Manic Disappearance and Failure to Treat | Asha Kreimer Case Analysis | Repeat of Elisa Lam Case?

[@NateDenington]

Oh my god I know this girl. I used to work at the natural foods co-op in ukiah, a small town in northern california. This girl would come in and get salads and soups a few times a week. She seemed eccentric but very nice. About a year after I left that job, her mom comes knocking on our door with the first picture Dr. Grande put up and tells us shes been missing. Crazy to actually have met someone from a Dr. Grande video. You're awesome!!!

[@NateDenington]

Dr Grande im updating this as the video goes. Ive seen the German sheppard, she did seem somewhat manic but non dangerous, in this part of california a lot of people have mental health issues and the hospitals are terrible. My brother is bipolar and has been hospitalized more times than I can count, but never for more than 5 days. Again I saw the German Sheppard. Again I saw her after she went missing along with many people in ukiah so i doubt she was murdered. The thing about Mendocino County is there's a lot of transients and a lot of open wooded spaces, it's a great place to be if you dont wanna be found. Personally I think she's somewhere out there still, maybe on a pot farm or commune. Thank you Dr. Grande! Love your videos.

[@elco2737]

@@NateDenington I also spent many, many years living in small town northern/rural California, and I agree with your assessment. It's definitely very rougue and sketchy in some areas, though geographically, extremely beautiful. Due to the stunning nature, relatively mild climate and somewhat low cost of living compared to other areas of California, the areas north and east of Sacramento attract a lot of transients and people who want to live off the grid and just disappear. There's also a lot of drugs and mental health issues in those communities, but very little good or available healthcare. I think it's possible she could have gone off the grid, or (hopefully not) met with foul play or an accident as she was in a vulnerable state when she disappeared. Very sad case, but interesting.

[@PhoenixRisen63]

@@NateDenington That is possible. I don't know tons about Mendocino, or NorCal, but I know a LOT about Southern Oregon, and if a person WANTS to disappear, there ARE places to go. Stay out of the mountains, and the climate is pretty agreeable year-round. Lots of little remote enclaves- communes and grows, antisocial/anti-government folks, places like that; harder to get into those, but once you're in, you're pretty much not going to be found. Nobody looking there. The Illinois Valley is an excellent example.

[@PhoenixRisen63]

Unfortunately, the ease of hiding alive also makes it easy to go somewhere and off yourself, never to be found. People disappear here, in Oregon, on the regular. Often on purpose, sometimes not, but if there's nothing to indicate an area of interest, it's pretty hard to search for them. The forests and deserts are VAST. Lots of bodies of water, too, including the ocean.

[@shombie2737]

@@NateDenington fascinating, though not sure what you meant by "open wooded spaces"

[@jen30551]

I 100% believe the hospital shrugged off the severity of Asha's symptoms. My family has a history of mental illness. We have seen the very best and worst that our system has to offer. My uncle, a Vietnam combat veteran, knew he was having a schizophrenic break (not sure that is the correct term). While trying to check himself in security beat him so badly that he suffered a head injury. After that I think he just gave up. He found his way to the roof a few days later where he ended his pain. This is just one awful story in my family's history alone. Our healthcare system has been so overwhelmed for so long. I've seen great nurses slowly start to become disaffected and some even become mean. The heavy toll of seeing people in such a terrible state day in, day out is not something we are built to process. I dont have all the answers. I can just say I've had a front row seat to the shit show and it's real. RIP uncle Bull (Bill). You deserved better...

[@LittleOrla]

Many of the people on the street are NOT drug addicts. They have severe mental illness, and are incapable of functioning. If you think the for-profit hospitals are rough on paying customers, imagine the treatment the poor receive. The social welfare system, built to help the poor, is nothing but a broken bureaucracy.

[@jen30551]

@@LittleOrla This is very true. What a lot of people dont realize is that the shit just piles up on poor (and often middle class) folks. You get to a place where you're almost making it and one thing like your car breaking down or an illness can put you right back under. My family has been struggling to come up for generations so we have seen and survived a lot. While I'm proud of that, I would be just as proud if I'd had a country that cared about us and helped us become stronger when we needed help and showed initiative. I could go on forever but I won't. Suffice to say, when I hear people say that the homeless just want to be that way it pisses me off. So many out there just got pushed one too many times.

[@tonydellacer7771]

Sorry for your loss. A terrible tragedy to reach a point were death appears the only option. RIP Uncle Bill

[@405OKCShiningOn]

I'm so sorry for his suffering.

[@405OKCShiningOn]

Faith, love and support to you. Please hang in there

[@djhagrid300]

Hey Dr. Grande. Haven't gotten the chance to say this yet but, congratulations on reaching 1,000,000 subscribers! I've been here for a while now and you never cease to release consistent and interesting videos. Thank you for all you do.

[@jodybrown4956]

Great hearing from someone courageous enough to call out as false the nonsense of spiritistic believe of reincarnation ,pagan ignorance fortune tellers lie detecter polygraph pseudo science garbled de gook religious false prophet evangelical television money grabbing fake faith healers con artists . So many humans gullible pursuit of enlightenment resulting furthering their own pain and suffering.

