I am Schizo-affective and I have noticed that most youtube videos concentrate on those with Schizophrenia who exhibit fairly extreme symptoms. Lots of us are very productive citizens. I have to admit I am very lucky in my most frequent symptom is auditory hallucinations most of which I can recognized as a symptom and not real. Its certainly not fun but we are not all camping out in the mental ward teaching courses on urine screens and tea bags.
What are your thoughts on the possibility of schizophrenia being more of a spiritual thing than mental? In other cultures ppl looked at it as someone who was meant to be a healer
@@jessicapoepping It is a chemical imbalance in the brain, not a spiritual issue. Making such comments as yours might lead people who have schizophrenia to think that they are somehow responsible because their spiritual life is flawed. But, that is not the case. If a person had a physical issue, like a broken leg, would you ask if the fracture occurred as a result of a spiritual issue? Of course not! So, why would you ask the question of someone who has a physical issue with their brain?
@@darthcarnage6734why comment at all if your were just gonna say something rude asf. She had a simple request lol if it ain’t for you keep scrolling🙄y’all are 2 ignorant on the net
It's hard to predict the answers--but also impossible to see what associations are being made in the young woman's head, and whether she's having difficulty distinguishing between things she's said and things she's thought etc. When I've been in psychosis, a common thing I've experienced is hearing multiple sentences or phrases when a person speaks--there'll be what was actually said, then various things simultaneously that have similar pitch and rhythm, when things are really bad I'll be confused about what was actually said. This is also true of things that I've said--or even just thought, I'll get the impression that I've said my thoughts out loud when I haven't spoken at all.
Thanks so much for sharing Donny. I’ve heard of similar experiences from other people who live with schizophrenia. We often take the clarity of our thinking for granted.
As someone with a similar kind of schizoid mental illness, it definitely seems as such. The border between my thoughts and experiences sometimes become a bit murky, and that causes things like the disoriented lines of thought that the women in the interview expresses.
As you said, if this is acted then it's very convincing. @5:57 you see how she uncomfortably shifts in her chair when asked if she hears voices. You can learn so much from such small details.
My ex had several strokes and had derailment a lot. What I learned to do is listen by association. She was from Florida and was taken to a hospital from the strokes. She texted me saying help me I'm in jail at home. Sometimes, the definitions and syntax go away but the feelings remain. This particular interview would be extremely hard, but I think with a family member present it would be easier.
I find the therapist herself planted ideas in the young woman's mind, for example she asked twice if the television plants ideas in her mind, the second time the answer was already "it's possible"
Cant believe this showed up on my feed there days late!! On a more serious note, I recently learned my cousin was diagnosed with schizophrenia(its not a concrete diagnosis but a possiblity) so watching these is really helping me learn about this illness.
I'd love to hear how psychiatric professionals distinguish between the various forms of psychoses. For example a psychotic break due to a sudden death of someone close that triggers a memory of childhood trauma, versus paranoid behavior in onset of dementia, versus schizophrenia or mania, or organic causes for that matter (e.g. ruling out fungal infection, brain trauma, syphilis...)
The idea of Aberrant Salience explaining the word salad and disordered thoughts is the best explanation I have heard so far to explain this. It makes a lot of sense.
I wish you would have been my teacher in any of my school, you have a great sense of teaching. I love psychology, I learnt it in the uni (but I have another degree.)
I'm diagnosed with asperger, ocd and unspecified psychotic disorder which I got at mental hospital at age 16. At that point I clearly was a harmful and destroying type or person and very dangerous to myself and environment, but after that I have not experienced such condition. The problem is though lately in the last years I have experienced some of the symptoms shown here. I can't enjoy stuff, my emotions have almost completely disappeared. I have long conversations with myself, for example asking a question, then answering it. I don't have poverty of speech or thoughts like the person on the video, in fact I can create very complex sentences and though processes but nowadays these are more and more about abstract things like God, ''another side'', ''the invisible'' and so on. I could speak for hours and people usually have to ask me to stop talking because it would take all their time. But when speaking, I usually tend to avoid eye contact, and I ''speak at walls''. Also I sometimes suffer from a memory blackout, I am in the middle of doing something, or speaking, but suddenly I don't for example remember who I am or where I am, or what am I even doing here. Resuming the topic could happen soon, but could be that I can't go back to it, and I have to start something new, and maybe as late as the next day I remember what I was actually doing. Sometimes I wander to a place or direction where I was not supposed to go at all. (I think these are not typical psychosis symptoms, or are they?). I'm also kind of afraid of my safety and that someone could want to hurt me. For example I'm kind of afraid of the new year because I feel the youth might want to fire the rockets towards me on purpose, and I'm planning to use heavy safety equipment when going outside (I still want to go though). I also feel IF stuff like that happens to me, it would be justified, because I have been a terrible person and doing terrible stuff in my life, so I deserve a punishment sooner or later. It still does not mean I would accept something like that, I never would. I have been alone without any close relationships or friends for my life, but recently I have got even more isolated and I suspect people for what they are after, if they want to speak to me, or get to know me. But the weird thing is, I notice something is wrong and I have been talking about it with my team. But they haven't been able to diagnose the condition any better. We have tried medication, SSRI and anti psychotic, the SSRI maybe increased my condition a bit but also caused me some mania which lead to kind of harmful situations like gambling. The anti psychotic medication though just made me really tired all day and didn't help with the symptoms at all. I have been watching these videos a lot to find out stuff and understand what could be wrong. Also about some other stuff like dementia and physical neurologic problems. I hope this condition gets better some day, because I am not happy with it. Especially the thing that I can't enjoy pretty much anything and every event, what ever it was, feels nonsense, is problematic because I used to be a very different person earlier.
She’s probably not. She probably looks and sounds that way because of the negative symptoms. At least, if she was heavily medicated, I would hope her symptoms would be much better than this!
@@gigahorse1475exactly, most people with this illness/disorder act like this, showing little emotion in their voice and gestures and having flat facial expressions that don't match up with the conversation
Dr. Syl- Do patients with this disorder have low receptive communication? Do they understand what is being asked of them? Are they aware of what’s going on? How would a psychiatrist determine that?
you have to get the cue cards out. You can communicate more with them. I'm on the edge. had a ton of intrusions on my last IQ test. I have also learned that reading and writing helps. I have more than one mental illness, too. I get it a lot from people who notice profound differences in my personality from minute to minute or sometimes days. I'm not saying I have DID, which is another manipulation by them. I'm simply shattered. I had a little nectar from the gods. Hindus know how to cause that. In life, the things they did to me were beyond evil. Such as, I am not allowed my own thoughts or to value myself. We're degraded beyone measure, and now we scare people. I have to watch what I say. I had an ego death as well. The doctor was like, there's nothing left of her. Now I get thought blocked. It's annoying because really bad things happen to me, and I can't tell anyone. I got sick of my neighbors bothering me. Oh, I worked from yadadada. You never fell from grace. Okay, do you want to be like the girl in this video? Now I live in a facility. It's a nice one. A while ago, I was in a group home, and we had someone who had this bad and totally lost themselves. He was nice, hated strangers. A few students came to observe us, and T lost it, yelling at them that they'd been sexually abused. He also had sex with the dog. He couldn't understand or say hardly anything relevant but somehow knew that I liked soda and got me some. He smoked a lot, and we'd sit on the back patio watching the billion cats and stars. We got into a small fight over what we were going to call a new cat. I said "sushi," and he said, "Scatters." As the cats scattered. I won. Within five minutes, he was silent.
