Mental Disorders as Brain Disorders: Thomas Insel at TEDxCaltech
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- Опубликовано: 4 май 2024
- Thomas R. lnsel, M.D. is director of the National Institute of Mental Health (NIMH), the component of the National Institutes of Health (NIH) charged with generating knowledge needed to understand, treat, and prevent mental disorders. Prior to his appointment as NIMH Director in 2002, Tom was professor of psychiatry at Emory University where he was founding director of the NSF Center for Behavioral Neuroscience and director of an NIH-funded Center for Autism Research. He has published over 250 scientific articles and four books and has served on numerous academic, scientific, and professional committees and boards. He is a member of the Institute of Medicine, a fellow of the American College of Neuropsychopharmacology, and a recipient of the Outstanding Service Award from the U.S. Public Health Service and the 2010 La Fondation IPSEN Neuronal Plasticity Prize. No endorsement of this event by NIMH/NIH is intended.
In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)
On January 18, 2013, Caltech hosted TEDxCaltech: The Brain, a forward-looking celebration of humankind's quest to understand the brain, by exploring the past, present and future of neuroscience. Visit TEDxCaltech.com for more details. 
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I'm a psychology student and I'm really sad by the fact that my fellow classmates ignore the brain saying what we focus is behavior and not the nervous system. Well after all thinking and behavior are the outcomes of the brain.
PREACH!!!!!!!!! School your classmates pls sis, they cannot be thinking this way it's so counter-intuitive. So Skinnerian 🥲
It's all b.s. manufactured disorders...ur part of the b.s. system...
One of the best ted talks I've ever heard on mental health / brain disorders. It makes so much sense.
I can tell you for sure, my issues are endocrine regulation issues. I woke up every day since about 15-39 with suicidal thoughts. I started thyroid medication, I haven't had them since except when I got stubborn and stopped for 2 years. A week back on and I wake up o.k. Bipolar 2, A.D.D. Aspergers. All issues I have lived with. Massive depression. Self hatred. All symptoms diminish significantly with thyroid meds, excercise and for me regulating my norepinephrine.
Try carnivore diet. Or cut carbs drastically. Could help with some of those things.
Very good. You have self loving person that's why you couldn't attempt. Pray for God who will guide you.
Oh my God i can relate all of these with me thanks for your kind information
Very refreshing to hear this none stigmatizing look and understanding!
As someone who spends all her time thinking about root cause approaches to developmental disorders, I love this TED Talk. I've probably sent the link to 5,000 people over the last 10 years. Dr. Insel is spot-on!
This is the first good news I've heard about the possibility of early detection and early treatment of severe brain disorders in a long time. Thank you so much for posting! (And no, I do not want to fire you, Thomas Insel!)
+Janet Williams no one has any evidence of any brain disorders for people diagnosed with mental illness. So I'm not sure what you are refering to?
The evidence is very clear. Stop trolling the positive comments on this video.
I do not see them as positive. I think these people are being sadly mislead. Please do not dismiss my position.
Here is a post about the lack of evidence of any brain disease in psychiatric conditions www.madinamerica.com/2016/01/are-psychiatric-disorders-brain-diseases/
Please do not post opinions about mental illness if you do not have a loved one that suffers from it or personally know someone that has a mental illness. This illness completely robs an individual of everything there is to live for. In particular I am referring to Schizophrenia. My mother suffered from severe Schizophrenia. I cannot begin to put into words what it is like to live it, breathe it and be surrounded by it 24 hrs a day, 365 days a year from my birth until her death. Such a heart breaking and painful rememberance of everything this illness encompasses.
How do you know for a *FACT* that it was so-called "schizophrenia" that your Mother had? How do you KNOW that it wasn't something else altogether?
How well did you know your grandparents, and isn't it possible that your Mother was abused when she was a little girl, long before you were born?
Psychiatry is a pseudoscience and a drug racket. I'm sorry for you and your Mother. But so-called "mental illnesses", even so-called "schizophrenia" are only as "real" as presents from Santa Claus. Real people have real problems, but imaginary "diseases" shouldn't be part of that. Dr. Insel, in the video, is a master propagandist, and LIAR. Go to >madinamerica.combeyondmeds.com
Unfortunately this video is full of people who clearly have never been incapacitated by mental illness but have an opinion on it. I'm sorry. OCD has cost me incalculably in terms of careers, relationships, even physical health but I still think I'm a failure for not having worked hard enough, or something, which is not helped by these unbelievably stupid comments.
I am a member of a mental health day centre. I went to an OCD support group. I supported many people who use the mental health system.
Johnny Ecoman
Medication prescribed by a doctor who is familiar with certain aspects of hwo the brain works using the same reasoning Dr. Insel is using helped with my OCD.
fair enough. I went to a support group, read a book, did some exercises and saw a therapist. These are personal experiences. Your therapist could be talking rubbish, as could Dr Insel, as could my therapist. That they worked does not mean they are talking valid science. To really assess what works we would have to look at some outcome studies.
I don't know of any.
Very good presentation. Thanks for uploading this.
Early detection!
I've been saying since I was a small child I could hear ghosts and thought my childhood home was haunted.
I could hear, see and smell things other people could not since childhood.
At 16 I started hearing other peoples thoughts.
Nobody cared or believed me.
No I'm 52 and had many full blown psychotic episodes. I still continue to live with them and have these experiences/hallucinations/delusions.
The damage has been done for me but I hope by listening and understanding the older generations it will help the younger generations.
I've been told I have Schizoaffective disorder but I'm also in a constant state of psychosis to some degree all of the time.
Interesting debate and topic.
