Case study clinical example: Session with a client with Bipolar Disorder (fluctuations in mood)
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- Опубликовано: 5 май 2015
- Video for use in teaching CBT formulation, aiming to demonstrate some of the triggers, thoughts, feelings and responses linked with elevated mood. In order to try and provide information to build a formulation, the session moves faster than an average session might and does not include all aspects of standard CBT (e.g., agenda setting). An actor plays the character of Tom [Sam Newton], but the dialogue is not scripted, and as such this represents a natural therapeutic exchange. I am a qualified Clinical Psychologist, but this is not a perfect example of CBT!
Filmed and edited by Leeds Trinity University [Ricardo Barker]. The video was awarded a top video award from Healthline.com in 2015.
I found this video several years ago. It wasn’t until I had a recent meditation poisoning that triggered a manic suicide attempt that I deeply understand this person’s story.
I have found out the hard way that any kind of strong stimulate puts me in a suicidal place. I feel lucky I went into treatment quickly. It has been almost 6 months and I am still recovering.
I am no longer taking my adhd medication. Does anyone else miss the energy you had on these meds or the feelings well manic. I had times of joy and creativity.
I also felt confident. The swing into the depression and overwhelming shame mentioned in the video is so difficult. Sending love and understanding to all of you going through this. Thank you for these videos and your service in breaking down stigma.
this was me for years. i felt every bit of this. i had a horrible drug and alcohol addiction because i wanted to stay up. hated being down. being high was like being manic. loved.
I'm not bipolar but I absolutely get what you mean. My wife and I would have drinks on the weekend, but the thought of going to bed absolutely repulsed me. I just wanted to stay up talking, drinking, listening to music. I wanted that perfect night so bad. To hit the sweet spot and never leave it. Needless to say booze rarely delivered, and my wife simply couldn't meet the needs that the drug (alcohol) caused me to want in a night. It was never anything sexual. It was a level of what I perceived at the time to be depth. I wanted to just talk, discuss, considering thing, ponder, laugh etc. And when my wife would go to bed, I'd stay up with my headphones on (often all night) listening to music and chatting to friends online. I would be absolutely shattered the next day and would go to bed about 7am. I'd often not remember going to bed, and I'd wake up the following afternoon with the most horrendous fear about what I might have said or done. Thankfully I became a non-drinker 4 years ago and life has never been this good.
That said, I will never forget the lows. Those long, dark, lonely nights where withdrawal would leave me unable to sleep and I'd be sat on my balcony at 03:00am looking over a very lonely London city wishing I were dead. I'd have a can of beer to try and land the plane, blazing through cigarettes with the most horrendous loop of negativity swirling in my mind. I was absolutely consumed with guilt and self hated. I'm a very lucky man my wife stuck with me because she believed I had the ability to overcome my addiction. She's my angel. My heart goes out to this poor fella in this video along with all others struggling with mental health and addiction. I wish I could just shower love on all those suffering with the pain. Be well my good folk reading this message. Sending you all loads of love from a fella who has been there and done it xx
Edit - Sorry I just realised that Tom was an actor. What a fine actor! Still, I feel for the actual Tom because the dialogue is taken from an actual session.
Sounds like me rn
That’s me now. Fuck it. Might as well stay drunk if I’m feeling like shit 60% of the time.
What a nice kid giving credit to his parents for their work done to support him
this is an actor. Read the description (although the script is from a real case)
Dude answered it all in a very expressive fashion. Respect!
As a counsellor in training, these videos are extremely helpful! Thanks so much for uploading. Looking forward to future uploads!
Ryan Newman Thanks for your feedback Ryan, really glad to know they have been useful!
I think you'd do better to actually SPEAK with REAL PEOPLE with bipolar disorder!!!
Bless him. Hoping and praying that he’s doing well. There is hope, don’t give up.
Diagnosed with Bipolar 1 and generalized anxiety when I was 19 and I didn’t know anything about the illness. It was scary and unfamiliar and I was too afraid to read anything on the disorder because it would lay out every insecurity I may have. Feeling vulnerable because you are put into this social category by old white men.
I’m 23 now, what really helped me is having someone in your life that is compassionate enough to understand your illness. My fiancé has never been affected in any way by mental illness in his life, directly or indirectly, so dating at first was difficult because the disease is so extreme and really breaks people down.
Even though he couldn’t empathize what I was going through because he has never had the illness, he did the next best thing he could to be supportive.
He’s bought 4 different books on bipolar disorder, depression, anxiety, and most recently “Loving Someone with Bipolar”.
@Hotto doggu Really enjoyed reading this!! I wished you wrote more.
sound like a good future husband
It was great to hear that your fiancee supported you no matter what we need more people like him and to have compassionate behaviour towards psychological problems.
What does it mean when you specify the old *white* man?
@@marijag3253 probably that these theories have mostly been conceived and propounded by old white men, which is correct. Think Carl Jung, Sigmund Freud...
It’s very hard to accept some of your actions and feelings while manic or depressed. Especially if you’ve really embarrassed yourself or you did something borderline catastrophic to yourself or people you love.
How do you heal from this?
After being diagnosed I still dont know whether I should own some actions (and there are some pretty bad ones) or chalk them up as a product of the disorder. It is most likely a little of both but the balancing act becomes where is the line. You still have to deal with the thoughts and feelings of those you hurt along the path and for them your 100% at fault no matter what...
@@joshuapruneau4948it’s doesn’t help if you don’t have a support system, then they just say you’re using the disorder as a excuse
currently in that situation.
Yeah exactly
As a psych RN who has worked with people with Bipolar Disorder for 29 yrs. This actor is amazing. He has the eye contact right, cadence of speech is right, great acting for people to learn by.
