Man Can't Stop Fantasizing About Murdering His Wife | Chicago Med | MD TV
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- เผยแพร่เมื่อ 2 ต.ค. 2024
- A terrified man enters the ER asking to be committed because he cannot stop thinking about murdering his wife and is worried he will follow through with it.
From Chicago Med Season 3 Episode 10 'Down by Law' - Dr. Manning struggles with the aftermath of a head injury; Dr. Manning and Dr. Halstead deal with a teenage patient and her overbearing older husband; Dr. Rhodes learns alarming information about the woman he went on a date with.
Chicago Med (2015) The doctors and nurses who work at the emergency ward of the Gaffney Chicago Medical Center strive to save the lives of their patients while dealing with personal and interpersonal issues.
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I think the bigger issue isn't the risk she took (which made me nervous as hell). It was she deliberately ignored him and went behind his back. You don't do that.
Humans have this weird tendency to want to be right, so right that they'll deny anything no matter how dangerous or stupid. I'm guessing that the wife didn't want to think that her husband was crazy or needed medical help, so much so that she was willing to ignore or deny his needs.
Younger inexperienced ones always think they know best. She was wrong as hell
I hoigt she was going to die
The bigger issue is that she didn't do it for the patient
She was testing herself with a patient
She did it for herself
@@samhouston1646 no...she was right 🤨 what are you talking about end end of the clip clearly show that
man she really broke the biggest rule of being a psychologist, you always have their consent!!!!
Literally every healthcare professional most basic thing to do is get patient consent
She’s 4th year med student
Or even proper assessment.
@@sofiamastroiacovo7441 psychiatric
@@thythyy7633 she had already graduated in this episode, she's now a psychiatry resident
That was not just risky but unethical. That is NOT the way to treat a patient who is absolutely TERRIFIED of their own mind. Imagine someone having, let's say, arachnophobia and going "ah, yes, we'll drown you in spiders and you'll get over it". Exposure therapy doesn't, and SHOULDN'T, happen on first visit and DEFINITELY not without preparing the patient! If this show was real, I'm fairly sure she'd have been pretty heavily persecuted for this.
Not really the same, but I get it.
Tyra would do it on ANTM 🤷🏾♀️💀
Actually that's how I overcame my fear of spiders
Well, it's a good thing this is T.V show then. 🤣
Exposure therapy can work, but it has to be gradual, very very slow. Not “throw his wife at him, it’ll be fine.”
“You are missing the point! Exposure therapy doesn’t make you all knowing or invincible.” Exactly!!! Just because one type of therapy worked for you doesn’t work for everyone and I actually really appreciate the writing team for that line. I just got into the show because of this episode.
Which platform
@@PcfulSol peacock! It’s free and has a lot of other shows too.
@@PcfulSol also Netflix
I’m glad. It’s my favorite medical show because everything from the writing to the directing is so well done and it’s entertaining and educational. I’m sure you will/have enjoyed it
@@PcfulSol and Netflix. I love Netflix and Peacock sometimes doesn’t work
As someone who works in a psych hospital I'm very confused by how stupid this psychiatrist is. Regardless of the outcome she's endangering both hers and the patient's futures by her actions.
And I must add the psychiatrists I've worked with who are reckless like this are the ones who end up being badly assaulted and accidentally harming the patient's welfare.
It’s a show…. It’s scripted that way for drama
Well, Reese isnt a psychiatrist, shes a 4th year Med student. (I havent gotten to this season yet so I dont know if thats changed) so she's probably going based off of her training and what she knows. It also happened with another doctor where a patient was diagnosed with Bipolar disorder via Dr. Charles and the doctor (With his own mental health issues) told him she should learn to cope. Later that day, he went to Charles and broke down about how he remembers his time in Afganistan since he was a Lt. In the Navy.
My point is, Reese isnt a psychiatrist, shes an in training doctor.
And of course, this is a show. Accuracy gets blown out the window for drama. Theres another doctor who revived a DNR because he thought better than the patient, so I'm quite pissed at that.
@@blazeravenscar so she's only a student, but won't listen to her adviser? Isn't that more wrong? She deliberately acted on what she does, neglecting what REAL psychiatrist said.
@@blazeravenscar at this point in the show she’s doing her residency i think
@@ninectstay_ I'm not saying what she did was right, I was only trying to reason on her possible viewpoint. Theres alot of these rash decisions based on ones personal emotions going on in this show, as I had stated on the DNR section, and frankly, putting yourself in a room with a potentual willing murderer is pretty fucking stupid. Especially if you dont have the right training equipped to handle the potentual violent outcome, be it a psychiatrist or someone who could subdue them.
She’s horrible for this. She likely triggered him immensely. He has a fear of these objects bc he doesnt trust himself. ERP is to be used with INFORMED consent of how it works.
Who?
@@mairak902 the woman who was in the room with him
@@_nwoony her name is Sarah resse Dr. Resse (Not trying to be rude)
Glad to see that the whole comment section agrees that she was so wrong about her actions. As a psychologist myself, I was appalled at the disregard to the patient’s consent
Why would a "psychologist" be appalled by the actions of a character in a TV show?
