DOCTOR ANALYZES DEPRESSION IN 1951 | Psychiatry Doctor Reacts to Old Medical Vids (Pika Grape Snack)

This video is me, a psychiatry doctor today, doing a medical reaction video and analyzing of Pika Grape Snack's videos showing DEPRESSION in 1951. Just how accurate is it by today's standards? This covers a huge array of signs and symptoms of depression, how we treat it, and importantly how to take a history and its an interesting look at how they approached it in the 1950s compared to today.
Let me know what you think!

[@TruCloudGaming]

As someone who has had a lot of success with anti-depressants and therapy it pains me to see someone else struggling with depression.

[@DoctorElliottCarthy]

I'm glad you've found something that works for you though but you're right, it's still a very complex condition to treat

[@minitoast01]

Sometimes anti depressants don’t work ;C I have been diagnosed with BPD, Severe Depression, an eating disorder, autism and body dysmorphia. I have been taking anti depressants since 2019 and I feel no difference. I‘ve been stationed at a clinic for BPD and Depression and I had to sign a non-suicide contract. 2 days after my release, I attempted suicide and my brother caught me and grabbed my hand and tried to smack all the pills off my hand. I am still struggeling now and i noticed that sometimes, when you need urgent help, you don‘t receive it and get thrown a lot of paper work to you by the government. They tend to not tell you what you need to do and I think it is really sad…

[@TruCloudGaming]

@@minitoast01 My anxiety is drug resistant so I understand your pain. Last time I had an anxiety attack my Blood pressure shot to 200/114.

[@cahyasatixoxo7207]

You’re in the minority actually. Anti depressants are ineffective at easing symptoms of depression or give the patient too many side effects to tolerate 60% of the time. I’ve spent my entire life trying to make being alive just a little more bearable and I’ve tried hundreds of legal and illegal drugs with rotating doctors and therapists and it wasn’t until my first treatment at a ketamine clinic a week ago that I finally found substantial relief. I believe within 10 years ketamine will be the first line of treatment for depression and anxiety, replacing SSRI’s in much the same way SSRI’s replaced MAOI’s because they were more effective with fewer side effects. If you’re struggling to manage your depression even with medical intervention I highly recommend getting treatment at a ketamine clinic. I’ve never felt so comfortable being alive.

[@TruCloudGaming]

@@cahyasatixoxo7207 I've found success with THC and anxiety :3 I have been ~cured~ from depression for long enough that I don't even really remember what it is like. Anxiety is my uphill battle now but benzos are terrible.

[@MentalHealthTreatment]

The psychiatrist in this film and many others, Heinz Lehmann, was really quite influential. He was trained and initially practised within to the old Freudian psychoanalitic framework, then in the early 50s was the first to trial anti-psychotics in North America. Also what really interests me is that he recognised the value of film as a teaching tool - both for professional audiences (this series for example was intended demonstrate the typical symptoms of mental illnesses to trainees) and others that were intended to inform the lay public.

[@petergivenbless900]

I notice at 6:41 (after being asked why she wanted to cut her wrists) she begins to smile and continues with a faint grin afterward; this may seem duplicitous (as if she is amused at answering deceptively) but I know from experience that the act of speaking freely about suicidal ideations can carry with it a kind of transgressive catharsis which feels strangely amusing or embarrassing.

[@desykee3088]

Yea I’ve had someone who I know loves me and was very upset about my self harm and I know I felt bad but uncontrollably had to laugh also, which made me feel like an asshole.

[@Silkenray]

That and it can be a relief to finally tell someone about it. Plus it’s really not all that rare for strong emotions of one type to manifest in emotional expression of the opposite. When I’m very anxious, I sometimes get the giggles, and when I’m angry or frustrated, I sometimes cry.

[@royce6485]

I have the strangest reaction to a lot of anxiety, right before an anxiety attack, where I start to smile. It makes me feel better. Sometimes people have weird reactions to things

[@megasauruss]

That’s interesting. I had a friend in school who seemed happy/proud to show off their self harm scars. I wonder if it’s a similar thing.

