Ketamine is a glutamate antagonist which is why it works for most with treatment resistant depression (trd). Ketamine IV infusion & even Spravato are NOT covered by health insurance so it's only available to the wealthy. The nasal application is called Spravato and is also not covered by health insurance. Most Dr's only care about $ & not really the well-being of their patients. Low dose Tramadol is actually a glutamate antagonist as well & gets the highest patient review ratings by patients with treatment resistant depression but big pharma refuses to run clinical trials on it for treatment resistant depression because it's an inexpensive Rx and big pharma only cares about making billions & price gauging.

I like Fonagy and admire his work - I do feel he's really just describing Person-Centered Therapy as espoused by Carl Rogers in the 1940s, where clients are helped to explore, organise and integrate their inner worlds, thoughts, feelings, etc. by way of a relationship with a therapist who reflects back to them their feelings, thoughts, inner meanings, etc,, helping them make inner contact with themselves.

Thank-you gentlemen.

Thank you Dr. Shorter and Ryan for what you are doing! The statistics are baffling, and I believe it’s imperative to be proactive in regard to illicit drug use! Back in 2017, on July 15, my little brother, Danny passed away from fentanyl poisoning, (forever 22,) and since then, I’ve had several friends from junior high school that have died as well, (we’re all in our late 40’s/ early 50’s.) I agree that fentanyl testing strips should be legally available, and that we should all carry Narcan in our first aid kits. It’s much better than attending a funeral, and/ or knowing that a family is going to be devastated and forever changed. Again, thank you for sharing this information and lending your support! 🙏🏽🩷

God I love you Richard. Thank you for being so open and vulnerable...wow..you blow me away. God bless you Richard! I never knew you suffered like this. You're helping people.

This is beautiful so well stated thanks for sharing !

Existential-Spiritual Impact list, resembles what I see has happened to a lot of ordinary citizens in America in the last few years (2024). I have been wondering how these attitudes developed, now I see it is trauma that people are experiencing under a government style very foreign to what the standard expectations. Feeling invisible/disregarded is an interesting point. Many peaceful people are so disappointed in the current government system they are darn near suicidal and expressed by hoping greatly for The Rapture as they will not exit voluntarily. It is a very very sad situation, and more understandable having watched this video.

Interesting that Humiliation is included in the opening list. I wonder if being falsely accused of lying falls under the category of Humiliation. I wonder if being falsely accused of doing something bad/taboo falls under Humiliation.

Ryan, love the humor! Great reframe around some of the prospects. I wish my dad was more open to getting help. Any insight is greatly appreciated.

Bravo!!!

I never knew he had BP, but it males so much sense. Some of his best acting has been so manic.

Please listen to Robert Sapolsky talk about Depression.

Mental Health needs to be a major requirement of humanity! Think of the amount of torture so many have to live with alone!

i think in a way it is a problem to take the basis of the self portrait test/personality style from the personality disorders. so the personality style is always a bit connected to a disorder. it is not complete free of it. i see it as a problem. i appreciate the try to develope a way to find personality styles. i find it a good idea. that helps to see the person as he, she really is. it gives a glimps on the person. genial. i see this part of it, too.

so, if i have the chance to speak here ( i am not native speaker), i use it. it is in my eyes, seen from human rights and dignity, a impudence to aks a person if he believes in spiritual things in a test and to take it to classify a personality disorder! it is not the part of a doctor or psychologist to decide. that is a choice only a person self has.

sorry, do not get the argumentation. for example an apple exists, it can not be to much apple or to little. you say your view is personality is a thing like an apple. and when it is existing, it is good. the apple and the personality. never heard of an apple that was to much apple. i see no logic in your argumentation. really. but it is not my problem. but thanks for explaination. you are kind. so i get the chance to know, waht you are talking about. even if i am not in your opinion.

what if such things like a certain temperament is not existing? the same with the charakter. where is the fact based science? proof your statements. what IS your character, while you are speaking this and want to be taken seriously? these questions come into my mind. i was here to inform myself, because i read parts of your book about personality styles, here especially the preface, about if personality style is meant as a natural normal, fine thing or a disorder, illness. :)

I really appreciate this conversation. I’ve finally been diagnosed with bipolar 1 that I’ve known I’ve had since I was a kid. I’m a producer, writer, director for film and my dad also had bipolar 1 and just was inducted into the hall of fame for finger picking guitar a few years ago. I’m 47 and just got accepted into college and I’ll be at college for five or six years and I got diagnosed because I know at college I’ll brush up against stressors and triggers and I don’t want to go into manic psychosis.

This hits me

I have a lot of trouble with the concept that being sexually touched at a young age by someone who should have been safe is, in this man's eyes, NOT trauma...sad

Is this why he was so good in what about Bob so natural. Legend actor

I think that mindset is a key to handling adversity in recovery or otherwise. I use to know someone who lived in the northeast who would often say he liked winter, summer's too easy. It's that taste for challenge that helps us face adversity with aplomb.

I've never heard another life story that is so similar to mine. Events and all. I come back to watch from time to time over the years. Thank you, Richard.

Fantastic you guys. Just absolutely amazing. Menninger changed my life. By the way.

If he did bad in school it sounds like ADHD.

I am reading her artikel right now

❤

Not listening to rich dinosaurs

Suicide may not be having any reason,the fiercest portion is that a person may say mundanely fowl talks in his suicide note or in mind,like you have plucked a hair of mine,coming out of biological some abnormalities or none.

