Doctor ANALYZES a Hypomania | Psychiatrist REACTS to Old Medical Teaching Videos | Dr Elliott

[@gameguy73]

Thank you for pointing out that this is full blown mania. Hypomania is far more subtle. When I'm hypomaniac, people usually think I'm doing great. I'm more social and jovial in general. They don't notice the overspending, nothing really getting done because I thought of something else while starting something else. It is not at all unusual for it to go into full blown mania, but many times it lasts about a couple of days. It can be a nightmare.

[@CJ-qw4og]

Yeah, for me hypomania has always pretty much been present. People normally just think I’m hyped up on caffeine or sugar when I’m in my hypomania.

[@Vivi-ux4wg]

Would love to see more about hypomania. My hypomanic episodes were missed a lot of times. They mostly came after a long major depressive episode or were induced by antidepressants, that's why my hypomanic episodes were seen as me normally just without depression and not hypomania. Every time I tried to express that something is off I wasn't taken seriously and than I hid my hypomania even more. I didn't knew it was hypomania and I didn't even knew hypomania is a thing. I had no words to describe that feeling.

[@DoctorElliottCarthy]

That's such a shame that it wasn't picked up. I really try and emphasise to students the need to actively seek out these symptoms as its crucial for the right diagnosis

[@Bluehoshiflower]

Hope you are doing okay. I was in the same situation as you

[@Vivi-ux4wg]

@@Bluehoshiflower Thanks, I'm doing good! I should've clarified more in the first comment that it's now over a year ago since I know what hypomania is and that I have it.

[@123Laraa]

I'm glad you're doing better now :) I had the same experience. Not even my therapist took my hypomania symptons serioysly, he kept trying to make me "accept" them as a good thing and didn't really understand why it bothered me so much to suddenly feel super energetic after weeks of feeling depressed. I really wish people would talk more about it, it could've made me seek the proper treatment sooner.

[@veroniqueclemesha122]

I hear you. I went with Bipolar 2 for about 13 years before being diagnosed. People just thought I had mood swings or was being nasty or all over the place. I put two and two together after having a massive depressive episode after giving birth to my son. I was first diagnosed with PND but the antidepressant was making things worse. I then asked to see a psychiatrist and was formally diagnosed with Bipolar 2 and given Lithium, which was a lifesaver for me. When I am hypomanic, I talk louder, buy useless stuff (but within my means), get irritated easily, act a bit jittery (I can feel my heart pounding sometimes) and plan millions of things ahead of time. I just thought that was normal as I had no point of reference but my own. I also had a couple of mixed episodes, which I do not wish on anyone. Getting my diagnosis was actually empowering in a way because it meant I could share my experience with other people affected by bipolar disorder. The hardest part is explaining to people what it is.

[@angelav4568]

Esther Williams was an actress in the 40's and 50's who did a series of musicals. She was a champion competitive swimmer and her musicals were these elaborate water ballet and synchronized swimming performances.

[@tysonzayn9250]

My hypomania never makes me act like this. I've noticed that I become for goal oriented and focused on the things I've been putting off or lacking the motivation for. I also tend to have an increased need to have sex which lands me in dangerous situations sometimes. But after a few days I go back to feeling down again and that lasts longer and is the worst part about this for me.

[@ezrab7665]

social media really does distort the view of mental health issues - i have learnt so much from this video alone about bipolar disorder. the information about mania not being the worst part makes a lot more sense than the things i have seen, this was a very insightful video !!

[@brasschick4214]

Totally in agreement about the lack of direction by the interviewer. Uggh. It should be used as an example of how to not conduct a psychiatric interview.

[@WaftingCurtains]

You are right on the money (obviously being an expert). I was misdiagnosed with depression for my whole life because the hypomania wasn't obvious enough to flag for myself thinking it was odd or for my therapists to ask about. It wasn't until I spoke with a psychiatrist that she was able to identify my "up" periods as not just good moods but hypomanic states.

[@robcazant5654]

I fall in a weird grey area I think. I keep being told that I'm bipolar 2 because I function well enough during "hypo" mania and I've never been hospitalized. But my hypomanic episodes last for up to 3 months of sleep deprivation, lack of all appetite and increased sociability and creativity. These episodes are followed by crushing depressions of up to 7 months. So I dont feel I fit either category of bipolar disorder as descrined in the DSM.

