This is why Psych is so cool it not only shows how someones health is affected by many different factors but it is also focuses on an organ we still don't fully understand. The PC analogy definitely made it easier to understand too!
This happens to be one of your most agreeable videos from my perspective. Well done. The problem has never really been the biopsychosocial model (although it is still overly simplistic). The problem has been the overt focus on any one category. As you said, those who are camping in the bio model and neglect the social. The other major problem I see is that because social problems require social solutions, it is less easily researched and funded as solutions to these issues we face. As such, simpler problems and simpler solutions that are easily marketable (Prozac) take precedence in a capitalist model. These are big complex problems, and it is so easy to become cynical that we'll ever make the necessary political and social changes to start improving our social and emotional health at the population level.
Preston, thank you for posting! I'm applying to med school and hope to be a psychiatrist in the future. Love the content you've been posting, from medical to plants and everything in between. A request if I may, I see you have a custom keyboard, was wondering if you would post about your other hobbies (gaming, peripherals, etc.)
So well deconstructed!! This video would prove tremendously useful to anyone, but especially to those explaining the concept to parents! Thank you for such an informative and effective resource.
Not to be rude but he said “serotonin hypothesis”, as in, the hypothesis that depression is simply caused by a deficiency of serotonin. So he was saying “just because I said stuff about serotonin doesn’t mean I’m agreeing with the serotonin hypothesis of depression!” Serotonin syndrome is something very different. It’s when you have a dangerous overload of serotonin; can be caused by meds, or other factors.
I appreciate the Tylenol reference here - that we're not deficient in Tylenol if we're not using it but we use it if we need something for pain. That's a really helpful way to look at it and I appreciate the way that the focus is making it clear that the hope is just to bring the brain closer to homeostasis with depression since it's not working properly to maintain the other areas. I have epilepsy, depression, migraines, and anxiety so a lot of my time is trying to make sure I take my meds to maintain by brain's ability to function properly and my ability to navigate relationships and adequately communicate and understand others without thinking the worst of myself or overlaying the worst scenarios onto the current situation. These videos are fascinating and they're greatly appreciated! Including the overt care for the impoverished. I wish those who are homeless had a voice in congress and at the local level. Everyone deserves a voice.
Clapping when an airplane lands always struck me as weird... Clapping at a RUclips video feels similar to that. Preston, your videos often make me clap multiple times. Sincerely your friendly neighborhood neurologist who's pivoting into neuropsychiatry. ☺️
Followup question: how do outcomes for enthusiastic, active participation in a single-mode approach tend to compare to outcomes for less actively engaged or enthusiastic multimodal patients? How much truth is there to the psych101 adage that "multimodal treatments are always more effective than single modes of treatment?" I know this is far more complicated a question than can simply be answered because it's dependent on what's being treated in whom, and which treatments are selected - if you're kind enough to answer, be as general or as specific as you feel like.
That's where psychologists and psychiatrists have it over philosophers and theologians. The question of whether or not you have free will is fascinating on a quantum mechanical level and it's philosophically or theologically curious but therapeutically boring. On the scale where quantum mechanical predictions of the brain become meaningful, modification becomes pointless. There's too much brain, it's computationally absurd to approach treatment on that level. A hundred trillion potential connections between eighty six billion neurons. If free will is or isn't true, you'd need to be able to predict ALL of them perfectly, not any given one or million or so. Psychiatry is by necessity clumsier than would be effective at the level where the question of free will has any meaning. Because treatment at the biopsychosocial level can affect the whole person, that's the model of choice.
Am I crazy or is showing a spreadsheet with phone numbers and email addresses of real people on the internet a terrible idea? Probably nothing will happen, but there's some horrible potential there
"it's just the road of success but was not the path of failure" couldn't be better explained than that
Yup nailed it
This is possibly the most useful condensed overview of depression that I’ve come across for my non psych minded brain!👏
The timing between “well both will help dude” and “and so will getting a dog!” had me legitimately cracking up. Not sure why that got me so good.
Damn! The Tylenol analogy is one I’m filing away permanently!!!
You just summed up the last like 2 weeks of Psych 1000 in 4 minutes. Bravo lol
This is why Psych is so cool it not only shows how someones health is affected by many different factors but it is also focuses on an organ we still don't fully understand. The PC analogy definitely made it easier to understand too!
This happens to be one of your most agreeable videos from my perspective. Well done.
The problem has never really been the biopsychosocial model (although it is still overly simplistic). The problem has been the overt focus on any one category. As you said, those who are camping in the bio model and neglect the social.
The other major problem I see is that because social problems require social solutions, it is less easily researched and funded as solutions to these issues we face. As such, simpler problems and simpler solutions that are easily marketable (Prozac) take precedence in a capitalist model.