@@assassin971 I mean, I know there have been instances of people mimicking television and it going terribly wrong because what they watched was dangerous or harmful. People already love role-playing as a therapist when their friends have personal problems
As a patient since like 5, psychologists DO NOT care about consent, they will mention it but theyre the best at wording it in a way that gets the yes out of you, countless court cases have been won proving this, my own included. The lady on the show did straight up do something really wrong tho, very careless.
You know I'm something of a psychologist myself.
All kidding aside, I am the same as you are. This is reckless, dangerous, stupid, and unprofessional. This is just beyond the pale of stupid. She would have been immediately sent for board review if this was real life.
As a psychologist and 30 year patient I disagree with your dumb statement
That woman should NEVER be allowed to work in medicine again. Intentionally triggering a patient’s violent urges that he’s desperately trying to repress had such a high chance of getting her killed and getting him locked up. Exposure therapy without informed consent should absolutely count as medical malpractice if it doesn’t already.
Agreed. What she did was not only stupid but incredibly dangerous, for her and the patient.
Exposure therapy is good if done right. He WASN'T in a safe environment. They were both alone in there...
He could've also turned the knife on himself if he thought it was the only way to stop himself from killing another person.
Agree with you
You don't understand OCD at all. He doesn't have violent urges, he wasn't actually going to kill anyone. Of course the rest of your comment is true.
No ACTUAL psychiatrist would put themselves in this situation to "test" out their theory.
They would make them hold a knife tho but “imagine I’m your wife” isn’t so common.
They would LMFAAOOOO series like Chicago med, 911 are based off of real events
Or think treatment is a one size fits all. Or think hey this worked for me, ergo it must work for you to. without even considering the patients specific medical history and needs.
@@matildauebel7599 first of all, she was right. Second of all, for certain types of mental disorders, it is as simple as a one or few sizes fits all in the sense that there are limited or very specific treatments. There quite literally is hardly any other options for pure OCD and exposure therapy is completely safe, I have never heard of a person to actually commit the actions of whatever the intrusive thoughts are, but if its happened then its a small percentage for certain.
Dr Reese is an exception. She's gone through a lot in her life.
Imagine letting someone out while they are asking for help. Him potentially killing his wife is kind of serious.
This clip literally just showed it to you though... He has a mental condition, he's not a murderer. He has harm OCD. Go look it up and also look up ERP. Might give you a better understanding of mental health.
He would never bcause its ocd. Whatever is important to you can be an ocd theme.
@@keschmesch Yeah that could be true, it just didn’t seem right at first but it’s probably just a fear of thought 💭
Right? Tv gotta tv though
No, you're totally right; the other people responding to you obviously aren't very knowledgeable about mental health. When people have thoughts like that, they don't tell anyone about them because it makes them feel awful. In order for them to actually say something about it, they have to be seriously afraid that they'll hurt someone. It's common for people to ask for help and be brushed off, then end up hurting or even killing themselves and/or others. That happens a lot with postpartum depression and psychosis. I've lived with thoughts of hurting people since I was little due to my OCD and although it made me feel like a bad person, I was never afraid enough that I would act on them to tell anyone. I mean I also assumed it was normal and everyone had them, but I never felt like I would do any of it. There was only one day, a few years ago, that I was really unsure of what I would do enough to voice it. My sister and her kids were visiting my mom and I in our apartment, and I was being asked to babysit her kids so they could go somewhere. I don't really remember what was going on, but it was late at night, and it would have been just me and the babies. I had to say no because I was feeling completely not like myself, and didn't know what I would do if left alone with them. I was really stressed, and being in charge of a newborn and two toddlers, with all that crying and no help, I knew it wouldn't be safe for them. It's hard to explain. So I said no, that I didn't trust myself with them because I felt unsafe, and my mom got mad at me. She said I would be fine, I would never hurt them, all stuff along those lines. And of course I didn't want to hurt them, I love them with all my heart, and that's exactly why I had to stand my ground. My mom told me I was being selfish, and they were just going to go anyway because I couldn't go anywhere, and I told her if they left, I would too. I would leave the apartment and just keep walking; it would be safer for them to be alone than to be with me at that point. They ended up not going, because she knew I wasn't bluffing, but she was still really mad at me. But I cared more about the safety of my nieces and nephew than my mom's feelings. I'm never going to let someone make me into another preventable tragedy just because they think they know my brain and feelings better than I do.
I've had exposure therapy, and that's not exposure therapy, that's flooding. Exposure therapy is gradual. She would sit him down while they calmly looked at a picture of a knife, and they would build up and build up over the course of potentially years to the final, biggest fear.
Thank You!!! She literally made him emotionally jump off of a cliff just to prove the bungee cord was working. It was insane! Exposure Therapy is absolutely gradual and incremented out at the client's ability to cope, not based off of where a stranger decides where it should be. Good Grief. Not only did she flood him, she unleashed a Waterfall onto him. He could have killed her then himself. She needs to be locked up for a few more therapy sessions too. Geesh, and to know some so-called professionals will just risk it all to prove their point like that. Most won't, but there are some. Terrifying.
