you’re serious aren’t you you’re telling us you killed those three young men on the metro and why should we believe you ain’t got nothing left to lose not everybody does this it’s extremely rare and in fact the joker unfortunately overplays the idea that mental illness and violence are related hey gq i’m dr eric bender i’m a child adolescent adult and forensic analyst and this is the breakdown first up bojack horseman okay trey and i will be in the coke area doing hand material otherwise you don’t know anybody now hollyhawk has moved into this party and her friend is teasing her right away you don’t know anyone that is the worst thing you could say to somebody who has what’s called social tension disorder in social anxiety ill people are startled that when they go into a place where they don’t know beings or even when they do know people that they’re going to embarrass themselves that people are going to see that they’re uneasy they are likely get so upset they might even have some bodily pains like nausea or tummy tendernes and they want to avoid the situation as she gazes around she starts to get more uneasy you witness her starting to hyperventilate she’s starting to come short of breath they’re all kinds of anxieties and they differ in very significant ways sometimes feeling is really serious and we call things ailments if in fact the distres impairs people’s functionings during the day or in these cases say if she does have social tension disorder she shuns training that’s pretty important for increase that’s impairing part of her life in an integrated part of her daytime if it’s a certain situation parties scaped that can be called a phobia like a panic of serpents horror of flying so there are specific situations that arise that movement parties suspicion more oh what do you assure what you’re having an nervousnes onrush so look around the room and tell me what you see i i see parties partying and passing out this chap has done a really good job now of using a care proficiency called grinding i have just been used this with patients when they get super agitated you can tell them to look around themselves and to tell themselves where they are i’m standing here i’m in a office it is tuesday what else do you experience um volumes pizza containers i see light fixtures i see an strange amount of four poofs that’s a fabulous procedure he too announces it an suspicion assault that is another word beings use to describe a panic attack she’s clearly having a panic attack here he facilitates her with this grounding technique you feel any calmer yeah actually it’s a prank my analyst taught me i’m peter by the way so this party’s kind of army you want to go get some breath yeah if there are a lot of people around you blocking where you are and where you’re breathing yeah perfectly get out of the office and get some fresh air you hear fresh air because a lot of parties have trouble they’re they’re trying to breathe so you want to get them out to a lieu where they feel like the government has more access to air so that can be more psychologically helpful too but i think sometimes it’s even more all right let me get out of this crowded environment that’s making me feel like i can’t breathe the panic attack often comes on sudden onset and they can tell they’re having one they might say yeah i believe if i go into that situation i’m gonna have a panic attack but where reference is happens it’s just a super sudden onset for most people sometimes parties with feeling tend to drink more apply essences more they want to feel tightened alcohol can tighten you to some degree however it can also on the comeback make people’s depressions feel worse or make anxiety worse so then you can run into bad cycles/seconds of beings feeling good and then it wears off they take more and they make more so there’s this feeling like you can help but in the long run it might be suffer more i can’t believe that one of the best depictings of suspicion and get facilitate comes from a parody about anthropomorphized swine but this is really great first off this guy’s saying hey i go to a psychiatrist that’s going to make hollyhock feel right he’s saying try this it’s cured me that’s going to make her feel better so this is a really good portrayal next up joker you’re serious aren’t you you’re telling us “youve killed” those three young men on the metro and why should we believe you ain’t got nothing left to lose so i think about a couple of things the first thing is psychopathy and psychopathy is not a mental illness it’s not a diagnosis psychopathy is a collection of personality mannerisms and that includes feeling no remorse it includes being callous uncaring the joker here is letting us know he’s exactly that he has no remorse for killing these three beings he also says he has nothing left to lose in a violence assessment of risks in forensic psychiatry you look for things that are warning signs such as people who have been isolated and lonely people who have felt traumatized and persecuted and those who don’t have any resilience parts factors inside that help them recover from traumatic occurrences or external backing and that’s exactly arthur freckle that’s the joker that can be what’s called a pathway to violence not everybody does this it’s extremely rare and in fact the joker regrettably overplays the idea that mental illness and violence are linked it’s important to know that we don’t know why people do propagandized over the edge and there are very very few so that’s really important at