Doctor REACTS to House MD (Is This Really Schizophrenia?)
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- เผยแพร่เมื่อ 22 พ.ค. 2024
- #doctorreacts #drelliott #house #reaction
Check out my Doctor Reacts to Bojack Horseman: • DOCTOR REACTS TO BOJAC...
Doctor Reacts to House MD: • Doctor REACTS to House...
This Doctor REACTS video is looking at a classic episode of House MD from season 1 called "The Socratic Method". This reaction is all about someone with schizophrenia and how this can manifest, but also makes us consider how psychosis can affect physical health, medications and other causes of psychosis. If there's any that you find that you want me to have a look then leave links in the comments or DM me on instagram. Some of these are absolutely brilliant!
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What did you think of this depiction of psychosis? Is this what you expected?
Awesome video, and I’m sure you’re getting better looking too 😀
I have understood and still understand psychosis to be a person perceiving the world around them in an unrealistic way, therefore responding improperly to generally perceived reality.
If that's inaccurate, I'd love to know!
I work in a hospital emergency department, doing crisis psych evals, and we have soooo many people who present for acute pain or nausea or even just general malaise, but as soon as the provider finds out they also have psychotic features, they're sent our way and their chief complaint is ignored. Thank you for pointing out that just because you have a mental health issue, it doesn't mean you're always in crisis and your mental health needs to be addressed to the exclusion of everything else. People can have hallucinations and delusions but still be functional and rational.
I once saw a new doctor (because I was on new insurance) about a chronic cough that had lasted months. After doing a bunch of blood tests that came back negative, her conclusion was, "you're depressed and should see a therapist". Like, thanks, I know, I've already been diagnosed with depression and GAD, but *I came here about a cough.* (I ended up figuring out later on my own it was caused by acid reflux, btw.)
My sister was repeatedly dismissed by medical providers while presenting similar symptoms because she's naturally very skinny and they assumed she had anorexia/bullimia and that's why she was vomiting. She had gallstones and was actually in pain.
I haven’t watched House since I was a teenager. Now, as an RN the minute he said “Take her off the psych meds” I yelped What?! 😅
I'm neurodivergent and can stop taking psych meds without ill effect.
I also metabolize drugs at a faster rate, which means that it affects me quicker, but doesn't last as long.
Zoloft, Effexor, etc. I can take those and start feeling the effects that same day (usually within at least 3 hours of taking it).
By that same measure, if I miss it the next day, I'll feel the difference.
@@theirantotally off topic but I take Effexor too and I’m super curious what are the effects you feel? ofc only if you don’t mind sharing
@@nekobooze effexor revs me up. I feel great on it. Also makes me feel like I'm on low dose speed. Doubles my sex drive while leaving me with inorgasmia.
@@theiran wow its interesting to see how different people respond to meds! thanks for sharing!
@@nekobooze yeah. I'm allergic to zyrtec which is an allergy medicine 🤪
Regarding the "pick your specialist" thing, I read a book, The Spiral Staircase, Karen Armstrong's autobiography, and she talks about how she got sent to psychiatrists for years and it wasn't until she collapsed at a train station and had a full on grand mal seizure that she got sent to a neurologist who was like, you've been having seizures for years, and NONE of the psychiatrists ever realized that's what was going on??
In a weird way I enjoy the inconsistent medical accuracy in House MD. In a bizarre way it lends a credence of sincerity to the "Only House can solve this case" Sherlock Holmes schtick. Yeah of course only he can solve it is absolutely nuts. And then every now and then it is dead on really cool how accurate it is with weird abnormal conditions and you have no idea how the writers even heard about this strange diagnosis.
The strange diagnoses come from their medical consultants who seem to list all the rare conditions but also don't stop any of the inaccuracies but then I suppose that's part of the fun of dismantling the show on these videos
YAAAS! We LOVE a psychiatrist in his villain era!