@@dr.100purrscent5 Exactly!! I know this is only a TV show, but it's kind of dangerous to portray exposure therapy this way! Especially when you consider that people watching might be put off by this, when it's the best thing for them. I think you have to be so much more careful when you're portraying things like mental health for drama, because there are real world consequences to making something like exposure therapy out to be this kind of awful experience! That being, real world people don't get the support they desperately need.
Exposure therapy can be both, flooding and gradual, it's just an issue that should be discussed with the patient previously.
@@erikaortiz927 I was always told by my therapists that flooding was a completely different thing, and that it was shown to be far less effective 😂 Whereas gradual exposure gave far better results.
Either way, it's very irresponsible of a show about doctors and therapy to do something like this, and negatively impact how people will view exposure therapy
@@dr.100purrscent5 I agree that she totally did ERP wrong, but the patient was not going to kill her or himself. The point of OCD is that the things you obsess over are the farthest from your actual personality possible. Doing ERP too fast was not going to turn him into the monster he thought he was.
This man is broken he may have confronted his fears but I guarantee you he now has more psychological trauma than he walked in here with.
honestly, that. is accurate to what being admitted to mental hospitals is like LMFAO. (not this scenario, but walking out with more trauma than you had when you were admitted)
@@laava32 Yeap!
Does she not realize how damaging this is? As someone with extreme thoughts about self harm I don’t trust myself with knives either so I feel the patient’s struggles, doing this is not only dangerous but also very damaging mentally, it can make things so much worse
Sending thoughts and prayers to you
Woooow, sending prayers for you too.
same, and the pressure of 'this is your opportunity' can actually lead to hurting yourself because it becomes so overwhelming
100% I think Dr Charles should have suspended or even flat out sacked her then and there. She ignored her superiors direct orders, ignored patient consent, put herself and the patient in life threatening danger and has absolutely no remorse for her actions.
Also if I not mistaken, her dad is psychopath too or something in this degree.
I agree, that lady is crazy
I think he should have fired her, and I don’t think she’s fit to practice as a psychiatrist.
She’s always been a simmering pot of instability. Zero empathy. Zero boundaries. Zero guilt.
She should have been fired. I would have fired her. Reason being that medical professionals have to be trustworthy. If someone is seeking help, they need to be able to help without placing anyone in harms way with their negligence. It's a higher standard of care. She failed to maintain it. Next time, she may not be so lucky. This could have ended in tragedy for her, him, and the hospital being liable for for failure.
I think honestly the worst part is that she probably feels vindicated by the fact that she was right, and it "worked" this one time with her forcing a complete stranger into this situation.
As someone who HATES being forced... sometimes its THE ONLY WAY to make something stop
@@rhiannonphoenix5426 that may be true but it's actually goes against the rules of her practice, she HAS to have patient consent, it's not a choice it is REQUIRED
actress did a good job of showing her resentment at being called out at the end and still feels like she is right!
@@rhiannonphoenix5426 mnJjjJjNkK
M’n. Lakes ❤
Homicidal ideation is just as deadly as suicidal ideation, and just as troubling. Good to see a series broaching this topic.
True, but intrusive thoughts and ideation are VERY different
@@korinnab.2318 YES! Thank you so much for making this point. Intrusive thoughts are terrifying for the person experiencing them, but people with OCD do not act on those thoughts. It's an extremely important distinction to make.
He doesn't have homicidal ideation.
You don’t know that he was experiencing homicidal ideation, he had not been diagnosed with anything, yet. He very well may have had instrusive homicidal thoughts, as she believed, and it’s likely he did. That doesn’t make what she did any less unconscionable.
Do you all know what season and episode this is from?
My dad always told me since he is a therapist everyone has bad thoughts everyone has thought about doing the illegal things because we're all animals. Some people just cannot process those thoughts well and perform the unthinkable.
I'm not a therapist but I agree. I've had terrible thoughts and when I was younger it horrified me because I didn't think people should have thoughts like that but then I met my husband and he had random horrible thoughts and I realised that not acting on the thought makes you a good person and it's ok to have them.
True. We all have bad thoughts. I've had really bad intrusive thoughts, still do. I just continually pray and recite certain bible verses. It's freeing. One thing I want to say is that we aren't animals.
True that's what separates use rational thinking humans from animals, our control not to act on those thoughts that we all have.
@@jeanfelix9696 Yes we are. Biologically speaking, we are all animals. We have similar insticts, behaviours, physical processes etc.
I agree, people have different capacities of handling and processing thoughts or situations, some lack the right chemicals in the brain in order to react on something reasonably, others react based on their sensitive nerves, others react very logically, others approach it very calmly and relax, etc. We are all unique on handling situations, that's why there are good people and bad people, also a very big factor are the different environments we all grew up with, cause those experiences molded us to the person we are today🥰
There's so much wrong here. The way she went behind his back, the risk to both her and the patient's safety. Exposure therapy doesn't happen so early on, and without preparing the person! On top of that, it wouldn't work so quickly either.
"Unbelievably stupid." That is correct. She didn't know the patient well enough before an eval before determining how dangerous he is. He could have easily killed her in that moment. What she did is no different than getting into a car with a stranger.
I have OCD and intrusive thoughts just like this man. Except not as bad. But this is a real disorder and it can be treated simply but medication. It’s not your fault!