[@heathergarnham9555]

When I used to self harm, the plan was never to die, I just wanted to feel something, and feeling pain was better than feeling nothing.

[@EdgeOfEnding]

Regarding intent, there's a great book from Ann Heberlein (swedish author) called "l don't want to die, l just don't want to live" which really shines on thoughts & intents. Not a light read, though.

[@cahyasatixoxo7207]

“It couldn’t be any worse than it is here” cut right through my soul. I know that thought process very well, I hope she ended up finding some relief.

[@Crybaby-Media]

Man, I just subscribed because I realized how few subscribers you have , at least compared to what you should! You are the best therapist doing stuff like this on KZbin

[@DoctorElliottCarthy]

Thanks. Hope the channel grows and more people get to see it

[@Henoik]

What you're talking about ref not everyone with depression have anxiety, is so true. A couple years ago, I went to a psychologist for depression. Prior to that, I had diagnosed myself with anxiety and an absence of depression, but in reality it was the other way around. Of course I couldn't have any anxiety, because I was completely apathic. Edit: Yes, I am aware that apathy and anxiety can coexist, but that's usually more presented in cases where a person is so drained from a long lasting and extreme case of anxiety. My symptoms were quite mild, all things considered

[@mariabezymyannaya4219]

I discovered your channel recently and I really enjoy it - you give an impression of a very sympathetic doctor, kind of remind me a little of my own doctor :) I wonder if a lot of psychiatrists give off this similar sympathetic, yet optimistic vibe :) Thanks for the interesting content!

[@GabrielKnightz]

Anhedonia, i only came to know of this term very recently. I always described it as like chewing a piece of gum long after it's lost all it's flavour.

[@gaddyric]

I had a similar problem about meeting people's eyes when talking to them. I was seeing a therapist who used a clever technique. Every time she was talking I would look away from her eyes. She then stopped talking until I looked back at her. Neither of us ever said a word about it. We knew what that was about, and I got over that little problem fairly quickly

[@J276]

I came here because I was listening to sewerslvt’s music and this recording of a woman wanting to end her life came up. I thought it was fake but it was a real recording which made me cry because it’s a human being.

[@DrSyl]

Really inspired by your channel Dr Carthy. I had the idea of reaction videos to the pika grape snack’s channel, too! Really good reminder re clarifying intent with suicidal attempts!

[@DoctorElliottCarthy]

Thanks so much. Planning to do plenty more from pika grape snacks channel too as i think they're a really valuable medical education resource

[@meredithleonor5035]

thanks for giving case analysis hoping that you could make a review on glass and other movies with regards to mental health thanks

[@NeciaNavine]

Another lovely video! I have one question though, can you please lower the volume of the DING it makes me physically go AAGRHH

[@DoctorElliottCarthy]

Thanks and yes I absolutely will on future vids (bare with me on the next few though as they were edited a little while ago). Glad you liked the vid 😊

[@meredithleonor5035]

please watch pika grape juice case about depression case in a farmer confused because i observed that the farmer has a tendency of experiencing delusion thats my impression and im a little bit puzzled about that case its not a simple depression

[@Hmm...Whats-Their-Name]

As someone who dealt with intense depression and suicidal ideation for the first two decades of my conscious life (i was 10 when I first noticed the effect on my life) before I admitted to myself that i was trans, her smile while talking about death was so god damn familiar. I know how hopeful she felt with that as a realistic, if tragic, option. Those were some of my only moments of hope. And the peacefulness of the sureness of not feeling how I felt was the closest I got to any good feeling that felt real. Depression screams that the good things in your life aren't good, whether it's because you don't deserve them or because they are meaningless like everything in life, so even fleeting happy moments end up feeling awful after ruminating on them. Depression echoes endlessly in your skull that the only good thing is a final end. I was surprised at the instantaneous recognition of that hope on her face. Thankfully things are better now, but god knows I will deal with this for the rest of my life. Nothing feels quite as familiar as the hopelessness of my early life. Now that I've actually exceeded my self imposed life expectancy, I've realised how stunted I am as an adult without any skills for furthering a future life. I'm starting with the same real word skills that most people struggle with at half my age. But early 30's is a better place to start than not bothering to work on my toolbox. Turns out if your only focus is on forcing yourself to just not kill yourself, you tend to not have helpful coping skills for progressing your life. Better late than never, as they say, though.

