His movements reminded me of experiences of akinesia I had with some antipsychotics, luckily not anymore. Thanks for your great spirit, insight and heart Dr Syl. It has given me a lot of trust back into the medical system and myself, thank you
I had something similar because of the antidepressants i got in the hospital. But they were more happening in my face (english is not my first language, so sorry if it doesn't make any sense)
I read a lot of things about mental illnesses for absolutely stupid reasons. But reading obviously only brings you so far. So it's always nice to hear from an expert.
Je ne savais pas que tu étais français ! J'aime beaucoup tes vidéos, je suis en 6e année de médecine en France et elles m'aident pour la sémiologie, merci !
I’d love to see you do more content surrounding borderline personality disorder! This is a very common but VERY misunderstood and highly stigmatized disorder and people are afraid of us because of what they perceive BPD to be based on current literature and available information. If there’s any way to do content on BPD to provide accurate information while also giving information that contradicts stigma (like high empathy, extreme loyalty, and a desire to be of service to others) it would be a small step toward letting neurotypical people know that Borderline does not equal bad or evil, and that we are doing everything we can when staying compliant with treatment and self-care, despite varied results.
And it often doesn't look like it on these videos but thanks to better treatment and understanding of the illness, People with schizophrenia can actually live a normal and fulfilled life today🙂 and your videos really help to better understand and destigmatize
Hi Syl , really enjoying your delivery and experience and sharing of information , I’m studying the principles of a Mental Health Support Worker and come to the outcome measurement scales for different disorders / symptoms , thinking they may make a good subject to cover , and didn’t know where else to post this suggestion , great to know there are people like you training ☺️
Do you see signs of institutional abuse in these videos? Most of the patients are fairly skinny and I see a lot of guarding behavior in their hand/arm movements. I understand this is partly my acculturation of modern western BMI's being higher or perhaps medication side effects or even perhaps the catatonia interfering with eating. But I see a lot of fear... Thank you for explaining more about the 'purposeless movements' and how other disorders may see some overlap.
And you’d be surprised at the extortionate numbers of overlap between autism and schizophrenia/psychosis still to this day. More research is desperately needed.
@@argee97 I’m not sure about more research, unless they freakin’ figure a way to cut everything down. The overlap in everything has people all screwed up.
Thank you Dr Syl! Nurse here from FSC. I find the commenting videos super educational. I will have to watch again to try and remember the descriptive terms (btw is there such thing as post partum cognitive decline haha?). The poor boy though! That just looks so uncomfortable! Thanks again!
[I want to go] to my room. 10:50 He clearly states what he would like and his interviewer ignores him. He then laughs. I would have done the same. And towards the end when the interviewer says "I'll LET you leave." Another laugh. I think our "inappropriate" laughter is misunderstood. The intelligence doesn't leave the patient, just because the language does. What bullshit he had to put up with, I can only imagine. P.S. Nice work on your golden tap! :)
I learned something new, I guess. I know, the more anxious or agitated I get, the more I move around. Much like this guy. I didn't know any word for that movement other than stimming. I guess now it can be said that I am exhibiting "chorea". I, well, more people observe, the calm I am, the less I move. Now I HAVE been diagnosed with both tardive dyskinesia and akathisia when I was on Risperdal, Haldol, and Olanzapine (all at different times). My TD was bad enough that I was chewing raw spots inside my mouth. After I was taken off the offending medications, *most* of the TD went away. But even today, I still have some chewing and tongue movement and excessive blinking. Now akathisia? I HATED akathisia. I first experienced it on Risperdal. I didn't know what it was, and it freaked me out to the point I cold-turkeyed the medication. I ended up in the hospital about three days later. My psychiatrist at the time put me on Cogentin (benztropine), which suppressed most of the akathisia. But then THAT made me confused and sometimes even disoriented. I HATE akathisia. It's like that itch you can't reach. It doesn't hurt, but holy cow does it drive me up the wall. Luckily, my current antipsychotic, Abilify, doesn't cause it.
Just to add in another movement side effect, Tardive Tourettism. It includes vocal and motor tics. I got this from Abilify. I still have it five years later.
