Schizophrenia & Dystonia (Incredible Archival Footage) | Dr Syl's Analysis 

You don’t talk too much! This was interesting and informative

You don't pause too often at all, we are here for your expert analysis and input

I do appreciate the constant pauses dr Syl! I believe that's why majority of us are subscribed, to learn more about these devastating conditions. Thanks dr!

You don't talk too much! this is how we learn from you lol! appreciate the work you put into each video!

I've been diagnosed with trauma-induced psychosis, and it is most terrifying. No longer being able to trust my mind without medication really changed how I view people who don't respond well to treatment. Instead of not understanding what I'm seeing, my heart now has so much compassion for them. Thank you for sharing this video and helping us learn from it. I hope this man was able to respond well to treatment.

As the parent of a son with schizophrenia, I find these videos so helpful, yet so sad. Knowing others suffer as my son suffers is heartbreaking for me.

I can see how uncomfortable the section with the dystonia made you, like you wanted to immediately help him. You’re a good man Dr Syl ❤

You definitely don’t talk too much - I’m sure the majority of us LOVE the detailed explanations. So thank you very much for taking extra time to explain everything you’re observing.

Love your explenational videos, Dr Syl! I want to say one thing because of the irony. This is not said to change anything, just a "funny" observation in myself. I have schizophrenia and sometimes you look directly into the camera while you're watching the other videos, and make some expressions that really make it feel you're assessing me through the screen if I'm particularly "vulnerable" that day. Just a little funny, and probably just a thing that's great for me to work on.

9:25 I didn't understand what the patient said there, but since they were talking about thought transmission devices in his teeth: how would one differentiate between a patient experiencing medication-induced dystonia and (something like) him testing his teeth for the devices? Especially given that the doctor just suggested that the experience must've been very distressing. Being preoccupied with checking one's front teeth for devices would probably look awkward on anyone, no?

Thank you for your commentary and explanations. These are such important topics for everyone to learn more about. There is so much stigma around mental illnesses and disorders and the more educated we all are, the better for everyone

Ramble away. Your commentary is very informative.

I know you're more for short-form reactions, but if possible - i'd recommend the true crime story 'Snowtown' - aka, 'The Snowtown Murders'. It's an Australian True Crime film about the South Australian serial killer where the headlines called it the "Bodies In A Barrel Murders". The film itself is extremely close to what happened in real life and not only shows the side effects of those affected by the killers behaviour, but the lengths the lead teenager would go to try to make the killer stop or prevent him from being abused in some way, shape or form. Not sure if that's explained properly, but it's an excellent watch for psychological purposes.

You don't talk too much. I appreciate that you pause and explain so often. I want to understand what's going on, even though I don't work in the medical field or with mental health at all. I just find it interesting.

I don't mind the pausing at all, and i love the "rambles"! I feel like i am learning so much! I am also super surprised to hear that the DSM5 dosen't use "paranoid schizophrenia" as a description.. As that was my original diagnosis, 7 years ago, despite me not having ANY real or big symptoms - i had previously as a teen been diagnosed with a bad depression and anxiety, so the anxiety had just grown as i was traumatized more and more during my teenage years.. Its so interesting to learn what requirements you need to meet, and how the frick my doctor got to that decision is a mystery for us all. I have Autism - and because of my trauma, depression and anxiety, i guess it can look like a mild case of schizophrenia, when i am stressed to the max..

I really appreciate your videos. I work as a clinical social worker in a setting without any psychiatrists, and the information you share helps me understand the complexities of psychotic symptoms and disorders. Thank you so much! I would love to hear your thoughts on the relationship between delusional beliefs, misattribution of value, and hoarding disorder.

I have a diagnosed schizophrenia spectrum disorder, and I didn't know passivity phenomena included affect. I have had a notion, since I was little, that emotions are essentially spirits that inhabit you around certain stimuli, and also some times they can possess you. But luckily I haven't had the possession experience (yet).