Thanks for sharing
The best TED Talk I think I've ever heard. Very well explained
It is commendable how Thomas R. Insel, M.D. has devoted his career to generating knowledge and advocating for better understanding, treatment, and prevention of mental disorders. This work reflects an ethical commitment to promoting the well-being and mental health of individuals and society as a whole. It's also important to note the significance of the NIMH as an entity charged with furthering this ethical mandate through the funding and support of research efforts aimed at improving mental health outcomes. Dr. Insel's significant contributions in research and scholarship, including publications and achievement awards, set an admirable standard for us all to pursue excellence and ethical practice in our work. His role within prestigious academic and scientific organizations further highlights the critical importance of collaboration and interdisciplinary work to advance medical ethics and drive progress in healthcare. Overall, Dr. Insel's legacy in the field of psychiatry and mental health reminds us of the ethical dimensions of healthcare and the crucial work that researchers and medical professionals undertake every day to improve the lives of others.
Speak out dont suffer in silence nothing to be ashamed off its mental health I have two beautiful nephews took their lives mental health stinks don't let it win your the winner you got this honestly you got this
I was rather skeptical about this talk in the beginning, but it gives an interesting perspective on early intervention in regard to mental illness (or brain disorders). If proper systems and technologies can be created, early intervention can be a game changer for a lot of people.
The problem still will be people's perception. If you tell someone "you'll have cancer in 10 years if you continue your lifestyle" they are likely to change their lifestyle, but replace cancer with schizophrenia and they'll call BS on you.
Yes, dear, I think it's important to map the brain regions that can influence each group of behaviours (for instance, prefontal coxtex and reactive response, or medial prefrontal cortex and prosocial behaviour). This can help both : psychologist to identify behaviour that modulates brain activity and psychiatrists to target specific areas of the brain.
All behavioural aspects, all observable effects of mental disorders are in the structural wiring - connections of neurons introduced by learning. Brain retains plasticity, the connections can be re-wired by learning again.
Whether chemical imbalance has triggered wrong wiring to develop in the first place (it is probably often, but not always, a contributor), and to what extent creating another chemical imbalance by meds can help fix it (it might), is a very involved subject.
Stay strong stay positive stay safe everyone I have hypoxia brain injury I died 26minutes spent weeks months in coma rehab hospital learning talk walk again been a recovery massive discovery never ever give up on yourself many will never yourselves keep going doing amazing things sending luck hugs prayers most of all love from headway Nottingham UK takecare great speech well done x
Hey Deb, I hope youre doing well and been having a speedy recovery! love from florida USA
@@sarahpaulet25 hi all gud here thanks hope u doing ok keeping safe stay strong stay positive stay safe takecare
Incredible information! I just wish I knew where to take my 35 year-old son to get help, besides the psych ward at the hospital! I know he has brain issues and he’s had plenty of brain trauma. He’s now in a state of paranoid schizophrenia, snd I believe it’s due to TBIs and mold exposure, but I can’t find anyone to help him. He’s in a state run program that is doing it’s best, but he needs serious help. He can’t function on his own and tried to commit suicide a few months ago. I’m scared to death! Michigan has THE worst mental health system around!
That is a very difficult situation and I do not know what I can do about it but if you want to I will help you in whatever way I can.
Cut out all the carbs, start him on probiotics and all B vitamins. He will be back to normal in no time. Check out Doctor Georgia Ede she can simplify it. Her video is called our decent into madness.
Try fMRI for your son's brain so that doctors and you can have a better understanding of what's the root cause of his illness!
HI, It's a year later now but i hope your son is still there with you. If he has any substance abuse that's the first thing that should be tackled.
Neurofeedback is a technology that is remarkably effective at treating mental disorders, although in his case as a schizophrenic it will take a lot of work.
What an informitive video. It would be great if more people would understand that mental ilness is not a joke and supporting them is the first step in trying to help them get well. I hope to see more videos like this.
yes, indeed a very informative talk.
It’s sad that this was a presentation from 2013 hoping for a change in the very coming years but here we all are in 2021, suffering like patients from the plague centuries ago…
Which disease are you suffering from?
@@deepanshk5459 mental illnesses haven't reduced since 2013, they have infact increased. & When it comes personally to me; I don't feel a RUclips comment is an authorised place for me to put some my personal information out there.
@@gitanjalireddy4372 I have ADHD and Crohn's disease... 😐
Can we drop the names Mental disorders and Behavioural Disorders. These names imply a diminished moral status of the ill individual. The name 'Brain Disorders' I feel will do much to remove stigma.
+Jilly Daines Well I am happy you "feel" this however this "feeling" is not based on the discrimination faced by the victims in the mental illness system.
The discrimination comes from the very idea that these are mental or behavioural disorders and that the person did something 'wrong' or 'brought it on themselves.'
@@squamish4244 this feeling comes from people who are weak, its just a word
Yes, it is just a word. We need to call it something. Brain disorders is a more precise description of what is going on, however, and therefore beneficial in order for people to understand it.
Anyone who's dealt with a brain disorder for any length of time is anything but 'weak'.
@@squamish4244 what's the difference between mind and brain?
This is 5 years old. Where are the big breakthroughs he’s promising?!?
The government injected into your arm last week
very humble guy!
thats our problem we all have to big of egos thats why we have so many problems in the world depression has real humble me!
I suggest if you are interested -looking at papers on the dysregulation of the default network in major depression.It perhaps explains a subset of patients with MD using causal modeling (Frith).It is a partial understanding,but as in physics, all models are partial understandings (see move from Newtonian to Quantum physics)Time will tell but research in regulation/dysregulation of the default network seems to hold some promise and makes use of the better technology now available.
ABSOLUTELY ❤️
nice lecture sir.