[@paulkovacs5729]

I've had the diagnosis of Bipolar II for about 5 years, and I can never really tell if I'm hypomanic or just in a bit of a better mood, although I'm sure my counselor, nurse practitioner, friends and colleagues can... but when I'm depressed, I can definitely feel it, and I try to hide it from anyone except my counselor and NP. I definitely feel more effected by the depressive symptoms and situations. A lot of my hypomania comes from having a lack of sleep (my work hours tend to get too high for me to get useful sleep), and on some work nights when I've actually gotten a decent or normal rest I feel more groggy amd can be more prone to more depressive behavior.

[@sweet_t811]

Thank you for this. I have bipolar 2 & Im still learning about it. Youre right about the depression tho, most days I dream about having a hypomanic episode so I can get out of bed.

[@okay.1063]

I think that there generally has been some confusion around defining hypomania due to the overlap between the ICD-10 criteria for hypomania and the DSM-IV criteria for mania. (In ICD-10, hypomania is said to be a lesser degree of mania that lasts ‘several days’ and causes ‘considerable interference with work or social activity’, which I think makes distinguishing between hypomania and mania more difficult) This ambiguity is further compounded by the tendency for people to throw around hypomania diagnoses for individuals who actually have mania, as outlined in Goodwin (2002), as well as the evolution of diagnostic criteria throughout the years. ~~~ Thank you so much for making this series! I always enjoy watching your reaction to old medical teaching videos as it's interesting to see which things have changed and which haven't. I am deeply passionate about psychology and have just handed in my UCAS applications yesterday- wish me luck :P

[@DoctorElliottCarthy]

You're right the ICD and DSM don't align very well. Even though we use the ICD in the UK, most psychiatrists use the DSM for diagnosing bipolar hence terms like bipolar 1 and 2 which don't exist in the ICD

[@cahyasatixoxo7207]

My experience with bipolar symptoms has been that mania is especially distressing to other people but not necessarily to me, and that depression is especially distressing to me while not much of a concern for other people as it’s much more internal. And I feel like it’s a reflection of the past ways we’ve treated people with mental illness by sedating away their mania and then as long as they aren’t saying anything or bothering anyone they must be okay. It’s like giving your responsibility for a person’s wellbeing over to a drug because it’s easier. Luckily we seem to be moving away from this but I’ve had plenty of terrible experiences in the mental healthcare world in the US.

[@ameliajohnston2373]

Love the videos! Any chance you could review some of the depictions of mental illness in Shameless, particularly through Ian and Monica's bipolar disorder but also Lip's alcoholism and Sheila's agoraphobia?

[@ButSheDid]

second this, shameless us has excellent depictions of mental illness, especially ian

[@misplacedangeleno2647]

THANK YOU for this. I didn't get diagnosed with mood swings until my 30s, though I've been dealing with them since adolescence because no one caught the hypomania. Unfortunately, even the day I went to see a mood specialist a couple years ago, I was hypomanic and HE didn't recognize it for what it was because he'd never met me before. Luckily, my regular therapist also so me that day and we were able to really pinpoint things (though no one on my team has ever diagnosed me as specifically Bipolar 2, my treatment plan is essentially the same). Anyway, when the video started, I was questioning my whole diagnosis! But THANK GOODNESS you shut it down. I will attest to the fact that the depressive swings are way worse than the hypomania -- sometimes my creativity soars doing those episodes and I can find them even enjoyable? Then down that comes after is always awful though ...

[@ElwynMoir]

Fantastic react idea. Have you seen the video of Carl Rogers counselling Gloria? Probably, I guess - but if not, I would LOVE to see your response.