Is it normal to ask such leading questions in an interview? I would imagine you'd want to get an unbiased version of what the patient is experiencing by asking more open-ended questions and then asking more pointed questions afterwards. I guess maybe they're just trying to cover things for the video that they've already discussed, though Edit: I hadn't watched the entire video when I posted that. So I hadn't seen that you brought this up later. Thanks!

It's great if you pause at the moment that something happens. The context is already there. Otherwise, we'd have to go back to the moments later on. People can watch the entire video anyway. And, if you change to discuss everything after the video, you'll have the same amount of comments the other way around 🤷‍♂️

I enjoy the pauses and the thoughtful feedback as you see it. Great work. I love watching these videos. Question about them asking questions about his psychosis, could they actually introduce new psychosis that wasn’t there before? Or is that not a risk? Like asking… “do other people listen through their teeth?” - if that wasn’t something he was thinking before is he at risk to start believing now? Hope that question makes sense.

Your rambling is great, that’s why I’m here!

I appreciate all of your explanations! They seem thorough and are very helpful for understanding what is really happening with the people that are going through these experiences.

Thank you for pausing and delivering your thoughts and professional opinions. Thats what im here for🤩

Pause as much as you want! We're here for the tidbits. Great work

I love watching your videos after a long day of university or work. You give such insightful and interesting commentary, and your calm yet lively and bright demeanor is very enjoyable. I love learning from you!

I look forward to your analysis Doc!

Br Syl your doing amazing 👍 That's the point of your videos to point out all those things so we can learn. I love hearing what you have to say. Keep up your great work!

Really really love your insights into all aspects of these diseases! I had no idea about dystonia and feel like I’ve seen it possibly a lot particularly in unhoused people in my city.

Hi Dr Syl, Just a thank you for your videos. I'm a training psychotherapist and I find your content really helpful!

you definitely do not talk too much! these videos are extremely informative :)

8:45... interesting ethics there. People not getting compulsory treatment unless they are deemed dangerous puts family who want them to be treated in harm's way. If the only way to get someone treated is to demonstrate that they are dangerous, you have no choice but to provoke them 😢😢😢

I'd like to echo several other commenters and say that you definitely don't talk too much and even if you did, that's what we're here for! Your brilliant and sympathetic explanation and insight is why we watch. I'm always interested in what you add to these archival interviews.

Thank you, very informative as usual ! More of chatting and driving videos please :)) it's good to listen to your reflexions 👋 drive safely 😀

A side note: is the interviewer Australian too? Very interesting archival footage. I really appreciate your informed commentary 🙏🏽

One thing has long intrigued me: I don't doubt that most of us believe animals or at least mammals are prone to neuroses; depression, anxiety, phobias etc. But are they prone to psychoses? OK, I admit it can't be easy to tell if Tiddles behaves as though she's controlled by radio waves from Venus but I've never encountered any "psychotic" mammalian behaviour that didn't have an obvious physical cause such as mad cow disease. So is psychosis a purely human phenomenon?

Hi Dr Syl! I am currently a medical student based in Victoria, and I am really enjoying watching your videos as I am super keen to train in psychiatry following my internship. I was wondering whether it would be possible for you to make a video on how much psychiatry registrars and consultants earn on average in Australia (in different states), and also talk about the future scope of psychiatry in Australia (urban vs rural)? Thank you so much and please keep making this amazing content ✌

Yes. Very informative, but would also like to hear more about modern methods of treatment

Thank you for your educational videos relating to mental illnesses. My 19 year old grandson was recently diagnosed with an intellectual disability with signs of Autism early on that was overlooked. A few years ago he was diagnosed with schizophrenia. I’ve been reading his undiagnosed Autism can lead to a misdiagnosis of schizophrenia. Can you address this in future videos. Thank you.

9:59 - I had the impression, the client was maybe feeling physically taken over (as you suggested as a possible symptom just before) and distressed, putting his tongue out like that did not seem very comfortable.