Sometimes when you have a patient that is in the throws of mania, it is not a good teaching tool because the patient may be too disorganized, not able to recall , speech would be more circumstantial, tangential etc!
Is having issues with eye contact and disorganized speech characteristics of BPD? I was diagnose with BP type two six years ago. They explained to me the high and low mania episodes but that was it. I thought all the other stuff like the stuff you mention were just my own personal flaws.
Actor?
Very well done. As I have Bipolar Disorder, I see and hear myself in this interview.
I am an avid #MentalHealthAwareness advocate and performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my RUclips channel, so I get excited when I see other advocates. 💙❤
i am watching a couple of vids, and just now realize that these patients are actors, they are so good!!
Several people have complained, to a greater or lesser extent, that an actor was used instead of Tom himself. I just want to say that this was an excellent video and Sam Newton did a brilliant job, he really immersed himself in his character.
There are some wonderful people out there who blog about their bipolar lives and I've gained a lot from their unselfish desire to help others, even at the expense of their privacy. Not all of us are willing though, to do that, and want to remain anonymous.
I, for example, hide behind a ridiculous nickname and hybrid Schopenhauer Koala avatar.
A great video, Judith! Thanks!
By the way, I was amused that Tom had thought about creating an app to find the cheapest way to get wasted! I spent a day doing a similar thing: but creating just a simple spreadsheet to amuse myself and select friends, based on then current liquor prices and corresponding %vol of alcohol. Being bipolar type II though, I find it best to stay right away from the stuff nowadays!
Cheers =P
Hi Eric, thank you for watching and for your feedback. It's great to hear you like the video!
My educated guess would be the liquor alieves the depression you experience as a type II...my question is, tho, is does the alcohol bring about a high?? or does it simply take your mind off the depression??....I am fairly manic, so I to drink to put a nice soft damper on my mania....lithium didn't do a thing, it made me poop alot.
It's a tremendous performance.
I didn't know if was an actor 😆
@@johniorio7951 I'm a manic too...just "undercover"...I'm not going to let anyone change me...my mania works for me and keeps me happy and I do stuff I can think about when I get into my depression and suicidal thoughts.
When I am manic people who are depressed and try to dampen my mania with their negative projections on me...it can get overwhelming so I'd rather flock to the happy people, but I am also aware that my "happy" makes people flock to me...
Gotta set my boundaries and be discerning on who to be around...I can lift up any mood for other people but when I am down nobody wants to come lift me up...so I learned to lift myself up. No relationship without reciprocity. I do understand some people are not able to reciprocate and that's fine...just don't try to shit on me because you don't know how to be happy.
It’s so sad when depression and other mental disorder resurfaces. And in my experience every time the disease seemed to get worse to the point you loose that loved one.
Tom, you have the courage to let other people know there is hope and help. Thank you
Incredible acting! I didn't notice till I checked the comments. I'm guessing the actual session was recorded, possibly just audio.
Having been a patient myself for different reasons, imo these are excellent questions. Directing the patient's focus internally this way allows them to recognize their various mental states, processes, environmental factors, actions, ect... during past or current episodes. This is an incredible tool imo. The patient can use this in the future allowing them to become more self aware of an episode earlier.
I’m 14 and just got diagnosed with bipolar a few weeks ago and I’m trying to learn more about it so I can unstable myself better. The more and more I watch these videos the more I see what the characteristics are of it.
Same here! A better understanding of it will help us control it :)
Stabilize*
Don't watch these videos. Get a help from psych.
Blessings to you. I wasn't diagnosed until in my 30s!!!!! I KNOW I had it at your age. I would feel, "happy." I would chatter a million miles a moment. Most of the time I was quite shy and quiet, so the chattering was quite a difference! I'm SHOCKED my parent's didn't realize something was going on. They were wrapped up in their own alcoholic, narcissistic lives! No thought to my mental health!!! They never thought they should confront their own alcoholism and narcissism.
Thanks for sharing. I can relate to everything he says. I’m currently in the same situation, not as far he’s now but in the midst of it. I can learn from this and avoid the things that could potentially happen like losing my partner.
When you have a manic episode do something creative, workout take a walk I’m telling you bipolar people are smart you can be rich and famous if you believe in yourself
Young fellow did some fantastic acting here! We can learn so much from these sessions.
Wow, I can relate with him on so many ways. Especially pushing myself. That itself speaks to me. I get affected by drinking lots of caffeine and end up becoming aggressive and very moody. I thought I was just stressed out, but this happened throughout my entire life. I'd have long periods where I would be crying over nothing and just inside my room where my parents began worrying about me. Never once did I think something was wrong with me, but I was very exhausted from everything. It wasn't until I was hospitalized and affecting my jobs where I began to realize how much it was affecting my everyday life. I also experienced drugs because sometimes I needed to escape from my mind racing so fast, my mind wouldn't shut off sometimes. It was constantly always racing and keep me up all night long. That's how it is for me between the highs and lows. It was happening nonstop and became so mentally exhausting for me.
It’s the same for me and it’s starting to progress to thoughts of not caring about my bad decisions which later results to guilt feelings and overcompensating to try and right my wrongs, I’m back on my meds and going to try therapy
This would have been my first attempt at college explained exactly if I was from Europe. Insane how the illness leads people to make such similar decisions in life. I started drinking coffee and taking adhd meds in my freshman year to stay up later to get work done just like Tom. Then for relief I started to partake in more intense stimulants in order to feel what I felt was me in my prime, I'm naturally a introvert and this made me an extrovert. Just like Tom I finally was in higher social circles working for EDM shows and thinking I was living the dream while I ran my saving into the ground working for a company that was never going to be able to pay me. I have been treated with depression, but now I am starting to think it is more along the lines of bipolar disorder. Thanks for the video!
