What it's like to be a PSYCHIATRY Registrar

In this video Dr Syl discusses his year so far as a psychiatry registrar. He goes through what a typical day looks like, what the pro's and con's are of the job, and what the different terms have looked like.
We hope you find it interesting!
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. If anything in this video was distressing please consider calling LifeLine 131114 **
Timestamps
00:00 - Introduction

[@rosebuddud0307]

I am wondering because I have schizophrenia, if psychiatrists just ignore me during psychosis because my prospective can't be changed. Or if they actually listen to my concerns? My memories of times during psychosis are few, but I do remember being very frustrated with the doctor and greatly wishing they would listen and give me support. To my recall, the doctor I had at the last time this happened did talk with me and address me. He was able to calm me down. I would hope psychiatrists don't just dismiss people in psychosis. They are experiencing great distress. Talk to them. They might be angry, but it's in their minds. They need some support.

[@WinterWiorkowski-fv3ph]

What is the average hospital stay for the population you are currently working with in Australia? I’m in the US and here people magically are all better when their insurance stops paying, so I’m curious what a hospital stay might actually look like without that limitation - thanks! :)

[@robynmills3934]

Camera is great!! Looks like great quality. I am a counselling student and I enjoy you content. Listening to you about your dislikes made me really uncomfortable as I too would hate that side of your job. What I heard was medicalisation within diagnosis and the disabilities that can come from that. I also heard power over the patient when telling them truths. These things alone can then in turn make the relationship of trust difficult. I know - I’m looking at it as a Counsellor😂 but very interesting all the same!!

[@fuzzball4258]

The filming is great. I thoroughly love your videos.

[@Roneish1996]

Will just say I don’t like the fact you said subjective about the patience perspective, but objective about the psychiatrists when I’d argue they’re both subjective and opinion based often from a short period of time to analyse things and the stuff about communication is definitely a massive issue on both sides. Especially when I’m an autistic ADHDer and a lot of people in psychiatry don’t have any skills for communication between neurodivergent and neurotypical people.

[@henk-3098]

I've heard that the main issue that sets psychiatry apart from other specialties is dealing with ambiguity. Like you said, the diagnoses are not clear cut and based on the judgement of the psychiatrist and it's often difficult to assess progress of treatments, risks etc. I'm not a psychiatrist, I'm a student nurse that has a fair bit of experience as a psychiatric patient myself. But I imagine it isn't the easiest job in health care. You're dealing with human behavior, which is incredibly complex and the treatments you can offer are often not that effective.

[@Maike_l]

I was wondering, does a psychiatrist get regular counseling themselves given the tough emotional/confrontational environment they work in? My assumption would be it’s probably not a mandatory thing, but maybe I’m wrong. (Btw I couldn’t tell it was filmed on an iPhone, the quality is great).

[@zoeyelh]

as a psych nurse we had to have clinical supervision. i imagine it's the same or similar for medics

[@bubble-xt]

I know when psychologists run a DBT group part of the program is for them to meet together to see how they are coping with the group. DBT = dialectical behaviour therapy

[@Just1laurence]

He's got a nice voice

[@Ivan_Preobragenskiy]

Good day, dear Dr Syl. I've recently discovered your KZbin channel. Thank you very much for your interesting and informative videos. I found your solution of "ECG's for emergency physicians" very informative and useful. Unfortunately, it seems that you haven't done them for a while. Would you like to continue? I believe, your level of ECG understanding may have changed since there, but it won't be less useful for both sides (you practising and us enjoying and receiving some information). If something's forgotten, you can even refresh the previous tasks -- a big amount of time passed since those broadcasts. What do you think about this? Anyway thank you very much for your videos! Sincerely yours, Ivan P

[@klementynakwiatkowska986]

I’m still a premed studying for the mcat but I worked in an inpatient psychiatric ward as a mental health practitioner and can definitely agree that personality disorders may often require more communication and self-management skills from the professional to effectively manage. It was great to hear you share a psychiatrists side of the story. Also, just wanted to mention I actually logged into KZbin just to comment on this video and say - your tone and way of speaking is incredibly calming and warm. I smiled at you because warm people are becoming pretty rare. You are where you’re supposed to be. Thank you for the video!

