I remember, during one of my rotations, a veteran with catatonic schizophrenia. He would sit for hours staring into space. Or, he would sometimes just walk around the hospital in his own world. Getting him to eat was quite a chore, and he lost so much weight in just a few weeks we questioned whether his admitting weight was correct. Past records proved it was. Once, he disappeared for about six hours by anyone's estimation. We found him in his room. He was in his closet sitting on the shelf in the dark with the door closed.
I’m an RN and I’ve taken care of a patient with catatonic schiz also a veteran. He told me he isn’t crazy but he is experiencing what he is going through because he has invited a demon in him. Family of satanists I guess. I don’t know if he was talking crazy but I prayed over him and we rebuked the evil. I did note though that he cannot say the prayer “as we forgive those who sins against us” he clearly has a trauma that he could not forgive. The following week he was able to sit on his wheelchair and began reading the Bible. Idk what happened to him now as I was floated to a different ward. That experience was something else man.
@apacur agreed. My guess is the patients primary diagnosis was Schitzo effective disorder accompanied by catatonia or Schitzophrenia with catatonia. My my opinion someone who has PTSD ot CPTSD should have those noted higher on the Axis. Veterans with schizophrenia without a familial history of schizophrenia more often develop schizophrenia after traumatic experience. Typically people join military service at age 17 or 18 in the US. So, a person who has a predisposition for schizophrenia, throw them into military service that is a traumatic MOS they don't come home the same. Even if it's just learned behavior from service. On average, males are diagnosed with Schizophrenia in their late teens to mid 20s. Add to that the frontal lobe isn't fully developed until 25 on average. I personally believe a person should have a completely formed brain prior to military service. That is part of the reason Recruitors go to high schools and sell the military career. The military is well aware that they are trying to get people sign up and finish basic training and MOS training. Especially, those who wish to go into an infantry MOS. The purpose on the side of the military is they need to use the brains plasticity. It's much easier to wire the brain than to rewire the brain. 22 a day. Until Valhalla!
It saddens me he was missing for 6 hours. I’ve been in a psychiatric hospital or wing a few times and they do 15 min check ins around the clock even at night.
I didn't eat for 12 days. Finally after 3 hospitals I got to one and finally heard a familiar voice which I couldn't speak but he knew immediately and saved my life. He was the psychiatrist and medical director and knew my background. No one else even asked about my mental history even tho it is on record
I fought for my brother's life. They took him off all of his meds. One was Ativan and I said if you take him off that he won't be able to move. They agreed to give him a very small dose. They nurse couldn't believe the next day when he was eating breakfast and walking around the halls. The next day he was locked inside his body in full catatonia. They didn't give him any Ativan and refused. Finally had to put in a PEG tube. I spoke with the Hospital Dr who told me that most of those drs and nurses didn't know how to deal with someone with a mental illness. He put him back on the Ativan after 3 months and he was coming out of and then another Dr took him off of it. They thought we were lying about his condition. They head hospital dr didn't though. He was finally put on SZ meds and kept on the Ativan. I walked in his room and he was barely able to move. I asked what in the world is going on? I asked if he had his Ativan and she said no it is as needed and he doesn't look nervous to me. I said it is not for his nerves is it for the catatonic state he gets in. I took a picture of him and sent it to the Head Dr who had become my friend at the time and he called over there telling them a standing order to put him back on that Ativan to give it to him 3 times a day. They did but didn't like it because that is considered a controlled drug every dr he came in contact kept taking him off it and caused him all of that suffering. By that time his muscle mass and weight had gotten so low that he looked like a Jew in the concentration camp. I almost sued that hospital. All over the government looking down on people who need certain drugs and if they are controlled then they had rather you suffer.
@VickyGoss this broke my heart! Such similar stories. If i knew the consequences when I was 18 years old and prescribed medication (That was supposed to help my anxiety that was ACTUALLY adhd/autism... ) I would have not trusted all the doctors that I did and big pharma. We need more people talking about this!!!
@VickyGoss the doctor who saved my life had to FIGHT with the hospital and thankfully was the director bc they wanted to save the medicine "for someone who needs it" I also have seizures and I GUARANTEE they would've given it to me without a fuss then. I don't know what all transpired but all medical personal should be trained on this.
@@RaelynR92 this is a huge issue in this country and globally but worse in the US. It needs to be addressed and every Doctors, Nurse, and medical professional - even hospital staff down to the lower level of jobs, should be trained in this situation to not only know that this is a very real thing but to know how to spot it or at least consider it.
Watching Nathan saddens me a lot. He doesn't "resist" when moved but i can see his distress in being manhandled. Protecting his face with one hand when the other is lifted, then pulling the hand away quickly when his face is grabbed. The laughing and smirking looked like what abused children learn to do, to diffuse a tense situation.
I was thinking the laughing looked like he thought all that hubbub was ridiculous. But I also thought that he certainly disliked being manhandled when his hand was raised, and then his head was grabbed, which would be much more intrusive. Just describing my first impressions.
@harmonysummer What are they supposed to do? Humans are an incredibly complex system, even "normal" medicine is more art than science. Therapists only have people's actions and words to go on. He did say that *could* be incongruent affect. But even if he was sure, I'd think he'd keep on working with the patient instead of diagnosing and setting treatment after his first impressions. There's a reason that psychotherapy takes much, much longer than "normal" medicine.
He was in a better state to than Tommy and Walter. He answered the first questions quickly and appropriately, also he didn't look totally bewildered like other two.
When examiners raise catatonic patients limbs, they are checking for two symptoms - waxy flexibility and catalepsy. They are not "manhandling" patients. "Manhandling" is an offensive term. It implies that males are physically violent.
Honestly though, the explanations you guys are giving for the behaviour such as the laughing or what he's doing with his hands may not be the case though. If they're in some state of psychosis or catatonia (and I don't know enough about this either) they may just be fighting off something internally, while trying perhaps to react to the psychiatrist as well? To me, these type of comments make me almost as uneasy, it's like looking at a pet and projecting human emotions onto it. That's not to say I disagree that the way they handled patients back then was horrible. But in this scene, as Syl said, the guy was actually being relatively nice. Stop trying to project and virtually cuddle some guy by projecting an emotion or struggle you can relate to. They may not be dealing with something we can relate to, in a way we can't relate to. That's the difference between sympathy and empathy. Sympathy is feeling sad for someone, knowing what it's like. Empathy is understanding that something may be sad for someone, not acting or pretending to know what someone else experiences something, even if you've been through a similar situation. I have autism. I think it's pretty funny when people try to relate to me by explaining the ways they're also "a little autistic". But I would much prefer if they asked me what it's like, rather than making assumptions - even if they're true - about what they figure it must be like for me.
The reason Dr. Lehmann is manipulating the patient's bodies is because this was a training film intended to demonstrate the signs and symptoms of catatonia. if he had first told them what he was going to do or asked for their permission it wouldn't be as effective at conveying the patients' passivity and obedience. I think he was very respectful and caring toward his patients in most regards, but in this particular series the aim is to 'provoke' characteristic reactions.
(english is not my first language) The things he showed by the manipulations were not that complicated to understand. A description would have been enough. No need to show it. There is no good enough reason to violate these fragile people. Even with the best intentions. I suffered severe depression (now a little milder version), not stuff like this here. And even I experienced, how fragile you are, when you can't express and defend yourself. My therapists certainly had good intentions and they did nothing unusual. There is a whole different level of responsibilitiy not to step over boundaries you are not allowed to step over, when it comes to people like them. And a lot of therapists are so sure, they act right and beeing objective, they don't even consider they could act problematic. A lot of work to do. Even and especially now.
Someone in the comment section called it "manhandling". The examiner is simply checking for waxy flexibility and catalepsy when they reposition the person's limbs.