I believe this patient thinks her answers make perfect sense. I don't think she is disturbed by the way she responds. In fact, she says she is at the hospital to teach urine tests ... not to seek help.
I would also wonder whether people suffering from this are able to recognize the delusions after having received some treatment, learning about the illness etc... I don't think I've ever gotten a completely clear answer on this, but perhaps it's because it's quote complicated.
i wonder if im just anhedonic or apathetic or avolicious or depressed or i have adhd or i have aspergers syndrom or i have audhd or i have tics or i have tourettes but i matched almost all these symptomes holy SHIT
Hey Doc I recently started working at a psychiatric facility, do you have any sources on recent studies with regards to new treatments of hebephrenic schizophrenia?
Poverty of thought is a good example of seeing schizophrenic symptoms through a narrow and distorted lens. One has to ask, how would you know that there isn't a whole lot of thinking occurring when someone doesn't speak much. It's diagnosed as poverty of thought. But how would you know? Could you read her mind? Doctor, do you believe that you can read her thoughts, LOL. :D She's being asked leading questions when she's in a fragile vulnerable state. Which seems somewhat dehumanizing to me, and uncaring. Not to mention that she might be carefully considering how to answer questions that are designed to trap her into getting a psychiatric diagnosis that could lead to institutionalization, oversedation, being tied to a bed for hours on end, and who knows what other violations, especially in the past. She might feel that she has to be on her guard. The less said the better, but that she has to say something. Even if it doesn't come out making much sense. Maybe psychiatric meds have muddled her thinking somewhat as well.
I understand your concerns. However, it's important to clarify that the diagnosis of schizophrenia (or any mental health condition) does not involve reading someone's thoughts. The process is complex and requires a comprehensive evaluation. "Poverty of thought" is a term to describe a reduction in the quantity and quality of thought processes OBSERVED. It signifies difficulties in generating and expressing coherent and organized thoughts, rather than suggesting a lack of thinking. They assess this symptom by considering observable behaviors, speech patterns, and other indicators, rather than relying solely on one aspect (eg. based on how much the patient talked). It's also common for doctors to involve the patient's family in the evaluation. The primary goal is to gain understanding and provide appropriate care, with no intention to trap or dehumanize individuals.
@@stefinan8792 Then they should be calling it poverty of expression of thought, NOT poverty of thought. That's so reductionist and a bit arrogant. And it also fails to take into consideration why someone might be having trouble expressing their thoughts. Seeing it as nothing more than a symptom of schizophrenia IS dehumanizing. A patient might have been brutalized for expressing their opinions, threatened into silence, browbeaten, and terrorized, but that's not what bio-psychiatrists see. They only see a brain that needs sedating with major tranquilizers and a DSM-5 label to justify writing a prescription for it. Some claim that psychiatry is trauma uninformed. I realize that this is just the opinion of one psychiatrist, and even though Dr. Robin Murray is a psychiatric researcher who's highly credentialed and regarded, you might not think much of it,. But I'll post it here just in case. "In the last 2 decades, it has become obvious that child abuse, urbanization, migration, and adverse life events contribute to the etiology of schizophrenia and other psychoses. This has been a big shift for me! Indeed about 5 years ago, after I had given a lecture on the subject of social factors in schizophrenia, one listener stood up and said “Professor Murray, I last heard you talk about social factors in schizophrenia in 1982. Then you were against them, now you are for them.” The audience fell about laughing! I spluttered that one must change one’s mind if the data change. However, the truth was that my preconceptions had made me blind to the influence of the social environment. I never had a proper epidemiology training-but a succession of younger fellows in my group spent a year at the London School of Hygiene and Tropical Medicine. There they learnt how to use epidemiological techniques to examine risk factors for psychosis, whether they were social or biological. So, for example, Peter Jones and Mary Cannon were interested childhood hazards be they infection or abuse, David Castle and Nori Takei studied effects of urbanization, Jane Boydell and Craig Morgan researched migration and ethnic minority status, while later Marta Di Forti examined the effects of cannabis. Jim Van Os in particular taught me, and then European psychiatrists as a whole, that it’s oversimplistic to regard schizophrenia as just a brain disease. Asthma may be a lung disease but it is one which can be precipitated by environmental toxins (eg, pollution) and allergens. Just as the lungs process air, so the brain processes external stimuli; consequently, its healthy function can be harmed by noxious factors in the social environment such as childhood abuse or adverse life events." - Mistakes I Have Made in My Research Career Robin M. Murray Author Notes Schizophrenia Bulletin, Volume 43, Issue 2, 1 March 2017, Pages 253-256, Published: 21 December 2016
@@czlucar it's just a name... everyone knows what poverty of thought means if they have proper medical training. So what do you think 'word salad' is then? Literal people eating words as salad? Also, I never deny that trauma or other external factors can cause schizophrenia. They are called risk factors. I don't know what could be more dehumanizing than generalizing a group of people and calling those who have dedicated their lives to studying this field reductionist, arrogant dehumanizers. The treatment for schizophrenia or any other mental illness depends on symptoms, history, and severity, so it will vary from person to person. For simple explanation, if patient A and B both have dengue fever, you can stop ibuprofen in patient A first if they no longer have fever symptoms, and give extra painkillers to patient B for their joint pain (even if they both have the same diagnosis) same with psychiatric cases. The DSM-5 is not everything; that's why it takes years for people to study in this field. It's a lot more complex than that. I'm sorry for the things you might going through/see to assume something so extreme, but based on my 6+ years of medical experience and the people around me, we have never had to use tranquilizers or other extreme measures. We prescribe medications accordingly, starting with minimal drugs and low doses while monitoring side effects and improvements. We prioritize psychotherapy like CBT, etc., before considering medications. We are trained to use severe methods only in super extreme cases, for example, if a patient can potentially harm others or themselves
aphasia is a language disorder generally caused by brain damage that affects comprehension and language. disorganized schizophrenia is a mental illness that causes impaired communication & thinking ability, usually paired with other symptoms like showing emotions that aren't appropriate with the situatuon (like laughing when someone says something sad), being blunt/monotone, having problems starting and/or finishing tasks, being less goal oriented, hygine problems. of course in really severe cases hallucinations etc.. basically if there's other symptoms then you can tell
I realize this video is 2 years old, but I have a question for you. Firstly; Why is it not considered that multiple mini-strokes have not been responsible for the inability to accurately respond? She is 'fishing' for words, and unable to recall the ones she needs (as it appears). This is common among stroke victims, as is the ability to process what is said. Her eyes focus on the person Secondly; Why has early onset dementia not considered in this case? Aphasia can be a common symptom of some types of dementia, along with the inability to find and use the correct terms. She is clearly trying to respond, trying to be compliant, but is unable. As you pointed out, she is physically relaxed, leading one to believe that she sees herself as being at least somewhat successful with her responses, a result that is being encouraged by the lack of negative feedback from the woman questioning her. Respond if you are able/willing to do so. Thank you.
