I am a BS Psychology freshman and an aspiring Psychiatrist. I've been on the internet for hours now trying to figure out what I need to do and what to prepare in order for me to become a Psychiatrist and FINALLY I find a clear and informative video that tells me exactly what I need to know. Thank you, Doc! I appreciate this video so much :) I hope to see more content about Psychiatry in your channel. PS: I'm actually trying to get into a medical school in Hong Kong once I graduate in College and I hope you can give me advice on which med school in HK is best for an aspiring Psychiatrist to attend. Again, thank you Doc! God bless :)
I had no idea how tedious it was to become a psychiatrist. Intimidating but good to know how much of an investment potential psychiatrist have to make inorder to treat us.
Dr. Kim, here's a hot topic idea: psilocybin in psychiatry/medicine. I would especially be interested in hearing from you about the psychiatrists role in psilocybin assisted therapy.
As I stated in your other video I went in different settings of Medical field. But my daughter she's doing lots of research in attempt to getting into Psychiatry school as we speak. Yes the pay is one of our research as well and if this line of work is in high demands when she step into the field. One of my concerns. I don't want her to finish school and not have a job because it's not high demands. Very good source of information you provide. Will pass this on to my daughter.
Since it ISNT a science you should be fine. You just gaslight people and shove pills down their throats then lie more when the victim complains about the side-effects and say it's just your illness talking.
there is no difference they are both medical doctors, D.O students have to learn omm which is essentially chiropractics that is the only difference and it’s negligible.
Ey doc, info have a question. Since antipsychotics blocks dopamine, does they cause any kind of anhedonia? Since seem to be a verr normal claim over the internet but when I ask my psychiatrist he just say no and that is a symptom of schizophrenia. And if indeed they cause anhedonia, wouldn't be contraindicated to prescribe such drug to already anhedonic patients?
Hi doc, great vid. Would like to draw your attention to something. There's a growing movement trying to get PSSD, or post ssri sexual dysfunction, recognised as a legitimate and debilitating side effect of taking ssris. Its supposed to cause permanent emotional blunting, loss of libido and anorgasmia. It's got some big names backing it, and the European Medicines Agency has recently required ssri boxes to state that sexual side effects may persist upon discontinuing treatment. Detractors say people allegedly suffering from it are depressed and undergoing psychosomatic problems. Would really appreciate a video where you unpick the studies and give your unbiased and considered thoughts on this disease. The more the movement gains traction, the more hesitant people will be to take potentially life saving medication. I have no medical background so I would be really curious to hear what you think about this - does it really exist? And if so, what are the chances of getting it? And if it doesnt exist, what else could be causing these horrible symptoms? Thanks!
I think PSSD exists and is likely something that is underreported. Because sexual side effects definitely happen for many people when you take antidepressants, and there is a biological mechanism, it's not something purely psychosomatic. So, for a percentage of people, would there be a mechanism that these effects could be longer lasting and not reverse back? Sure, I believe that's possible, but the jury is still out and much more research is needed in my opinion. But, I also do believe, that most people don't end up with long term PSSD type syndromes, most end up with issues during the use of SSRIs and weeks to months after it is discontinued but then they resolve as your body adjust to having the medicine out of your system, the longer it takes for an antidepressant to wash out of your system the longer it will take for these issues to resolve, for example, Fluoxetine can still be detected in your blood even 5-6 weeks after you stop taking it, let alone the time it takes for your body to adjust having it totally out of your system. But, I literally had a patient last week, who after stopping their sertraline, their sexual side effects totally resolved within 7 days after stopping the sertraline. This is a real life example of, PSSD does not happen to everyone. But, that's the funny part, most people who want to discuss this topic with me, actually don't want to discuss it, they want to me agree that their viewpoint is totally right, and if I say things like "more data is needed", that somehow, I'm "on the side of pharma" and a "poison peddler". I feel like when people discuss this issue, some feel like it has to be an ALL or NOTHING topic, you're with us or against us mentality, the truth is likely in the middle, that PSSD is something that happens in a % of patients and is underreported but also that PSSD is not happening to the everyone who has taken an antidepressant. I literally work, in clinical research, where part of my job is