the same time there are people who are repeatedly traumatized forgotten mistreated and there’s a storm that can develop inside them and i see that sometimes in psychotherapy when i’m talking to people who’ve been chronically mistreated or traumatized but again those people do not for the most part go out and perpetrate any violent acts my life is nothing but a humor let me get this straight-shooting you think that killing those guys is funny i do and i’m tired of pretending it’s not there’s a difference between psychopathy and psychosis psychosis is a break from world people are examining things interpreting things it’s called hallucinations those are psychopathic issues the joker doesn’t seem to have any of that in cases of psychopathy people use others in their lives to get what they want other people are pawns oh why is everybody so upset about these people if it was me dying on the sidewalk you’d walk right over me we construe his feeling go back and forth from irritable to seemingly crying to virtually chuckling a little bit that can be called a couple different things a single word is lability where you have such alterations but what explains it even more is probably a diagnosis of what’s called pseudobulbar change and what that entails is there’s a disconnection between the breast of the intelligence the cortex and the back of the mentality the cerebellum that connection actually helps us express our feelings when that’s broken either because of trauma and we know arthur flack has a history of damage to his head even that connection can get disrupted and what happens is there can be a sudden onset of crying or laughing even though the person might not even feel as if something’s jocular or that they’re sad it exactly starts what do you get i don’t think so when you bridges a mentally something that too shows that this is more of what’s called psychopathy and not a psychosis a break from actuality is that he’s telling murray exactly what’s going to happen this is what you get he knows clearly what he’s doing that substantiates he’s of a sound mind he does not have any psychotic topic at this time he’s not hearing voices he’s not beholding things he doesn’t have illusions in fact his accusation about feeling disposed that is a common feeling among people who do try to seek help in the system for the traumas they’ve knowledge sociopath you hear that word and you do think of a serial executioner because a lot of the serial murderers present psychopathy they don’t care parties are just playthings in their lives they’re there for leisure and i think in the joker’s case you might look at him and say here’s this dude garmented all and comedian makeup there’s got to be something wrong with him well he’s actually trying to be noticed in some ways this guy’s shortage attention for his entire life and he’s been neglected he terminates up get propagandized over the leading edge and again we don’t know why that happens and he turns to cruelty there is a genetic ingredient to mental illness and his mother did have severe depression it’s also much more common that parties recognise one in five americans will have a mental health challenge within a year and in fact half of americans will have some mental health issue during their lifetime while the joker intent up illustrating this link between violence and mental health issues that doesn’t exist or it continues that stereotype it does do a very good job of showing that resources can get attracted at any time at the end of the movie the social worker is explaining that nobody cares about beings like him that in fact money goes away and that does happen a lot so clinics might be there and then they’re relying on funding that unexpectedly comes attracted and that is translated into little help for people who really do need it next up rain man sally gibbs dipped sally 461 0019 2 how did you know my phone number how’d you know that you said predict the telephone book last nighttime tip-off sally okay so this is something it’s pretty rare it’s called savant ailment first off the idea of someone being able to read a phone book and memorize it and know phone numbers that is a somewhat remarkable clevernes right now they’re supposedly maybe one in a million people living with savant syndrome that represents there’s a certain gift and it’s usually in a few areas it could be an art in arithmetic or math it could be in music so here we recognize raymond is able to memorize phone numbers he has this savant disorder he also has autism autism is a developmental disorder which means that as someone is developing they don’t develop in the way most people in culture would develop and in autism you look at two main areas you look at how somebody’s developing and how they’re communicating and that includes do they make look contact and communicate with language do they actually seek out reciprocity or do they render reciprocity implying can they participate with someone in a exchange in a regular nature or do they not time things out not try to draw attention to things in their macrocosm and not is submitted in response to parties and you gaze and be seen to what extent they respond to non-verbal cues non-verbal language beings with autism can have some insufficiencies in some of those areas another area you look at is the interests of people with autism where someone maybe simply sharpens in on one thing and protrudes with that and has only one surprising attachment to that one thing or do they have a broad range of interests too you