A lot of issues come when you having multiple conditions across different specialists, each dr looks at their condition in isolation instead of a more collaborative approach. I have neuro, genetic, cardic, renal and psyc conditions as well as being autistic (and now looking like adhd too); each dr tried to help me but the treatment for one made another worse, or didn't take into account how they would interact together. Wasn't until I got a pain specialist dr that sat down and realised how everything was a complete mess and I was on medication that completely counteracted another medication etc and being misdiagnosed because drs weren't looking at the big picture. Definitely feel drs should talk to each other more, especially across specialities, and recognise areas they don't have knowledge on that could be affecting their approach
It is very weird they were trying to treat you for autism. So far as i know there is no great treatment outside of maybe addressing individual symptoms like anxiety or panic with SSRIs, benzos or PPIs.
@@felixhenson9926How did you deduced they are treating OP for.. autism, out of all the physical conditions..?
This is where having generalist medics involved is so important. In the UK, a good GP is worth their weight in gold for exactly this reason.
@@felixhenson9926 I don't see where OP says they're being _treated_ for autism.
Regarding treatment options: my psychologist may disagree, but I think fighting (discussing, working around) the symptoms is treatment
@felixhenson9926 it wasn't treatment for autism, but more knowing I'm autistic helped assess other conditions. I have a form of stomach paralysis so not being able to tell when I'm hungry affected that. I have urine reflux due to kidney damage (due to having a sten put in as a child without knowing I have eds so valve was damaged) and not knowing when my bladder was full was making it worse. Not being able to express or describe pain in ways that were expected changed their assessment of how serious my condition was. I was also misdiagnosed with bpd until they realised I was autistic with c-ptsd instead. Autism can't be treated, but does affect how a person presents to drs
I love House, and I also love honesty and accuracy in the medical professions, so I'm sure I will enjoy this. 😅
I love your House videos - I have lupus and hear the “it’s never lupus” joke all the time, but there’s so many wild things in the show that you give such great insight on! I enjoy and learn a lot from your content and it brightens my day. 😊
I enjoy your unique take on House.
Sapphira’s floral runway in the background ✨🫶🏻!! I love your reaction videos!
I've never heard any other doctor even slightly reference hypnogogic hallucinations before! Even my neuropsych was incredulous when i mentioned that's most of the hallucinations i experience nowadays
That was a fantastic episode. Also I watch House for enjoyment, not to get a medical education so I don’t really care too much if the medicine is wrong.
You should watch and react to this episode of Daria called The Misery Chick. Basically, a well known alumni dies during a school visit and then everyone starts doing to Daria due advice because they assume she's always depressed and knows a lot about tragedy. It's a really good ep, honestly.
I feel like House has 90s buddy cop movie syndrome. That is, "he is unconventional but he gets results" which makes for an interesting movie but TERRIBLE in practice
I have two sons with schizophrenia. Medication controls hallucinations, but this horrible illness is SO much worse than the hallucinations. Also the problems are not just within the victim. The worst can be misunderstanding and rejection within family members. My own father simply said Ï don't know what to say to him," and never spoke to my son again. I presume he would have reacted the same to my other son, once he was diagnosed. Too many families withdraw rather than deal with the reality.
You mentioned around the 5min mark that the most common form is third person, running commentary?? but whats the difference between that and an inner monologue? Because I've always had a third-person voice that tells me stuff like I am angry, I am annoyed, I hate my life etc etc This person is this and that, but I've just always taken it as a normal monologue.
Good question--do you hear the voice outside of you from somewhere in the environment, or does it sound like it's coming from inside your head?
Really good question. Hallucinations are heard externally, through your ears like when you have a conversation with someone or as if someone's whispering from your shoulder. Most people with psychosis can distinguish this from an internal thought or inner monologue. It's the realism of these voices that makes them so powerful and frightening
If it's saying "I am " that doesn't sound like third person, unless the "I" it's referring to is not you...I had a similar type of hallucination once due to alcohol withdrawal and it was actually two voices talking to each other about me - in other words, saying things like "He's such a loser" about me, or whatever. They would even whisper to each other so I couldn't hear parts of what they were saying. When it was happening I thought that they were ghosts and that they were in my living room, although I kept going out to the living room to look for them and never saw anything.
Did not expect a nieW video from you today. But gladly clicked on it. Thank you.