I've never been diagnosed but have believed from my teen years that I'm OCD. I fixate on bad thoughts. It's never harming others but bad things happening to myself. It scares me because I don't want them to happen but once it's in my head It's almost impossible to shake.
@@cassandrahepp6445 *have not am, sorry just trying to educate ;)
@@LeaLikesIcecream??? Not following...
I had a phobia of chemicals years ago that returned as fear of lead. Lead can be in everything. It's been very difficult and I don't think exposure therapy will work. Can't help but think I could be poisoned while doing it which will defeat the purpose of trying to get better. Having an anxiety disorder could be making it worse.
@@cassandrahepp6445 isnt ocd the one where u have to have everything perfect and everything in order-?
The fact it freaked him out and he came to the hospital and checked himself in shows he's a good man.
This is what postpartum anxiety can be like. You don’t want to hurt your child, but you keep having flashes of thoughts on how they could get hurt with you. It’s terrifying.
What type of insanity causes you to give a knife to a patient that is having violent thoughts? Intrusive or otherwise, that's still a massive safety risk.
i mean thats quite literally what is done in exposure therapy for ocd. people with ocd are not more likely to harm someone than a normal person, in fact theyre even less likely because theyre terrified of it happening. thats the whole point of ocd. someone with this type of ocd would be encouraged to be around knives because it helps show them there's nothing to be afraid of.
The I’m 20 and know everything about everything because I graduated from medical school yesterday kind of insanity
@@mieeuhh it is but it’s done over time while very gradually introducing the item. In the real world she would have either been killed or immediately barred from ever seeing a patient again ….
@@chrissegee she wouldn’t have been killed. people with this type of ocd don’t want to harm anyone
@@mieeuhhit hasent been proven it was ocd is the thing. There was no diagnosis. She was testing a theory. Which wouldn’t work in the real world
This was a power play on her move and a stupid one. She deliberately put herself and her patient at risk
Props to this guy who against everyone and his wife he definitely needed help and wouldn’t take no for an answer
That guy fantasizing to kill his wife!
@@livesontrialyea and he wanted help
They should have held him in a 72 hold so they had enough time to assess if he was actually dangerous or if some level of therapy would be enough, this was insanely stupid even for a tv show, she risked her life, and she put him in a high stress situation at an already volatile point in his life without his consent or knowledge of what she was going to try with him that if it had gone wrong could have hurt her and resulting in him having some kind of assault, or worse, murder charge.
yeah the ethics of this is not something to be admired
I was more terrified that he was going to take the knife to himself. Especially right after he said he did not want to hurt her and that he couldn't. I got super nervous that he was going to hurt himself to stop the thoughts. This was just a TV show with very likely a prop, but if this was ever done in real life it would be fucking insane. I would want to admit the doctor/nurse that thought this was a good idea.
He could have also done self harm to protect her from himself seen it a few times in hospital.
No
@@willywonkausername what do you mean by no?
I totally get what they meant about locking one self into a specific thought. I have been getting what I think might be anxiety attacks, and a specific thought that escalates my anxiety keeps echoing in my head. The only way I've found to stop it is getting somewhere I can be alone or home where I can relax. I can't imagine what it would be like if those thoughts where about hurting a loved one though.
Our entire lives we suppress our impulses, that’s why we are able to function as a civilization and people aren’t just stealing and killing each other.
We suppress our bodily functions in public.
Why would thoughts be any different?
@@DelectableDays The thing about anxiety is that it is an irrational fear. Even if you know something for a fact, you still get locked into the thought process that causes the anxiety and in my case it can create a negative feedback loop where I just feel worse and worse, the worst time it happened I felt like I was gonna pass out on the bus.
Can't you just watch the clip without turning it about you?
@@WanderingRogue1 your experience is your experience.
That sounds like OCD as well. If you can, go see a doctor. They can prescribe meds or recommend maybe psychologist or therapist. I take medication for my OCD and it gave me the power to just wave away that specific thought
That knife stunt was not smart. Don't do that.
Well it is cos she knew what was wrong with him. He has harm ocd. It’s when you want to harm and you have these awful thoughts but you’d never actually impact on those thoughts as they’re too scary for you and you’d be really scared to actually do it. Most people who have this sort of ocd can live with it without being hospitalised at all. Yeah okay something could of gone wrong but she knew what she was doing
No shir
Would not have happened in real life
Props to the man for recognizing he has a problem and seeking help. Not props to Reese, this is a minus point for her. She's capable, but I'm not sure when this takes place in the show so she's probably still learning but uhm... yeah, this ain't it. To explain, Sara's got issues and she has the tendency to get too emotionally involved with patients. Not out of character for her to do this.
As a therapist, absolutely no real therapist would do what she just did.
(Psychology graduate here) For those in the comments who don’t know, “exposure therapy” is not the only treatement for OCD, there is also “flooding”, defined as a more extreme behavioural therapy - which actually happened here. Rather than exposing a person to their phobic stimulus gradually, a person is exposed to the most frightening situation immediately. For example, a person with a phobia of dogs would be placed in a room with a dog and asked to stroke the dog straight away. The theory behind this is related to conditioning, so basically by giving him no chance to escape, avoidant behaviours are not possible.