[@anm2945]

Hey!Hey!.🎇🎆🎊🎉 Thanks Noah. You're very thoughtful.

[@linds1571]

Yes!!! Congratulations Doc!!

[@melodeemcclain9600]

I don't understand how it's a million when his videos barely scrape 100,000 views. Weird... Maybe he bought subscribers.

[@matthoward8546]

it's not a new channel,and those who watch subscribe.

[@kimgo4518]

This reminds me of the Mitrice Richardson case. Mitrice was a college grad in her 20s who had mental health issues sometimes. She went to a Malibu restaurant solo, where after she strangely went thru an employee's car, she shared a table with friendly strangers and was friendly but spoke nonsensically, and didn't pay for her meal. The police were called and she was taken to station. Restaurant told police this woman was not okay in the head. Her mom, on the phone tried to make sure cops would not release to the street her but that's just what they did. Released her with her car still in impound. Less hassle for them to impound her purse and cell phone with the car, rather than having those needed items at the station in case she was released. So She was released at midnight empty handed with nothing but mental health issues. Turned up dead later. I'm reminded of this case here. Just me?

[@rejaneoliveira5019]

Yes, I remember this case and I agree with you, I can see the similarities. Dr. Grande has a video on this case as well.

[@Drummondmbf100]

No. I remember Matrice. I believe Dr. Grande covered her case also. It's a shame what happened to Matrice. I feel sorry for her mother.

[@SueP-D]

That sounds pretty negligent of law enforcement. That said though, holding a person on a 5150 in California is VERY tightly regulated. Police are trained and allowed to write them, but oftentimes they’ll call in a crisis worker to evaluate the person. Not sure if that happened in this case…

[@natekeyes2297]

@@SueP-D That was my thought too. It is actually very difficult to hold someone against their will and certainly to medicate them against their will, and it is likely that Asha had no desire to stay at the hospital. She did have two people with her who the hospital staff may have felt could take care of her. I suspect the staff may have actually told the boyfriend to take her to a mental health professional outside the hospital system.

[@SueP-D]

@@natekeyes2297 Yes. I was a psych nurse for 10 years in SoCal and I wrote 5150s. Bottom line: patients have rights and unless they meet very specific guidelines, you cannot keep them against their will. I also worked with the health insurance companies while at that hospital, and most of the insurance companies just BARELY approve any stays at all, being even more stubborn if the patient voluntarily admitted him or herself. It’s a broken system in many ways.

[@pwallace5359]

My younger brother had a first time psychotic break this past summer. My mother had to take him to the ER seven times before they helped him. Even accusing him of drug use when he’s never used drugs in his life. If we didn’t have such a persistent, patient, mother he’d either be dead now or in jail for harming someone . You would expect better in a country like the US. My other , older brother had a psychotic break in 1990 , received help right away and was diagnosed with schizophrenia . It seems things have gotten worse when it comes to taking mental illness seriously and having facilities to turn to. If you have drug problems you can probably get help but god help you if you have mental illness alone. All the facilities that helped my brother in 1990 have since been shut down.

[@meebrbey]

Omg that's awful ..this country seems to be going down in a lot of ways ..the U.S. is going backwards instead of progressing foward

[@TS-rd7oy]

The USA is really on a decline. Im over 60 and I can personally attest to it. Morally, economically, politically, and intellectually....all in decline.

[@deanwright7611]

I found your remark about people who don't have, for instance, some substance issue, but other mental problems not getting help very interesting. I myself am sometimes troubled but I don't drink, take drugs, break the law or act out. I have sometimes remarked that if I did these things then observers could categorise, understand and perhaps be more helpful. This set me thinking that this may be one reason why some troubled people do these things - because it makes them in a sense comprehensible to people. They 'have a drink problem' for instance.

[@jimwolfgang9433]

I hope you and yours are in good shape. I can be hard. A lot of this kind of behaviour is congenital I think. Very best regards.

[@deboracopeland4795]

So sorry and you are right the care is so uneven. If you have mental illness they treat you like a criminal 😢

[@GGiblet]

This is such a sad case! I feel the heartbreak of her mother, not knowing what happened must be just unbearable. Thank you for sharing her story Doc

[@72arya72]

This case just hurts my heart. If only she got the medical care she very clearly needed.

[@nunceccemortiferiscultu7826]

Can't force someone to get help.

[@carolyne803]

@@nunceccemortiferiscultu7826 if someone is not alert/sane enough to make their own medical decisions, generally yeah, you can A fast-acting anti-psychotic could've saved her life in this case; like sublingual Olanzapine or subQ Haloperidol

[@helenbirdart]

I first heard about Asha in the Netflix documentary 'Murder Mountain' about the thousands of people that have gone missing in Mendocino county every year and Point Arena (the last place Asha was seen) is in Mendocino. Excellent presentation as always Dr Grande. Thank you!

[@jetsetradio5441]

"Why would she take just one dog???" Meanwhile: (The whole description of her preceding this is her doing completely random unpredictable things.)

[@user-sr1kc6jj2b-p1q]

Congratulations on reaching 1 million subscribers! Since bipolar disorder is such a serious mental illness do you think you could make a video to help friends and family to identify a manic episode and know what to do to help the person?