K it could be genetic
The doctor is really good, she has such a calming and comforting way of talking.
Bipolar Disorder is a Scary Action Movie that Actually Happens...Damn I really can't Express my Emotions
Can you tell me more about your experience (if you feel comfortable enough to do so) ? Your depressive versus your elated moments.
Hi what a brave young guy to do this , his personal story was so helpful to me and so many others out there I was diagnosed in prison with bipolar type 2 both my sons have bipolar my mum had bipolar disorder
im sorry that it took going to prison for you to get the help you needed, stay strong brother
@@joshuapritchard9281 thanks means as lot to hear those kind words it can be terrible at times funny as well tho
I'm completely fine and healthy.
Thankyou god🤲
I hope all love and strength to everyone who have to go through this rollercoaster ride. I'm sorry for you. You're strong people ...just stay strong. It's never gonna be easy but i know and i believe that you're the only one who can do this. God loves you and so do this world.
Peace.❤
A persons mental health is so complicated its hard to pinpoint what the actual problem is, because it classifies into so many different disorders like adhd, bipolar, multiple personalities, autism etc, etc. Once the mind disfunctions, it will be hard to treat unless it gets diagnosed quickly. The only way to keep a person sane is to protect them from stress & trauma, and make sure you engage with them to make sure they are not hiding anything mentally!
Even a quickly diagnosed person can be hard to treat. Lots of medical treatments for mental health are so trial and error it can take months or even years to find a medication that works. Also some therapy techniques work for some people and some don't.
You will do great things with such a brilliant mind. You’re not alone friend.
Best and most real account I've seen. Many thanks.
Thanks for this , I suffer from bi polar and have done for many many years, What i think is fantastic about projects like this is that I believe awareness is one of the greatest healers. I used to think I was so apart from everyone else and was destined for great things, or that i just didn't belong on this planet. psychosis and dark moods were prevalent for many years before I got meningitis and the hospital did a lumbar punch on me... the doctor says, "erm , do you suffer from depression at all?" "because your chemicals are totally devoid of anything to make you feel good!" ... I'm taking various pills now for psychosis, depression and insomnia and finally I 'm holding down a job and seeing the world through moderate eyes. You can see immediately by people's responses and comments whether they understand or suffer. Those who don't , seem to think we're mad or have something missing whereas I can only explain it as having a constant hangover when you're down or high on something the rest of the time.
+Craig Mackinnon Hi Craig, thanks for watching and sharing your experiences. Thanks too for your kind feedback, it's great to hear you think the video is helping to raise awareness. I hope your job is going well, and wish you all the best in your journey.
Absolutely! Thank you!
+Craig Mackinnon what pills did u take? i just smoke, never take medicins.. smoke weed only, no alkohol
Can't smoke, get completely paranoid, used to. Now on resperidin, as an antipsychotic. cilift as an antidepressant and zolpedum to sleep. They work pretty well
Craig Mackinnon okay, but u know when u dont smoke much a day and just do it everyday, the pain will go away. im talking from experience.
Makes me think the coffee, caffeine pills and the import his exams bestowed to him made him feel valued, relevant, powerful and capable and because he was starved of those feelings growing up he wanted more and more. In the long run the goal is to learn to get there slowly through good habits rather than external chemicals.
1) this woman is beautiful 2) kudos to this guy for letting this be public, courage personified imo
tchrisou812 the description says he’s acting and this is a portrayal
The worst thing about it is the incapacity of emotion control, I'm telling my private life ( Show weakness to the most insignificant people) to the strangest person during the extreme symptoms period never believe I could do it during my calm period). From the moment I open my mouth I loose all respect which is the most painful thing about it.
A lot of these kinds of videos can be kind of corny or stereotypical, like annoying and hard to watch but this one was actually really good!!!
I think the portrayal was accurate and wow he act!!
Hi Weasel, thank you for watching and your feedback! I appreciate it.
i can literally relate so much to this guy
I can relate to allot of what he's saying in this video. I've been going through bipolar depression since I was 17 and now I'm 30. Also, great acting yo bro. He did great.
my wife was also a bipolar for 6 years but with the help of dr ojemen my wife we were able to get cure from it with the herbal treatment she’s free now ruclips.net/channel/UCB3A6CCewN60s6kAI0mcWDw
I’ve never been diagnosed but I’ve always struggled with college. I got some adderall from my doctor to help me focus and it worked for the following semester. Increased my confidence and made my brain work a little too fast. I thought I had adhd but now I’m thinking it’s some mood disorder.
Soon after the adderall I had some psychotic? Experience that really shook me up. I finally quit the adderall and got over it but now I’m usually so depressed I just don’t think I’m mentally capable of finishing school. I really have a focus on fixing my mental health first but not sure if I’ll ever be able to afford the opportunity.
Feel the same about myself… but anything is possible keep striving ❤️
Wow I had the same experience with Adderall. I was given it in grade one. Then had a manic breakdown for a few weeks. Bipolar is apparently commonly misdiagnosed as ADHD. It’s also possible to have bipolar and adhd. This is what I have.
Whoaa so the Adderall actually worsened ur condition after ur psychotic breakdown?
I think the main character thing is related to the Hero Complex. It’s perhaps a compensation for being neglected by emotionally cold caregivers who didn’t validate him and provide him with a “Secure Base.” Btw that’s the title of a book by researcher John Bowlby which is a foundational book when it comes to attachment theory.