I have severe mental health issues myself (not schizophrenia) and I have deep compassion for people living with that condition. I've met several young adults in psych wards with it and I really felt for them. They pretty much all felt "betrayed" for not being allowed to llive alone but prepared to be transferred to some "assisted living" facility or the like. All of them had weird conspiracy theories and issues contolling their emotions. But they were unaware of. I understand that in their opinion they were "treated unfairly". Just by knowing them I understand (or maybe not even really since I'm not in their shoes) why schizophrenia is a condition so hard to treat, likely not only for lack of insight.
I have sleep paralysis sometimes and once my condition worsened so much I was just completely unable to sleep. AFter 3 days I had near to psychotic symptoms, was almost convinced I would lose myself completely. Just remembering how terrifying that short episodes were makes it hard to imagine how horrible it must be to live with symptoms like that or worse your entire life. As I said, I have deep empathy. Even if the disinhibited behaviour of some of these patients made overwhelmed me, made my whole body jerk uncontrollably to loud rants (because of me being overtense from my anxiety issues) etc.
Psych wards aren't easy. The juxtaposition of partially very different illnesses is a real challenge for everyone involved. And that without even taking the "lottery of roomates" into account.
I really enjoyed this reaction video.
Resonates with me for how easily as a patient with mental health isuues, or for me especially adding chronified eating disorder, you may made feel like "reduced" to it.
And don't worry, I loved your video and take on the Rorschach test.
I just rewatched this episode a couple of days ago and it's SUCH a good one. The medicine is great and very interesting, and I love that it's one of our first episodes where we get a deeper look into House's empathetic side. Lying about the phone call to protect the mom was so kind of him, I love seeing those little glimpses of his inner workings
Thank you so much for the video, it made my day! Your voice is so soothing, always helps me relax ^ ^
Great video as always.
May I suggest season 3, episode 2 of Superstore for acute stress response, PTSD and trauma.
The context is in season 2, episode 22 in terms of causes of trauma.
huh. i was interested to learn clozapine is usually prescribed to treatment-resistant patients. I was on it, however briefly, but that lines up. I'd already been on literally every atypical antipsychotic by then. Ironically despite your stated concern about the amount of additional monitoring, the drug that eventually did work was our last chance saloon; lithium. I don't understand WHY it was the last thing we tried given i am bipolar and lithium, while risky and high-maintenance, is still the gold star treatment afaik.
I have a similar story. My manic psychosis was actually worsened by antipsychotics and I eventually had to ask for lithium myself, which did get the psychotic symptoms under control. I'm often disbelieved on this point.
It's mostly because it can be deadly if misused even slightly and not very, very tightly monitored. Metabolic change can cause an overdose. And let's be honest that people who need lithium aren't always the kindest to themselves and therefore - thorough with their health monitoring. That's really all there is, besides perhaps stigma that it's such an old and simple substance.
Lithium is by far our most effective medication in bipolar disorder, which is why psychosis doesn't equal schizophrenia - there are lots of conditions that can cause psychosis and the treatments can be very different for each. Glad you've found something that works for you.
I used to watch Criminal Minds as a teen and into my w
early 20s. Personally not a fan now due to th violence and also demonisation of people with mental illness. However, the mother of one of the characters, Spencer Reid, has schizophrenia (something he hides from the team until a case occurrs where she is put in danger) and compared to many of the criminals in the show it's a more sympathetic, less dramatised portrayal. Would love to see you react. Happy to even suggest episodes and time stamps so you just react to her scenes and not the whole show if you prefer (though some may be confusing out of context.
Oooh! I've been looking forward to another one from you!