Just on the subject of empathising with catatonic patients, having experienced several bouts lasting a few hours during a recent crisis, it doesn't really feel that far outside of normal everyday experience. Though this may have been aided by a dash of very inappropriate affect! It was as though I could produce the conscious thoughts to move my body but the body simply didn't respond. The catalepsy, such as my arm being stuck in place where the nurse had lifted it to take my blood pressure, really felt no different to how you would normally feel at rest. Being unable to adjust position was really uncomfortable and certainly the worst part. Grimacing for me was an emotional expression and occurred as the symptoms became worse, with the inability to control my facial expression being the first signs of both onset and remission of symptoms.
So I’m just curious what’s happening in your mind when the catatonia is setting in? Are you thinking I’d like to move my body but your body doesn’t respond or are you in a like a daze mentally?
Just came here from your other video on a Catatonic Schizophrenic patient. Fellow Aussie here! Last year I was diagnosed as Catatonic due to a severe depressive episode Aside from agitation and echopraxia I had every symptom on the DSM list. What was bizarre is my psyche nurse was able to watch me fall into the Catatonic stupor over her shift. It's bizarre seeing a video of myself in that state and seeing others. I have almost no memory of the experience due to the experience and the ECT treatment. THANK YOU for raising the issues of consent and inability to consent. One issue that came about during my admission was a relief nurse who did not know I was Catatonic using pain stimulus on me for an extended period of time to try until my family visited and saw what was happening. I don't remember this but it's terrible to think someone was bending my fingers back repeatedly while I was unable to move. Thank you thank you thank you for describing what I refer to as the "forgotten illness". As many nurses told me they'd never seen a Catatonic patient other than myself and most doctors saying they'd seen less than half a dozen. I'm considering sharing my short video of my stupor
Thank you for sharing, my darling young man. I just want to reach out and hug you, now, for all that you went through. Sending you my love and caring through the airwaves. Close your eyes and feel my concern and caring surround you. XO
I was born female, identify as female. I was born in 1970. I had first symptoms when I was a month or 2 into grade 9. 14 years of age. My symptoms , I had a small number of symptoms but the were intermittent. This lead me to be aware that something was changing in me because a) my different symptoms would come and go. Some symptoms would be accompanied by other symptoms. While others were "stand alone symptoms " meaning I did exhibit the other symptoms. And b) there was a time before grade 9 that I didn't have symptoms. I may note,: In grade 6 I became catatonic during one of my classes. I didn't then nor today what triggered this episode. I remember being asked a question by my teacher but couldn't move or respond. I was later put in a room and a number of different teachers tried everything to get me to respond. I couldn't speak nor make eye contact. Had fixated on a place on the floor that was a number of feet from me. I was first asked if why I was rebelling, then threatened with detention, another tried to be more sympathetic as a stategy. Then more and more teachers including the vice-principlde threatened me with a more lengthy duration of detention. One teacher,cwhi spoke more kindly asked me to write down why I wasn't talking, moving from my original poster , wasn't interested in water or lunch.... The problem was I literally felt frozen, their voices sounded far off in the distance. I felt absolutely Helplessness and simultaneously numb. Eventually near the end of the school, I was told I could leave but to never pull a stunt like this for attention ever again and reminded that I had 2 weeks of detention during, breaks, lunch and 1 hr after school. That's right around the time I started having panic attacks and nightmares. When I was 11 my parents divorced. My family allowed my 17 year old to live with us while he got his graphic arts degree. He was my Dad's oldest sister's son. The smaller city he was from was in the next province over. My mother seduce him when he was 18 to 19, so they could live in true love. My father was left with me and my two younger siblings. That same summer of when my parents divorced because of my mother's affair. My Uncle, my mom's brother who was 15 started molesting me, as mentioned I was 11. Both my parents where very hard on me in my early years. For example my mother teased me but not my other siblings of being fat (i was a normal body weight) Sheband my father constantly told me I was stupid, hated schools (which I will getbback to) and my mother teased me about having a large nose. This became a family joke that family members were in courage and even reward if they participated and I would be punished if I so much as shed a tear. My sister was a straight A student. I got maybe 1 A but mostly Bs and occasionally Cs. Every single report card I was seated and grilled for as to why I was getting better grades in elementary and junior high. And many of my teachers made a comment that I talked too much. Up until grade 5, I often cried if I saw other kids being mean or picking on someone. I had kinda had became harded to being bullied by my parents. But I was also teased a lot at resses which which is why I at the beginning of each year, would talk to my desk partner as a safe environment to try to establish a friendship. My parents in grade two, had to do reading/spelling cards because I was following behind in learning to read. Our school required us to read out loud or write how we thought words were spelt (in my early 20s it was discovered that I was hard of hearing). My parents where outright Anger with me for them to do the flash card homework. And would mimick me in humiliation. And as I struggled with each new card, I started to stammer which my father mocked and my mother snickered, with that look she gave me, that "proved" I was stupid. Speed ahead to when I started having early signs of sczophrenia. I had started to skip school by grade 10, he would scream at me for hours and hours and ground me for weeks at a time. I Eventually told him I was depressed, and he flew into a rage that ended with him b$ich slapping me while I lay on the floor to protect myself. He within 6 months had me sent to a group home. And my family and extended family disowned me for the Betrayal and Shame I bought on our family name. I never said anything against my family when I was sent to the group home because, back then, if you cane from a family who just had "family" tension, then you were placed in a group home in a nice neighborhood but if you came from a messed up family you were placed in group homes in the crime infested neighborhoods. There was absolutely no reason why I would have broken my silence. Also, I was the one who was disobedient, difficult and hated school. Yet, I joined every single extra-curricular class, I would volunteer at our library during lunches, joined the choir then later band. I was a fitness leader, for our schools morning fitness routine, I was a patrol and the in grade 7 was a Captain Patrol. I also belonged to Brownies and GirlGuides. The reason I joined these extra-curricular activities is because there were no official grades given, nothing except that you where enrolled showed on my report card. I consciously did this in a way for me to find meaning at school without having to deal with the mocking, blaming and punishments. So what is my observations about the video and thev patients. I can see by their subtle expressions and body movements that some of the data reflects a lack of trust these patients had, even worring, that they don't know why they are being asked to do certain activities and that their maybe a punishment or negative write up in their file. I should also mention, my father had a long-term position in a hospital psychward...yet he still managed to label, box and tape me into a Deviant daughter, the scapegoat and cause of all our *extended and immediate family members. I still at 53 have had cousin's say," I hope you beg the Lord for forgiveness fir the Betrayal and Same you have brought to our family for your lies" this was saidbto me April 2022. Note: this is the condensed version of some of the punishments I received in my teen years where I tried desperately to get help from the medical community. I was told, by a very kind doctor who wanted to help me, but he said, we (doctors ) are not permitted to provide prescriptions for mental health issues especially something like Schizophrenia or bipolar disorders. I was basically told to from 14 to 18 to try my best to look after my mental health alone....
That’s absolutely tough. How are you doing now? Would living separately from your relatives make things better? I mean it’s better to join other groups of people than your own kin in your case. ❤
:'[ I am so sorry for all the abuse and horrors you have been through. I hope you stop all contact with anyone who doesn't show you kindness and respect at ALL times. Your worth comes from existing. You don't need anyone in your life who cannot see or reflect that.