[@suicidalclock]

This is a great idea, going over warning signs in regards to manic episodes, psychotic breaks, etc. The first time I saw a serious manic episode I had no idea what to make of it. The family members can suffer just as much as the person having the mental health issues in some cases. It's very difficult to know what the right decision is. I definitely feel education is the key to helping people and keeping them safe.

[@Natalia-hf3et]

I love how Dr. Grande brings us his analysis on cases that some of us have never heard of. Thank you 🙏🏽

[@sheenamaclean8324]

That is 90% of the cases in my case.

[@Natalia-hf3et]

@@sheenamaclean8324 😂🙏🏽👏🏽

[@lyndahadley2352]

Absolutely!!

[@Natalia-hf3et]

@@lyndahadley2352 👏🏽

[@MMG69]

Congratulations on a MILLION! Love your videos Dr. Grande. Keep it up!

[@wrmlm37]

I would consider checking homeless populations. This poor kid. How awful for her. Who knows "how" she may "cycle", as you said. I'm very sad for her. I wonder that the stress of the move from Australia to San Fran might have been the ignition. Her sister would probably know best, how her behavior had changed and evolved. Ty so much for this educational piece, respectfully presented.

[@karis7649]

When my sibling had their first manic episode it was so scary. It took us almost 2’weeks to even understand what *might* be happening, & another 2 to come up with a plan for how to help (after crash learning about BiPolar on our own). We were so frightened that there would be an unintentional / bad outcome with law enforcement or hitchhiking or men or any number of things. It is difficult, to say the least, to keep a manic adult in the house and under watch tho we “lost” the car keys. Finally we got them to sleep & eat and then sleep & eat again and again until the cycle passed. They remember almost nothing from their first (and only) 3 episodes. It’s now VERY well controlled by lithium. Just to give some hope - very high functioning.

[@Skateandcreate9]

What causes a manic episode? Specifically non drug related ones? Schizophrenia?

[@moonchild977]

it’s wild to know that there’s plenty of people in the world who have gone through this as well, because it feels like you’re the only ones in the moment. my sister has bipolar too, and we only discovered that after she had a full blown manic episode later in life that did almost get her in trouble with police. it was the wildest time. she only had one other episode, that was a lot less severe because she was under medication, just wasn’t the right dosage. she’s been doing much better ever since, and it feels less scary now, but bipolar is no joke

[@annal7364]

These mysterious disappearances are so strange and unsettling as we will likely never know what happened. Glad I got to spend my lunch break with you, Dr. G! Have a marvelous Monday! ☀️☺️

[@ericainchains5806]

Wow, my heart breaks for this poor woman. As usual, a great analysis.🌵❤

[@BonJody]

My sister used to take off the same way, she'd run from a car or hospital or house, or if she got in an argument with someone, she was held on a 5150 a lot. She was diagnosed as bipolar but since she was doing a lot of drugs it was very hard to tell the difference between meth abuse and a manic episode. She told a lot of stories about mind control she would often be found talking herself and doing other strange things, she spent time in jail, mental hospitals and rehab centers. Every once in awhile she would have a clear day and get our hopes up that she might be okay one day. But myself and my family knew there would be a phone call one day that she was in jail or worse. She died Nov 7th last year from an overdose, her 38th birthday was last week.

[@ElisPalmer]

I’m very sorry ❤️

[@stephanieann8115]

This is way to common. It’s devastating because it’s so fixable. Mental illness is not a new or extremely difficult thing to recognize. I have suffered from a couple different forms of it myself over the years. The problem is that “families” aren’t what they should be and don’t care for their own anymore. We’re all just lost, wandering aimlessly unless we are capable of taking care of ourselves and self sustainable. It’s not a word like it used to be.

[@nightstarstar1]

I’m so sorry for your loss, may she rest in the peace she couldn’t find here. I really wish we spent more time as a society working to research and help people going through this.

[@kerryberman609]

My heart goes out to you and your family

[@normacook8325]

Please accept my sincere condolences in the loss of your sister. ⚘

[@somewhereupthere]

My 18 year old, permanent honor roll student, is going thru this now. I feel there nothing I can do except cross my fingers and hope he voluntarily gets help.

[@AD-cc7bj]

thanks for adding the fact he is a permanent honor roll student

[@timothy2935]

Did it just start? I'm just curious because of the age of 18

[@MEL2theJ]

What a mysterious case. Thank you for your analysis Dr. Grande

[@higgaroc]

I teach at a school for health sciences, and I’m noticing that, while students are provided with resources for mental crises, I don’t think there is enough material for those not suffering to more easily recognize the onset of symptoms in others and to know what to do about it. Her boyfriend seemed dedicated to being there in her time of need, but with better education on the topic, might have recognized the need for dramatic intervention before the situation turned into a full blown crisis.

[@elizabeth-ty3he]

It seems he did make dramatic intervention, but the healthcare system failed them

[@scarlettsteele7999]

Congrats on 1 million subscribers, Dr. Grande!

