Subclinical Psychosis - Can You Be A Little Psychotic?
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- Опубликовано: 30 ноя 2021
- Subclinical psychosis is a term some researchers have used to describe psychotic symptoms in people who don’t have a primary psychotic illness or as a way to identify people who are prone to later get a psychotic illness. It’s not really meant to describe a situation where you’re just a little bit psychotic. However, there is a concept of psychosis spectrum which grades illnesses based on how many psychotic symptoms are present.
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I've had a psychotic episode once during a particularly bad period of my life. Unfortunately I was "blessed" with highly religious and abusive parents who told me that I was "making up demons" and accused me of wasting their money when I asked to see a psychologist
Dang 😭
Damn i feel so bad for you... Hope you're going in a better direction now
😳
I'm sorry that happened to Python. Unfortunately families and other close friends can do a lot of damage that way.
same thing happened with me :/ you are strong and enough!
Dissociation feels mildly sedated.
Sometimes heavily sedated.
As a child living with the abuser you can black them out while not other people.
Wish i feel sedated everyday i suffer from chronic insomnia
@@AverageJoe1006 Encounter Ministries RUclips page. (Mark Hemans)#+
@@AverageJoe1006 dissociation is not the move it feels so weird
@@AverageJoe1006 be careful what you wish for tho
Dissoziation is only fun If u can "Control" it. Its simple try ketamine and then you can experience it but be careful it causes a Higher possebility of getti g dissocication without your consent.
You can also experience psychotic episodes when seriously malnourished and/or have not eaten for a long time (several days, weeks), which may prompt a diagnosis which probably wouldn't be applicable when the person is adequately nourished.
You literally wrote my thoughts.. 😮
Sleep deprivation causes hallucinations, too.
In fact, this is a really valuable comment and thread. One of the reasons you should be completely honest with doctors, especially during a hospital stay, is that some drugs used in recreation get stored in body-fat... AND during a stay in the hospital, the food is notoriously bland, so people often lose a little weight there... AND absorbing that fat can release the chemicals stored in it, causing "new symptoms" that are confusing OR even dangerous because they're drug related, not actually part of whatever your being treated for...
...AND of course, along with that, there can be harmful interactions between drugs you haven't done even months or years ago, and the treatment drugs being used now.
SO... yeah... not only can plain old malnourishment do it on its own... in fact almost any kind of stress can be extreme enough to get hallucinations for the matter, but the psychedelics or hallucinogens you did years ago can re-emerge symptomatically just for being stored in body fat... depending on how frequently, how much, or how long you might've been using...
There's a reason the nurse is going to ask you specifically if you EVER used something... so be honest. It's only to help you more than make you suffer, and they're NOT the police. ;o)
Good point. Everything in the DSM is based on there not being another explanation for your behavior or symptoms.
Yes that would probably come under ‘delirium’.
My father had psychosis. I’ll tell you this, at 15 years old watching my Dad “see” things outside of our house, scared then hell outta me! He would have business meetings in his room and nobody would be in there with him. He would abuse alcohol and he also had to take prescription meds. Idk if this had something to do with him having a severe head injury in the army or not but now as an adult, I understand and have compassion for what he had went through. When I was 15, I didn’t really understand. Living with that, and my mother being a narcissist…I had a really stressful life ☹️
Your moms was probably stressing your dad out into psychotic breaks my friend. Living with narcissist is EXTREMELY stressful 24/7
@@TheBootyWrangler I didn’t think of it that way. That’s probably true because I see the psychological effects that she has on me to this day…I can imagine what my Dad was going through. She was VERY stressful to live with.
@@cajunbeauty3563 Alcoholism can also cause psychosis. They can't t really diagnose mental illness til a person is sobre from alcohol and drugs and of course many with mental health conditions self medicate with them. Went through this with my ex. Stay strong
@@stompthedragon4010 That makes sense. Thank you for the info! My ex was also a drunk and abused drugs and he was very delusional. Im sorry you went through that. Seeing my Dad and my ex like this really turned me away from alcohol. 💜
@@cajunbeauty3563 Totally understand. Do what you need to do to care for yourself. As much as we want to we cannot fix them.❤
Could you make a video clarifying on dissociative "seeing/hearing things" ? I've been having weird sensory stuff like that recently and I'd like to learn more in-depth what it is
Thank you Dr.Marks! You always tackle great topics in a way that is helpful for me to understanding myself and those around me.
So close to a million subs, Great work Dr. Marks.
You're a great inspiration for someone who is trying really hard to get in med school and become a psychiatrist. I fall in love more and more with psychology/psychiatry when I watch your videos.
Thank you for your hard work
That’s so awesome. Keep falling in love. Psychiatry is fascinating and never gets boring. All the best to you. 👍🏽❤️
@@DrTraceyMarks Hello Dr. Could you please do a video about getting off masturbation and getting my vibes back.
Thanks alot
@@ralphlouis2705 Very inappropriate, but you're not crazy, just SICK!
@@conniewolf7300 how am I sick and where is the sickness from
I had psychosis in my early 20's (currently in my late 30’s) due to smoking cannabis all day every day, the symptoms were predominantly delusional - thinking I had a special purpose, thinking the TV was talking to me, that people out to get me etc. I didn’t have any visual or auditory hallucinations. But I always had some sense of knowing that I was delusional and that my intrusive thoughts weren't entirely true, I was probably between 30/70% convinced at any one time.
Over time I very gradually recovered (no medication, I just stopped smoking cannabis) and managed to get a job, car, house etc. But the symptoms didn't go away entirely, the delusions just reduced to being between 10/20% convincing and the condition shifted to something more akin to anxiety and depression with a large element of catastrophic thinking and obsessive thoughts.
