Careers in Psychiatry and its Specialisms

[@SB-qe1ne]

It's amazing how many people look down on psychiatry, so many condescending comments here as well. THANK GOD PSYCHIATRISTS EXIST. I got my life back just because they do.

[@nicholashibberd6811]

I'm no fan of polarisation between patients and doctors. They are bound by fate to get along. I'm sure a lot of people genuinly want to help people with their issues. It's just that when polarisation occurs, which seems to be encouraged, people have a perception of the 'other' based on what they are rather than what they actually believe, think, say or do. I'm not blind to the painfull, damaging medication they use. I had a sadist doctor who had worked for forensic psychiatry for most of his career and moved onto general psychiaty. Whenever someone was critical of his work he treated it asif the person was dangerous. Subsequently I was his patient in general psychiatry. He gave me medication of which the effect was that I couldn't swallow even my own spit for 1,5 years. Then he gave me something where I had akynestesia for 1 year. Then he gave me sleep deprevation for 2 years. When I got angry and started complaining he locked me up for 6 month under blasphemy laws. I went on a campaign to expose the institution for torture and was succesfull. I recorded conversations and filmed in the institutions and took it all to the police. They couldn't open a case and I took the recordings to a lawyer for a civil dispute. It took 3 years and eventually the institution was sanctioned and I got a 300.000 euro compensation. The institution had the health inspection round and was sanctioned so hard that they downsized be 40%. Not only my case but more cases brought them down. Now I'm with the same institution and have a much better doctor. Even after having being tortured for 6 years I have regained trust in psychiatry. When you expect the best in people you bring out the best in people is something I have come to believe. I'm not basing my view of all mental health workers on what the sadistic one did.

[@presidentamanda7468]

I’m considering becoming a psychiatrist... thank you for offering more info about the field.

[@goertzpsychiatry9340]

President Amanda kzbin.info/www/bejne/nnTQaKyZrr52jZo

[@dannyanderson2236]

This is so useful, thank you for sharing!! This video deserves more views

[@goertzpsychiatry9340]

kzbin.info/www/bejne/mWnSnqWvfaihZ7s

[@onlinemusiclessonsadamphil4677]

Thankfully now we have better more robust medications than in the past avoiding Occular Gyrocrisis, Tardive Dyskanesia etc and we have a better understanding of trauma, links with neuro-divergence and how empathy can really aid recovery. Early intervention psychosis is a great discipline and more work and funding will help progress, this, somatic illnesses, and the same goes with synthesising a better match for Clozapine. Working in psychiatry is being able to connect with that person or/and trying to at least, active listening. From a career progression, it's possible to practice CBT privately for example when you retire so arguably has a long life span.

[@rahoulg1838]

Great video!

[@catherinerojas6138]

When I grow up I want to become a forensic Psychiatrist

[@goertzpsychiatry9340]

Catherine Rojas kzbin.info/www/bejne/nnTQaKyZrr52jZo

[@Willkott]

Psychiatry needs to be put down with its medievil methods. ECT, psychosurgery, heavy meds etc. backed up by business making ALOT of money on people who have nowhere else to turn to in crisis. I hope some decades from now we look in history books and shiver over the whole field.

[@garofalotobedeiced1971]

Um.. you do realize they don’t do that anymore right?

[@chukchee]

Psychiatrists need psychiatric help.

[@Emma-dp8lh]

u seriously believe that just cos they take a career which prescribes drugs for mental issues their brain is mentally instable- stereotypes can be wrong u know

[@Alprtngakrc]

It seems that this video has made an opposite effect on people about psychiatrists. Look at all these comments below this video. How on earth can this profession still survive if everyone hates it that much? How can psychiatrists really help their patients if they're hated that much in public? That should be the topic which psychiatrists should be discussing about if you ask me. I don't see a bright future for this profession to be honest with you. Actually if the trend goes on like that I'm not surprised if psychiatry is abolished as a medical specialty within a couple of years time. If I was a psychiatrist that would really be a matter of concern for me.