However, the therapist would still have to prepare the patient (e.g. teach him relaxation techniques etc.). Also, it can still be traumatic, but it is nonetheless a used technique.
Locking a patient into an encounter with a dog (avoidant behaviors are not possible) sounds like a great way to develop PTSD from the experience. I assume you've read the body keeps the score (or at least I hope you have as a psych grad) and that is painted by an accidental clinical trial where animals who had their fight flight freeze mechanisms interrupted by being locked in a cage developed symptoms of PTSD compared to dogs that weren't locked in a cage walking away fine.
This should NEVER be the first method of treatment, because it's got a really good chance of traumatizing the patient even more and overshadowing a scratch by a bullet hole and calling it good because the patient no longer notices the scratch.
This is harm OCD. The intrusive thoughts aren't real. I have this condition. People with it are less likely to harm others than normal people but we think we are monsters. It's never actual violence
Dr Charles is spot on, in this case exposure therapy could have ended in tragedy for Reese, the young man could have slit her throat, very seriously irresponsible of her to put herself and this gentleman in such a position. I always thought her and sexton took things wayyyyyy to personal to be good doctors.
Its called intrusive thoughts
The fear of hurting someone you love or anyone and being scared to death that its something Your graving to do. Something you would enjoy. I have these thoughts
Theres no room for judgement i got them after my parents divorced and we moved from my safe place forever home. this has been going on for years. But harm OCD does NOT make you psychopath or crazy.
If your dealing with these thoughts your not crazy even if your scared of yourself from time to time. And your not alone. Theres No need to lose hope. Dont let this video scare you okay, if your suffering from harm ocd or just these thoughts and your terrified Do some research and find out what would be best help for you. Staring at a knife or holding i5 wont prove anything. Theres ways to make you feel more comfortable with your thoughts and how you control them dont lose hope 💖💖
And your NOT CRAZY!
I have intrusive thoughts too but they immediately go away and i tell myself that’s wild and I move on w my day like nothing happened. If it keeps happening and the thoughts are interfering w ur life the best course is to see a professional
I don't have ocd but this type of thought. The funny thing is that yesterday, I got this thought of stabbing my mom repeatedly until I feel satisfy. I kept searching all site if this was normal to some people when I actually think it is not normal. I'm scared if someday I take another step to let it happen. And now, I found this vid in my recommendation.
@@namdokfem1717 it could be ocd.
@@namdokfem1717 That's definitely not normal. The sole thought of harming my mother repulses me and there is no satisfaction there. Is the thought pleasant in itself or is it the fear that you would enjoy it? You have to ask yourself if doing that is actually something you like or not. Recreate the scenario in your head and name the emotions. Either way, i think you should seek help
@@Butterfly_towards_jannah I think enjoying these thoughts is not normal and i would suggest going to therapy because that's not OCD but real homicidal intentions. Even if you say you wouldn't do it, you don't know, especially if the thought is enjoyable
I’m a social worker at a hospital and what this doctor did absolutely made me livid. She put herself, the patient, and others all at risk just because she thought he needed exposure therapy. That was a dangerous and frankly absolutely stupid thing to do. Holy crap that is insane.
doctor charles seems like a great teacher (or attending), honestly.
It was already apparent that he has a conscience! He freaking walked in asking for help and was ok with being locked up to protect his wife from himself. That's. a. conscience.
Yep, he was asking for help while still have a conscience stopping him from make this, that's his fear, that at some moment the conscience go out for a second and the rest you know.
First time I’ve ever come across a show that portrays this type of ocd. Matches up entirely with how bad my ocd affected me in the worst months of it. I couldn’t go near a knife and would constantly have thoughts of murdering those who I lived with. Had to lock myself in my room in fear that I might act upon those thoughts
It's called pure ocd. It's internal
Thank you for sharing your experience.
Are you better now? Best wishes and pray for you.
I don't watch this show but this seems like super interesting writing. They portrayed OCD fairly accurately from what I can tell and managed to depict this batshit unethical treatment option in a way that seems to make sense with the doctor's own personal history. Writers' jobs are not to make characters do the right thing 100% of the time, but to make characters do interesting and flawed things in a way that is consistent to the narrative. Interesting scenario for viewers to be able to see in a hypothetical setting. Very cool imo
Please change the title. The thoughts that the man has are NOT FANTASIES, they are INTRUSIVE thoughts. Intrusive thoughts are based on fear, NOT DESIRES.
this is based off of something that actually happened, that I learned about when I was struggling with intrusive thoughts. they actually did this in a more controlled setting with a dull knife and the man’s actually wife.
Lemme just say... This is NOT how exposure therapy works.
I work in a hospital and this would NEVER happen ! Completely unrealistic. No sane person would give a REAL knife to a patient that has homocidal or suicidal ideations. Also there would be more than one physician in the room with her for obvious reasons. Security would also be nearby in psych units. I’m wondering if they consult real physicians on this show or just “wing it. “ smh
@akira I understand they wanted to show her incompetence. The problem is whether you are incompetent or not, no sane person or medical professional would give a psychotic patient a weapon and tell them to use it on them. I could understand another object but a knife???! Completely unrealistic even if they were trying to demonstrate her ignorance as a character.