I was diagnosed with bipolar 2 at age 23 and had symptoms of it since age 15, so I know how you feel about it.
Buddy Mckay me too! Age and all
@@ameliahex4917 currently this is me too and idk how to feel 😖
Can I ask u a question? When u were at your "low" mood except from depression did u had and symptoms like headaches etc? Like psysical symptoms? Sorry for my english I'm not from England
@@alexandravasileiou7201 Not in particular. Got pain both when up and down anyway.
@@alexandravasileiou7201 When I am in low mood, I cry profusely for the silliest reasons possible. And yes, due to all these crying my head, neck pains a lot. I have not yet visited a doctor, but the symptoms of bipolar disorder that I found on internet matches with me.
I swear to God, going to college makes you so deranged and you do all these things to your body to excel and it manifests into illnesses such as bipolar disorder. I probably aged my body 10 years getting that piece of paper
But you did age ten years to get that paper. Well, it depends on which paper.
You're born with bipolar. Drugs and stress only exacerbate and/or trigger underlying mental illnesses.
@@revv2490
Why you get bipolar is a mystery. Well, kind of. Psychology itself is considered a mystery. Most of it can't be proven with some sort of formula, and that's why some people call it a mystery. There are outside factors to consider. Genetics can only affect so much.
I agree, happens to a lot of ppl, crippling anxiety, depression, the stress really allows latent issues to manifest and worsen when an easier life may have kept it dormant
@@revv2490 exactly. Stress
I hope Tom is better and feeling ok. Just want hug him and listen to him talk, i really like this guy. Hugs from turtle.
I have Bi polar disorder I find salad or eggs help bi polar levels this year has been difficult. I took Ritalin years ago (1998) I was freaking out I'm thinking about writing a book about my life and bi polar disorder and some of the good and bad it's awareness for people who do not understand Bi polar disorder my mother God rest her soul had bi polar I was scared when she had a bad day when I was a child my father loved her unconditionally I'm grateful Tom is living I was addicted to painkillers and I overdosed it was not fun a year later I got a Decent job and I played guitar a lot better with great joy
My bipolar wife would get seriously manic, quickly, just by eating chocolate or drinking hot chocolate. It was a major trigger.
Social situations would start her off as well.
I think this condition has it's origins in the gut not the brain.
Thanks for your comment. Have never heard anyone mention chocolate, it is for sure a trigger for me.
Thank you for sharing this video. I find it very interesting, but my patients who have this disorder have a very challenging time to stay on track, which this actor seemed to do just fine with. I do agree with other viewers that a real case study would have been more helpful. However, I do understand that confidentiality issue and lack of consent on the patient side.
I took this as him being on the other end of the spectrum. He seems to have come down from his manic episode and is in a lower mood, bordering depression.
I'm bipolar and I really have to monitor my stress levels and most important sleep. Sadly, I isolate sometimes just to stay away from stressors that MIGHT happen when I feel they might. I really think Bipolar is an adrenal fatigue issue and a cortisol spike might trigger both the mania and depression. It makes complete sense if one looks into it. When cortisol spikes we become depleted which leads to a depressive state and the destruction of our brain chemistry. L-Tyrosine might manage the lows (and the creation of cortisol) and L-Tryptothan might manage the mania which both work together with the adrenal glands as I understand it. Vit. D3 is so very important IMO. There are studies on both of these. Yes, during depression we all seek some way, any way, to lift ourselves up. Caffeine plays a huge role for me. Others turn to other means to make us feel "alive" during the depressive state. And yeah, mania along with the following depressive state really SUCKS as it always follows the mania. Sigh Thank god I don't have spending sprees and got rid of my sports car. High speed was my rush and I really didn't care if I crashed. However I do take on many many projects, get scattered and finish few of them. We all have out stories I guess.
Yeah sleep is important. Because it affects mood and energy. Now i ve been getting less of sleep for a few days. Starting to lose my job my gf and im accept it. But how do improve sleep?
You said it. All of that ideal for all of that.
Question How did you find out you were bipolar?
Thank you :)
@@MissEmma2300 My Aunt had Bipolar so it ran in the family. Since the age of 17 or so (about the age of onset) I was always depressed with flat emotions. Just blah. It effected my jobs and relationships. I never really felt happy and had to force a happy face when deep down I wasn't alright. I never really felt alive. I did drugs just to feel something. I would do some very risky stuff just to feel anything. There were many times though I was highly elated for sometimes 4 days at a stretch (mania). I was the life of the party, could get a room to bust up laughing and was filled with happy vibes. It was an amazing feeling as for those times I felt actually alive. Fast forward to 23. I was engaged and the relationship failed and I tried to take my life. The stress caused my mind to feel like it was boiling. I went crazy. Stupid thinking now but at the time it made sense. I was sent to the psych ward of the hospital because of that and when they dug into my family history and learned my behavior patterns it became clear. It took 2 years to find the medication that works which really sucked.
I have so many unfinished "projects" it's insane.
Me too. I have been diagnosed and assessed of bipolar disorder (my first personality) so I understand what going in this nice video keep up good work!
Do you also have d.i.d? What meds work, are the other personalities not bipolar?
@@dreamznaspiratons7064 no I don't have, meds that treat personality disorder is usually are anti depressants in my opinion.
That app is actually a really good idea. I'd install that.
When I was a student psychiatric nurse, I met a young guy who had been admitted following a break down at Durham uni. He had a physical breakdown following a mani episode when he couldn’t stop rowing I don’t think he ever went back
Rowing?
Like rowing a boat??