I have a lot of respect for all medical professions but based on my own experiences and my observations of others I believe that psychiatry at large has far too great a tendency to categorise groups of symptoms into specific conditions. Very few other medical conditions could be diagnosed and treated based purely on a description of symptoms by a patient and the interpretation of a doctor.
If I was to speak to the vast majority of psychiatrists I believe they would say that I previously had psychosis and currently have anxiety and depression, two separate conditions that should be approached in different ways. I don’t believe this to be the case. I should add that I was also medicated for ADHD as a child/teenager, predominately suffering from excessive daydreaming that interfered with my schoolwork. I don’t believe these three to be absolutely separate issues but rather consequences of the same irregularity in my brain structure/chemistry that has manifested differently throughout my life due to changing situations and contributing factors i.e. cannabis.
Ty so much for another great video Dr Marks, this one was super interesting, something I never thought about 💖
i don't remember how or why i subscribed to this channel, but it gives me some level of peace to hear the good Doctor speak so calmly about all this stuff
This is a wonderful video, thank you for drawing awareness to "mild" psychotic symptoms, and how they can show up as a result of other mental illnesses and severe states. One thing though, that I think is extremely important to touch on specifically and that was left out; is PTSD. In this context, psychotic PTSD. And that a hell of a lot of the depression, anxiety; and particularly the dissociation that people experience, can and often does come from trauma. Childhood trauma is an especially strong cause of predisposition to psychotic PTSD; as it goes on for a very long period of time, and is in your formative years no less and with you being very helpless and vulnerable.
It changes the structure and behavior of the brain so dramatically... as does any active PTSD from any source. And beyond that, the continued states of high stress and anxiety that many people experience, from abusive situations and poverty, homelessness, other disabilities, whatever else; compounds to that state of traumatization and when things add up, or when especially it's back to back and you've no time to process and heal; makes things worsen and worsen and worsen. And you're at risk of experiencing psychotic symptoms as a result of the PTSD state. PTSD can be seen as a cause; depression anxiety and dissociation are symptoms. Of course, there are people who have those things without having any real PTSD to speak of, and who have relatively good lives. But the significance of trauma in mental health, the commonality, and the severity; can't be overlooked.
I hope I don't come across as telling you how to do your job; I'm not the one with the PHD! I don't mean to be rude; I'm simply very passionate about this subject. Because my experience is being one of the people I'm talking about in my paragraph above. You don't need to read the rest of this; it's real long and I understand. But I think it adds to the message of the video; it's why I thought I'd share.
In summary, long term childhood abuse of various kind, eliciting a constant and severe level of stress and dissociation that never left and now I have a strong dissociative disorder. Truly debilitating depression and anxiety; and a lot of your standard PTSD symptoms. When I am especially bad, I begin to get the psychotic symptoms you're talking about. Disorganized speech and behavior are the most common, I've been suffering those ones severely lately and I am having extreme difficulty functioning from the communication and day to day function impairments. (Writing is a lot easier.) I've had big memory issues all my life from the dissociation, when I'm worse they're worse. From there if I'm truly in crisis I will begin to have paranoid delusions, and at the worst I will begin to hear things.
It's all from trauma. A year and a half ago, I began to try psilocybin psychotherapy. I did it ten or so times and it was absolutely transformational. I am overjoyed that they are finally doing studies on the effectiveness of psilocybin mushrooms for PTSD, depression and anxiety. They began with veterans, and those who have participated are blown away by how much it helped those things for them; and deeply grateful. Maybe you've heard about this; if not please do look it up! It's wonderful to read about. But anyway, for about half a year I was mostly healed. PTSD, depression, anxiety, lifted in a way I never dreamed could be real. But it's not a magic pill of course, nothing ever is. I had to do a hell of a lot of integration work, I was in the intense journey of facing all those things in my past; I was teaching myself how to adjust to how radically different, yet how much better, my thought processes and my mind suddenly was; but I straight up began to shine. I was pulling my physical health together, I got a better job, improved my relationships and found a couple new friends, got more confident, engaged with life, felt able to be creative, learned what happiness felt like. Imagine that. Learned what happiness felt like; and that beautiful plant made me feel it so much.
Then something absolutely horrific happened to me about seven months ago. I'm lucky to be alive; I have a very severe injury that's slowly healing, and with a stupid amount of medications and a very weakened body I've been hesitant to take psilocybin again; just out of anxiety and knowing that if I walked directly through the trauma right now it might be too much. Although I desperately need it for how my symptoms have completely returned. I have the insights, of course; I remember where I was then so I know I can get there again. But this new trauma I've been living (it negatively changed every facet of my life by a lot), combined with my closest friend who I relied on dying a couple months ago too...I'm at one of the lowest times I've ever been in my life, for certain. In some ways the lowest. And, my symptoms are all back; the depression in particular very severe.
I'll get back there; I'm sure of it. It's just going to take a lot of time. The end point of saying what's happened to me is simply that absolutely; episodes of moderate psychotic symptoms can surface when a person doesn't have an overall psychotic disorder; and that they come from ptsd, depression, dissociation; and anxiety. Which are often all one nasty cocktail together as it is.
I'm having a terribly rough go of it for sure. But at least I have the knowledge that it will actually get better again; and continue onward from there.
Great video, as always, Dr. Marks! It’s very easy to listen to your videos and they’re always packed with good information.
Thanks a lot Franz. I appreciate that.😊
In our present society, I don't see how anyone could avoid being a little psychotic.
At least those of us over 60 have experienced a stable, sane society in the past for reference.
Young people are being psychologically abused by all forms of media, imho.
