Psychiatric Interviews for Teaching: Mania

[@carlose0318]

I was certain this was a real patient. One of the best standardized patients I've seen representing mania

[@sahirzulkifli4860]

give that man an oscar!

[@adamlime6726]

man of the year...

[@BetterCallShannon]

I’ve actually seen and experienced a women and a man going through manic episodes. They can last days, months and even years. I’ve honestly knew a women who stopped taking her medications for her bipolar, and she behaved very similar to this man. I think it’s impossible to fake this behavior.

[@jan41300]

@@BetterCallShannon the patient in this video is played by an actor

[@gal3814]

@JZ's Best Friend 😂😂😂😂😂You are so funny

[@tomiwasolaru1311]

like !! he killed the role! extremely believable.. super amazing!

[@josephtedesco9138]

This guy deserves an academy award. Absolutely brilliant in his presentation and the Dr. is great as well.

[@southwest3671]

Lol. The Dr. is peddling, while his gears are turning. I bet she cut his words off mid-Air after an hour with a pair of hedge clippers.

[@簡崇暐]

It's extremely difficult to interrupt a mania patinet. I failed the my oral test in an interview with a bipolar patient. What a lesson I've learned.

[@theeskrungly]

This dude feels like the final boss for mental health diagnosis.

[@rippercharlie]

He is a brilliant actor great representation of a person in the height of mania

[@forgetfulstranger]

"The voice doesn't come through your ears, it comes out your mouth" this part always kills me!

[@Love_Lynnae]

You’re a doctor u should know this lol

[@GhostHunter831]

Your still alive.. how does it kill you?

[@eurekaelephant2714]

Haha me too. And shes a doctor so she should know this...

[@ArminHP]

The actor played terrifically. Thanks for the video

[@HeavyProfessor]

Armin ND Yes, I work with these patients as a doctor in training. Perfect acting!

[@pain9999100]

Does the patient has a bipolar disorder with a manic episode ??

[@jenniferskweter]

@@pain9999100 yes.

[@monteiroeduardo9338]

@@HeavyProfessor what is the treatment for this pathology?

[@mmasetshabakautlwale4608]

Actor? do you mean he is acting?

[@dopeymark]

If this man is playing the part of a manic episode he deserves an Oscar. I don't think anyone could fake that so well. I've seen too many of them in real life.

[@simoninkin9090]

She is WAY better than the "doctor" from the "psychosis" video. And the acting is more realistic here again, the guy suddenly closed at the end, as the result of loosing the trust in the doctor, even though she's been very careful.

[@thejordanchronicles6715]

This is SUCH an accurate representation of mania and what I go through and how my family and friends stay patient during my episodes (literally nearly word for word how I will act!!!) Thank you for this video and explaining how it truly looks 💚

[@vannarooski8730]

My mother looks at me like I have mania. Which I probably do. It would be interesting to hang out with someone who has it too, to compare. I hope the powers that be spared my two kiddos from my weirdness tho. I wonder if my husband would see this and say…yea that’s you baby sorry. I don’t think I’m as bad as this actor tho. God doesn’t talk to me but I feel like I’m shown little tidbits of synchronicity that feels like I should follow it. I haven’t actually been led astray yet and have actually improved my life financially so I’m not seeing this as mania. More like spiritually awakened. And if that’s the definition of mania then everyone who feels spiritually awakened is a maniac too. Which doesn’t seem fair at all when others simply can’t keep up you because you are on a whole different level of vibration.

[@yewloong3]

Great technique. OSCEs are under 8 minutes, i guess there are certain part where you would have to interrupt and get to the point. Some of you are commenting on how rude she is but this is meant for Medical students and psychiatry trainees. We are trained to confront with patients in this manner because our exams are under 8 minutes and thats inclusive of presenting to the examiner our findings. So yes, there is nothing wrong with her interview, i am sure she is a professional herself. The only thing wrong is, it should be quicker and more straight to the point (this is to prepare medical students for exams anyways.