[@thatgirlwithbangs]

I love these old videos!! So happy I found your channel :)

[@guskatins7022]

Interesting video. First time I see someone analyzing these old timey psychiatry videos. Loving the rainbow lego set in the background, by the way :)

[@DoctorElliottCarthy]

It's so goooooood

[@wintermoons1215]

I just found your channel the other day and I’m really enjoying your content so far! I’d LOVE to see your take on the Marvel character Bucky Barnes, both what he went through in the films to become the Winter Soldier (I’m curious if that level of brain washing is even possible or purely fiction), and the therapy he gets in show The Falcon And The Winter Soldier (I’ve heard it’s not great but sadly par for the course for a US VA therapist). I think Bucky, out of all the Marvel characters, is the most interesting and relevant for a therapist to give their taken on.

[@merrisol]

Using a term "typical" instead of "normal" is kinder to us. Shows compassion. If you designate both depression and mania as not normal it leaves us feeling pretty isolated.

[@feldinho]

As someone with only major depressive disorder, an episode of hypomania once in a while would be nice for a change…

[@karmakween7514]

Thank you, as I witnessed an acquaintance talk non-stop at a extra high, volume level that everyone in the bus could clearly hear. Person seated next to her mostly silent while her bench mate went from one topic that rolled into the next. “When I worked at Broadway Theater, I ....” “Why isn’t the bus driver taking I95? It must be backed up? Yes, it must be backed up. I wonder why he’s going this way. Because I95 is backed up. (Insert interjections of loud reports of what she thought of directions mixed with her talking about what she saw in the news about property taxes.)” Heavy traffic and lack of parking at designated drop off. Telling the bus driver which lane and direction to go. I noticed another person that she is friendly with/acquaintance wore old style headphones that covered her ears and insisted she needed to sit up front to avoid motion sickness. Oh Lord. The headphone lady quickly went in another direction once off the bus. Likewise, I saw Mania mouth looking my way and I feigned not seeing her and focused on “getting away”. Later in the day, at bus stop, she looked slighted and puzzled when she saw me. Acknowledged her and asked if she had a good day and kept my focus on what I was reading. Return trip, still obnoxiously loud. But, thankfully it wasn’t a straight hour long drone. I feel a bit juvenile for purposely avoiding and my adult self says it’s okay. Not to subject myself and be miserable. Do these people have any sense of their voice volume? With this person it is her 24x7.

[@Maverick_Mad_Moiselle]

I would really love to see hypomania footage.

[@morganfarr5886]

I was in hospital with a Hypomanic suicidal episode and the Psych Liason was bloody awful and just said "Take a Diazepam and go home." If I ever become like that I'll get the hell out of Mental Health...

[@HereSinging]

I've been on lithium for around two years ever since I had psychotic episode, I don't think I understand it well enough but I gather I had a manic episode beforehand, I do believe I had had them previously as well but just thought they were part of my personality and not a symptom since I was in treatment for depression. No one ever told me if I'm type 1 or 2 or information about what was going on with me that I can recall, but like you said, the depression has always been the worst for me. What I hate about mania is that I wasn't myself, my family and people that knew me could tell too because it continued for a while after I left the hospital and weren't present during previous episodes.

[@ktkuro6417]

Please make more of these videos. They are super helpful for med students on psychiatry rotation

[@rafaelgarcia5797]

I was just wondering what the difference was, and then this video comes out !!

[@cahyasatixoxo7207]

You should make a Patreon to start the ball rolling with those teaching videos you were talking about. I’d definitely subscribe I both find your videos very entertaining and very clear in your explanations of various conditions and experiences patients might be experiencing. I’d even be interviewed for one of the videos, I’ve struggles with mental illness all my life and I’ve had a million diagnoses but basically everything boils down to Bipolar 1 with psychotic symptoms and traits of BPD.

[@Edcounsellor]

I just watched this and great video! I would love to see you do your own training videos! I’m confident they would be more current than the ones I was exposed to in training 😂.

[@DrSyl]

So bloody good!! Thank you 🙏

[@DoctorElliottCarthy]

You're smashing it too. Well done! I wish I could edit as well as you can coz I'm just rubbish 😂

[@cameroncross20]

You should react to Ted Lasso. It might be tough to dig out an easy to use clip but it has some really interesting takes on panic attacks.

