DOCTOR REACTS TO BIPOLAR IN THE 1980s | Psychiatry Doctor Analyzes Old Medical Videos #1
ฝัง
- เผยแพร่เมื่อ 30 ม.ค. 2021
- #medicaleducation #doctorreacts #doctoranalyzes #pikagrapesnack #psychiatrydoctor
This Psych Doctor REACTS video checks out this AMAZING video of a manic patient with BIPOLAR in the 1980's. Medical students - this is educational. It's basically studying. We use these types of videos in medical education to teach medical students and doctors about how to assess the mental state of someone with bipolar disorder. But what I hope this video shows, is that bipolar is about more than just mania. Sometimes its the depression that is worse. Also, as it turns out, our treatment for bipolar hasn't really moved on much in nearly 40 years.
🎵 Track Info:
Title: Fragments by AERØHEAD
Genre and Mood: Ambient + Calm
![อาจารย์ยอด : พระเตะผี [ผี]](http://i.ytimg.com/vi/zusDOIFasaE/mqdefault.jpg)
"God it's bright in here". I felt that deep into my core. Some people with bipolar do NOT mix well with bright lights and/or loud noises
YES, YES, YES!!!!!!!!!!!!!
I don’t think I have bipolar (have adhd and depression) but there are multiple times were it feels bright like I can feel it in the back of my eyes. And I have a question also to ask. I’ve been on antidepressants. In the past recent 3 or 4 months, there are time where when I wake up that I feel very mentally off. Like depression and anxiety (or something else idk) mixed together. This usually last all day sometimes going to the next today. But when it goes away, I feel hell of alot better. I don’t want this is and don’t know if there is an underlining problem?
PTSD as well.
That and "My teeth feel so clean" I have a poem I wrote when very manic where I mentioned that I could feel my fingernails growing ha
8:54 Elliott trying to get his head around the immaculate conception. Hilarious. Classic!
8:45 I thought he was talking about planning to have a family before just having kids as a matter of consequence, "If you do it right" vs a whoopsie baby
I know it sounds weird, but I wish I could be manic like this again. I miss mania sometimes. I don't miss all the consequences that follow...lol
🤨🤨🤨🤨
i recommend the song "i miss the rage"
doesn't sound weird! i miss it all the time
I know EXACTLY what you mean. Mania gives me (makes me think I have) superpowers. I can focus on 3 projects at once & design in my sleep. Did we need something at the grocery store? I’ll get that, too. OF COURSE I’m aware time management! (NOT) I’ve started shining the copper pipes in the basement… I was misdiagnosed for years because I never went to the dr during mania. No one could catch me!
I feel like my meds take away my “magic”
@@spiderdiamond4417 they are not wrong for feeling that way. Mania gives you this sort of high feeling. You feel like you’re on top of the world. Many people prefer to being in a depressive state.
I had a good friend, sadly no longer with us, who had bipolar disorder, and I can say at least for him that the lows were worse than the highs. Whatever problems the highs caused at least we would be able to see him. Low times he would be 100% out of contact.
I was diagnosed bipolar 1 three years ago after I came in manic and right after a nervous breakdown. The shifting in the chair, rapid speech, saying things that don’t quite make sense. It’s all spot on. Sadly, the person doing my examination had an expression on their face that I can only describe as terrified and ready to bolt out of the room. Manic scares me, I dread depression.
Him bursting into song was just epic and the fact its happened to you many times - wow! You have a fascinating job! I find the pharmacology part of psychiatry interesting too! I would have loved to go to medical school and gone into psychiatry but because of Bipolar disorder, my brain just doesn’t work well so I had trouble in school from grade 9 on. So....no dice, but can enjoy your experience which is awesome!
You can still get into it at an older age. That being said if school isn't for you it isn't for you.
I was diagnosed with bi polar disorder at a young age I spent most of my teenage years in out of the psych ward I'm 25 now after years of trying I finally found medication that works for me I still struggle with my mental illness but it's alot better than it was when I was younger, with that being said this video was kind of heartwarming ❤️👍
I'm bipolar type 2. I love the richness of ideas and putting them into practice and organizing schedule, feels really good. The desperate depression is THANK GOD under control with medication. But yeah, being bipolar is nice sometimes. Must be nice being normal too, tho
Oh goodness the braking out into song is so relatable! When I am suddenly bombarded with a song and it just flys out of my mouth. It's a very concrete sign I am going in to/ or already in a high state. Of course that's when everyone I know seems happy to see "fun jill" make an appearance.