These people are just actors, but it would be assumed that in a real case organic causes would be ruled out as possible sources of symptoms. In a stereotypical case of Hebephrenia (Disorganized Schizophrenia) there are often cognitive impairments and focal neurological signs which are present prior to the onset of psychosis and which progressively worsen as the prodrome goes on and psychotic decompensation eventually begins, despite a lack of actual brain damage.
Fascinating, Syl - thanks. Your videos are very informative. My question is how we distinguish between the schizophrenic symptoms of hearing voices and religious people who believe that their god is speaking to them.
I would definitely say this is acting. I'm schizophrenic and have taken acting courses, and it's just a pretty well done job. With a real schizophrenic person, it would just look different, to me. There would be pauses, but it wouldn't feel like a forced pause like I am seeing here. It looks like the actor is purposefully stalling her responses, rather than just having a natural delay.
So I can't say for sure what she meant ( as you claim this is acting) BY saying "ST". However "ST" can mean to some locals as Southern Texas, the same way Florida is called lower Alabama by some people from Alabama. Also "opening the tea bags" could mean she reads tea leaves. Unless you clarify the specialized nomenclature that a person uses in such events, you may not know what they're really saying and jump to conclusions that they're speaking erratically. Notice the investigator, doesn't bother to find out what she means by what she says.
When words salad wouldve been identified in the patient speach, why would you feel comfortable to give credits to futur answers? Such as her possible ideas of reference concerning the TV? As Bob Ross would say, maybe that's 'just a happy accident'?
Doctor I was watching these videos and I thought these specific series were real, man what a LET DOWN ☹☹☹. I was investigating about the autenticity of these kind of videos but found nothing conclusive. The only thing I found is about the HIPAA law in the USA, so they must be acted, otherwise they would be violating the american HIPAA law, then again this law was enacted on august 21st 1996, so they still can be real, the older ones (1950's, 1960's) seem pretty real. But if they're acted would be such A LET DOWN, like I was really sad watching these series. Great you're doing videos about these, much intriguing.
This is very interesting to me. As someone who does a lot of meditation and spiritual work oftentimes in the higher states you do see visions, hear voices and feel things. The difference I guess is when you have this experience you can see how it promotes your own development. And of course you don't make irrational conclusions. Once I was waiting for my son in the car of an area where there were some street people. As I waited I saw a homeless person walk past a parking meter, stop, look down and speak to whatever he saw. He moved on and about ten minutes later a homeless woman came by. She passed the parking meter, looked down, had a brief conversation with whatever was there and moved on. Since those two people did not see each other or communicate in any way, it was obvious something beyond our perception was there. It was all just too logical and normal to be otherwise. Spiritual people understand there is a whole hidden universe we don't connect with because we only use logic to see our world. Maybe people who see "hallucinations" can actually see that hidden universe. I don't know. I am not saying they aren't I'll, but maybe there is something else happening along with the other problems.
There was a brilliant band in the early 1980s called The Sunnyboys. Peter and Jeremy Oxley formed the band but a few years later Jeremy exhibited signs of Schizophrenia. The Sunnyboy is a 2013 documentary that details his experience.
Hebe can be decoded. You'll learn see with quantum computers and entanglement. First you simply decode what the question comes in as and then what their reply comes as. Also this doctor shaking her head is very unprofessional. That girl can read her facial expressions but heres the main part. Quantum Physics can answer schi very easily. It's relativity. Information from the key and the tone are being encoded at different times. If one thinks of them hitting the desk with their hand and the sound coming before or way late, you're mind won't be able to logically place it in order. This is what leads to all the other problems. The associations are all screwed up. For this specific video, her last responses, she acually gets within the ball park. The reason this type of schizo doesnt tend to harm people is because they are always inernalizing her thoughts and it's an endless search for a coherent sentence or thought. Auditory halos are simply them not being able to place where a sound came from. Now a doctor might say this is "crazy talk its not happening" however, it is. It is just happening out of place due to the information from hearing coming at the wrong time. When you cannot place a sound, you then look deeper into your mind and pay deeply attention (paranoia) to try and place what is causing it. Then that amplifies the problem when you look so deep and are in such a state of paranoia you hear your own subconcious. THIS is when someone with the paranoid schizo starts making friends with their subconcious. If it's a positive relationship, looking for comfort etc, they hear the comforting words because, that is what they are looking to hear, then respond to it, which causes a positive loop. Vice versa for negative. Most doctors can only go by a book but don't actually have the capability to actually simulate their experience in their own mind to understand it.
Oh boy, are you ever mistaken! Do you really understand psychosis, which, when extreme, tends to get diagnosed as schizophrenia? You're only seeing her symptoms through a narrow and distorted lens assuming that there's some brain disease behind the symptoms, because psychiatry remains trauma uninformed. There's actually a human being behind those symptoms, a real person with fears, and most probably a history of trauma or social exclusion. You need to read some stories written by people diagnosed with the disorder or watch some of their videos. Have you seen Eleanor Longden's TedTalk 'The Voices in my Head'? Have you heard of, or read, Jung's Red Book? And as if being trauma uninformed wasn't enough, what really angers me is when patients who have a real disease, a hormonal or neurological condition, are misdiagnosed with schizophrenia because of psychiatric ineptitude. Have you seen the video 'Brain on Fire' based on the true story of a woman with encephalitis who would have most probably died in an institution if it wasn't for the neurologist who correctly identified what she had? Even when she was having seizures, her ignorant doctors diagnosed her with a psychotic condition. The truth will eventually come out. It's already started to with certain TedTalks and articles by renowned psychiatrists like Robin MacGregor Murray FRS, Scottish psychiatrist and Professor of Psychiatric Research at the Institute of Psychiatry, King's College London. Why don't you look him up to become better informed.