I jokingly call it "Anti social media"... BUT in truth, I don't really blame alternative media so much... When I was a kid, I once bragged about wanting to be a stunt driver when I grew up, like on the "Dukes of Hazzard" on TV at the time... AND my mother unplugged the TV set for a week, "Until I got that nonsense out of my head, because driving is serious business."
BUT there's more to it, than that. I also got taught to be the master of my electronics, rather than their slave. I had the power button, and I had the clicker. I could change the channel, rather than watch and dwell on all the negative crap that pissed me off... OR "better yet" (according to my parents anyway) I could turn the "idiot box" off and go outside or find something productive to do... a hobby to engage with that didn't involve hero-worshipping lunatics with cars or guns and massive explosions.
I'm only 45, but I got to understand the difference between BS you see on a screen, and reality that you can only really experience in person...
I blame (rather) the addiction to media of any/all kinds. That's a personal issue. A little consumption can be okay. Making a job out of creating content can also be okay... not unlike TV acting or being a News Anchor... They're still viable professions... What isn't okay is continually clicking the next 30 second TikTok, or another 10 minute RUclips video... to the detriment of sleep deprivation.
AND before anyone comes at me about it... Do you know who uses Sleep Deprivation as a tool??? Torturers and Brain Washers. The young people are "tricked" into brain washing themselves and then wondering why they're suffering so much... Yeah, it's psychological abuse, but the only reason is there's just too much consumption to be healthy... TV can be fine in moderation. I've even played EVERY "dangerous video game" on the market... hours of play time per game... enough hours to even grow skills at them.
I've never suffered for them... any or all of those habits. AND yeah, I partake daily on RUclips, but that's about all the alternative media I can even stand for me. I have discord so I can talk with coworkers and my brother... BUT I don't deprive myself of sleep to do it. I don't bombard myself with gratuitous violence though I'm not afraid of the stuff... I've seen shocking videos... I study traffic fails because I ride a motorcycle, and on days I'm not out riding, it's good practice to spot and predict a "fail" before it happens...
SO maybe yes, I'm lucky. Maybe it's all anecdotal. I have trouble believing that, though. Experience bias, if you wish, but I have a problem when I notice multitudes of comments under YT videos bragging about "still up at 2AM" or "I'm watching this at 1 AM to procrastinate doing homework"... etc... That was never going to "fly" at my house growing up. AND while I have (in the Navy) worked a 4-day SHIFT without sleep, it's not a thing I'd enjoy doing if I can possibly avoid it.
Okay this is getting long to a degree of being accused of "ranting". Sorry, but I'm not on a rant. I promise. ;o)
Do you have an extra pair of rose-colored glasses I can borrow?
> 60y ago
At what point was humanity ever normal within the past 20000 years
Gy Bx ok boomer
Looking so good Tracy 💙
I love ur channel, super educational but also interesting to watch.
Thank you for your clear and helpful videos.
I've just go to say a massive thank you for your fabulous content, it really has been a huge help making sense of so much confusion and suffering. I'm no doubt this is the case for so many others. so if I can give just a little back, a big thank you =D
Dr. Marks, I love your videos! They are the clearest most understandable videos on RUclips. I have Borderline, Depression. I always send your videos to my therapist and she loves it.
She should subscribe
I love your videos , thank you so much for sharing
Very Much Thank you for making this video!! So Helpful!!!!!!!!!!!!
I see you slaying in that blue blazer, Dr. Marks! Great video as always! :)
This makes me feel great knowing that these symptoms you described is just dissociation. I understand and that makes me feel comforted. Thank you 🙏
I had never thought about this as a spectrum. Very interesting question!
I'd argue everything is on a spectrum
👍🏽 @Kenny There is a lot of gray area and overlap with some symptom presentations.
You are a blessing in the mental health field
Love your channel Dr. Tracey!
Thank you so much! ❤️
Not sure if I should be looking forward to this one…😁
You’ve been a huge help this year. Thank you!
You’re so welcome dragons pitchfork 😊
Great vid! Thank you. I was informally diagnosed with schizotypal traits a while ago. Luckily I’ve been able to change my behavior pattern by switching to a materialist and logical understanding
I'm so glad you worked that out. That's a great approach. Item video on schizotypal personality ruclips.net/video/haGt42_ZUcw/видео.html
@@DrTraceyMarks thank you! I’m pretty sure I saw that a while ago but will check it out again. It’s not an overnight fix for sure, but habit change rarely is. The more I understood the mechanism of habits and the whole nervous system PNS + CNS, the more the world has opened up for me. I actually have a singular vid on my channel and it’s relevant to this :p oddly enough I got into habit literature (duhigg, brewer, etc) trying to stop binge eating and biting my nails. Both those things are gone now.
That was very clear. Thank you
Can you make a video on health anxiety again? I feel happy knowing that my mind is making up all these headaches,sensations,twitches or itchiness etc etc.
I have two. Any particular focus or question you want answered for another one?
I was told I had health anxiety for six years. It turned out I have multiple disabilities. Work on treating your anxiety for sure but stay vigilant and don’t ignore sometimes
I mean i had an eye test and blood work done and the blood work the doc said it was perfect. Eye test there was nothing wrong with the eye or the brain i just needed glasses. But im still worried about the brain tumor because i still feel these headaches. Ive been kinda tired these few days but i think its because of the lack of sleep. And my twitches and tingling are pretty much gone. Plus i started to think about the tumor way more these days then the past week and i think thats why the headaches are back.
@@maksimnastoski8283 that’s interesting! I had/have the same thought/s about the tumor
That's because you're anxious
Now that you mention it, I have a very hard time recalling memories from high school. That wasn't a great time in my life, and the memories I do recall are, I'm sure, scant compared to what I should remember. Now I'm wondering if I was dissociating a lot during that part of my life.
