Psych Doctor REACTS to: It's Always Sunny in Philadelphia "Psycho Pete Returns"

[@Imthecomedian]

NightMan Cometh should give you a good insight into Charlie’s head. I’d love to figure that shit out

[@courtneylila8383]

Flowers for Charlie!!

[@coyoterx6002]

Jack abused Charlie as a child and Charlie’s mom ignored it while she was prostituting

[@fairybites]

What makes Dennis an interesting character is that he does in some episodes display signs of BPD, but he has so much else going on that it’s all merged together in a very Dennis specific mental state where he has almost all the traits of the cluster b personality disorders

[@boblebob]

I don't see the BPD with dennis

[@QueenCloveroftheice]

Yeah, people with bpd are usually the victim, whereas Dennis is definitely the perpetrator lol

[@adrianaslund8605]

Yeah. He's also histrionic and such. No real Schizoid traits. Or avoidant.

[@jaymeselijah]

@@boblebobas someone with BPD, I see Dennis as a satirical, exaggerated version of BPD

[@SirNerdPunk]

​@QueenCloveroftheice people with bpd are often victims in early life which causes bpd. That being said I have dated girls with bpd and they were never the victim they always planned the most sadistic things ro keep you then treat you like shit. So they don't remain a victim when it comes to there interaction with non abusive people They also tend to always think they are the victim however.clike it's your fault I got drunk and cheated on you because you had to work so don't blame me you were working.

[@vincegonzalez2171]

Dennis' rant to Dee in the therapist's office is the greatest scene in the show's history. Absolutely brilliant, and the delivery is so perfect as well. Pure class.

[@Katt-lynn]

In America its actually a very good representation. You will see a person 1-3 times most of the time not even get diagnosed by them just by their boss who read the cliff notes on your sessions. They hand you a script send you on you way and see you in three months to see how the pills are doing.

[@Non_Sequitur]

I'm actually really glad someone specialising in psychiatry and mental health reacted to this episode. I do love IASIP and I did laugh a lot at this episode. The one thing that bugs me is Dennis being diagnosed with BPD... which I don't feel really fits his character and only adds to the stigma of "borderline = psycho", I always thought he was more of a charismatic sociopath. So THANK YOU. DBT also needs more attention - a lifesaver for many!

[@ginao6810]

I guess because they never started with a specific diagnosis for Dennis that they wrote towards. The character developed over the years and they took him in weirder and weirder directions as the show progressed. Whatever suits the story and whatever they find the most interesting or most funny. The writers say they’ve deliberately avoided a specific diagnosis for Dennis as that might restrict their story telling. Plus they are aware that Dennis is such a horrible person that they don’t want to taint anyone with a specific diagnosis, as that could stigmatise mental illness.

[@reeve1991]

@@ginao6810 Indeed. I strongly suspect the BPD diagnosis in this episode was meant to be a joke that wasn't delivered all that cleanly or clearly. Given the writers repeated insistence that they don't have a specific diagnosis/disorder in mind (which is probably why he's so all over the place with the traits and symptoms he exhibits), that BPD is to my understanding the single most misdiagnosed disorder in the world, and that this occurred after a single brief session with Dennis, I believe the INTENDED joke was about BPD being inaccurately/sloppily diagnosed, in this case probably brought on by the doctor just wanting to say/do something to get Dennis out of the office. But if that was the intention, it could have been made a lot clearer, because it's left an enduring impression on a lot of the IASIP fanbase that Dennis is meant to have BPD (at least as his primary disorder), when that just... doesn't really mesh with what we otherwise see, where he exhibits so many eclectic symptoms of Cluster B disorders and is all over the Dark Triad, but I think most people if they had to slap a single label on his core psychosocial dysfunctions it would be Narcissism more than anything else.

[@Richard_Nickerson]

The bloopers of Dennis threatening Dee are hilarious.

[@halfcaff7899]

I love hearing a Doctor's perspective on this hilariously insane show, especially this episode. Great Video!

