , somethings were real and others I was perceiving to how I wanted them to look. A tissue blown from up the street might set me off as someone used it to wipe prints off a doorknob. It’s an awful condition.
@R_S747
@R_S747 10 месяцев назад
That sounds horrible, knowing something bad is happening but being told it's all made up because you're ""crazy"" and people don't want to hear it, I hope you're in a better place now
@NurseVale33
@NurseVale33 6 месяцев назад
Im sorry 😢
@roryjamesobst
@roryjamesobst 4 месяца назад
delusions
@ValentinaBuay
@ValentinaBuay 4 месяца назад
That sounds so difficult. I hope you've been able to manage this. If you don't mind me asking, how did your doctors convince you to take medications/go to therapy to manage your symptoms? I imagine it would feel alienating to hear that someone thinks you're "ill" rather than believing you.
@pearl8661
@pearl8661 7 лет назад
This guy is a pretty good actor. I like that he looks around the room a couple times.
@cuteangel1493
@cuteangel1493 4 года назад
@@alvarosalvadores9400 It says he's an actor in the description!
@KatashiNatsumoto
@KatashiNatsumoto 4 года назад
It's more like malingering in person with alcohol abuse...
@bigislander72
@bigislander72 4 года назад
I've had a few friends express their paranoid delusions to me but they don't sound as coherent as him...much more scattered and nonsensical. That's how I can tell he's an actor.
@suzanneweitzel8851
@suzanneweitzel8851 3 года назад
Chuck Norris really actor?? I thought it was real . Damm I in tears over the poor baby
@natalijamitrovic5649
@natalijamitrovic5649 3 года назад
If he looks around of room, he probably has auditory hallucionatios.
@robmarley9613
@robmarley9613 3 года назад
I love how everyone is trying to diagnose an actor themselves
@jeffandrew300
@jeffandrew300 2 года назад
I’ve had severe paranoia with hallucinations. The intakes are very difficult because you want help but you certainly distrust the clinicians. It’s really scary to be asked these questions actually. Honestly this doctor’s constant “rights” would trip me up.
@Kalikikryst
@Kalikikryst 11 месяцев назад
I think I would have lost it on her tbh. I’ve never experienced psychosis, but I could only imagine being scared and paranoid she would need to slow down. I know this video is for educational purposes so I’ll grant leeway for this.
@Branman345
@Branman345 7 месяцев назад
Yeah it is really tough having to asks these questions when a patient that we really know nothing about comes in and we have to ask these and make sure not to set you off at the same time. It is the trust and rapore we must make to make sure that you are safe along with the rest of the people that we are working with. We don’t mean to be intrusive we are doing it to help you out. Even if it feels like we are asking to many questions. It is a way to help you even if you feel like it is us asking too much. I hope you have better experiences in the future and I hope you take it as we are here to help you even when you are in a moment of psychosis. It is hard to see reality when we have a mind that is fogged over and we clinicians know this and want to offer you the best care we can. Hope all is well and that you keep your head up and keep on rockin!!
@twown
@twown 3 года назад
Wow, this is intense. What a gift to share. I can't imagine how challenging this must be.
@cuteangel1493
@cuteangel1493 4 года назад
I honestly would have never thought he was acting lol, he was really convincing!
@v.a2282
@v.a2282 3 года назад
He was?? Demn
@NickSBailey
@NickSBailey 2 года назад
having quite a bit of experience of seeing the real thing he really did a good job
@MrTruckerf
@MrTruckerf Год назад
I didn't realize he was.
@Branman345
@Branman345 7 месяцев назад
This was a really great interview with a patient that is suffering from psychosis. She really knew how to handle this patient even if he was an actor both did a great job illustrating what it is like to see a patient that has psychosis. Brilliantly done and this really made me as a future clinician know what to look for when interacting with a patient that is suffering from psychosis and other disorders as well.
@tzazella751
@tzazella751 2 года назад
"Im not ill or anything, i just want this thing out of my head" i have the same feeling. it's my brain.
@merbathory7367
@merbathory7367 7 лет назад
I counted close to 200 "right"s and "okay"s.