A row is also a noisy argument.
ah - if this guy is an actor working from a clinical transcription, then he is a very good actor!!
Growing up I was thought to be ADHD and later bipolar (manic/depressive). Hyperactivity (or mania) I've learned recently is one of the signs for phenylketonuria, which up until recently if I understand it right was not widely tested for. There could be many with PKU who are being treated for it with other things.
Good point. I think people who suspect phenylketonuria should definitely get a test to confirm though. It's a pretty rare disorder.
Phenylketonuria has been a standard test in all newborn babies since at least 40 years in Germany (just looked it up, first tests in 1966). I'd expect the same in every first world country 🤔
@@cymbala6208 It happens in America (all states), Canada, new Zealand, Australia, Japan, Western Europe and many countries of Eastern Europe such as Greece. Some countries of the Balkans don't test for it. I don't know about Africa at all and many countries of Asia and Latin America. Also immigrants and refugees that come from countries that don't test for it can stay undiagnosed in the countries who test it because it happens for newborn babies. Anyone who has more or other info about the matter can share it, it is very important.
Can we say how brave this guy is for putting this online? I can say that we feel all kinds of love and understanding. Just know that this condition is usually accompanied with high intelligence 😎
This is an actor bro
@@3aeren is it though? Saw plenty of case studies in video format exactly like this in college.
@@alexanderhunt8005 yeah it's an actor champ
Yeah this dude seems like he's getting better, if i was in that chair talking I'd be struggling, i would have to pause for a few seconds to let my thoughts catch up, sometimes everything comes to me so slow and i can sometimes go completely blank, inside i scream for my thoughts to come back but they don't i just feel blank no thoughts at all, there are other times where I'm speaking like normal and my thoughts come to me much faster, i can converse non stop without stopping, then again i do get tired after the rush of thoughts. 😕
Honestly this comment was difficult to type, i had to delete a few times. 😪
Please hang in there and know that your life is precious and very valuable, no matter what.
Keep your head up, I’m not Self Diagnosing but I’m Ngl I might have This disorder myself, The emotional highs and absolute lows and tell me more about have a Blank mind cuz that’s how I feel like, Like no thoughts are in my mind, Is that linked to this disorder and not being really able to express yourself?
The oscillation is very stressful 😒
Whoa I thought it was real. He's a great actor.
Why what? I mean I thought it was a real session.
More important some patients don't accept this then situation becomes worse
Wow this actor is amazing I thought he was actually Tom until I went to the comments bravo
*breaks my heart... so much suffering...* 😶😕🙁😩😰
India Adams the description says he’s an actor? Maybe this is staged
Imagine living most of your life undiagnosed and finally things make more sense later in life; being psychologically ill since childhood basically with no treatment. The brain is probably damaged beyond repair.
great app idea!
Hi Judith, these videos are very informative and thank you for uploading. I'm a recent graduate and if you wouldn't mind I would love to hear how you you started a career as a therapist and practicing CBT and what qualifications you needed? Thanks again.
+James Stafford Hi James, it depends what country you're in, but there are lots of routes to being a therapist in the UK. I am a Clinical Psychologist (CP). The first step to becoming a CP is to get a British Psychology Society approved undergraduate psychology degree. On graduation, you can get work in the NHS IAPT scheme as a wellbeing therapist, an assistant psychologist or a research assistant. You can also gain further experience via further education such as Psychology Masters or PhD. Once you've gathered a range of experiences/further education post-degree, you can apply for Clinical Psychology Doctoral training courses, which last 3 years and give you a range of clinical experiences. I'm afraid I don't know as much about becoming a CBT therapist directly (or other types of therapist), but if you contact the BABCP (British Association for Behavioural and Cognitive Psychotherapies) or the BACP (British Association for Counselling and Psychotherapy) they should be able to advise. Best of luck!
Definitely like to give the analyst one up
Coincidence that he studies law. I study law too, and also on track for a first. It was around the masters element I broke down, the teaching content was making me question my ethics and that coincided with an already chaotic lifestyle that I was living. I wish university had warned me of the consequences of neglecting physical and mental health - now I am paying the price and so are my friends and family.
Just came across your comment, how are you now? Hope you’re doing well
I want to hug him 💔
You do know he's only an actor for the purpose of this video? 🍪pocket.
You have unbelievable level of patients 😳 how or what did you do for being calm
Patients or patience ?
I was just diagnosed with bipolar type 1 disorder in the hospital. Was given separate. After I ran out of the medication they never worried about me having more medications. I do not blame anybody for feeling afraid and killing themselves the system sucks
This is so similar to my own experience with bipolar disorder.... actually it's scarily similar:
The pressure of uni and doing may best, which was to get a 1:1
Seeing myself as the root cause of my circumstances, and that only I could control it , but still feeling like I was coasting
Either breaking under the pressure, or unable to fully ground myself when that weight was lifted
Being the first one to arrive and last one to leave when going out, with chronic drug use. I felt like nothing could bring me down.
Ruining or sabotaging relationships....
Yes, we have hard times, but bipolar people are different one from another. We aren't all the same.
What it seems he's currently experiencing is what the drug community call "ego death", A feeling of worthless and "what the tits was i thinking" kinda feel to it, from personal experience I can say that this leads to extreme episodes of Anxiety and insomnia and/or suicidal thoughts. from 6:55 to 7:28 look at how he talks about himself and ideas he was having, now although this most certainly was a manic episode, do not make the simple mistake to think that just because he was going through a manic episode that all of what he was doing and thinking is utter rubbish, manic episodes can lead to an extreme energetic and creative mindset that can make you do wonders (or terrors) but the way he looks so ashamed and disgusted about how and what he felt and/or acted like, is what I see being the biggest downside about bipolar disorder.