[@dbcakes]

thank you for your opinion on this, Dr. Grande. my sister in law lived with us for 10yrs... she had bipolar disorder and whenever she started feeling better, she would stop taking her meds and start a manic episode... we'd go on a carousel ride over and over in that decade, manic episodes, back on meds, feel better, off meds and so on... after all of those years (she was 45 at this time) we had to ask her to go, it was taking a toll on everyone... she moved back in with her best friend in WA and seemed fine for a few years. one night her friend called us and said that she was off meds again, going manic in the house and then told her friend in one moment of clarity that she wanted help... they called an ambulance. apparently, she was combative with the hospital staff and demanded to be released almost as soon as they got her a medical ID band and vitals, so they discharged her... she was missing for abt three days and then we got a call from the sheriff's office that they found her body... she'd jumped off of a bridge... we asked some local area counsel to look into this, but they deemed that the hospital wasn't at all at fault... I'm just not sure how to feel abt that... SHE ASKED for help, they called her an ambulance but bc she was combative they let her walk out the door... she was still in her hospital gown and they ID'd her thru her medical bracelet... no other words

[@pm2886]

Are you suggesting she should have been locked up? Are you aware that Western societies like America fought that stuff for years ... calling it brutal?

[@SarahS-zq8ru]

This happens all too often! We need better trained professionals and more education for the public! Things like that should not happen! I’m sorry for your loss.

[@dbcakes]

@@pm2886 I'm suggesting that they shud not have let her walk out of there without looking at her history - she'd been voluntarily admitted before when she felt suicidal, she'd attempted suicide on numerous other occasions... if they took even a minute to look her up, they may have surmised (correctly) that she planned on attempting suicide again. Sure, admit her and get her back on meds! She was an incredibly caring and loving person at heart and was a joy when the imbalances in her brain were regulated with the correct medications and counseling. She had a family who loved her dearly... this was an avoidable tragedy for us. And yes, our history on addressing mental illness is horrible! But her doctors and counselors were amazing, selfless people... why did they not even try reaching out to them?

[@justnoted2995]

A very good comparison between the cases of Asha and Elisa, and your warning at the end to take Bipolar Disorder seriously was so educational. Thank you Dr Grande

[@desireericheymesser1951]

Disgusting the hospital didn't help her and let her go.

[@Marshmallow_Trees]

In my layman’s point of view, I wonder if the hospital released her in part because she had no insurance. Had she insurance, she’d maybe have had trouble getting OUT of that hospital, as they’d be milking it for all they can.

[@bthomson]

This comment reminds me of how much faith We have lost in much of our support system! Police, hospitals, health insurance, etc. no longer have our trust to do the right thing! So.e of this is lack of support from us so there is a vicious (Not Sid!) cycle!🚲

[@visualmoon2771]

This is very true. I work in treatment & the higher ups will keep people longer, sometimes clients that are extremely misbehaving & effecting the other clients negatively, and some can pay cash but if we can’t find you funding or a scholarship & uninsured, you’re most likely getting thrown back into the streets, heartbreaking 💔

[@nicklager1666]

I like that you dont limit cases you analyze to USA. They can be from any part of the world.

[@777jones]

Dr Grande you are world renowned for your motto, “only speculating about what could be happening in a situation like this”

[@beckybunny7834]

Congrats on your 1,000,000 Dr. Grande! You’re one of my favorite KZbinrs to watch on mental health as I have ptsd and bipolar. This case hits home for me and means a lot to hear you say how important it is to take manic and depressive phases seriously. Thank you for spreading awareness against the stigma against us. 👍

[@rosesmith6925]

Once again explained so we could understand. Keep up the great work ☮️❤️

[@bthomson]

Clear and concise but more importantly compassionate!

[@thesongbird2383]

Dr. Grande, Explainer-in-Chief! Always to-the-point, brief, educational & entertaining! 👍💜🌵

[@Drummondmbf100]

As a dog lover, it seems that her German shepherd woulda been found wandering around if she did something to herself or if some crazy snatched her up. In any event, the whole thing is so sad.

[@IndigoBellyDance]

German shepherds r super protective & loyal ….. you would think the German shepherd would protect &/or stay w/owner🤷‍♀️🤷‍♀️

[@moduslive]

This is a really sad story. What’s the point in being given a 5150 and identified as in a manic state and then not having a mental health evaluation… disgusting, what a broken system.

[@alisamadoo4024]

As someone with bipolar the list of symptoms you mention at the end is spot on. My medication barely makes a dent in the cycling symptoms and I have tried pretty much all of the medication for bipolar that there is so I am learning to live with it but the mania can be truly frightening for me. Edit: and I have been up in the middle of the night wandering around my house starting projects and waving my hands like that. I never knew that was part of mania.

[@KMWeir]

So sad. I have 2 adult daughters and I’m so grateful that neither of them have had these experiences. It’s so heartbreaking. Love to the parents of both girls. 💕

[@kelsielovesbbu]

Once was hospitalized at a university hospital in my state. Begged for help for suicidality. Got told word for word to "get over it", and that I was "being manipulative". I tried to OD the next day. Luckily my bf found me and I made myself throw up a shit ton but was too scared to get medical help for it. These people SUCK.