capturing and identifying when patients report and experience sexual side effects: anorgasmia, decreased pleasure, decreased libido, delayed ejaculation, erectile dysfunction and also track when they resolve or if they resolve. I literally am in the trenches, collecting this data in clinical research. But, most people who discuss this topic, still don't want to hear what I have to say, if I don't completely agree with them. I have no issue with people saying, PSSD is a syndrome that needs more research, investigating, and something that may need to be discussed more during the consenting process as a potential long term risk. But, when people start using PSSD as a discussion topic, to push the agenda that antidepressants should be banned, not used, etc. My question is, who are they to make the judgement of what treatments someone else should or shouldn't get? Trust me, antidepressants are dirty drugs. Anything you put in your body as potential side effects. But, for some people, the benefits outweigh the risks of using certain medications for the appropriate purposes. For example, blood thinners put you at risk for bleeding, but may be needed for people who are at risk for repeated clots/strokes. No treatment is perfect. In summary, I do believe PSSD is a syndrome that has a true biological mechanism that can potentially happen in a percentage of patients. Does this apply to the majority of patients who have taken antidepressants? No. Does PSSD have a history of robust research and clinical trials that have examined it? No. It's mainly from case reports, case series, projected data from animal models, naturalistic and observational data. There is no great measurement for it besides subjective retrospective recall and subjective self-reported/clinician administered scales. Do I encourage more research into PSSD? Yes. But, I also feel like this topic may end up in the grey area for a long time. I don't see anyone willing to fund a large scale study, comparing a group of healthy people who have not taken SSRIs and then a group that will, have the group taking the antidepressants stop after a certain point and then track them for a couple years, to see if there is an increased incidence of permanent sexual side effects and do this on a scale of thousands of patients, and control for co-morbid psych/medical issues. Who would fund something like this? So for the time being, most of this data is coming from uncontrolled, non-rigorous data sets, any researcher worth a lick would agree with this statement regardless of what side of the fence you are on. I think the issue I have is that a certain contingent of people, not everyone, who are trying to raise awareness about PSSD are not simply trying to raise awareness about PSSD but going to extremes of bashing the use of antidepressants all together for everyone, calling it "poison", "unethical to use" a "toxin" etc. That specifically, is where I have an issue. Feel free to contact me on my website if you want to discuss further, but I'd like to keep this comment section focused for students, who are interested in a career path to psychiatry.
Thank you for taking the time to give such a detailed and thoughtful reply doctor. I especially resonated with your point about how all medicines carry some form of risk, but we fail to realise this and assume that they're miracle tonics, and when a side effect does manifest, then we immediately assume all medicines must be poisonous and any doctor prescribing them is an agent of Big Pharma. I went through a very rough patch in my life last year because I was juggling my Bar school exams in the middle of the covid pandemic. The zoloft I took helped shut my intrusive thoughts down so I could focus on my studies and not keep having panic attacks. It was an invaluable crutch for the short term (though I did find the sexual dysfunctions and emotional blunting a little scary - all resolved now though!). That being said, if I had read about PSSD beforehand I would have been so scared to take these meds and God knows where I'd be now if I hadn't. That's why I was so curious about your opinion on the matter- I might have refused life saving medication and gone down a very dark path if I had read all these horror stories beforehand. At the end of the day, your doctor is the most qualified person around and you're paying them for a reason - there's no point seeing them if you're going to spit on their opinion and call them poison peddlers based on a handful of bad experiences others have had. It's like someone refusing ibuprofen for a headache because his neighbour had an allergic reaction to it. If you're in dire straits, sometimes the rewards outweigh the comparatively small risk. I hope that PSSD sufferers find a cure one day or we figure out what causes it so it doesnt happen any more. Anyway keep up the great vids and stay safe! Just a suggestion- perhaps you could make a video on the anti psychiatry movement someday and your thoughts on it. Have you had experiences, why do you think there is so much mistrust and debunking certain ideas/myths. It would go a long way in convincing some people on the fence that if they feel a certain way, they ought to go see a doctor and maybe go on meds. Cheers!