[@Nope5533-r4c]

I didn’t know that the majority of psychiatric disorders are chronic to some extent. Your the first person I’ve ever heard say that and it made me feel a lot better about myself and my progress. Also I just found your channel and I love it, keep going ☺️

[@DoctorElliottCarthy]

Glad you found it helpful. It's definitely a marathon not a sprint and takes a lot of positive attributes to be managing any sort of chronic illness so give yourself some credit too 😊

[@Nope5533-r4c]

@@DoctorElliottCarthy honestly I thought after about 10 years it would have gotten better but knowing that made me feel better about my progress

[@CheziahKatt]

As someone with BPD, who was misdiagnosed as bipolar and a few other things, I had a little bit of anxiety when I first started this episode and suddenly realized this was the episode where Dennis was given that label. And it was so refreshing to me to hear you describe it and it's non-stigmatized way. I'm tearing up a tiny bit. Thank you.

[@DoctorElliottCarthy]

Thanks so much. It's sometimes really tricky to distinguish one from the other but its important to get it right, and to acknowledge that the mood changes with one arent better or worse than the other. Just like chest pain can be caused by lots of things, not all mood changes are because of bipolar 😊

[@CheziahKatt]

@@DoctorElliottCarthy I realize now that my comment went nowhere, I got a bit too emotional when writing it, and side tracked. Sorry, and thank you again, hahaha. I very much appreciate how you didn't stigmatize the disorder, when so many (even medical professionals) do. 💜💜 Stay well and safe!

[@nthgth]

Does the B and P in BPD not stand for bipolar? Wow, I have some googling to do

[@CheziahKatt]

@@nthgth it does not! BPD stands for borderline personality disorder. Borderline personality disorder however does present similarly to bipolar disorder at times. There are wild fluctuating mood swings. Bipolar disorder is a chemical imbalance so they need certain medications, whereas borderline personality disorder is more of a case where someone didn't get the proper coping mechanisms growing up? So they do bad and reckless things, so directly they need therapy to work on the coping mechanisms - sometimes they do need to take certain medications however. People with BPD can often have things like anxiety or depression as well.

[@ald7282]

i have BPD as well, and to dennis seems like the absolute extreme of a man with BPD, especially when he shows his "big feelings." if dennis was a real person going to a psychiatrist, i'd doubt BPD would be his only Dx, he really has traits of all 4 cluster B disorders.

[@Wallow28]

React to Bojack Horseman! It's depiction of mental health is fascinating and one of the most accurate I've ever seen!

[@DoctorElliottCarthy]

Great idea. It's an amazing show. Any particular episode?

[@Wallow28]

@@DoctorElliottCarthy Haha tricky one. Suppose Time's Arrow is really good, Free Churro and Stupid piece of sh*t would all be great candidates!

[@DoctorElliottCarthy]

@@Wallow28 good idea. Give me a few weeks and I can try and do this for you

[@riotgrrrlry]

@@DoctorElliottCarthy fish out of water is a good episode

[@melm8142]

@@DoctorElliottCarthy yes would love for your perspective on Bojack really enjoying your content to have Bojack on here would be awesome!

[@ryanduffy6089]

When I googled CBT, Cognitive Behavioural Therapy didn't come up

[@SaudiLiving1]

It did for me

[@MK-cv6pp]

( ͡° ͜ʖ ͡°)

[@coryfeldman-hz2yj]

Don't image search it for sure.

[@rerun3283]

How did that make you feel?

[@mullaoslo]

"you haven't thought of the smell you bitch!" gets me every time 😂that whole rant is great

[@jacket5456]

"Been struggling with my weight for a while, meds don't help" *SSRIs shaking in fear*

[@aerongray2228]

oh gosh the froggy thing, and 1950s history, id forgotten that part of this episode. the rampant mistreatment in the mental health world terrifies me - I've heard such horror from friends with EDs and SH problems. if everyone was like Dr Elliott Carthy i think more people would be happy to get help.

[@hexkramer8812]

bingeing these has kept me stable, tysm

[@DoctorElliottCarthy]

Really glad you've liked them 🙂

[@emmy8961]

You should react to crazy ex girlfriend! It does a really good job at portraying BPD!