[@Cull_Obsidian]

Great video as always! Explained really well and a great resource, but the figs? Don’t they’ve got you too now! 😂

[@DoctorElliottCarthy]

I know but I wanted some scrubs and they're so damn comfy. It was only a matter of time 🤣

[@ibra2800]

By the way, she did say she didn't sleep much, around 1:48 which is a big clue to how the symptom exacerbated the mania.

[@PrismYuuzuki]

My mania presents as irritability and rage a lot of the time. I started a new additional medicine last week (Abilify) and I haven’t gotten angry this week… yet. 🤔 Pressured speech is also so real. My catchphrase is “I’ll tell you a story….” 😂

[@exovit6348]

I would love to see the an example about how bipolar wrecks your nervous system. After 2-3 days of mania that's when i typically start having physical symptoms of panic attacks. I wonder if others struggle with this. Mania can be worse for me because of the effects on my nervous system and the panic attacks.

[@CJ-qw4og]

My aunt has bipolar one without psychosis. I have bipolar two, the depressive parts are excruciating but my hypomania is great other than my inability to shut up and I sometimes get easier to agitate. Luckily when I’m medicated it’s only for the depression because the hypomania is more productive than anything (kinda feels like being on Adderall).

[@ahjgbhlahgaohgl]

I love cheese. Lol

[@MattManProductions]

Don't worry, you'll get there. Reach out to sponsors or start a gofundme account or start doing love streams so people can donate to the cause, you'll find opening up more on the channel you'll be there in no time👍

[@Kirsty22.22]

Great content as always Dr Carthy 😊 Is there a way of explaining post-ictal psychosis and if it presents differently to general psychosis? I was sectioned with what Dr's thought was hypomania, ignored the seizures I was experiencing, told it was stress and I was making them up, left untreated and I developed what I now know was post-ictal psychosis. Recently just found out that I have a brain tumour and could have avoided half the abhorrent treatment I endured. Very angry at the MH services in the UK when so many people are struggling to get the care they desperately need, and all I required was an antiepileptic drug!

[@leticiateixeira3761]

Me: I've had hypomania, it wasn't like that. Dr. Elliott: that's not hypomania, that's mania. What a relief.

[@ShlomoMr]

Hello Dr. Elliot, thanks for another awesome video! I myself am diagnosed with Cyclothymia and would like you perspective on the disorder, doubly so as I've just started Psychology in Uni. Thanks in advance!

[@FUKOFPET]

Who is Esther Williams? I was legit disappointed. Someone pursued a career and a professional education instead of studying camp like they should have done.

[@DoctorElliottCarthy]

😂😂😂

[@missedanneangel9906]

I struggle with mania although no one takes me seriously because I have borderline traits with manic episodes and they last weeks, currently not being treated for either of them and not by choice as I am actively seeking treatment there is a therapist storage though. My manic and mixed episodes last for weeks and I hate them with a passion. I am related to someone with bipolar and also have PDs in my family as well. Most people just give me lectures about how I am borderline therefore only experiences euphoria and not mania. This isn't helpful when I have stayed up for 3 weeks not by my choice and can't make the racing thoughts stop.

[@Jervisdude]

Mind you, pressured speech presents itself in generalized anxiety disorder, attention deficit disorder, and major depression. Esther Williams was an actress and synchronized swimmer married to Fernando Lamas. When you are elderly, everyone thinks you are nuts because today a lot of people today don’t have an historical reference further back than Beyoncé. But yeah, she is tiresome. But I don’t like how he treats her like a phenotype rather than a human being.

[@joshgellis3292]

This is amazing: I’m certain I’ve _never_ heard of ‘Hypomania’.

[@robbanbobban2243]

As a stimulant and benzo abuser this hits home hard

[@izzyf5409]

she's an actress

[@Nope2022HugeTheWarningFan]

Does anyone know the actress in this video? Her voice sounds so familiar.

[@theythemb0]

Can you do a reaction to Crazy Ex Girlfriend? The main character is diagnosed with borderline personality disorder and it’s a very good portrayal

[@DoctorElliottCarthy]

One vid coming in a few weeks (just navigating some KZbin copyright stuff)

[@TheIndigoSystem]

I have BPD and experience hypomanic and manic episodes sometimes especially pressured speech. Idk if that’s possible or if I have co-morbid something. I was misdiagnosed with bipolar they told me when they went to BPD are any other conditions able to cause mania?