[@ankerelite]

Couldn’t tell it was a [spoiler] until you said something! New to the channel, love the premise. Looking forward to checking out more! 🙏🫶

[@ariahathaway5517]

Thank you for speaking about schizophrenia in an empathic and non judgemental way. I feel it is often perceived at the 'lowest' rank of mental disorders and 'hopeless case' . I wished psychiatrists would treat people in psychosis with more empathy and the understanding that they are struggling and need support

[@alphadog3384]

I was always intrigued with inpatient care. During my childhood my parents would say "if you don't straighten up your going to put you away - in a crazy psy ward". How sad l would say..Plus Mom drove us thru the state psychiatric hospital grounds in the mid 1960s. I became very fearful and curious about psychiatric care. Watch four movies: Elizabeth Blue & David & Lisa. Ordinary People, The Snake Pit. All the movies had a slight different take on mental illness. (Save me some popcorn). My preference is not on the cellphone their was a speed change in the middle of viewing. Did anyone catch that. Sound was fine.

[@Livvisaurus88]

Your comment about Erikson was interesting to me because I think when I was hospitalised I kind of thought my life was over and I was catapulted to the final stage: Ego integrity vs. Despair. I wonder what could have been done to help....

[@doggo2643]

Im a psychiatry resident in Portugal, it is incredible how similar our experiences are

[@ralsharp6013]

Good luck with your training😊

[@alphadog3384]

Chihuahua in your profile picture yes?

[@doggo2643]

​@@alphadog3384yes I'm also a part time internet chihuahua :)

[@adjappleton]

I couldnt tell it was an iPhone. I'm starting a new job as psych nurse for prisoners with long term or acute needs. Excited and nervous😮

[@catn9608]

Could not tell that this was shot on an iPhone. Very good quality, like your info in videos. Thanks!

[@hmmm0o0]

iPhone is fine! But audio is quiet even with my volume all the way up, would be great to have this fixed for the next video :)

[@anadias4723]

Hi! this video was so insightful and helpful because I am at my early stages of studying to become a psychiatrist. I do have one important question that has been eating at me though, for my bachelors I am stuck between doing bachelors of counselling or biomedical science. People have told me it's better to study something you like so that you get good grades but I am worried that if I pick counselling I won't be able to pass the GAMSAT. I know I will have to sit the GAMSAT either way but I would like to know your opinion on it. Thank you!

[@coraldell3091]

You definitely have to be a empathetic person. Glad they're nice people you work with, that's pleasing to here. It's a difficult challenge to look after peoples whom are very vulnerable. Video is fine with phone 📱 btw.

[@Kaissa6401]

I couldn't tell it was an IPhone. 😊thanks for sharing your experience.

[@mariaperkov]

Thanks for all your insights. Yesterday's 'Scary Fast' Apple online event was shot entirely on an iPhone. So, I would stick with the iPhone for filming.

[@ciarahenley9622]

I just saw your drum set!! You should do a video of you playing!!! Also your videos are so insightful!! I’m studying psychology and really enjoy watching your videos!

[@tonyatippetts2316]

I really cant tell if there is a difference between the visual quality with the Iphone, the sound quality isn't as rich, but it is within the standard, and it is fine to use the Iphone in my opinion.

[@forkkify]

I am considering a career in psychiatry and videos like this one are very helpful!

[@marcoram4]

I can’t tell it’s on an iPhone. Looks great.

[@sandphoenix4296]

When you get into this field do you start looking at people through the lense of their mental condition?

[@Gwenx]

iPhones are getting too good damn it.. No i cant see any difference at all!

[@kiamba3426]

DR syl! just graduated fashion design school. I video and photograph as a side hustle and model as a career in wait to be a psychiatrist. No you cannot tell the difference. the one thing i would say is filming at 60fps vs the 24fps you're filming on right now is huge! many people wouldn't "notice" the difference but the engulfing aspect of it would have a huge effect on your channel! All the best and love from Canada! :) EDIT: When i say engulfing i mean immersive and "really feeling like you're in their space" wherever they are in the world.