[@EveryTimeV2]

When you want your brain to shut up, often the simplest solution when you only have a hammer is to treat your own head like a nail.

[@rezamohamadakhavan_abdolla8627]

Thank you doctor

[@rchhcsupernova]

Me who doesn't leave ever the house to even spend days not eating just cos I don't want to go shopping..." but 3 weeks at home doesn't sound too long"

[@JP-wx6uh]

Heinz Lehmann, M.D. was such a pioneer in psychiatry. His interest in Thorazine (Chlorpromazine) as a method for treating various types of psychosis, Schizophrenia and Bipolar disorder during manic episodes was literally a life saver for many people. He seemed to have a remarkable understanding of organic chemistry and pharmacology, which some physicians lack. And yes, I think you are right, the last lady seemed to be having some delusional qualities - at least based on what she was stating. MDD (recurrent MDD), but without more observation time it really might be difficult to add on "with psychotic features" or something similar.

[@DoctorElliottCarthy]

I absolutely agree that chlorpromazine was revolutionary

[@martinwinter615]

You should react to Ryan Long: Modern Therapist Tells the World to Change

[@wessltov]

I wonder...if she *wants* to go to hell (and she feels like she will), what makes her think that the forces that be will reward her like that?

[@dinobird64]

I don't believe, from what we see here, that she had any delusions. She felt she was going to go to hell because of the times she lived in, and the stigma. Hell would be awful, but at least it would be a different kind of awful from what was so familiar and intolerable here.

[@NoudlePipW]

Why can't he be my Doc? Dyou have any sort of online, fee paying counselling?

[@stevenwhite5560]

it's me or the doctor is going to cry ?

[@iadorenewyork1]

I think he has empathy for the patient and it touches him emotionally.

[@cahyasatixoxo7207]

KETAMINE IS THE FUTURE OF MENTAL HEALTH MEDICINE. I’m still in shock that I finally got my life back

[@toji8302]

do you still feel this way?

[@zekaay]

It is even more painful to watch a woman from the 50's talk about this since women were not quite liberated yet in any shape or form to have their own agency. (I am a woman too before you attack me)

[@toffeenut1336]

What’s wrong with this poor man’s lips?

[@anarchyahoy1363]

Yo, I'm 27 and have been fighting depression since I was 14. I go through long phases of just giving up. Literally went over a year without leaving my house, it's hard. Incredibly hard to force yourself to do things when it gets bad. Keeping a job is practically impossible, particularly if you don't enjoy the jobs you can get. I genuinely can't remember the last time I enjoyed anything I did. I've been off meds for a few years, starting to consider going back on them but frankly I'm not sure. Never been particularly helpful and I've tried SO many over the years. Been hospitalized 3 times for "suicidal ideation" -- good days are rare. Depression is a very serious illness, it isn't an excuse for not doing things or a synonym for being lazy. & trying to prove that to people in your everyday life is practically impossible.

[@eddaeugenianewball5080]

i hope youre doing better now

[@हमारीअधुरीकहानी-ख7श]

I am fighting 10 years.

[@noaburr]

Similar story here. 27 and my mental illnesses went into overdrive around 14 or 15. Barely any effects from medication. Homebound for long stretches any time I wasn't literally forced to go outside. Watching Elliot's reaction to "three weeks" made me incredibly self conscious. I can't keep track of time very well, but in the last... five years since dropping out of university - aside from two vaccinations and 2 months of weekly therapy visits at one point - I've left my house maybe four times a year at most. At one point for well over a year too. Back when it all started I spent a few school summers in the same state, I had no idea anyone else had gone through the same thing at the time. I'd like to think anyone in a similar position would feel comfort in knowing they're not alone in that by reading these replies. I know you said medication hasn't been very helpful for you, but try your best to stay medicated even if you feel like they aren't helping much. I don't notice any benefits when I take mine, but I feel horrible when I quit. Could be withdrawal symptoms or just the return of my baseline mood. All I know is it's not hurting me to take them, so I might as well just in case they're helping without me realizing. I know 8 months feels like nothing when you've been fighting an illness for this long, but I hope you're feeling at least a little more hopeful since writing this comment. If not, I hope that day comes soon. I have no doubt that it comes for everyone who hangs in there eventually.