I love all of you House episode, and this episode is one of my favorite. I now you are a busy man, i am also a health worker, but please more House Md and longer episode, please :)
Also taking me off antipsychotics saved my life. My psychosis was caused by a brain bleed that was missed by a psychiatrist that diagnosed me with “fictious pain disorder and psychosis” for having pain in my head due to the brain bleed after I went to the ER
my first experience with schizophrenia was back in the early 2000s when i was maybe 10 and we learned that my second cousin, who i didnt really know, but we were told he killed himself and i guess in his note he said the voices were telling him to hurt people, and he didn't want to hurt anyone, so he ended himself to protect his family from himself ;-; wish i'd of gotten to know him and i wish people knew and cared more about these conditions back then, maybe he'd of gotten the help he needed
I love your reactions about House. Love that show. Please do more. 😊
Interesting. Thanks for your comments & insights
I've had physical symptoms that I couldn't find a reason for and went to many different specialists for over 5 years. What did I end up with - a little bit of everything cumulatively taking its toll. I was tested for Wilson's, I've had MRI scans from my hips to my brain, tilt test, and even had a liver biopsy, but the most painful was a test from the neurologist (don't remember what it was called but they pricked my legs with needles). So many blood drawn labs, and I don't even remember all the other things. Luckily, there's no one thing that is severe, and everything is treatable. My psychiatrist at the time found I had a certain strain of MTHFR gene. My allergist found I have low immunoglobin levels. My labs also showed low iron and vitamin (I'm uncertain if it officially crossed over into anemia). I don't remember if it was ENT or audiology who did a vertigo test - PT really helped with that and I'm not nearly as lightheaded and dizzy. My PCP referred me to functional medicine. They had me switch to a different allergy medicine so I wasn't as fatigued. The biggest thing I discovered was that while I was pregnant, I didn't have my worst symptoms (heavy limbs, feeling like sleep paralysis while wide awake, tremors) - the ones I was really trying to find the root cause of. They came back after giving birth, and when I started discussions with functional medicine about what I was taking in and I made the connection to caffeine! 1 can of soda or 1 small iced coffee can give me a boost of energy for a few hours but then knock me on my butt a few days. I've tested it and if I drink it slow and with food and maybe once a week I can tolerate it.
Another awesome review! May I suggest you take a look at episode 12 from season 3?
I think it’s one of the episodes that could use a real life psychiatrist perspective
As a writer, and a fan of House, it frustrates me when they had a doctor on set and reading scripts, but they left in so many obvious mistakes, never mind the overly dramatic story elements.🤔
I think that to keep a general public audience, they had to make allowances for a lot of things that weren't factually correct. Because for the viewers to stay entertained, the situations, circumstances, and symptoms..all had to sort of escalate or at least maintain a level of intensity to keep the attention and excitement of their audience going and thus the show itself.
It's difficult to comment on "obvious mistakes" without going through them one by one, but as far as "overly dramatic story elements," well, the show ran for eight seasons and is estimated to have grossed around a billion dollars. Perhaps it was appropriately dramatic for the audience they were targeting, because those sound like huge wins to me.
The way they send the doctors to the patient's house to rifle through their belongings was so ridiculous, I hated it every time that happened
Love your videos specially the ones about house ❤
I was given thorazine for anxiety, depression, and PTSD. The next step was going to be electroconvulsive therapy. So I stayed away from the hospital when I meeded it, because I saw how people my age came back.
I LOVE math and physics, and I can learn a whole subject from just learning the equations (which is good, because a severe head injury took away my ability to read the way I used to). I started reading about relativity in 7th grade, and started doing work in analytic number theory in 9th.
On thorazine, I couldn't solve an easy level sudoku. It was like slipping into a nightmare version of reality.
That sounds like a nightmare. I'm.. the exactly opposite with ADHD meds - on stimulants, I'm endlessly entertained with my physics textbooks, without, I'd likely fail AP Math.
My mom has Wilson's disease but hers presented at 16 and they thought it was depression so they placed her in a psych ward
Went untreated so she had muscle spasms, which caused permanent physical problems
They said she would never walk, talk, hopd a job, have kids, but she did all of that and more after 15 corrective surgeries for her feet and hands which were the most damaged by the uncontrolled spasms
I love your House videos. Please do more.
This is a sad fact about me, I can’t watch House M.D because I get suicidal but people reacting to House works, don’t know how but that’s me😂😅
❤ Happy Sunday!
I think I've shared this story once on this channel before, but I suffer from chronic spells of insomnia (thankfully they are MUCH less frequent these days). When I was 24, I stayed awake for 82 hours straight and it's the only time I've ever experienced psychosis. It was very scary!! The hallucinations for me were very muted, like I heard laughter but it was like it was coming from a distance. I didn't see things that weren't there but the things that WERE there would seem like they were moving despite being stationary. I don't think I've ever experienced anything quite as vivid as what's shown in this episode. Nevertheless, it's been almost 10 years and it's still one of the most unsettling things I've been through.