Psychosis is a symptom found in different mental health disorders, while schizophrenia is a specific mental disorder with a range of symptoms, including psychosis. To fully understand the diagnosis, I suggest reading the DSM-5 itself. It's based on extensive research and professional expertise, providing more factual information compared to individual opinions like TED Talks or articles, and stories which can be subjective. It is important to note that both psychosis and schizophrenia can often be related to trauma, and the diagnosis of either condition does not dismiss the impact of the individual's traumatic experiences. Also, misdiagnosis is common in medical practice and doesn't mean doctors are incompetent. Some medical conditions can mimic psychiatric disorders (example: psychiatric seizure or psychogenic nonepileptic seizures (PNES) and other seizures", and initial presentations can be vague or unusual, making it difficult to identify the underlying cause right away. Doctors rely on available information, like medical history and tests, but there CAN be a tendency to consider psychiatric explanations, before fully exploring other possibilities, given the prevalence of psychiatric conditions. Misdiagnosis and changes in diagnosis can occur, it is the complex nature of medical diagnoses and the importance of ongoing evaluation and collaboration with the patient :)
@@stefinan8792 I'm surprised that you think so highly of the DSM-5. So many medical experts and researchers don't. I'd link to the article, but RUclips won't allow it. So I'll post an excerpt. It's a shame that you don't seem to value other opinions and viewpoints. But here is one that I'd like to share with you nonetheless: "Lieberman defends the DSM by acknowledging that it is flawed-and unique among medical specialties in its lack of objective measures-but suggesting that there is no better way to conceptualize distress: “It’s easy to criticize the DSM […] But at this point, it represents a system that is as good as we can have, given our current state of knowledge […] Is it ideal? By no means. But there’s no better alternative. Hopefully, research will soon enable modifications that will lead to pathologic diagnostic assessments, like every other field of medicine has.” - Lieberman One criticism of the DSM mentioned in the article is that-unlike other medical specialties whose diagnoses are based on understandings of the biology involved-psychiatry’s diagnoses are agreements among self-appointed experts regarding what personalities or experiences are “abnormal.” In fact, the diagnostic categories being considered for inclusion in the DSM 5 were circulated to the general public for comment-a tradition unique among doctors and researchers who are constructing supposedly scientific medical diagnoses. Of course, this public accountability has its benefits. It is one reason why homosexuality is no longer technically a medical disorder, despite its inclusion in previous editions of the manual. It seems that sometimes a committee of experts believes certain ways of being-such as being gay or transgender-are “disorders” or “diseases,” but if enough people disagree, incremental changes can be made." - Medscape Article Reviews the Fatal Flaws of the DSM - Leaders in psychiatry urge doctors to ignore the specific criteria in the DSM and suggest that the manual may actually impede good medicine. By Peter Simons -December 28, 2020 - A new article in Medscape Medical News-a leading online medical news service-addresses the controversy over psychiatry’s “Bible,” the DSM.
@@czlucar i believe you misinterpreted my reply, as I see DSM-5 as a standardized tool to help to guide. Thats why theres a lot more tool to help for more accuracy (eg. Depession scales, MMSE, Insomnia severity index etc). Furthermore, diagnosis is not everything, ultimately treatment will still vary according to each person and experience as each human have unique traits. Its not like we give the same set of drugs to every people just because they are diagnosed with the same diagnosis, it makes no sense. What if they are resistant to drugs? We can use non-pharmacological methods such as hypnotherapy or psycotherapy. The end goal is always towards the better health of a person.
@@stefinan8792 MMSE - The Mini Mental State Examination, LOL. During Covid lockdown, many people had trouble remembering the day of the week. And very anxious people might have some problems with that test. Their mental states could be hampered by their fear of psychiatry, especially if they were traumatized in a psychiatric setting or saw someone who was. Much like how white coat syndrome could raise the blood pressure of some patients who don't have hypertension. Depression scales - On a scale of 1-10, how depressed are you? Do you realize how confusing that question is for many people? You want to be taken seriously but you don't want to sound suicidal and risk being held against your will. I have an FB acquaintance who missed her graduation ceremony and giving her valedictorian speech because she gave the wrong answer. They're such subjective tests, so open to bias and misinterpretation, like the DSM. It is very difficult for many people to trust psychiatry. We might have seen people harmed in psychiatric hospitals, mistreated, and deeply misunderstood. People who've been traumatized need to feel safe, they need compassion and healing. Not forced psychiatric treatments and a stigmatizing DSM label that dehumanizes their reaction to the trauma and blames it on a brain problem. As Eleanor Longden said, the question that people in crisis should be asked is NOT 'what's wrong with you?' but 'what happened to you?' I don't believe that psychiatry is evolved enough yet to understand that. But there are psychiatrists who are honest about the shortcomings in psychiatry and trying to make it more humane.
My brother is paranoid schizophrenic so my first question is. Is there just one voice or many because if it’s one voice he’s dangerous if many voices he’s trying so hard to hear so dosn’t talk much and is non violent
Don't you think this description is offensive to people suffering from schizophrenia? I wouldn't like someone saying about me that the thoughts are absent in my mind. Isn't that just a sophisticated way of calling somone dumb? Sure seems like to me.
You're basing your power-hungry conclusions on a scripted acted-out video? You'll never make it as a consultant. Posers like you and Tom Montalk seriously need to be censored and decommissioned.
I am Schizo-affective and I have noticed that most youtube videos concentrate on those with Schizophrenia who exhibit fairly extreme symptoms. Lots of us are very productive citizens.
I have to admit I am very lucky in my most frequent symptom is auditory hallucinations most of which I can recognized as a symptom and not real.
Its certainly not fun but we are not all camping out in the mental ward teaching courses on urine screens and tea bags.
What are your thoughts on the possibility of schizophrenia being more of a spiritual thing than mental? In other cultures ppl looked at it as someone who was meant to be a healer
@@jessicapoepping It is a chemical imbalance in the brain, not a spiritual issue. Making such comments as yours might lead people who have schizophrenia to think that they are somehow responsible because their spiritual life is flawed. But, that is not the case. If a person had a physical issue, like a broken leg, would you ask if the fracture occurred as a result of a spiritual issue? Of course not! So, why would you ask the question of someone who has a physical issue with their brain?
@@girlfromsouth214 because I'm curious.
@@jessicapoepping Lol, are you serious. Try living in reality.
@@Enscriptiv try doing some research before you come at me, normie. Sorry I don't follow society like a sheep. 🤣
Please please please do a video on Narcissisms, I feel that people are throwing the term around without truly understanding what NPD is.
Check out Dr. Ramani.
Oh yes please. Every Exboyfriend or Girlfriend is called narcissist nowadays.
Trump plus Bezos 😂
Well it’s not like there aren’t thousands of videos on the subject anyway… we see you suspect need to draw attention towards yourself now
@@darthcarnage6734why comment at all if your were just gonna say something rude asf. She had a simple request lol if it ain’t for you keep scrolling🙄y’all are 2 ignorant on the net
It's hard to predict the answers--but also impossible to see what associations are being made in the young woman's head, and whether she's having difficulty distinguishing between things she's said and things she's thought etc. When I've been in psychosis, a common thing I've experienced is hearing multiple sentences or phrases when a person speaks--there'll be what was actually said, then various things simultaneously that have similar pitch and rhythm, when things are really bad I'll be confused about what was actually said. This is also true of things that I've said--or even just thought, I'll get the impression that I've said my thoughts out loud when I haven't spoken at all.