[@maryanna71701]

Thank you, Dr Grande, for another great analysis 🌵 Have an awesome day ☀️

[@mitch-lifestyle1692]

This case is not too far from where I live and it's very disturbing to hear of these situations. Northern California, from Sacramento up through Oregon, is notorious for human trafficking so anything is possible.

[@questioningauthority6584]

Could you analyse some historical people like Stalin and Mao? Congrats for hitting 1 million subscribers btw!!!

[@anad05]

As usual, very interesting case. Unfortunately, the system keeps surprising me with its inability to provide the necessary care ....

[@cassandraespinosa2223]

@Ana Dias - UNFORTUNATELY (BIG sigh)!!😡😔😭

[@bthomson]

And this is one of the richest nations in the world!🌐🤑💰💲

[@kevinallen1699]

Why are you not America's Dr. ?... Plain, simple and some dry humor.... Perfect.

[@annalisegiovanni7032]

Hello Dr. Grande❣️ thank you for the new video!! I hope your week is starting off great. You deserve absolutely nothing less!!

[@Paula_YTube]

Everytime I watch footage of Kensington Avenue (Philadelphia) or Skid Row (coincidentally where Cecil Hotel is located) I think about how many people there got lost from their family voluntarily or involuntarily because of mental health problems... If I have to guess what happened with this lady, I would bet that.

[@damnmuggle]

I’m from sf and I walk through the tenderloin sometimes to get to work and it’s the same situation a lot of people there are very mentally ill and the drugs and alcohol use doesn’t help their situation it’s really sad to see I wish there was more ways to help these people

[@Paula_YTube]

@@damnmuggle I live in Brazil and we have lots of "CrackLands", as we call, too. People who used to have family, house, car, job, college degree... I stopped judge them after losing a friend to the streets.

[@JanetSnakehole28]

Would be interested to see what you make of the disappearance of Richey Edwards from the band Manic Street Preachers in Feb 1995. Similar issues around the failings of the mental health system, as he'd been released from a facility while still very unwell. He had borderline personality disorder, anorexia & what is now suspected to have been Asperger's. He vanished from a London hotel & left a trail of odd clues both at the hotel & at his flat in Wales, including leaving his passport and antidepressants, as well as leaving his car in Bristol at a notorious spot for people ending their lives (he'd taken a taxi from the London hotel to Wales, picked up his car & drove to Bristol) No body was ever found & while he's legally deceased, many believe he ran away to start a new life due to being overwhelmed by fame. Even more interesting is the fact that he has a family history of relatives doing confirmed vanishing acts, hence his sister believes he's still alive somewhere.

[@helenavioleta]

I would love to see dr grande talk about Richey !

[@shawnnewell4541]

Thank God when I went through this I was treated immediately by my psychiatrist, and when I wound up hospitalized, I was treated in-house for 10 days until stable. And when a month later became psychotic again, they rehospitalized me. This time, they got my medications right.

[@bthomson]

Yeah!😅

[@wallofyarn]

This just makes me incredibly sad. She had access to help, and the people who could have helped her didn't. How is that any different from having someone come in because of a heart attack, and nobody doing CPR? Just a waste of a life, a young life. 😞

[@Contessa6363]

Great analysis Dr Grande. I have been watching your channel for almost 4 years now. It was one of my original group of channels when I started viewing you tube regularly. 💜🐘🐑🐰🐕🐦💜

[@thelocalmaladroit8873]

Even though you’re not diagnosing you’re still doing an excellent job of explaining Doc.

[@cottontails9003]

Thank you Dr Grande. That was a brilliant analysis.

[@renee1961]

How Devastating for her Loved Ones!! Prayers for Answers.🙏🙏🙏🙏

[@normajeanmcdaniel4491]

Congrats on 1 MILLION subs! That makes me one in a million. (Said deadpan, a la Dr. Grande). Your Palm 🌴Springs Fan ❤

[@zenawarrior7442]

Another unknown, sad case, with good analysis. Thanks Dr G😊💛💛

[@nickchannel5364]

As usual Dr. Grande your logic is flawless.

[@littleflower3665]

Thanks Dr. You have cured my anxiety when I drive. I looooooooove you dearly.

[@JoshNieporte]

Another Dr. Grande video = another Like.

[@Happy_FreeAshMarie]

So happy you post daily. Watch them when I workout :-) helps the time pass faster.

[@julieyoung3315]

Catching up. Hello, Dr. Grande. Nothing but greatness coming up.....

[@gregevans6044]

Wow, that one was fascinating. Yeah, very strange that the medical personnel didn't keep her longer. I believe under 5150, they can keep and evaluate a person for up to 72 hours. Then, a court order can be sought, if necessary. They kinda defeated the whole purpose of a "protective hold"

[@JMS-to3xb]

Wow this one is pretty wild! Thanks Dr. G!!

[@amyfay5791]

Congrats on the achievement 👏 Please please please look into the Canadian Dunphy case. Rcmp cleared Joe Smyth after he went on his own to "investigate" a tweet at handicap Dunphy house. Only one left alive. There is footage of trial and of Constable Smyth reenacting crime at scene. High profile case that did not end as expected and left many wondering if it was injustice. A lot to unpack but it deserves your touch Dr. Grande ^_^

[@eadweard.]