These are big complex problems, and it is so easy to become cynical that we'll ever make the necessary political and social changes to start improving our social and emotional health at the population level.
Preston, thank you for posting! I'm applying to med school and hope to be a psychiatrist in the future. Love the content you've been posting, from medical to plants and everything in between. A request if I may, I see you have a custom keyboard, was wondering if you would post about your other hobbies (gaming, peripherals, etc.)
This was such an informative video! Oh if only all educators were such great communicators!
I’m literally depressed because I’m lonely, & my family stubbornly insists on believing that I need to be left alone to deal with my depression
So well deconstructed!! This video would prove tremendously useful to anyone, but especially to those explaining the concept to parents! Thank you for such an informative and effective resource.
"serotonin syndrome time out please" 😂 love this video, thanks for reminding me why the model is important in medicine
Not to be rude but he said “serotonin hypothesis”, as in, the hypothesis that depression is simply caused by a deficiency of serotonin.
So he was saying “just because I said stuff about serotonin doesn’t mean I’m agreeing with the serotonin hypothesis of depression!”
Serotonin syndrome is something very different. It’s when you have a dangerous overload of serotonin; can be caused by meds, or other factors.
I appreciate the Tylenol reference here - that we're not deficient in Tylenol if we're not using it but we use it if we need something for pain. That's a really helpful way to look at it and I appreciate the way that the focus is making it clear that the hope is just to bring the brain closer to homeostasis with depression since it's not working properly to maintain the other areas.
I have epilepsy, depression, migraines, and anxiety so a lot of my time is trying to make sure I take my meds to maintain by brain's ability to function properly and my ability to navigate relationships and adequately communicate and understand others without thinking the worst of myself or overlaying the worst scenarios onto the current situation.
These videos are fascinating and they're greatly appreciated! Including the overt care for the impoverished. I wish those who are homeless had a voice in congress and at the local level. Everyone deserves a voice.
The Internet's psych doc fr
You are an incredible doctor and communicator. I am so glad we have people like you in the profession! ❤
Clapping when an airplane lands always struck me as weird... Clapping at a RUclips video feels similar to that. Preston, your videos often make me clap multiple times. Sincerely your friendly neighborhood neurologist who's pivoting into neuropsychiatry. ☺️
This video was informative and helpful!
Videos like these are why I'm sub'd to you
Okay…but can we get a full beard 👀
Decartes and Peterson Approves.
Preston you should teach the psych block at your local med school after you graduate residency
Adding this to my course on health systems, tysm
This is excellent. And logical. Wow. Very good.
Phineus Cage's injury taught us so much
You would be an amazing college professor-so interesting.
Oh crap
This is actually really good
Like really really good explanation
Love the content!
Appreciate the explanation
Followup question: how do outcomes for enthusiastic, active participation in a single-mode approach tend to compare to outcomes for less actively engaged or enthusiastic multimodal patients?
How much truth is there to the psych101 adage that "multimodal treatments are always more effective than single modes of treatment?"
I know this is far more complicated a question than can simply be answered because it's dependent on what's being treated in whom, and which treatments are selected - if you're kind enough to answer, be as general or as specific as you feel like.
Explain the birth of consciousness as a simple material undertaking please
Free will is an illusion
Keep these coming
Thank you! I want more!
THIS 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼
Wasn’t it the frontal lobe that Phineas Gage had destroyed which is what explained his different personality and risk tolerance?
It hit the orbital frontal cortex and severed his limbic system. So “yes and”
Makes sense.
what made you choose psychiatry as a residency/specialization?
He has a really good video on it, you just need to scroll down a little to find it
Fking awesome
Bio, Psycho, Social model
I would love to have you as my attending please❤️😬
>quantum physics blocks your path
So this begs the question: Do we have free will?
That's where psychologists and psychiatrists have it over philosophers and theologians. The question of whether or not you have free will is fascinating on a quantum mechanical level and it's philosophically or theologically curious but therapeutically boring.
On the scale where quantum mechanical predictions of the brain become meaningful, modification becomes pointless. There's too much brain, it's computationally absurd to approach treatment on that level. A hundred trillion potential connections between eighty six billion neurons. If free will is or isn't true, you'd need to be able to predict ALL of them perfectly, not any given one or million or so.
Psychiatry is by necessity clumsier than would be effective at the level where the question of free will has any meaning. Because treatment at the biopsychosocial level can affect the whole person, that's the model of choice.
Bravo
Am I crazy or is showing a spreadsheet with phone numbers and email addresses of real people on the internet a terrible idea? Probably nothing will happen, but there's some horrible potential there
physics doesn't exist