LEAP vs. The Usual Approach when Offering Treatment
HTML-код
- Опубликовано: 1 мар 2018
- Watch Dr. Amador use LEAP to offer a Long Acting Injectable (LAI) antipsychotic medication. Based on an actual offer of an LAI to one of his patients, Dr. Amador offers a LAI to a young man with serious mental illness who is unaware he is ill--has anosognosia. Dr. Amador contrasts the usual educational approach, to making the offer successfully using LEAP. Very hands-on, helpful, and detailed.
Кино
The year now is 2024, but the worth and practicality of this approach hasn't aged one bit. Why don't we learn this in class 😢.
Thank you so much Dr
Thank you for your efforts to find a new way to reach so many who otherwise might not receive treatment. But as a parent in this situation, I find the effects of anosognosia more complicated than what is presented here. What if, even after so much listening and acknowledging, the very mention of any kind of treatment at all still results in immediate rage? What if, after a history of numerous forced hospitalizations and escalating destructive symptoms in the past, there seems to be no avenue for discussion? I only wish my son could have such a calm conversation as is represented here. The one similarity is that, just like this young man, he has stated that the reflecting back of his statements is annoying and inauthentic. It's one thing for a doctor to do it - but with a family member it looks and feels like a condescending game.
As a parent who has lived with this for many years, I have to ask, what about the ongoing impact on others of his condition and refusal of treatment? As a doctor you can say, yes it is your choice, it's not up to me and you can decide. To give freedom of choice to your ill patient, and then leave your office and go back to your home and your life. What about the needs of an entire family whose lives are being deeply impacted by the choices of this one individual? What about his primary carer who has no life at all and is suffering from horrific stress, a terrible financial toll, with no support or relief? How long do we go on giving over choice to one who, due to his illness, makes consistently terrible choices with no concern for others because he is unable to see what is really going on?
What about when the one who is ill threatens strangers, talks about suicide, experiences terrible energetic attacks in the night, eats an awful diet that is making him more and more sick? What about when he can't earn a living, go to school, maintain a friendship or even do the dishes year? How long do we keep apologizing and validating, waiting for him to become open to treatment? And where are the ideas and approaches that support the whole family? Why are we forced to choose between living this way, or having him locked up like an animal in our broken mental health system. What about the families where this just doesn't work?
I'm living with this nightmare, too. My 26 year old son has schizophrenia and anosognosia, he thinks I'm in denial about the voices, the chemtrails, that he believes are real. I've tried listening and being sympathetic to what must be a miserable experience. He insists that I'm lying because I won't agree that his delusions are real. I tell him I know it's real to him, then he gets angry. He just spent 10 days in a mental hospital, they released him back here even though I told them I didn't want him here (he's injured me before). Now I'm stuck with him, and he's taking me down with him. I can't get help from County mental health.
@@LazyIRanch my heart is with you.
@@LazyIRanch im having same problem how are you doin now
Yes, the family suffers. How to protect them also. What's the holistic approach??
Absolutely relevant questions. I also would like to see answers
Beautiful, and effective. Thank you for your amazing work, Dr. Amador! K
Excellent demo of caring and empower ment of consumer for owning their decisions!!
Great and interesting; I love it
Thanks a lot, that was very useful, more clinitians should see this
How do you use leap when someone is depressed ? What would you like ? “Nothing I don’t care I wish I was dead”. Can you tell me why you don’t want to see a therapist? “It wouldn’t help they hate me anyway” or . “I’m tired of these questions I don’t want to talk you need to leave” Etc
This is a serious question and I would really like ideas . It almost seeks easier to talk to someone psychotic, they care about things even if it’s not the usual things
Some of this reminds me of the principles from 'How to win Friends and influence people', by Dale Carnegie.
Thank you.
I'm deeply impressed! Currently I started my education in psychological psychotherapy but I can't wait to use LEAP in my everyday work. Thank you for such a great video! Do you planning on doing a workshop in germany? That would be amazing!
I've adapted LEAP in my job as hospital security, not in a medical capacity but in a compliance effort. I hear "I'm not sick I don't need help" five to ten times in an 8 hour shift. I work in psych as a patient watch guard. I believe every point of contact throughout the hospital experience influences the patients path to recovery.
Thank you for the video. How to get your latest edition of the book in India?
The reflective listening feels contrived and uncomfortable. I don't know that I could do it to that extent.
I would have to be medicated and hospitalized if I were reduced to talking like this. It was painful just to watch. And this actor is NOTHING like my schizophrenic sister who would chew this doctor up.
WHAT DOES THE ACRONYM LEAP STAND FOR?
He says it in the video multiple times
I think it means one will want to LEAP from a tall building if they have to "talk" this way to a person with severe schizophrenia. This is fantasy and would not work on my sister...but would certainly cost me my sanity.
This isnt a new concept
I got my first long term IM in 2009
If you really cared you wouldn't risk your patients' lives.