[@emilytretyak2534]

Me: why do none of my relationships work out?! Also me: Feelings are gross and should be avoided at all cost

[@belalugosisdead4444]

I actually really relate to Dennis, I know a lot of people are upset with him being diagnosed with bpd but bpd isn't a one size fits all. I do believe he has more than just bpd but it's unfortunately not uncommon for bpd men to be diagnosed as narcissists or antisocial. But honestly, I feel as though Dennis could be all 3

[@pallyboy6005]

The DENNIS System of It's Always Sunny is a *minefield* xD I'd love to see you react to that!

[@sallonemia]

this is a really great video, but i'd like to point out that folks diagnosed with borderline personality disorder (like myself) are quite often medicated along side dbt. usually the medication is more to treat symptoms of the disorder so that therapy can be more effective, or the medication is used to treat comorbid disorders that are really common to have alongside bpd :^) i absolutely agree that dennis probably has a different cluster b personality disorder rather than borderline though, but take what i say with a grain of salt because i'm not a doctor haha

[@DoctorElliottCarthy]

You're right that meds are sometimes used, it's a very individualised decision. As always, meds and therapy ideally should be working together to promote recovery. That's the aim anyway 😊

[@sallonemia]

@@DoctorElliottCarthy absolutely! thank you for a reply, Dr Elliot!

[@AudhdOllie]

I’m glad you touched on the BPD diagnosis. I love this show but that’s one thing that did upset me, not everyone watching will know that that’s not an accurate “diagnosis” and perpetuates the stigma against those with BPD.

[@DoctorElliottCarthy]

All too common unfortunately. Look forward to covering BPD more in the future because there are so many misconceptions about it. Glad you found it useful 😊

[@AudhdOllie]

@@DoctorElliottCarthy i would so appreciate that if you made a video about BPD and the misconceptions and stigma. As someone with it the more accurate information that’s spread the *slightly* less alienated I feel.

[@Ajonr]

I'd suggest WandaVision, but that would assume you are familiar with the backstory before viewing it (and that you have access to the series). (I would also suggest Legion - this also deals with psychosis and the perception of reality. As they are both "superhero" movies, they add in capabilities to alter reality, which makes for a fascinating take on the characters' reactions to their conditions.)

[@BABYBEELTV]

Love these videos! Favourite show and such a great break down.

[@sbyahnogaming6519]

I just watched this episode today 😂 Surprised to see your react video on my feed 👌

[@brianban110]

as an American, I can say that psychologists or whatever are all to happy to prescribe meds. Hell I was going through some minor depression in my late teens and early 20s and they were trying to put me a shit. its probably different in the UK

[@baylarubin8754]

Can you do a video on psychiatry and the criminal justice system? Particular disorders like schizophrenia and associated stereotypes. Maybe do a reaction to law and order? Love what you do ❤️

[@DoctorElliottCarthy]

Some forensic psychiatry would be good. I'll see what I can do 😉

[@funmitoadebowale6144]

@@DoctorElliottCarthy that would be interesting

[@Schoolgirl325]

Yeah, I’m not a psychotherapist, but I do have parents who work in the field. While there are certain symptoms of ASPD, BPD, HPD, and NPD that overlap, and it’s not uncommon for someone to be diagnosed with more than one personality disorder, there are still stark differences between them. Dennis strikes me as someone with ASPD and/or malignant NPD more than BPD.

[@noneyourbiz8886]

I don’t know what it’s like over seas but mental health treatment over in America is crap. People fall through the cracks a lot. Its sad and infuriating.

[@robcummings1027]

Love the fact u can see the comedy in these shows but also put a realistic spin on it good way to be,

[@noeliajaime7656]

Keep doing Sunny videos.Love that show so.much.

[@jessepollack2815]

You didn’t show it here but I think my favorite line on television is Mac emphatically saying to Cricket “NO ONE. Is going into your asshole”

[@NatalieSterrett]

I cannot stop eating on mirtazapine. One time I ate 2 bags of microwave popcorn in 5 minutes lol

[@porcelainrobot]

i have BPD and i live in Pennsylvania and the mental healthcare here sucks. nearly everyone in the gang shows some cluster-b traits and their behavior is not surprising bc of how inaccessible help is, especially dbt and getting a proper diagnosis for personality disorders.