That's a very good possibility and can explain the lapses in time.
I’m having a really bad mixed episode this week your videos are helping thank you
Thank you much. Very helpful information.
You're welcome Lana, I am glad it was helpful
Yay! Your blazer is one of my favorite colours! I really like your videos.
Thank you Kathyrn! I like the color too it's very soothing.
Beautifully explained.
Thank you Cat Mate!
Does anyone know what’s going on with me?
2 years ago I drank too much alcohol and woke up in the hospital with no memory of what happened. For the following 6 months all my senses were distorted. Everything I saw was too bright or dim and seemed lacking in detail. Sound was more muffled and quieter and I couldn’t tell what direction it was coming from. My entire body felt like it was covered in a thin layer or wax. Everything smelled like mold or nothing and everything tasted like cardboard or nothing except for sweet things.
Initially when I became self aware in the hospital I thought I was just having a nightmare but when I didn’t wake up I thought I may have been in purgatory or hell due to how all my senses for perception were distorted. I thought I might even be still dying on the floor in a coma and was experiencing this all in my head or maybe I died in my universe and my consciousness was transferred to another one.
In the time since it seems that my symptoms have greatly diminished or went away but idk if that’s just because I got used to it. That night still haunts me and I remember the incident almost every day. It doesn’t bother me as much as it used to but I still can’t help but wonder if I’m actually already dead or not. I feel like I died that day in some way and nothing has just felt quite the same since. I keep questioning whether or not I am living in the same plane of existence as I was before.
Hi. I can't tell you what exactly is going on here but I just wanted to say that since this comment reached me, a random person on the internet, I can safely say that you are on the right plane of existence. You aren't crazy. Hopefully that's reassuring to you. I'd recommend seeing a therapist about this issue because maybe you have some form of PTSD? And if the dulled senses are still bothering you, it might help to ask a medical professional for help, if you haven't already. I hope you're doing okay.
I enjoy learning from these vids thank you
You're welcome!
Thanks Dr. Tracey Marks for making this video
You're welcome 😊
Hi Dr Marks. Thank you for all your educational video. They are very informative and helpful. Many thanks to you. Could you please discuss the effectiveness of using Sunrise stimulation alarm clock for improving mood for people with depression and anxiety. Thank you. From Esther.
Thank you!
When I had a psychotic episode it was both the worst & best time of my life, the best part finally coming out of my introvert self and doing crazy harmless fun stuff but the worst part a relative phoned the police that I was acting weird then placed in a pysc unit for 6 weeks, I couldn't help but stop talking to my relative for couple of years even though it was the right thing to do
Im so glad you made this video. I worked as a psychiatric social worker for years in psych hospitals. So many of the staff were unaware of these distinctions, including the effect that dissociation can have on what appears to be psychosis
Yes, it can be nuanced and easy to miss for people. Thanks for your input 😊
I’ve also seen people with dissociative episodes be accused of ‘being on drugs’. Many staff do not have highly nuanced assessment skills.
I have schizophrenia and I super appreciate your realistic, down to earth explanations. I’ve had people who obviously didn’t hallucinate, that they had schizophrenia because it’s a spectrum and they used that new DSM category to “prove” that they don’t need to hallucinate to have schizophrenia.
That really pissed me off…
you don't need to hallucinate to be schizophrenic, (you can also hallucinate and not be schizophrenic) you don't need every single psychotic symptom to be psychotic or have a psychotic disorder
I take olanzapine for much of the symptoms discussed here. It's a bad deal, iv been dealing with psychosis for a long time. Medication does not help either, so I self medicate. Thank you Dr. You explain this so well... Bless u
Hello, Dr. Tracey. First, I'm in love with your channel ♡. I would really appreciate if you can make a video about dark empaths. I always got this feeling like I'm somewhat in the spectrum of the dark triads (actually when I was young, I displayed those traits quite obliviously). However, due to some trauma in my teen years I've become more empathetic, and I feel strong feelings of shame and guilt whenever I'm about to do something bad.
Hi Laura Monica. Thanks for the suggestion. This has only recently become a popular term. I'll look into it. I've added it to my list.
My mother was borderline. She swore people were coming into the house and moving things. As a kid it was scary, always thinking someone would break in.
Very interesting, gonna dive into the psychosis playlist
Glad you liked it Dan! 😊
This is one of the few mental health issues I don't have! Despite having BPD, extreme anxiety and chronic depression. ⚘
Yay we found another one! I don't remember what the other one was that you commented on in the past. but we have at least two now 😁❤️
@@DrTraceyMarks Haha!!!!! I can't remember now, but it may have been Bipolar that I also don't have. I ALSO don't have any Schizo-related issues, no eating disorders, no health anxiety, no Obessive Compulsive Personality Disorder, and no Histrionic Personality Disorder...WOO HOOOO! lol 😂😂😂
@@ladybaabaa3294 that’s a pretty good negative list you got there! 🏋️♀️🎉
@@DrTraceyMarks It sure is! I am mentally pristine! 😂😂🤩🤪
If autism is a spectrum and they’re both neuro-developmental yeah I’m gonna go with they’re both on a spectrum. As someone with psychosis who communicates with many different people diagnosed with all different psychotic type illnesses it’s obvious there is a spectrum. Some people only get psychosis from drugs some people are literally in an episode every minute of every day even whilst medicated. Some peoples psychosis is literally just delusions some people get hallucinations some people get voices and some literally see people and feel things that aren’t supposed to be there. You can experience 1 of these or all of these at once. Weed induced psychosis is never as heavy as antipsychotic withdrawal or stimulant usage psychosis however both experiences can be just as scary for someone who has never experienced it before. The attitude around psychosis needs to change, in the same way Aspergers was used to create stigma and vilification for those with extreme cases of autism bipolar and schizophrenia are being used in exactly the same way. It’s quite disturbing to see from the inside as a patient. Feels a lot like eugenics
Thank you for this video it's just about my condition where I thought whether I have psyhosis
This was really interesting!