[@xk3168]

after 8 years ... nothing has changed... exams are of 8 minutes and patients are getting a bit harder

[@johngellard1187]

Your exams's are 8 mins?.....well good luck with that as it takes on average 10 year's to diagnose bipoar ,I am bipolar too 23 year's for me,have non prescribed drug's been ruled out for starter's?....

[@EoinFromEire]

I'd sit and listen to this guy for hours!

[@olekstom]

I agree. He is awesome.

[@cookmymeat]

I agree. However this won't last very long. For better or for worse. He's bound to crash. In one day, one week or maybe even one month. Then he'll feel miserable, hopeless, exhausted, empty and possibly with an overdrawn bank account and strained relationships. If you are not bipolar and want to know what mania feels like, do some blow! OK don't do that, but if you did, you'd have both sides of the story: the high, the energy, the delusion of grandeur and the pressured speech and then the low, the depression (all wrapped up in a messy session). In other words: it's super fun. Except that it's not.

[@olekstom]

kailinu Depends on the person, point of view and personality. We are all here to learn and evolve. For me this guy is inspiring and extremely funny. Cheers ! We are all trapped in a fucked up political, economic, social and cultural system. We should find a way to transcend this trap. The problem is that our imagination, social , emotional problems have become the cash cows for the arrogant "mental health workers" who believe that they are all knowing, all wise and all perfect. They have no sense of humor.

[@BlakeFitzgerald]

ive had friend's talk like this for 2 days straight....love em to death but it does start to do ur head in after the first 24h....

[@Ariananikita]

kailinu He may not necessarily crash. He might just be manic. It's less common, but it happens.

[@rahoulg1838]

Brilliant acting! All of the difficulties in interviewing patient's with mania comes through really well.

[@10MinutestoRouletteFortune]

Problem is, he's not acting. People with bipolar are often very animated. This is very normal for someone with bipolar.

[@HighRewards]

@@10MinutestoRouletteFortune he is a actor, he is portraying someone in a manic episode he does not have any mania disorders

[@theedmee]

@@10MinutestoRouletteFortune This is more common with Bipolar Type 1. The majority of patients have Bipolar Type 2, which includes more depression (and sometimes anxiety). Manic episodes are far more common for Type 1 patients.

[@Agent-dj8nx]

even his shirt is manic. i love it

[@Tombombadillo999]

Robert Watson 🤣😂🤣 damn i also want a manic shirt. Should be a new business: the personality disorder shirts

[@micheller6804]

I was thinking exactly the same thing...also that he reminds me vaguely of Geoffrey Rush.

[@cheebsmcp2980]

Hahaha lol

[@lukaszhuminiecki8131]

True. It would not work if he was dressed all in black.

[@wolfie1027]

🤣

[@allandill642]

"They call me the manic mechanic" Me: **Died**

[@reruddock]

The actor was very believable. I've worked on an acute adult crisis stabilization unit for 12 years as a psych RN and am all too familiar with patients who present with severe mania. In the description it states he is an actor, but I'm pretty sure he is also a doctor acting the part of a manic patient because of how well he represented all of the nuances... especially calling the interviewer a $hit doctor. I have heard patients say that to our psychiatrists many times over the years. Good job.

[@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!

[@qoooooooq]

I've dealt with people in maniac episodes, and this is very on point. His acting skills are amazing! It's almost like he is not acting, and really experiencing mania.

[@lukei6255]

Not sure who has a mania here: him or her 🤣

[@johngellard1187]

​@@lukei6255him,she can't get a word in😅

[@emmac9260]

This psychiatrist has a lovely manner. Really genuine.

[@reshamm95]

Emma C no she really doesn't. She seems very interruptible and pretentious. She's only focused in on diagnosing according to her questions, not listening to him and trying to figure out what is really the problem.

[@mektheblack]

As you've seen in this video, a manic patient can talk for hours about irrevelant subjects, so she had to interrupt him to diagnose.

[@brunonp105]

@@reshamm95 You need to narrow his answers to get the info to be able to diagnose, some patients can talk for minutes with giving any useful information.