@akira right
I think you vastly underestimate the ignorance of humans. She's a young student in training, not a professional. The only reason you call this "unrealistic" is because you, personally, have never seen a person this stupid. I have, and so have many other people. Isn't there a quote that goes along the lines of "fiction makes more sense than reality"? There are some wild stories, mostly caused by the grave idiocy of people. A person still in the learning process being stupid enough to endanger their's and another person's lives is definitely realistic. You're projecting your personal experiences onto the show and judging it based on that, which I don't think is fair.
@Kora is your o key having a seizure?
I have ocd, I’ve had it since I was a kid. I had a therapist who tried exposure therapy on me and all it did was traumatize me further. Especially considering I was a minor and she told me that I had no choice, so basically forced me into it. It’s incredibly unethical in my opinion.
Exposure therapy is the most successful way to treat ocd. The way you’re therapist did it was unethical and irresponsible. I do exposures for my ocd and it has been the most helpful thing ever
That's depends, it have to be consentend, slowly and of course, after a time of treatment, sorry, not a specialist talking here, just the logical sequence in my head.
As someone with OCD, I can’t even grasp how terrified he was…
As a person who has been struggling with OCD for a few years now, I related to this. I can get so obsessed around a thought at times, that my body starts having physical reactions to it. The thought becomes an obsession that consumes all your energy. You become depressed and stay in bed in fear. Contemplating on whether you are a monster in disguise and if you deserve to even be alive.
I have been on medication for years and while it has gotten a lot better in comparison to how it was prior to the medication, I still find myself spending hours per day on repeating compulsions or asking my family to confirm certain stuff(asking for reassurance) or counting numbers. None of these is as bad to me as having a scenario in my head which makes me feel like the worst human being alive, but those are not as common.
I have learned to live with it by now but I wish I could live a normal life again. I feel like I will be forever a prisoner to myself.
This can go from insanely, absolutely stupid to a really creative, and safe approach with one simple change. Replace the actual knife with a retractable and convincing prop knife like from that one scene at the end of Knives Out.
It's my first time seeing Dr Charles angry😅 But yes, what she did was really stupid and reckless..
Her saying that our thoughts aren't anything to care about concerns me. That's the kind of mentality that people will eventually kill themselves over.
"You can slit my throat right now" EXCUSE ME MA'AM WHAT
If someone pops off with they need to be locked away to keep from harming self or others take it seriously!!!!!! When they don’t listen people get hurt and or dead then the person who begged for help gets treated like a monster. They take them seriously only when it goes too far.
She’s done this like 100 times now hasn’t she? Fire her! Extreme know it all
I have OCD. I immediately thought that’s what he had. I’ve been to therapy and done exposure therapy, but not without the counselor asking if I am okay with it and ready for it. It can work, but it needs to be done right, usually eased into it.
That was unbelievably stupid. I know it's not real but still, I held my breath.
She has to be insane to do something this risky and stupid.
Same here!!!
He is a great person for thinking about going to the hospital to avoid hurting his wife
its really nice to see more exposure to this, especially in a tv, i think they approched it wrong becayse this not how you deal with it, but its nice to see Intrusive Thoughts getting better recognition
There is this series called "Pure", it is about a woman who deals with sexual intrusive thoughts. It is a comedy but the intrusive thoughts aren't played for laughs. I'd recommend checking it out
The minute I heard him say “I need to do something about these thoughts!” I knew it was OCD. I struggled with the same thing.
Is this not a fireable offense? I understand this is a show but still haha
If someone tells you they’re going to harm someone, believe them
Doctor Charles is a great character and the actor who plays him does so with skill and professionalism. His self-control and unexcited demeanor in virtually all situations make moments where he raises his voice hit very hard. Both times I've seen it, it was where an arrogant subordinate trampled over patient consent and defied very reasonable and correct instructions to do so.
'i have half a mind to suspend you' what??? How is she not fired and her medical licence either taken off her or suspended pending investigation!!!
my first thought when she brought out the knife was that he would harm himself to avoid potentially killing someone else. the ONLY way this could've been safe is if she'd gone in with a fake knife and she still would've been breaking so many rules of therapy and potentially mentally harming the patient.
This "doctor" is awful! Never mind that she put herself in danger but had this not worked and the patient would've hurt or killed her he would've gone to jail for something she caused and was not his fault.
If they had put him in a 72 hour hold like they're literally supposed to....
intrusive thoughts are absolutely awful. horrifying,violent images get stuck in your head, and you can't get them out.
It’s really sad that he came in having such a terrible time with intrusive thoughts and they refused to take him seriously. Having struggled with this post partum, there’s no way this is a acceptable reaction from his doctor. With time this patient would have come to this same conclusion, much more safely, then pictured here. Just like I did. And yes, under a psychiatrist’s care.
She’s nuts to try exposure therapy before knowing the patient
Dr. Charles is right!! That is ethical and dangerous. What if he did slit her throat and she is fighting for her life. I don’t blame Dr. Charles for being upset with her
You don’t control your fears after one exposure session. Guy literally asked to be locked away from being exposed THAT day.
Actually from what I’ve seen all it takes for someone to be admitted is advocating for themselves, though their length of stay majorly depends on the techs and nurses interactions/observations being reported to the psychiatrists and the diagnosis
I don’t watch the show, but I already dislike her character.