Really hits a high point at 8:30 and continuing about another minute.
Good-where is the soul?
What soul?
How about removing the stigmatized part of the categorized term. Remove - disorder. Replace it with difference, or divergence? Neurodiversity is a term that is wonderfully encompassing without stigma.
Illness, behaviour, what next?
Sometimes people just don't get that the bad thing is not the name given to the bad thing, but the bad thing itsel, as well a our unterstnding (or lack of understanding= of it) . A name ought to be chosen with care, but to substitute a relatively precise term with a generic and misleading one is foolish.
Raising awareness for the phenomenon, informing people about it is quite anothher thing.
I think that it will be stigmatized no matter what, however, a change of name might not help. People will stigmatize it no matter the name. Perhaps instead, we should decrease the stigma centered around the name, instead of throwing it away altogether.
There is no such a thing as mental illness.
Science like this why we need comprehensive, accessible, and ethical mental healthcare treatment for children.
ten years down the line.....people are still losing everything ..is there progress?.. some what yes, medicine,social awareness, but id still say the biggest failure is in resources,appointment waiting times,enough doctors,community out reach, a better safety net is needed, there isnt much between your local gp and hospital...and that is a tragedy
I believe psychiatrist needs physical proofs like brain scan etc. than relying on their assesment which could be subjective.
Neli V There is no one-to-one correspondence of symptoms to brain states though.
they prescribe stuff without stoping to listen to everything that your dealing with. instead of treating all of you they find whatever they know and stop you there and give you anxiety meds.
So you think your doctor should do a scan when you have a headache? or should they ask you about symptoms? The brain is much more complex than the rest of our organs. There are trillions of connections among 100 billion neurons.
@@christinehill4491 The point Is asking about symptoms does not reveal the case.
I mean after all mental problems can be caused by infections vitamin and mineral deficiencies liver problems and all kinds of other problems aside from the brain.
The environment can also cause these problems as well.
The fact is asking about symptoms will not tell you much on it's own and will just result in a Guess on it's own.
Asking about symptoms will not reveal an infection or a liver problem or even a lack of vitamins or mineral's you need lab work to do that.
An interview does not = lab work and many things can throw off brain function that is not a brain such as environmental stress and abuse or neglect infections junk food or a lack of healthy food.
Meaning you need more than an interview to rightfully diagnosis someone.
You also need more than a brain scan.
Psychiatry still trying to medicalize behavior. The manifested behavior may have to do with other things, such as hormonal imbalances, mental trauma, emotional trauma, physical trauma, gut issues, vaccine injuries, environmental toxins, sleep issues, family and relationship issues, maladjestment to society (more emotionally in tune and sensitive, being empathic, etc.), unhealed emotional issues, etc., etc.. The list goes on and on. To simply diagnose with a mental disorder label is covering up one or a plethora of other issues or even a combination of issues. It's a judgement and is not science.
“vaccine injury”
I was depressed for around 2 years. Turns out I was just anemic. Please check your iron levels if you have depression. Especially women because of periods.
9:27 I agree so much
I chuckled when you said that. :p
It might be even more appropriate to refer to mental disorders as physiological problems. The best medical research I've seen suggests fully that "disorders" like depression are due largely to lack of vigorous exercise and sunlight. It sounds simplistic, but be sure to read the research and/or just try it for yourself before you shit-can it. Other mental disorders have also showed positive results as well, but my comments are mostly referencing depression research because that is what I've read extensively about for years while researching it for family members.
Rather or not the sunlight component is Vitamin D production, or not, remains to be determined (as far as I know) but Vitamin D3 supplementation may also wind-up being a worthwhile addition, especially for those living in areas where they don't have access to good sunlight year round. Most people are deficient in vitamin D anyway, so it couldn't hardly hurt.
People are far too caught-up in believing the way they feel is because of terrible things which have happened in their lives, when in fact it is do largely to the health of their physical body. All primates require sunlight and regular physical activity. If you, or someone you know, is suffering from depression, look seriously at how much exercise and sunlight they get on a regular basis. As of yet, I have never met a person who said they suffered from depression who also claimed to get regular daily exercise and sunlight.
+Jilly Daines There's literally nothing in your comment which refutes anything I said, at all. Your reply would have been of great interest had you talked about your actual experience. For instance, you exercise avidly and routinely go outdoors, yet still suffer from severe depression. But you didn't say that, because you almost assuredly do not do those things. Instead you attempted to make a weak scientific argument implying that correlation in this example doesn't mean causation.
Are people suffering from depression seriously supposed to wait around, maybe for the rest of their lives, before a full-blown double-blind study involving thousands of patients is conducted?....because that will never happen. No large scale research will ever be conducted on non-patentable remedies for depression.
I guess people can always keep going to their psychiatrist for expensive weekly sessions, an endless supply of expensive pills, and an endless circle-jerk of group therapy sessions where they can sit around commiserating with each other about how bad they have it. Is that what you do, Jilly? Tell me honestly how that's working out for you.
Stop thinking about how you feel, get off your ass, go outside and get some exercise on a regular basis and then come back here and post a comment about your actual experience in a few months. What could you possibly lose by doing so?
Plenty of people who get exercise and sunlight have depression. And anxiety, and OCD, and bipolar disorder...no, they are not cures. I get plenty of both, and I am a moody, anxious person who still struggles with suicidal ideation. There goes that theory, doc.
There are sports people who suffer with depression for example footballers cricketers, they get lots of sunlight and exercise. depression also exist in hot countries and with physically active people however you do make a good point about daylight an exercise I think that would definitely help with my experience..a walk in nature, connection with others, having a purpose. a lot of people have suffered trauma in their childhood and suffering the consequences of it not being treated in their adulthood..