I work in mental health and this young man reminds me so much of one of my clients. At first glance, people jump to autism, but for my client its schizophrenia combined with a TBI. 🤷🏻♀️
I exercise when feel the restlessness of akathasia taking hold. Physical excersion and proper nutrition have helped me immmensly. I feel very irritable if I miss a walk or swim.
it would be interesting video idea to do one on either on the single topic of movement types. just the like the one you talked about here or a vid about different ones that are similar but different. I move a lot due to having ADHD and my bf has restless leg. I would love to see some one do a vid on the effects of the mind after getting a chronic illness. there maybe one i just not have seen it. In 2020 I my body started to show signs of different ones and i was able to so much physically without pain or issues. now not so much. it was like its like I Iost someone close in my life. I am of course getting mental and physical help that i need and doing better with my new body. Yet, its hard some days. I also like these older vids you look at compared to the new ones. It feels like you see what is happening more natural but of course I feel bad for these people and hope they got the best help they could have.
hi dr syl, just wanted to stop you and say that stimming in autistic individuals is definitely goal-oriented. stimming is a self soothing technique and something autistics do to self regulate. it’s really inaccurate to state that stimming is not goal oriented. i’m a mum to an autistic child and it’s a bit offensive to suggest the “tics” and stimming don’t have any purpose. i’d suggest familiarizing yourself more with neurodivergence and perhaps talk to some autistic people.
Allo ! Merci pour la vidéo ! Je me demandais comment faire la différence entre une chorée et de l'akathisie/dyskinésie secondaire aux antipsychotiques ? Je ne sais pas de quand date cette vidéo mais je sais que les anciens antipsychotiques avaient tendance à créer ce genre d'effets secondaires... Est-ce parce que le patient ne présente que plus ou moins de symptômes au niveau de la sphère oro-pharyngée ? Merci ! :D
Hey Dr. Syl! I love your channel. Can you point me to a video you have made about schizoaffective disorder if you have one? I live with schizoaffective disorder and would love to hear your point of view.
Il ressemble physiquement à Proust. La Recherche c'est d'ailleurs le meilleur livre pour comprendre l'autisme. Comme L'Etranger de Camus pour la théorie de l'esprit.
There's another interview with him if I'm not mistaken, he appeared to be better, a lot of his talking still didn't make that much sense, but you could understand what he was trying to say... Or is it because my French is total crap? I don't know. But he talked about some car accident, I have no idea if there was in fact a car accident, or if it only existed in his mind...
Thank you for putting out these amazing videos. Are you familiar with bipolar/schizoaffective medication that does not result in these debilitating side affects?
You know, watching your content makes me think of the phrase I would write in my high school art journals and thought I was so intelligent because I was studying french! Je ne sais pas, quelque temps je deteste ma vie! Luv ur work Dr Syl. I was worried I was in the pre morbid stage of schizophrenia and I hoped it was from reading too many psychology textbooks of my older Uni siblings. I'm still not sure, it is 30 plus years later and I'm still diagnosing myself because psychiatrists are too expensive and psychologists just want me to go back to work and be normal aka positive. But I do love my life now funnily enough, fuck up and all, I wouldn't have it any other way. So I think Straya and Brissy Qld does something right.
I’m pretty sure this is impossible for you to know, but do you think he is always moving like this? I have ocd and stopping a compulsion is painful, I wonder if stopping is painful for him
Hi! I have schizophrenia. The continuity of his movements depends on the reason behind them. The movements that are caused by medication (akathisia and tardive dyskinesia) will be pretty constant. Movements that are caused by agitation or anxiety (a.k.a. "stimming") will likely slow down or even stop once the offending stimulus is removed or he is relocated. As for the akathisia and tardive dyskinesia, it can be painful to suppress. But not always. Sometimes, it feels more like feeling a fart or a burp coming and trying to suppress that. You can try, but it will eventually happen. I have OCD too, so I know what you're talking about.
I'm no expert on this, but seeing the elongated face with overbite, a small triangular jaw, the long limbs and fingers...possibly a genetic disorder involved?
I absolutely love your channel an I learn so much. Thank you! But one thing you said isn’t quite right. Stimming in autism IS often goal directed. It’s something we do for example when we’re happy like flapping hands or to calm down or cope with sensory overload. We move our body, not because of something’s being wrong but because we want to. I really enjoy your videos btw but as an autistic person I thought I could comment on this as it feels wrong if you assume that we do it for no reason at all. To a non autistic it can seem strange but to us it serves a purpose. Sadly since it look’s different and therefore scares non autistic people, we have over the years been punished for this kind of behaviour and many of us have learnt to suppress the need for stimming just to fit in. That’s sad.