Handicapped in what way?

[@bthomson]

eb is always clarifying!🕵

[@Ms_Farita]

New onset mania is so difficult because in the age of the “opioid crisis” and the prevalence of synthetic marijuana, (which does not come up in a tox screen), healthcare providers just assume the erratic behavior is drug related. It’s not uncommon for them to release the person with pamphlets about drug treatment centers.

[@Catlily5]

If the hospital in California is like the ones where I live they would have tested her for a long list of drugs in the ER.

[@jessicarakowicz1627]

Cases like these make me really sad about the mental health system.

[@rustyrobinson8027]

Wow a million subscribers I'm glad to be one of them congrats

[@incrediblylucid4914]

Congratulations Dr. Todd Grande!

[@freadadillon4071]

Thank you for calling attention to manic-depressive illness. This illness runs through my family from generation to generation. Even though all my relatives know this, they are still ready to deny it when it affects them. Such a misunderstood and often misdiagnosed brain chemistry malfunction. One of the reasons I suppose, for the misdiagnosis is that doctors see most of us when we are on the depressive downswing, and having only seen that side assume depression, and prescribe anti-depressants. This most certainly triggers mania in many of us. Why are we not diagnosed when manic? No one goes to the doctor and says they need help because they are too happy, have too much energy, see their surroundings as if in a 3D movie, don't need sleep, can party all week-end and longer .... etc. It is when mania slips over the edge into psychosis that we get noticed, and not in a good way. However, if the people who notice this are used to our mania, they may conclude we are just having way too much fun. When in point of fact, we are in crisis. This is yet another sad example of failure to treat.

[@bthomson]

Who in the treatment areas does not screen for this cycle?

[@upstatecate3307]

@@bthomson Every psychiatrist I consulted until I was 48 years old treated me for unipolar depression because that is when I sought help. My hypomania just wasn’t apparent enough to present a problem. Finally one of them gave me a questionnaire and properly diagnosed me.

[@daliakuwait]

Dr. Grande--congratulations in reaching your 1M SUBSCRIBERS! Your content is always interesting, very well-analyzed, and your sense of humor is a breath of fresh air--we need more laughter in this world. Thank you for, well, being you! 😊

[@lnc-to4ku]

What a troubling and mysterious case! As I was listening to every detail you spoke of, I couldn't wait to hear your analysis on this one! Extremely sad! On a Very happy note, I Finally recieved your book yesterday.... my next order of business is to dive right into it!! It feels like Christmas morning! ♡♡

[@DigitalNeb]

I feel so sorry for the two people trying to help her. They must have felt so helpless. What a terrible situation.

[@DottieMinerva]

Sounds very scary and they tried to get her help and were sent away

[@thedanielstraight]

I hadn't heard of this case, thank you Doctor! Have you ever done a video on Brad Delp, the former lead singer of Boston? Great singer, very troubled though.

[@Hotlux66_]

Hello Dr. Grande, would you analyze the case of the 3 boys accused for killing their stepfather who abused their little sister

[@BurroGirl]

Thanks Dr. Grande. I love the mental disease explanations. Helps make some sense out of these tragedies and I get an education too.

[@dobeus8957]

Great analysis as always and congratulations on reaching 1 million subscribers!

[@Debsfantasticfindings]

Thank you for the video. These videos create public awareness of these mental health issues. Sad case. Hopefully she’ll be found alive and hopefully well.

[@williamneely8366]

Very complex but never the less a big pain in the neck for the patient.thank you dr.

[@llissamm70]

Congratulations on passing 1 million subscribers .

[@lozencolorado3326]

I was thinking this was going to be about little Asha Degree. That's a story you should take a look at. Very strange and mysterious. As for this poor girl, I hope and pray she's not suffering and ended up in a good place. I pray her family finds out what happened to her and finds closure. I had to go to a place where many homeless men congregate looking for a skip (I'm a female bailbondsman) and I received a phone call that a very close friend and his wife had died suddenly. I began to cry, overwhelmed with grief and *a lot* of men almost seemed to sense my vulnerability in that moment, and a bunch approached me, saying things like "Hey, baby don't cry, I'll take care of you." Or "Why don't you come with me, I won't let anyone make you cry." Or "You don't need to be with that asshole if he gonna make you cry, come away with me....." (My partner was with me but I had stepped away to take the call.) I don't spook easily. I've been in all kinds of jails, prisons, hospitals, shelters, in America and elsewhere, but damn, the way the turned on me when the seemingly smelled blood was very frightening. It doesn't give me hope that a young, attractive woman is going to fall into the right hands. Those men at the shelter DID NOT have my best intentions in mind, that's for damn sure.

[@janetpattison8474]

Taking a lazy way out seems to be incredibly common. A family member, that I’ll call the patient, who ultimately committed suicide, desperately sought out help at a couple hospitals and a mental health clinic. Even though he was in poor condition everyone turned him down for help. Telling him that he was fine. At one point the patient ended up in jail, and I let cops know immediately that he desperately needed medication desperately. They totally ignored that and things went downhill dramatically. They blamed it all on the patient when really it Was their laziness and apathy that caused things to get worse.