I agree with you but when the brain is sick or doesn't do its job then sunlight and exercise will do nothing....the problem is everybody thinks they are disabled or depressed....then there are the few that are actually sick and need meds and can only cope with the chronic illness...thanks and God bless
How - in standard ways. The brain will be studied, conclusions will be made and methods be developed. What might emerge, is impossible to say right now, but to give you an idea, it could be some kind of abstract-looking visual test with objects, colours, faces, and decisions that person would need to take, reaction measurements, eeg, neuroimaging.
Considering lack of symptoms, the treatment could probably be a harmless cognitive exercise.
Predicting future is unthankful though.
its so crazy cuz also they can complement eachother
Real talk starts at 10:00
When he mentions the percentage of disability among mental health disorders is a huge issue. What is concerning is why there isn't more help available to individuals that it incapacitates. Yes, Mr. Insel, you should have been fired eleven years ago. You should have done more.
I'll venture to say that most of the inane comments on this video are from people who have never been through the hell of mental illness. Leave your personal philosophy at home when discussing people's lives. The only question that matters is, "Does this work?"
+valinor100 I am a long time service user, ran a mental health consultancy and set up an campaign group composed of mainly survivors of psychiatry. I have been to many conferences, seen critical psychiatrists speak and read widely on the subject. So not only have I been through the hell of mental illness, as you put it, i also know many people who have and who also think this vid is dangerous rubbish
Johnny Ecoman
Many people think this video is *not* dangerous rubbish. Who is right? Time will tell, but there is plenty of evidence to show that Dr. Insel is. The biological approach to mental illness is producing some truly stunning results with technologies like deep brain stimulation and transcranial magnetic stimulation. Promising treatments on the horizon include optogenetics and transcranial pulsed ultrasonic stimulation.
What, exactly (and please be as precise as possible) do you think that Dr. Insel is getting wrong?
TMS - causes siezures and not very effective.
www.madinamerica.com/2014/02/transcranial-magnetic-stimulation/
Insel deluded in that he thinks mental distress is a brain disorder. In most cases it is not, it is the persons environment that needs attending to.
Time will tell if big money manages to fool people, as it so often does, or if the truth, that psychosocial problems cause people distress, will be accepted by the majority of the population.
Johnny Ecoman
Deep brain stimulation works along the same principles and has shown some extraordinary results. Plus, you cited one article. TMS is being used at my local hospital, successfully, for the treatment of depression, and has been shown to help stroke, accident and amnesia victims. You can't just isolate its success to motor functions, either, because these people are noticing changes in mood and memory.
I cited one article. Can you site one?
10 years passed by but still no improvement in mental health crisis
They can nullify brain cognition but can not cure some brain disorders yet possibly because neural disconnection is easy im just hypothesizing...its easy to screen shot a normal brain function and implicate the same tune to a person with brain disorder there have been research that seemed promising but the problems were always a constant tuning and brain deterioration would repeat after some time for instance in week I haven't heard anything since
Can we see that from cat scan . MRI didn't show anything as said by my doctor.
Got a quick question if schizophrenia is by definition psychotic symptoms like hallucinations and delusion's how do those thing's cause schizophrenia to come on?
Because literally around the 11:30 - 11:37 mark he brings this up.
The reason i ask is because this seem's to be the equivalent of a lightswitch turning itself on.
In that case the symptoms cause themselves and the symptoms would be the disorder schizophrenia.
This is the equivalent of saying the symptoms caused themselves and is not medically sound.
Idk how you heard this wrong, but he’s saying that schizophrenia presents itself outwardly with those symptoms, not that those symptoms cause schizophrenia. Schizophrenia comes on with symptoms. That’s what he said.
It's a pity that officials in charge of national psychiatry think like automechanics, attributing psychiatric disorders to "brain parts", or brain circuits. This is a mechanical regression of neuroscience back to phrenology (attributing psychological properties to bumps on the scalp), popular 100+ years ago. Dr. Insel puts down the idea of neurochemical imbalances - but his own profession, psychiatry, uses chemical, and not "circuits" means to treat psychiatric symptoms. Neurochemistry is still a young science, dealing with very complex fluid and diverse processes, so it is too early to put it down or downplay it. "Psychiatric" disorders is still a better concept than "brain disorders" as they result not only from disbalances within neurophysiological systems but also culture-sensitive. For example, impulsivity is more acceptable in USA and less in Japan, but OCD-like behavior it is vice versa.
It may be reductionistic, but on the other hand, there is no evidence to suggest human psychology is a function of anything but the brain. Our brain changes based on culture, social contexts, experiences, etc. But patterns of brain connectivity and activity may in fact be useful for identifying and treating emotional and behavioral problems, as we can also use therapy to change the specific functional circuits of our brains.
Those who think this is nonsense-
1.What have you done to be of help in this research?
2.Watch Feynman's excoriation of social science (on you tube) "till in the future the techniques improve"
3.Look at the TED on the "Human Connectome Project".
Not sure why I even respond to those who ignorantly denigrate the SLOW movement forward-but I suppose it is wired in me.
Using your logic, it would also be safe to say that a diagnosis of, let's say cancer, isn't equivalent to having cancer, or a diagnosis of cardiomyopathy isn't equivalent of having heart disease. What makes the diagnoses of mental/brain disorders any different from diagnoses of any other disorder from any other organ in the body?
The researcher forgot to mention that all these subtle brain 'abnormalities' are also observed in normal subjects that have never developed a mental disorder.