[@rezamohamadakhavan_abdolla8627]

Exercise such as running is one of the best medications for depression.

[@theresar4617]

Ever since I was a teenager, and first was depressed and suicidal, I have disliked and distrusted psychiatrists/therapists. I always thought depression was something you grew out of, or once it was done... It was done. Now Im 36 and feeling the same way I did back then (feeling like a whiney ass for feeling it to). The more videos I see like this, the more I trust therapists and mental health providers. It is good to see that they really care, and arent just paid to care. It also helps to see what the other side thinks and have an idea of what they think about patients and why they take certain actions. Good video Dr.

[@davidnavarro4821]

The extract is taken from a movie called « Faces of Depression » produced in 1959 by German-born Canadian psychiatrist Heinz Lehmann (1911-1999). He continued to study depression over the years as late as 1977 he wrote an article, readible online, titled « classification of depressive states ». I didn’t read it but if you check it out I’m sure it’d be very interesting!

[@bethbearmacethatguy]

I wish my depression lowered my appetite. I've been shoveling garbage into my mouth like crazy. Making me a big fat ass making me feel worse.

[@MentalHealthTreatment]

I can see that your most popular videos are those that deal with pop culture & media, but I hope you will continue to make these kinds of more serious analyses/comparisons/commentary as well.

[@DoctorElliottCarthy]

Hope to continue doing a nice mixture of both 😊

[@samanthapurdy2053]

I am normally around 100 lbs but the past few years my appetite completely went away. I could only eat if I smoked weed and even that stopped helping at one point. I got down to 88 lbs from the last time I was weighed in an office and that was like 2 yrs ago so I have no idea what my weight is now. I would get nauseous just thinking about food or watching someone else eat. If I tried to force myself to eat when I had no appetite I would gag and not be able to swallow it. I had never experienced loss of appetite to such an extreme degree and for so long. It's been like a 4 year period now. I tried to get help a few years ago but they just kept switching me to different antidepressants and telling me it would help my appetite but it never did. So I stopped going. Recently somehow my appetite has slowly been coming back though. I hope it stays. Being hungry all the time and not able to eat just because your brain won't let you is literally torture. Edited to add: I've called out of work multiple times from feeling so sick or weak from not eating and being afraid I would pass out at work, I have gotten so lightheaded and weak that I couldn't move, I've gotten so nauseous from empty stomach that I puke, and I have even passed out a couple times. I am naturally already petite and since dealing with these eating issues I've gotten so malnourished.

[@scotscub76]

Sometimes doing the activities you used to do only reinforces how much you can't enjoy them anymore which only reinforces the sense of loss. It's a catch 22 depression. The level of suffering is astrological. Insomnia can ruin a person's life. It's a torture of gigantic magnitude. "I wanted to go to a new place" that's really sad.

[@reginastorrie885]

Hi, I just came across your channel recently and I’m really enjoying your videos. You explain things really clearly and in a down-to-earth manner 😊

[@DoctorElliottCarthy]

Thanks so much it means a lot. That's exactly my intention. I want people to learn something about mental illness in a relaxed and informal way. Hope you like the other vids too 😊

[@leilaapunkt1889]

Wow your comments were incredible - extremely helpful bc of all the details you pointed out and how to notice the "main symptoms" in real life

[@hazeyharmonies8844]

Three years ago my depression got so bad that I would just start crying for no reason. I felt like nothing in my life was going right, nothing made me happy, and that I was a burden on everyone around me. Most days it was difficult just to get out of bed and remember to feed my dog. I told my mom that "I want to drift off to a dreamless sleep and never wake up. I want the world to stop." The next day, I agreed to stay in the psych ward at the hospital because I wanted to be re-evaluated on my mental illnesses. The doctors observed me and removed a lot of the medications I was previously taking. I still get lows like that when I become too stressed out, but for the most part I'm doing much better.