look to see if somebody has what’s called stereotyped behaviors it’s an attempt to really soothe oneself but it doesn’t really fit we interpret a little of self-soothing here in rain man where raymond at first is rocking back and forth like this he’s trying to calm himself down so these are things that i look for in autistic spectrum conditions it’s also important to note autistic range agitation or autism it’s a wide spectrum just like if you say you’re sick you might have a cold or you might be in the icu and need surgery if someone has autism they could be impaired severely and raymond is more towards that cease or someone can be highly operating and have what used to be called asperger’s condition where they don’t really have the challenges of the never developing speech which can happen in severe cases of autism they might develop language but there are these other oddities about them chris i don’t have my toothpicks no you don’t need toothpicks i don’t want my toothpick you don’t need toothpicks for anything pancakes hinder slipping off you’re gonna ingest with a forking i don’t have my maple syrup either i’m gonna be without my maple syrup and my toothpicks now we see what’s called an adherence to a number that doesn’t make sense to most people but to someone with autism like raymond that procedure really is important and you can see his brother simply wants to get breakfast he merely wants to eat but when there’s a switching from that chore it can be very hard for someone with autism to deal with that in terms of why a lot of people believe it is a comfort it’s a soothing thing and when he’s plucked away from that he has some trouble clearly clearly not gonna not gonna have my my flapjacks so tom sail well he seems to be a jerky guy in the movie in some ways he’s responding to raymond at least in this scene the same way most people would feel annoyed i see this with households sometimes with children with autism for instance or even adults they just want to eat breakfast they don’t want to go through this chore of like putting things out in a certain way so a great deal of time families will say to me do we do this do we just go with these numbers or what there is a method of doctrine people with autism to discover and to work on behaviors that are not adherent to their routine utilized behavioral analysis is the technique and you are really positively reinforcing actions that assistant person deal with switches in their chore you honored that and that learns them that they can actually do something outside of their programme they require there are times when you do feel forced to go along with this adherence to routine but there are ways to change that a2 82 a2 it’ s a lot more nade two to three plus 246 total change what also is seen here is more of this savant ailment about half the people with savant disorder have autism the other half have other aberrations in their brain development in fact the person kim peak whom presumably raymond babbitt was based on he actually had a different type of issue with his brain not related to autism but again savant illnes is very rare rayman does a wonderful job of generating to the screen a topic “thats really not” has spoken about at all this was great it started a conference the challenge here is that rayman ceases up starting people think that if you have autism you have some superpower and that’s not the case next up the undoing the defendant’s mother told you that jonathan suffered neither regret nor agony in reaction to his four-year-old sister’s death they were certain once the outrage wear off the digest would begin but it didn’t it never came there’s a difference in my mind between agony and shame not be enabled suffer to me doesn’t suggest that someone doesn’t care some people really push away those feelings they don’t let themselves feel sad about it precisely because mortal doesn’t sorrow the route we are hoping doesn’t conclude them a psychopath but the lack of remorse seen again and again and again and again that could move soul a psychopath if i’m looking at a lack of remorse i’m looking for other aspects about somebody too a accumulation of temperament attributes to say they’re manic so that is likely to planned soul lies routinely about their background and who they are where they are what they’re doing somebody is very glib able to feign interest in things i don’t look for only no heartbreak and no pity i’m looking for this collecting of things together you told your friend sylvia steinitz that you believed your husband suffers from egotistical nervous breakdown wasn’t a professional diagnosis but your opinion narcissistic personality disorder is another type of personality disorder a narcissist they do have a sense of grandiosity a sense of self-importance there might be delusions about unlimited influence charm money things like that there are a number of other highways someone can be a narcissist but there’s a word announced malevolent narcissism which is used to describe people who do have the egotistical personality disorder that include this lack of empathy that include abusing beings in exploitative rooms in fact when we look at serial gunmen sometimes we say that serial killers have malignant narcissism that there’s this lack of empathy and again the latter are psychopathic mannerisms as well psychopathy is really interesting because even in populations that are very genetically isolated you might get a psychopath popping up simply they’re born that style that’s the idea that innately