Oh, my God. This video brought back precious memories from my times as a student... I think I watched this very footage during my training in university.
Watching this channel is equal parts amusing and dangerous - I might just take my state exam again and become a psychiatry resident myself. These doubts were long gone! But along came Dr. Carthy with his videos! LOL
Mwhahaha
I loved this one, very insightful! Please do more of these! 👏
I might be in the minority but his “immaculate conception” explanation made perfect sense to me 😂 what I gathered from it is that he is saying when procreation is done correctly (in his opinion) it first begins with a planned pregnancy. In order for the pregnancy to be planned it starts first with a thought, you first plan in your mind and then the physical act follows. He then ends by saying if you wanna just have sex with whomever without any type of plan for the possibility of pregnancy than you’re free to do so but that’s not how he does it… sheesh I hope that actually makes sense lol
Totally agree. I felt he latched on to the concept of him "conceiving" in so far as people (men included) have to first "conceive" of the idea of procreating. I interpreted his reasoning to then move on to a sort of word association when he described this as the "immaculate conception". I hope I'm also making sense 😊
Thank you for your captivating videos. I like listening to your insight on older videos and find it interesting to see how much psychiatry has changed in the last few decades.
I would love to see a video about how to address friends/family suffering mental illness and/or suicidal ideation.
I have Bipolar II and it took nearly 13 years for a doctor to find out what was going on. I am glad to have a working treatment plan so I can feel functional.
When I was treated only for depression, my depression was getting worse and worse until a few attempts. The diagnosis and new treatment plan with counseling have helped me stay stable and only experience light mood swings.
I am glad treatment for Bipolar has massively improved in the last 30-40 years. My grandmother, who had Bipolar, did not have as much choice and ended up taking her life after a life in and out of hospital with attempts every year.
Hopefully, the more society opens up to the idea of mental illnesses not being an end, the more people will receive quality care.
I'm glad you've got your plan in place; hoping it continues to work for you. Be well, commenter! And may your grandmother's memory be for a blessing. I'm sorry she suffered.
This is gold ❤️🔥
Keep em coming!
9:33 what is “thought disorder” called when elderly people do it? Where you don’t finish a thought before starting the next one. This is the most common thing the elderly people in my family do, and I don’t know what to call it when it isn’t accompanied by dementia.
did you ever find out? you’ve made me curious!
@@electricmohair idk man, i think there isnt a word for it
Wow that was fascinating! Can you do more of these?
Yes. Plenty more to come!
@@DoctorElliottCarthy Do you know if they are actors or not?
Yes please these are ace !
Are they actors?
Your choice of what to review is fantastic. Interesting content leads to interesting analysis. Really great stuff. Subbed.
Dude, really enjoyed your video!
A+ video! 😂I learned & laughed so much!
As a geologist it is very interesting that lithium can be used as medicine. We use lithium every day (in laptops, mobile phones, cars, batteries etc etc). How somebody even though "Hey, let's try lithium?!" 🤷♀️ Another is gold which is used f.ex. in arthritis treatment. Silver water is NO NO!
I remember something in the 80s the hoodoo gurus were going on about, had something to do with using your imagination to intensely preconceive the type of child you want a few days before the coitus act. Lmao
Sounds like he took this idea and tried to impregnate Olvia Newton-John with his mind.
I don't think it works like that buddy.
Regardless I believe that he was "in" the moment believing he could anticipate what happens next.
I have had this exact experience listening to music where my mind anticipates the actual music playing and the synchronicity is euphoric, gives me goose pimples hairs on the back of the neck stand up.
After all, we all record now and anticipate the potential of the future, via our memory, which makes us believe the future and past are actual things when they are really just illusions of the mind.
I just found your channel and I love your videos!!!
Hi Dr. Elliot, big fan of your content. I got very curious as to what medication the patient was referring to when saying “Lidome”. Firstly I thought it might be another name for lithium however that doesn’t seem to be the case. Couldn’t find any reports either on anything similar. Perhaps the patient is demonstrating a neologism and made the word up😅
This is interesting. I have a friend who’s schizophrenic and he acts exactly like this and is convinced he’s god and can hear people’s thoughts and communicate telepathically. He also claims that everything including our phones and everything around us has a soul, feeling, and are alive but just can’t speak physically.