Keep in mind I'm but a 19 year old boy who's manic episodes revolve around hours (days if I'm abusing something) of research and curiosity, don't quote me on anything.
Sammy Stefaoui I think you make a very relevant point about the feelings of shame. It’s devastating.
helpful for classroom discussion
Judith J, have you study the effects of CBD, with Bipolar Disorder?
Shout out to him for having his therapy session filmed
I think he's an actor. lol That's what some of the comments said.
It's an actor
I'm under the impression that bipolar people (especially men) sometimes have some changes in their voice. It's difficult for me to explain what I mean because English isn't my native tongue, but my experience is that one's able to get to know about their mood by listening carefully to the inner resonance which is (probably in the sense of countertransference) evoked in one self whilest listening to their voice. If they feel good and happy their voice is shining bright and at the same time full of life and melody, if they feel unsecure, instead there is something scratchy and broken in it (like sometimes it appears in the voice of teens). Can you tell me about your own experiences concerning this phenomenon, please?
Moreover, I have an other question: Is it typical that something like a "telepathic connection" emerges to those with bipolar disorder?
When I am hypo manic I talk fast. And also I have more energy so my voice goes high pitched. But when I get into depression my voice is low pitched/baritone.(when in depression due to guilt and low self confidence I talk similar to him) Sometimes I feel like I can send my thoughts. Although I can't remember when. But I have that experience. I think it is called thought broadcasting or something
Do you think it would be a good or bad idea to let somone with Bipolar watch this? They just were diagnosed and have been on medicine for a total of 2 weeks.
How can you differentiate between bi-polar and excessive drug use? What I mean is, how would you come to the conclusion that his symptoms/behaviour were not merely a product of excessive drug use and not bi-polar?
+Coral Laroc I think that because it started before he started taking the drugs, they probably saw it as the pressure of exams bringing back the illness that he thought he had under control. Also, excessive drug use is a symptom of manic episodes.
That's a good question. When I was diagnosed with bipolar as a teenager. They did ask me if I used drugs/alcohol. Never touched any drugs outside of marijuana occasionally. They kind of just seem to be able to spot those things. I remember my therapist talking to me a year later after my first intake. She goes do you remember your first visit? And I go no; she goes of course you don't. You were manic. She didn't diagnose me at the tip of a hat, but they're pretty good at recognizing it. The way you speak, the way you dress, and what you're talking about. Eventually they figure it out. For instance, I was talking so quickly and the speech was very pressured. A lot of things I was saying were relatively coherent, but I would go off-topic quite a bit as well.
I forgot to mention. Sometimes drug usage can exaggerate a manic episode, or toss someone into it. If you listen to what he's saying, you'll hear some grandiosity thinking as well.
Coral Laroc They certainky were.
Coral Laroc from someone who has bipolar, I can clear this up for you. This guy was doing a lot of drugs but if you hear why he was, there's no real reason. With bipolar mania many people get random urges to do crazy grandiose shit like spend money and take drugs. I remember the first time I had a manic episode, never done any drugs and yet in mania I had a strong craving urge to do cocaine and E, weed anything, anything that would get me in the party fucked up spirit is what is the sort of feeling. It's weird, but distinguishable from these feelings during mania to the cravings of a substance abuser. Hope this answered your question 👍🏻
Thanks for sharing man hard to do that
When he started talking about the exam stress I felt like he is saying exactly what happened to me (minus the substance abuse part)
my wife was also a bipolar for 6 years but with the help of dr ojemen my wife we were able to get cure from it with the herbal treatment she’s free now ruclips.net/channel/UCB3A6CCewN60s6kAI0mcWDw
i worked in one of berlin biggest ad agencies and the boss (a young wannabe streetstyle gangster who came from a rich family) was always reffering to himself as a super intelligent guy and as bipolar because of it. he even said "wow i bet youre bipolar too." and he was really mistaking high iq/cleverness with this mental disorder because he thought that was cool. needless to say i dont work there anymore.
it makes me sick when people compare having mental disorders & problems to just being edgy.
He had delusions of grandeur and maybe bpd
music business isn't it?
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Wha a lovely guy.Wherever you are...I hope things are going well for you.
hi, does a depressive episode need to last weeks?? i'm pretty sure i had one but it lasted a bit less than half a day so i dont know what to think anymore... anybody has any idea about it???
Can you please tell me how to fast-track a diagnosis and treatment in the UK, please? I had the educational psychologist diagnosis at university in January 2019 and have been on the wait list for a medical diagnosis ever since. I am also studying law and I am going into my final year next year. I am scared as I can see the same happening to me however, I have been told there is nothing they can do because I am on the wait list. I am 28 and have not had the specialised help that I need for all of these years. I am on the verge of breaking. Please can you advise?
I am been through Bipolar Disorder.I am slow down, like one side of seesaw fallen down to the ground, I know the manic when I unlimited intoxicated, I like thoughts of inspiration for that time,i like the exuberant energy of that time. But the moment I feel down, feel like everything should fuck off. I'm tired, really tired.
I know what kind of situation I am in, I feel the pain going through my blood,I feel the air around me frozen,I fell I can't even go through with that, I can not control that kind of feeling,although I know it's not true, I also know that no one can help me. I'm trying to get away from this, I am......
Hi Ephram, I'm sorry to hear about the difficulties you're experiencing at the moment. I hope you find the right support to help you.