Thanks so much for sharing Donny. I’ve heard of similar experiences from other people who live with schizophrenia. We often take the clarity of our thinking for granted.
As someone with a similar kind of schizoid mental illness, it definitely seems as such. The border between my thoughts and experiences sometimes become a bit murky, and that causes things like the disoriented lines of thought that the women in the interview expresses.
As you said, if this is acted then it's very convincing. @5:57 you see how she uncomfortably shifts in her chair when asked if she hears voices. You can learn so much from such small details.
Seem somewhere that its acting but transcripts of real patients to protect their privacy
It Cant be acting, it is too overloading inside of her
You're WAY underrated, but it's nice to see you growing slowly but surely... Really love these videos! :)
Oh thanks so much! Feel free to share around 😜 hehe
Didn’t get notified. This channel deserves more views.
Thanks for signing up for notifications :) - sorry about that!
Glad I’m finding many small youtubers involved in the healthcare system
I didn't get a notification for this? I suspect many many others didn't either. Thank you for your time! This was very interesting!
Thanks for the heads up! I think I know why (I messed something up on the back end - oh well!). Really appreciate the comment!
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My ex had several strokes and had derailment a lot. What I learned to do is listen by association. She was from Florida and was taken to a hospital from the strokes. She texted me saying help me I'm in jail at home. Sometimes, the definitions and syntax go away but the feelings remain. This particular interview would be extremely hard, but I think with a family member present it would be easier.
I'm so glad that I found your channel! It really helped me to study for my psychiatry posting.
i like this channel
This channel likes you!
I find the therapist herself planted ideas in the young woman's mind, for example she asked twice if the television plants ideas in her mind, the second time the answer was already "it's possible"
That's the point, I believe.
Cant believe this showed up on my feed there days late!!
On a more serious note, I recently learned my cousin was diagnosed with schizophrenia(its not a concrete diagnosis but a possiblity) so watching these is really helping me learn about this illness.
I'd love to hear how psychiatric professionals distinguish between the various forms of psychoses.
For example a psychotic break due to a sudden death of someone close that triggers a memory of childhood trauma, versus paranoid behavior in onset of dementia, versus schizophrenia or mania, or organic causes for that matter (e.g. ruling out fungal infection, brain trauma, syphilis...)
The idea of Aberrant Salience explaining the word salad and disordered thoughts is the best explanation I have heard so far to explain this. It makes a lot of sense.
This series of training videos were well done.
I wish you would have been my teacher in any of my school, you have a great sense of teaching. I love psychology, I learnt it in the uni (but I have another degree.)
Just found your channel and I have to say, well done! I should be sleeping but I'm too interested in all of your videos. Subscribed
PLEASE DO MORE OF THESE !!!
I'm diagnosed with asperger, ocd and unspecified psychotic disorder which I got at mental hospital at age 16. At that point I clearly was a harmful and destroying type or person and very dangerous to myself and environment, but after that I have not experienced such condition. The problem is though lately in the last years I have experienced some of the symptoms shown here. I can't enjoy stuff, my emotions have almost completely disappeared. I have long conversations with myself, for example asking a question, then answering it. I don't have poverty of speech or thoughts like the person on the video, in fact I can create very complex sentences and though processes but nowadays these are more and more about abstract things like God, ''another side'', ''the invisible'' and so on. I could speak for hours and people usually have to ask me to stop talking because it would take all their time. But when speaking, I usually tend to avoid eye contact, and I ''speak at walls''. Also I sometimes suffer from a memory blackout, I am in the middle of doing something, or speaking, but suddenly I don't for example remember who I am or where I am, or what am I even doing here. Resuming the topic could happen soon, but could be that I can't go back to it, and I have to start something new, and maybe as late as the next day I remember what I was actually doing. Sometimes I wander to a place or direction where I was not supposed to go at all. (I think these are not typical psychosis symptoms, or are they?). I'm also kind of afraid of my safety and that someone could want to hurt me. For example I'm kind of afraid of the new year because I feel the youth might want to fire the rockets towards me on purpose, and I'm planning to use heavy safety equipment when going outside (I still want to go though). I also feel IF stuff like that happens to me, it would be justified, because I have been a terrible person and doing terrible stuff in my life, so I deserve a punishment sooner or later. It still does not mean I would accept something like that, I never would. I have been alone without any close relationships or friends for my life, but recently I have got even more isolated and I suspect people for what they are after, if they want to speak to me, or get to know me.
But the weird thing is, I notice something is wrong and I have been talking about it with my team. But they haven't been able to diagnose the condition any better. We have tried medication, SSRI and anti psychotic, the SSRI maybe increased my condition a bit but also caused me some mania which lead to kind of harmful situations like gambling. The anti psychotic medication though just made me really tired all day and didn't help with the symptoms at all. I have been watching these videos a lot to find out stuff and understand what could be wrong. Also about some other stuff like dementia and physical neurologic problems. I hope this condition gets better some day, because I am not happy with it. Especially the thing that I can't enjoy pretty much anything and every event, what ever it was, feels nonsense, is problematic because I used to be a very different person earlier.
I miss these mental health reaction videos. i think they are so interesting
Shes telling the truth about tv. 100%
The person who uploaded this clip (pika grape snack) has deleted nearly all of their videos, including this one 😭
New sub from Alaska. Love your channel.
St means "state" in the U.S.A.
Also "saint".
She sounds like she's heavily medicated
She’s probably not. She probably looks and sounds that way because of the negative symptoms.
At least, if she was heavily medicated, I would hope her symptoms would be much better than this!
@@gigahorse1475exactly, most people with this illness/disorder act like this, showing little emotion in their voice and gestures and having flat facial expressions that don't match up with the conversation
Dr. Syl-
Do patients with this disorder have low receptive communication? Do they understand what is being asked of them? Are they aware of what’s going on? How would a psychiatrist determine that?
you have to get the cue cards out. You can communicate more with them. I'm on the edge. had a ton of intrusions on my last IQ test. I have also learned that reading and writing helps. I have more than one mental illness, too. I get it a lot from people who notice profound differences in my personality from minute to minute or sometimes days. I'm not saying I have DID, which is another manipulation by them. I'm simply shattered. I had a little nectar from the gods. Hindus know how to cause that. In life, the things they did to me were beyond evil. Such as, I am not allowed my own thoughts or to value myself. We're degraded beyone measure, and now we scare people. I have to watch what I say. I had an ego death as well. The doctor was like, there's nothing left of her. Now I get thought blocked. It's annoying because really bad things happen to me, and I can't tell anyone. I got sick of my neighbors bothering me. Oh, I worked from yadadada. You never fell from grace. Okay, do you want to be like the girl in this video? Now I live in a facility. It's a nice one. A while ago, I was in a group home, and we had someone who had this bad and totally lost themselves. He was nice, hated strangers. A few students came to observe us, and T lost it, yelling at them that they'd been sexually abused. He also had sex with the dog. He couldn't understand or say hardly anything relevant but somehow knew that I liked soda and got me some. He smoked a lot, and we'd sit on the back patio watching the billion cats and stars. We got into a small fight over what we were going to call a new cat. I said "sushi," and he said, "Scatters." As the cats scattered. I won. Within five minutes, he was silent.