Maybe he's manic too
I love your videos! ❤😃👍🏼👍🏼
I think he was talking about Lisdexamfetamine its a central nervous system stimulant which affects chemicals which contribute to hyperactivity and impulse control.
lisdexamphetamine (vyvanse) wasn’t approved for use in the usa until 2008. definitely not the drug he’s referring to here :p
I mean, a lot of people with mania ARE incredibly intelligent. Myself included.
And you’re right the filter is gone when manic
I’ve had 4 or 5 episodes, I am 31 years old.
My episodes are very severe and ruin my life. My actual diagnosis is bipolar 1 with psychotic features
Great video. Loved it
I got diagnosed with bipolar this year and I’ve been on meds. I don’t miss being manic. I absolutely thrive in the stability and the fact I can sleep now.
It took me like half a year to get diagnosed and a lot of my own research when I started to look into my hallucinations, depression and impulsive behaviour.
I remember a particular manic episode I had in which I stayed up for 5 days reading Isaac Newton’s notes on alchemy and the philosopher’s stone as I was under the impression that a conscious planet from another galaxy was sending me instructions on how to turn the universe inside out and make everything whole again. When you’re in that state it’s so hard to distinguish if you actually are having some kind of epiphany or if you’re just making irrational connections and seeing patterns that aren’t there.
I loove this series
your video is very interesting, i'm looking forward to the next one(s).
One question though : is it important to differentiate the episode of mania in bipolar disorder from the psychotic episode? I guess not at the beginning, since he's already treated with antipsychotics, but for the treatment later ?
This man is clearly delusional (i'm referring to his mentally conceived child with Olivia), apart from being super agitated. Are maniac episodes in BD usually associated with delusions like that and if yes, how to differentiate them from psychotic episode?
Thanks a lot in advance for your answer!!
Hi. Good question. Not everyone with mania develops psychosis where the beliefs are of delusional intensity, hearing voices etc. No psychosis means just a mood stabilizer can be used. Mania with psychosis means a mood stabiliser and an antipsychotic should be used, at least until the psychosis is treated. Hope that helps 😊
I like this! What is your theory on John Lennon and being bipolar or even bpd, if any? Because I know it was added in the DSM-V the same month (and year) he died...
Great video and keep up the great work and have a nice safe day!(:
Oooh I havent heard this theory. Let me look into it and get back to you
Mania broke me but I remember I felt glorious and didn't care about anything, im stable know though I have been depressed so long I wish my life would just end.
I have Bipolar 1 and you are so right on, yes I experience depressive episodes predominantly. It continuously relapses every 6 months. I’m due for another one in another month or so... 😒 Not sure why it relapses so frequently the last two years.
I don't know what "lidome" is (or how it's spelt) but perhaps it's a combination of two medications, for example lithium and domperidone? Li-dom? (Obviously it probably wasn't domperidone, though, since if there are any antipsychotic effects of domperidone they weren't known in the 1980s.)
Just a thought.
You state how obvious the symptoms of Mania are, but how about the distinguishment between mania or substance abuse? I believe most would just assume the person is under the influence of a stimulant.
Good question. Mania is the broad term for this state of mind. You're right that we always condieer substance misuse and physical illness that can cause mania as well as psychiatric disorders like bipolar
@@DoctorElliottCarthy Please forgive my ignorance, but I thought there was a time component for diagnosing Mania or Hypomania? So, you're saying that someone who overdosed on Adderall could(accurately) be labeled as Hypomanic because of the displayed symptoms even though the cause is substance misuse rather than bipolar disorder?
@@timothytorigian7932 you're absolutely right. An episode of mania needs to last at least 7 days or be severe enough for hospitalization. Hypomania is 4 days. That's how we diagnose bipolar. You might not have that information when you first meet someone who presents like this. Rule out drugs and physical illnesses first then consider whether it could be a presentation of bipolar. Hope that helps 🙂
@@DoctorElliottCarthy Thanks Doc! Very much appreciate your response. I really love your channel and look forward to watching more of your analysis.