there’s just this callous uncaring sort to them the old way of looking at psychopathy they had what were called ingredient one characters there is indeed characters about your identity and they had factor two characters that was the criminal behavior so there’s different seams of criminal behaviour and doesn’t have to be murder some people think that there’s white-collar psychopaths so to speak where in companionships parties are doing things that are kind of dodgy not exactly following the rules and maybe those are psychopaths too there was a book a duet years ago exploring how many ceos has been possible to crazed idiosyncrasies perhaps there’s something about supremacy perhaps in order to get to that stage you have to not care about other people you have to demand a certain level of treatment and respect and that’s what narcissists do so there are all these different factors of narcissism but like i said it doesn’t mean they all shortage pity however perhaps there’s some degree of that in certain people that do make it into those arranges physician in your practice do you not tell cases that sometimes they so want to believe in their partners that they they decided to unknow things and see things there are cases of serial executioners where their development partners “d no idea” that they were out there killing hundreds of people that’s pretty common that parties don’t know about that line-up of their partner i think as a psychologist or as a therapist you might actually try to hone in more on people’s personalities but you are familiar with separate business and pleasure so maybe there was a lack of clevernes for her to see that it wouldn’t surprise me next up as good as it gets i think what this reputation is certainly trying to depict is something announced obsessive-compulsive disorder or ocd now obsessive-compulsive disorder meant that an individual has preoccupations or obtrusive guess that don’t feel right to them they feel what’s called ego dystonic it doesn’t mesh with how they actually envisage or believe or feel but something so powerful about them that they obsess over them and then what we heard here is what’s called compulsive action the obligations are the behaviors you do to get rid of that anxiety over the obsessions it’s a jolly extreme speciman jack nicholson’s attribute has the preoccupations over being unclean and the preoccupations over crowds and the preoccupations over this i mean that’s a fairly extreme illustration but that’s what hollywood does to try to depict these things what’s not realize is just how potent the obsession itself can be you kind of glean that from the fact that he’s doing all these things that that infatuation about being grimy is so upsetting to him but that part’s left out it can be an extremely embarrassing feeling not to participate in the compulsive action his anxiety level might be sky high and that’s why he’s doing this to avoid that feeling so he’s push to get it on to be disposed of that severe severe nervousnes there are ways to treat this there’s cognitive behavioral therapy it’s a way of challenging your thoughts the cognitive place even more specifically is something announced revelation response prevention you expose yourself to the thing that procreates you so anxious so if it’s that he’s going to be nasty you might have him stroke something that’s dirty and then wait not wash his hands immediately and the idea is with repeated revelations he could actually have his anxiety level go down over day we don’t know why it happens it does just come in and start and you really do need to treat it with show and response avoidance and too some remedies people can actually have communions or numbers that they do that seem awfully obsessive but never certainly get diagnosed so for instance if you’re always worried about the door being locked and say you live with somebody who doesn’t always keep it locked and you go back and check that serves a functional purpose that makes there’s a intellect you do that building sure you’re safe but at the same time for some people there might be an element of an obsession about that a fear that somebody’s going to break in a fear that the door is not locked so you can have ocd evidences and not get diagnosed hi assistance if you want to see me you will not do this you’ll make an appointment so here we do start to see just how upset jack nicholson’s reference is with these feelings and these obsessions these compulsions that he has if someone has ocd they’re not certainly going to be a jerk and achievement this practice the analyst responds well by arrange limits on things and bounds we’re not going to do this now if you require an appointment make an appointment i think that’s also really important in medication with anybody to have good borderlines but you do start to see how hard-handed this is for this character often this doesn’t happen with ocd there are other mental health issues where maybe somebody has really bad borders i think that’s what they’re hinting at extremely that he has other personality features that make it hard for him to interact with parties in his world but at the same time you be seen to what extent much ache he’s in if you take responsibility to keep breaking the apartment around two years ago i also regrew my whisker but you’re not interested in changes in niche that’s not ordinary for someone with ocd that they don’t have any interest in other parties i think what they’re get in here here is that there’s something about this attribute that’s