Thank you Reeham
That I would have to say was one of my favorite videos, Thank you so much That was so much help for me I mean it That was a lot of help, Thank you so much I appreciate that. My Favorite 💬
Have juggled a few, but put them in creative work and you and everyone else feels better.
I think I endure dissociation more than usual. This is relatable
just reading the title: Yes! (but I'm managing it) example: I said to friend today "you know I'm only doing this because I'm sublimating my needless guilt into panic" and all he said was "yes" a lot of my emotions sublimate themselves into either fear or rage, deep down inside me there is a cornered hissing cat clawing and fighting for her life
Great videos and info
Can you make a video about PDD-persisting depression disorder
Thanks in advance
Here's one that I did ruclips.net/video/2xOdlA1aDPo/видео.html
I swear, back in the 99-2000 (not really the years or time frame but you know Cash Money taking over is always tucked in the back of my head) when I was taking classes, if Dr. M was the teacher I would have TOTALLY been engaged in the curriculum. Instead, I had the DRIEST, make you want to pluck you ears off teacher imaginable. Watching these videos absolutely feeds my curiosities and I am grateful with each post. Maybe I'll find the guy who lead the classes and send him the link so he can take notes 😅
Same here!! 😆
I was very depressive when I was a teen due to family abuse. I have short term memory & I can switch for liking to dislike vice verse very smoothly. This is disassociation & it's a mental defensive mechanism that you gained from severe mental abuses. The short term memory are I guess automatic but to dispell feelings/memories of someone is a manual thinking, but eventually I do forget about also because of the short term memories. Our body do find miraculous ways to help us.
Yes, all the time for me 😊
It is so hard trying to find a job with a mental disorder. Most jobs don't want to deal with that. I used to try and avoid putting it on applications, but I began to have bad outbursts when I felt attacked to the point when I can be explosive, usually resulting me quiting.
I’ve had times that I can’t remember... and I wish I could trade it for the things that I ruminate about !
Hey DR, Could you do a video on Eating disorders please. Anorexia, bullimia, and the struggles of daily life with an eating disorder and how it can have many other mental health conditions within it. Is it linked to addictive personality? OCD, Anxiety, Depression. Etc x
I have psychotic depression PTSD as well. I'll this question this way. With the way other people act or react today they just might have deserved to have someone else turn psychotic on them. It really comes down to Newton's third law for every action there's an equal and opposite reaction. I don't know why it still comes as a surprise to some people today in society but it really does.
Hello Dr Tracey Marks, Thanks so much. I wonder if mind doing a video on how to help people with, often run into people that appear having mental break on transit. Try keep distance if they seem like will be violent, but have had older clients and friends that need help to. Also warnings signs. Thanks
Hi Dr Tracey Marks. I'd like to know what things could you do in case of treatment-resistant depression that hasn't responded to ECT. That's an unfortunate dead end I and many people are in right now.
Thank you for making such educational videos!
Have you tried ketamine?
Like Sam said, ketamine is one option as is transcranial magnetic stimulation. as for medications, we will use the antipsychotics like Seroquel, Abilify and Zyprexa as add on agents to your antidepressant. Here's a video idea talking about treatment resistant depression ruclips.net/video/2z5krS51pNg/видео.html
I may not have mentioned ketamine in the video because I don't think oral ketamine was out at the time of that video.
I'm still waiting for mushrooms to be approved I think that will be the game changer.
Have you looked into DBT? It challenges thinking and has many helpful, actionable ‘skills’.
Thanks so much
You're welcome Linda 😊
Hi doctor marks. I was wondering if you could make a video on the difference between anxiety and panic disorder?
I had a very severe infection that triggered it. It was v scary and the physical illness was overlooked as a result. I think any patient showing symptoms should be checked for infections or signs of severe pain first
I do also have complex ptsd and experience flashbacks particularly if sick or in pain
If you have ever had your ear clogged with water for several days. Everything not only sounds different, but it “feels” different, dreamlike almost.
That is a little bit how disassociation can feel.
Interesting.
Love me a beautiful intelligent woman!!! 💖 your videos always teach me lots
Pls make more vids on schizophrenia and psychosis!
I'd like to hear more of your perspective on BPD micropsychoses and the StPD attenuated psychosis because I find the difference in prognosis to be curious. My interpretation is that StPD's attenuated psychosis reflects a disposition towards psychosis, whereas the BPD micropsychotic symptoms reflect a solidly compensated psychosis (and I mean micropsychosis in the strictest sense, referring to pseudohallucinations and ambivalent delusions, where the individual is simultaneously absolutely convinced of the veracity of their delusion yet also aware that they are probably wrong)
I wish you would do a video on co- occurring disorders
Could you please do a video on (EMDR) eye movement desensitation and reprocessing
My 19 yr old recently had a brief psychotic episode. Only lasted for about 5 days. Brought her to the ER because she was pretty much catatonic, and after a few days in the mental health ward, she came out of it. Spent 1.5 weeks in the hospital. Took a while to figure out what caused it, but turns out that a bunch of stuff hit her at once. She was dealing with depression due to a recent breakup with her long time boyfriend, a lot of College stress, and depression because of loneliness (she only has a couple of close girlfriends….covid really messed up the social lives of teens!). The final blow was that she suffered a rapid onset of ocd the week prior. She had never had intrusive thoughts before, but her brother and cousin both have diagnosed OCD, so this is not all that surprising. The sudden onset if intrusive thoughts were very stressful and upsetting and sent her over the edge. Because of the short duration of the psychosis, and lack of any other symptoms, the psychiatrist does not feel that it was due to a psychotic disorder, but instead due to the depression and stress all bombarding her at once. She is currently taking 5mg of Abilify, but will likely only be on it for 6-9 months at the most just to be on the safe side. She is also now on Prozac for the OCD, and started ERT with a Psychotherapist today. The OCD is still bothering her, but we are already very experienced at this one so as a family, we have been able to help her manage it.