I don't want to self diagnose but I do have bipolarism on both sides of my family (or as it was called back then manic/depression). But a couple of years ago I had an episode where yes I had environmental factors causing it (I was extremely lonely and living in a caravan park) but for a couple of days I went into a period where I couldn't control my emotions to a point where I couldn't stop crying for more than a half hour or so. The trigger although on the surface just reminded me of how lonely I was but when I thought about it it was so stupid to get triggered over. Then during this depressive period I would get brief hypomanic episodes which would usually come after seeing or hearing something comedic. I would get racing thoughts. I was ordering subway during one of these periods and the poor girl serving me couldn't understand what I was saying I was speaking so fast. The funny thing is these hypomanic episodes felt absolutely terrible. I would've rathered just be in the doldrums. I went into another more lengthy hypomanic episode a couple of days later after I actually got a couple of hours sleep which was extremely difficult at this time. I was fidgety like crazy and had the racing thoughts. But again it felt terrible and I still felt like I wanted to cry. I never had any delusions of grandeur though. Never fully lost touch with reality as far as I knew.
Bipolar? Who knows. All I know is that experience was the one of the worst of my life.
Sounds pretty bipolar II…
My father was diagnosed with I believe it was bipolar II (??) in the late 80s. I remember him taking lithium pills, but I was just a young child at the time, I did not know what they were for. His mood would turn dramatically, making it very hard to have any sort of relationship with him. One moment he would be making my dinner, the next he would chuck the plate at my head. Another time he would be absolutely normal, and the next he started crying uncontrollably for a friend that passed away years before. When he laughed, it was more than laughter. It was an explosion. He laughed way too hard, and it always made us laugh because of how hard he laughed. It was at times confusing, at times terrifying to live with, and I was more than happy to get out of the house when I was old enough. But, we still communicated until he passed away. Sometimes, I struggle with months of extremely low points and a few days of what I think are happy normal days. It scares me. But, psychiatry is not a thing in the country I live in.
It’s interesting you say that the depressive phase can be more damaging than the manic phase. I’ve always viewed it the other way around due to the major life decisions and actions people can make during a manic episode.
When I see videos like this, I get kind of jealous. I only ever get the paranoid and angry variety.
All these years later and there's still no help available
Hi Dr. Eliott Carthy, can you analyse the Netflix series: "Spinning Out", with Kaya Scodelario, and her Bipolar disorder.
Best Regards
I CAN BELIEVE THIS!!! I start watching this video, then go on twitter, #1 on trending is Olivia Newton-John died and the manic guy mentions her like 5 min later. How is this possible.
“Bipolar disorder is characterized by cycles of mania, depression, and bad decision making” -Dr Todd Grande.
I wish I could know what this guy ended up doing with his life. At least from this video it seems like he has the capacity to turn his symptoms into strengths. It’d be cool to read anything he may have published as a journalist.
Bit of an older video to be responding to, but my first major manic episode, the one that led to my diagnosis of bipolar disorder involved a sense of grandiose ability. For about 2 weeks, I believed that my intelligence had skyrocketed. I consider myself to be a relatively smart guy, but I had a near-death experience, and was then put on prednisone because I had respiratory issues. I discovered later that corticosteroids have been known to trigger mania in people with bipolar disorder. I believe this is what led me to believe that I had suddenly become a genius. In some ways I do believe I was smarter, but not due to some superhuman ability. I started to feel good about myself and who I was, so it made me want to think about things on a deeper level. Essentially, I didn't get smarter, it just allowed me to recognize that I already was smarter than I may have thought I was.
I'm getting out of psych, and going back to general medicine (Not a physician, an MA). I work at a psych hospital, and between aggressive, thuggish behavior with the chem dependency unit, and dealing with people in psychosis, it's impossible to sympathize.
People with bipolar most likely have a conversation with MH professional only when they are depressed. When they get medication and then turn manic then they are immediately discharged because they no longer have depression and are so happy now. So, everything is ok now and you don't have depression any longer so, go home. plth Like, they don't care about manic state, only depress state and only when is extremely severe and to deal with you as quickly as possible.
Ps. Also, love your videos.
I have bipolar 1 I would have grandiose ideas and talk to friends who never saw anything wrong I even had a Psychosis episode and hardly anyone could tell something was wrong luckily I asked for help even after I asked for help some people said it was all in my head while technically true that's not how they meant it lol. One of the scariest times of my life I haven't told anyone about everything I heard while having Auditory hallucinations just the surface.