[@TheXtremeDrums]

Is one of the core rotations for all medical students, it will not be abolished because people with mental disorders have always existed and will continue to exist. Psychiatrists are the only physicians with special training to help these patients and do so by applying evidence based treatments. The hate the field receives comes from ignorance and misconceptions on how it works. Most of the people who hate them have religious beliefs (Scientology, evangelists) that clashes with the modern conceptions of brain/mind; or claim to have been "abused" (which could happen but is extremely rare and is most probably people with cognitive distortions trying to make sense of doctors saving their lives by treating them against their will when they were trying to commit suicide or harm others); or have mental disorders that contribute to their clouded thinking in general. Is funny that inside the medical profession most doctors consider Psychiatrists to be the most empathetic bunch while surgeons are the egomaniac assholes yet these people with obviously zero exposure to the medical field think Psychiatrists are literally Hannibal Lecter, ridiculous.

[@Alprtngakrc]

@@TheXtremeDrums My friend nobody wants to die young with enormous emotional and physical pains for nondeadly problems. That's what these drugs used in the treatment of psychiatry do. Nobody dies because of a bipolar episode. In nobody's death certificate you can see a notice like "died of bipolar" for example. The same thing is true for schizophrenia and psychosis and panic attacks and depression as well. It's easy to call everyone who opposes the obvious abuses in psychiatry mad or hateful or religious or whatever That doesn't change the fact that the treatments offered to those people are nothing but abuse of medical knowledge and practices that’re developed only for emergencies. These people are mostly subjected to coercion and even traumatized in mental health facilities The problem is partly mental health facilities and psychiatrists as there doesn’t exist any system to establish transparency and accountability in their practices. Yet the larger part of the problem stems from the current mental health system which sees mental patients as pathogens which should be isolated from the public and dysfunctioned without caring their mental and physical health rather than the people who need medical attention, compassion and care. I too believe that mental health problems are real. What I have doubts about is rather whether or not they’re caused by organic malfunctions or genetic problems as there’s no medical proof regarding this. We know that when people live under duress and distress that causes biological and chemical changes in their entire bodies and inevitably that includes the brain as well. The biological and chemical reactions to this in the brain varies all according the type, severity and duration of the duress and distress people are exposed to as well as their past experiences. Yet, to claim that these mental health problems are caused by organic malfunctions, genes or some mysterious interactions betwen the genes and thus they’re chronic problems requires proof and that’s exactly what medicine currently doesn’t have. Needless to say that to interfere such problems with the substances which they themselves too cause those very symptoms which doctors try to treat defies logic, and it’s evident that this illogical approach will definitely turn those most probably temporary mental health problems into chronic ones let alone making them go away. The first rule of medicine is “First do no harm”. That really means that if body can heal itself in a natural process then you shouldn’t interfere this healing process with harmlful interventions. What you should do is rather to help and facilitate this natural healing process. But don’t understand me wrong. I don’t mean that psychiatrists are frauds or mean people. Among them there are very good people who really want to make a difference in their patients’ lives. Psychiatrists in general think that these are the only available tools they currently have and if they don’t use these tools those people struggling with mental health problems will get even worse. They hope that as the medical knowledge develops they will have better tools and one day they’ll be able to find treatments that help patients without harming their physical health. They also have the opinion that they help drug industry to find solutions to illnesses and medical conditions by prescribing these drugs and hence contribute to the medical researches. I neither dislike psychiatrists nor find that profession evil. On the contrary I believe that there's goodness in everyone. I try to address the conscience of people all the time and try to awaken the goodness in them and sometimes I do this by means of provoking them. I always advocate the matters for the benefit of all mankind even if those matters hit the financial interests of people. My aim is always to address the conscience of people all the way. The current mental health system lacks of transparency and accountability. That’s what I’m primarily against and I have the opinion that the system needs an extensive reformation by giving sufficient safeguards to people that limit the power of psychiatrists, mental health workers and mental health facitilities.

[@TheXtremeDrums]

