Psychiatric Interviews for Teaching: Depression

In this film, the GP is seeing a patient who has a depressive disorder. The patient describes symptoms including low mood, tearfulness, reduced energy, reduced motivation, early morning wakening, loss of appetite, weight loss, poor concentration, reduced enjoyment and reduced interest in self-care.
The GP explores the effect of the symptoms on other people in the patient's life, explores the past history of low mood, and makes an assessment of suicide risk. The GP then gives the patient an explanation of depression.
Please note that this video has been made by the University of Nottingham for teaching purposes. The psychiatrist is a real psychiatrist but the patient is played by an actor.

[@lilyblossom1240]

I hate how depression is portrayed as just someone acting sad. A lot of people with depression put on a happy face. They will joke with you. And then one day if the pain gets too much, kill themselves. Some people with depression struggle with expressing it.

[@ElisabethogHestene]

Not true at all, I never have energy to anything else than lay in bed all day long. Maybe people with high functioning depression are able to fake, but often patients with major depressive disorder don’t even feel the need to fake, because they just really couldn’t be bothered about other people around and they are often very exhausted and uncomfortable in their skin.

[@kendallh9262]

None of you guys are wrong its just different for everyone

[@mistressmars3200]

Everyone knows that...depends on their comorbidities. This video is for teaching...

[@SkinCareLuver]

They are trying to show the worse side of depression

[@eb2564]

Ugh it’s an osce scenario? ...

[@farahahmadrushidi7628]

Man the depressed lady performance is Oscar-worthy!

[@cocoaart]

OUT of pocket! 😩

[@fit2day239]

You are spot on-- the tissue stuffed in the sleeve is priceless.

[@pentaxtp7527]

May be they got a real depressed person to act

[@CatatonicImperfect]

way over-acted, in my opinion

[@piyushmandave8269]

Man All this are scripted interviews ?

[@SBALOMAS]

I have been depressed before and I feel that this actress portrayed exactly how I felt. spot on. with low speaking voice, crying on a dime, looking sat the floor. Very well portrayed.

[@ottomechanic1370]

I applaud these women for recreating what a person experiences dealing with depression. Mental illness needs to be address more in our society with understanding, compassion, listening, support, love. Thank you.

[@geoffrundel3343]

They v good actors I know thy are trying to potty example by for instant if it's bad an you GT lock in syndrom or deep depretion u wouldn't be able to speak flewently ok

[@geoffrundel3343]

Yes I agree thanks I Thot it was real

[@noradosmith]

She said and acted exactly the same way I did when I went to the doctor for depression.... the acting in these videos is spot on

[@damienholland8103]

I've had depression since about age 13 and I'm 41 now. It's basically a curse that never ends. Antidepressants, exercise, prayer, etc., reduce it but it never fully lifts. Prior to going to rehab I at least had the pleasure of feeling good when under the influence. Now I have sobriety and depression -- I'm back where I started.

[@Medietos]

Damien H: I see what u mean. I have gathered much knowledge, tools, but am down from walking it alone, and want a healing-and coping comrade to work aimfully and practise disciplinedly with. A lone log can't burn, as a lone hag can't nag, and a lone soul can't heal. We might build and develop, alter and invent as we go along. Being a joyful and comforting, helpful input and critic to each other as well. Taking it very easy at the start, so as not to have neg pressure of any kind. Practising earnest communication.

[@cliffkonkle3467]

Are me and you twins. I have the same story addict and depressed and now 43. It's hell hope things CHANGE for you friend

[@sabah4123]

💌🇦🇺

[@stormcorrosion176]

I'm sorry to hear that Damien. Me too bro, the struggle never ends.

[@artwithmamafairybreadd]

Will it help if you find a good councillor, physiatrist??? Will you give it a go ??? I really think this is important for you to at least try it… I’m sorry it’s been so long for you…..

[@variatonesoundscape5592]

It's always been "Okay, lets take a look at these options" and then they send me off on my own to be depressed some more...

[@Meresortsitar]

I feel so sad watching this because I still have remnants of moderate depression, I know how she feels too well.

[@talaverajr391]

Meresortsitar ikr

[@instasupermamka]

How did you get better?

[@1legend517]

Same here. This is actually what I go through. Very much the same.

[@aaronying4989]

I can’t believe that’s acting, it’s so dark and real and fragile

[@gabbylopez9091]

Man, the Depression patient is seriously a wonderful actress! She isn't overdoing it and isn't stigmatizing it! She and the doctor both verbalized how my depression is. I really want to know why we patients with depression have bursts of sadness when there's nothing to be sad about! My heart breaks for this woman and I'm wondering if she may actually have depression.