Exactly!
boooo no one asked you
I love her character and miss her
I love how a tv show has finally portrayed ocd accurately.
However, I hate how taboo the doctor is acting. Those with ocd thoughts are compelling opposite of who they are. Exposure therapy is not as “crazy” as portrayed. It is the number one treatment for ocd
While yes, it's nice to see Pure O in a TV show, both doctors were still perpetuating misinformation. As opposed to what Dr. Charles said, people with Harm OCD do not need to be committed to psych wards and they cannot feel "safe" from their thoughts. If you give OCD an inch (e.g separating him from his wife and putting him in a place with doctors who would prevent him from doing harm) it will take a mile. The reassurance will feel nice for the moment and then OCD will move on and start gaslighting you again in all sorts of fun new ways. That's how the disorder works; no amount of safety precautions will ever satisfy it. And as opposed to what Dr. Reese did, ERP should be performed gradually and with the patient's ok. Aggressively flooding the patient all at once without their consent is highly unethical and could actually be traumatizing. These distinctions are important because Dr. Charles' bias might make undiagnosed viewers less likely to reach out for help for fear of being involuntarily committed, and more inclined to believe their brain that they are actually at risk of harming others. And for those who already know they have OCD but are reluctant to start treatment, Dr. Reese's missteps might dissuade them. It sucks because this show had such a great opportunity to raise awareness about the realities of OCD, but I think they might have pushed awareness efforts farther back. Sigh. We have such a long way to go in order to get OCD portrayed accurately in television and the mainstream.
@@gymnasticsgirlie0647 I 100% agree. I just meant it as finally the media is taken a step back from the contamination and symmetry themes of OCD and expanded into more common and realistic ones like harm. Still a very long way to go but it’s a start
Dr Charles is a very good character on this show. He's my favorite.
0:30 Yup, Thats OCD for you
My immediate thought!!!
Why is that girl sooo… she isn’t suited to be a doctor she’s so cold and in most episodes she’s solid and firm and not very opening
As someone who works in a hospital i love doctor shows mainly because the way they usually operate and do things is absolutely ridiculous lmao
Lady has never heard of intrusive thoughts, apparently.
She could have used a fake knife
I feel the same and I can’t stop this
The more I watch these Chicago MD clips the more I'm wondering how the hell she's still in a degree program or whatever the hell she is to work there. The number of times she's gotten emotional or done something stupid like this I'm just
I can't with her
took the words right out of my mouth
For the people who are saying “Psych wards aren’t that bad” they are. I’ve experienced one before. Psych wards are literally close to the definition of an asylum. Psych wards were literally made to replace asylums. At night you get a light shinned in your face. If you think psych wards aren’t that bad then you’re wrong. The internet needs to stop glamorizing them. It’s horrible and feels like torture. When you’re first there they touch you in spots you’re not comfortable with. You have no privacy you constantly have someone watch you as you shower. Stop making Psych wards “not that bad”.
I've had these thoughts and many others like it... it sucks because you don't know who you are.
I wanted her to get hurt and learn a lesson. She could have ruined his life
According to the video she has some kind of fear or paranoia about her patients and this seemed more like exposure therapy for her than the patient (actively making herself vulnerable) which is disgustingly unethical and she doesn't seem to care about any lasting damage PLUS if/whenever these thoughts come back is he expected to repeat this scenario every time and hope he doesn't go through with it then as well?? Intrusive thoughts like this can turn into actions regardless of how you initially feel about them (e.g. people who self harm) so while the fact that he currently recognises these thoughts as wrong is obviously a positive there is a future where he either doesn't recognise that or can no longer control the urges - which is just what he's afraid of
There is no way she should be allowed with patients one on one after that
This is a real issue many of us are facing silently.
"most of the thoughts we have are nonsense" but if he were to tell literally any doctor or nurse in that hospital that he was considering suicide, he would be placed on a 72h psych hold, no questions asked
No, Sewerslidal OCD is actually a common theme. I've had that theme of OCD and, later, the real thing because of adverse events going on in my life, and I can tell you that they feel very different. When it was an OCD theme, I was scared of the thoughts and I dreaded having them. I tried to get them out of my head and reassure myself I did not actually want that. I have a distinct memory of being in a parking garage on a high floor and refusing to go near the edge for fear of jumping off. When I got the real thing years later, I actually agreed with the thoughts. It was always passive, never active, so I never actually had a plan, but I still thought about it a lot. The thoughts didn't scare me. Any therapist worth their salt should be able to tell the difference between the two.
I’ve never been as bad as this guy, but having uncontrollable intrusive thoughts has been my worst life experience. There’s never a moment of peace. Not even a single second. You start to feel like you’re just waiting until you finally get to die, because you know as long as you keep thinking the thoughts (which you are completely unable to stop doing), your life will never be good again. I felt that way for the first time when I was 8 years old. I really believe I had depression for a period of several weeks (I was never diagnosed, but I couldn’t feel happy about anything back then, I just wanted it all to stop).
this video is actually what made me realize I have ocd, it helped me discover what intrusive thoughts were, months of therapy down the line and I'm all good!! to those who are going through this right now- you. are. not. your. thoughts.