[@hmrobert7016]

Telling him her name would be more genuine

[@amanda4540]

@@reshamm95 if she let him talk the whole time she would never get anywhere, psychiatrists work on a fixed schedule she can't just wait the whole time and only get a couple of answers in because it would be a waste of her time and his money

[@thebrain575]

This actor is amazing! I rarely see mania so accurately depicted.

[@rsldnwr]

I can really feel what it was like interviewing a patient with maniac when in psychiatry class. Patience is the thing!

[@jaym3064]

I absolutely love his comment on the advert for the phone. “So I can find out more stuff.” He’s very sweet. So many of these folks are so intelligent with so much to share and can’t pace or focus.this actor reminds me of Michael Caine

[@blubbiblubblubb]

first good example of mania here on youtube, reminds me a lot of my first psychiatrist vidit during full blown mania.

[@dermalaz3813]

Flight of ideas pressured speech acceleration of thoughts disorganised speech

[@mabukemuemuelelwa929]

Derma Laz pressured speech so serious

[@regi3875]

Grandiose Flight of ideas Sleep deficit Talkativeness

[@michaelcrawford310]

"Names are games". For some reason I like that comment alot.

[@rambeid.r7687]

i'm a fourth year medical student,i admire this doc...she's grt and patient.thnk u

[@jenbingham0914]

Makes me wonder if this man is a psychiatrist himself. He seriously nails this perfomance! I can only imagine someone who treats patients that actually do talk with people who behave like this that would give this accurate detail. Does the actual psych aware that he is an actor?

[@davtri4880]

😂😂😂

[@ArizonaWillful]

This guy is a fantastic actor. BRAVO!! Much Applause. Great Job.

[@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. 💙❤

[@strethy]

Great actor. I wanted to see how she dealt with it in the end though!

[@monknhandu2945]

Actor?

[@MrRazorblade999]

Monk Nhandu He's an actor. Read description.

[@annelibale2590]

he woulda been sectioned probably judging by it

[@if.rahlearns1018]

So we just studied manic disorders in our Psychology class today, and i thought the symptoms resembles of that of ADHD, but i totally understand the difference now. Thank you for posting this.

[@irishcountryman4866]

What's the difference?

[@johngellard1187]

​@@irishcountryman4866Being hyper,pressured speech,racing thought's as to ADHD,hyperactivity,but with lack of concentration

[@isabellaslack7220]

That poor woman couldn't get a word in!

[@lilbatz]

Welcome to mania lol

[@WretchedIcon]

I didn't realize so many people were experts here on KZbin. I also didnt realize that people have such a disbelief in mental disorders. This published by the University of Nottingham as resource for students and people interested in the field. I'm only an undergrad, but I've had real experience with those who suffer from some of these disorders and it's certainly a issue that our country faces nowadays; the fact that people are so dismissive of it's mere existence proves a cause why it exists in the first place. If we had the the mental capacity to recognize the issue, we could come to together as a society and push towards a brighter future.

[@lachlansimpson5086]

I didnt realize we were all experts mate

[@catherine4176]

Very interesting personification, even down to the way he is dressed.

[@clanbigger4]

totally sold the manic state, i've interacted with several family/friends exhibiting these behaviors & it's spot on.

[@Maiasatara]

Thank you for admitting it’s a re-enactment and for stating the obvious reasons one cannot post actual client interviews. The days of Titticut Follies and the Stanford Prison Experiment are long gone. (Frankly the Harlow monkey experiments break my heart the most.) My overall point is that there are other channels implying they are showing real patients well after the 50’s, 60’s and 70’s and it’s leading to people, those who are suffering now, attacking anyone suggesting we are watching actor portrayals lack compassion. Calling out a channel for being misleading has zero relation to empathy for those with the conditions being portrayed.

[@uniofnottingham]

This is indeed a staged scenario using actors.

[@ebuhkary]

wow.. i would never thought that was acting.. perfect. thank you.

[@natashavernon9828]

Is Doctor Vehdi an actor as well ?

[@uniofnottingham]

The Doctor is played by a real psychiatrist.