@adyp5176
@adyp5176 5 лет назад
quite apt... because usually the psychiatrist is wrong and "not ok"
@carluvrsd9374
@carluvrsd9374 5 лет назад
it takes him a little longer to think with all that noise in his mind, they're distracting.
@sirloin9348
@sirloin9348 4 года назад
That's okay, right?
@janiya3947
@janiya3947 4 года назад
I know right! She was like interrupting him.
@darciacruickshank1226
@darciacruickshank1226 3 года назад
TOO MANY RIGHTS AND MOUTH SNAPS FROM THE PSYCHIATRIST I HATE IT
@frenchiiz
@frenchiiz Год назад
as a psych student this helps me a lot to understand my report, thank you for the vid! ❣️
@vanessanandasena4617
@vanessanandasena4617 3 года назад
Thoroughly informative and insightful. Thank you!
@arjunfadia5209
@arjunfadia5209 2 года назад
MSE: Appearance: 21yo M appears stated age, dressed in casual clothes and has groomed hair and beard Behaviour: Good engagement with clinician, makes eye contact until distracted, fidgets with fingers Speech: Appropriate rate, tone and volume Mood: Anxious Affect: Mood congruent, intensity is appropriate, range and mobility are restricted Thought process (stream and form): Appropriate Thought content: Paranoid delusions (persecutory + grandiose) and thought insertion Perception: Auditory hallucinations, responding to external stimuli during interview Cognition: Intact as alert, orientated, intact memory Insight: Poor as unable to appreciate mental illness/ may benefit from healthcare Judgement: Poor as unable to weight up benefits and risks
@Tudo1
@Tudo1 Год назад
Really incredible session! They express a very accurate and reliable story, the act work looks genuine. Thanks a lot!!
@cheydinal5401
@cheydinal5401 9 месяцев назад
Wait, I thought you were just making that up, but I looked at the description and it actually is played by an actor! Good catch! Sometimes while watching I thought it does feel a bit acting-like, after all if you look into his eyes he seems basically fine it's just his macro actions that seem off, but I was thinking "Well, if it's published by a university then surely it's real", but it's really not lol
@54321and
@54321and 10 лет назад
I watched this with 2 consultant psychiatrists. Both agreed it's effective only as a gross simplification. For example, one rarely ever finds a paranoid /suspicious patient immediately willing to disclose a persecutory delusion - as this young man does within his first sentence .....
@vardor
@vardor 9 лет назад
and in front of two cameras? is this possibly acted out?
@halonothing1
@halonothing1 9 лет назад
Orange Betsy Of course it is, it's called role playing. It's done for the sake of teaching.
@vardor
@vardor 9 лет назад
ah ok...thanks
@mayankkamboj4025
@mayankkamboj4025 4 года назад
Yes. True that. It takes more patience on the part of the doctor. Besides, I just find this too much like checking items off a list... Instead of listening more. Maybe it is so because they fit everything in a 12 minute video. But even in a one hour session it'd be too fast and intimidating
@petemavus2948
@petemavus2948 3 года назад
@@mayankkamboj4025 ABSOLUTELY !!!
@amandasteven1400
@amandasteven1400 3 года назад
an illuminating and easy to follow series with excellent audio quality. i mean, if one picture is indeed worth 1000 words... then how can one not glean an insight?
@Yousif.b10
@Yousif.b10 3 года назад
Warning signs before psychosis: It starts with gradual changes in the way you think about and understand the world. You or your family members may notice: A drop in grades or job performance Trouble thinking clearly or concentrating Suspiciousness or unease around others Lack of self-care or hygiene Spending more time alone than usual Stronger emotions than situations call for No emotions at all Signs of early psychosis: You may: Hear, see, or taste things others don’t Hang on to unusual beliefs or thoughts, no matter what others say Pull away from family and friends Stop taking care of yourself Not be able to think clearly or pay attention Symptoms of a psychotic episode: Usually you’ll notice all of the above plus: Hallucinations: Auditory hallucinations: Hearing voices when no one is around Tactile hallucinations: Strange sensations or feelings you can’t explain Visual hallucinations: You see people or things that aren’t there, or you think the shape of things looks wrong Delusions: Beliefs that aren’t in line with your culture and that don’t make sense to others, like: Outside forces are in control of your feelings and actions. Small events or comments have huge meaning. You have special powers, are on a special mission, or actually are a god.