I found your channel last night and watched a few videos on bipolar disorder and mania and I was wondering if you might consider doing a video that explains where the line is drawn between mental illness and just being a high energy/“scatter brained”/eccentric person. Where, as a professional, do you make the distinction between someone who experiences bouts of energy (perhaps if they’re more well rested than usual) and having a mental disorder? Is it related to frequency over time? If it has a negative impact on one’s life? Very curious. Thank you!
It's all about the level of distress and/or impairment. "A behavioral or psychological syndrome or pattern that occurs in an individual. Reflects an underlying psychobiological dysfunction. The consequences of which are clinically significant distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning)."
@fubar6634 I did not confuse the two, though I thoroughly see your point. One could go so far as to argue that there is no such thing as an objective perspective. I should have specified that its intent is to objectively interpret, rather than saying that they do.
No, because even in the 1960's, doctors understood that antipsychotics were contraindicated in the treatment of catatonia. But, some antipsychotics can cause catatonia as a side effect. I doubt that's true here since this adolescent has already been hospitalized for a long time.
brother your videos are very interesting but... you have a $500 microphone. please spend some time looking up how to make it sound better than a headset mic. XD
![[Full] 4 ต่อ 4 Celebrity EP.910 | 22 ก.ย. 67 | one31](http://i.ytimg.com/vi/4TR3MVpOiw8/mqdefault.jpg)
Link: th-cam.com/video/LWDAkJDUlXM/w-d-xo.html
What should I review next?
Could you review this interview with Heather, who has schizophrenia?
th-cam.com/video/kvdw4b7tC-8/w-d-xo.htmlsi=zxJbXo9TIr8-fT4t
www.youtube.com/@SchofieldProductions/videos Anything on this channel would be great.
Town of light is a beautiful PC game you could play through on alive if it interests you.
His movements reminded me of experiences of akinesia I had with some antipsychotics, luckily not anymore. Thanks for your great spirit, insight and heart Dr Syl. It has given me a lot of trust back into the medical system and myself, thank you
I had something similar because of the antidepressants i got in the hospital. But they were more happening in my face (english is not my first language, so sorry if it doesn't make any sense)
I read a lot of things about mental illnesses for absolutely stupid reasons.
But reading obviously only brings you so far. So it's always nice to hear from an expert.
Je ne savais pas que tu étais français ! J'aime beaucoup tes vidéos, je suis en 6e année de médecine en France et elles m'aident pour la sémiologie, merci !
I’d love to see you do more content surrounding borderline personality disorder! This is a very common but VERY misunderstood and highly stigmatized disorder and people are afraid of us because of what they perceive BPD to be based on current literature and available information. If there’s any way to do content on BPD to provide accurate information while also giving information that contradicts stigma (like high empathy, extreme loyalty, and a desire to be of service to others) it would be a small step toward letting neurotypical people know that Borderline does not equal bad or evil, and that we are doing everything we can when staying compliant with treatment and self-care, despite varied results.
Just when I thought I couldn’t love Syl more, he also speaks French 💕 I wanna chat to you in a pub or something! Love your channel 🎉
I feel so bad for people who had mental illnesses before they were common knowledge
And it often doesn't look like it on these videos but thanks to better treatment and understanding of the illness, People with schizophrenia can actually live a normal and fulfilled life today🙂 and your videos really help to better understand and destigmatize
Hi Syl , really enjoying your delivery and experience and sharing of information , I’m studying the principles of a Mental Health Support Worker and come to the outcome measurement scales for different disorders / symptoms , thinking they may make a good subject to cover , and didn’t know where else to post this suggestion , great to know there are people like you training ☺️
Do you see signs of institutional abuse in these videos? Most of the patients are fairly skinny and I see a lot of guarding behavior in their hand/arm movements. I understand this is partly my acculturation of modern western BMI's being higher or perhaps medication side effects or even perhaps the catatonia interfering with eating. But I see a lot of fear... Thank you for explaining more about the 'purposeless movements' and how other disorders may see some overlap.
That is so sad , poor man !!
So many old school "schizophrenia" videos are actually educational videos on the history of autism. This is so sad.
i have absolutely noticed this. no wonder i tend to think they behave like me.
And you’d be surprised at the extortionate numbers of overlap between autism and schizophrenia/psychosis still to this day. More research is desperately needed.
@@argee97
I’m not sure about more research, unless they freakin’ figure a way to cut everything down. The overlap in everything has people all screwed up.