[@Skateandcreate9]

At first i thought you were calling the person with mental problems the lazy one

[@dt5772]

I’m so sorry that happened.

[@toffeesauce]

Why don't hospital workers and law enforcement know what mania and psychosis look like? I dont understand.

[@Katie2986]

They blame drugs first for everything

[@timmhart5235]

In my experience it always was misdiagnosed and blamed on substance abuse and if none was found in my system blamed on synthetic drugs because I am on methadone clinic, and wasn't stoned or in a drug induced psychosis, I had tremendous grandiose thoughts , no sleep, didn't need it, couldn't eat. Thought I was gonna win the lottery. I had all the answers hahaha. But yeah just my experience in being misdiagnosed more than once in hospital settings

[@nunceccemortiferiscultu7826]

@Timm Hart gotta tell the truth, of course they'll blame drugs if you turn up and say "I'm sober" only for them to find drugs in your system.

[@Catlily5]

They know.

[@endergamer7483]

I’ve had manic events before my most recent event had the same hand movements, for me I thought: if I don’t move my hands I’ll lose my privileges to them and they’ll be taken from me. It was my first time having a delusional thought with mania and let me tell that shit was horrifying, like I legit thought my hands would be taken off my body like a Lego piece. Thankfully I didn’t lose my hand privileges and I ended up relatively okay (that being no crisis center and no baker act placed on me).

[@bthomson]

Wishes for continued good heath and happiness!

[@endergamer7483]

@@bthomson aww thank you 🙏

[@mizztia5303]

Hope you are ok x. The Brain is a very complicated machine and anyone's can malfunction. Glad U came out of it.

[@rubysiete5174]

Rachel Shannon does a very well detailed cover of this story, it’s great

[@bernardmathias2017]

Dr. Grande, I wanna say congrats for 1M subscribers !

[@renee1961]

Hi,Dr. Grande!🙋🌵🪴🌵🪴🥶❄️🥶❄️ Perfect timing, again! Hope you're having a good day! Thank You! Hello, everyone!🥶☺️❄️🌞

[@anonymousstrangeness7348]

Hello, Renee !! 😃

[@mrs.reluctant4095]

🧡 Thank you so much for talking about BD, doctor. Always grateful for that. 🧡🧡 Have a nice day everyone.

[@databang]

What a sad and torturous affliction.

[@marthasalter405]

I think it would be so helpful for Dr G to do a series on recognizing mental health issues in family and friends (perhaps using old cases as illustrations) and general advice on accessing the mental health system (even though I know it’s messed up)

[@ven0IVI]

This is like ASMR with that soft talking 😴 got me sleeping

[@louisal7185]

Bonsoir, cher docteur! Great analysis as always! Such a sad case , feel so sorry for the poor girl and her mother 😥 ) ..... Still..... "the German sheperd was looking around at all the events around him and thinking.... i' d better .... I just imagine that dog making a decision 🤔🤔 You are amazing, docteur. Bravo at Merci! 👍👏👏👏 Never miss out one single of your " speculations" 😊

[@DameVonBonDaisy]

Congrats on the milestone 👏 🙌 very much deserved 👏

[@rebeccamiller4404]

I listen to you everyday ! You describe everything in great detail and I do like those small comments that you make Like the Dog was probably looking around at all the recent events and unusual behavior and thinking this is My time to make a break for it ! It really does help in Remembering that her German Shepherd disappeared at the same time and is an important fact . All your videos are very informative and interesting! 👌☕️

[@johnhadley1117]

psychosis is not that common in ER but often staff is incompetent. more than often. Tragic story.

[@lorifernandez116]

Thank you for your videos Dr. Grande, always very interesting and informative. Can you please analyze the case of Cheslie Kryst? May she rest in peace.

[@rejaneoliveira5019]

The worst part of this disappearance is that it was 100% preventable, if only the hospital would hold on to her for a little longer. So disappointing. Thanks for pointing out the parallels with the Elisa Lam case, it does make sense. Thank you for making this video Dr. Grande, apart from the great analysis I think both cases are learning lessons for anyone observing behaviors as such, it may save someone’s life. Again, much appreciated.❤️ Unrelated to the video, your new shirt is lovely.💕

[@bthomson]

Hi Rejane - It would be interesting to know the statistics of how many cases such as this come to any given hospital in CA on a daily basis? I am afraid it can be in the hundreds! They only have so many psych beds and it must be awful to try to triage who should stay! California gets a bad rep from "Red" states (imo) because they don't get the intense dynamic of this problem! Best to you!💐

[@rejaneoliveira5019]

@@JetSkiSuper7 Oh because she wasn’t an US resident and, as per your assumption uninsured, she doesn’t deserve appropriate health care? Wow, unreal. Fortunately, that’s not how health care in the US works. I am glad to say that I have had many patients who were uninsured, not an US resident, and who nonetheless received an appropriate treatment and discharge.