@genniferpaulgomez3028
@genniferpaulgomez3028 2 года назад
Wow! Thanks, my daughter suffered from psychosis while studying 2year at university & the conversation that are touched in this video, is so painful at the same time I am grateful to have an insight into what the mental condition of psychosis really is. Thanks for airing this interview on the topic.
@mainipetersen846
@mainipetersen846 2 года назад
100% symptoms my son experienced
@megndscallion
@megndscallion 8 лет назад
listening to Andy's responses and cant help hes sporting a lovely looking North Face jacket.
@dr.spencerreid2991
@dr.spencerreid2991 4 года назад
Ahahahgagaga
@petemavus2948
@petemavus2948 3 года назад
LOL you shopaholic !!!
@alilopez4836
@alilopez4836 9 лет назад
Thanks a lot! That was a great learning experience.
@Phoenix-md8sh
@Phoenix-md8sh Год назад
I live with bipolar disorder with psychotic features and have experienced similar thoughts. It's definitely terrifying and confusing.
@RandyDandy114
@RandyDandy114 9 лет назад
very good and informative video, thanks for sharing!
@DevCodeTuts
@DevCodeTuts 10 лет назад
The fact you question it is what makes you sane.
@bloodbathbushcraft
@bloodbathbushcraft 11 лет назад
Being isolated for awhile triggers alot of mental disorders.
@Fireluv500
@Fireluv500 10 лет назад
We as family members of the victims of this illness should just be patient with them. All we can do is be supportive and show them great amount of love, for love is a medicine too.
@viccosta2507
@viccosta2507 6 лет назад
The way she says "that must be very difficult for you" sounds very raw and apathetic, in my opinion at least. A better way I guess would be "I imagine that must be very disturbing for you" in a more slow and passive way.
@bigislander72
@bigislander72 4 года назад
This is why I view going through psychotherapy as essentially useless unless one has severe mental illness requiring medication...why pour your heart and soul out to someone so cold and clinical that really doesn't care about you at all, not even in a friendly neighborhood aquaintance level, much less love you.
@mayankkamboj4025
@mayankkamboj4025 4 года назад
@@bigislander72 You're right. A majority of therapists like to hide behind a wall. They expect the other person to pour their heart out, just because they have a psychology degree. That's not how it works. You gotta earn the patient's trust. A good therapeutic relationship is loving. But the majority of therapists rn aren't that. There is a sort of egotistical satisfaction in being "superior" in a relationship, which I think most therapists have
@petemavus2948
@petemavus2948 3 года назад
@@mayankkamboj4025 many PCs or GPs as well, some can act as impersonal dispatchers ( to other doctors/ specialists ) and dispensers ( of medications ).
@blackmichael75
@blackmichael75 3 года назад
That's just English sang froid.
@Adamisgood24
@Adamisgood24 6 лет назад
I experienced only drug induced psychosis when I used to take high doses of dextromethorphan, and smoked weed on it, or from taking just high doses of dextromethorphan, and redosed it several hours later. I did too hear voices talking to me, and controlling my movement, and what I would say. That induced fear and anxiety in me up until a point where I would get psychosis later down the line, and that fear and anxiety just disappeared all together, right up until my doctor prescribed me 2 antidepressants, and that put a total stop of me taking DXM anymore. I still don't feel fear, and very rarely experience only very low levels of anxiety. I am fine now, and I know for sure if I were ever take that stupid DXM on my antidepressants, I could get serotonin syndrome, and that is very bad condition that I could even die from.
@cp9105
@cp9105 8 лет назад
Wow that guy is a really convincing actor, I really thought this was not acted at first.
@frankdonaldsoncanadianking9651
@frankdonaldsoncanadianking9651 3 года назад
remember: Denial is stage 1 - jk - but seriously why would u think that?....this is....clearly....very real. -- i.m.o.
