Psychiatric Interviews for Teaching: Anxiety
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- Опубликовано: 30 янв 2012
- In this film, the GP is seeing a patient who has presented several times before with complaints of palpitations and shortness of breath.
The patient describes the onset of her problems, which was a panic attack. She has then gone on to develop agoraphobia. The problem has affected a number of areas of her life.
The GP explores the patient's understanding of the problem and it is apparent that she has attributed this to a problem with her heart. The GP then goes on to give the patient an alternative explanation; that this is anxiety. She describes the physiological symptoms of anxiety and explains why avoidance is a problem.
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.
Note at 3:40 she mentions she is becoming afraid to go out. Possibly the beginning of agoraphobia, an all too common and debilitating comorbidity with panic disorder.
Paul Bolin
Read the description
Thank you Dr. Paul.
Also, have you seen the video of mania assessement ?
ruclips.net/video/zA-fqvC02oM/видео.html
His acting skills are mind-blowing!
have you seen this successfully treated?
@@oppressednolonger1497 as someone with GAD and Agoraphobia, I can honestly say, it's very hard to treat. You have to get out of the house and out of your comfort zone, and as an adult, it's very hard to agree to that knowing that the amount of anxiety you'll have to wade through to feel better is enormous. It certainly does and can get treated, but it's hard. Patients don't always cooperate. I know I don't. I know I NEED to and that I'll be happier and less depressed, but it's very very scary. I tend to have panic attacks just leaving.
What an amazing Doctor. She listens well, recaps well, extremely empathetic and understanding plus she explains things extraordinarily well and is approachable.
it's an actress, love
And acts very well
@@TJ-kk5zf read the description, the patients are actors and the Drs are real ones
@@TJ-kk5zf Can you not read love
@@TJ-kk5zf @maryxoxo9 Actually the psychiatrist is real, read the description love
This Doctor has a wonderful way of engaging with patients, she asks many open questions, she reflects back to check understanding, she uses the patients language, and is very approachable and understanding. I am a medical student studying for exams and these vids have been very helpful bravo!
How is your medical school going mate? Have you graduated?
As a practicing US psychiatrist I can say that this Doctor has a superior interviewing style. Rare gift!
Most US doctors just look down at their computers and say take this drug -- LUDICROUS!
@ExXhorter I use edibles when I get them, they got me out of my last panic attack 45 minutes after ingestion.
@@mediamedicmedic2093 Big Pharma
But..... you are from the U.S......
@theBEARnecessities no different than those with GAD taking Xanax. I'd rather the Cannabis than the more addictive Xanax.
A great interviewer. She gathers information, supports the patient by saying "right" , and no hint of being judgmental.
These videos are tremendous acting. Like the real thing.
Wait she doesn't really have anxiety?
Paul W. Bolin They probably are the real thing.
Hey doc,
Why does the psychiatrist schedule another appointment a week from first contact? Wouldn't it be more beneficial to start treatment the following day?
@@jameshaynes5954 probably because of the busy schedule
@@wyleFTW Real GP and an actor. Probably a real case, though. Using a real patient could be unethical and unpredictable. Some instructional videos have real patients participating, though. Like Neuro PACES series.
I was at 18 years old when I came to my doctor for the same issue (also anxiety induced) and I remember him sitting me down in one of the exam rooms and just looking in the eye and telling me "you don't have to live like this" and that's when I started treatment.
Such a wonderful doctor. Explaining the disease to the patient always works wonders irrespective of the level of literacy of the patient
Anxiety is life destroying!
Amen!
It can be, but never has to be. Well wishes.
100% amen to that. I have GAD and it really sucks.
Wow! 🤯 what an amazing doctor! I wish she was my doctor. I was diagnosed with GAD 6 months ago (I am now fully recovered) and saw 2 therapists and they never gave me an explanation like this! I now fully understand! Im sooo glad I stumbled across this video 🙏🏼
Watching this for psychology coursework. Quite enjoying it!
For everyone else on my course watching this: Good luck! You got this! Don't give up! This year is very hard and a lot of people are going a little crazy. Just remember, YOU ARE A PRINCE/PRICESS AND YOU ARE FABULOUS AND YOU SHOULD BE PROUD OF YOUR ACHIEVEMENTS! Also, don't run with scissors and make sure to eat your five a day.
Peace out Cardiff!
... don't... panic :3
AAAAAAARRRGGGG
Yo, you're from Cardiff too?!