Are pareidolia & apophenia, an early signs of schizophrenia?
Is the patient aware of her state and how she is not able to answer in a way that makes since or possibly is not how she wants to respond?
I believe this patient thinks her answers make perfect sense. I don't think she is disturbed by the way she responds. In fact, she says she is at the hospital to teach urine tests ... not to seek help.
I would also wonder whether people suffering from this are able to recognize the delusions after having received some treatment, learning about the illness etc... I don't think I've ever gotten a completely clear answer on this, but perhaps it's because it's quote complicated.
i wonder if im just anhedonic or apathetic or avolicious or depressed or i have adhd or i have aspergers syndrom or i have audhd or i have tics or i have tourettes but i matched almost all these symptomes holy SHIT
Hi I can no longer see your video on catatonia. Is it still up?
This diagnosis is no longer
Used in the US and was removed
From the DSM a couple decades
Ago
it was used in vienna too for my diagnosis... i'm still not paranoid but 20 yrs ago
Hey Doc I recently started working at a psychiatric facility, do you have any sources on recent studies with regards to new treatments of hebephrenic schizophrenia?
Poverty of thought is a good example of seeing schizophrenic symptoms through a narrow and distorted lens. One has to ask, how would you know that there isn't a whole lot of thinking occurring when someone doesn't speak much. It's diagnosed as poverty of thought. But how would you know? Could you read her mind? Doctor, do you believe that you can read her thoughts, LOL. :D She's being asked leading questions when she's in a fragile vulnerable state. Which seems somewhat dehumanizing to me, and uncaring.
Not to mention that she might be carefully considering how to answer questions that are designed to trap her into getting a psychiatric diagnosis that could lead to institutionalization, oversedation, being tied to a bed for hours on end, and who knows what other violations, especially in the past. She might feel that she has to be on her guard. The less said the better, but that she has to say something. Even if it doesn't come out making much sense. Maybe psychiatric meds have muddled her thinking somewhat as well.
I understand your concerns. However, it's important to clarify that the diagnosis of schizophrenia (or any mental health condition) does not involve reading someone's thoughts. The process is complex and requires a comprehensive evaluation. "Poverty of thought" is a term to describe a reduction in the quantity and quality of thought processes OBSERVED. It signifies difficulties in generating and expressing coherent and organized thoughts, rather than suggesting a lack of thinking. They assess this symptom by considering observable behaviors, speech patterns, and other indicators, rather than relying solely on one aspect (eg. based on how much the patient talked). It's also common for doctors to involve the patient's family in the evaluation. The primary goal is to gain understanding and provide appropriate care, with no intention to trap or dehumanize individuals.
@@stefinan8792 Then they should be calling it poverty of expression of thought, NOT poverty of thought. That's so reductionist and a bit arrogant. And it also fails to take into consideration why someone might be having trouble expressing their thoughts. Seeing it as nothing more than a symptom of schizophrenia IS dehumanizing. A patient might have been brutalized for expressing their opinions, threatened into silence, browbeaten, and terrorized, but that's not what bio-psychiatrists see. They only see a brain that needs sedating with major tranquilizers and a DSM-5 label to justify writing a prescription for it. Some claim that psychiatry is trauma uninformed. I realize that this is just the opinion of one psychiatrist, and even though Dr. Robin Murray is a psychiatric researcher who's highly credentialed and regarded, you might not think much of it,. But I'll post it here just in case.
"In the last 2 decades, it has become obvious that child abuse, urbanization, migration, and adverse life events contribute to the etiology of schizophrenia and other psychoses. This has been a big shift for me! Indeed about 5 years ago, after I had given a lecture on the subject of social factors in schizophrenia, one listener stood up and said “Professor Murray, I last heard you talk about social factors in schizophrenia in 1982. Then you were against them, now you are for them.” The audience fell about laughing! I spluttered that one must change one’s mind if the data change. However, the truth was that my preconceptions had made me blind to the influence of the social environment.
I never had a proper epidemiology training-but a succession of younger fellows in my group spent a year at the London School of Hygiene and Tropical Medicine. There they learnt how to use epidemiological techniques to examine risk factors for psychosis, whether they were social or biological. So, for example, Peter Jones and Mary Cannon were interested childhood hazards be they infection or abuse, David Castle and Nori Takei studied effects of urbanization, Jane Boydell and Craig Morgan researched migration and ethnic minority status, while later Marta Di Forti examined the effects of cannabis. Jim Van Os in particular taught me, and then European psychiatrists as a whole, that it’s oversimplistic to regard schizophrenia as just a brain disease. Asthma may be a lung disease but it is one which can be precipitated by environmental toxins (eg, pollution) and allergens. Just as the lungs process air, so the brain processes external stimuli; consequently, its healthy function can be harmed by noxious factors in the social environment such as childhood abuse or adverse life events."
- Mistakes I Have Made in My Research Career
Robin M. Murray Author Notes
Schizophrenia Bulletin, Volume 43, Issue 2, 1 March 2017, Pages 253-256, Published: 21 December 2016
@@czlucar it's just a name... everyone knows what poverty of thought means if they have proper medical training. So what do you think 'word salad' is then? Literal people eating words as salad? Also, I never deny that trauma or other external factors can cause schizophrenia. They are called risk factors. I don't know what could be more dehumanizing than generalizing a group of people and calling those who have dedicated their lives to studying this field reductionist, arrogant dehumanizers. The treatment for schizophrenia or any other mental illness depends on symptoms, history, and severity, so it will vary from person to person. For simple explanation, if patient A and B both have dengue fever, you can stop ibuprofen in patient A first if they no longer have fever symptoms, and give extra painkillers to patient B for their joint pain (even if they both have the same diagnosis) same with psychiatric cases. The DSM-5 is not everything; that's why it takes years for people to study in this field. It's a lot more complex than that. I'm sorry for the things you might going through/see to assume something so extreme, but based on my 6+ years of medical experience and the people around me, we have never had to use tranquilizers or other extreme measures. We prescribe medications accordingly, starting with minimal drugs and low doses while monitoring side effects and improvements. We prioritize psychotherapy like CBT, etc., before considering medications. We are trained to use severe methods only in super extreme cases, for example, if a patient can potentially harm others or themselves
How to differentiate it from motor aphasia
How can you tell that what she's experiencing is schizophrenia as opposed to some kind of aphasia?