+Judith Johnson thank U,Judith,Im fine,i've already accepted it,i think it's important to understand my situation by myself,then i can explain to myself when im in the disorder Bipolar problem
Great actor bc I had to read the comments to find out it wasn't a real session
My friend has mood swings, sometimes days good mood, still get distracted, hardly get anything done, sometimes months planning , projects, then completely lose interest in learning languages or photography, then feeling pathetic and useless, low self Esteem, loss of interest in my activities, low energy levels. Can you have bipolar disorder if you have recurrent depression when antidepressants don’t work, sometimes a person has elevated mood, or irritated, aggressive, hard to focus on work and studies during depression and even when mood is elevated or irritable, anxiety, but sleep 8 to 12 hours, It seems that people with bipolar manic episodes sleep 3 hours and feel full of energy which has never been his case, I cannot find this information anywhere could you answer please, He can be fairy energetic and feeling good about himself etc, but stress triggers his depressioon. He has never had lots of energy and Has always needed to sleep a lot, ever since He was a child. He feels cranky and can barely go through hid day, if he hasn’t slept well the previous day. I appreciate your answer.
I dig this video style. If you ever need an adult with bipolar to talk about something particular I'm always down lol. Well, except when im down. You know what im saying lol.
He is an amazing actor
Could you put up a video of a mock therapy session pertaining to PTSD. I am currently on the track to becoming a trauma counselor. I highly admire your work and would also like to get in further contact with you via email or another means.
+Emily Mulhaul Hi Emily, thanks for your message and your kind words. Unfortunately I am not a specialist trauma therapist, but I am planning to make a video in January where a colleague of mine demonstrates some ground techniques. Watch this space! =)
Is there anyway to get a real session on film? Or is it complicated... I understand if it is not easy or welcomed... my father just got diagnosed but I think he's had it for awhile, when I put the pieces together :( . This is the best video I've watched. These help me understand .
Sorry to hear about your father, +jraybay, I hope he is doing better. Putting real sessions on film is difficult because of the need to protect the privacy of the client. Being in a therapy session is a very personal experience, and I would prefer not to ask someone to engage with a real session for RUclips. However, I do plan to put up an interview soon with someone who has experienced mental health difficulties and CBT, which I hope you might find interesting.
+Judith Johnson I guess I knew the answer already but I understand why its not possible. Maybe this sounds weird but ... I would come to you ... if I had any issues. You look like a trustworthy and caring person, yes WEIRD I know.
I watched your other videos too. They taught me a few things and appear to be genuine at the same time, somehow. Personally, this is the best content I've seen so far.
Hi jraybay , thanks for your kind feedback, it's great to hear that you found the videos useful!
Okay so I knew he was an actor before listening but then completely forgot that fact for the first 5 minutes
Poor guy. I feel bad for him. He has so much he wants to do and he has to deal with this disorder. I wish him the best. Hopefully the medical establishment will find something to help him.
i like him
its realy importent to him what he is to the world
Can you be diagnosed with bipolar in your 30s? I had servere depression since I was 16 but now and again feel energetic, drink coffee, energy drinks like this guy. I dont sleep, drive car really fast but only last about a week then I go back depressed? I can't take antidepressants cause they make me too high and hyper. Wonder what wrong with me?
Yes you can have lobp (late onset bipolar) a misconception is that everyone has these massive highs there is different types of bi polar and one is variable. I am being honest just from how you phrase it that you use energy drinks to lift you from depression. If it's a slow later onset drugs and alcohol is more likely to be your path of destruction. I am not a professional but the past 17 years I spend everyday with people with mental health and/or disorders. You would feel like your losing your mind if you had bi polar suicdal thought or attempts in about 40 percent of people with bi polar according to the stats. It's mind bending to live with tears nearly daily on ups and on downs angry outbursts are extremely common as is intolerance to noise the same with some people who have generalized anxiety disorder. I personally have murderous thoughts when I go into deep depression it start with me wanting to kill me then when I can't do that my thoughts go dark about other people. I understand my thought process thoughts are just thoughts but with anxiety depression and bi polar instead of filtering thought they stick like glue. This is a major factor we probably all have dark thoughts but they flow through the mind rather than dissecting them. As people with addictions and underlying health problems do. I think you should ring the charity call MIND they are absolutely amazing and nationwide even in this current situation they got me a sponser who helps me weekly. Although I help others I can't alway help myself but by helping others it helps me. My latest bad mental health was due to me thinking I could stop helping others but it's clear I always need to talk about it, the more the better. Mind will be able to push you to push your gp to push for a proper mental health assessment. You need these people behind you to try and work out what is what. In late 2018 the whole system changed to actually start to cater for mental health not just physical health. We are the hidden illness. I was diagnosed with gad , anger issues and reactive depressive which is incorrect because reactive depression lasts for 6 months max and here I am with the noose dangling again and feeling no different. I had never thought of asking mind for help I had done all my work with addiction agencies years later and years without alcohol and I am no different whatsoever so it's now clear with the help of mind that I am under diagnosed. It's not me who can't accept that I am a nutjob it's society. If I can get back to work I need to tell the boss that I cry and fly off the handle which is not easy for a blokey bloke to do, it.hard.to feel this vunerable and potential dangerous at the same time. I don't harm anyone or.myself because I work on my mind daily anyone who wants to suffer a miserable existence can do so but there is a better way. It took me several years to even open up about my darkness if I didn't I might not be typing this now. I was self employed a lovely girlfriend great friends these are all gone now but I refused to lay down under a truck and I am actually making friends now but.of the same mindset as me I am a deeper person but a more thoughtful person I am not a immediate danger to myself or others and most importantly I am not selfish. All I cared about before I seeked help many years ago was me. Me myself and I. Keep going Kimberly keep.searching.for the answers at the least it will give you focus if not the cure. Waffling a bit but I feel others pain.