[@natashavernon9828]

***** Thank you very much for the fast reply . I appreciate it .

[@letsogichmaric5107]

That is really dissapointing because i wanted to see how a manic person acts and you cant just stage that it makes this video really pointless

[@Siggkins]

The guy is a great actor! That was hectic....and very like how mania can present in a person. Also...hilarious in parts...some of the lines he comes out with.

[@joey2011111]

This man is unrivalled. Perfectly done mania.

[@shelley2he844]

people expect us to climb the walls or something, some of us are introverts and dont get dis inhibition. I lock myself in my house and have panic attacks, pace around all night, draw write organise things, plan trips, etc etc all inside my own mind, without saying a word to anyone. not all bipolars are the same. Good point :)

[@Roswell33]

I met a man recently who presented like this, he was practically homeless, but had found a shack to live in. I just found him very intriguing and overwhelming, yes, but interesting! He was a bit more sensical but definitely had a flight of ideas

[@StephSancia]

"i don't bother with names that's too weird CALL ME JOHN" 😂

[@markkennedy9767]

This guy seems like great crack. 😅 Actor's pretty good- pressured speech, clang association, punning, flight of ideas, grandiosity, inappropriate, elated affect, all in the first couple of minutes. Manic patients were always my favourite patients.

[@genevievegenereux4262]

"I called Him 'Beardy-Beardy' once. He did NOT like it." In all seriousness this is probably about as close to an actual manic episode as acting can get. There's just no replicating the genuine thing.

[@mareeloup]

I am a person who hates their mania. I don't like it, I fear it badly, way more than my depression. I get nymphomanic, narcissistic, I don't sleep and I don't eat...My thoughts are racing so badly that I can not even sit still, I talk to myself etc etc. I do like my depression more, way more. I feel like losing control in mania. I hate losing control over myself. It's not like I do not lose it in depression, I do. But not as severe. And I am bipolar 2, I am only hypomanic. So I am happy not to be bipolar 1..

[@juliebennion8856]

It is possible that mania & schizophrenia are actually, in part ~ hearing the voices of people that presently exist in spirit form who are able to 'inhabit' a physical person's mind. I believe this is the case. My eldest brother was diagnosed schizophrenic; My own experience of dis-ordered emotional-mental states prmarily took shape in the form of an eating disorder (bulimia) & kleptomania; It took me 30 years to quit these self-sabotaging ways of managing & coping.. with everything. Recently, I have been exploring the possibility of Soul-Transforming healing, through reception of Divine Love. So I would like to share about this with you by introducing AJ Miller (aka Jesus, or Yeshua to folks who know him, mostly those who live in spiritual realms, where he, along with billions of other souls, has been living in his spirit-body-form, continually learning, while progressing to higher spheres, and teaching God's Way; This he has been doing for the past 2000 years. He returned to the physical plane in 1962). He talks at great length about how we wind up with physical & mental dis-ease, in large part due to our parents unfelt, unhealed, projected & damaging emotions, alongside the negative influence of dark spirits ~ these are people who once lived on earth, who have not yet begun to make positive, loving choices; Instead, they continue to hover around the earth, often to feed their addictions (e.g. desire for control & power over others). Here is the link to a page where you'll see some video-clips where AJ/Jesus speaks specifically about the core causes of mental & emotional imbalance: kzbin.info/door/5I-uXaodzoOG3LPJyRb-Uwsearch?query=bi-polar+disorder

[@ag36015]

Marée Loup Thanks for the comment, it's really fascinating to me.

[@Amandax-tx6yb]

I'm bipolar one. It sucks.

[@Bobklijn]

Great actor, also non verbally. The moment when he puts his glasses back on asymmetrically..

[@heatherlovebug1]

this is exhausting to watch :O i cant imagine doing it in practice now

[@ade1963]

wow! a brilliant performance by the actor playing John. The doctor was compelling too

[@kayc2487]

Very good representation of mania. Especially the part near the end where he gets frustrated and angry with her. Very typical of Bipolar Disorder. They are full of ideas, excited, happy & upbeat. But the minute you don't do what they want, they will turn on you.