I was thinking about autism... But we don't know his past so sad to watch 😢
Thank you Dr Syl! Nurse here from FSC. I find the commenting videos super educational. I will have to watch again to try and remember the descriptive terms (btw is there such thing as post partum cognitive decline haha?). The poor boy though! That just looks so uncomfortable! Thanks again!
[I want to go] to my room. 10:50
He clearly states what he would like and his interviewer ignores him.
He then laughs.
I would have done the same.
And towards the end when the interviewer says "I'll LET you leave."
Another laugh.
I think our "inappropriate" laughter is misunderstood.
The intelligence doesn't leave the patient, just because the language does.
What bullshit he had to put up with, I can only imagine.
P.S. Nice work on your golden tap! :)
I learned something new, I guess. I know, the more anxious or agitated I get, the more I move around. Much like this guy. I didn't know any word for that movement other than stimming. I guess now it can be said that I am exhibiting "chorea". I, well, more people observe, the calm I am, the less I move.
Now I HAVE been diagnosed with both tardive dyskinesia and akathisia when I was on Risperdal, Haldol, and Olanzapine (all at different times). My TD was bad enough that I was chewing raw spots inside my mouth. After I was taken off the offending medications, *most* of the TD went away. But even today, I still have some chewing and tongue movement and excessive blinking.
Now akathisia? I HATED akathisia. I first experienced it on Risperdal. I didn't know what it was, and it freaked me out to the point I cold-turkeyed the medication. I ended up in the hospital about three days later. My psychiatrist at the time put me on Cogentin (benztropine), which suppressed most of the akathisia. But then THAT made me confused and sometimes even disoriented.
I HATE akathisia. It's like that itch you can't reach. It doesn't hurt, but holy cow does it drive me up the wall. Luckily, my current antipsychotic, Abilify, doesn't cause it.
I Didn’t know your were French, Sylvain I guess! Bonjour de Montréal!Vos vidéos sont extrêmement intéressantes, merci pour cette analyse.
Just to add in another movement side effect, Tardive Tourettism. It includes vocal and motor tics. I got this from Abilify. I still have it five years later.
It’s so educational, calming and interesting to watch and listen you. I love your channel so much. Thanks for the video. Please post every day😂
I work in mental health and this young man reminds me so much of one of my clients. At first glance, people jump to autism, but for my client its schizophrenia combined with a TBI. 🤷🏻♀️
I exercise when feel the restlessness of akathasia taking hold. Physical excersion and proper nutrition have helped me immmensly. I feel very irritable if I miss a walk or swim.
2:09 Is this really non goal related movement if your goal is to demonstrate what Chorea is?
I'm french but I needed the subtitles.
Nice intro! Love it❤
Thanks! 😁
it would be interesting video idea to do one on either on the single topic of movement types. just the like the one you talked about here or a vid about different ones that are similar but different. I move a lot due to having ADHD and my bf has restless leg. I would love to see some one do a vid on the effects of the mind after getting a chronic illness. there maybe one i just not have seen it. In 2020 I my body started to show signs of different ones and i was able to so much physically without pain or issues. now not so much. it was like its like I Iost someone close in my life. I am of course getting mental and physical help that i need and doing better with my new body. Yet, its hard some days. I also like these older vids you look at compared to the new ones. It feels like you see what is happening more natural but of course I feel bad for these people and hope they got the best help they could have.
I'd say he had more the schizophrenia, poor fella.
hi dr syl, just wanted to stop you and say that stimming in autistic individuals is definitely goal-oriented. stimming is a self soothing technique and something autistics do to self regulate. it’s really inaccurate to state that stimming is not goal oriented. i’m a mum to an autistic child and it’s a bit offensive to suggest the “tics” and stimming don’t have any purpose. i’d suggest familiarizing yourself more with neurodivergence and perhaps talk to some autistic people.
Allo ! Merci pour la vidéo ! Je me demandais comment faire la différence entre une chorée et de l'akathisie/dyskinésie secondaire aux antipsychotiques ? Je ne sais pas de quand date cette vidéo mais je sais que les anciens antipsychotiques avaient tendance à créer ce genre d'effets secondaires... Est-ce parce que le patient ne présente que plus ou moins de symptômes au niveau de la sphère oro-pharyngée ? Merci ! :D
Hey Dr. Syl! I love your channel. Can you point me to a video you have made about schizoaffective disorder if you have one? I live with schizoaffective disorder and would love to hear your point of view.
Akathisia is horrible to experience. I had it really badly when I was doing TMS treatment I guess it was a combination of the treatment with my meds.