@prapanthebachelorette6803 yes, at various stages I went no contact. But over time, when I had my life together I would reestablish contact. There was a cycle unfolding. If I faltered, the blame/shame and scapegoating would start again. My mental health would deteriorate thus proving them right along. It took me untill I was 50 to go complete no contact. It was hard to do because I was always trying to prove I wasn't what they portrayed me to be. I WANTED to be loved and accepted. But at 50, I realized that if I haven't been able to change their minds or keep from being scapegoated and gaslighted, it never was going to happen. I am slowly improving. But a lot of damage was done. I have to walk away and rebuild my own life without continuing dealing with this type of toxic environment. Thank you for your understanding and reading what I have shared. It does help, when individuals like yourself show that they genuinely care, even if we never met. Thank you.
@tinypixiekitten7806 yes, at various stages I went no contact. But over time, when I had my life together I would reestablish contact. There was a cycle unfolding. If I faltered, the blame/shame and scapegoating would start again. My mental health would deteriorate thus proving them right along. It took me untill I was 50 to go complete no contact. It was hard to do because I was always trying to prove I wasn't what they portrayed me to be. I WANTED to be loved and accepted. But at 50, I realized that if I haven't been able to change their minds or keep from being scapegoated and gaslighted, it never was going to happen. I am slowly improving. But a lot of damage was done. I have to walk away and rebuild my own life without continuing dealing with this type of toxic environment. Thank you for your understanding and reading what I have shared. It does help, when individuals like yourself show that they genuinely care, even if we never met. Thank you.
@@AmandaHugandKiss411 - I have enormous empathy for you trying to prove you were not what and how the abusers in your life said you were. I also struggle with this, if only to myself. It is amazing to me that you managed to go fully no contact - good for you!! I hope that the rest of your life is long and peaceful, full of healing and people who only show you respect and kindness. I wish you enormous strength and courage to sit with the damage done to you, and forge your own life of health and safety. I wish you well, Amanda, and send you enormous love and respect.
I do get the critizism on the behaviour of the Dr. in the video. But let's not forget that this footage is just a few years older than the times the frontal lobotomy was all the rage.
The part where he laughs, my first thought was that i might laugh there also because some of the actions being done seem really ridiculous, like “you just moved my head and hand, asked me stupid questions, then had me randomly shake your hand”. I know that he’s probably not thinking of it that way, but im thinking the laughter was pretty on point if you dont have any underlying issues and were just made to do all that. The rest of this video was pretty informative and enjoyable to try and understand what those patients are dealing w/ or have.
My takeaway from the handshake with Nathan and the stand-up-turn-around with Walter is to demonstrate extreme compliance [described as "automatic obedience" by the psychiatrist] (no questions asked nor concerns of why from the patients). These patients seem to react to a certain extent as long as they don't have to interact with the doctor or each other. No eye contact. No conversation. Thank you for doing these reaction videos! Will you eventually do one on the Hebephrenic Schizophrenic that is interviewed by the same doctor? I have alot of questions on that one.
Hello from a US citizen living in Germany! Thank you for presenting this in a clear and respectful manner. My heart goes out to those patients and I wonder what became of them.
Just discovered your channel this morning. Love your thoroughness :) And I would definetly say this pshyciatrist is showing remarkable care for his patients considering the times it was filmed. In Denmark from 1900-1990 we had Livø and Sprogø (not gonna bother translating the names of the Islands. Ø=Island.) Livø was from 1911-1961 an Island exclusively for mentally retarded males (They were called Åndssvag in Danish, which is word harsher than retarded), and criminals to prevent them from reproducing, since it was believed that their morally corrupt genes would be passed on. While Sprogø was for "morally and mentally retarded" and promiscuous women, to prevent the spread of STD's and prevent them from producing offspring of "inferior moral quality" The ticket for leaving the island. Was voluntary sterilization. Many also received lobotomies since Denmark was the country that considered it an effective treatment for the longest time of any other country. This institution was considered a shining example of the humanitarian ways of Denmark across Europe, up untill the 1960's and the instution was slowly dismantled untill 1990. Just thought this would be an interesting perspective. Greetings from Denmark!
Dr Syl. Thankyou so much for your efforts with these videos. The way you present complicated information and concepts is done in such a way I fell I understand what you're talking about even though I am only a bus driver. Cheers man 👍🇬🇧
Thank you for this presentation! I taught Psychology 30 some years back. We had to explain some of these conditions to our students, but since in those days we didn’t have videos that demonstrated them, it was somewhat difficult even for me as a teacher to visualize let alone explain the full scope of the illness to my students. It’s definitely a very sad condition to say the least!!😢
This is quite heartbreaking to watch. I'm thankful that mental health care has progressed greatly. There is more room for new therapies to emerge. Love Dr. Syl pointing out how important consent is. It is our ethical and moral duty to ask for consent and assess cognitive ability to consent. These old videos are interesting and can be educational. It is highly unlikely that these patients could not consent. There wasn't much protection for a patient's privacy for many years. Looking at the timeline of healthcare, privacy and consent are fairly new.
Lyme disease and encephalitis are two illnesses that cause brain damage and brain inflammation. Some of these patients who suffer with Lyme and encephalitis present with schizophrenia symptoms. Which leads me to question is brain inflammation or brain damage causing schizophrenia. These suffers deserve more research and effective treatments.
The way the psychiatrist was talking to them seemed so off (compared to how I’m guessing they’d speak to patients now). It almost seemed like he was speaking down to children or something. When he was saying “shake, shake hands” to the man on the right, I almost thought he was going to add a “good boy” when he followed the psychiatrists instruction. But very interesting to see these old videos 🇩🇪
Thank you for continuing to educate us lay'wo'men! I've taken an absence from RUclips but I'm pleasantly surprised at all the content you've produced. Your plants are looking FAB!
Dr Syl how do you not have 1m subscribers yet ?! Your videos get great views , are very well edited , and the best part you give great commentary and knowledge on each video ! ❤ Can’t wait to see you grow I’ve already been watching for a while and love your videos
Hey well handsome doctor :) I'm psychology student 3rd grade. I've been seen your videos recently.. I was amazed your the way of expressions, studying with us like you're our teacher etc.. I have to say something like i very like you , you attract to me :)
I'm a simple person. I see a new Dr Syl upload, I smash the like button, then I watch the video. Great info in this one. Question: in the context of schizophrenia/schizoaffective, is catatonia considered something separate or is it viewed as just severe negative symptoms?
Thank you for all your kind and heart warming comments KC Hardison - I really love reading them :) The DSM makes a distinction between negative symptoms and catatonia. I like to think of negative symptoms as the lack of emotion and a lack of motivation where as catatonia is more a set of motor symptoms and focuses more on the movements of the patient. To be honest though I think the distinction can be arbitrary at times (i.e. distinguishing from someone who has no motivation against someone who is in a catatonic stupor could be pretty tricky)
Australia, Far north Queensland. Very interesting vid. I also cringed seeing the sudden manipulation by psychiatrist of the patients arms and especially head. Looking at them i from disability and mental health care background, im immediately in mind of the 'freeze' part of the fight, flight and freeze response to extreme danger, harm or trauma. Also of many i have met with diagnosis of extreme autism. We certainly are still learning. Are you aware of any studies where brain imaging of catalepsy affected people were looked at?. I had a family member affected by this condition on a few occasions. She had severe and prolonged abuse stressors in childhood, and the catalepsy episodes occurred at times in her adult life when great stress without mitigation of care or social connection/ support were present. The rest of her life she was a highly intelligent, high functioning lady. Thankyou for this video.