[@johncalabro8710]

It is funny he said that the priest will let him off the hook. That is not how a conversation with priest would go but then it is Mac he probably doesn't listen. He would treat a psychologist talk the same way

[@boredweegie553]

..it's always sunny is one of the funniest things EVER..and I'm a clinical psychologist.. but first and foremost I'm a Glaswegian..we have a sick twisted sense of humour anyway..😂👍👍

[@Royed]

How do you not include the "TOOLS!!!" scene in this episode in this video? Haha

[@TheLighthouse1983]

If you mean "fetish... TOOLS"😁, then it's not from this episode but a reunion one, I don't remember the exact title

[@aeromacin]

"a glass box" is such an underated sociopathic line that always flies under the radar,.I love dennis, he's that dark part of our brains we surprwss and denies exists. Or maybe I'm crazy too .....

[@KennyNGA]

If u wanna put people in a glass box I think that's a personal problem bro

[@jewel1953]

Just found your channel. I am loving it.

[@christopherwoods6777]

Do you think the weight gain comes from activating cravings for sugar and salt? I've always wondered about that side effect.

[@ELITESrBAMOFOS945]

I was really hoping you'd touch on Crickets role in this episode lol

[@scotth8828]

Have you looked at Good Will Hunting? Therapy is looked at throughout the movie.

[@carelesswhisker4155]

"There's nothing here to suggest that dennis has borderline personality disorder" you forgot that he was seeing a psychiatrist for the first time

[@nthgth]

"We humans are rubbish at dealing with emotions.." I mean, name a species that's better at it or even almost as good as us, haha

[@user-uv2cp1qd1j]

I’d say every other species is better than us tbh. They don’t overthink things like we do

[@nthgth]

@@user-uv2cp1qd1j Only because they _can't._ We overthink but we also think properly - something no other species can. The rest of them just do what they feel like without any thought or consideration; essentially, they're the ultimate 24/7 hedonists. (not that hedonism doesn't have its place)

[@user-uv2cp1qd1j]

@@nthgth In so much that living hedonistically, or living purely driven by your instincts, is acting on your emotions immediately.

[@nthgth]

@@user-uv2cp1qd1j ...yeah, so, other species act solely on emotion if you put it that way. Acting on instinct = more or less, doing just what you feel like at that moment, without regard or thought. That's fair. I just mean, since we're the only species that usually (at least most of us, most of the time) do things in a planned, _logical_ manner, we're superior. Because as a species, we're awesome at controlling our emotions, is my point. Compared to any other known non-fictional species.

[@markrisen1193]

I love this channel. I am not sure it is active anymore, but, no mirror and put the video in the box.

[@Chicklo11]

Keeping with Danny Devito, what about doing a breakdown of the classic "One Flew over the Cuckoo's nest"? I mean you covered a little bit of it with the Simpsons episode"Stark Raving Dad"

[@rogerfurlong1535]

I'd love to see you react to The League: When Rafi Met Randy.

[@coyoterx6002]

You should give your thoughts on the episode where they go to a therapist to see who should do the dishes. Each member of the gang gives a bit of a psychological profile into their behaviour.

[@noeliajaime7656]

In the U.S they subscribe meds for anything...Anything at all.

[@LilySaintSin]

I always thought Alan partridge could make a guest appearance in Sunny

[@DoctorElliottCarthy]

The sense of humour is similar in that what we're laughing at is how idiotic and ignorant the characters. We're laughing at them rather than along with their offensive views so I see where you're coming from

[@blueberrymuffin7207]

Maybe you could react to "The Gang Misses the Boat" if you're looking for other iasip episodes...

[@austinmccormick8952]

The villain in Moon knight(when their in the guy's office)

[@od3910]

I love that you actually pointed out that it's not bpd Dennis has. I prefer emotionally intensity disorder (eid) as it more accurately defines what I'm experiencing but I'm just glad that you tried to undemonise it a bit. There's a lot of stigma against it

[@SirNerdPunk]

I took abilify and was told that weight gain doesn't generally happen on that one and I went from 170 pounds to 230 in 2 and a half months. I have a serious fear of anti psychotic now even ones that say you don't gain weight or there is less of a chance. No point in helping my mind if the way I look now makes me feel shitty.