Wtf, that's not exposure therapy, that's not it at all.
For everyone getting it wrong its called pure OCD, not ocd, not a "different kind of ocd", its called pure ocd. Secondly, the point is being missed here that people with pure OCD DO NOT ACT ON THEIR THOUGHTS. THAT IS LITERALLY THE SYMPTOM ITSELF, they think they will and they OBSESS over that and have anxiety because of it, BUT THEY DONT ACTUALLY ACT ON IT. They are not lacking empathy, they are not impulsive with trouble regulating emotions, they don't enjoy seeing others hurt, THEY LITERALLY JUST HAVE SUCH INTRUSIVE THOUGHTS THAT THEY ARE CONVINCED THAT THEH ARE BAD SOMEHOW. That was the point. Since pure ocd is a relatively newly discovered thing, there is sadly still so many "professionals" who don't continuously educate themselves and are with uniformed about the disorder as well as the treatment, or behind in their knowledge on it. People with pure ocd are not a threat, at all, so exposure therapy is completely safe. That's the point, even though this is a show and yes she didn't go about the treatment legally and technically correct, but the point still stands. She would have not gotten hurt and was not at risk for that because people with pure ocd ARE NOT DANGEROUS. The only thing she was at risk for was a lawsuit for not following the guidelines of her job, but she was not at risk for being killed, not one little bit
EXACTLY. While people are demonizing her on the way she did it, they are completely missing the point on why this scene even exist to begin with
No one was saying that she was at risk of getting hurt, in fact, no one here even has sympathy for her in the instance that she wouldve gotten hurt. The point people are trying to make is that what she did was illegal, NOT AT ALL EXPOSURE THERAPY, completely reckless and selfish, and put an extreme amount of mental anguish on her patient. She wasnt being “understanding” of him, she acted like she knew better, and the ends did not justify her means. No ones saying the other doctor wouldntve tried exposure therapy after a while, no one was saying this guy is a murderer. Everyones point is that what she did isnt okay in any way and she should be fired for her shitty practice and never allowed to practice medicine again
@@portabledvdplayer1122 technically though, within the context of the clip, she did end up knowing better. Obviously in real life you can't act like that without experience and credentials and the legal means to back it up, but I wasn't arguing what she did was ethical. I was just saying technically within the context of the clip, she was right, even if she behaved unethically. Its because the point of this clip was to show the nature of pure OCD is not dangerous
But can we or she really tell that only on their first meeting? Is an OCD diagnosis that quick irl? Even if say exposure therapy is correct for a diagnosis of pure OCD, is her OCD diagnosis even correct to begin with without further study of the guy?
@@arabella6881 if you’re educated on it it’s a pretty simple call, the ocd alone. But that doesn’t mean he wouldn’t have comorbidities that make him an actual risk. Those things aren’t mutually exclusive unfortunately. It was a dumb move to do what she did, but the harm ocd diagnosis made complete sense.
That girl is crazier than her patients! Even the man suffering from his own mind is afraid of himself and trying to get himself put in the clinic takes a lot of strength and courage. It's rare for people to admit what they might be is wrong and need help.
You know you messed up when Dr Charles is angry at you
She acted like a brat and I appreciated the doctor for correcting her appropriately. She should be fired…because he clearly has had to suspend her before.
Honestly that's a friable offense. No way in a modern hospital would anyone get away with something like that, it's a lawsuit. Not 'it could've been a lawsuit' it's already a lawsuit and a failure of ethics. Dr. Charles said they'd try but give the guy a few days, don't confront him with end of the line exposure therapy before his admittance paperwork is drawn up ffs.
She reeeally shouldn’t have done that. That is so incredibly dangerous and also goes completely against what he asked.
What she failed to realize is regardless of what the result was there’s still possibility because she is not his wife. He can’t really fulfill his fantasies because she is not the one he fantasize about killing
I'm a person with diagnosed OCD (I have the pure-o variety, aka my obsessions and compulsion play out mostly in my head, I rarely do physical compulsions) and I have suffered from obsessions regarding harming others. I think it was bad representation to implicate that people with harm ocd are likely to actually hurt someone. The intrusive thoughts center around things we absolutely don't want to do, that's why it is so distressing. People with harm OCD are often more a danger to themselves, because we can get also intrusive thoughts about self-harm and those combined with the other stuff can make us hurt ourselves due to delusions that we are secretly psychopaths for example, so we might try to do something to ourselves thinking we're doing a favour to the world.
When I was young, I had the same thoughts he’s having but to myself. I was afraid I was gonna hurt myself cuz of the constant thoughts in my head of it it took tons of therapy and meds to fix
None of these doctors listen to their boss ever
This is just my observation as a psych student not a solid fact.But her approaches to exposure therapy was wrong, she should have started with with him hearing the word knife and then showed him pictures of knifes and people. And if he still is reactive then they'll know there's a problem and slowly getting exposure to actual knives. The Older doctor was correct what she did was stupid and could have actually gotten killed. And that naturally we all have instrusive thoughts and can be violent sometimes, but normal people will know that they are wrong and some just need help coping and managing these thoughts. Coping is living with the thought and managing is what you do to help deal with them.