Mental health is a continuum. For instance, it is true that 90% of all people display subtle symptoms of OCD. But it is an matter of scale. People with 'normal' OCD might check their lock twice before leaving the house. Rational thing to do, right? But someone with OCD might check it 100 times, and then think about it all day at work, imagine the worst case scenario over and over, and only get relief when they come home again. We know certain parts of their brain are hyperactive compared to healthy subjects, such as the reward centre (the nucleus accumbens) or the area associated with executive functions (left prefrontal cortex).
A minor correction: We hypothesize that certain parts of the brain are implicated. Actually we are not yet in a position to know anything for sure given the limitations of current brain imaging techniques. fMRI, which is do idealized, is just a measure of metabolic activity and in no way depicts directly true brain activity.
Dimitris966
Well, we do know that, for instance, targeting the nucleus accumbens with deep brain stimulation can effectively 'switch off' OCD, as was the case with a man whose compulsive hoarding was so bad he couldn't leave his house. His OCD vanished after the surgery. This procedure has been shown to have dramatic results with depression as well. So we can make a very strong case that we do known certain things if not for sure, then clearly enough to treat very serious diseases.
Perhaps fMRI is too idealized, but considering that it only began in 1992, the progress we have made is staggering.
valinor100 Wow, you're too quick to draw conclusions based on single-case reports. According to your logic, the cause of cancer is spiritual, because I know of a woman who effectively "switched off" cancer by praying to God. All the studies that I found on deep brain stimulation of nucleus accumbens have an extremely low number of cases and lack a proper placebo group. Moreover, there are studies of DBS on other brain parts that appear to show similar results (that is, positive but inconclusive). So the situation remains messy as to the biological causes of OCD
Dimitris966
The fact that it works at all is a demonstration of a promising direction of research, and that this has some basis in empirical findings. You should also check out the literature on tDCS, which has many studies to its name, and the kind of technology being developed by companies like Soterix or Neuroelectrics. Check out the NYC Neuromodulation Conference 2015 and the list of experts presented on that page. It's more extensive than anything bixby or yourself has offered up.
Please refrain from nonsensical references to "praying to God", as if I would ever argue a ludicrous point like that. If you are an atheist, as such a comment would suggest, then there is no choice but to follow this line of thinking, because therefore the mind cannot be anything but the brain and simply a very tough engineering problem.
When the title says "Mental disorders as brain disorders", I expect a talk about neuropsychiatric etiology of mental disorders. Minute 6 out of 15 and I've only heard about leukemia, and epidemiology.
"Much of the criticism, including that from its most vocal critic, Allen Frances (lead author of the current edition, the DSM-IV), laments the expansion of diagnostic criteria. They argue that this may increase the number of “mentally ill” individuals and/or pathologize “normal” behavior, and lead to the possibility that thousands-if not millions-of new patients will be exposed to medications which may cause more harm than good."
The biological psychiatry model isn't Universal. There's other opinions in the medical community,antropology,etc. Maybe the fact of a brain neurochemistry and consequent behaviour is "abnormal" may not be a mental illness but biodiversity.
When people say things like suggesting mental illness is more akin to biodiversity than a disorder, I wonder if they've ever seen a severe case of schizophrenia or autism. I have no problem with the neurodiversity movement as a way to reduce stigmatization, but the way to do that isn't by pretending these cases aren't health disorders or illnesses. Mental health disorders disrupt nearly every facet of healthy living in one way or another, by interfering with an individual's ability to reason and make judgments properly, their decision making becomes detrimental to their well-being.
They say this and yet just exactly how are they proposing to do this? You can't know that someone has the potential (in most cases to be violent) if they haven't acted out violently or spoken of it in the past. Wish this were true but I don't see evidence of this. Besides we have basic human rights when it comes to the mental health system (such as it is) that preclude just grabbing people off the street without good reason. Often that good reason can only be known in hindsight.
I can see lot of justifications for hatredness and retribution here, I am just curious what will happen when people know, that every experience of their existence originates from physicality, and this is the paradox, we think, that more we understand our human brain, more we will discover that our all hatredness and retributive tendencies are the result of brain, not something called as "free will", & we act equally immorally when we condemn people whose brains are already in an unbalanced mode.
These exactly are his complaints as well. And he presents evidence of current work aiming at a different psychiatry. Maybe you were watching another video?
Advice to all professionals in the field watching this video.... If you want to discuss this topic don't do it here, you'll only find people with opinions trying to prove why their opinion is more accurate that someone else's opinion.
but.. this video is one of my uni assignment
Some mental illness will undoubtedly have an underlying neurological disorder or disease. That is why organic and biological testing is the future. The subjective diagnostic method of psychiatry is insufficient and often inaccurate. MRI, CT-PET scans, blood tests etc maybe required for clinical depression and others.
Very interesting, but. How about changing the language? Having a mental health diagnosis profoundly effects relationships. Having a brain ‘disorder’ is not encouraging news. Schizophrenia is surely an outdated and inaccurate label to burden people with. They are scapegoated in the media, misunderstood (at best) and wasted. One person’s disorder is another personn’s spiritual crisis. I had it for years, I was told. Then, miraculously, it became bipolar, for years. Then I had both for years. The drug cocktails were disabling and every time I tried to come off them, I was ‘ill’again. Now I know how to go about it. So I am not impressed with your pictures of brains. To my mind, when allowed to use it, I would describe myself as a highly sensitive person who has experienced trauma. PTSD is a diagnosis I could accept. What does that look like in the brain?
Some things won't be good news ever, however you call tem. You may call cancer abecedelia and it still won't be good news. Sometimees it's not the signifier that is bad, it's the signified.
So changing the terms is pointless. I can though see that some terms should be changed if we come to understand the phenomenon better and see that the term currently in use doesn't describe it precisely enough.
By the way, the brain pictures aren't there to "impress", their function is quite a different one..