@@Alprtngakrc ​ Alprtngakrc *I really wasted a lot of time on this reply but is worth it considering the amount of misinformation I read in your post. I think people deserve accurate information on the matter.* ‘’My friend nobody wants to die young with enormous emotional and physical pains for nondeadly problems. That's what these drugs used in the treatment of psychiatry do. Nobody dies because of a bipolar episode. In nobody's death certificate you can see a notice like "died of bipolar" for example. The same thing is true for schizophrenia and psychosis and panic attacks and depression as well.‘’ *People don’t die either of migraines, osteoporosis, menopause, fractures, sports injuries, most dermatological diseases, most ophthalmological diseases, plastic surgery cases…. The list goes on and on, so I suppose you’re saying we shouldn’t treat these medical conditions because they don’t directly kill people?* *For your information people do die because of mental disorders. Either indirectly by the accumulation of stress and poor life choices like smoking, drugs, unhealthy eating habits that induces diabetes, cardiac diseases, renal diseases, lung diseases, all kinds of cancer, etc.* *People can also die because of mental disorders directly by committing suicide* *Some numbers for you: Chesney et al. (2014)* - People with borderline personality disorder have 45-fold higher suicide risk than that of the general population. - People with depression have a 20 times higher risk - Women with anorexia nervosa have a 31 times higher risk - People with bipolar disorder have a 17 times higher risk - People with schizophrenia have a 13 times higher risk - People with opioid use have a 14 times higher risk *A physician’s role is to heal, decrease suffering, increase the life span of their patients and the quality of their lives, not just to ‘’save lives’’, so even if people didn’t die from mental disorders (which isn’t the case as I already showed you) their lives are still extremely affected by these conditions so they deserve to be helped.* ‘’ It's easy to call everyone who opposes the obvious abuses in psychiatry mad or hateful or religious or whatever. That doesn't change the fact that the treatments offered to those people are nothing but abuse of medical knowledge and practices that’re developed only for emergencies. These people are mostly subjected to coercion and even traumatized in mental health facilities’’ *This is completely false. There is plenty of evidence that the treatments offered by psychiatrist work and this is not debatable. We have been studying these treatments for decades and their efficacy has been confirmed several times. If you deny this is fair to call you an unreasonable ‘’hater’’ because there is literally zero evidence on your claims.* ‘’The problem is partly mental health facilities and psychiatrists as there doesn’t exist any system to establish transparency and accountability in their practices. Yet the larger part of the problem stems from the current mental health system which sees mental patients as pathogens which should be isolated from the public and dysfunctioned without caring their mental and physical health rather than the people who need medical attention, compassion and care.’’ *You are once again spreading lies.* *First of all, how the mental health system work in your state or country has nothing to do with the medical science of psychiatry but with the socioeconomical stage and the politics of your country so don’t blame the specialty.* *Second, the era of long-term institutionalization is gone and has been gone for some time now in the majority if the developed world, all this thanks to multiple social programs and specially the development of drug therapies that allowed better remission in the complex psychiatric cases.* *There is still some work to do but again your criticism is unjustified as the limitation we have are out of our control (development of better treatments, more money into psychosocial programs, etc).* *Also, the way you think psychiatrist see their patients is just ridiculous, an image literally taken from a Hollywood movie. Go to any medical faculty and ask doctors what they think of psychiatrists. In the medical profession people see psychiatry as a touchy/feely empathetic specialty while surgeons are considered the egomaniacs who see patients as bags of meat. Funny how you people eat the Hollywood lie without thinking it twice and have completely different ideas that do no reflect reality. In reality the big majority of doctors care about their patients (hence me taking all this time to correct you so that people who need help don’t get confused by your misinformation).*

[@TheXtremeDrums]