I'm glad it only takes around 8 years to become a psychiatrist in India but the process is too hard😞 5 and half years of medical College ( 4 and half year of college and one year of internship) 2-3 years of masters / speciality in psychiatry But before entering into medical College, students have to take science biology (physics , chemistry, biology) in high school for 2 years ,and then give NEET (medical entrance exam) , if only students clear this exam ,based on their merit ,they are given different colleges (I'm giving this too this year but it's too hard, i hope i can clear this exam soon)
they do not perform surgery, in intern year and ob rotation they will help deliver babies, all medical doctors to some extent can help deliver a baby if they need to.
If you want it badly enough you’ll overcome your hatred of chemistry! Lol you’ll do it because it’s your passion. And chemistry won’t be your main area of study eventually anyway.
I am a BS Psychology freshman and an aspiring Psychiatrist. I've been on the internet for hours now trying to figure out what I need to do and what to prepare in order for me to become a Psychiatrist and FINALLY I find a clear and informative video that tells me exactly what I need to know. Thank you, Doc! I appreciate this video so much :) I hope to see more content about Psychiatry in your channel. PS: I'm actually trying to get into a medical school in Hong Kong once I graduate in College and I hope you can give me advice on which med school in HK is best for an aspiring Psychiatrist to attend. Again, thank you Doc! God bless :)
how is it going?
So you didn’t major in like bio or anatomy? How did u do the pre med course work?? Are u in med school right now
@@paulmathis3232take ur pills Paul
I had no idea how tedious it was to become a psychiatrist. Intimidating but good to know how much of an investment potential psychiatrist have to make inorder to treat us.
Dr. Kim, here's a hot topic idea: psilocybin in psychiatry/medicine. I would especially be interested in hearing from you about the psychiatrists role in psilocybin assisted therapy.
Nice vid Doc.!
indeed! moreover, here is a doppleganger for andrew! th-cam.com/video/hhnaJUveDpc/w-d-xo.html
thanks 2U for great medical videos in psychiatry. I’m Korean Psychiatrist, also big fan of you!
As I stated in your other video I went in different settings of Medical field. But my daughter she's doing lots of research in attempt to getting into Psychiatry school as we speak. Yes the pay is one of our research as well and if this line of work is in high demands when she step into the field. One of my concerns. I don't want her to finish school and not have a job because it's not high demands. Very good source of information you provide. Will pass this on to my daughter.
scary but exciting
I wanna b a physiatrist but I’m not so good at science 💔
I believe in u!!!❤❤❤
Since it ISNT a science you should be fine. You just gaslight people and shove pills down their throats then lie more when the victim complains about the side-effects and say it's just your illness talking.
What is the difference between MD and DO? Please tell me
there is no difference they are both medical doctors, D.O students have to learn omm which is essentially chiropractics that is the only difference and it’s negligible.
Great video, thank you.
Ey doc, info have a question. Since antipsychotics blocks dopamine, does they cause any kind of anhedonia? Since seem to be a verr normal claim over the internet but when I ask my psychiatrist he just say no and that is a symptom of schizophrenia.
And if indeed they cause anhedonia, wouldn't be contraindicated to prescribe such drug to already anhedonic patients?
Yes they can cause anhedonia. Any psych med can.