I just read what I typed back to myself apologies some it it doesn't make total sense in my first reply to you. A few other clues to bi polar is that when you start talking you don't stop and you interject between other peoples conversion you are likely to have a mental block too, as you get older it affects the hippocampus (short term memory) it can be as if sometimes someone has started speaking a foreign language to you think can be harder to understand that use to be straight forward. I personally don't remember much day to day except for the stuff I don't want to remember, the negatives this is when I am on my lows. How can I know this if I haven't been diagnosed yet. Heres the clue, antidepressants since I was 16 aged 42 diagnosed with glaucoma so I can't take the antidepressants which was a mask for me to some extent the last three years without medication have been the worse. If you have bi polar of any type your mind will swirl near endless on a high of low mood like a tornado in the brain or a committee meeting of people you don't want to.listen to and for sure insomnia will be a issue. Another danger is energy drinks themselves they are a absolute mind poison by themselves they solely can cause horrendous insomnia and mental health issues and sugar in large quantities is as bad as caffeine. If you have watch my 600lb life sugar is killing lots of people. Listen to professionals advice but don't take them for gospel half are just people who read books only a person suffering from the illness you have can truly understand you. This is why nearly all addiction specialists are now ex addiction that wasn't the case in the past. Itr the way forward though. It's not a golden rule but nobody knows you better than you so if something has changed or intensified please get help. Trust me lockdown has messed up the so called normal people it's intensified my thinking so will affect you and others too.
Great video!
In CA now they offer ElecticBehavioralTherapy What is CBT ? This video showed nothing to me but at the end he mentions the shame he felt. Where was the formulation or agenda setting?
CBT= Cognitive Behavioural therapy
The patient describes experiences that describe manic symptoms, but during this interview are you able to say as he is talking his mood fluctuates? He sometimes appears depressed when talking about not doing well in his classes, but I don't know if he exhibited elevated mood during other moments of the interview. Would anyone else describe his mood as labile?
What do you all think?
don't get miss diagnosed I had one episode from not sleeping and the damn medicine for bipolar is wrecking my life
stop taking it. see how it works out. find out you were actually bipolar and start raking it again. thank me for my genius.
so you went mania because you didnt sleep? i didnt sleep last night or night before and i have a bit of mania symtoms wondering if its just sleep deprivation and ill be back to normal when i sleep.
So you got diagnosed after not sleeping for a few days? That shouldn't happen so quick even if it is real bipolar.
How can a diagnosis be made with all that stimulant usage?
Misdiagnoses is very common , they call it trial and error. My son has autism they've dignoses him as depression, anxiety, sczophreninic, scitzo effective, bipolar and now he so recked up that I think there is never going to be a return to what he was. He is locked in the system and I fear I have lost him forever.
My friend fell into the gap,but then he quit smoking and drinking cold turkey,wasn't taking any meds at the time and slipped into a manic/ psychotic episode for like a year,it was pretty amazing cuz the onset was slow so he didn't notice
I have a question. My memory is bad and also my focus and understanding.
If I take medication as doctor tells me, would I be living as normal guy and having same level of understanding? Because I was best student before and now very stupid!
Edres Mn Hi Edres, thanks for watching the video. I'm afraid I'm not able to offer advice via RUclips, but I'd encourage you to discuss any queries you have with your doctor and other health professionals.
Okay, I am at the same age with this guy in the video! What is he doing now? I am thinking about living school, did he do so? or what is going on? Thank you very much
Edres Mn Hi Edres, Tom is an actor, playing a character based on the experiences of a few different people. It sounds like you have a thoughts about what you would like to do at the moment - perhaps it would be worth talking about this with your friends or family, or perhaps seeking the support of a psychological therapist.
+Judith Johnson I'm glad you mentioned he is an actor. I was looking at earmarks and wondering why this person's outlined career goals didn't seem to line up with his personality -- There might have been other explanations but you've satisfied my curiosity. Incidentally, great video and thanks for making it public.
I didn't know Miss Lippy was a therapist too.
Billy Madison- " You got a dog, you got a responsibility! YOU GET OUT THERE AND YOU FIND THAT F*CKIN DOG!!!
I’m bipolar and I can relate to this
hey, there's nowt wrong with a 2:1 :-)
I research because I am bipolar. I’ve been wrongfully diagnosed time and time again. It feels so defeating knowing what I need and who I am but everyone telling me ‘your life’s going to be ruined.’ I don’t care about that. Can you imagine being in a box and told to stay there forever
It’s hard when others don’t understand, I’ve been looking into Mania recently. And I truly relate to the euphoria crash after that burst on energy. Life is sorrowful and we live in a broken world, that’s where The Hope of The Gospel comes in. God becoming a Human Being and become a sin sacrifice for Sinful Humanity, He himself was a “MAN OF MANY SORROWS ACQUAINTED WITH GRIEF.”
So friend it’s my hope that you if you aren’t born again that you are and come to know This GODMAN, who can understand our pain, and I do understand these episodes.
I haven’t been diagnosed but I truly feel for you.
When I was sick I started to get dreams of all the Gods... when I was sick I thought it's because of I was special... when I started to get right medication I understood it's because of your constant thoughts... when you think of something 24*7 you will start to dream about that... now I know I made stupid mistakes when I was sick... said stupid things...I am a human not a goddess... now I pray for forgiveness from Creator for the mistakes...I still struggle with self love
I do That stuttering he’s doing was so exhausting when you’re in front of someone
How you did to publish an interview with a patient ...when all interviews are suppose to be personal, and secret?
he's acting it says so in the description