Aphasia is difficulty in pronouncing words which she does perfectly.
aphasia is a language disorder generally caused by brain damage that affects comprehension and language.
disorganized schizophrenia is a mental illness that causes impaired communication & thinking ability, usually paired with other symptoms like showing emotions that aren't appropriate with the situatuon (like laughing when someone says something sad), being blunt/monotone, having problems starting and/or finishing tasks, being less goal oriented, hygine problems. of course in really severe cases hallucinations etc..
basically if there's other symptoms then you can tell
So I have GAD with intrusive thoughts when my Anxiety heightens I develop symptoms of delusions. At 62 can a person become Schizophrenic?
It’s very unlikely to develop schizophrenia at that age.
Do know if anyone has said this, but "St." is short for state
Also short for Saint, what's your point?
You should put The interview vídeo bigger than yours
I realize this video is 2 years old, but I have a question for you. Firstly; Why is it not considered that multiple mini-strokes have not been responsible for the inability to accurately respond? She is 'fishing' for words, and unable to recall the ones she needs (as it appears). This is common among stroke victims, as is the ability to process what is said. Her eyes focus on the person Secondly; Why has early onset dementia not considered in this case? Aphasia can be a common symptom of some types of dementia, along with the inability to find and use the correct terms. She is clearly trying to respond, trying to be compliant, but is unable. As you pointed out, she is physically relaxed, leading one to believe that she sees herself as being at least somewhat successful with her responses, a result that is being encouraged by the lack of negative feedback from the woman questioning her. Respond if you are able/willing to do so. Thank you.
These people are just actors, but it would be assumed that in a real case organic causes would be ruled out as possible sources of symptoms. In a stereotypical case of Hebephrenia (Disorganized Schizophrenia) there are often cognitive impairments and focal neurological signs which are present prior to the onset of psychosis and which progressively worsen as the prodrome goes on and psychotic decompensation eventually begins, despite a lack of actual brain damage.
Fascinating, Syl - thanks. Your videos are very informative.
My question is how we distinguish between the schizophrenic symptoms of hearing voices and religious people who believe that their god is speaking to them.
I would definitely say this is acting. I'm schizophrenic and have taken acting courses, and it's just a pretty well done job. With a real schizophrenic person, it would just look different, to me. There would be pauses, but it wouldn't feel like a forced pause like I am seeing here. It looks like the actor is purposefully stalling her responses, rather than just having a natural delay.
It's actually not acting and was taken from 1950 interviews with people who have mental illnesses.
She's a food actress but some things it's not possible to act out exactly. It's impossible to even the best actor to really do a 1 to 1.
So I can't say for sure what she meant ( as you claim this is acting) BY saying "ST". However "ST" can mean to some locals as Southern Texas, the same way Florida is called lower Alabama by some people from Alabama.
Also "opening the tea bags" could mean she reads tea leaves.
Unless you clarify the specialized nomenclature that a person uses in such events, you may not know what they're really saying and jump to conclusions that they're speaking erratically.
Notice the investigator, doesn't bother to find out what she means by what she says.
She might have said "SD" instead of "ST". "SD" is South Dakota. There is no "ST" state in the U.S.
When words salad wouldve been identified in the patient speach, why would you feel comfortable to give credits to futur answers? Such as her possible ideas of reference concerning the TV?
As Bob Ross would say, maybe that's 'just a happy accident'?
I wondered the same thing! Lol
I think she is talking about her kids.. Mike is 2 and girl is 14… at 8:40
Does the patient even understand what is said?
so odd that it's tomorrow in Australia. My twin brothers both had schizophrenia.
Doctor I was watching these videos and I thought these specific series were real, man what a LET DOWN ☹☹☹. I was investigating about the autenticity of these kind of videos but found nothing conclusive. The only thing I found is about the HIPAA law in the USA, so they must be acted, otherwise they would be violating the american HIPAA law, then again this law was enacted on august 21st 1996, so they still can be real, the older ones (1950's, 1960's) seem pretty real. But if they're acted would be such A LET DOWN, like I was really sad watching these series. Great you're doing videos about these, much intriguing.
The older ones were generally real unless noted. This was from 1982 and I think it was real. they gave patients rewards for participating.
@@carriemindplsable they were deleted from utube 😒😒
@@kidsundance9021 that sucks. They were so interesting.
@@carriemindplsable yeah sad
This is very interesting to me. As someone who does a lot of meditation and spiritual work oftentimes in the higher states you do see visions, hear voices and feel things. The difference I guess is when you have this experience you can see how it promotes your own development. And of course you don't make irrational conclusions. Once I was waiting for my son in the car of an area where there were some street people. As I waited I saw a homeless person walk past a parking meter, stop, look down and speak to whatever he saw. He moved on and about ten minutes later a homeless woman came by. She passed the parking meter, looked down, had a brief conversation with whatever was there and moved on. Since those two people did not see each other or communicate in any way, it was obvious something beyond our perception was there. It was all just too logical and normal to be otherwise. Spiritual people understand there is a whole hidden universe we don't connect with because we only use logic to see our world. Maybe people who see "hallucinations" can actually see that hidden universe. I don't know. I am not saying they aren't I'll, but maybe there is something else happening along with the other problems.
Get help.
I thought the term referred to people who were severely, intensely anti-seematic. No go.
There was a brilliant band in the early 1980s called The Sunnyboys. Peter and Jeremy Oxley formed the band but a few years later Jeremy exhibited signs of Schizophrenia.
The Sunnyboy is a 2013 documentary that details his experience.
Hebe can be decoded. You'll learn see with quantum computers and entanglement. First you simply decode what the question comes in as and then what their reply comes as. Also this doctor shaking her head is very unprofessional. That girl can read her facial expressions but heres the main part. Quantum Physics can answer schi very easily. It's relativity. Information from the key and the tone are being encoded at different times. If one thinks of them hitting the desk with their hand and the sound coming before or way late, you're mind won't be able to logically place it in order. This is what leads to all the other problems. The associations are all screwed up. For this specific video, her last responses, she acually gets within the ball park. The reason this type of schizo doesnt tend to harm people is because they are always inernalizing her thoughts and it's an endless search for a coherent sentence or thought. Auditory halos are simply them not being able to place where a sound came from. Now a doctor might say this is "crazy talk its not happening" however, it is. It is just happening out of place due to the information from hearing coming at the wrong time. When you cannot place a sound, you then look deeper into your mind and pay deeply attention (paranoia) to try and place what is causing it. Then that amplifies the problem when you look so deep and are in such a state of paranoia you hear your own subconcious. THIS is when someone with the paranoid schizo starts making friends with their subconcious. If it's a positive relationship, looking for comfort etc, they hear the comforting words because, that is what they are looking to hear, then respond to it, which causes a positive loop. Vice versa for negative. Most doctors can only go by a book but don't actually have the capability to actually simulate their experience in their own mind to understand it.
Seek help.