On point
👍🏽 Thanks Venus
Hello Dr.
I was recently diagnosed with "Specific Learning Disabilities", and I'm curious to know if there's a correlation with depression, or how can affect mental health in general.
Could you do a video on that, please?
Thank you for your hard work
XX from Italy
Hello! Do you also have depression? I find your question interesting, though I can't comment on your learning disabilities without knowing more about them. However, what I will say is when you are depressed, you tend to be (a) distracted, (b) disinterested in things, and (c) lacking in motivation...so when those things combine, you tend to feel less engaged in and less able to focus on things going on in your life.
And in order to learn and take in new information (and keep it there), we NEED to be at least somewhat interested and engaged in it, and we need to have enough focus to absorb what we're trying to learn.
Hi Andrea. Learning disabilities are not my strengths. They’re usually assessed by psychological testing performed by a psychologist. But if in my reading I run across a correlation between learning disorders and depression I’ll be sure to report on it.
@@DrTraceyMarks you are doing a great work Dr. I wish you get more subscribers
Hi, a correlation between learning difficulties and mental health might be that depression can affect the working memory. Via rehearsal and learning strategies you can transfer knowledge from the working memory to your long term store. This is the memory that can include information you want to remember your whole life (like the language you grew up with). The good thing is that you can still overcome a weak working memory by rehearsing more. One way to do so is writing flashcards and repeating them after short and then long time periods.
@@DrTraceyMarks This would be great if you could I have FASD / Fetal Alcohol Spectrum Disorder / With My Mother drinking her entire pregnancy with me .... I always failed in school wondering why others did so well and understood the work.... I have very bad short term memory related to this not the normal short term if that makes sense my comprehension is like null I can't do math pretty much with FASD Your brain is so affected by this with the alcohol in the baby it causes many many issues that relates to everyday life to make you feel stupid or less than I find it hard to accept they call it mental retardation with FASD .... It becomes overbearing at times but yet your use to it and you deal with it as best you can but still its so depressing and causes so much anxiety I cannot cook nothing without a timer even on the stove I burn everything this is just an example I am in many groups that support each other with FASD and it really helps .......... what I hate the most is asking my son over and over what did I just say what did I just say over and over daily on top of that I have Bipolar PTSD Trauma's BAD Night Terrors waking up bawling and can't stop crying from all my abuse with partners molestation and gang r** by 3 men at a very young age and child abandonment but I try and stay strong through all of this that has happened
I was wondering about dissociation..
In recent years, I've noticed that I'm rationally aware of both past and future events, even being affected by them emotionally (and having consequence thinking for precisely that reason), yet somehow feeling like everything that's not happening in the present isn't real somehow? Like my past and future self are different people who just share memories.
I remember waking up next to my girlfriend every day, being able to have sex pretty much whenever I felt like it and so on, plus I even have hard proof that that's what my life was like one year ago and it even makes me sad that it's not anymore but it still feels unreal when I think about it, like it was just a fantasy or something.
There's also a kidnapping/murder attempt I was the victim of a couple of years ago and was/is afraid to walk home alone at night years afterwards but when I think about it, it's almost like a bad dream.
Can this be a form of dissociation?
So per say my son when he was about 18 was watching conspiracy theories and his mannerism the way he spoke was just not him at all and he thought he was gonna die from eating what I cooked or even our food so he never ate lost tons of weight so I was like HELL NO I am getting him help this is gonna stop I am not going to see him like this .... after 3 therapists etc I finally got one that was so good and connected to my son and he was only 26 years old .... I had to constantly talk my son down out of these episodes almost 24 / 7 was that Psychosis? I so enjoy your videos I haven't caught one in a while glad I caught this one
It sounds like it could've been a psychotic episode. If he was also depressed at the time, the psychos shouldn't be something that returns unless he gets severely depressed again.
@@DrTraceyMarks Thanks he has been depressed for years on the same med Cipralex they won't up it due to something that was given for dangerous for high blood pressure to up the amount so I believe in that case he needs a new med or something added thanks I will keep an eye on him he's going to be seeing my Psychiatrist he's gone in with me before with my Psychiatrist and my son told him everything with his mental health and me too and he said YOU Need treatment from me I can make you feel so much better just let me help you and he puts it off all the time being a mom this is just so hard and he won't listen he's 25 had depression since 13 thank you for responding
Hello Dr. Marks, I love your videos! I was hoping you could make a video on how to help a person who suffers from psychosis or delusions as a loved one, aside from medical help of course.