Could gene therapy be helpful to reduce the impairment due grey matter loss and other malfunctioning parts of the brain?
My doctor told me gene therapy is the way brain disorders will be cured in the future
probably the brain is so complex though but doable with the help of technology
🕊
Five year ago. Where's the progress?
Neurofeedback, brainwave entrainment, rTMS, photobiomodulation, deep brain stimulation...lots of progress. The key problem is that advanced treatments are not scaled up or covered by healthcare plans nearly enough to treat everyone who needs it.
valar undergoing that next . Nervous
But if we have idealistic model of the brain of what we called "healthy brain", and let's say one day have the technology to early anticipate and modify the "unhealthy brain" by "reshaping" its structure to follow the desired model: isn't that mean we are forcing humankind to have just one idealistic brain and that would mean no more uniqueness or free will? When human behaviour would then be able to be modified like robots by tweaking their brain circuitry
Only true in the extreme cases. They aren't talking about brain standardisation and behaviour modification. The average human brain....when measured under millions of parameters.....shows inherent similarities across huge sample sizes....We all have basically the same functions and processes and rates of degradation.
when affected by a brain disorder. ...A brain shows very different characteristics. For eg. The rate of degradation of a schizophrenic brain over 5 years from diagnosis IS NOT ACCEPTABLE NOR NORMAL NOR CONFORMIST....its a fact and these people can be helped....no matter what their opinions, preferences etc are.
my bones need to work the same way your bones do...if they work differently? it sorta hints I'm from a different SPECIES...
so our brain functions. ...by virtue of us all being HUMAN...out of necessity. ..needs to function in basically the same way. peace.
Very informed response to the classic 'what is normal' criticism of models of mental health. People with diagnosed brain disorders like schizophrenia, depression, OCD, generalized anxiety etc. show very different patterns of brain function in certain areas than people who don't, and suffer because of it.
It is very easy to ask philosophical questions about what constitutes a healthy brain when you are not the one in misery because yours isn't healthy.
Not too much..to be honest
we are already doing this in every way regarding our "health" and "nutrition". I think the idea is to reduce suffering...not "normalise and standardise human brains"
7:30
Trying to understand mental disorders through looking at the brain is like taking apart a TV into pieces to try and understand why Mickey Mouse is playing on channel 7. Once we as a species understand ourselves in terms of energetic beings this big “mystery” will not be a mystery anymore. The brain is just a receptor for energy. Like a radio mast.
Does he know what Epilepsy is
Could Psychedelics also help in this field?
Yes they do it helped me I got em from this store online..
MyCodree
You can fine them on telegram,
This approach has and will lead to little. One of the assumptions is the idea that mental disorders are related to the brain alone. The brain is connected to the functioning of the entire body and can be influenced by problems originating in other areas. Another assumption is that the disorders are well defined entities. They are not. E.g., schizophrenia has various causes and needs different treatments. See William Walsh, PhD (2012) for some relevant research and treatment directions.
Read Anatomy of an Epidemic by Robert Whitaker for a history of psychiatry and the pharmaceuticals, and their lies...
What does he mean by “human connectome”
Fish InTheSea Pattern of connections among structures of the brain. In terms of both areas that “fire together” and “wire together.” It’s not to say that everyone’s patterns of connectivity will look the same, at all. But evidence is at least starting to emerge that individual differences in brain connectivity correlate with personality and symptoms of mental illness.
I think this guys would like to work with me.
What does it mean when we say that 6.000 less people died with leukemia? The population of the earth has increased. Are these numbers global or about the U.S? Do these numbers mean that we have 6.000 people less than before dying? Because if the population has increased, that number on its own is biased, since given an increase in population and an increase in the number of available medical resources would always result in an increase in the averted cases.
What I am more interested in is the percentage of the people whose lives has been saved compared to the total cases. Numbers and statistics make it easy to lie.
I love this video. After something like Sandy Hook, to think that we could identify a mentally ill individual and take preventative action, or even medicative action prior to an episode is huge.
I am not a scientist or a psychiatrist, not that either has any actual real proof for their opinions either - not the for sure really "known" kind of evidence. My evidence, is my life. My evidence is my own recovery from Borderline Personality. It was not anything structurally wrong in my brain. It was all that I didn't learn and the lack of bonding and nurture in childhood. I had excellent therapy and recovered in 1995. I never took psychiatric meds so what I know, I know first hand.
I suspect the reason we are hearing this at the moment is because no new psychiatric drugs have been developed for several decades and drug companies need new products to maintain profits. After a while drugs go out of patent and anyone can make them. New drugs make new money so new ways of understanding mental distress are needed to justify the new drugs.
The old way of understanding mental distress is being discredited more and more. In the UK clinical psychologists are pushing Formulation, a non medical alternative to diagnosis. Formulation means asking three simple questions:
1 what is your problem?
2 what do you think caused it?
3 how can we help you?
This is less stigmatising than diagnosis, often more effective and less likely to lead to drugs being prescribed for years and years.
Big Pharma needs to find a justification for developing and marketing new drugs. Insel is trying to find the justification for this. There are plenty of people who criticise his science, here is one of them www.jacobinmag.com/2015/07/depression-schizophrenia-dsm-nimh/
Simbolia It could very well be, think about it for a second, when they put people with mental illnesses in hospitals/psychiatric institutions where they are in a horrible environnement because they are locked up in their rooms with nothing else to do, how to do want them to get better, feel better etc... Then of course they will say that social/environnement aspects dont help a mental health condition. & that only pills can help them. Its like if they make sure that the only possibility for improvement comes from taking drugs.