There is no ST state in US… fyi
I am a mistake and I shouldn't be alive
Oh boy, are you ever mistaken! Do you really understand psychosis, which, when extreme, tends to get diagnosed as schizophrenia? You're only seeing her symptoms through a narrow and distorted lens assuming that there's some brain disease behind the symptoms, because psychiatry remains trauma uninformed. There's actually a human being behind those symptoms, a real person with fears, and most probably a history of trauma or social exclusion. You need to read some stories written by people diagnosed with the disorder or watch some of their videos. Have you seen Eleanor Longden's TedTalk 'The Voices in my Head'? Have you heard of, or read, Jung's Red Book?
And as if being trauma uninformed wasn't enough, what really angers me is when patients who have a real disease, a hormonal or neurological condition, are misdiagnosed with schizophrenia because of psychiatric ineptitude. Have you seen the video 'Brain on Fire' based on the true story of a woman with encephalitis who would have most probably died in an institution if it wasn't for the neurologist who correctly identified what she had? Even when she was having seizures, her ignorant doctors diagnosed her with a psychotic condition. The truth will eventually come out. It's already started to with certain TedTalks and articles by renowned psychiatrists like Robin MacGregor Murray FRS, Scottish psychiatrist and Professor of Psychiatric Research at the Institute of Psychiatry, King's College London. Why don't you look him up to become better informed.
Thank you. This was really insightful ❤
Psychosis is a symptom found in different mental health disorders, while schizophrenia is a specific mental disorder with a range of symptoms, including psychosis. To fully understand the diagnosis, I suggest reading the DSM-5 itself. It's based on extensive research and professional expertise, providing more factual information compared to individual opinions like TED Talks or articles, and stories which can be subjective.
It is important to note that both psychosis and schizophrenia can often be related to trauma, and the diagnosis of either condition does not dismiss the impact of the individual's traumatic experiences.
Also, misdiagnosis is common in medical practice and doesn't mean doctors are incompetent. Some medical conditions can mimic psychiatric disorders (example: psychiatric seizure or psychogenic nonepileptic seizures (PNES) and other seizures", and initial presentations can be vague or unusual, making it difficult to identify the underlying cause right away. Doctors rely on available information, like medical history and tests, but there CAN be a tendency to consider psychiatric explanations, before fully exploring other possibilities, given the prevalence of psychiatric conditions.
Misdiagnosis and changes in diagnosis can occur, it is the complex nature of medical diagnoses and the importance of ongoing evaluation and collaboration with the patient :)
@@stefinan8792 I'm surprised that you think so highly of the DSM-5. So many medical experts and researchers don't. I'd link to the article, but RUclips won't allow it. So I'll post an excerpt. It's a shame that you don't seem to value other opinions and viewpoints. But here is one that I'd like to share with you nonetheless:
"Lieberman defends the DSM by acknowledging that it is flawed-and unique among medical specialties in its lack of objective measures-but suggesting that there is no better way to conceptualize distress:
“It’s easy to criticize the DSM […] But at this point, it represents a system that is as good as we can have, given our current state of knowledge […] Is it ideal? By no means. But there’s no better alternative. Hopefully, research will soon enable modifications that will lead to pathologic diagnostic assessments, like every other field of medicine has.” - Lieberman
One criticism of the DSM mentioned in the article is that-unlike other medical specialties whose diagnoses are based on understandings of the biology involved-psychiatry’s diagnoses are agreements among self-appointed experts regarding what personalities or experiences are “abnormal.” In fact, the diagnostic categories being considered for inclusion in the DSM 5 were circulated to the general public for comment-a tradition unique among doctors and researchers who are constructing supposedly scientific medical diagnoses.
Of course, this public accountability has its benefits. It is one reason why homosexuality is no longer technically a medical disorder, despite its inclusion in previous editions of the manual. It seems that sometimes a committee of experts believes certain ways of being-such as being gay or transgender-are “disorders” or “diseases,” but if enough people disagree, incremental changes can be made."
- Medscape Article Reviews the Fatal Flaws of the DSM -
Leaders in psychiatry urge doctors to ignore the specific criteria in the DSM and suggest that the manual may actually impede good medicine.
By Peter Simons -December 28, 2020 - A new article in Medscape Medical News-a leading online medical news service-addresses the controversy over psychiatry’s “Bible,” the DSM.
@@czlucar i believe you misinterpreted my reply, as I see DSM-5 as a standardized tool to help to guide. Thats why theres a lot more tool to help for more accuracy (eg. Depession scales, MMSE, Insomnia severity index etc). Furthermore, diagnosis is not everything, ultimately treatment will still vary according to each person and experience as each human have unique traits. Its not like we give the same set of drugs to every people just because they are diagnosed with the same diagnosis, it makes no sense. What if they are resistant to drugs? We can use non-pharmacological methods such as hypnotherapy or psycotherapy. The end goal is always towards the better health of a person.
@@stefinan8792 MMSE - The Mini Mental State Examination, LOL. During Covid lockdown, many people had trouble remembering the day of the week. And very anxious people might have some problems with that test. Their mental states could be hampered by their fear of psychiatry, especially if they were traumatized in a psychiatric setting or saw someone who was. Much like how white coat syndrome could raise the blood pressure of some patients who don't have hypertension. Depression scales - On a scale of 1-10, how depressed are you? Do you realize how confusing that question is for many people? You want to be taken seriously but you don't want to sound suicidal and risk being held against your will. I have an FB acquaintance who missed her graduation ceremony and giving her valedictorian speech because she gave the wrong answer. They're such subjective tests, so open to bias and misinterpretation, like the DSM.
It is very difficult for many people to trust psychiatry. We might have seen people harmed in psychiatric hospitals, mistreated, and deeply misunderstood. People who've been traumatized need to feel safe, they need compassion and healing. Not forced psychiatric treatments and a stigmatizing DSM label that dehumanizes their reaction to the trauma and blames it on a brain problem. As Eleanor Longden said, the question that people in crisis should be asked is NOT 'what's wrong with you?' but 'what happened to you?' I don't believe that psychiatry is evolved enough yet to understand that. But there are psychiatrists who are honest about the shortcomings in psychiatry and trying to make it more humane.
😢😢😢
My brother is paranoid schizophrenic so my first question is. Is there just one voice or many because if it’s one voice he’s dangerous if many voices he’s trying so hard to hear so dosn’t talk much and is non violent
She can't even carry on a conversation.
I bet nobody wants to carry a conversation with you
She is unhinged.
These are obviously actors. I'd rather see real patients than this scripted stuff.
Don't you think this description is offensive to people suffering from schizophrenia? I wouldn't like someone saying about me that the thoughts are absent in my mind. Isn't that just a sophisticated way of calling somone dumb? Sure seems like to me.
When he told us that they were acting, I stopped watching, sorry dude.
You're basing your power-hungry conclusions on a scripted acted-out video? You'll never make it as a consultant. Posers like you and Tom Montalk seriously need to be censored and decommissioned.
Your arms flailing around are ridiculously distracting. There's boned to do this. Sloooow down.
better to watch the 40's and 50's films. Too Much Bull CRAP NOW!