Hi doc, great vid. Would like to draw your attention to something. There's a growing movement trying to get PSSD, or post ssri sexual dysfunction, recognised as a legitimate and debilitating side effect of taking ssris. Its supposed to cause permanent emotional blunting, loss of libido and anorgasmia. It's got some big names backing it, and the European Medicines Agency has recently required ssri boxes to state that sexual side effects may persist upon discontinuing treatment. Detractors say people allegedly suffering from it are depressed and undergoing psychosomatic problems. Would really appreciate a video where you unpick the studies and give your unbiased and considered thoughts on this disease. The more the movement gains traction, the more hesitant people will be to take potentially life saving medication. I have no medical background so I would be really curious to hear what you think about this - does it really exist? And if so, what are the chances of getting it? And if it doesnt exist, what else could be causing these horrible symptoms? Thanks!
I think PSSD exists and is likely something that is underreported. Because sexual side effects definitely happen for many people when you take antidepressants, and there is a biological mechanism, it's not something purely psychosomatic. So, for a percentage of people, would there be a mechanism that these effects could be longer lasting and not reverse back? Sure, I believe that's possible, but the jury is still out and much more research is needed in my opinion. But, I also do believe, that most people don't end up with long term PSSD type syndromes, most end up with issues during the use of SSRIs and weeks to months after it is discontinued but then they resolve as your body adjust to having the medicine out of your system, the longer it takes for an antidepressant to wash out of your system the longer it will take for these issues to resolve, for example, Fluoxetine can still be detected in your blood even 5-6 weeks after you stop taking it, let alone the time it takes for your body to adjust having it totally out of your system. But, I literally had a patient last week, who after stopping their sertraline, their sexual side effects totally resolved within 7 days after stopping the sertraline. This is a real life example of, PSSD does not happen to everyone. But, that's the funny part, most people who want to discuss this topic with me, actually don't want to discuss it, they want to me agree that their viewpoint is totally right, and if I say things like "more data is needed", that somehow, I'm "on the side of pharma" and a "poison peddler". I feel like when people discuss this issue, some feel like it has to be an ALL or NOTHING topic, you're with us or against us mentality, the truth is likely in the middle, that PSSD is something that happens in a % of patients and is underreported but also that PSSD is not happening to the everyone who has taken an antidepressant. I literally work, in clinical research, where part of my job is capturing and identifying when patients report and experience sexual side effects: anorgasmia, decreased pleasure, decreased libido, delayed ejaculation, erectile dysfunction and also track when they resolve or if they resolve. I literally am in the trenches, collecting this data in clinical research. But, most people who discuss this topic, still don't want to hear what I have to say, if I don't completely agree with them. I have no issue with people saying, PSSD is a syndrome that needs more research, investigating, and something that may need to be discussed more during the consenting process as a potential long term risk. But, when people start using PSSD as a discussion topic, to push the agenda that antidepressants should be banned, not used, etc. My question is, who are they to make the judgement of what treatments someone else should or shouldn't get? Trust me, antidepressants are dirty drugs. Anything you put in your body as potential side effects. But, for some people, the benefits outweigh the risks of using certain medications for the appropriate purposes. For example, blood thinners put you at risk for bleeding, but may be needed for people who are at risk for repeated clots/strokes. No treatment is perfect. In summary, I do believe PSSD is a syndrome that has a true biological mechanism that can potentially happen in a percentage of patients. Does this apply to the majority of patients who have taken antidepressants? No. Does PSSD have a history of robust research and clinical trials that have examined it? No. It's mainly from case reports, case series, projected data from animal models, naturalistic and observational data. There is no great measurement for it besides subjective retrospective recall and subjective self-reported/clinician administered scales. Do I encourage more research into PSSD? Yes. But, I also feel like this topic may end up in the grey area for a long time. I don't see anyone willing to fund a large scale study, comparing a group of healthy people who have not taken SSRIs and then a group that will, have the group taking the antidepressants stop after a certain point and then track them for a couple years, to see if there is an increased incidence of permanent sexual side effects and do this on a scale of thousands of patients, and control for co-morbid psych/medical issues. Who would fund something like this? So for the time being, most of this data is coming from uncontrolled, non-rigorous data sets, any researcher worth a lick would agree with this statement regardless of what side of the fence you are on. I think the issue I have is that a certain contingent of people, not everyone, who are trying to raise awareness about PSSD are not simply trying to raise awareness about PSSD but going to extremes of bashing the use of antidepressants all together for everyone, calling it "poison", "unethical to use" a "toxin" etc. That specifically, is where I have an issue. Feel free to contact me on my website if you want to discuss further, but I'd like to keep this comment section focused for students, who are interested in a career path to psychiatry.