[@garethmitchell7723]

Didn't know about the weight gain issues with mirtazapine but it works for the most part with my depression :)

[@bengabeneedalife]

I'm a straight male, but Elliot is hot.

[@alstar1874]

Doctor prescribes CBT. Got it. Kinky, but doctor's orders.

[@voidmystic3419]

@wallow28 agreed bojack horseman is a great example of mental health. Especially depression. I just dunno which episode would be able to react to.

[@lunis96]

Do this next plizz `The Gang Gives Frank an Intervention`

[@switzerlandful]

That one was so hilarious.

[@nickhendersonmusic]

Can you do a reaction video to Kelly and Ryan’s relationship from “The Office”?

[@hannaharbuckle3042]

You should do something like this but for Crazy Ex-Girlfriend

[@camvick407]

The Dennis system

[@bb-ih9hg]

God when Dennis said he answered the questions honestly and got medication for BPD I was like "oh no no no no no no no" bc I have bpd and I do NOT act like Dennis lmao if anything maybe could show signs of it but not Dennis. I think he got that bc bpd tends to be misdiagnosed and you also don't get that diagnostic from one sitting that it just shows the psychiatrist was just not paying attention, especially after what Dennis had just said to Dee.

[@foreverskrillex]

Or that all mental illnesses are on a spectrum, and no two illnesses are alike.... You would know that if...

[@jacobcox4276]

What are your thoughts on the Rosenhan experiment, the 33 percent reproducibility in psychology, and the lack of cultural universality of treatment and diagnosis?

[@DoctorElliottCarthy]

Wow, very interesting questions and maybe I can address these in a Q&A vid sometime? Cultural differences are hugely underestimated and it's something I continually try and educate myself on but it's an enormous area. The Rosehan exp is utterly fascinating but horribly unethical (that and many other practices at the time). Another great topic for a video!

[@user-gv1lh4os1d]

As someone with diagnosed BPD who watched the whole show a couple of times I heavily relate to Dennis and think that diagnosis fits him quite well

[@jkizla]

Really appreciate your commentary! I wanted to mention that I experienced weight gain on quetiapine and ended up trying Lurasidone on the way to finding the right meds for me. Unfortunately, Lurasidone was the worst experience I’ve had on any of the many medications I’ve tried. I had akathisia where it felt like a constant sensation of restlessness bordering on panic. I ended up stopping the drug after a few days and ended up finding a mix that worked better for me but I just wanted to share my experience because it was horrible and it’s not that uncommon a side effect.

[@Bajun94]

"CBT" O_0

[@serenityq26]

what in the world is a "junior doctor"? a first year?

[@DoctorElliottCarthy]

No it's a rubbish term used in the UK for any doctor who isn't a consultant/attending. Takes anywhere from 5 to 10 years after med school to become a consultant in the UK so a lot of "junior doctors" are very experienced. I've been a doctor for over 5 years but technically classed as a "junior doctor" because I'm not yet a consultant

[@ananthropomorphictalkinggo6641]

Psychologists can't prescribe meds in the US, they can only do psychotherapy. Cognitive behavioral therapy is a very common treatment used by psychologists here. It's only psychiatrists who can actually prescribe meds. Reading through the comments, it doesn't seem like a lot of other Americans know that though.

[@resplndnt]

Psychiatrists can prescribe medication that’s one distinction between a psychiatrist and a psychologist

[@timwhite5562]

Yeah, but many people isolate themselves with behavior. And people with diabetes don't usually cause them to act in... distracting ways.

[@iknowyouwanttofly]

Please react to crazy ex girlfriend

[@funfunfun3624]

I would lose the music

[@ChrisCrond]

With peace in love, needs less seriousness when covering something like this.

[@jokerfan52fun]

You gotta fake it. The one's that don't fake it get it the worst.

[@bromque]

Lurasidone gang

[@7878444]

Bro you're so loud compared to the video.

[@SteveClass1c]

This didn't work. I just wanted to keep watching the show.

[@markshaw2009]

Blah blah blah, but did you think it was funny?