[@i-love-cats75]

chemical imbalance?

[@corycoppersmith1789]

I'm a licensed therapist and professor in the US and I struggle to find videos for students. Here, the actress is astonishingly believable and real--but the clinician is also really, really skillful. This social worker exemplifies caring, thorough, thoughtful assessment. Really skillfully done. Any student of therapy should hold her up as a role model.

[@queenjulianalovesherfatban2064]

Both brilliant acting made me feel feel quite emotional tbh

[@casey.rob.]

The therapists’ voice is soothing.

[@willlll1513]

Honestly here because I’ve just been crying and so sad lately. Been depressed since 15 and have tried to take my life a few times. It got so bad in 2018-19 that my body felt literally numb, no emotions nothing, I just felt empty for months at a time. Yes I do have good days but the pain never really stops. I’d never wish it upon anyone and I pray that anyone going through a similar experience gets through it.

[@loristone4062]

She uses a lot of close-ended questions and leads quite a bit, but her line of questioning seems fairly solid

[@gnarf250]

The actors in these videos are absolutely amazing.

[@elohimp]

There is some wonderful casting and great acting here. The industrial/educational videos in the states are filled with terrible indicating and overacting and sadly sometimes its not even the actors fault as they are asked to "act" that way at the request of the directors or producers. This is honest and truthful. Wonderful!

[@PatJ61]

This was very well done, and thanks for captioning them. I will use this for my abnormal psychology class in the USA. Thank you for making these public.

[@uniofnottingham]

+PatJ61 You're welcome! Glad to hear that you found it useful.

[@theallshowgamingsingingand4400]

@@uniofnottingham Greetings, Can depression be resolved through Psychotherapy?

[@suicide-preventionresource7134]

Thank you for making this interesting & educational video available for viewing here on KZbin.

[@maxkatie6219]

I am crying during watching this. hope she feel better.

[@hijislay3618]

she's just an actor lol

[@fantastic59]

Has an actor never made you cry?@@hijislay3618

[@MrAndreaCaso]

Brilliant videos. I've never actually watched something more informative than this. Congratulations! It'd be nice to have a second video, adjunct to the interview, where the doctor briefly discusses the case highlighting the major features (especially those which might have gone unnoticed) and then discuss the treatment. What drugs? What psychotherapy? What kind of follow-up should be done? Thank you!

[@barrysimpson4628]

Great video. If only real consultations were like this. Mine certainly wasn’t. I’ve been diagnosed with depression and anxiety for the past 18 months. All .done via a ten minute telephone consultation resulting in a prescription for anti depressants and a referral to online cognitive behavioural therapy material. Mental illness still feels beyond the scope of everyday GP practice. Mental health week this year passed with barely a mention in mainstream media. As stated, great video, great acting, but a very long way from my experience.

[@ASMinor]

I am an avid #MentalHealthAwareness advocate and performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my KZbin channel, so I get excited when I see other advocates. 💙❤

[@LJStability]

These are really good videos for practicing for the OSCE and thinking through what questions to ask.

[@manuelabilbao]

I am feeling the same way too. I put too much on my plate and it definitely affects my stress and anxiety levels. I am also glad to be a part of this community.

[@susantompkins4254]

Depression is awful I never thought that I wouldn't have got out of mine years ago. I still haven't forgotten it I feel sorry for anyone who is suffering with depression

[@Zezeguizee]

You are blessed you got out of it. Be grateful and cherish life to the max everyday !

[@mariloucainap5635]

How are you

[@TheDzenie]

I really appreciate your hard work and it's always helpful for me to have been through for exams. I feel symptoms are way varied here.

[@Lexilea68]

I thought this was real. Fantastic acting if this is acting.

[@mariammarello9965]

I am struggling to finish the video, the woman look depresses me every time I look at her. I am so sorry for all those suffering depression and I wish them to get well soon.

[@zain4019]

Mariam Marello You’re a beautiful soul:)

[@thesun-N-moon8885]

They are actors …… 🤸🏻‍♀️🤦🏻‍♀️💕

[@artwithmamafairybreadd]

@@thesun-N-moon8885 she knows that I assume…..but it’s depicting reality innit ???

[@gabbylopez9091]

I really appreciate that! Depression sucks.

[@christolliday3054]

This is brilliant she is a very good counsellor and the actor also I find the techniques used very helpful expressing of empathy probing question amongst other things

[@jupiterthesun3217]

If the patient is actually an actor them maybe we are actors , her acting deserves an Oscar.