[@zajax1896]

Thats me right now!

[@Argiopocalypse92]

I learned a new word today that's held great meaning in my own life. Anhedonia, that was probably the biggest driving force in my addiction. When I stopped using opiates, I experienced this every waking moment of every day. The only way or perhaps just the easiest way I could find the fix it was to just go back to using drugs. It's one thing I would like young people to know if they're getting involved in drugs. You may feel great for short periods of time, but eventually you'll become reliant on them to feel anything at all.

[@galaflux9897]

I gotta say, I just found your channel, and as someone with depression I seriously appreciate these videos drawing attention to not only depression but all sorts of mental illnesses. Thanks for doing these :)

[@nerea4327]

Bipolar anhedonia is the worst symptom I have ever experienced. I felt so empty I couldn't move or reply to what my parents were asking me. It's an unbearable nothingness.

[@SmurfsAndRaspberries]

My thoughts when I have my winter depressions, I'm just uninterested in every thing that's usually making me happy and jolly... And sometimes my anxiety and feeling of hopelessness makes me considering suicide... But in my case I've chickened out since my fear of not going to another place at all, that there is no better afterlife at all, gives me even more anxiety. So I'm a little happy that she belived in hell atleast... As I see her suffer, and my instincts tells me to jump into the computer and hug her for hours and hours until her soul is warm again.

[@DastardlyDavid69]

God this woman is so relatable to me. I hate that I’ll never get the help I need.

[@Sarah-bw3nh]

How are you? I hope it is some comfort that I am hoping the best for you

[@sadsop4047]

This guy is great! Watching this with more insight makes it so much more interesting.

[@dec13666]

At the end of the day, you don't get actually healed... _You just learn to pretend your laughter better_

[@tempest6781]

I feel her.... Even with meds and work I still feel like this.. it's awful...

[@royce6485]

I’m curious why people across different times have the urge to cut their wrists. I wonder if this is something common across different cultures and times. Especially before the internet. It surprised me to see that in the video

[@Dave-if5qj]

Depression is the lonely disease No one can see or feel your pain

[@scorpiomelancholia1559]

I can relate

[@Crazypurplewolves]

Have you seen the show Hannibal? It would be cool to see your thoughts on Will's therapy sessions with Hannibal

[@Medietos]

why: What HAnnibal is that? Not HAnnibal Lecter I suppose? I only know a "Will's" therapy in "Good Will Hunting".

[@MattManProductions]

So many cognitive dissidence in that lady, somewhere in her life triggered this event or triggered her into thinking her false core beliefs were now true. Like I hear "I'm inadequate" because she lives in a house that isn't hers and nothing to do, so she doesn't have any self efficacy or feeling of accomplishment. But this is when you teach assertive behaviors, and find their voice. Because even though she had servants to clean and do things, she could speak up and say "don't worry about that task today, I'll take care of this." You have to establish positive self affirmations and start DBT therapy. I see this everyday with people I help, they have a pretend normal but then that facade breaks down they are a mess with out those protective barriers. And pretend normal can go on for years, they mimic their environment and act as if everything is good. But in reality it's not, and it's pretty sad to see how much energy one spends in order to try and fit in or be "normal". But I'm here to tell you this, normality is the causation of ones reality. So everyone's "normal" is different and is like a painting or a book, and they are the artist or author of the book so as I always say "Your life is the canvas so paint it the way you want, and there is no true right or wrong way to do it. As long as it's in the scope of the law, and healthy boundaries."