beyond ocd that could be a personality disorder there’s a difference between obsessive-compulsive disorder and obsessive-compulsive personality disorder ocd the word is you’re unpleasant you’re really uncomfortable with what’s going on ocpd obsessive-compulsive disorder the phrase is you compile other people awkward because you want things in a certain way and you believe it should be in a certain way not because of ocd precisely because of the way you’re cabled here they’re mixing a little bit of both next up girl interrupted am i in trouble for kissing an orderly or imparting my lover a profession susannah is supposed to have a diagnosis of borderline personality disorder what that means is somebody’s interacting with the world countries hugely different than the cultural standard and it justification troubles for them borderline was originally used to describe someone who’s on their own borders between neurotic represent managing a great deal of distres and insane having a break from actuality you have some very interesting ideologies about your illness you believe there is a occult undertow in live quick-witted ability of darks we consider a duet things that suggest she does have mete personality disorder you have references to reckless behavior which can occur and they’re hinting that it’s the sexual chapter she’s had there is this description of quicksands of duration which might be more philosophical but the relevant recommendations of shadows is she experiencing things at times does she feel like there’s something else there there is indeed chronic feelings of emptiness there can be an shaky ability of oneself that’s what’s being identified now by the psychiatrist your progress has plateaued does that thwart you i’m unsure in fact that’s my new favorite text this is actually really good therapy the psychiatrist marks a plateau and she feels this patient can handle it and thrusts her a bit to say you know what what do you think about your treatment it symbolizes i don’t care that’s what it means on the contrary susanna ambivalence indicates strong feelings in opposition she says she’s unsure and she’s really relating something i see in a lot of cases there are two types of feeling there’s both a desire to get better and there’s this desire to give up a lot of times those are the opposing feelings so you really do insure opposition in patients and identifying it is very important for the care the prefix as in ambidextrous intends both the rest of it in latin symbolizes figure the word suggests that you are torn the doctor does a very good job in pointing out that it’s not about not attending it’s about the dispute between really wanting to get better and feeling like this is so hard i’m never going to get better and i can’t do this ambivalence isn’t a diagnosis but it’s commented on it certainly can be commented on and it is fodder for the therapy i mean that’s certainly something to talk about and she picks up on it well i indicated myself in i should be able to sign myself out you ratified yourself into our care we decide when you leave you can sign yourself involuntarily and you are in a position to argue that it’s time to leave the hospital they can’t prevent you like this unless and you’re staging itself danger to others or you’re gravely disabled how much will you indulge in your flaws what are your inaccuracies are they flaws if you espouse them will you commit yourself to hospital for life you typically don’t have this kind of intense psychotherapy when someone is in the hospital for a short time this was a different go the 60 s and this psychiatrist does a really good job she’s actually bringing forth all the questions that someone with the borderline personality disorder might be facing but not know how to articulate they’re wondering are they certainly a bad person that unstable appreciation of ego or are they not are there different ways to see things if i go down this path of thinking about myself how will my life inspect if i go down this path how will life is so very she does a really good job articulating for the patient what might be inside her what she might be thinking what she might be feeling and that can be a really effective therapeutic programme there are a lot more pressures on children and adolescents these days what used to happen is if you were coming bullied at school you were having a disagreement with somebody you could go home and have a respite at least for you know 10 hours 12 hours now you can’t it’s non-stop there is social media there are textbook letters that it’s just non-stop not only in a negative way because maybe people are cyber bullying but also kids today feel like their social living revolves around who’s commenting on this and who’s done what so there’s this drive to be social that room to keep up and that can cause a lot of suspicion another good thing that daughter interrupted does is it pictures someone who can participate in their care and who’s not quote-unquote crazy a lot of depictions of mental illness show people who are so affected by their illness that they can’t function in society susannah here does not have psychotic afflictions she might have some notions about herself that aren’t true but that could come from trauma it could come from other things so girl interrupted does a good job of showing that you can have somebody who is quite functional for countless beings mental illness is a part of who they are it doesn’t define them next up inside out wouldn’t it be great to be back out on the ice