YO DOC!
I love this Deep Discussion on House!
I cringe hard enough to give myself a concussion sometimes while watching it too.
I love the bit about "In Psychiatry, our Words are our Surgical Tools".
If you want the Holy Grail of "Games Are Art", I would HIGHLY recommend getting in-touch with Double-Fine Productions---The Madlads & Lassies that made the Game Psychonauts.
Not only is the Artstyle "Surreal & Unqiue" (The best descriptions I ever heard was from Yhatzee Croshaw who called them "Half-Melted Muppets"), the comedy is 'teenage & morbid', like something written by Teens FOR Teens.
The Game is about: "Using Psychic Powers that are learned at this Summer Camp called Whispering-Rock that teaches Children "with unique Gifts" how to use their Powers for Good & in some cases, Therapy."
The Main Character Razputin is a Romani Gypsy (The Game uses the term "Grilovian", a made-up Country but it's obvious where the 'Punk & Rock & Roll' attitude of Raz comes from) who is the son of a Mother & Father & Family who runs a Family Circus & most-notably, fears & hates Psychics because "they destroyed Grilovia".
The problem is, Raz is an armature Psychic & loves the Comic Book series of Adventures of the Psychonauts, a In-Game REAL LIFE Secret Society of International Psychic Secret Agents & Spies---who have their own Published Comic Books?
I would HIGHLY Recommend looking up the Official Trailers of both Psychonauts & Psychonauts 2 to see if it interests you at all!
Then, get in-touch with Tim Schafer (Head of Double-Fine, he loves doing videos with Cool People) & see if you can get him Online to talk about his Art Game.
I'm 1000% certain that this would go crazy on the YT Algorithm & bring in a ton of new Subs aged 18-35.
Psychonauts is a 'rite of passage' for a lot of Gamers.
I would also recommend: American McGee's Alice. Silent Hill 2. Senua's Sacrifice. SOMA. Disco Elysium. & if you want to REALLY, REALLY 'smash the Algo', look up Spec Ops: The Line. (Quite possibly, the most influential FPS ever made since DOOM itself.)
I had a few times hallucinations when I am about to fall asleep or when I wake up, freaks me out. very scared of becoming psychotic and losing control
So most commonly it’s like a normal internal monologue save it seems to not be quite internal and more intense?
Hi Dr Elliott. Ive just finished rewatching your video on scrubs: my lunch episode (having been a long time fan) and i wanted to ask you a question. I figured asking on a more recent episode would be easier for you to find and potentially answer.
I'm training to be a counsellor (im half way through my level 3 in counselling, and will progress onto a T level in health come September) and was wondering how you, as a counsellor, would support a suicidal client? The articles and research ive done through various websites (nhs, mind, verywellmind etc) all say to offer them support and tell them professional help is available. I can never find how to help as said "professional help".
Love _House_ ! I would like to see you react to “The Choice” (S06E20) “Simple Explanation” (S05E20) and “Joy To The World” (S05E11). I feel you could definitely provide some unique insight as a psychiatrist.
I don’t know why everyone wants to act like House is a good doctor. He is the exact opposite of what a good doctor should be. He has a disgusting lack of empathy and belittles his patients. He does not show any of the empathy, sympathy or compassion of a good doctor. A doctor like this does far more harm than good in the field. I said what I said haha.
My dad has unmedicated and untreated chronic psychosis and paranoia persecution Schizophrenia its very difficult and I want to get him help but he freaks out really badly whenever there's a mention of a hospital. He has been having heart issues for over a year but refuses to see a doctor about it and he is almost 65.
That sounds really tricky. Ultimately, schizophrenia is a hard and complicated chronic illness to manage for everyone involved, including family
Even then I should have known better but I suffer from an anxiety disorder-they took me off just one medication that was really helping when I got pregnant. It did not take well. I got a different doctor when I was pregnant a few years later and he was amazing...when I got pregnant he was like 'unfortunately we can't test a lot of medications in pregnant people because that's immoral. I would think yanking you off something that works would have a much worse effect than anything the drug could do In utero.' I hope no one has taken this to heart and been like 'oh yeh well house said it was fine and I can't see a doctor for 2 weeks and it would cost money to see one sosssoooo....I live in Australia where the gap is ok and emergency rooms aren't fun to be in...but they still won't charge you for being there.