[@krest2012]

Things that make one say hmm

[@MisaAmane-tutorial]

Every person with depression deserves an Oscar, for acting like everything is fine.

[@RaikenXion]

I need to find a really good psychiatrist to talk to about this, its finding someone wise and sympathetic but who can just make me feel safe, supported and well kind of help me face my demons.

[@gioiadigiampaolo931]

they don't exist!!

[@GreatRusio]

@@gioiadigiampaolo931 they do

[@monukeys1105]

How are you now ?

[@dglshenry4]

I too suffer from depression, its a real nightmare, I can relate to how the woman feels.

[@MattJay.]

If this is acted it is very good. I recently was told i had mild depression and the interview with the doctor played out like this almost exactly.

[@maddieebobaddiee]

I went through a 2 week depressive period last fall, and I can’t even imagine what it’s actually like to have depression.. feeling like I did then all the time sounds absolutely horrible and I wouldn’t wish that on anyone. I feel back to myself again (I didn’t get medication or anything for it) so that’s good but yeah that’s so sad

[@zixzizia1066]

I’m glad you’re feeling better now :)

[@jinnykim8740]

great video. the GP did a great job interviewing and made it seem so natural and smooth

[@sundaylaydz]

I’m here to review but instead it made me cry! Great actress!

[@sabah4123]

Doubt it's acting!!!

[@amreenazam9013]

I’ve been suffering from depression since a child it’s very frightening and terrible there is no cure, constant management relentless management

[@Liz-rf3vo]

When I was diagnosed with severe episodes of reoccurring major depressive disorder I had gone to see my nurse practitioner, she was asking me stuff and I was smiling and making eye contact at her, I said everything in my life was going wonderful. I had a beautiful family, got good grades, everything was peachy but my brain and emotions made me wish I was dead and that I would wake up in the morning and wish it was bedtime again so I wouldn’t have to suffer throughout the day. 10mg of Lexapro once a day later and I feel great. These are such good learning videos. Depression can disguise itself and not everyone shows the same symptoms. You don’t always see sadness in every patient. Sometimes it’s hidden deep inside.

[@Medietos]

Liz: Yes, and much shame in showing weakness and need for help, esp women who shall carry and support everyone else...Drs worsening it by blaming patients .

[@dd222dd9]

She was actually practicing outside the scope of her expertise. You should have seen a psychiatrist and a psychologist. But glad you are feeling better!

[@1legend517]

This is actually what I go through. Very much the same thing.

[@aviaxis6261]

I can't watch this because I know exactly how she feels and it's horrible... this brings me back to the days I was depressive and feeling like dying every second of the day... literally the dying feeling is the most unbearable thing a human being could take... or ... unfortunately some of us can't

[@alwaultra]

My whole life is a depression but I am fighting very well. I have become so strong. 🙂

[@salehmccoy6127]

Thank you!

[@mjmallari796]

Thank you. You are worthy.

[@MILLS1239]

It's not meant to be an episode of Causality. This is actually a true to life interaction.

[@fluoroantimonicacid4844]

Wtf?!? comfort and supporting them already with all your heart!!! they are so precious people too!!! 😬😬😬😬😬

[@m.eshaghi8181]

The actors are soooo good damn !!

[@radhikapatel8065]

All people out there who only has mental health conditions need to watch this video to deal with mental health problems.

[@supa.scoopa]

Thank you so much for the video

[@hanans.m2488]

that was great! , thank you for preparing this

[@bobbob9364]

I’m going to recommend this lady for a part in “Eastenders” it may lighten the storylines up😬

[@fista10000]

Very excellently done by these two actresses!

[@uniofnottingham]

The patient is an actress and the Doctor is played by a real Doctor.

[@Roflcopter4b]

This is acting, right? I would guess that it is, but if so then these two are fanstastic actresses.

[@mimicool1989]

i think its real

[@jennaeneria5132]

mimicool1989 No it's not. These are trained actors. In one of the other videos, they confirmed this.

[@aema171]

mikayla enero which video is it if you remember?.. I wanna make sure cz it doesn't look fake at all !!

[@Monster33336]

mimicool1989 This looks exactly like my doctor's office, no kidding. Too bad, they're amateurs.

[@phoenix2464]

Read the description.

[@ATHLDN]

Story of my life...lol It's hard as you can't see things clearly but you can manage to cram a bit of joy into an otherwise bleak life.

[@aseelfelemban7234]

for study purposes< what is the clinical theory used in this interview?