Inspirational and extremely understandable explanations. Even when you geeked out ( love geeking out myself) I understood and followed, I kind of likened it to the wiring in a house ,if you disrupted some wires certain lights could flicker or conduct overcurrent,? I dont know what you think but I simplified the explanations with that metaphor. I just love when professionals who are also emotionally healthy,explain the informational facts that are generally hard to find,unless you had studied with other people in lectures etc. again,thanks for sharing. I know a few people who suffer to varying degrees with schizophrenia,one a neighbour and the other was my father. I like to understand so I can know best how to reassure and comfort, especially because it mental illness tends to be a lonely condition. I had psychosis last year as i stopped diazepam suddenly,however i was aware that I was having auditory hallucinations,delusions but the positive were ironically the delusions, I actually had been subject to domestic violence of the narcissistic kind,the stalking and stress triggered delusions,i could hear the voices of my son who was psychologically abducted by fear and force, I heard the voice of my abuser saying nice things that he would typically say,trauma bonding turned brain damage quite literally. I was being stalked at one point,i was being attacked by different authorities where false reports to police etc were being made ( i dont know if youre aware of the cluster b disorders as they seem to be sane but are the truly evil cruel individuals with no access to empathy making them extremely sadistic,controlling and incapable of being anything but in their grandiose delusions permanently. This person managed to make a sane person go crazy as they literally pull you into their delusion by mirroring you,followed by abuse,exploitation,envy,pathological lying etc im sure you know what i mean but very few people understand that internal consciousness abuse,manipulating perceptions,deliberately being put in double binds,accussed because of their psychotic paranoia. It needs to be broken down and given to young people so they are aware how fragile consciousness is,literally the 12year of entrapment in a relationship that involved serious emotional and physical abuse,control and a chipping away of ego boundaries,literally caused me the worst breakdown of. My life. I thought i was stalked on every video,i saw bright flashes like i was having photos taken at a distance,as i said,i heard voices but knew it was not real, still,as you said,having experienced a voice its like back ground noise is misinterpretated at least i think, by my brain. The voices were quite quiet,like being in a busy mall,lots of voices but amidst that cacophony of random voices,i literally heard either my son whod been kidnapped or my ex. I would talk to myself endlessly but still,i knew there was noone there. I barely slept ,ate or had any relevance to time or life,all the while the terror was overwhelming,each time the car door closed outside i thought police were coming to arrest me as I literally was bullied voiceless,when i literally said you are abusing me,please dont ever approach me or my family again,,the new female hed decieved into thinking i was the problem and of course he encouraged jealousy as it made him feel powerful,this female relayed that to police as i was threatening her and they enabled their endless smear campaigns to go on until i had a severe nervous breakdown. I tried everything to reason and fawned to just make the abuse stop but again and again,police in scotland meant to put a stop to dv,enabled it. I as the victim was telling the truth over and over and yet being subjected to these year and a half terror campaigns where they found petty charges to foul my record,had me up and down to a court multiple times for no reason, ultimately in the end the lawyers and judges,police and social workers even teachers all abused a victim and made their wages..only for it to be thrown out. The point was not the charges but the nights in a prison cell are psychological torture in themselves,then the humiliation and betrayal trauma of nobody believing the truth. I still hope i can report the abuse i suffered and see if theres any educational awareness that could be brought to ayr police,kyle academy ayr, the social services whove neglected to look into the accussers of child crimes even as they are guilty themselves. It looked to me that each arrest or abuse was an admition of what they were doing..ie i was a jealous stalker..it was i who was being followed,even to the point of trying to track elderly people i had helped,for information,the oddest thing was it was the two together. I wonder if anyone could give me any insight,surely if this female was neurotypical,,she wouldnt help a man she was having a relationship with,stalk his ex wife? Surely i was thinking she must be mentally ill too? It may just have been for oersonal gain as they eventually after being given contact,just failed to return my 12year old and I lost six years of his life as his father and new wife viciously attacked me in every way they could. I think they tried to orovoke suicide instead it made me neurotic and addicted to tranquilisers. I was tied up bound and gagged,i felt like a fugitive and truth wasnt working. I think everyone needs to know about psychopathic abuse and narcissistic abuse as they turn victim into criminal as theyre abusing. So i was left penniless,childless,my ex husband was scamming me with his evil wife and I was totally alone. Was this enough to cause all those perceptual hallucinations,talking to myself though i knew i was doing it. Imagining cameras in ceiling lights everywhere,watched 24/7 and yet god knows when this evil maniac who had me so controlled and confused actually started to achieve that level of damage. They both deserve to be arrested and charged with severe battery,to drive somebody insane,take their only child and selfishly allow no contact while showing off with this mistress at the time, overpowering my son and usurping my authority as a mum,to the point she refused me access after the abduction?! Police did not a thing,infact they treated me like i cared that an evil man had been taken off my hands. I never thought a sound mind could be shattered like this,i saw my dead father on the chair as i stopped the diazepam suddey, couldn't sleep for many days and then my body had a huge seizure. They could have killed me,i was so desperately injured but this kind of person has no conscience or care for the violent damage he causes on ,im sure not just me but his five children ,half hers, one was mine and they even went on to destroy another family by claiming their little girl was abused,also,once again it would mean making money from this child ànd deliberately lying. I dont understand how social workers didnt identify past sick behaviours and instead of just believing allegations,they stake...i consider that the worst battery ive had in my life,they say severe emotional abuse can cause the same in injuries as blunt force head trauma. Hence ive written my story here. Girls,never trust a man that says he loves you after a week,wants to move in and mirrors all you like/do. Watch for arrogance and grandiodsity,no manners and goal orientated. They will take everything,including your mind,money is nothing compared to that and I really thought stalking wouldnt be soo psychologically damaging but nope,every bit of my illness is based on not being able to protect my own awareness of truth from very well planned malevolence. ( I might write this properly with the evidence and call it narcissistic abuse a victims fight for sanity and freedom , I could have been put in real jail as they are so skilled at confusion and abusing to the point one self defends only to end up portrayed the problem Thanks for videoxxmmcc