[@JinaMukherjeeF]

Omgg good luck on ur journey

[@paulk8072]

I couldn't tell the difference with the iPhone to your other videos. Thanks for the new and continuous content.

[@jaskiratsingh7750]

Love the new haircut.... Keep it for sometime hehe❤❤

[@GabiReads-vf4fc]

I can’t tell that the video has been filmed by an IPhone, the picture is really good! Thanks for the video, very informative.

[@hayleyprice8345]

Do you see pyhocosis from head tramas

[@Maverick_Mad_Moiselle]

I can't tell this was filmed on an iphone

[@hmmm0o0]

How long are your runs of nights?

[@jasonpip5417]

The problem i have with shrinks is i cant afford one..seems only those who can pay get treatment

[@thepenguinwolf]

You look like James Potter

[@NikkiSoFar]

I don’t notice any difference in quality from your other videos! iPhone it is 😄

[@emmajackson661]

so insightful i had a good experience during my admission stay 😊

[@AM-zu1xi]

Any advice for sitting the RANZCP MCQ exam bro?

[@DrSyl]

I'll let you know after I (hopefully pass it!) sitting it in march! Video to follow on from it!

[@kandymich4861]

What’s you opinion on Canada’s MAID (medical assistance in dyeing) adding mental illness as a reason to qualify for the procedure? So people you may see in hospital can get MAID for treatment.

[@catherinejensen1139]

Yes, I have been thinking a lot about this and would love Syl’s thoughts. As a person who experienced chronic suicidal thoughts for decades I would have gone down this path myself before finding a psychiatrist who was able to correctly identify the root causes of my issues and provide an effective and appropriate treatment strategy. Now I’m a counselling student and see things incredibly differently - 10 years ago nobody in my life, doctors included thought this would be possible as such this topic is one that really hits home!

[@LuisaAlfaro-sy6zo]

Your videos are lessons to me which I enjoy deeply. I suffer from bipolar disorder. Luisa. Hello from Costa Rica, Amèrica Central.

[@xXDoUbLeDDXx38]

Hey, idk if you see comments or not but I thought I'd try. I suffer from chronic nerve pain from a brachial plexus injury on my left side in 2012. My left arm is completely paralyzed shoulder down and I decided to get it amputated 4 years ago for personal preference. It's really hard to understand that this intense 24/7 pain is in your head, in a body part you can't even feel anymore. I've had 20 surgeries since my motorcycle accident, including nerve transplants, 2 muscle transplants (gracilis) to try and get the arm to move, spinal surgeries, too many to list. It really does feel like ever since I was 17 when I had my motorcycle accident my life has been consumed by pain. Anyways where I'm going with this is I'm curious if you've ever done a video on how the brain deals with intense pain. Love listening to you videos, take care!

[@singingsam40]

I don't know much about cameras, but this video seemed ok. The colour might not be as saturated (probably just the setting) and there was a slight ringing with the sound, but that might just be my phone. Was surprised to hear that you usually get 30mins or so for a review. Here, in the UK, you're lucky if you get 15mins!

[@suddenlyautistic]

Film quality is good, no prob. Also very interesting to hear how the days go and glad the field attracts lovely, caring people

[@meganwaters7772]

U just look so much hotter with the new phone!! 😄👌 Interesting to hear seduction is common! Nice to hear about boundary setting and involuntary treatment from a psych point of view, really enjoyed this video Dr Syl! I still worry about the definition of psychosis as a creative person though, and a McDonald's health system (I mean a system where Doctors don't take time to know the patient and their circumstance in life and just diagnose and write scripts like a programmed robot) with vulnerable people who can't defend themselves. It seems like a catch 22 because people's defense mechanisms r f'ed when ill and then we have to deal with the complexities of medicine. It sounds like you really do a great job though, I'm happy that Australia has young psychiatrists like you.