[@robertasmeraldo7819]

The GP is absolutely lovely

[@destined_mathematicstime_s7606]

if i see that lady i will make sure i be the person she always wants to be i ll make sure she is happy beautiful lady i love her 3000 and everyone who suffers from depression

[@DanielGomez-le5wo]

They should do sit-ups where the upper part of the abdomen is worked, with the legs raised and trying to touch the feet with the hands and its variants that work the upper part of the abdomen, they will see improvements quickly. That upper abdominal exercise will take away your depression and anxiety, it will also heal your mind.

[@justchristine8479]

Reminds me of the character played by Imelda Staunton at the beginning of ‘Another Year’ movie.

[@cameronevertsen1526]

I want to give this poor lady a hug omh

[@zain4019]

Cameron Evertsen :(

[@floralfancy7814]

That's the best thing you can do give them comfort and reassurance.

[@thesmilegame]

I sat for a lecture at University Of Nottingham.

[@terryma6011]

I would like to ask something about melancholic and atypical depression, also there are some close ending questions and not enough empathy

[@user-xi4ke1hd2b]

That actress did an amazing job.

[@jamesmckillop3567]

Very instructive.

[@evaanderson9836]

This is a training video for future doctors and Standardized patients. The scenarios are over simplified to help medical students learn how to deal with patients, determine what is wrong with them and suggest a course of action. This is not real life and it would be hard for an actor to show all those conditions in the short amount of time you are given

[@harrychambers9017]

This video is exactly how I feel right now

[@Lorieellesh]

The patient is a brilliant actress.

[@akhilgeorge4127]

Yaa...patient is...but the doctor is bit fast....being a pshycatrist ...I strongly oppose her attitude

[@wendywoo5405]

spot on!!!!

[@nadagnina880]

I just want to give her a hug🥺 how that can be just a role-play!

[@554067]

awww poor lady,,i feel for her

[@AW-pz4ev]

The doctor covers most of the relevant questions. But she closes the patient down right at the start of the consultation and asks alot of questions rapidly before building much rapport. To me she doesn't demonstrate much sympathy but quickly acknowledges what she says and moves on. I don't know if anyone else agrees

[@AW-pz4ev]

Although very nice summary and explanation at the end

[@chawanmushii]

agree

[@dansylviano1035]

Hey Doctor Lady, Don't put ideas in her head... But the Allison Lady did a great job.. Very well done 👍💯.. Very informative.. Thank you guys

[@marionwilson5931]

I realise this is for teaching purposes and maybe there are time constraints for the length of the video, but I feel the doctor fired questions far too quickly.

[@marionwilson5931]

Severe depression is devastating. The brain does not allow you to feel joy in ANYTHING. Hence the need for medication to correct the brain chemistry.

[@kimsung2384]

Very good!

[@martamedrano1568]

I have a question about the depression. After the depression a person may have problems of memory ? This problems of memory is long place or short place?

[@zlatkoc7113]

I hope you get asked these questions by a doctor who actually cares, and want to listen to you. My doctor was about: I talked for a minute then he start typing strait away and already prescribed me drugs.

[@ppnovoir]

This is me, but I cried out because of the suppression I've been doing for over 15 years.

[@saharanyanorthiwat586]

I get this impression she misses going out and having freedom. Her children are stessing her out. She's gotten to the point she doesn't know what to do. I feel for her

[@Medietos]

Yes, she is a really nice soul and has no fear of doctors to mess her mind and speech up. Hope she gets ahead and heals. Even if only playacting, it was realistic.Let´s heal.

[@MrDavescoot]

AH the good old days when you could spend time with your Doc..............

[@avalonjustin]

I know she was acting here, but my heart still breaks for her and her depression.

[@joakimekstrand6498]

Have you from Nottingham Uni done ratings (MADRS, HAM-D etc.) based on this interview? Would be interesting to hear how you, and other professionals, rate and quantify the symtoms the woman describes.

[@Medietos]

Medium depression, I should guess

[@geoffrundel3343]

Full blown would be manic depretion anger management require yes that's me going for help an doing self help via IT

[@buthainaoman9109]

excellent😊

[@angieleung4481]

Excuse me, I can't understand what Alison is saying...can someone help? I tried clicking the captions icon but the subtitles are all wrong...

[@uniofnottingham]

+Huntress Night Hiya, you'll be pleased to know that we've now had this video correctly transcribed, so the captions will now be correct. We're working on the other videos in this series and are making it our goal to subtitle as many videos as possible.

[@zain4019]

University of Nottingham Awesome:)

[@jadenblackmountain3838]

is there an accompanying video to this that explores treatment options?

[@uniofnottingham]

+ApplaudMeItsJay Hi there, we've afraid not. These were made some years ago as teaching resources related to studies and curriculum at the time.