Oh yes! Did this last year, not a bad bit of coursework- I guess they are using the same video XD Always great to see a fellow Cardiff Psych student : D
I did got an ECG at first! Came back perfect. Anxiety is such a trickster, it will make you believe and doubting anything.
Same. At age 7, I saw a movie in which a child had to have open heart surgery and it flipped a switch in my head and I couldn't stop thinking about how children like myself could die. I started having panic attacks and they sent me to a cardiologist, which revealed no issues, so then they sent me to a psychiatrist. It's such an exhausting condition.
People saying that the Dr says uh hm, yes and ok too much I think she is trying to show empathy and show her that she is following along with her or that she understands what is being said so Julie doesn't feel misunderstood or crazy. Either that or she is nervous. She might not realise and she's taking it too far. I think people would be surprised how much they do something similar in every day situations, but those don't get recorded for training purposes like this one here.
I’ve suffered from anxiety as a kid and I’m 30 now, mine was the stomach aches and the fear. Eventually at 28 I panicked. I actually learned something from this video for myself and others.
Avoid alcohol and cigarettes to not further lower the serotonin & norepinephrine. Sleep more and eat pineapple 🍍
You suffered from anxiety as a kid? same aswell. 👍
the acting is sooo good the doctor wonderful! so approachable and understanding
We must appreciate these people for creating it in a real way
It's not very realistic on the patients side.
@@davidmarshall3683 how many patients with anxiety have you worked with? They all present differently. Have seen patients exactly like this.
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 RUclips channel, so I get excited when I see other advocates. 💙❤
Dx: Illness anxiety disorder with panic attck and agoraphobia.
Great doctor and approach.
I love these videos! I'm using them to study for medical school and they are almost perfect (we get taught to do some things a little differently but overall this is very good)
this Dr is incredible
Finding a good therapist is like finding Big Foot
😆🤣 good one
isnt it easy to find big foots because they have big foot that we can notice them easily.
This doctor is great!! If they were all like this there would be less mental health problems.
Agreed: this is Anxiety. Anxiety causing- just by watching or listening. If this kind of interruption and leading approach works for you, great. If it doesn’t- don’t “panic”. Some great therapists offer a platform for space between words and actual unwinding of thoughts or breath. Also- considering the issue- an obvious resolution would be to ask the client to untie the bow that’s restricting her diaphragm. That kind of pressure most always causes anxiety.
this is what we want to be internalize as a mental health clinician
This is such a good resource for undergrad Psych students!
I wish the counselors in the US were more like this. Instead of suggesting CBT or something, they should take the time to explain to you what's going on and how you can fix it.
I love these videos they are very interesting
It's helpful to me for studying a pycholtherapy course
Thank you much appreciated x
recognition of any problems makes the patient comfortable and trusts the doc... can't stand docs that don't respond
This is exactly how it happened for me but I was 12. I’m so so glad my therapist was as good as she was and found the right medicine on the first try.
these are tremendous vids. if only she were really my doctor!
Wow, I used to have really bad anxiety and this really reminds me of how it was, I'm so happy that I'm not like this anymore
Really liked this doctor.
Thanks for the video, helped a lot
OFC it´s acting - But It´s some really amazing acting! Fantastic! Would love one of thiese on how to deal with an ongoing panic attack or with a overboard psychosis.
Thank you. Peace over your mind. Relax. You're okay.
Great job
This video cured my anxiety.
The client seems so genuine and vulnerable. Personally I'd feel much more at ease in her position if the doctor mimiced my gentle tone and overall vibe. Enough with the rushing of questions and the "right" fillers.
Right....
The world ain't perfect
agree
this is great
Who is the actress playing Julie? Incredible. Would like to see more.
as well I have panic disorder. Attacks started when I was a child. Nobody understand what is that. They thought it will pass but not. Right now I have 31 years old. It had been chronical unfortunately.
4 ecgs 2 echo test 1 trade mill test 1 hotler ecg 24 h control for blood pressure 1 ct angiography with 0 calcium score no narrowing no plaque for 2 last year and yet constant chest pressure some time pain along left arm.
Its like a hell it took a lot a courage and convincing to calm down.
As someone with anxiety, I can say this video is realistic.
Yeah, she's a good doctor
are GPs behaving like this lady in real time? My experience is that GPs are in hurry and force patients to stop talking. One reason might be short consultation time.
