Thank you so much for sharing your experiences working in an older hospital! This answered my previous question too! I am a Millennial and completely forgot about frontal lobotomies and that is super interesting hearing that you worked with someone that was working during that time. And thanks for sharing about how disgusting that door was! It's so funny how small things like that are sometimes the main things that stick out to us and what we primarily remember above all the other things that happen! I also found your talk to spark an interest for me to continue learning more about the history of Psychiatry and mental health. It's important to look back at where we were and where we are now in Medicine and to realize just how far patient care has progressed and how rapidly we still are improving! ❤
The reason these hospitals are no longer in operation is that it was often too difficult for patients to leave them. Many of the people they served had mild to moderate mental health issues (worried well) , yet the facilities were poorly designed to support recovery. The ceilings were low, the rooms were poorly sized, and the radiators were outdated. There’s one near me that I recently rode past on my bike. It has a distinct 1950s asylum-style look, with some areas now closed off due to decay or damage along the side of the building. The site features tall buildings, smaller ones, and even a golf course at its centre.
Thanks for the video. You mention Benadryl. I know it's anticholinergic and antihistamine but I wonder what do you use it for in a psychiatric setting? Thanks!
At times patients have wanted to hug me when they are saying goodbye, and I have reciprocated. If you are sexually attracted to the patient, or the patient appears sexually attracted to you, hugging needs to be avoided. Peter Goertz
Thank you so much for sharing your experiences working in an older hospital! This answered my previous question too! I am a Millennial and completely forgot about frontal lobotomies and that is super interesting hearing that you worked with someone that was working during that time. And thanks for sharing about how disgusting that door was! It's so funny how small things like that are sometimes the main things that stick out to us and what we primarily remember above all the other things that happen! I also found your talk to spark an interest for me to continue learning more about the history of Psychiatry and mental health. It's important to look back at where we were and where we are now in Medicine and to realize just how far patient care has progressed and how rapidly we still are improving! ❤
Thank you much Taylor!
The reason these hospitals are no longer in operation is that it was often too difficult for patients to leave them. Many of the people they served had mild to moderate mental health issues (worried well) , yet the facilities were poorly designed to support recovery. The ceilings were low, the rooms were poorly sized, and the radiators were outdated.
There’s one near me that I recently rode past on my bike. It has a distinct 1950s asylum-style look, with some areas now closed off due to decay or damage along the side of the building. The site features tall buildings, smaller ones, and even a golf course at its centre.
Thanks for the video. You mention Benadryl. I know it's anticholinergic and antihistamine but I wonder what do you use it for in a psychiatric setting? Thanks!
Generally in psychiatry Benadryl is used for sleep or to prevent side effects of antipsychotics. Peter Goertz
Hey! I wanted to know whether you have ever needed to give someone a hug during a session.
At times patients have wanted to hug me when they are saying goodbye, and I have reciprocated. If you are sexually attracted to the patient, or the patient appears sexually attracted to you, hugging needs to be avoided. Peter Goertz
@ Thanks!
Hi Dr. Goertz what is considered different about the older psych hospitals vs the current of today?
Hi Billy, This may be a topic for a future video. There currently are fewer state psychiatric hospital beds than in the past.
Finally something I can answer.
It's called relational security.
@@goertzpsychiatry9340 do you think that's been a good thing so far?