oh yeah that clangs superb it’s a pretty good depiction of feeling in a girl people often expect girls and teenagers to appear sad when they’re chilled but more commonly you receive teens as irritable there is literally the absence of joy in her brain and she’s not inevitably sad she’s fretful she doesn’t know what to do or what to say that might be polite because she’s not focused on that did you guys pick up on that uh-huh something’s wrong should we ask her let’s examination but keep it subtle so she doesn’t notice so how was the first day of academy she’s probing us the other part of this that’s really good is the depiction of both parents while whimsical the mom’s wondering what do i do what do i do for my daughter something’s not quite right they have a sense that something’s not okay i think it’s pretty clear as you determine her more throughout the movie that she’s suffering from some hollow in recession you look for a depressed climate or that irritability in an adolescent you look at loss of appetite difficulty with sleep are the things that interested her still joyful to her so hockey used to be it doesn’t seem to be anymore how she’s centralize she’s not even focused on the questions it’s kind of huh what the hell are you look at all of these things and together they describe a picture of recession boys feel a lot of different things and particularly in the teenage years what they’re interested in is new to them they don’t know how to explore that sometimes so all these feelings do intermix and do exist in the head of a teenager i’m somebody who doesn’t believe that teenage years need to be all kinds of crazy i think actually they can be delightful years but it’s important for parents to let kids explore living and to take chances school was great all right riley is everything okay sir she merely rolled her looks at us what is her administer riley too time moved from minnesota to san francisco which is like moving to the moon so it’s totally understandable that she would feel out of place even little things are hard for her to get used to when i see girls one of the things i ask are there any major life reforms because it can really be jarring to somebody riley i do not like this new attitude oh i’ll show you attitude no no no no stay fortunate what is your problem just leave me alone it is common for teenagers and teenagers though to have mood issues to have depression to have anxiety and in some areas the bay orbit for instance brand-new york is a high pressure so you often realize boys with a great deal of feeling that’s it go to your area now good task gentlemen that could have been a disaster well that was a disaster with adolescence there are certain approaches that i recommend parents take you learn much more from an adolescent when you are sitting side by side with them or accompanying side by side with them as to report to direct heart contact that’s more jeopardize for a adolescent so if you go to a baseball game or if you’re driving or marching you’re going to get a lot more out of that teenager than you are able to if you’re sitting there talking them eye to eye too probing is a good word you don’t have to probe the adolescent you can make observations you can compile immediate findings that can be really helpful for promoting conference this movie is actually really supposed to be about mental health they had consultants “workin on” the cinema psychologists and people who really did explore ardours they genuinely wanted to get it to be an accurate depiction of mental health issues so i really like this movie and i think they did a good job depicting that and also the mothers feel so helpless and they just want their teenager to feel good and that’s a word i see all the time from parents next up lars and the real girl midwest living or country home that’s what i would say first thought you’d have about this guy is that he’s psychotic he has some delusional contemplation now conveying he believes this doll is real despite ground to show she’s not real in real life you’d never learn a psychopathic issue like this because this lasts through the whole movie and psychosis is generally not that continue when someone has a psychopathic disease you’d have episodes of that lars in the movie is being illustrated as somebody who really has no interest in relationships he’s wearing gloves at times very doesn’t want to touch people so it’s never actually explained in the movie what lars has but when i look at him i think he has some model of autism probably what would have been called asperger’s we don’t use the term asperger’s disease any longer what used to be those criteria are now fit under autistic range malady he can communicate with parties but he has trouble with relations he doesn’t know how to have them and that can be part of the problem in terms of how they socialize and connected to other people the fact that he does want to have it constitutes me think he precipitates more in line with an autistic spectrum ailment as to report to other psychiatric maladies that are able to view where someone abides away from other people and fails to have relationships with them one of those things is schizoid nervous breakdown where a person doesn’t want to have any contact with anybody they assure no signify whatsoever in relationships he seems to see something because he wants to have this relationship with bianca he makes her to the doctor and is further concerned at her blood pressure and “i m thinking” the best way to think about lars is what’s