Il ressemble physiquement à Proust. La Recherche c'est d'ailleurs le meilleur livre pour comprendre l'autisme. Comme L'Etranger de Camus pour la théorie de l'esprit.
There's another interview with him if I'm not mistaken, he appeared to be better, a lot of his talking still didn't make that much sense, but you could understand what he was trying to say... Or is it because my French is total crap? I don't know.
But he talked about some car accident, I have no idea if there was in fact a car accident, or if it only existed in his mind...
Hey Dr Syl, what's the best way to get in touch with you? Keep up the great work.
Thank you for putting out these amazing videos. Are you familiar with bipolar/schizoaffective medication that does not result in these debilitating side affects?
You know, watching your content makes me think of the phrase I would write in my high school art journals and thought I was so intelligent because I was studying french! Je ne sais pas, quelque temps je deteste ma vie! Luv ur work Dr Syl. I was worried I was in the pre morbid stage of schizophrenia and I hoped it was from reading too many psychology textbooks of my older Uni siblings. I'm still not sure, it is 30 plus years later and I'm still diagnosing myself because psychiatrists are too expensive and psychologists just want me to go back to work and be normal aka positive. But I do love my life now funnily enough, fuck up and all, I wouldn't have it any other way. So I think Straya and Brissy Qld does something right.
I’m pretty sure this is impossible for you to know, but do you think he is always moving like this? I have ocd and stopping a compulsion is painful, I wonder if stopping is painful for him
Hi! I have schizophrenia. The continuity of his movements depends on the reason behind them. The movements that are caused by medication (akathisia and tardive dyskinesia) will be pretty constant. Movements that are caused by agitation or anxiety (a.k.a. "stimming") will likely slow down or even stop once the offending stimulus is removed or he is relocated.
As for the akathisia and tardive dyskinesia, it can be painful to suppress. But not always. Sometimes, it feels more like feeling a fart or a burp coming and trying to suppress that. You can try, but it will eventually happen. I have OCD too, so I know what you're talking about.
I'm no expert on this, but seeing the elongated face with overbite, a small triangular jaw, the long limbs and fingers...possibly a genetic disorder involved?
I absolutely love your channel an I learn so much. Thank you! But one thing you said isn’t quite right. Stimming in autism IS often goal directed. It’s something we do for example when we’re happy like flapping hands or to calm down or cope with sensory overload. We move our body, not because of something’s being wrong but because we want to.
I really enjoy your videos btw but as an autistic person I thought I could comment on this as it feels wrong if you assume that we do it for no reason at all. To a non autistic it can seem strange but to us it serves a purpose. Sadly since it look’s different and therefore scares non autistic people, we have over the years been punished for this kind of behaviour and many of us have learnt to suppress the need for stimming just to fit in. That’s sad.
Him moving so much makes me so uncomfortable
I found your channel last night and watched a few videos on bipolar disorder and mania and I was wondering if you might consider doing a video that explains where the line is drawn between mental illness and just being a high energy/“scatter brained”/eccentric person. Where, as a professional, do you make the distinction between someone who experiences bouts of energy (perhaps if they’re more well rested than usual) and having a mental disorder? Is it related to frequency over time? If it has a negative impact on one’s life? Very curious. Thank you!
It's all about the level of distress and/or impairment.
"A behavioral or psychological syndrome or pattern that occurs in an individual. Reflects an underlying psychobiological dysfunction. The consequences of which are clinically significant distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning)."
Basically it's objectively interpreted and therefore likely to vary, which is why training is so important.
@fubar6634 I did not confuse the two, though I thoroughly see your point. One could go so far as to argue that there is no such thing as an objective perspective. I should have specified that its intent is to objectively interpret, rather than saying that they do.
Accidently watched part of this on 1.25 speed... would not recommend lol
Also my tics got set off from this video, ack
The original video is so interesting in slo mo! It's like he's caught in a nightmarish loop of involuntary movement. His eyes are huge and vacant.
Idk why I watched this, but found it incredibly sad. I wanted him to be let go from the interview.
Could those movements be result of antipsychotics' side effects?
No, because even in the 1960's, doctors understood that antipsychotics were contraindicated in the treatment of catatonia. But, some antipsychotics can cause catatonia as a side effect. I doubt that's true here since this adolescent has already been hospitalized for a long time.
brother your videos are very interesting but... you have a $500 microphone. please spend some time looking up how to make it sound better than a headset mic. XD
I have Tourette's. You set me off.
My tics got set off too :/
Yayyy /s