Doc I know you might not see this but I’m nearly 20 I’ve been struggling with my mental health for years, I’m diagnosed with ADHD PTSD and severe depression and I’ve not been to see my GP since I turned 18 but since then I haven’t left my house and if I do go out even for 3 minutes I get cold sweats and fear the world. most of the time I’m not aware what I’m doing in the present time, I’m beginning to stutter and loop my words and I’m never ever happy. My communication skills are rotting too , every time I hear someone walk past my house I instantly get the thought that they could be out to get me and I don’t know what to do honestly Im unemployed because I’m scared to go out and I dislike/fear people outside. I think the best thing for me is to be sectioned because I’m stuck in 2 minds… I don’t want to live no more but I do
So with this severity of illness, do they often recover to some degree of normalcy? Something I've always wondered is if they recall anything if they do recover? Like would these guys recall being recorded and having their hands moved, or what the Dr was saying to them? I find this illness festinating,
The guy that was grimacing (I think Tommy) looked to me like he was trying hard not to laugh. It reminds me of a guy at my work who is always laughing to himself about something.
Re: the Doctor moving the hands and heads of the individuals. You make a good point as most people would see this act as rather rude and disrespectful. But it most likely is a sign of the times in that (hopefully) modern medicine and psychiatry now sees these poor tormented souls as humans and patients rather that specimens.
They’d been institutionalized for between five & ten years. So these men were goi g no where. More than likely died right where they are. Even if this was made in sixties & I think it earlier what drugs would have been available? They may have been given Thorazine so they would sleep at night
🇹🇷my main symptom is amnesia and repressed memorys i ve lived extremly isolated and emotionaly starved i was also tortured i have a weired sense of self and i totaly cannot think my mind feels passed out or in a coma -other than ongoing torture i received also serious head injuries when i was a kid i suffered a stroke when i was 12 and lost all my memory not 2 return 2 me for another 22 years my own name and personal history i had forgoten every thing--in both instances i mentioned above i was in a coma it is like my past is still alive in my head and it has become some kinda filter i feel my childhood abusers have high jacked my sense of self in that case can u tell me how i can get it back?
Tommy looks like he was stimming nearly with his fingers, I wonder if he could have ASD also the last one has a stim with his hands too, I’m wondering if they were misdiagnosed as children, placed in homes and then traumatised into further psychological mental health disorders.🇦🇺
We had someone in our town that probably had the same type of SZ .. He would start standing up but then hold his position for hours like he forgot to what he was about to do .. The sad thing is that people said he was normal until he got addicted to hard drugs and that why he became like that... Maybe the drugs triggered a SZ seizures but he didn't get any help because he was "addicte" and no one tried to understand his condition or help him... sadly he died last year ... and his story became a horror story of drugs ...
Son 25yr old. Seizures in last 2 years and catstonia in last 7months out of blue and Never had Cataonia before. Does have learning delays since 2yr old When seizures came on, then Did ketogic diet then seizures went into remission at 5yr old. At 24 seizures came back. 1 a month with medication 💊. Every 3 months a behavior issue would into hospitalization for days. Ativan was administered and would come out if it And back to baseline. Then Went back to work and driving. Then a weird catatonic break happened and long hospitalization, left with high Ativian and left to see if it would work. Didn't work. 5 months later Ect started. Still not breaking the catatonia. He is still all types of catatonia.16 ect treatments now. Will he ever get back to baseline with Ativan and ect?
I'm from Canada. I can't get a Canadian flag here because I'm on my laptop, not my phone, but I thought I'd mention my country of Canada anyway. :) This reminds me of the movie Awakenings - from the 1990s, I think? - with Robert de Niro and Robin Williams. It was based on real events in the 1960s, when several patients with catatonia in a state institution in the eastern US had a brief time of a awakening from their catatonia when they were administered extremely high doses of dopamine. I think they'd all become catatonic due to an outbreak of a form of meningitis, although I might be wrong about the cause. Anyway, the way the patients in that institution were before and after their brief time of being out of their catatonia were very much like what the three men in this video experienced in their own individual states of catatonia. I've been intrigued by this and other odd human disorders every since watching that movie, especially by watching old health videos.
I have a feeling the man on the right is a homosexual, firstly by his mannerisms, but mainly how he responds to the psychologists physical contact. This footage was taken at a time where, pressured to do certain things and analysed would be terrifying. I would stop speaking as well.
Have you seen “Awakenings” ? Is a catatonic state what they had/something similar?( I know they all had a certain condition, but seems like they were all in some sort of catatonic state as well
Are antidepressants and Reversible Cerebral Vasoconstrictive Syndrome (RCSV) related? And is dual antidepressant therapy (SSRI+tetracyclic) a bigger risk factor for it?
My son was diagnosed paranoid schizophrenia he pees on his stuff and my brother had to force him n shower and bathe him my son ran away and dint want shower.amd my son don't talk much n he always naked and don't put on clothes plz help dr
You are mentioning how the Doctor has little respect for the patients by moving them without asking, but you never mention why their heads are shaved. The movement that the Doctor does is the least pf their problems.
My guess is that they were all living in an institutional setting, and although we/caregivers wouldn’t necessarily make that choice today, it could be a way to keep lice under control. It could also be that either they or others they live with pull hair when they’re agitated or upset. It could be that some of them struggle with basic self care, and there aren’t enough staff to care for longer hairstyles. And if this was filmed in the 40s, 50s, or 60s, military-style cuts would’ve been a common style for men.
I remember, during one of my rotations, a veteran with catatonic schizophrenia. He would sit for hours staring into space. Or, he would sometimes just walk around the hospital in his own world. Getting him to eat was quite a chore, and he lost so much weight in just a few weeks we questioned whether his admitting weight was correct. Past records proved it was. Once, he disappeared for about six hours by anyone's estimation. We found him in his room. He was in his closet sitting on the shelf in the dark with the door closed.
I’m an RN and I’ve taken care of a patient with catatonic schiz also a veteran. He told me he isn’t crazy but he is experiencing what he is going through because he has invited a demon in him. Family of satanists I guess. I don’t know if he was talking crazy but I prayed over him and we rebuked the evil. I did note though that he cannot say the prayer “as we forgive those who sins against us” he clearly has a trauma that he could not forgive. The following week he was able to sit on his wheelchair and began reading the Bible. Idk what happened to him now as I was floated to a different ward. That experience was something else man.
Severe PTSD
@apacur agreed. My guess is the patients primary diagnosis was Schitzo effective disorder accompanied by catatonia or Schitzophrenia with catatonia. My my opinion someone who has PTSD ot CPTSD should have those noted higher on the Axis. Veterans with schizophrenia without a familial history of schizophrenia more often develop schizophrenia after traumatic experience. Typically people join military service at age 17 or 18 in the US. So, a person who has a predisposition for schizophrenia, throw them into military service that is a traumatic MOS they don't come home the same. Even if it's just learned behavior from service. On average, males are diagnosed with Schizophrenia in their late teens to mid 20s. Add to that the frontal lobe isn't fully developed until 25 on average. I personally believe a person should have a completely formed brain prior to military service. That is part of the reason Recruitors go to high schools and sell the military career. The military is well aware that they are trying to get people sign up and finish basic training and MOS training. Especially, those who wish to go into an infantry MOS. The purpose on the side of the military is they need to use the brains plasticity. It's much easier to wire the brain than to rewire the brain.
22 a day. Until Valhalla!
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It saddens me he was missing for 6 hours. I’ve been in a psychiatric hospital or wing a few times and they do 15 min check ins around the clock even at night.