*facepalm* Do you understand how WRONG this comment of yours is? Do you understand that what you are saying is both WRONG and DANGEROUS, because some poor people prone to delusions and impressionability will buy into it and skip the so much needed treatment.
This was a great video a great presentation and THE ONLY correct way of looking at mental illnesses.
This comes from someone who has suffered from mental illnesses for decades and still has some problems from time to time, and who's life has been unequivocally saved by some of those meds that you are trashing so hard.
PLEASE think before you write something like that, otherwise I'll assume that you are one of the Shicophrenics themselves who is currently in the midst of some paranoid delusion AKA "Big pharma is after us, they all just want to kill us!".
Pharmaceutical industry has it's fair share of corruption JUST LIKE ANY OTHER INDUSTRY in the world, but that doesn't mean that it's all fraud and that it's there to destroy us. GOD BLESS Pharmaceutical industry and medical science in general!
VEGETADTX you need to chill a bit lol
Underdog Dave, No! I don't want to chill out! :D
This matter is important, there are a lot of people who suffer from, let's say, Schizophrenia who could potentially fall for baseless theory that Johnny Ecoman is talking about and in turn stop using the so much needed medication that keeps them stable and safe.
"No new drugs for decades" Take 5 minutes and look read scientific journals. That statement is just so wrong
just go look at neurofeedback
Is psychology of the brain based on religious perspectives?
Marilyn Blum No.
No not at all! It's actually based on science and years and years of research. And no, it's not based on social control either because a lot of mental illnesses are actually from a biological predisposition to them, nothing to do with society. But of course, the environment does play a role in how serious the illness will present itself in the future, if it's biological. Psychology student here, by the way.
@@andriasperils1832 nothing to do if you dont have a job.mental illnesd just happens in vacum and doent have to do with anything.
plus you sound as me before i was robbed
85% of childhood leukemia victims dying is NOT impressive. To imply that there’s only a 10% improvement in 30 year is a good thing, well shake on you! Meanwhile more money and focus is put into making cars fly and “faster internet.” So sad.
Seeing thumbnail I thought this was Dr. Fauci
Yes, small money making dispassionate minds indeed.
This video definitely gave me an AHHA moment.
You left out the genetic disorder agoraphobia. Agoraphobia is misapply named. The name agoraphobia means fear of the market place in Ancient Greek. Ancient Greeks had no knowledge of genetic disorders. Science is just discovering them now. Agoraphobia is a serious genetic disorder that has many similar symptoms as anxiety disorder s. But it is severely different. Certain genes are just being discovered for the suicidal genes that they are. Not all people that commit suicide , have the genetic disorder that compels a sufferer to “ escape “ This genetic “escape “ is most serious. Claire weekes and her books came well before their time. They should be compulsory reading. And many genetic disorders are not gender biased. But in many cases with males , they don’t seek proper help because they se their masculinity threatened if they own up to their fears.
There are American actors who pretend that they're bipolar and the doctor, sponsored by big pharma, is very much willing to prescribe drugs
Don't worry people. I'm going to find a cure for mental illness
Please provide evidence to support your opinion....
Y do they persist in calling these things diseases, when it’s so obvious they are going to be caused by miserable situations? Is it really surprising? What gets me is how these guys look so serious.
14:49 Pretty sure Bill Gates underestimated the changes in his wife over the next 10 years XD
Honey, as a behavioral/social scientist, I think Feynman really got it wrong and his argument/observation departed from what we have been doing. (I can't really find that video here, but only found one very short clip in which he claimed social science is a pseudoscience.) The very first thing that came into my mind when watching his clip was: please be humble if you don't really know what you are talking about.
reactions to a toxic culture!
Our culture isn't outstandingly toxic, I like to believe that brain disorders are a result of a conflict between genes and the modern lifestyle.
Man himself has created mental disorder. We have created a society which is utterly disordered and that society produces people. We are all responsible for mental illness because we have all have created a society in disorder. We do not live in a healthy whole society. That is why I feel responsible for mental illness, because I am responsible for it. We have created specialists that work with individuals rather then the problem. I'm not concerned about fixing my depression, i'm concerned about fixing depression. Man kind can live healthily and wholly all he has to do is take responsibility for what he has created and not delegate it to "they". If everyone thought like I did then we would do something about it.
Good luck.
Why don't you just listen to your patients, just a thought.
preach
Well let's start with the fact that Psychiatry starts and ends with circular reasoning, while science avoids these "tools" like the plague.
Early detection, early intervention.... early drugging....
We need to look at why any child is displaying symptoms of schizophrenia.
Start with abuse, trauma, neglect and work from there.
Drugging any child without discovering the cause to me is going to create the next generation of silenced, suppressed victims.
Looking dangerous...be careful for all people dont let out your freedom about be yourself
Brain disorder more clinical
Dr. Insel utterly ignores environmental factors related to mental disorders. Stressful times in war that produce PTSD, anxiety from being rejected as gay, growing up poor, being laid off from work, having enormous student loan debt, having very little vacation time, getting divorced, etc. etc. I think Dr. Insel-urging psychotropic intervention-is hoping to paste a big smiley face over a world that has good reason to feel depressed and anxious.