[@RAFFAGAN]

it really depends on the person and the severity of their condition, a lot of people who are Bipolar don't experience psychosis during mania, saying that the person will turn on you when you disagree with them is a bit stereotypical to be perfectly honest. I can see how that could happen with someone deep in psychosis though, or alternatively they could become a harm to themselves.

[@barreralinamaria]

This video, along with the other interview for teaching videos, have been extremely helpful! Thank you!!

[@nathancrosskey]

Hardest OSCE ever.

[@FJMLAM]

Fantastic actor. Very interesting seeing this problem 'played-out'

[@DrTWG]

I trained as a junior doc in psych for 4 years - one manic chap I admitted insisted that he show me a card trick before moving on - after fanning the cards I was invited to choose one - which I did , whereupon he told me to eat it ! Then , as he was talking , he wrote out the first page of the score to 'Tristan and Isolde' as he had seen my name . Amusing as this anecdote may be , it's a serious illness with serious consequences .

[@MJ-cb2tk]

How has this guy not stuttered or stopped to think for a second, incredible acting

[@marybernstein6498]

What an excellent performance by John! Great interation with them both.

[@SMG2fanatic]

I would have never known he was acting. Incredible

[@dbx1233]

Wow, I am impressed. This guy is so unique and special he has God telling him how wonderful he is. That's nice and on top of that he has the cure for caner. The sad and tragic part is that this guy truly believes his delusions.

[@joewhite3882]

Good vid good acting and interpretation of mania ( I have bipolar myself ) the guy reminds me of a late 80's early 90's kids tv presenter lol

[@ultrasoundcareramsay8559]

Fantastic writing and acting. Great response from the psychiatrist.

[@lordhumungus1386]

this "conversation" sounds exactly like "conversation" between me and my buddies on amphetamine..joke on a side now,the worst thing mania can do to the person is when a patient is when comedown starts after mania episode..it brings huge depression

[@davidgow2505]

This is actually pretty realistic. Mania is concerned with a very large symptom set but what is illustrated very well here is the inappropriateness of the connection that the service user wants to have with the clinician. It’s a good example of pressurised speech. 😊👍

[@lukaszhuminiecki8131]

I worked with somebody who was a bit like that. And he really was a researcher...

[@jshdhdyjfjdjfhfyyene731]

8:53 was a good opportunity to earn his trust in showing a genuine interest in his work then gently going back to gaining further information and seeing how she can link his work to him gaining the further information so he can continue his work yet actually begin to feel better enough to slowly see that the impact of the therapy along side his work is having a positive impact on his health and therefore help him gradually dedicate more time looking after himself and in time seeing that the foundations to his work can be gently dropped as having seen reality for what it is. 8:53 was a hard time for them both but bravo to bother actors!

[@thomasgall703]

My man is living his best life

[@prithasavitri4873]

i will a role play tomorrow for my aviation psychiatric class...being a manic patient... this video give me a big big help...thank you

[@madekurniawidiastutigiri4165]

felt honour have visited nottingham and discussed with Mrs revalty 🙏best regard from Indonesia

[@raymondkinsella2484]

I actually feel like I need to debrief after watching this- great actor!

[@charlottebaillie3095]

On point, such accurate and refined content (this was me.. no sleep, huge projects, God speaking to me and all. I was fantastic, on top of the world - involuntarily admitted five years ago. can relate)! Very impressed.

[@avoice77]

OMG, this type of patient requires a special kind of patience and focus on the doctor's part. How do you help someone like this who doesn't realize they need help?

[@lomekopolo]

I am about 4 hours from my psychiatry exam and there is nothing else I would do other than watching these videos to improve my clerking skill, Nice videos..

[@Hi-jx5gu]

What did you specialise in? It has been 7 years. Im currently watching it 7 hours before my exam haha.

[@lynnlloyd4602]

He deserves an Oscar!

[@Marie-v4p]

Wow this reminds me so much of my ex's mom. She had so many notebooks of her lists and it was hard to keep a conversation with her a lot of times.

[@jd9720]

this is scarily accurate to me working in retail, how customers appear when they are complaining.....

[@prometheus5700]

That's probably just ego, not mania. Thank heaven.