show acceptance and support, but never forget about your own mental health in the process
Hi Daphne. It's not easy to make videos on what to say to loved ones because the situations can vary a lot. but I did do one video on how to help your loved one get help. Maybe some of it could apply to your situation. ruclips.net/video/ZmNymQEDPk4/видео.html
*outside of what should happen clinically* Go with whatever they're experiencing. Of course, they've lost touch with reality so if it's unsafe that's a different story but just try to treat them like a normal person. It always helped when my friends and family would listen to me when I was delusional and passionate about some nonsense or help make me feel safe if I was hearing scary shit. You can't make them see reason so until they're out of it just try to treat them with respect bc when they do come out of it they'll remember how you treated them and that can make a world of difference in how they now view themselves and their relationship with you. For me, after I came out of it is the hardest bc I have to deal with all the embarrassing shit I did on top of usually feeling very depressed
@@rivermicheal5021 That is great advice. This is what we do with a loved one in my family. Listen, believe, soothe, as if it is real. You should never feel embarrassed. The people helping you 'get it'. They are just glad when it's passed. And glad they could help you. It's all we want. ~Hugs from cyber space~ ❤
I love your videos, Dr. Marks. Always very educational and straight-forward. I was wondering, can you do a video on side effects of SSRIs? A family member of mine who is 19 was recently put on Zoloft for depression. He also has ADHD. Lately, he has been having angry outbursts for seemingly no reason. To the point of almost physical aggression. His anger seems to make no sense, and he never apologizes for the outbursts. It’s very irrational. I’m starting to wonder if this is a side effect of the Zoloft or if this is just how he is. He has always wanted to be the center of attention at any possible cost, manipulative, and always getting his way. I’m starting to wonder if he might have NPD.
Any new behaviours after starting a medication should be assumed to be the medication until proved otherwise. SSRIs can be bad for adhd. Nearly killed me (I have adhd)
I’m a professor of medicine at Morehouse. You have no idea how much I “steal” you talks t help me teach my residents and medical students when the psych service refuses to accept a patient struggling with psychosis, just because their Chem 14 is a little off. Just kidding. We Love our sister and brother Docs on the 13th floor at Grady😀. It’s because of you that I have at least some understanding of the DSM’s. I wish be could get you at Morehouse but I’m sure we can’t afford you🙄
Can you make a video about the heritability of addiction? Lot of people still fail to understand despite the decades of clear evidence that has accumulated. AUD, substance abuse disorder, and others all have been shown to have molecular genetic etiology in so many studies...
I feel like I am on the verge of psychosis so often due to how horrible my brain is and the 24/7 fearful thoughts I have and how I can’t control it at all.
Sometimes severe anxiety can make you feel that way like your on the verge of a breakdown.
You aren’t alone 🤗
i have health anxiety and was recently diagnosed with gad and derealization im convinced im going to go psychotic 1 day
Really likes this video. It gave me some perspective into my depression, anxiety, and suicidal ideation(though with suicidal ideation thanks to medication it is almost nonexistent). Just recently I have heard about a treatment called transcranial magnetic stimulation. Do you have any insight or experience with this?
It works very well. It is time intensive though. I talk about it in this video on brain stimulation ruclips.net/video/O09eRuYbqPU/видео.html
@@DrTraceyMarks thank you very much
i love it
id love to talk with you about this. This is amazing
Dr can you make a video on unipolar mania? Thanks in anticipation
Thanks for the suggestion. I’ve added it to my list.
I was recently diagnosed with Bipolar 1 with psychotic tendencies and CPTSD. Do you have any videos on how to separate the psychosis from the ptsd and bipolar experience or a breakdown of what the diagnosis really means.
I am 20 years old. I am diagnosed with bipolar I. Lately I am having a hard time keeping it together. My thoughts are dangerous and I can't stop it. I feel like I don't deserve to live and even though I know that I am not the best person on earth, I don't know what I did to deserve to feel this way because it is undescribably dreadful. I wish I had the courage to the thing and end this pain permanently. I called my doctor today and she will see me tomorrow. I don't wanna die but I don't wanna live this way either. Please, anyone who has had this feeling, give me an advice. I am on my meds, if you're asking. I can't even cry, this is how empty I feel. I don't want to trigger anyone's feelings but I don't know what I should do right now so I here I am, begging for help.
I hope you can feel better soon . I was diagnosed years ago with seasonal affective disorder and what helped me was light and lots of it. I know this isn’t your problem but I found that light makes people feel better. ❤️ to you
I am so, so sorry for what you are going through and wouldnt wish this inner torment on anyone . I have been going through the hell you describe on and off for years so i know these things : we are not alone . These feelings and thoughts are transitory and not always so debilitating . Time and kindness to yourself is needed for recovery. Best wishes .