[@freaklives]

I watched The Babadook last night and thought it was an excellent film. Have you seen it? I would love to hear your thoughts on it in a video.

[@rimfire8217]

Maybe You could look over some Eugenic Propaganda? You know when people tried removing mental illness by purging out the Mentally ill. If you ever wish to tear down some of this stuff I would recommend starting with the most modern Eugenic Organization today Autism Speaks.

[@alyssadickinson4450]

does losing a job because of a hypomania episode count as "losing function"?

[@mrsean1999]

Yes it does.

[@terricharters595]

DO IT! Do it anyway! (making your own educational videos) I'm sure you may be able to find some volunteers and I'm not sure if you do your ownn editing or not. but I'm sure you would be able direct well. Then im sure someone down the line may be looking for a study aid that they can remember easily and turn to youtube out of curiosity. then find your friendly face :)

[@DoctorElliottCarthy]

If only there were more hours in the day then I def would. I hope I can at some point

[@matthewterwilliger4287]

Can you watch the office? Michael Scott is messed up

[@TheRealityfades]

Yes, I’ve also thought the same thing. He is so self absorbed and socially inept

[@bpora01]

React to the Exorcist from a psychiatric perspective.

[@Uhlbelk]

is anti-psychotics standard treatment for bipolar even if there is only mood disorders and no psychotic symptoms?

[@DoctorElliottCarthy]

Yep. They can be good mood stabilisers, though in my experience not quite as good as lithium and valproate for maintenance and relapse prevention unless (as you rightly said) psychotic symptoms are also present

[@Belgarion9989]

I can see how my autism was mistaken for bipolar disorder

[@someoneanyone365]

Having both is a trip🥲😂

[@shad89girl47]

@Dr Elliot Carty question: would you be willing to contact psych2go's youtube channel and talk about psychiatry or answer questions about mental illness or things like that ?

[@DoctorElliottCarthy]

If they'd have me then absolutely!

[@mercedesholmes9703]

I don’t like hypomania episodes, at all. It only seems like I’m having fun from the outside - it doesn’t feel very good, and it’s not all that fun.

[@theamazingandrew30]

May I DM you with a question about addiction?

[@GirliestMammy]

💖

[@Lynwood_Jackson]

Wow. This was outdated in the 80's. Esther Williams? TF?

[@SammieHQ-og5ii]

I can tell the teaching video inside your video is quite old. The acting and manner of speech is reminiscent of old Hollywood.

[@xeon1943]

Ayo

[@manuelquintile5096]

"you csn have one maniac episode and you already have the diagnosis: bipolar 1". Well... Fuck.

[@too_tired_for_this]

Holy moly. Thats the worst impression of hypomania I’ve ever seen! I have bp2 with mixed episodes.

[@1996Pinocchio]

I have a friend like this, might she have hypomania?

[@user-fp4ir1gi4z]

i need this because i have bipolar but no mania...

[@baguettebtch]

thats impossible

[@baguettebtch]

unless its bp 2

[@user-fp4ir1gi4z]

@@baguettebtch i have bpd and denial is what i got

[@matthewcrome5835]

Oh god the acting is so bad...

[@closetmonster3790]

“So I called another girlfriend *some other unimportant stuff* and she got her boyfriend” I know they talked different back in the days, but what kind of pansexual polyamory is this

[@alexrivers8163]

Some women distinguish between boy and girls that are their friends as boyfriend or girlfriend. I think that's what happened here.

[@heatherengland1042]

I came here to find out the name of that drag queen. I’m very disappointed in myself for not know this. Please help?

[@skeptiwolf5654]

Hmm.... what is wrong with being pedantic and literal? Asks the person on the autism spectrum. Ask better questions so we can give you better answers.

[@jacksonrelaxin3425]

It would be awesome if you would shut up while the lady is talking.

[@mattheww797]

This feels fake

[@lindsayredifer1742]

Who's the drag queen on his screensaver???

[@brearagu9949]

Jesus is your way to heaven Believe in him and you will have life after death. He shed his blood for your sins to be forgiven.

[@baguettebtch]

lmao stop