He did not ignore them, they were just not part of his talk. I'm sure he is well aware of their effects. I expect part of your resistance to this research is that you do not want to view humans as a mass of neurons or the world as a mechanistic place. But humans ARE to a great extent a mass of neurons and chemicals. We can argue the philosophy of mind forever, but until someone is able to provide us with a model of how consciousness works, that is an unavoidable conclusion. Treating people at the neurophysiological level is producing greater results than anything we have done before, and no sane mental health practitioner would argue that such treatments should replace therapy and changing ones external conditions, or that it means we should be lax about making the world a better place. But the tools we have right now for treating, for instance, war veterans, fall far short of what we need, and all the external interventions in the world do not really seem to help them. We cannot make the world into a utopia, but we can alter the brain's behaviour to an extraordinary and until very recently completely unknown degree. This is a new field that is showing tremendous promise. Should we halt all the research because it does not agree with your view of the relationship between one's inner and outer worlds?
valinor100 "Should we halt all the research because it does not agree with your view of the relationship between one's inner and outer worlds?" Absolutely not. Research is always encouraged. The scientific method was developed for investigation, acquiring new knowledge and correcting and integrating previously inaccurate knowledge (for example: that Valium was non-addictive). The big question to you, valinor100, do you trust the science behind OCD drugs? Do the benefits truly outweigh the immediate and long-term risks?
gamezswinger
I don't take any OCD drugs. In fact, Valium was what I was addicted to, so I am no stranger to the ignorance of the general medical community regarding prescription drugs. I am involved in experimental research out of the University of Waterloo, Ontario, Canada with transcranial electrical stimulation and transcranial direct current stimulation. The effects have been immediate, sustained, and profound, and repeatable in clinical trials. There is no risk of addiction and few to no side effects (none for me).
valinor100 Transcranial electrical stimulation does not seem to be as destructive as electroconvulsive therapy (ECT), which commonly causes pronounced confusion and long lasting or permanent memory loss. I'm always amazed at patients who have so many bad experiences with so many different treatments (i.e. psychiatric medications), and still have buried in them optimism to reach out for yet another treatment. It's an unwavering faith by patients that researchers have finally come up with a treatment or cure for their illness. In a way, those with unwavering faith are the human test subjects that will generate safety and efficacy data, much like the men who grew breasts while taking Risperdal-or pregnant women who were prescribed Thalidomide, which caused malformation of the limbs of infants.
I'm not sure what you're trying to communicate here. That I would subject myself to a risky and untested treatment without careful forethought? Transcranial direct current stimulation is an established treatment now, with hundreds of studies to its credit, and very few side effects have ever been recorded. It has demonstrated results in many areas, including OCD, bipolar disorder, schizophrenia, depression, chronic regional pain syndrome, Alzheimer's, focus and concentration, and cognitive enhancement. The field is expanding rapidly. The people doing the work are well are of the failings of medication regimes - as am I - and the devices they use are ever more sophisticated. The University of Waterloo is one of the most advanced research facilities in the world as far as the health sciences are concerned. Am I willing to spend the rest of my life dogged by OCD that I have expended extraordinary effort on external solutions - diet, exercise, meditation, yoga - that have all failed, or opt for cutting-edge treatments that are nothing like the treatment regimens of the past? This is a vast new area of study, but the benefits, for me and many other sufferers, the benefits far outweigh the risks, and I have lost whatever romantic notions I used to have about the 'right' way to approach health and well-being except purely pragmatic ones.
Also about the grey matter lose and the difference in the brain as he put's it with children diagnosed with schizophrenia he leaves one detail out.
Some studies have found that the antipsychotics actually cause all these differences in the brain he is mentioning.
I do not know if future studies have debunked this or not though.
Early detection sounds great but we don’t have anything to treat depression, anxiety, or schizophrenia with medically. Antidepressant and Anti-psychotic medicine show worsening outcomes in long term therapy.
Apparently someone thinks this video proves materialism. Sighs...
Sorry, but this video had very little real value, very little information. It also completely disregarded the actual cause of numerous issues in the brain, that of the digestive system and the foods and drinks we consume, especially in the US. The gut/brain link must be priority. If you realize how crucial digestive health is to our entire body, you will realize that our digestive system isn't just our "second brain" as many say, it's actually our first brain. Mess up the gut, mess up the brain. You're correct in the fact that mental disorders start much earlier than the obvious symptoms. Indeed, the disorders start in the gut long before damage to the brain. Foods such as gluten are not only damaging to the gut, they also cross the blood brain barrier and cause numerous disorders in the brain including all the disorders you mentioned in this video. I beg you to update this information to better inform the public and to save lives.
Show us objective scientific proof then 😉
Aek Sinsang I don’t understand why they have to make it so complicated. Schizophrenia is caused by too much dopamine; ADHD is caused by not enough. You’d think they’d be able to test the dopamine level and subtract it - adderall provides dopamine, temporarily, for us ADHDer’s.
@@trishalfaro I think they are looking for a more effective way to help. it's just sad that people don't take this as seriously as cancer because I bet that your response would be much different.
@@trishalfaro Actually, schizophrenia is ALOT more complicated than just too much dopamine. I'm a psychology student and I had to do an in-depth neurological research about it pretty recently, actually. And yes, dopamine is part of the problem (that's what brings on the positive symptoms (hallucinations, delusions etc.), but there may also be issues with the GABA, glutamine and serotonin receptors, which may be the reason for the negative symptoms (catatonia, cognitive impairments, impaired speech). And also, psychiatrists do give medicine like clozapine to battle the positive symptoms but it also has a huge disadvantage because with chronic use, it brings on Parkinson-like symptoms and other physical impairments because without dopamine, the body struggles to synchronise movements, and dopamine plays a huge part in that in the basal ganglia area in the brain (one of main the areas responsible for synchronicity and movements of the muscles, limbs etc.). It's a VASTLY complicated disorder, and to this day, scientists still haven't been able to figure out what exactly causes it.
@@trishalfaro You can not test a person's dopamine level in their brain. Period!
They can't because they have no proof.
Mr. Len Bennati, is kind of impossible to agree on something that sounds ridiculous.. there is NO way the brain is the hardware of the soul.. the soul is not even a physical organ!
The superstition of dualism subverts progress.