Thank you for taking the time to give such a detailed and thoughtful reply doctor. I especially resonated with your point about how all medicines carry some form of risk, but we fail to realise this and assume that they're miracle tonics, and when a side effect does manifest, then we immediately assume all medicines must be poisonous and any doctor prescribing them is an agent of Big Pharma. I went through a very rough patch in my life last year because I was juggling my Bar school exams in the middle of the covid pandemic. The zoloft I took helped shut my intrusive thoughts down so I could focus on my studies and not keep having panic attacks. It was an invaluable crutch for the short term (though I did find the sexual dysfunctions and emotional blunting a little scary - all resolved now though!). That being said, if I had read about PSSD beforehand I would have been so scared to take these meds and God knows where I'd be now if I hadn't. That's why I was so curious about your opinion on the matter- I might have refused life saving medication and gone down a very dark path if I had read all these horror stories beforehand. At the end of the day, your doctor is the most qualified person around and you're paying them for a reason - there's no point seeing them if you're going to spit on their opinion and call them poison peddlers based on a handful of bad experiences others have had. It's like someone refusing ibuprofen for a headache because his neighbour had an allergic reaction to it. If you're in dire straits, sometimes the rewards outweigh the comparatively small risk. I hope that PSSD sufferers find a cure one day or we figure out what causes it so it doesnt happen any more. Anyway keep up the great vids and stay safe! Just a suggestion- perhaps you could make a video on the anti psychiatry movement someday and your thoughts on it. Have you had experiences, why do you think there is so much mistrust and debunking certain ideas/myths. It would go a long way in convincing some people on the fence that if they feel a certain way, they ought to go see a doctor and maybe go on meds. Cheers!
12 year 😫 that definitely just turned me off lol....zoology it is
I'm glad it only takes around 8 years to become a psychiatrist in India but the process is too hard😞
5 and half years of medical College ( 4 and half year of college and one year of internship)
2-3 years of masters / speciality in psychiatry
But before entering into medical College, students have to take science biology (physics , chemistry, biology) in high school for 2 years ,and then give NEET (medical entrance exam) , if only students clear this exam ,based on their merit ,they are given different colleges (I'm giving this too this year but it's too hard, i hope i can clear this exam soon)
I wish you the best in your studies and your journey.
Hi Doc. Does psychiatrists perform surgery? And will they also experience in delivering baby?
they do not perform surgery, in intern year and ob rotation they will help
deliver babies, all medical doctors to some extent can help deliver a baby if they need to.
Btw, what did you specialize in at Brigham?
Hey thank you for the well taught video, I was wondering if you can go more in depth on what your friends who make more than $500k?
Do you think it is good idea to do med to become psy. when I hate chemistry?😅
Bad idea 😂
If you want it badly enough you’ll overcome your hatred of chemistry! Lol you’ll do it because it’s your passion. And chemistry won’t be your main area of study eventually anyway.
I mean you will only do first two years of medical school that actually has like chem and biology etc and the rest is more clinical based and hands on
@@hanzalashaikh6577 wait so whats the point of learning chem/bio if ur not gonna need it later on ? unless im missing something here
@@slepthrumay you will be using it a lot. Just not in as much in 3rd and 4th year of medical school that much.
So will I be able to earn money in residency?
yes but it will not be the salary of an attending physician.
B.
nice shirt
I wouldn't want you as my shrink.