[@LDiamondz]

@@JetSkiSuper7 Most hospitals will work with you, if you have a bill high enough to cost you your home. I had a hospital bill over $300,000. That was the balance AFTER my insurance paid. They agreed to a fraction of that amount. They don't want your home, they could put a lien on it, if you just let it go, and don't try to work with them. Even bankruptcy court would let you keep your house.. Besides, in this case the hospital definitely failed her.

[@andresweinman9995]

Your way of thinking is amazing l really love this type of subject especially serial killers thanks!😆

[@aarondavis8943]

There's also the possibility that she had an accidental death. She may have fallen into a drain or ditch, river, pond etc. Bodies can lie hidden for years without being noticed.

[@jevinday]

mania can be really scary. when my sister had her onset of bipolar (she was 19) my mom called me at 11pm and was like "your sister just walked into a hotel in phoenix and told them that she needs a bed and a percocet, I need you to go pick her up so the cops will let her go". the 40 minute drive home she was talking about how she was driving to the airport because she heard broadcasts on the radio telling her that she needed to go pick up my high school girlfriend (ex girlfriend by this point) from the airport. the next 2 days she ended up getting a DUI and totally embarrassing herself. after that she'd have a manic episode with psychotic factors every summer for like 5 years. thankfully it hasn't happened in 4 or 5 years.

[@candiceyoung8244]

How sad. Thank you so much for the video 🌳🌵🌲🌵🌿

[@venderstrat]

A very thoughtful analysis. I'm wondering how heavily she was using cannabis, and whether this brought on her symptoms.

[@no_peace]

And not to beleaguer the point but people do that because they aren't able to get help from conventional providers

[@carolyne803]

It's likely, and if it was, then an anti-psychotic probably would've helped :(

[@visualmoon2771]

This was my first thought when he first said she started smoking weed.

[@scarlettsteele7999]

I love when Dr. Grande covers cases from my native region, the Bay Area/ Northern California. There’s a lot of crazy cases coming out of there!

[@bthomson]

California inherits many of the country's mental illness cases due to good climate and decent support systems ( except in this case!). I hate when people blame that state for these problems! Other states should contribute to CA for being the caretakers of so many!

[@scarlettsteele7999]

@@bthomson I agree. When I was in college, one of my psych classes took a field trip to visit a long term psych facility and I had the chance to read about several patients and interview about a dozen of them. This was in Modesto, CA and every person that I spoke to in there was either from San Francisco or from out of state. SF is at capacity for treatment services so they literally just buy these people that they don’t want 1 way bus tickets east and make them some other county’s problem. It’s deplorable. Other states do the same thing. Cold states don’t want people popsicles all over the streets during winter so they round up homeless folk before it gets too cold and they put them on a bus to cities with better climates like in California. California is used as a dumping ground for people and it’s absolutely terrible that they treat humans that way instead of fixing their own problems they send them away.

[@bthomson]

This is TRUE!

[@m.f.richardson1602]

B. Thompson. I'm from NorCal. Yup, lots of crazy people. Peace 💕🇺🇲

[@m.f.richardson1602]

Always interesting. I feel sorry for her. Thank you. Peace 💕🇺🇲

[@KatJ3st]

You have to take into consideration that IF a non-resident with no medical coverage is brought to a hospital they will likely not be treated as they have no money to pay for it. They would just have to leave.

[@jacqueliney1017]

EMTALA... There are laws in the U.S. that are supposed to prevent this. Anyone taken to any emergency room for any medical emergency must be treated, regardless of residency or ability to pay.

[@carolyne803]

Depending on how much of emergency it is, this can be unconstitutionally against the Hippocratic Oath of "do no harm" -- in which it can be more dangerous to release a patient in really bad condition than keeping them there regardless of their wealth

[@niqaliaevans5004]

It's a lot like the Emma Fillipoff case in Vancouver BC, as well, she was staying in a womens shelter before her dissapearance and her family didn't even know. She was talking about how the furniture in her room was talking to her and had a family history of mental illness. Her mom at one point had tried to harm her father for cheating. She was out barefoot the last time she was seen and was out of it, found by a friend who called police. They talked to her for 45 min and then let her go, even though barefoot in winter is very strange. She was acting as if someone was following her, and her last movements are just bizzarre. She never owned a phone and bought a burner phone before she disappeared which has never been found, she was going to fly out back home but then told the cab driver she had no money to go to the airport when she did. She was possibly being stalked by an old classmate her followed her out there from Ontario. Only recently a man came forward to say he had given her a ride when she was hitching then she asked to get out at an intersection and even though he knew something was wrong he didn't want to be late for work. It's so strange how she just vanished into thin air. I am from Seattle and was about her age so this case has always fascinated me. I really hope her family gets answers one day, even if it's just finding her earthly vessel.

[@cassandraespinosa2223]

@Niqalia Evans - Dr. Grande actually did cover the bizarre & mysterious case of Emma Fillipoff not too long ago. Check it out whenever you can.😉

[@marimedgal]

Poor girl. These cases are so sad. I like how Dr. Grande explains things so well like the psychomotor agitation causing the odd hand movements and some of the parallels with this case and the Elisa Lam case. I hope that Dr. Grande will talk about Cheslie Krys soon; I haven’t been able to stop thinking about her since she jumped to her death on January 30.