I have BP 1 but have been through this not too long ago, sometimes not even hitting a hypomania. I think it’s the pandemic, I had to reach out to my psychiatrist and he increased my lamictal. I’m on a bipolar cocktail that was the only one he upped. I had to get rid of one therapist I was seeing due to their condescending tone with me. The new one I see knows that sometimes I have to text to have emergency sessions. One time I had to go to the hospital because it was too much but if you ever decide to do that make sure they have the 48hr paperwork you can sign so you can leave after 48hours if wanted. If you’re reaching out for help that’s a good sign, keep notes on appetite changes and hygiene. Those are signs how your mental health is. Are you seeing anyone for therapy? That would be a good idea, it is hard with low motivation but if you go on psychology today and put in your zip code/city you can find therapist/psychiatrist and support groups when you click the options on top. Each one will pop up and you can filter to your insurance. Plus you can read their bios. A lot are offering telehealth so you don’t have to worry about leaving your home. I’m on my third therapist the other two just didn’t work, this one is perfect for me. I hope I helped a little bit 🍀
While I can’t offer you a diagnosis, a lot of what you describe sounds similar to things I experienced last year. I’d had depression/anxiety on and off for about 10 years since I was 13, and mostly “pushed through it”, because I didn’t want people to think I was just wallowing in my problems. Obviously, this only led to it becoming so bad that I couldn’t hold a job down and didn’t feel like I could talk to others about it. Also, I had really bad self worth and often felt guilty/unworthy of being alive, but felt others around me deserved good things. I felt like I wasn’t “allowed” to have the same things or help I would give to others
While i can’t 100% say it was a psychotic break or nervous breakdown, my anxiety made me feel convinced that I couldn’t relax and that I wasn’t in control of anything. I also experienced intrusive thoughts (and still do sometimes) which really scared me. I even “lost” my emotions for a whole year due to stress and anxiety; my brain had basically done this to limit my stress (similar to grief), which not only affected my personal emotions, but also being able to emphasise with others, which I never had issues with before
(Search for anhedonia/emotional flatlining and see if this resonates with you; this condition can be caused by depression and medication used to treat it)
After speaking to a therapist, he diagnosed me with Pure O/pure OCD, which is where attempting to forcefully control or subdue your thoughts makes them much worse. And even more ironically, the intrusive thoughts were actually a lot more “normal” than I thought. Initially having violent/unpleasant thoughts doesn’t mean you’re automatically going to act on them, nor do you have “hidden/subconscious desires” to do these things; your brain is actually trying to make you aware of the “danger” your anxiety causes, so starts flooding your mind of all these potential scenarios, no matter how likely or impossible they actually are
Also, the fact you’re speaking of this now and showing concern shows you have awareness that something doesn’t feel right, and you’re taking the steps to correct it. But please remember that mental health doesn’t have an immediate/permanent “fix”. It’s a really long and continuous process, but it’s nothing to feel ashamed or guilty of. If you’re genuinely concerned that you’re putting yourself/others in danger, speak to someone, because getting immediate help can address these worries
Really hope this helps for you
I wish I knew this when I was in my early 20s
My grandpa experienced some interesting hallucinations on morphine while in hospital. He apparently talked about planes flying around the room. And also there was supposedly a gunfight going on between two gangs outside (he lives in rural Cornwall)
Interesting. I have chronic fatigue and experience slight movement in inanimate things like I am slightly tripping just a little bit, and thinking things are there when they are not. Since getting CFS I am constantly disoriented and scattered. I can't even work and struggle with keeping basic appointments in a week, nit just due to fatigue but hard to rmember to do stuff. I used to be super organized and now can't handle doing my task lists and keeping up with things its too stressful and I shut down. Lack of restful sleep makes it worse, and super low appetite so diet is hard to stay up on. Anyways I find it interesting with the myriad of strange symptoms of CFS if my brain has altered to being slightly detatched and psycotic. The trauma and stress that caused the CFS can do that is what I have learned. I have seen the shadow people but only when super super exhausted and on adderall for my ADHD. I also know they are not real and dont get mixed up on that. Its just very interesting to me and I am simply curious the possibilites and to better understand myself and how to manage myself now with this condition. Thanks for your videos, they are very much appriciated!
People with migraines can experience a type of psychosis that’s called Alice in Wonderland Syndrome, and I had no idea for the longest time. The episodes last like half an hour or so for me and while they’re not pleasant, my other migraine symptoms are way worse so I usually didn’t have time to think about it at the time and then afterwards I had a hard time explaining what it had even felt like so pretty much ignored it. But then my doctor told me to read up on migraines and that’s how I accidentally found my answer, but it’s still hard to explain. Things can either feel like they’re REALLY close, right up in my face, like the world went from 3D to 2D and there’s no distance even though they’re not bigger they’re still just very close. Or it looks and feels like I’m too big to fit inside the room, but clearly I’m not since I am inside the room? I’m fully aware that it’s not reality but it very much feels real while it lasts and even makes moving around awkward, I can be clumsy since my perception of my surroundings and myself is warped. It’s a very weird type of psychosis since I’m very much aware that it’s not real and it’s more like “am I going crazy because this isn’t real?” than actually thinking that it is. Very much comes during migraines and it’s nice to know what it is now, I’m not going crazy, it’s just a migraine. Well not that migraines are such a “just” for me, they’re pretty debilitating with the nausea and inability to tolerate pretty much anything, light, sound, smell, it’s all overwhelming even if I manage to get the headache under control by taking painkillers in time. Nothing has ever worked to make them better, but drinking coffee regularly makes them less frequent. Dear god my four months when I wasn’t allowed to drink coffee was migraine hell, once a week or more, I couldn’t function at all.
Coffee works because yeah when your Arteries in your brain get too chill stuff will fly trough their Walls and hit your neurons in the brain. Coffee makes them constrict and tbey Dont let particles hit your neurons. Get a medication that does that more efficient. That was at least what .y neurologist told me about migraine.
I get horrible migraines and didnt know it was associated with migraines, i thought i was having strokes or something, like my hands sometimes look massive and my doorway looks like its 10ft tall, my mom walked in the room once and i thought she was slenderman because she looked so tall
"And that was the end of the morphine for me 🤨" 🤣
🤣🤣🤣
My psychiatrist has prescribed me viibryd in place of sertraline. The sertraline was working great for me but certain side effects were intolerable. Do you know anything about viibryd?
Ah the most aesthetically pleasing psychiatrist on RUclips, back once again with more valuable information.
Hi doctor :) I wanted to know If im correct then PTSD that causes dissociation can cause psychotic-like symptoms but is "okay" or is kinda expected from suffering it?
I have psychosis. I started getting it everyonce in a while then I went into a full blown episode that lasted for months. They are still not sure what type of psychosis I have.
Curious about a clearer understanding at 2:06 "has more to do with how much psychosis you have" How does that differ from being "a little psychotic" rather than a lot? I'm interested in the clinical perspective for clinical reasons. I'm a clinician myself and interested in this.