@dfiz1313
@dfiz1313 2 года назад
@@frankdonaldsoncanadianking9651 because it the description literally states that the patient is played by an actor
@chitty2bang
@chitty2bang 11 лет назад
Wow. She truly is an experienced psychiatrist.
@jewhisperer
@jewhisperer Год назад
This is an intense and very specific experience of psychosis.
@SamOwenI
@SamOwenI 9 лет назад
Plot twist: he's not delusional, and his mother is actually working for MI5 as well...
@MattJay.
@MattJay. 9 лет назад
Plot twist: the doctor is the one with a psychosis And she talks to her shoe binders and other, stationary
@asdfgh-sd5cd
@asdfgh-sd5cd 9 лет назад
***** plot twist: we're in the matrix
@asdfgh-sd5cd
@asdfgh-sd5cd 9 лет назад
***** plot twist: 420 blaze it
@china4151986
@china4151986 9 лет назад
SamOwenI lol
@pandabear4321gogo
@pandabear4321gogo 8 лет назад
SamOwenI Real plot twist: She's his housemate.
@chekkop
@chekkop 11 месяцев назад
Psychosis can be very powerful. I have severe social anxiety, it's a very hard thing to even type text to my internet friends and no joke, 12 years ago it was very stressful to even stand in front of a window in my moms apartment. But my first episode of psychosis I had two years ago made me run naked outside. It felt like life was seen from another perspective, as if it was some sort of lie and the "real" life was gonna start later so whatever I do here did not matter.
@squatter2983
@squatter2983 2 года назад
This is like a job interview I once had.
@zainabahmadi731
@zainabahmadi731 5 лет назад
with my all respect to Dr. Taylor experience and skills one point that is very obvious for me in this interview was about the flow of speech of psychiatrist! I think it is a little bit fast, may be cause of native language or anything else but at all she well done to create contact with patient and to know about diagnosis.
@garypaffile6811
@garypaffile6811 10 лет назад
Its interesting that these psychology videos always make the leap that persons suffering psychosis are willing to talk or answer questions in the first place. Doctors often act as though the patient knows or believes that they are psychotic, which is nearly never the case with genuine psychosis. It can be rather patronizing the way the doctor asks the questions, and the way they respond as well. Then again, its an interesting video.
@DazMcK
@DazMcK 7 лет назад
Wouldn't be a very educational video if the scenario was a paranoid patient with strong negative symptoms who just sat and didn't make eye contact for 12 minutes now would it?
@petalpop101
@petalpop101 7 лет назад
Are you a doctor? Then how do you know how this "nearly never" happens with genuine psychosis? Also, this is a psychiatry video, not a psychology video. Idiot.
@EG-qp7nt
@EG-qp7nt 6 лет назад
This video is a good example, however I do agree with you (though possibly depends on severity) people in real psychosis often are very incoherent and don't make much sense or they can tend to get very defensive if you ask lots of questions and they get suspicious or feel they're being judged or attacked because they're in such a fear based state, although depends on the severity. If they're really paranoid they won't say anything at all because they're too paranoid.
@abilify10mg
@abilify10mg 8 лет назад
i have schizophrenia....its been 21 years now....i must point out that i look pretty normal from the outside....mine is when i am alone...thats when the thoughts appear...thanksfor the video
@jesusalvarado2202
@jesusalvarado2202 8 лет назад
You arent alone
@sentinelislander5239
@sentinelislander5239 8 лет назад
+ferdinand la marca u should have to have head phones and hearing songs loud so that voices could be masked....
@DeceivingHeart
@DeceivingHeart 8 лет назад
Be strong brother. You are not alone.
@Cojon91
@Cojon91 7 лет назад
What is the best way to be a caring friend without causing unnecessary stress in this situation?
@hayam35
@hayam35 6 лет назад
you hear the thoughts inside your head or coming from out side reaching your ears ....