Question
Is there a difference between how hallucinations and delusions ect present depending on why people are having them? Like is there a difference between someone having Psychosis due to Bipolar 1 in my case Or schizophrenia? Besides the length of time
I’m getting the “strong coffee sweats” watching him.
It's funny you as a psychiatrist heard 'anticipatory' and got 'paranoia'.I'm autistic as well as bipolar and would've taken that to just mean anticipatory, excited, optimistic about the future.
I'll again recommend watching Titicut Follies.
So if you get a referral on your shift who turns out to present with mania, do you consider that an easy shift?
If that's my only referral then probably yes. That's rarely the case though 😉
@@DoctorElliottCarthy LOL
9:05 Why did that actually make sense to me?
He said here in Bloomington which makes me think he’s at my state university of IU-Bloomington. Which if true is very cool.
Anybody found out what Lydome is? Can only find lydomil?
Can you link the channel that this video is on? I would love to look through more of these.
The channel name is Pika Grape Snack. It's great so do check it out
@@DoctorElliottCarthy Thanks!
First, great video as always! Second, I'm having trouble finding the source for the video. Can anyone help me out.
I wonder if all my college teachers have thought disorder!
You glossed over his mention of women, would have been a could time to pause and talk about hypersexuality. :)
Lodine is a medication called Etodolac
Hi Dr Elliot could Lidome be another name for Librium?
Christ, my best friend is Rapid type 1 Bipolar and the song thing is so identical
This might be a stupid question but be nice . Was the guy an actor portraying a character?
Am I weird for actually understanding what the guy was on about at 9:00 like it’s strange but I kinda get where he’s coming from XD
Here is my thing. Mostly I agree with this doctor and like what he is saying but when I’m manic, it is not always easy to catch. Even I don’t catch it and I have trained myself to look for it. Mania isn’t always easy because it doesn’t always present as like the person in this video. I have bipolar 2 and Hypomania more so it’s different for me but all of this to say it’s not always quite like that. The last time I was manic, I didn’t notice until 2 weeks and -$300 later
Dr Snibby brought me here
is it spectrum or all symptoms are must ?
would mania and/or bipolar disorder could present differently in women, especially because of how women are raised and society's expectations?
Nope. This is me to a tee (BPD 2). That said, the personality of the person is a factor, regardless of gender.
Guy seems like he's on a talkshow
pretty sure by concieving mentally he meant he PLANS being becoming a parent like not an accident that just happens bc ur sleeping with random ppl NOT THINKING about what could happen like concieving yk i understood him anyway
Question:
If I know a person is bipolar and they have exhibited sexual or romantic interest in me and I'm not averse to reciprocating, how do I deal with the ethical issues involved? How do I make sure this is not just the mania talking? Is there even a responsible way to deal with this issue?
The how did I get here thoughts happen with ADHD too though or is that a different type of situation because to you it's clear but everyone else is like what?
Bipolar mania is real close to ADHD the difference being the ideas are more out there and chaotic with mania. I'm Bipolar 2 and experienced months of mania and I ended up doing drugs, stealing, thinking I was better than others and would start to rage out with a knife in hand if someone confronted me. Mania is more than just a high it's also rage and agitation that can take over your whole thought process.
@Snow Anaya no yeah I get that I mean specifically with the thoughts jumping around but thank you for the reply
Hypomania for me is not enjoyable and it’s not something I miss.
Dude I am sorry but it lagged during the video and the video froze for about thirty seconds and then at random the video played super fast while the audio is normally playing... The visuals were so strange it made me laugh I am so sorry it was so weird...
That happens sometimes. It’s an internet issue, it’s always funny when it happens though lol
My father is manic depressive bi-polar. One of my coping mechanisms that developed to deal with his craziness was to just find the humor in all of this. My brother and I love to recite some of his crazy lines. It helped that my dad moved to Florida when I was 8. I’m now 35. He still can be a handful to talk to, but I simply don’t call until I know he’s more normal. He refuses to take meds and he lives with his elderly mother. I wonder what will happen to him when she finally passes away. I sure can’t and won’t take him in. It’s not that I don’t love my dad, but I can’t give my life up to take care of him. Especially when he is not willing to take care of himself. On another note, when I recognize bi polar disorder in someone or hear that they are bi polar, I run as far as a I can. I have no interest in getting involved with them.