+Amir Ansari Here in the UK you only get 10 minutes to see your GP. Please tell me how one can explain everything within that time? It's awful.
agree
Yeah unfortunately GPs only get 10 mins to do history exam and come up with management plan. This is 12 mins only on history. If this was a real situation I would want to check her pulse and do her BP and maybe listen to her heart to rule out cardiac cause as it could be palpitations not due to anxiety. So to do all of that is very hard in 10 mins! :)
Amir Ansari My GP does this.
As you say 10 minutes is all you should get as consultation time with your GP however since recovering from encephalitis in 2013 my consultation with my GP has never been less than 30 minutes… I’m lucky because he originally trained as a neurologist … So therefore he understands very well how my brain is working… I struggle to understand what he’s saying to me he has to speak really slowly because of how encephalitis has affected me
Great video. It would be good if you could attach a written MSE so we can watch the video, then practice presenting the MSE to a colleague, then check how we went against the proforma.
Cheers,
+Phil Maddocks Hi there, this is a great suggestion but unfortunately we haven't got the funding to pull this together at the moment. We will keep this on our 'to do' list if we should get funding in the future to provide this.
wow! the doctor is amazing!
it's an actress, love
We know, love
@@TJ-kk5zf @maryxoxo9 Actually the psychiatrist is real, read the description love
Good attempt.
I have Autism spectrum disorder and learning disabilities and intellectual impairment and extreme Anxiety and extreme panic attacks and depression
Are these to teach us or to teach young doctors?
I overcame my social phobia and anxiety make your first step to freedom with this Meditation Training Session - Take Action
OMG, I cant believe the doc left her hanging a week to discuss her options! I know it is acting... but come on, dont leave a fellow human hanging like that. :)
That is her recovery time from the narration. And doctors plan how to move forward
It would be great if more GP's would pay more attention to anxiety and not just brush it off
I have Generalized Anxiety Disorder with Bipolar Disorder and ADHD secondary to Sensory Processing Disorder. I also have a myoclonus that may be from my Chiari Malformation and possible Tethered Cord Syndrome that gets worse when I feel anxious (also when I'm in bright light). My Sensory Processing Disorder frequently causes me to be overstimulated by my environment, especially when there are a lot of people talking (sounds like a roar rather than individual voices), there are a lot of unexpected noises, noises that are unfamiliar to me, or people are unexpectedly touching me. Whenever this happens, I just think to myself, "okay, my muscles are jerking and shaking more than usual, my hands are sweaty, my chest feels tight, my heart feels like it's beating hard, and I'm breathing hard. I must be anxious about something. Am I actually in danger, or am I just overstimulated?" Most of the time, it's the latter, and, when that happens, I either just breathe through it and finish my business quickly, or, if I'm gonna be a while, I make a quick trip to the nearest bathroom to get out of that environment long enough to calm down.
My love, have you ever been assessed for autism?
Watch this if you want panic attack. This is weird, i want to look the whole video, but i cant, cause all the symptoms she describes are coming to me.
ANXIETY WILL BE FOREVER AND FOREVER YOU WILL FIGHT WHEN YOU ARE JUDGED OR CRITICIZED
I don't wish it to my worst enemy.
it's very useful
Adrenal and cortisol fatigue, from stress...
How can the patient be so calm, warm and secure-seeming with the Dr? Doesn't seem anxious at all. Maybe Panic A. is different from other Anxiety.
What is the predisposing factor here?
I want a psychiatrist ... I do not know what is happening.
Y’all this is a PSYCHIATRIC INTERVIEW. This isn’t a PCP or GP. Totally different specialities.
These are actors of course, right? Seems so, but this is the 1st time I've seen these...
So this isn't a real session ??
Because she is GP and Psychiatrist.
well now this is all about me
Tablets?Never!
cool!
Magnesium has helped me sleep and leg cramps💕
The doctor employs nodding like a pro
So is it panic disorder or anxiety? These are two different things.
Panic, with anxious features?
Who reads comments before video I do.
overdose in coffe causes anxiety and can ecen cause something similar to panic atack
It is not by adrenaline, it is by cortisol response that cause panic and hypervigilance And with more acetylcholine domination makes the valves and artery constrict more !
Yep!....and then the nhs tell you to exercise!?
Exactly. She's so concerned that it feels incredibly false and off-putting.
Love u doctor ❤
Do u have this prblm
the doctor is amazing and extremely empathetic but the pace of the interview is even stressing ME out...