@maka1706
@maka1706 Год назад
I’m impressed by acting, so real
@sikclast
@sikclast 4 месяца назад
Psychosis was such a bizarre thing to experience. One moment i felt like superman and the next i felt like a scared animal. I felt some of the worse dread ever but at the same time i felt entirely connected to everything and everyone. Such power … permanently changed me
@ASMinor
@ASMinor 5 лет назад
I am an avid #MentalHealthAwareness advocate and performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my RU-vid channel, so I get excited when I see other advocates. 💙❤
@Alprtngakrc
@Alprtngakrc 5 лет назад
So what do you advocate? Do you advocate locking up people until creating a chemical dependency in them and then making money out of it by managing that dependency that's created by psychiatry itself? What kind of people are you for God's sake? Why don't you defend human rights instead? Why don't you fight against involuntary commitments and involuntary drugging of those suffering individuals? What kind of person are you?
@smilescomeforfree5855
@smilescomeforfree5855 9 лет назад
This is brilliant, thank you.
@K.ALISON
@K.ALISON 2 года назад
I wish the psych i first saw was warm like this lady, he was cold sat quite far away and didn't talk very much. I'm not someone who minds silence so the doc being quiet didn't and still doesn't make me want to fill the silence. I like her manner.
@yaplamf
@yaplamf 3 года назад
Thank you for this.
@randersonctr77
@randersonctr77 2 года назад
This guy's a great actor!!
@andreahinojosa3833
@andreahinojosa3833 8 лет назад
The interviewer is talking way to fast and it feels like shes not really acknowledging his feelings by saying "right" and asking question before he's even done talking. Very stressful to watch.
@kesikansj
@kesikansj 8 лет назад
In the other teaching videos people had been complaining that the interviewer is using too many rights
@snape539
@snape539 6 лет назад
Andrea Hinojosa You just described every psychologist i met
@christabel5148
@christabel5148 6 лет назад
Isn't this supposed to be an assessment?
@JohnThornley
@JohnThornley 6 лет назад
Andrea Hinojosa Good points. I hear questions but more leading that i would be comfortable with. I i wonder how many of her leads will emerge in his delusions later on.
@trayas2272
@trayas2272 5 лет назад
Sometimes u need to ask patients with psychosis leading questions as they sometimes don’t offer information unless specifically asked about it. Poverty of thought and speech is a common symptom, they might just not be thinking much.
@Jojopub95
@Jojopub95 5 лет назад
Wow this is really fascinating!
@varunkamath3809
@varunkamath3809 2 года назад
Wow , the consultation was so smooth
@aliaaabdulhakeem7081
@aliaaabdulhakeem7081 3 года назад
The patient is a good actor, very well done
@lynnwilson2615
@lynnwilson2615 3 года назад
Her interrupting his answers is driving me crazy.
@cristinarusu6133
@cristinarusu6133 2 года назад
Bless him. My heart is broken 😭
@Ken68plus1
@Ken68plus1 10 лет назад
Very brave. I wish you all the best.
@cjojay
@cjojay 11 лет назад
That is how you check for symptoms in medicine. Doctors have to trust that patients will be honest about their experiences. This is what guides diagnosis and investigation.
@lesleyyang1139
@lesleyyang1139 2 года назад
Amazing interview demonstration! I'd love to watch more! Is there any extension videos regarding interview with this patient's parents? (like what mentioned in the video that the doctor is gonna interview his parents?)
@mjmallari796
@mjmallari796 2 года назад
Thank you. You are valuable.
@isabellapettersson9047
@isabellapettersson9047 7 лет назад
that therapist is really good
@zazzong6259
@zazzong6259 Год назад
I have a family member who has psychosis.. the problem is, she's not letting anyone near. She has studied psychology and psychoanalysis and thinks we are trying to manipulate her.. when we suggest seeing a doctor, she wants to know the methods and she won't let them 'manipulate her brain'. It's getting worse and we don't know what to do about it.
@jean-lucpicard5510
@jean-lucpicard5510 5 лет назад
My housmates are working for MFI, and keep trying to sell me a discount three piece suit.
@colemanhuckins1181
@colemanhuckins1181 2 года назад
I'm doing research for a horror book I'm working on, and this we very helpful. Andy I wish you the best man.