[@hannahlewis884]

I'm shocked that this only has 1,000 views. This is the coolest concept for a video I've ever seen. I *love* historical artifacts of psychiatry. Would love to see one about older treatments like lobotomies and/or electroshock therapy with commentary from a contemporary and evidence-based POV. Very, very cool content. Also, as someone with treatment-resistant MDD, I love seeing people talk about depression symptoms and not getting reactions of shock from people. It's 1,000 times harder to talk about these embarassing symptoms when people become uncomfortable or even try to "fix" your problems with little pep talks and what have you. So nice to see a level approach from you and our pal back in the 50s!

[@Dang3rMouSe]

Grest video, I enjoyed hearing your insights. The worst is when no treatment is effective. I've been through the gambit & nothing truly touches it so I figure I must endure it as I do everything else.

[@angelagunn7986]

"...what is there?" That landed rather closer than expected... than... than... *sigh* It's possible this anhedonia experiencer ("sufferer" isn't quite the word; it's not as if one feels anything is it now) may need to sit with that video for a bit. Thank you for posting and commenting on this.

[@cahyasatixoxo7207]

It took me a long time to realize that deep down I really did want to live but there was literally nothing I could do to escape the agony I was in and I just wanted it to stop. I started treatments at a ketamine clinic a few weeks ago and it’s been a life changing experience. It’s like an incredible weight I’ve been carrying my whole life has finally been lifted and I can be myself.

[@littlemissmisses2981]

Thank you internet and people like you making this content, for making me realise what I’d finally like to work towards in my life 💕

[@zephyrs5265]

here from the Sewerslvt song (This Fleetinf Feeling) that used an audio clip of this interview

[@anini5910]

May I ask for the original video link please?

[@timothyjonas9640]

Thank you doc! as a med student, this analysis really helps!

[@hannahboucher4875]

You're very handsome! And this was really fascinating.

[@ganeshapsychedelicrock4027]

Dr, how does someone get schizophrenia? I have suffered serve abuse that lead to extreme depression and mental illness, from early childhood to now at 38 years old... I didn't realise that I was ill mentally, it manifested at a young age, I would lash out at everyone, no matter how old, no matter how many, when I become 12 years old it manifested a different way, and I became scare of everything, I lived in the small room of my house and I'd beg my brothers to let me in their rooms at night because of fear of dying... I learned at 16 years old to self medicate with alcohol, Every night, over 8 pints, until 5 years ago when my partner frog marched me to the doctors to fill out a depression form, the doctor had to help me. I then become physically ill where my discs in my lower back started to prolapse, I had an operation on one but I have been heavily medicated ever since, making more Anger, stuttering, anxiety and confusion. Last year it was discovered I had nob alcoholic fatty liver disease, I guess from the tablets. I am trying to get off all of the Tramadol, Pregabalin, Duluxotine, Sertraline and Mitrazapine but its been a living hell for me. I try for my family, who I put through so much. I don't see the world the same as others and I become heavily emotional. I fear that if I stop taking my meds that the government will stop my benefits

[@rs5570]

This first woman looks like an actress to me & it seems obvious. She says she attempted suicide 2.5 days ago yet looks fabulous. Her makeup & hair look professionally done as well as her hair. She has on a very expensive, well-made jacket/dress. Her whispery Marilyn-esque speaking style seems affected. We know that actors were often used in these films. I don’t buy it for a second.

[@katethegreat00]

It was a different time. People always looked very good before they'd go out. She also came from money. Recall she didn't have to do housework because her brother had a servant. Why are you like this?

[@heathernikki5734]

Well if YOU don't buy it, it MUST be false 🙄

[@AnuarAzar]

Personal experience, when I had my psychiatry class on med school, I visited an asylum, there I interviewd a woman that atempted suicide, 3 or 4 days earlier, she had a nice haircut, she was wearing a dress, she'd done her makeup and welcomed me with such a great smile, then proceeded to show me the cuts in her wrists and the scars from her previous atempts. She had a good life, a nice family, but that's the thing, when depression hits it doesn't matter what you have.

[@liam.4454]

I got diagnosed with cfs/m.e and depression in 1999 and never recovered The help I got was awful even to this day

[@liam.4454]

I never got the help these people from the 1950s got, it seemed more helpful then