I didn't eat for 12 days. Finally after 3 hospitals I got to one and finally heard a familiar voice which I couldn't speak but he knew immediately and saved my life. He was the psychiatrist and medical director and knew my background. No one else even asked about my mental history even tho it is on record
I fought for my brother's life. They took him off all of his meds. One was Ativan and I said if you take him off that he won't be able to move. They agreed to give him a very small dose. They nurse couldn't believe the next day when he was eating breakfast and walking around the halls. The next day he was locked inside his body in full catatonia. They didn't give him any Ativan and refused. Finally had to put in a PEG tube. I spoke with the Hospital Dr who told me that most of those drs and nurses didn't know how to deal with someone with a mental illness. He put him back on the Ativan after 3 months and he was coming out of and then another Dr took him off of it. They thought we were lying about his condition. They head hospital dr didn't though. He was finally put on SZ meds and kept on the Ativan. I walked in his room and he was barely able to move. I asked what in the world is going on? I asked if he had his Ativan and she said no it is as needed and he doesn't look nervous to me. I said it is not for his nerves is it for the catatonic state he gets in. I took a picture of him and sent it to the Head Dr who had become my friend at the time and he called over there telling them a standing order to put him back on that Ativan to give it to him 3 times a day. They did but didn't like it because that is considered a controlled drug every dr he came in contact kept taking him off it and caused him all of that suffering. By that time his muscle mass and weight had gotten so low that he looked like a Jew in the concentration camp. I almost sued that hospital. All over the government looking down on people who need certain drugs and if they are controlled then they had rather you suffer.
@VickyGoss this broke my heart! Such similar stories. If i knew the consequences when I was 18 years old and prescribed medication (That was supposed to help my anxiety that was ACTUALLY adhd/autism... ) I would have not trusted all the doctors that I did and big pharma. We need more people talking about this!!!
@VickyGoss the doctor who saved my life had to FIGHT with the hospital and thankfully was the director bc they wanted to save the medicine "for someone who needs it"
I also have seizures and I GUARANTEE they would've given it to me without a fuss then. I don't know what all transpired but all medical personal should be trained on this.
@@RaelynR92 this is a huge issue in this country and globally but worse in the US. It needs to be addressed and every Doctors, Nurse, and medical professional - even hospital staff down to the lower level of jobs, should be trained in this situation to not only know that this is a very real thing but to know how to spot it or at least consider it.
Watching Nathan saddens me a lot. He doesn't "resist" when moved but i can see his distress in being manhandled. Protecting his face with one hand when the other is lifted, then pulling the hand away quickly when his face is grabbed. The laughing and smirking looked like what abused children learn to do, to diffuse a tense situation.
I was thinking the laughing looked like he thought all that hubbub was ridiculous. But I also thought that he certainly disliked being manhandled when his hand was raised, and then his head was grabbed, which would be much more intrusive. Just describing my first impressions.
@harmonysummer What are they supposed to do? Humans are an incredibly complex system, even "normal" medicine is more art than science. Therapists only have people's actions and words to go on. He did say that *could* be incongruent affect. But even if he was sure, I'd think he'd keep on working with the patient instead of diagnosing and setting treatment after his first impressions. There's a reason that psychotherapy takes much, much longer than "normal" medicine.
He was in a better state to than Tommy and Walter. He answered the first questions quickly and appropriately, also he didn't look totally bewildered like other two.
When examiners raise catatonic patients limbs, they are checking for two symptoms - waxy flexibility and catalepsy. They are not "manhandling" patients. "Manhandling" is an offensive term. It implies that males are physically violent.
Honestly though, the explanations you guys are giving for the behaviour such as the laughing or what he's doing with his hands may not be the case though. If they're in some state of psychosis or catatonia (and I don't know enough about this either) they may just be fighting off something internally, while trying perhaps to react to the psychiatrist as well? To me, these type of comments make me almost as uneasy, it's like looking at a pet and projecting human emotions onto it.
That's not to say I disagree that the way they handled patients back then was horrible. But in this scene, as Syl said, the guy was actually being relatively nice. Stop trying to project and virtually cuddle some guy by projecting an emotion or struggle you can relate to. They may not be dealing with something we can relate to, in a way we can't relate to. That's the difference between sympathy and empathy. Sympathy is feeling sad for someone, knowing what it's like. Empathy is understanding that something may be sad for someone, not acting or pretending to know what someone else experiences something, even if you've been through a similar situation.
I have autism. I think it's pretty funny when people try to relate to me by explaining the ways they're also "a little autistic". But I would much prefer if they asked me what it's like, rather than making assumptions - even if they're true - about what they figure it must be like for me.
The reason Dr. Lehmann is manipulating the patient's bodies is because this was a training film intended to demonstrate the signs and symptoms of catatonia. if he had first told them what he was going to do or asked for their permission it wouldn't be as effective at conveying the patients' passivity and obedience. I think he was very respectful and caring toward his patients in most regards, but in this particular series the aim is to 'provoke' characteristic reactions.
he gives a disclaimer somewhere that these are not diagnistic or therapeutic interviews or intervention
(english is not my first language) The things he showed by the manipulations were not that complicated to understand. A description would have been enough. No need to show it. There is no good enough reason to violate these fragile people. Even with the best intentions. I suffered severe depression (now a little milder version), not stuff like this here. And even I experienced, how fragile you are, when you can't express and defend yourself. My therapists certainly had good intentions and they did nothing unusual. There is a whole different level of responsibilitiy not to step over boundaries you are not allowed to step over, when it comes to people like them. And a lot of therapists are so sure, they act right and beeing objective, they don't even consider they could act problematic. A lot of work to do. Even and especially now.
Someone in the comment section called it "manhandling". The examiner is simply checking for waxy flexibility and catalepsy when they reposition the person's limbs.
Thank you for your videos!! I am late diagnosed AuDHD. Neurodivergence is my new special interest, so I'm very glad I found your content! 🇺🇸
Just on the subject of empathising with catatonic patients, having experienced several bouts lasting a few hours during a recent crisis, it doesn't really feel that far outside of normal everyday experience. Though this may have been aided by a dash of very inappropriate affect! It was as though I could produce the conscious thoughts to move my body but the body simply didn't respond. The catalepsy, such as my arm being stuck in place where the nurse had lifted it to take my blood pressure, really felt no different to how you would normally feel at rest. Being unable to adjust position was really uncomfortable and certainly the worst part. Grimacing for me was an emotional expression and occurred as the symptoms became worse, with the inability to control my facial expression being the first signs of both onset and remission of symptoms.
Hope you are doing better now. Take care
So I’m just curious what’s happening in your mind when the catatonia is setting in? Are you thinking I’d like to move my body but your body doesn’t respond or are you in a like a daze mentally?
Just came here from your other video on a Catatonic Schizophrenic patient. Fellow Aussie here!
Last year I was diagnosed as Catatonic due to a severe depressive episode
Aside from agitation and echopraxia I had every symptom on the DSM list. What was bizarre is my psyche nurse was able to watch me fall into the Catatonic stupor over her shift.
It's bizarre seeing a video of myself in that state and seeing others. I have almost no memory of the experience due to the experience and the ECT treatment.
THANK YOU for raising the issues of consent and inability to consent. One issue that came about during my admission was a relief nurse who did not know I was Catatonic using pain stimulus on me for an extended period of time to try until my family visited and saw what was happening. I don't remember this but it's terrible to think someone was bending my fingers back repeatedly while I was unable to move.
Thank you thank you thank you for describing what I refer to as the "forgotten illness". As many nurses told me they'd never seen a Catatonic patient other than myself and most doctors saying they'd seen less than half a dozen.
I'm considering sharing my short video of my stupor
What Treatment to bring you out
Thank you for sharing, my darling young man. I just want to reach out and hug you, now, for all that you went through. Sending you my love and caring through the airwaves. Close your eyes and feel my concern and caring surround you. XO
Must be terrifying to experience. Confusing, scary, painful, exhausting, I really cannot imagine.
I was born female, identify as female. I was born in 1970.
I had first symptoms when I was a month or 2 into grade 9. 14 years of age. My symptoms , I had a small number of symptoms but the were intermittent.
This lead me to be aware that something was changing in me because a) my different symptoms would come and go. Some symptoms would be accompanied by other symptoms. While others were "stand alone symptoms " meaning I did exhibit the other symptoms.