@zoeyperkes8572
@zoeyperkes8572 Год назад
He must be very brave to talk about what he thinks is going on.
@N8T1V3-5F
@N8T1V3-5F 6 лет назад
beautiful example of non-judgemental report building w/ assessment
@mirrimaaz
@mirrimaaz 9 лет назад
Are these scenarios taken from real records with details changed, or made up?
@inspectorsteve2287
@inspectorsteve2287 5 лет назад
Wow this psychiatrist is really good. Very nice.
@altheaannadmarco9916
@altheaannadmarco9916 2 года назад
This is very sad, everything he is feeling is real to him he must be frightened by all that is going on. I hope he gets the help he most desperately needs .Starting with his drug taking would be a good first step.
@elizabethcotton4659
@elizabethcotton4659 3 года назад
My nephew was so young when he took cannabis. He’s now 25 and still sectioned. He has psychotic episodes. Not a danger to anyone but is too vulnerable to live alone. So sad x
@marinavam3942
@marinavam3942 2 года назад
Cannabis can cause psychotic episodes?
@meharabchoudhury38
@meharabchoudhury38 Год назад
@@marinavam3942 lots of links to shizophrenia and cannabis use.
@rft1509
@rft1509 3 года назад
Put that Actor in a movie He is such a good actor
@iQafa
@iQafa 6 лет назад
The man is a very convincing actor.
@forgoroe
@forgoroe 4 года назад
Right, right, right. Oh man, the forced empathy act. Isn't it quite obvious how much I care and am genuinely curious about your situation after hearing me excessively say "right" ? Right, right, yeah, I get you dear. It comes off as "Oh, I know everything about your experience". Running the risk of having the opposite effect of empathy: condescension. Especially when the word "right" is shoved in the conversation repeatedly as soon as the first syllables of the person's answers are uttered. If you're going to ask me questions and all you want is raw data about my experience, you might as well just had me fill in a form. I'm sure valuable data is being gathered here which will ultimately overall help the person, but I'm sensing a lack of genuine human care which... Is needed. Always. P.S. Having had my chance to rant: overall informative and helpful. Thank you
@george3053
@george3053 5 лет назад
Jeez can he even get a word out without her interrupting with “right ok”
@TomorrowWeLive
@TomorrowWeLive 4 года назад
Do you not know what backchat is? Have you ever had an English conversation with another person?
@Hillary-om2pi
@Hillary-om2pi 7 лет назад
wow this was a great movie
@jomama5186
@jomama5186 Год назад
This is really sad. My love and prayers are with him.
@plarnston
@plarnston Год назад
Don't worry, he is an actor! :)
@Yinyanchant
@Yinyanchant Год назад
You do know he's an actor yes? 😅
@mariaserratechiaruttini5628
@mariaserratechiaruttini5628 3 года назад
alguien tiene el link de la ENTEREVISTA a la madre? gracias
@omnijacq
@omnijacq 11 лет назад
just to fluid to be true, but great interviewing skilss, congrats on the videos, so helpfull. Psychiatry Resident from Panama
@Lookatmeshine
@Lookatmeshine 9 лет назад
I can hear someone saying yep and okay in the background... is that part of the psychosis or just someone directing on the video? lol.
@petemavus2948
@petemavus2948 3 года назад
@@ems4884 Funny but another commentator mentioned it too. My volume on high was almost not enough to hear everything he said nevermind these " other voices ". Orrrrrrr I'm not psychotic...Yay !!! LOL
@patricecomedy
@patricecomedy 4 года назад
This video is exactly like University of Newcastle "Psychology Teacher" RU-vid channels video. Is this a standard way of teaching how to interview patients?
@primadeluxe4910
@primadeluxe4910 6 месяцев назад
This was really really helpful
@vksomji
@vksomji Год назад
I am not a Doctor or a Professional Expert but after Listening to the Counselling Session, I Support the Patient because, Even I have Experienced Worst Psychosis during my PTSD...what you mentioned, "Drugs Induced Mental Disorders". So after Self Analysis for 10 yrs and Changing my Treatment I think the Patient should go for Hypnotherapy for Removing any Past Memories from Subconscious Mind which triggers Mental Disorders. Again I am just Recommending Hypnosis Session based on my Personal Experience for curing my Mental Disorders which included Psychosis and Depression.