@@Alprtngakrc ‘’ I too believe that mental health problems are real. What I have doubts about is rather whether or not they’re caused by organic malfunctions or genetic problems as there’s no medical proof regarding this. We know that when people live under duress and distress that causes biological and chemical changes in their entire bodies and inevitably that includes the brain as well. The biological and chemical reactions to this in the brain varies all according the type, severity and duration of the duress and distress people are exposed to as well as their past experiences. Yet, to claim that these mental health problems are caused by organic malfunctions, genes or some mysterious interactions betwen the genes and thus they’re chronic problems requires proof and that’s exactly what medicine currently doesn’t have. ’’ *We do have proof that mental disorders have strong genetic, biological and neurobiological components, the evidence is huge which is why psychiatry is constantly evolving more and more into a clinical neuroscience. You clearly haven’t look it up if you actually think we have no evidence for these claims.* *What we lack are precise biomarkers to better differentiate mental disorders at the individual level however this has nothing to do with the evidence I mentioned above. We also don’t have biomarkers for headaches and migraines, many cases of lower back pain fibromyalgia, cases of heart burn and nausea, IBS, etc this doesn’t make these disorders not biological in nature. Not medical professionals have a weird idea of how we use lab and imaging tests, you guys seem to think they are perfect tool that always give us 100% answers which isn’t true, they only paint some of the picture. Is a game of probability where we work with incomplete information to make a proper diagnosis and in this game the interview and the physical/mental exam are the most important parts.* ‘’ Needless to say that to interfere such problems with the substances which they themselves too cause those very symptoms which doctors try to treat defies logic, and it’s evident that this illogical approach will definitely turn those most probably temporary mental health problems into chronic ones let alone making them go away. The first rule of medicine is “First do no harm”. That really means that if body can heal itself in a natural process then you shouldn’t interfere this healing process with harmlful interventions. What you should do is rather to help and facilitate this natural healing process.’’ *I don’t know what you mean, what natural healing processes you are talking about? In medicine ww also study the natural progression of diseases so for example we know that schizophrenia is not something that is going to heal and get better by itself; in other words we treat according to the disease. We always suggest changes in lifestyles choices and medications play and role in the more complex cases like with most diseases: example of diabetes, we start with lifestyles changes followed by oral hypoglycemic meds (metformin) followed by insulin.* *You are once again criticizing psychiatric medications without medical training. In general, psychiatric medications don’t cause more severe side effects than other medications we use in medicine (take a look at the side effects of systemic corticosteroids, chemotherapy, strong antibiotics like those we use for tuberculosis) and their efficacy is proven. Also, we have clear guidelines for how long people should take them, we don’t force people to take them forever as you seem to think unless the evidence suggests that it will help patients.* ‘’ But don’t understand me wrong. I don’t mean that psychiatrists are frauds or mean people. Among them there are very good people who really want to make a difference in their patients’ lives. Psychiatrists in general think that these are the only available tools they currently have and if they don’t use these tools those people struggling with mental health problems will get even worse. They hope that as the medical knowledge develops they will have better tools and one day they’ll be able to find treatments that help patients without harming their physical health. They also have the opinion that they help drug industry to find solutions to illnesses and medical conditions by prescribing these drugs and hence contribute to the medical researches. I neither dislike psychiatrists nor find that profession evil. On the contrary I believe that there's goodness in everyone. I try to address the conscience of people all the time and try to awaken the goodness in them and sometimes I do this by means of provoking them.’’ *Well I’m glad you don’t think medical doctors are evil, we sacrifice so much of our lives to work in this profession and is saddening that people always criticize what we do without actually knowing why we do it.* ‘’ The current mental health system lacks of transparency and accountability. That’s what I’m primarily against and I have the opinion that the system needs an extensive reformation by giving sufficient safeguards to people that limit the power of psychiatrists, mental health workers and mental health facitilities. ‘’ *Again, this is not a medical problem but a political and sociological one. How the system in your country works has nothing to do with the medical science of psychiatry, the same science and approaches that we use around the world.*

[@Alprtngakrc]