And b) there was a time before grade 9 that I didn't have symptoms.
I may note,: In grade 6 I became catatonic during one of my classes. I didn't then nor today what triggered this episode. I remember being asked a question by my teacher but couldn't move or respond. I was later put in a room and a number of different teachers tried everything to get me to respond. I couldn't speak nor make eye contact. Had fixated on a place on the floor that was a number of feet from me. I was first asked if why I was rebelling, then threatened with detention, another tried to be more sympathetic as a stategy. Then more and more teachers including the vice-principlde threatened me with a more lengthy duration of detention. One teacher,cwhi spoke more kindly asked me to write down why I wasn't talking, moving from my original poster , wasn't interested in water or lunch....
The problem was I literally felt frozen, their voices sounded far off in the distance. I felt absolutely Helplessness and simultaneously numb. Eventually near the end of the school, I was told I could leave but to never pull a stunt like this for attention ever again and reminded that I had 2 weeks of detention during, breaks, lunch and 1 hr after school.
That's right around the time I started having panic attacks and nightmares.
When I was 11 my parents divorced.
My family allowed my 17 year old to live with us while he got his graphic arts degree. He was my Dad's oldest sister's son. The smaller city he was from was in the next province over.
My mother seduce him when he was 18 to 19, so they could live in true love. My father was left with me and my two younger siblings.
That same summer of when my parents divorced because of my mother's affair. My Uncle, my mom's brother who was 15 started molesting me, as mentioned I was 11.
Both my parents where very hard on me in my early years. For example my mother teased me but not my other siblings of being fat (i was a normal body weight) Sheband my father constantly told me I was stupid, hated schools (which I will getbback to) and my mother teased me about having a large nose. This became a family joke that family members were in courage and even reward if they participated and I would be punished if I so much as shed a tear. My sister was a straight A student. I got maybe 1 A but mostly Bs and occasionally Cs.
Every single report card I was seated and grilled for as to why I was getting better grades in elementary and junior high. And many of my teachers made a comment that I talked too much.
Up until grade 5, I often cried if I saw other kids being mean or picking on someone. I had kinda had became harded to being bullied by my parents. But I was also teased a lot at resses which which is why I at the beginning of each year, would talk to my desk partner as a safe environment to try to establish a friendship.
My parents in grade two, had to do reading/spelling cards because I was following behind in learning to read. Our school required us to read out loud or write how we thought words were spelt (in my early 20s it was discovered that I was hard of hearing).
My parents where outright Anger with me for them to do the flash card homework. And would mimick me in humiliation. And as I struggled with each new card, I started to stammer which my father mocked and my mother snickered, with that look she gave me, that "proved" I was stupid.
Speed ahead to when I started having early signs of sczophrenia.
I had started to skip school by grade 10, he would scream at me for hours and hours and ground me for weeks at a time.
I Eventually told him I was depressed, and he flew into a rage that ended with him b$ich slapping me while I lay on the floor to protect myself.
He within 6 months had me sent to a group home. And my family and extended family disowned me for the Betrayal and Shame I bought on our family name.
I never said anything against my family when I was sent to the group home because, back then, if you cane from a family who just had "family" tension, then you were placed in a group home in a nice neighborhood but if you came from a messed up family you were placed in group homes in the crime infested neighborhoods. There was absolutely no reason why I would have broken my silence.
Also, I was the one who was disobedient, difficult and hated school. Yet, I joined every single extra-curricular class, I would volunteer at our library during lunches, joined the choir then later band. I was a fitness leader, for our schools morning fitness routine, I was a patrol and the in grade 7 was a Captain Patrol. I also belonged to Brownies and GirlGuides.
The reason I joined these extra-curricular activities is because there were no official grades given, nothing except that you where enrolled showed on my report card. I consciously did this in a way for me to find meaning at school without having to deal with the mocking, blaming and punishments.
So what is my observations about the video and thev patients. I can see by their subtle expressions and body movements that some of the data reflects a lack of trust these patients had, even worring, that they don't know why they are being asked to do certain activities and that their maybe a punishment or negative write up in their file.
I should also mention, my father had a long-term position in a hospital psychward...yet he still managed to label, box and tape me into a Deviant daughter, the scapegoat and cause of all our *extended and immediate family members.
I still at 53 have had cousin's say," I hope you beg the Lord for forgiveness fir the Betrayal and Same you have brought to our family for your lies" this was saidbto me April 2022.
Note: this is the condensed version of some of the punishments I received in my teen years where I tried desperately to get help from the medical community.
I was told, by a very kind doctor who wanted to help me, but he said, we (doctors ) are not permitted to provide prescriptions for mental health issues especially something like Schizophrenia or bipolar disorders.
I was basically told to from 14 to 18 to try my best to look after my mental health alone....
That’s absolutely tough. How are you doing now? Would living separately from your relatives make things better? I mean it’s better to join other groups of people than your own kin in your case.
❤
:'[
I am so sorry for all the abuse and horrors you have been through. I hope you stop all contact with anyone who doesn't show you kindness and respect at ALL times. Your worth comes from existing. You don't need anyone in your life who cannot see or reflect that.
@prapanthebachelorette6803 yes, at various stages I went no contact. But over time, when I had my life together I would reestablish contact. There was a cycle unfolding. If I faltered, the blame/shame and scapegoating would start again. My mental health would deteriorate thus proving them right along.
It took me untill I was 50 to go complete no contact. It was hard to do because I was always trying to prove I wasn't what they portrayed me to be. I WANTED to be loved and accepted. But at 50, I realized that if I haven't been able to change their minds or keep from being scapegoated and gaslighted, it never was going to happen.
I am slowly improving.
But a lot of damage was done.
I have to walk away and rebuild my own life without continuing dealing with this type of toxic environment.
Thank you for your understanding and reading what I have shared.
It does help, when individuals like yourself show that they genuinely care, even if we never met.
Thank you.
@tinypixiekitten7806 yes, at various stages I went no contact. But over time, when I had my life together I would reestablish contact. There was a cycle unfolding. If I faltered, the blame/shame and scapegoating would start again. My mental health would deteriorate thus proving them right along.
It took me untill I was 50 to go complete no contact. It was hard to do because I was always trying to prove I wasn't what they portrayed me to be. I WANTED to be loved and accepted. But at 50, I realized that if I haven't been able to change their minds or keep from being scapegoated and gaslighted, it never was going to happen.
I am slowly improving.
But a lot of damage was done.
I have to walk away and rebuild my own life without continuing dealing with this type of toxic environment.
Thank you for your understanding and reading what I have shared.
It does help, when individuals like yourself show that they genuinely care, even if we never met.
Thank you.
@@AmandaHugandKiss411 - I have enormous empathy for you trying to prove you were not what and how the abusers in your life said you were. I also struggle with this, if only to myself. It is amazing to me that you managed to go fully no contact - good for you!!
I hope that the rest of your life is long and peaceful, full of healing and people who only show you respect and kindness. I wish you enormous strength and courage to sit with the damage done to you, and forge your own life of health and safety. I wish you well, Amanda, and send you enormous love and respect.
I do get the critizism on the behaviour of the Dr. in the video. But let's not forget that this footage is just a few years older than the times the frontal lobotomy was all the rage.
The part where he laughs, my first thought was that i might laugh there also because some of the actions being done seem really ridiculous, like “you just moved my head and hand, asked me stupid questions, then had me randomly shake your hand”. I know that he’s probably not thinking of it that way, but im thinking the laughter was pretty on point if you dont have any underlying issues and were just made to do all that. The rest of this video was pretty informative and enjoyable to try and understand what those patients are dealing w/ or have.