@MrTruckerf
@MrTruckerf Год назад
It is certainly worth a try, I would think. If it worked for you, it could work for others. Although I have read that there are people who cannot be hypnotized.
@UTprema
@UTprema 8 лет назад
Plot twist: all of you guys are working for MI5. The doctor is actually M, and the patient is .... Yes, you guessed it right .... Agent 007!
@stephenoneill2844
@stephenoneill2844 3 года назад
Now you're thinking! And yes you are actually on the right track, and I know what I am talking about.
@dewilew2137
@dewilew2137 3 года назад
Imagine how absolutely distressing and debilitating this must be.
@petemavus2948
@petemavus2948 3 года назад
Yes even though I've made jokes with fellow commentators here I would never dismiss or hurt someone actually experiencing such painful distress.
@JohnSmith-td7hd
@JohnSmith-td7hd 2 года назад
Honestly, if my therapist was constantly nodding randomly and interrupting me with a condescending "Right.", "Okay.", or a combination "Right. Okay. Okay. Yeah. Okay. *deep breath*" etc, I'd couldn't work with her. She's horrible. She's telling him to shut up and filling the space with constant audio clutter. In fact at 10:50 he ignores her "shut up" signals so much that she makes them faster and faster and I expect she'd start yelling them at him eventually because she really is trying to shut him up so she can start talking again. And when she says "Right.", she doesn't mean "Right." at all. It's garbage. Just verbal fidgeting that hasn't been corrected. It might even count as a behavioral tic. I'd love to see her get a taste of her own medicine by having a similar person "listen" to her by constantly blabbing nonsense back to her as she's talking, before finishing her thoughts, and even after she's done. Notice that she always gets the last 2 or 3 words in, in each section of the video.
@merelymaterial
@merelymaterial 10 лет назад
excellent interview, although the interviewer did sound a little robotic with her empathic statements "that must be very difficult for you"
@stoneroses3493
@stoneroses3493 3 года назад
yep she sounded really fake lol!
@petemavus2948
@petemavus2948 3 года назад
distancing - dismissive?
@Luna-ft8yh
@Luna-ft8yh 4 года назад
The actor is really amazing :O
@KiritsujuEmiya
@KiritsujuEmiya 6 лет назад
What are the differances between 1st and second person auditory hallucination?
@LatestTechinCyberSec
@LatestTechinCyberSec 7 месяцев назад
Great acting. 👍
@houseofsolomon2440
@houseofsolomon2440 3 года назад
They have real interviews with real patients all over the internet ✅
@juandiegoboterobarrera9777
@juandiegoboterobarrera9777 Год назад
I've been smoking weed for 1 year and despite being sober I see colors much brighter, sounds are louder and people's facial expressions seem strange to me. I also feel like there's a constant disturbance in short term memory, for example, someone talks to me and I feel like it didn't happen, or when I walk from one place to another, I forget how I got there. It's like being high all the time but without the euphoric feeling of cannabis, these sensations haven't produced anxiety or something. ¿Could this be some kind of psychosis or is it derealization disorder?
@Yinyanchant
@Yinyanchant Год назад
Really interesting comment, try taking less of it or 'micro dosing' through the day. You should still be able to function & drive etc if you get the dose just right. I wouldn’t look for any serious mental health problems at the minute. Once you cut down or only use it to help you sleep then asses your memory again. I'm old & I've only started using medical cannabis for chronic pain, it’s a game changer for sure.
@asmnazmuzzaman1703
@asmnazmuzzaman1703 4 месяца назад
Very good video
@carjaune6793
@carjaune6793 2 года назад
I had an officemate in grad school. He started telling me odder and odder things. I told him to go see someone “this may be the last time you’re rational enough to go of your own accord” but I was too late. Miss you Max!
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