Thank you Richard. One of my absolute favorite actors of all time, and that was before I saw this. Now he’s just one of my favorite humans ever. Love this man. God bless him.

So what Bowlby describes sounds nice but consider the benefits of a Peer, a same sex person who has been through similar experiences. It's very difficult to provide. And the expense of therapy is too extreme for people living on low income. So Churches might provide community assistance however the religions are quite dysfunctional in my opinion. Many being headed by narcissistics. Lol. Thanks. My second time listening. Like a breath of fresh air in a stagnant world.

Trauma. Residual or vestiges of traumatic event. Lack of trust. Depending on the extreme of the events, extremely intense ability to trust. Lack of desire to ever consider trust could be possible. Dislike of certain types of men if it was a woman harmed by a male or vice versa. Anything at all that reminds of a past experience causes emotional triggering. If the person suffered spousal infidelity the effects are very integrated physically. Yes. Cynical, distrust, butter, yes this is exactly it. And spiritually absolutely, yes this becomes repeated throughout life. Extremely traumatic spousal relations contribute to long term grief...yes. The loss of a protector in the large family for a woman is totally shattering. The emotions due to all these events are brought forward. Totally on point. There is never love, never consoling, and yes you lose your sense of self worth. It's a chronic destructive experience to be repeatedly traumatized. Only while in a religious context was a marriage possible, and that was a covert narcissist who likewise did more harm...this is an excellent validation of what I experienced. I study psychology at 67. Thank you.

I never come into contact with anyone that could reach me with their word's and logic. I know I have a problem but am stuck and dissolutioned. I enjoyed that

Richard such a great actor 8 yrs ago this was on No more comments for me I’ve never seen him like what going on here

The Institute of Living should be closed. You help people at Menningers Clinic.

Thank you so much. Beethoven is my favorite. Carole Paul Trombonist Composer

She was my therapist a long time ago-never met a more compassionate, open-minded, and helpful human being, endlessly patient. A rare jewel in the airtight male -dominated patriarchy of medicine.

Please come back to Kansas

This was a brilliant watch.

Yes, right on!! Thank you very much.

4:05 it just makes sense sometimes.

Notes and comments; Good basic level intro. PTSD: Oscillation between intrusive and avoidant From other sources CPTSD is PTSD with a few additional symptoms. If this were spot on then either I don't have either. Or it's not as simple: I do not have debilitating intrusions. I have somatic and emotional flashbacks, neither very serious. Big distractions at times. In terms of avoidance I'm less sure. Either I don't do this much, or I am very very very good at it. I have clues as to what happened, but the case they make is very much a house of cards. I have a pile of the marker symptoms of trauma. The low self-esteem, self loathing, body dysmorphia, constent self deprecation, depression, shame (I am broken) self harm tendencies, suicidal ideation (not currently) That said, the more I learn about the official boxes, the less I believe most of us fit in them. Vid doesn't mention hypo-arrousal. In general I tend to desensitive to stress The cost of this is blunted emotion, over intellectualization. Faith: I have none. PTSD: Stab to the heart. CPTSD: Death of a thousand cuts. On painful emotions: I need to clarify something here. I do not experience bad emotions as pain. Once on a canoe trip I dropped a piece of bannock dough onto the griddle. Three edges landed, and squirted a tablespoon of smoking hot lard onto the back of my hand. I teleported into the lake. For the remainder of the trip, I had to steer with that hand at the top end of hte paddle, as it would throb if I brought it down low. Emotions can be unpleasant. But not painful. That other people don't buy this view suggests that I have done some serious rearranging of my mental furniture. I like the spectrum idea. 8:51 Aside from the CSA, which is buried, I don't have memories of "afraid, terrified, overwhelmed, helpless out of control" I do remember "alone, neglected, invisible" I told Misty the other day, that I don't think I wanted love, so much as acceptance., and to be seen. One of the self images of self harm is to cut/abrade in patterns, to become a vessel that has been shattered and badly glued back together. That my parents were intermittently present, caused me to become very self reliant. Distrust: Very much so. I don't think I trust anyone without reservation across all domains right now. There are many domains where I trust because I don't care, or the consequences aren't important enough to get more than mildlly bothered. I'm not sure this is a win. I don't trust even me. Depend emotionally on other people. Not sure I understand this. . What does emotional dependence mean? Googling this gives me a very different feel than this talk. Healing: Minimize stress, and mindfullness. Check. Secure attachment relationships. Right. Let me go down to the pharmacy and pick up a jar. Bowlby is full of crap. Regarding "mind quote" this is why I really like the notion of Parts (See Fisher..) I don't have to be alone in there. In addition to the J word. Avoid "should"

Hi

Here I thought he was just an a-hole. Oh wait..

The tragedy is when our connections with parents are broken through their ignorance, and we learn this way when raising our own children. This is very sad, not ever knowing what a secure base feels like

This makes sense to me for the first time in 70 years. Thank you.

very very helpful , thanks

I could never even go on a merry go round, let alone a rollercoaster. Little did i realise i was on one mentally, and so was my family! Thanks for the support guys. There are those who understand it, and invariably those who dont. I find it hard to comprehend it myself to ge honest. Thank you Richard. I feel I'm in good company!!

I love him but I am not sure I agree that his work will be studied in two hundred years.

I have so much respect for Richard, his humility, honesty, and sober analysis of life.