Hey ☺️. Nope please keep pausing and talking! I have learnt so much from your videos and I get quite excited when I know you've posted another one, especially if it is a commentary one. It is super helpful for my work as a nurse. Interesting you said a third respond well, then a third respond partially and another third just doesn't respond that well. I have seen all three variables and it's very sad and frustrating when you get to the third that don't respond and are very young people with the whole life ahead of them. Trial and error right, hopefully we will see some advances in this field in the next couple of decades 😬. Questions I have and don't worry if you don't respond. Do most people remember being psychotic and do they recognise that what they thought was 'odd'? And thought blocking - can you as a professional describe someone as being thought blocked or does the person need to tell you that they think someone is blocking their thoughts for yourself to be able to describe this person experiencing thought blocking? Sorry confusing :)

Very interesting👏🏼

Thank you Dr.

I have to admit I didn’t watch the whole thing before making this comment but I find it interesting that pre-“transmitter“ people didn’t talk about these things so if you look at the 1950s schizophrenia video they’re not talking about these things the person is aware of updated worldly devices

Thank you Dr for those videos. Yes I have a question : do those patients have some relief times ? Or are they constantly in that state ?

Before I see the explanation about why his speech changed, my guess is he was trying to block his teeth while speaking because he believes someone far away can hear him speak as well .. ?

A lot of the things in this video in particular remind me of myself.

The tongue movement was so interesting, since I've seen this exact thing in people I know who deal with psychosis. So is dystonia a side effect of medication, and not a symptom of psychosis? And how does that differ from catatonia?

My son's diagnosis is paranoid schizophrenia, and that does sound so scary! But every person with Sz present in their own way, there are many "symptoms" that do seem like the same, it's such a serious disease. My son is sweet and loving as always but he doesn't really DO anything except wander around the house smoking pot and cigs. Heartbreaking. Something in the video, now if I can remember lol something to do with psychosis, the salience part, reminds me of when my son said he had a message. An important message he needed to share but what is the message? No idea, although there's the feeling there was a message. Very bizarre. Idk if I can explain how it seemed to me.

where is the link you mentioned you would put in description at 13. 45 minutes in? thanks! As an aside, Im in an MA programme at the moment

My nephew has been diagnosed with early onset psychosis. He's refusing meds and therapy. We're in Sydney too. Let me know if you are seeing clients.