[@lilia_spn]

what an amazing actor, respect

[@christineelizabethart163]

this actor is brilliant. really hoping he got some top notch roles since.

[@dmgsoultogetherness6667]

Absolutely spot on...for someone without pressured speech he def pulled it off..👍.ps..only thing missing was over the top laughing and or sweating...

[@iwanuch222]

In the first cuple of minutes he laughs a lot :)

[@robinchuwan]

Had I not read the comment I would’ve never guessed he was an actor!

[@casey.rob.]

I’ve dealt with a manic person, this guy got it right.

[@irishcountryman4866]

Was he diagnosed with bipolar?

[@zeecaptain42]

OFC it´s acting - But It´s some really amazing acting! Fantastic!

[@spotlightman1234]

The brightly colored shirt was a nice touch.

[@Rapunzel1963]

What an awesome video. Well done that actor and the psychiatrist!!!

[@gogetyourgun1490]

I came from Timbah on Toast's video about Kanye West's mania. I was certain that this was a real therapy session. I didn't know this was an act. That guy deserves an Oscar.

[@sezthet1]

This was absolutely hysterical, but only because it was so accurate! (Not saying mania is funny by the way, I just mean it was a spot on interpretation.)

[@Uhhlaneuh]

I have ADHD and this reminds me so much of my brain

[@idontcare8405]

I have Bipolar and mania is absolutely hilarious

[@JL-rl6ef]

I feel like I’m at work. Psych RN here. He’s doing a great job.

[@lilbatz]

Especially when he shuts down at the end.

[@n5817-c]

Great acting, nice touch on the clanging. Depending on the patient, some features can be more or less extreme or present differently. For example, it's not always auditory hallucinations of an anthropomorphized Judeo-Christian "God" speaking but instead could be something like delusions of control wherein the "Universal Mind" is acting vicariously through them. Or in terms of grandiosity, instead of responding "yeah, I'm at least smarter than my buds at the mechanic shop" to the question "do you think you are more clever than perhaps other people?" one might say "I know I am" with unwavering, perhaps delusional levels of confidence. Lots of subtleties which is why psychiatrists will always be needed. Anyway, impressive acting regardless.

[@nikhilkrishnan777]

He is just amazing.. Exactly like a real patient

[@abhijitchakladar2189]

Superb acting...Psychotic symptoms of mania are clear...no hassles in diagnosing..

[@kathyjanssens4456]

That's my brother-in law to a tee, even when heavily medicated he can still have patches like this. Fantastic actor.

[@DurgaDarshene]

Thanks for this video..really useful for medical students on clerking history during OSCE from a manic patient as in the video. best one :)

[@gracetanner4132]

The best accurate portrayal of manic behaviour I have seen!

[@lanapoulliot7682]

Wow, like 30 seconds in and I'm exhausted 😩. What torture to live with this, let alone try to pin him down to any one thought at a time

[@Loliconman]

It's a curse

[@mjmallari796]

Thank you. You will heal. You are worthy.

[@fishingjack]

Great acting. Learning a lot from this

[@Robert_Fiori]

I need a glass of water now after having seen that. My heart is skipping a bit faster. Are some people really like that? Geeez !

[@josht2834]

These SPs are brilliant at their jobs

[@davidl9232]

I personally think the counselor handled it well. The speed of his point/emotion changes and recovery can be, as with many in a manic phase, can distracting-fatiguing. Many years ago I had a sibling that would go thru times like this for days. Most of the time it didn't involve doing stuff like research. It was mostly personal opinion-commentary. Unless their was a switching to a delusion state of being a private detective Wearing oversized trenchcoat, old style camera slung around the neck. In any case, now, these many years later, it's much better. Stable, patient ( as in patience, not, as in client), self determining.. Good luck

[@shylocie595]

My husband has a lot of mania. He gets aggressive and loud more than euphoric. A lot of pressured speech.

[@chitty2bang]

i agree, so convincing if he truly is an actor.

[@figarofog9409]

I talk to my family this way, but not quite as bad. My speech is disjointed. But it makes sense in my head, like I'm going somewhere with it. When I write, I miss verb tense, plural "s" and articles like "the".