I have lived with mental illness my whole life and i feel so sad for those men they were victims of the stone age of mental healthcare.
My takeaway from the handshake with Nathan and the stand-up-turn-around with Walter is to demonstrate extreme compliance [described as "automatic obedience" by the psychiatrist] (no questions asked nor concerns of why from the patients). These patients seem to react to a certain extent as long as they don't have to interact with the doctor or each other. No eye contact. No conversation.
Thank you for doing these reaction videos! Will you eventually do one on the Hebephrenic Schizophrenic that is interviewed by the same doctor? I have alot of questions on that one.
Thanks for sharing!! Please send me the link I’ll check it out!
Hello from a US citizen living in Germany! Thank you for presenting this in a clear and respectful manner. My heart goes out to those patients and I wonder what became of them.
nothing. they lived a life of constant terror and died
Just discovered your channel this morning. Love your thoroughness :)
And I would definetly say this pshyciatrist is showing remarkable care for his patients considering the times it was filmed.
In Denmark from 1900-1990 we had Livø and Sprogø (not gonna bother translating the names of the Islands. Ø=Island.)
Livø was from 1911-1961 an Island exclusively for mentally retarded males (They were called Åndssvag in Danish, which is word harsher than retarded), and criminals to prevent them from reproducing, since it was believed that their morally corrupt genes would be passed on. While Sprogø was for "morally and mentally retarded" and promiscuous women, to prevent the spread of STD's and prevent them from producing offspring of "inferior moral quality"
The ticket for leaving the island. Was voluntary sterilization.
Many also received lobotomies since Denmark was the country that considered it an effective treatment for the longest time of any other country.
This institution was considered a shining example of the humanitarian ways of Denmark across Europe, up untill the 1960's and the instution was slowly dismantled untill 1990.
Just thought this would be an interesting perspective.
Greetings from Denmark!
Dr Syl. Thankyou so much for your efforts with these videos. The way you present complicated information and concepts is done in such a way I fell I understand what you're talking about even though I am only a bus driver. Cheers man 👍🇬🇧
You are very welcome Phil ❤ No such thing as 'only' a bus driver. Transport makes the world move!
Thank you for this presentation! I taught Psychology 30 some years back. We had to explain some of these conditions to our students, but since in those days we didn’t have videos that demonstrated them, it was somewhat difficult even for me as a teacher to visualize let alone explain the full scope of the illness to my students. It’s definitely a very sad condition to say the least!!😢
It shouldn't surprise you that agitation is listed in there. Learn distinction between excited and akinetic catatonia.
futher shows how awfully clueless most of the psychiatrists are
This is quite heartbreaking to watch. I'm thankful that mental health care has progressed greatly. There is more room for new therapies to emerge.
Love Dr. Syl pointing out how important consent is. It is our ethical and moral duty to ask for consent and assess cognitive ability to consent. These old videos are interesting and can be educational. It is highly unlikely that these patients could not consent. There wasn't much protection for a patient's privacy for many years. Looking at the timeline of healthcare, privacy and consent are fairly new.
If your body/mind are not acting as you want, I can well imagine agitation from the frustration.
Lyme disease and encephalitis are two illnesses that cause brain damage and brain inflammation. Some of these patients who suffer with Lyme and encephalitis present with schizophrenia symptoms. Which leads me to question is brain inflammation or brain damage causing schizophrenia. These suffers deserve more research and effective treatments.
The way the psychiatrist was talking to them seemed so off (compared to how I’m guessing they’d speak to patients now). It almost seemed like he was speaking down to children or something. When he was saying “shake, shake hands” to the man on the right, I almost thought he was going to add a “good boy” when he followed the psychiatrists instruction. But very interesting to see these old videos 🇩🇪
Yea it's great to see how psychiatry has become so much more patient focused and humanising.
That way of speaking happens pretty easily if you have difficulties to communicate with someone
Very insightful and without the stereotypical RUclips presentation style. Thank you!
Thank you for continuing to educate us lay'wo'men! I've taken an absence from RUclips but I'm pleasantly surprised at all the content you've produced. Your plants are looking FAB!
Dr Syl how do you not have 1m subscribers yet ?! Your videos get great views , are very well edited , and the best part you give great commentary and knowledge on each video ! ❤ Can’t wait to see you grow I’ve already been watching for a while and love your videos
Maybe one day!
Hi from Quebec, Canada 🇨🇦 Love the way you explain !
It was definitely very interesting to see real examples and cases
This is sad 😔 I feel bad for these men. I hope they were able to get proper help.
Hey well handsome doctor :) I'm psychology student 3rd grade. I've been seen your videos recently.. I was amazed your the way of expressions, studying with us like you're our teacher etc.. I have to say something like i very like you , you attract to me :)
Interesting and educational for sure. But damn it feels bad to see fellow humans in such a bad state.
Happy Easter from Scotland UK
I'm a simple person. I see a new Dr Syl upload, I smash the like button, then I watch the video. Great info in this one.
Question: in the context of schizophrenia/schizoaffective, is catatonia considered something separate or is it viewed as just severe negative symptoms?
Thank you for all your kind and heart warming comments KC Hardison - I really love reading them :)
The DSM makes a distinction between negative symptoms and catatonia. I like to think of negative symptoms as the lack of emotion and a lack of motivation where as catatonia is more a set of motor symptoms and focuses more on the movements of the patient. To be honest though I think the distinction can be arbitrary at times (i.e. distinguishing from someone who has no motivation against someone who is in a catatonic stupor could be pretty tricky)
Australia, Far north Queensland. Very interesting vid. I also cringed seeing the sudden manipulation by psychiatrist of the patients arms and especially head.
Looking at them i from disability and mental health care background, im immediately in mind of the 'freeze' part of the fight, flight and freeze response to extreme danger, harm or trauma. Also of many i have met with diagnosis of extreme autism. We certainly are still learning. Are you aware of any studies where brain imaging of catalepsy affected people were looked at?.
I had a family member affected by this condition on a few occasions. She had severe and prolonged abuse stressors in childhood, and the catalepsy episodes occurred at times in her adult life when great stress without mitigation of care or social connection/ support were present. The rest of her life she was a highly intelligent, high functioning lady.
Thankyou for this video.
Thank you! this was really helpful for my class!! and I'm watching you from 🇲🇽 🇲🇽 🇲🇽
Hahaha omg. The time stamp on the forehead was brilliant - that cracked me up, I love it 👌😁😅 🇦🇺
Greetings from Poland!!
A beautiful explanation!❤
Doc I know you might not see this but I’m nearly 20 I’ve been struggling with my mental health for years, I’m diagnosed with ADHD PTSD and severe depression and I’ve not been to see my GP since I turned 18 but since then I haven’t left my house and if I do go out even for 3 minutes I get cold sweats and fear the world. most of the time I’m not aware what I’m doing in the present time, I’m beginning to stutter and loop my words and I’m never ever happy. My communication skills are rotting too , every time I hear someone walk past my house I instantly get the thought that they could be out to get me and I don’t know what to do honestly Im unemployed because I’m scared to go out and I dislike/fear people outside. I think the best thing for me is to be sectioned because I’m stuck in 2 minds… I don’t want to live no more but I do
This video is amazing, PLEASE keep these coming! 🇺🇸🇺🇸
I found this very interesting. Greetings from Ireland!
i legit thought that the picture in the thumbnail was an edited photo of linus tech tips
So heartbreaking 😢
That's heart breaking !!!
It seems like one of the loneliest disorders there is. It’s very sad to see…..
I truly can't imagine what hell this might be for them. Or if it is even a hell at all, and they're just in their own world.
Hola doctor un saludo desde Colombia, me encantan sus videos
Wow 🤩 saludo!
what lm seeing is shyness.