Perinatal psychiatry is incredibly complicated and specialist and I don't like it when I see docs reflexively stop all mental health meds just because someone is pregnant. Nuance and an individualised decision is needed.
I can’t hear it right now (probably because I just woke up) but I usually have two first-person lines of commentary that talk to each other. So, that’s cool. And apparently a “not concerning” symptom lol
It’s when there’s a third voice that I can’t control that talks to them that I should be worried lmao
Ooooooh do Sleeping Dogs Lie (S2 Ep18) I got that one before House did too and it's SO good😮😮😮
Tbfair if House had never taken her off the psych meds, would they have reached this diagnostic conclusion?
Analysis of BLUE EYE SAMURAI please
favourite show
That kid reminds me so much of Klaus Baudelaire.
ur missing the yellow lego figurine on ur shelf!!
I suffer from hypnagogic hallucinations, which occur right as I'm almost asleep. So I appreciate your statement that not all hallucinations indicate psychosis. I hate this sleep disorder.
I've known some people who were managing schizophrenia with medication. But I also have an ex boyfriend from high school who began showing symptoms at age 35. Okay I suspect it began before then, but at 35 he started "remembering" things people had never done, making all kinds of accusations, became extremely paranoid and sending death threats to me and a few other people. I have a permanent protection order now. It is a sad thing, because we had been friends, but I have heard from his attorney that he's doing fairly well these days.
I want to make sure people know that what happened with my ex is not common. People with mental illnesses are far more likely to be the victims of violent crime than the perpetrators. PLEASE don't assume schizophrenia automatically makes a person dangerous. I also don't feel any anger toward my ex boyfriend. I know he was sick, and although we will not be part of each other's lives again, I want him to be happy and healthy.
Is not schizophrenia related to the mhc2 ?
Is not dopamine, glutamic acid, Gaba all related?
Is the iron serum, or the ferritin serum connected ?
I’m surprised you didn’t notice that Wilson compared House to Van Gough and then in later seasons he uses Van Gough as an excuse to not seek treatment
OMG I loved this episode. I guessed it was Wilson's Disease before House when I was 17
Edit: I was sent to be checked for Wilson's, it was to check for those rings. Funnily enough, the morning I went it was really cold so I grabbed a beanie. *COMPLETELY* forgot it had "Wilson's (either 'Team' or 'Class')" embroidered on it and that I was even being checked for Wilson's 😂😂😂
He’s probably talking about chemical lobotomies and how that is still used today
Is it possible to have schizophrenia and never experience auditory, physical or visual hallucinations?
oh Dr Elliot, it's never Lupus!!!
One of the better episodes.
The unfortunate character in this episode lives with Schizophrenia. Which causes all kind of stress upon the body. So it also could be these stresses that can cause DVT as well…… ⚛️☮️🌏
Have you thought about reacting to young royals? It's an lgbtq teen series with a lot of great mental health representations (like anxiety, autism, addiction and eating disorders)
Socratic method was a pedagogy first!
I think a great follow-up for the next House react would be another s1 episode, Control.
It’s never lupus
What type of schizophrenia are they talking about I have seen all versions. Many of them inherited through their mother’s side. My friend hated his mother because both of them had the same type.
We don't subcategorise schizophrenia anymore because many people present quite like this - an overlap between what would have been described as paranoid and hebephrenic or disorganised schizophrenia.
Funny, I just warched another YT Doctor watch a Scrubs episode with Wilsons Disease.
Tv shows love a rare disease haha
But... But.... Its never lupus!
Are you the villain in your own story? 🤔 #CrazyExGirlfriend
far from perfect episode but not too bad
I really dont understand why people would get so butt hurt over your feedback and analysis of the show. If they dont want to see a show that they love, get picked apart, then don't watch the reactions, and just stick to watching the show.
I always despair when people comment saying stop reacting and just watch the show.... just go and watch the show then :P
💖