I grimace, I rang my psych nurse and told him I wasn't taking my meds anymore because I was convinced it was the cause of it. But then I noticed it only happens when cars go past and I'm in busy places like shops. The neurologist says I have sensory processing disorder and it causes functional neurological disorder, so it's the sensory overwhelm eg from the cars sounding so loud or the busy visual stimulus. I try and cover my mouth so nobody sees. I thought I had tardive dyskinesia but in any case, quetiapine is meant to work for FND too. So I take my meds again for now, it's such a confusing tangle of symptoms but FND is harmless so I'm ignoring my numb half a face at the moment because I know it's benign and temporary.

Would you be able to make a video on similarities between schizophrenia and Parkinson disease...

People who say to stop pausing the video so much, are completely clueless.

Hi Dr. Syl, you sometimes mention the percentage of population that suffer or struggle with particular kinds of disorders. Is there actually a source that outlines these percentages I ask because people so often exaggerate or underestimate the kind of numbers that likely have research and evidence to indicate accurately with the numbers should be estimated at. I’d love to hear global numbers and I know there are disputed areas for these kinds of answers!

Man that one could have filled an hour for sure. Should have kept on

His postured face reminded me of my trichotillomania. Like he felt the compulsion to do that with his tongue and mouth right then, especially with his belief he has transmitters in his teeth, and was so compelled to do it, he just had to do it. Couldnt stop just to speak. Dystonia of course makes more sense, but it just struck me as similar. Like when I need to use my hands for something but i cant stop to use them, bc im being so compelled to do what im doing.

Why is it that all pains felt by patients with scizophrenia (headache, toothache, etc) are more often that not considered somatic? There must be times that these pains are not somatic and yet these poor patients are never believed.

The vine has some good points, imho!

Pause away Doc! So, the dystonia seemed to pass quickly, is that typical? If left untreated would you expect them to frequently recur?

I’m wondering, Dr Syl, do psychotic patients have a sense of whether they’re believed or not? Thinking about how the patients will be asked to describe the bizarre symptoms they’re experiencing, I know these symptoms feel real to the patient, but do they believe everyone experiences these things (ie that it’s common, factual knowledge), or are they aware that it isn’t actually something everyone experiences? I’m assuming it’ll vary from patient to patient but I was curious because these lines of questioning to me could seem odd from a patients perspective if they believe it’s common knowledge or experience to all people (or a lot of people at least) 🤔

If you seem to be experiencing events that others are totally unaware of, and then they instantly conclude that you are seeing and/or hearing things that are not actually real at all, you need to find a psychiatrist that is in touch with reality. Now if one is in touch with reality, then obviously one knows of what it is that one is in touch with. With this being the case, one can therefore educate today's physicists, since they have not yet managed to be in touch with reality, hence there are still roughly 15 different interpretations concerning what quantum mechanics really is all about. Thus they, in their delusional state of mind, are seeing 15 different things, while each one of them is not actually connected to reality at all.

Could you find an old video from the 1960s or 1970s with personality disorder (Borderline Personality)?

To your question. Perhaps he’s trying to block the transmission from his teeth, and talk to the therapist at the same time.

I just came here from watching a video comparing the Negative symptoms of schizophrenia with depression and I was wondering about your thoughts on a question that I asked on that video. So basically, I have an aunt who was diagnosed as Bipolar when she was younger but honestly I'm pretty sure she was misdiagnosed and she is actually schizoaffective. so for reference we both have basically the same symptoms. obvious mood disorder, obvious schizophrenia symptoms though not super obvious because we have WAY less cognitive decline than is normal for a lot of schizophrenics which I attribute to us having comorbid panic disorder. apparently, cognitive symptoms tend to be a lot milder in schizophrenics who have panic attacks. anyway, when I was younger I had fairly severe positive symptoms but now it's mostly negative symptoms and I'm not really old enough for it to be an age related decline in dopamine or something so I was wondering if say you have schizoaffective disorder can the depression side lower neurotransmitter levels to the point that it's almost exclusively negative symptoms? I'm asking because I don't really have what I would call "manic episodes" but I do have occasional slight boosts in energy which I would look at more like being hypomania or mixed episodes maybe. so basically I just go from depression to "motivated depression" if that makes sense. I was curious how that might effect the schizophrenia overlay.

