Answering Your Mental Health Questions | Doctor Q&A

[@DrSyl]

Sorry about this video ending abruptly folks! Not sure what happened but there should have been a couple more minutes at the end. Ah well sometimes things like this happen - will just have to answer those questions in the next episode!

[@ZosiaDabrowski]

Dr Syl your ethics, compassion and deep commitment to person-centred care is so buoying. As an Australian provisional psychologist, when I see your videos I am always reassured and grateful that the mental health system has you contributing to it!

[@Madeline96]

Biology PhD student with bipolar here - YES to all the psychopharmacology! I find understanding the neurobiology of my condition and its response to medication has alleviated a lot of my anxiety and negative self view

[@SomeoneBeginingWithI]

I think there might have been a problem with the way this was edited or uploaded, the video seems to cut off at the end.

[@luxe0780]

loved this video! love all your videos but this one was great. your passion for psychiatry and health/wellbeing is almost tangible. your patients are very fortunate to have you as their doctor.

[@differentdestiny]

I have both ADHD and anxiety and couldn't get my Adderall for 8months, when I took it after 8 months, it was like taking a relaxer. It helps me with my anxiety because at least I'm able to focus and maybe fix a problem.

[@JoeAdler-tr7dc]

I understand what you went through it was difficult for me to get my Focalin my doctor had to get me pre-authorized for the name brand because couldn't get generic it's very frustrating

[@catherinemarsh5453]

Take Kava Calm, start with half a tablet three times a day for anxiety, if you still can feel anxiety try 1 tablet three time a day. You can monitor your own feelings and adjust but start with half a tablet three times a day. And DMAE 250mg once a day for ADHD.

[@differentdestiny]

@@JoeAdler-tr7dc yeah, the inability to get your prescribed meds is a ridiculous situation. I ended up trying to supplement my Adderall with coke but coke just drained me and made me sleepy, like directly after doing a bump. Shouldn't have to try and find drugs to make do.

[@UniqueCuriousMakeupArtist]

ADHD with Anxiety is a great question. My personal experience is no caffeine, as it makes my anxiety worse. 5 hr energies, without medication, is my best result, but Adderall, is the only medication that truly helps me be able to have the focus to hone in and prioritize, to get things done, but if prescribed too much , Adderall can have aggressive tendencies. I’ve gone down before, because I was too aggressive, rude, and irritable. It really is individual to each person’s experience, tolerance, and needs.

[@cathyjoy9214]

So pleased to hear you, more or less say, that sometimes when the ADHD is treated that the anxiety may decrease.

[@EEvans-g4w]

Hi, Love your videos, your very knowledgeable and shows you love your job as Dr. Please could you do a video on bipolar affective disorder - mixed episode and psychotic symptoms. Thank you

Just for the record Dr Syl, Invega is also used for bipolar disorder (which I have been formally diagnosed with). I was on depo, now on tablet form. So, not solely for schizophrenia...

[@SomeoneBeginingWithI]

Question for next time: has there been any research into the impact of non-parent adults on child's attachment style, self esteem, personality structure ect.? Obviously parental/home environment is very important for child development so it's discussed a lot. How much do we know about what happens when a child is treated well by their parents but is mistreated by their schoolteachers or daycare staff?

[@diannemeganj6884]

Very relevant

[@frankensteinvideo5858]

Hihi Dr Syl :) I would love a video about my new antipsychotic Perazine/Perasin .... I have read some online but I would love a video explaining it thanks and thank you fore the awesome videos :)

[@zh6525]

Hi! I have a question/video idea. Can you talk about medication dependency and how to get off medications (short term as well as long term) in a healthy and sustainable manner? thank you for your videos :) it has been super helpful

[@charlottedahlinjespersen3796]

Hi, love your videos. Could you talk a little about when antidepressants dont work enough. And what there can be done to help. For depression.

[@Parrenomarquee]

Here’s my Q and A question. when will psychiatry get better treatments for anhedonic disorders and understand them better?….anhedonic disorders in part that this industry creates with the amphetamines they prescribe to young people. When? Peoples lives have been obliterated and the issues are seen as to complicated. We have maneuvered the mental health system for years with no answers and no progression. So many people are suffering now especially with longCOVID being a an issue that mimics mental health disorders. When will Ketogenic diets be taken seriously and used after onset of Bipolar or First episode psychosis as standards of care in the industry?

[@nobodyimportant7804]

Do you think that something like MDD w/ psychotic features and GAD can become terminal? Like stage 4 pancreatic cancer terminal? If no, what evidence is there? What if every class of medication has failed - multiple in each class - with horrific side effects. What if the patient can not get ETC or rTMS due to pre-existing conditions? Ketamine therapy is not available in the area. What if multiple shrinks have labeled that person's diagnosis as intractable? I am completely off psych meds, which I had to fight to do. Imagine that. No relief but 20 years of painful and dangerous side-effects. I gained 20 pounds in 3 weeks, switched meds and lost 50 pounds in 4 months and also nearly all my testosterone because of massively inflated prolactin and that is just one of several dozen nasty side-effects. I am crazy for going off meds? It feels sane to me. The thing is that I am doing better. My MI is the same level but no side effects - other than a few permanent ones - which makes life a little more tolerable. There are also multiple degenerative issues that can not be fixed and are painful 24/7 and always will be. Proper pain management is not a thing in the US. If I had terminal cancer, because of the state I live in, my doctor could prescribe appropriate medication to end it. What if the MDD and GAD were terminal? Well, the law precludes that. In fact, if I had terminal cancer, the option to get those pain-ending meds is blocked because of my MI diagnosis. The cruelty never ends. There is a long-term plan being developed - as in it will be an extremely painful 6+ week process to ensure it is successful. It is still early in development but I made the mistake of mentioning it to my therapist and she is concerned and may want to try to commit me. Why? No one will commit the terminal cancer patient, but like the rest of my life I am alone to figure it out and have to have an extremely risky, painful, and long end just because I am crazy? Is that compassionate? Is that fair? How is this not cruel?