@@TheXtremeDrums Well surgeons like for example urologists don't have a very high opinions about psychiatrists either and I can tell you that they don't find psychiatrists very sympathetic at least. Anyway you said your own opinion and let me tell my own opinion about psychatry. According to my observations what practitioners of psyhchiatry currently do is to try to find solutions to the problems they themselves have created in the first place rather than original mental health problems they’re supposed to treat: For example we still don’t know whether people really suffer from bipolar or schizpohrenia episodes, panic attacks, psychosis etc or rather they suffer from the extrapyramidal symptoms or/and withdrawals symptoms of the drugs that are claimed to help to manage the “psychiatric symptoms”. Do you know for example that those drugs that are used to manage the so called symptoms of psychosis including hallucinations and delusions (which are called the positive symptoms of psychosis) such as olanzapine (Zyprexa), quetiapine (Seroquel), and haloperidol (Haldol) themselves too can cause hallucinations? Take a look at the link below by yourself if you don’ believe me. www.pharmacytimes.com/contributor/timothy-o-shea/2016/02/10-scariest-prescription-drug-side-effects Those same drugs are given suicidal patients in hospitals as well. I just can’t understand how on earth those very same drugs (antipsychotics) that blunt emotions which suicide bombers take in order to overcome the fear of death before blowing themselves up can prevent suicide in suicidal patients. People need to overcome the fear of death to commit suicide. Yet, what those drugs really achieve is nothing but enabling exactly this. You see this is a vicious circle. Moreover what psychiatrists do in the absence of any relevant evidence based medical knowledge regarding the mental health problems is basically to create a chemical dependency in their patients first and then increase their revenues by managing this chemical dependency they themselves have created in the first place. Afterwards they show the withdrawal symptoms of these drugs which will definitely appear if the patiens abruptly quit them as the evidence of the efficacy of these drugs. One might think that this is nothing but aggravated fraud because it creates long term financial benefits for psychiatrists at the expense of harming their patients’ physical and mental health. What about ECT? If you take a look at the symptoms of traumatic brain injury and compare them with the very well-known “therapeutic” effects of ECT you will see that some of these symptoms of traumatic brain injury are listed as the beneficial effects of ECT and the rest of the symptoms are listed as the potential “side-effects” of ECT by the psychiatrists who advocate that ECT is harmless and very effective medical treatment. Is it ethical to deny their patients’ rights to receive treatment for the only underlying medical condition they have after receiving ECT which is obviously nothing but traumatic brain injury? Now let's see how helpful psychiatry is for the ones suffering from bipolar disorder for example Let's take a look at this combination of drugs people labeled bipolar take each day in order to prevent relapses one by one: 1. Lithium, is a very well-known poison which will give you nothing but thyroid problems heart problems and kidney failure sooner or later at the time when your immune system weakens when you get older, and beware that thyroid problems would be deadly in conjunction with a heart problem. 2. Valproic acid which is an antiepileptic drug in fact. The ones who have epilepsy can use this drug relatively safely as they get with much lower doses than bipolars. But don't forget that you get this drug in astronomically higher doses than than epilepsy patients. There's no need to be a psychiatrist or pharmacologist or a physician to guess that sooner or later that would lead to liver or kidney failure in the long run. Besides it will definitely cause to lose all of your teeth. 3 One of the central nervous system drugs which would definitely lead to health issues such as heart problems and diabetes. 4. Antipsychotics which would definitely lead to irreversable dysfiguring neurological problems like parkinson like disases in the long run ( if you don't already suffer) as well as metabolic disorders, type 2 diabetes and obessity which is accepted as number one cause of cancer, and also dementia and Alzheimer's Disease. It's scientific fact that people episode even if they strictly take this drug regiment as much as the ones who don't take any drugs at all. Moreover they can't quit these drugs because of the debilitating withdrawal symptoms of them. Winston Churchill too suffered from bipolar and had many episodes in the era when there were no drugs to treat this problem. But in the end he outgrew it and later became prime minister of Britain and he was commander in chief of the Britisih troops during WW2. So this is an achievable task. Now my question here is what will those people when their urologist endocrinologist, cardiologist and neurologist altogether say that they must quit these drugs otherwise it will have grave and even deadly consequences for them? What are they planing to do then? Will the inevitably commit suicide or try to find the ways to survive without drugs? Why don't they start doing this before irreversably wrecking their health.

[@anlace3447]

Listen to the female psychiatrist: "Psychiatry is egalitarian" haha Is that why psychiatrists, more than any other specialists, are frequently disciplined for mistreating patients?

[@aizenosaimafidon1119]

Maybe because their patients are mentally ill...

[@anlace3447]

psychiatry- the laughing stock of all real doctors! (most psychiatrists have plenty of "issues" themselves!)

[@Bojakovich]

the best psychiatrists will be the one who fixed more problems about him self first.

[@TheXtremeDrums]

andrew andrew ok Mr nobody, thanks for your insight on the medical profession, I'll make sure your knowledge is heard by my colleagues in med school

[@anlace3447]

Yes, i really believe you are in medical school Mr. Nobody hahaha

[@TheXtremeDrums]

andrew andrew believe what you want you're still an ignorant idiot talking out of your ass, you don't know a thing about medicine or psychiatry but somehow you feel that you have sometime important to say....the only thing you win by doing this is making people who might actually need help question the profession that can help them + you look like an idiot to any medical professional. Since you are so knowledgeable why don't we talk about hematology and oncology next. I bet you know alot.

[@anlace3447]

psychiatry is not a real science at all. where's the external validating criteria for any psych illness. Why would we talk about hematology and oncology? This issue is psychiatry right "Mr. Doctor"? I've never heard such an abusive "doctor" in my life hahaha "doctors" generally don't abuse other people using cuss words. Go take your Olanzapine!

[@silentumexcubitor6747]

A psychiatrist should NOT be allowed to practice, unless they are NATIVE speakers of whatever language they practice in. Actually, "psychiatrists should not be allowed", but that's just a hope for a future without the scourge of psychiatry....

[@ren1134]

Just admit you're too stupid to understand psychiatry as a whole even English with an accent. I understood them all perfectly you're racist uneducated and ignorant. I feel sorry for you.

[@kaiyin3842]

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