Keep talking and pausing the videos to talk. If people would like to watch uninterrupted, they can watch the link you provide. Good case analysis. Love the education about the pathophysiology of the likely medication he was on causing the dystonia/torticollis.

Schizophrenic people seem very passive and vulnerable a lot of the time, kind of bewildered by what they are experiencing I guess.

Thought create the illusion of self and time all perception of reality is hallucination freewill and self don't really exist you ownley know that your hand belongs to you though the constant repetitive use of thought with out thoughts there is no separation between anything.

Isn't that a person suffering from schizophrenia is trying to make sense out of those invaluable things as their filter in the brain responsible for choosing what's valuable is compromised?

I think there's a genetic condicion or maybe different ones that causes this illness, i would like to know the commodities.

Is that Bob Lazar with a southern accent?? Everything he’s ever said makes sense now!

talk about mental automatism.

?? What is considered "functioning at a level society deems is acceptable"??

Is this dystonia the reason for that viral cashier at a fast food place doing weird faces and sticking her tongue out randomly and bulging her eyes?

Tardiness dyskenesia?

PDID is a new disorder which is entirely passivity and which is not psychosis

Here I am, staring at the plant, wondering if it's plastic or real😅I just have ADHD brain. My Mom thought a bottle of sand I got from the beach on vacation had a recording device & poured it out in the sink🥴 It's worth noting that it takes you 5 seconds to have all these thoughts but if it were anyone else..

All the respectful 'yes sir's' even from someone in psychosis. I wonder how we have got from there to the abuse people throw at medical professionals and teachers now.

Is it tardive dystonia ?

Sounds bizarre to others.

Maybe I' very wrong, but I think that when he stuck out his tongue, he did it because he was bored of the doctor's questions. He was trying to entertain himself by doing something silly like that.

It's like stdyimg a wreck after the collision. It's not what it was meant to be. Prevention is the cure to brain damage during childhood development. We are not all the same and shouldn't be raised as if we were all the same..

The segment with the tongue poking out doesn’t look continuous either the rest of the interview

I do apologise,if I was being a bit unfiltered about picking at your eye brow no offence was meant ,sorry!

The hospital gave my husband Haldol and it was for a short time - why? Bipolar depression and the med was chosen for metabolic purposes. But this medication is hellish. He’s been off it for months and still has some involuntary muscle movements like a chewing movement and hand jerks. And it made him a zombie. I hate that medication

Td

Play the entire video for the audience and then do your lecture with the pauses.

I'm back. I have to comment that the interviewer absolutely does have to do all the talking and there will be no spontaneous conversation on the part of the patient. One word answers etc.

I'm a patient of schizophrenia can i ask you about changing the definition. I'm not vibing with hallucination. Ludiation:chemical bonds breaking between molecules because of nutrients diminishing (ludiating) Ludiance:nutrient bonds between biological molecules. (NOT A DOCTOR) (but this is for doctors) Your using hallucination wrong by the way that's not true to definitional sense easy to mix up. Paranoia Dellusion Voices and Hallucination. ~He shoulda just said psychic. hersey is a fine form of psuedo(small) science. refuting and asking irredisputable basisies around mentalism isn't a hard thing to overcome.

17:38 That aliens exist is almost certain, our universe is rather big. That they've visited with us is rather unlikely though. I mean I met a bunch of them once, after smoking DMT, but that doesn't really count imho. Ah, and the plant on your left is clearly meant to ridicule my small genitals, I noticed that from the start, well played Sir!

🫶🏻....

Who watches a react video and then whines about too many pauses

Tryptophan

Eleventh

Whoever on here has been giving you the feedback that you pause too often or ramble too much is completely missing the point of why you make these videos.

Are you aware that your choice of study is under many dark clouds and deservedly so?

Thank you for going into the meaning behind aberrant salience. That was very helpful. Are folks with a chronic psychotic disorder also assessed for sensory processing differences to rule out magical thinking or recognize its comorbidity?