[@holymoly1312fr]

Question : how to help a friend deal with a panic disorder that is related to psychosis and paranoia? what would you advise to read about shizoaffective disorder and what types of therapy are usually effective in treating it?

[@berf9445]

Question: I got tardive dyskinesia from Invega(went off immediatly) after some months it did go away, though it was pretty intense and disrupting to my life... Well a couple of days it came back! Is that even possible? I didn't start an antipsychotic. I'm not on an antipsychotic. I am very upset about it coming back. Have you heard of this. I know it can be permenent, but I can't find info of it being intermitant.

[@bubble-xt]

Dealing with multiple labels. IME … it is not unusual to meet people who identify as having 5 different disorders (or more). Often this is because they have collected these diagnosis over the years while seeking MH treatment. One common example is someone who described themselves as having depression and bipolar disorder and as I understand that bipolar disorder often is a revision diagnosis of an earlier depression diagnosis. Another example would be someone with depression and a personality disorder, or depression and ADHD. How do you tell the difference between a diagnosis that is in addition to previous diagnosis and a revision diagnosis. As someone who has sought help in the private and public system I have had many different diagnosis. I have the private MH record and I have the public MH record with different diagnosis and treatment recommendations.

[@bubble-xt]

@@razi-elinho I wrote a piece but deleted… I am in my 40s, and are from Aust. My OP comes from the hypothesis that multiple diagnosis without context can impair recovery and often push people into the “Mentally Ill” identity. I always feel a sense of sadness if I hear someone rattle off a whole list of diagnosis. IMV the MH profession (not just psychiatrist but psychologists who can make diagnosis) need to be substantially more disciplined in making or reviewing MH assessments.

[@Alias_of_Alias]

Thank you for the Q&A, but to stop mid sentence on such an interesting topic is simply mean.

[@Leah-h3h]

How do you feel about the reality test and psychotic and delusional thinking after reading the 2004 edition of 'psychosis and insight's where mental health states that there are 27 dimensions, alas lobotimising drugs is the preferred method of 'treatment', as opposed to offering the care patient any insight into their condition.? Yes the DSM 5, big pharma's handbook of future and potential sales. Love your work Dr Syl. All those unstable people with deep emotions need people like you to 'cure' them. God bless

[@julieoneofonebillion]

Lauren Kennedy West (whose work you have featured in your videos) has changed the name of her channel from: Living Well with Schizophrenia to: Living Well After Schizophrenia. She is one of many people putting their illnesses into remission using metabolic strategies, with a ketogenic diet being the strongest lever. The Baszucki Group has made FREE CME courses on metabolic psychiatry by pioneers in the field, Dr. Georgia Ede, and Dr. Chris Palmer, available to all physicians, psychologists, and nutritionists. I hope you - and anyone reading this who is eligible - will take advantage of them. KZbin is not link-friendly, but if you search the internet you can find everything I've listed. Serious mental illness is quite interesting. And it causes tremendous suffering. And now we know how to alleviate it. Please, please get curious about this.

[@apoet-y6c]

I have a question. I have had what were probably depressive episodes in the past and am currently in the worst episode I have ever had. The weird thing about this current episode is that I have been having more good days than is typical for depression. About a third of the days, I am mostly normal, am happy, and am glad to be alive. I know atypical depression can have good days, but I have a lot of such days, they don't seem to be brought on by positive events, and I don't have any other atypical features. The psychiatrist said it was major depression (though she made the diagnosis from my records and didn't get the history from me). How does this work? Why would some days be so different from others? Can it still be major depression even with so many good days? I'm just trying to understand what's happening.

[@michaelmarchei8539]

My question is :- why do psychiatrists always wear funny glasses and drive teslas ? 😊

[@alphadog3384]

Funny glasses better to see you! Teslas the only car they can afford 😅

[@francesbale1409]

i love the stipulation that the sex is human

[@TTIzzy1]

Does lithium have less side effects, like TD, or low libido, versus newer meds⁉️

[@francesbale1409]

probably not it has quite a heavy side effect profile

[@enzeth]

And right as you said algorithm the encoding algorithm messed up =)

[@vasanthipremarathna6804]

How do you analyze our people

[@3laraaslisaani]

In the bipolar criteria, it lists decreased need for sleep. Obviously, getting by on no sleep would be decreased. And the DSM lists 3 hours as another example. Would 5 to 6 hours count as decreased need for sleep if the person normally sleeps 9-11? Would it come if one day during a two week hypomanic episode the person slept 9 hours, and then went back to much less sleep?

[@JimSamable]

Question: is it true with sexual fetishism and deviancy from what is considered 'normal' that the brain adapts to what you are engaging sexual behaviours with/watching so you are more likely to get aroused by that thing? And if so, is the opposite also true, that my limiting exposure to said thing those connection to sexual pleasure?

[@p0std3]

So hairline has a whole lot of disfunction. It goes into massive self destruction of itself. My question is, why so and is death related.

[@Ehecatl1111]

6th!

[@coraldell3091]

Unless it's a genetic condition. No not everyone would get a genetic condition. 😊

[@clonaztevedreamkiller5277]

First?