Agreed, she is rushing the questions too much. Slow down, make the patient feel calm and safe
Good vid! being in Russia ,I visited psychiatrists , they cannot heal the deseases of russian' s people, psychiatrists in russia have crushed / i cannot find any good specialists here in my country , so sad about it ... wanna going to the Europe for working with more competent specialists !
Did she get the right diagnosed of Health Anxiety in the end of the American assessment as it went on for quite considerable length of time?
Richard
Exeter UK
I agree. Illness Anxiety disorder, with Panic Attacks.
A Kimyala henson?
So, client gets a 10 min talk, after the talk the client is sent away with no solution whatsoever, just another appointment. No matter how well this doctor is "engaging", her result is zero. - What if the client gets another attack this afternoon, or every day from now on? Oh, she should just wait until her next 10 min talk.
We are all human, so chances are the Doctor suffers from mental health issues, but cannot disclose this to anyone.
wow, that rapport
Been there ❤ its horrible
Keep in mind that it's all set up.
When I get anxiety I just ignore it. I'm stronger than it.
Good for you. However, not everyone is as strong as you
Y
This is me
Not true that if you have a heart problem, th e ECG will pick this up. further tests should be carried out, at least a nuclear stress test, before rulling out heart problems. Specially if the patient has palpitation and chest pain.
I'm just three years older than the patient in this video and don't smoke or drink have a healthy BMI am pretty active and just had a heart attack. I agree with you and I think it's irresponsible to automatically rule out heart problems just because this woman doesn't fall into the "risk category".
I have a lot of these same symptoms this woman is mentioning and was told I have POTS finally this year after having it labeled “anxiety” for years. I also believe I have the type of POTS that the adrenal glands are involved in because my cortisol is high when It’s been tested and my blood pressure will go high often. I think for women especially it is sad how often health concerns get dismissed as anxiety and they have to suffer or wait years sometimes if ever to get an accurate diagnosis and help to manage so they can function and feel healthy again. Especially if that woman has had anxiety in the past, I have, and since it was in my medical records anything I felt was viewed as “anxiety”. It is truly sad.
Julie is an actress ... she has never known depression,this is so evident...
She has panic disorder Not depression!
Why is this Public ?😧
Isn't this supposed to be confidential? Or Private?
How is this Public?
Please note that this video has been made for teaching purposes. The psychiatrist is a real psychiatrist but the patient is played by an actor.
@@uniofnottingham yeah sorry... Lol it occured to me after reading the other comments
@@vandanamalhotra1657 No worries at all. 🙂
some comments are stupid, im sure this lady was not checked just once, she was back and fort thats why the doctor here showed up, instead of the usual doctor she usualy seek reassurance with. seeking reassurance for many many times making the anxiety worst, they becoming dependent in that kind of feeling of relief and cant help herself. the Word anxiety, wont be there if its not realy exist. and yes Diagnostic tests was very crucial, but? its not normal if youre the one whos forcing to have it instead of your doctor. and also ger doctor tells her shes fine, so what do you wany her to do? Huh? play doctor by herself? 😁😁😁 and still force the negative ones instead of the positive once? its not gonna cure her.
Panic disorder
good video. but your partner will leave you in the end if you cant change they cant take it i no
Panic disorder !!!
I can't imagine using actors to act like patients in order to make bucks...
I guess you're a student? Well then maybe you should know, there is some people for whom this kind of attitude is beyond annoying. When I'm going to the doctor I expect somebody to be concrete and not asking me questions without telling me why they need to know that and smiling at me all the time (the "crazy psychiatrist's grin") and being super sympathetic. It's so obviously false it turns me away immediately.
why do psychiatrist think everyone else has a problem? why do they think every normal behaviour is abnormal and a mental disorder? a man can be sitting calmly and asking them in a perfectly normal manner “what injection is that that you are giving me?” and they can get hysterical accusing the man of being aggressive and violent when he is not.
I think psychiatry itself is a mental illness. it is a mental illness of psychiatrists to see everyone else different from themselves as mentally ill. it is a mental illness of psychiatrists to want to control and manipulate people. I have seen many normal people entering psych wards because of their circumstances at home yet were all forced medications, after that they werent okay anymore. if psychiatrist are the ones always diagnosing people, who are the ones checking and diagnosing the psychiatrist?
The doctors body language and interrupting the patient with uuh and right! is too much!
Agreed!!!
so just give an uncomfortable long stare? that's not our culture in the UK