[@amyjones8613]

You have a soothing voice Dr. Syl. Could you read me the phone book? Maybe you could do audio books as a side gig? 😊

[@ralsharp6013]

Sometimes the drugs they give, are more crippling than the psychosis.. Often people who have ADHD get prescribed antidepressants. They don't work on people with ADHD. Often we need strategies put in place, above drugs. And please do not take any psychosis drugs unless you need to, when you're pregnant. All the studies are pointing to autism. Anti-nausea medication during pregnancy gave my youngest to children Tourette's. I discovered this 17 years later when they gave me an injection of Maxolon and it gave me dystonia and tardive dyskinesia. Is another professional who comes from Australia who does some great uploads as well. Both of you doing a great job to educate, thank you

[@bubble-xt]

I had a neighbour who had a severe mental illness and used drugs when she was home. She frequently was released by the tribunal where the doctors failed to extend stays and she would boast that and the time she had been properly medicated had improved. But what wasn’t fixed was the drug addiction and the environmental issues. When she was at home the police were attending daily, and she usually was returned to the mental health ward. The police started lobbying for her removal and transfer to more appropriate accommodation and this eventually happened. (I lived in a tough public housing estate at the time… she was never going to get off the drugs living there)

[@shristisharmamedic]

Oh my gosh I was just noticing that this vid of yours is so crisp and looked liked you’d upgraded your equipment. iPhone 15 aye, nice! 😊👍

[@janethansen9612]

Do you ever find a patient misdiagnosed with a psychiatric illness when it’s actually a neurological or physical condition?

[@JesusSaves77799]

Hi Dr. Syl! I just saw that Lauren from the Living Well With Schizophrenia channel is looking for a new Psychiatrist who might be willing to appear online with them from time to time and also explore a ketogenic diet with her regarding schizophrenia and I thought you might be a perfect person because you seem to really care about her and others and you are very forward thinking and just seem like an all-around amazing person (plus you already do online videos)! No pressure but maybe reach out to her if you are interested!!! 😃🙏💖

[@lindarosenthal6835]

Hi sorry trying to understand. Do you work in a hospital that has patients with mental illness that you are responsible for? So you’d have a group of people in various stages of treatment always? And there would be an intake of new people that would be there in the morning at the beginning of your shift that were not there yesterday? All this rather than being in a “practice” with other psychiatrists where the patient comes to you based on referrals from other doctors and it’s more of an appt, then out patient treatment.

[@UniquelyPenny]

Couldn’t tell it was filmed on your phone. Q: why that path? If you couldn’t do psychiatry what would you have chosen?

[@catherinemarsh5453]

The video using your new phone I think is very good quality.

[@notarat9303]

Great video, and to answer your question, personally i cant tell the difference between the iphone vs a professional camera so id say sell it, get that $$

[@luxe0780]

had no idea this video was filmed on an iphone!! quality looks good to me, sell the camera i say! 😜

[@victoriamcdaniel4108]

The phone camera looked great to me! I was wondering how much you speak with a new patient for either diagnosis and prescription meds or a check up? Do you ever feel you need to rush because you are not a “talk” therapist?

[@SophieCazabon]

Having been on ward and having you as a psychiatrist I just wanted to say thanks. I really appreciate so much the work you do to help people out. I also find these videos help me understand mental Illness as someone with a mental illness. Keep doing what you’re doing it really does change peoples lives. Thank you

[@storydates]

I think there's a light high pitch on this video--not sure if that's because of the iphone or something else, but it looks great!

[@hayleyprice8345]

My original pshoritrist was a junior when I was diagnosed to

[@hayleyprice8345]

I think your a great pyhocitrist sorry forgot how to spell

[@hollehpazouki7623]

I think the quantity of your video is good. Thank you for making them.

[@AlisNinsky]

I couldn't tell it was filmed on a phone. The quality seems fine to me.

[@Epicer95]

iPhone video quality is great! I had no idea

[@didiaskfr]

couldnt tell it was filmed on an i phone. i think it looks great!!

[@FrankReiter]

Both audio and video quality are very good.

[@mmamallama1827]

iPhone looks great imho.

[@tammyhines1585]

Thank you for the uupdate

[@hazeljeffery5653]

You are a credit to psychiatry, very approachable and trust worthy x