I can totally relate ♥️ I am in Canada and my family member was able to get into a long-term care home (nursing home) where he can be taken care of. This was possible through the help of social workers. I need to keep distance to maintain my own sanity, but I feel soon much better knowing that he is in a safe place
That’s great because we have zero interest in having anything to do with someone like you ☺️ sorry about your dad, I hope he gets the help he needs.
@@comsomolka all the better for me
Doc - do you ever get the feeling these folks are acting?
Some of them are and this one might well be, perhaps as a training vid for students and doctors. If hes acting then hes pretty good. Also doesnt change all the interesting features of bipolar for this vid that I hope will be useful for people to learn a bit more about the condition 😊
@@DoctorElliottCarthy It must be the outgoing nature that he is exhibiting. I guess in this situation, its hard for me to relate to someone that does not having that 'filter' with a stranger. I've got a lot to learn about people. THANK YOU FOR SHARING! Very interesting.
I’m certain this acting. I think I could put on a convincing manic episode (My father is bi-polar) but an experienced doctor will likely see through it at some point.
If he was a real patient and not an actor it would be unethical to show this video publicity.
is the patient an actor?
Yeah I think they're educational videos with actors but they're still a useful window into the perception of mental illness at the time
weird and interesting
Why do most of these interviews come across as staged? Could it be that it was just a transcript from real interviews or not even real ones and then they used actors to play them out as teaching material?
Yes they're likely to be actors made for educational purposes but it's still reflective and attitudes towards mental illness of the time
If you ever get an opportunity to do videos with patients, please do. If my psychiatrist wanted to record me for a TH-cam, I’d agree
Nice video but Elliot speaks a little to fast for me to understand him clearly
Sorry. Thanks for letting me know. I'll try and slow down a wee bit 😊
well, did you heard the guy in the video he is commenting ? how could you keep up with him ? XD
I find it helpful to use TH-cam's playback speed setting if a person is speaking to slowly or quickly for me. I feel like that would be better than adjusting the speed at which he communicates because so many viewers on TH-cam have this issue in one direction or another. I personally perceive his as my talking speed, but people also say I speak fairly quickly. 😅😅😅
I don't think that video is authentic, real person. I watched several of those and it sounds to me like they are reading a script, acting more or less. The jist and vibe of it seems fake. Back then people wouldn't tell so much but now a days you can tell by the way they are speaking, the word flow. It's acting for teaching. Thats not a real patient.
Well it's not being paranoid if someone is actually out to get you... Just say'n 🤷♂️
Jk 🤣
saying is the most brilliant mind of the 20th century.. wouldn,t that be a trait of Narcissic Disorder ?
No. Personality disorders are persistent - he has grandiose delusions which are common in mania.
@@forest8477 I don't see how someone saying he is is the most brilliant mind of the 20th century is NOT persistent
@@maximem.ste-marie3578 Because he mightn't have said it the day before.
@@martinmaguire-music6692 so ? you can't base your argument on something you didn't see or heard.something he 'might didn't say the day before". Also, because he might didn't say, it doesn't mean he isn't. What if he said all the other days before that ? It doesn't work that way,. dude. You have to base your argument on something you saw or heard.
When someome says " I am the most brilliant mind of the 20th' and saying it just once (and not in a mocking manner, obviously), pretty sure it's a trait.
Your policy of freedom and no prejudice,will result in our politicians possibly being..........oops!
I created Dexter Morgan with help of others on a web forum in 1997. Many praise Dexter but the truth in the creation was from severe abuse and not like in the tv show
where the baby cries in a pool of blood.
I and neither Jeff Lindsay named him Dexter. It was a cartoon fanboy of Dexter's Laboratory cartoon tv show who was the one who gave the name.
Jeff Lindsay asked him why Dexter? the fanboy replied..... Because he is weird like that.
Dexter was adapted from a book
@@urbicide_if And before the book it was discussed on a message board in october 1997. A cartoon fan boy of Dexter's Laboratory said he should be named Dexter and Jeff Lindsay replied... why Dexter? The fanboy replied... because he is weird like that and Deb Morgan the actress was chosen because she looks like my sister