Do catatonics have to be repositioned sometimes so they don’t end up hurting their muscles and joints from staying in one postition?
God knows what these people have been through.
I love your videos !!! greetings from Greece
We don't know that he was laughing inappropriately. Dr. Hanging Hand might have had a stray booger up his nose.
Yeah, keep on pushing Walter, yeah, that's it, a little closer, 💥💥💥💥💥
When he was laughing he seemed to be laughing at the situation, same as the guy in the middle, the first guy was worse for wear so to speak.
So with this severity of illness, do they often recover to some degree of normalcy? Something I've always wondered is if they recall anything if they do recover? Like would these guys recall being recorded and having their hands moved, or what the Dr was saying to them? I find this illness festinating,
Treatrment of mental health patients has changed a lot since this was filmed, so it's not really fair to judge it through a modern lense.
good video mate 🇫🇰
Thanks John!!
Could you tell me what happened to every one of these patients? So sad
🇫🇮 So, how does one treat this illness in Australia? ECT, perhaps? 🤔
when he laughs syl 6:14 i believe he is laughing not as a symptom but at the joke of himself full of dread
I know this was the time and they were doing this for educational purposes, but gosh I feel terrible about the way interacted with these people
The guy that was grimacing (I think Tommy) looked to me like he was trying hard not to laugh. It reminds me of a guy at my work who is always laughing to himself about something.
Re: the Doctor moving the hands and heads of the individuals. You make a good point as most people would see this act as rather rude and disrespectful. But it most likely is a sign of the times in that (hopefully) modern medicine and psychiatry now sees these poor tormented souls as humans and patients rather that specimens.
Thanks a million how do they come out
How would seeing patients like this, who probably will never improve much affect the doctor long term. I would think it would get very frustrating.
Thank you for explaining 🇮🇳💜
Was that the time when people with neuroses and psychoses were locked away? Or was it toward the tail end of that or even afterwards?
They’d been institutionalized for between five & ten years. So these men were goi g no where. More than likely died right where they are.
Even if this was made in sixties & I think it earlier what drugs would have been available? They may have been given Thorazine so they would sleep at night
🇹🇷my main symptom is amnesia and repressed memorys i ve lived extremly isolated and emotionaly starved i was also tortured i have a weired sense of self and i totaly cannot think my mind feels passed out or in a coma -other than ongoing torture i received also serious head injuries when i was a kid i suffered a stroke when i was 12 and lost all my memory not 2 return 2 me for another 22 years my own name and personal history i had forgoten every thing--in both instances i mentioned above i was in a coma it is like my past is still alive in my head and it has become some kinda filter i feel my childhood abusers have high jacked my sense of self in that case can u tell me how i can get it back?
nice video, am from zambia 2024
From Kenya 🇰🇪🇰🇪🇰🇪🇰🇪
Are there any SPECT studies of individuals in this state?
Are changes in dopamine indicated?
Hello from Sweden!
Tommy looks like he was stimming nearly with his fingers, I wonder if he could have ASD also the last one has a stim with his hands too, I’m wondering if they were misdiagnosed as children, placed in homes and then traumatised into further psychological mental health disorders.🇦🇺
you make super cool videos and are the cutest doctor ever :3
Very interesting
He is nice to them but in a way you're nice to an infant child or an animal
We had someone in our town that probably had the same type of SZ ..
He would start standing up but then hold his position for hours like he forgot to what he was about to do ..
The sad thing is that people said he was normal until he got addicted to hard drugs and that why he became like that...
Maybe the drugs triggered a SZ seizures but he didn't get any help because he was "addicte" and no one tried to understand his condition or help him... sadly he died last year ... and his story became a horror story of drugs ...
Drugs don't precipitate such symptoms; unless, maybe he was a huffer of inhalants ...
Can you be in part stupor when you’re part way full catatonic ??
Son 25yr old. Seizures in last 2 years and catstonia in last 7months out of blue and Never had Cataonia before. Does have learning delays since 2yr old When seizures came on, then Did ketogic diet then seizures went into remission at 5yr old.
At 24 seizures came back. 1 a month with medication 💊. Every 3 months a behavior issue would into hospitalization for days. Ativan was administered and would come out if it
And back to baseline. Then Went back to work and driving.
Then a weird catatonic break happened and long hospitalization, left with high Ativian and left to see if it would work. Didn't work. 5 months later Ect started. Still not breaking the catatonia. He is still all types of catatonia.16 ect treatments now. Will he ever get back to baseline with Ativan and ect?
Interesting; yet sad.
Ontario Canada
makes you wonder whats going on in theirs minds
I'm from Canada. I can't get a Canadian flag here because I'm on my laptop, not my phone, but I thought I'd mention my country of Canada anyway. :)
This reminds me of the movie Awakenings - from the 1990s, I think? - with Robert de Niro and Robin Williams. It was based on real events in the 1960s, when several patients with catatonia in a state institution in the eastern US had a brief time of a awakening from their catatonia when they were administered extremely high doses of dopamine. I think they'd all become catatonic due to an outbreak of a form of meningitis, although I might be wrong about the cause.
Anyway, the way the patients in that institution were before and after their brief time of being out of their catatonia were very much like what the three men in this video experienced in their own individual states of catatonia. I've been intrigued by this and other odd human disorders every since watching that movie, especially by watching old health videos.
Are their reactions or lack there of a result of being medicated?
I have a feeling the man on the right is a homosexual, firstly by his mannerisms, but mainly how he responds to the psychologists physical contact. This footage was taken at a time where, pressured to do certain things and analysed would be terrifying. I would stop speaking as well.
I think it's because it's extremely difficult to fake. Shows mental health physical symptoms
Have you seen “Awakenings” ? Is a catatonic state what they had/something similar?( I know they all had a certain condition, but seems like they were all in some sort of catatonic state as well
what if I resonate with all of these symptoms and don't know what to do.
Use the ICD-11. Catatonia is a syndrome that not only occurs in schizophreniform disorders
Does the waxy flexibility happen when they sleep as well? Like if a doctor moved their arm while sleeping will it stay?
Are antidepressants and Reversible Cerebral Vasoconstrictive Syndrome (RCSV) related? And is dual antidepressant therapy (SSRI+tetracyclic) a bigger risk factor for it?
I’d love an answer to this as well because I’ve been experiencing catatonic symptoms for months now.
Do people suffering from catatonia respond to music at all ?
Does being in a stupor or catatonic cause any damage to the body?
My son was diagnosed paranoid schizophrenia he pees on his stuff and my brother had to force him n shower and bathe him my son ran away and dint want shower.amd my son don't talk much n he always naked and don't put on clothes plz help dr
My son touch me repeatedly and then walk away I can't communicate with him
You are mentioning how the Doctor has little respect for the patients by moving them without asking, but you never mention why their heads are shaved. The movement that the Doctor does is the least pf their problems.
My guess is that they were all living in an institutional setting, and although we/caregivers wouldn’t necessarily make that choice today, it could be a way to keep lice under control. It could also be that either they or others they live with pull hair when they’re agitated or upset. It could be that some of them struggle with basic self care, and there aren’t enough staff to care for longer hairstyles. And if this was filmed in the 40s, 50s, or 60s, military-style cuts would’ve been a common style for men.
@@tallgrasslanestitches6635 No it's because they have all undergone Electric Shock Therapy
How can you bring them out
Fascinating 🇮🇪
It always looks like you're crying in these reaction vids 😩
Very interesting. 🇺🇸
The physicality of Marilyn Manson's videography reminds me of the listed symptoms for Catatonic.
I read catatonai has two kind of stupor and exited.mabye agitation is for exited
I feel like I do all of the above 🤷🏻♀️