[@potatopotato5632]

WHY AM I CRYING???

[@Ghazzawi9]

So we're not allowed to stop in the middle of the interview and give the patient a hug?

[@Medietos]

bluemysyic: oh no, that could be intrusive abusive, I got disturbed as hell with 2 therapists taking the initiative to hugs i consented to without wanting it. it has to come from the patient in that case. it was not the same good afterwards, my confidence and trust broke, i got anxiety, felt myborders been crossed wrongfully.

[@lamar7bn]

My problem is every time I go to my psychiatrist i get brain fog and just can't disclose and explain, just yes or no answers

[@usman60606060]

If only GPs had longer than 10 minutes (including making notes!)

[@freehugs8670]

wish we GP-s here like her

[@jaynestag95]

This is what I'm like right now..😢 I woke up to sick everywhere when I took tablets and alcohol ....😢

[@accountingcoach3739]

As all know that psychology is the study of human behavior and identifying human perception. A patient of psychology and deoression or anaxiety implies the patient of same repeated thoughts.

[@debraodoherty7581]

the poor lady.

[@faithoffaith]

Perhaps a specific surgery or walk in centre for people experiencing mental health distress/issues so they can see a psychiatric nurse or psychiatrist or other mental health professional like a mini GP surgery for mental health then they could allocate a time limit say 1/2 hour to up to an hour etc..

[@Medietos]

--faithoffaith: Do you mean soul surgery or what? Surely not Lobotomy? - I noticed that the Dr called herself surgeon too, so that must be some English use I am not yet familiar with. Do you mean 1 emergency acute-efficient-real therapeutic session?

[@Seminolegirl1992]

Just because a patient or client is diagnosed with depression does not mean that they will always walk into your office tearfully. They can be talkative and engaging, but when home, perhaps shit hits the fan. My sister is bipolar, leaning on the side of depression (bipolar people tend to lean one way more than the other), but it's not like she's gonna walk in the counselor's office ready to cry or yell. What if she happens to be happy? Christ. But she still has underlying problems.

[@sweetmaximum]

Ashley White I used to think that as well, but when you start talking, the tears just keep on coming, uncontrollably. At least that was the case for me.

[@welcome159ify]

This. I've never cried at a psychiatrist's office.

[@Ashley-zm7od]

This is not an easy thing to do. Being honest. When you are a housewife and take on everyone's tasks you run yourself to the ground. Irritability that makes you want to harm yourself. Sleep plays a factor, more stress less sleep. Add financial issues, holy hell. Kids endless needs with little guidance. The amount of times I've had to surrender and feel utter shame. I'm a strong women who can do it all usually and it's scary as hell when you just can't do it anymore, you become numb and shut down. Eating issues is also self sabatoging. She has so much self hatred. She needs to do things for herself and do it as much as possible. A hobby or learn new skill. I hope more people went to therapy. No one is too good for professional help!

[@eddieraissi719]

My father suffered from depression and I effected me badly..do you think that the dissorder is a DNA thing?

[@sabah4123]

Yes!!!

[@fanl1121]

Omg, this pink lady played a excellent patient role, at some point, I thought she was real depression...

[@orangepulp392]

Pink lady lol

[@Cthululz1]

Right.

[@faithoffaith]

It saddens me that most GP surgeries now would never allow that length of time for an evaluation/assessment you only see them for about 10 minutes and even after that all they do is refer you to somebody or prescribe you pills and send you on your way. There needs to be more training for GPS in mental health and perhaps try to extend the consultation time although I understand that they have to see every patient and there just isn't enough time in a day - cont

[@Medietos]

that they get to heal their own childhood wounds is also important in order to be free to really help others. see Pete Gerlachs home page web-site and fee psychotherapy sessions-lessons online. he explans various diagnoses really well too (no rubbish, plain truth)

[@nischitha416]

Facing people is so tiring.

[@mindfulnessasia1082]

As we often suggest there are greater causes than just living for yourself. When I have a greater purpose such as helping others, I will forget about my unhappiness and the symptoms of depression will go away when one has a real purpose. Try to get others engaged in some service projects. Share real wisdom about our identity. The root cause of virtually all problems in this world is that people misidentify themselves. They believe that they are temporary material beings and their purpose in life is to exploit all the resources and other people on this planet for their maximum enjoyment. There is no concern for others. Nor is there an understand of the law of karma, that they will have to pay a very high price for causing any harm to others. It is from lust, greed and anger that the main problems in the world arise. Anyone who is depressed needs help. And part of that help is that we have to inform others that this world is not our eternal home and that living a self-centered life cannot bring real happiness.