the figurative necessitate behind it but if we’re looking for a mental health diagnosis it probably comes more in line with autistic range agitation i want you to generating her in every week for special medicine can you do that yeah are you sure that that’s necessary i like to look at the whole emotional picture of lars that’s certainly what the doctor here does what lars does have trouble with is interacting with other parties at times he’s seen wearing black gauntlets even he doesn’t want to touch beings said it hurts if you look at the psychological route to perform that the feelings one of the purposes of it he had a mother who died early to the point that his father wasn’t available to him that’s some significant psychological trauma for a kid not to have mothers who are emotionally accessible so wearing those mitts might imply it’s pain for him to even imagine being able to touch somebody because he feels so removed and so isolated from beings so there’s a real emotional signify behind this film and the doctor picks up on it i look forward to getting to know you bianca so this doctor is also a psychologist in the movie in this case she’s recognizing that this doll signifies something to lars it’s not just a psychotic illnes which symbolizes it’s not just some hallucination there’s something now more emotional for him and she picks up on that she asks him to come back and she’s starting to some might say play into the delusion but i think what she’s doing she’s generating what’s called a containing seat what that is in psychology is a place for someone to make a transition from something difficult and challenging emotionally to another region that can be also difficult emotionally here i am thinking for lars he’s transitioning from not really knowing how to have relationships with parties to even trying and this doll is various kinds of the objective that he starts to use to obligate that transition it’s a good thing this is in wisconsin because good luck going somebody to buy into this in new york metropoli but in this town this doctor can foster the whole town the inquire about bianca and make it seem like she is real because she sees it is something important to lars i think again this is more of a supernatural movie in that appreciation there is that emotional ingredient to it if you are a functioning person in rehabilitation coming every week there could be some therapeutic ingredient to talking about the doll he’s not suffer anybody with the doll he’s not causing any brutality he’s not doing anything that would make it seem like he’s not functioning or needs to go to hospital so this is certainly a footpath to try to understand him more next up silver linings playbook mom i can’t find my wedding video mummy wake up what is it where’s my wedding video it’s after three o’clock what are you doing i looked in here but this is all you’re up here for your sewing and everything this is a good depiction of a frenetic chapter a psychotic occurrence meant that for about a week someone has had increased energy with no are necessary to a full night’s sleep perhap exactly a duo hours they can be really hoisted with their attitude and they are able to testy there’s also a grandiosity a sense of self-importance perhaps even doing things that are somewhat perilous or reckless and we’re understand him start to coiling into this psychotic chapter here we know the character has a bipolar disorder bipolar disorder means that there’s this change in mood from baseline to this expansive hoisted commonwealth there can be the other side a depressive escapade but it doesn’t have to be for somebody to be diagnosed with a bipolar disorder some people with bipolar disorder have only a psychotic government every now and then they don’t have the depressive low-pitched you can get something in a manic chapter called increased goal-directed behavior you can be really focused on one thing some people it’s like i’m going to write the next enormou tale i’m going to change the course of humanity i’m going to rebuild this offstage of my home this is a much smaller task but he does come very focused on finding this wedding video it’s not unheard of to have a task that doesn’t seem to intend a good deal abruptly take up all of someone’s time when they’re in the middle of a frenetic bout hey it’s my marriage it’s my marry video what’s also important to note is that their family are woken up in the middle of the light the family involvement is quite often seen a family can get genuinely stopped because of an untreated bout or because of these occurrences you have to realize some hard selects if this were going on and he’s frenetic like this and he were actually violent with the family and not able to stop he might have to call the police and have him brought in to a mental health hospital so that he can be at least evaluated for some time and calm down he’s a policeman what are you doing it’s a remedy difficulty yeah he’s fine he’s fine now you want to send him back to baltimore the mother says it’s a drug edition it can be really demeaning to a patient to feel like everything’s dismissed and it’s just about medication it’s true that that often is said and it’s really agonizing to the person who has the bipolar disorder or any mental health issue it’s common with mental illness that beings do have strong feelings about their prescription there can be side effects in a bipolar affective disorder if it’s a manic bout you would try to introduced the dampers on with an anti-psychotic medication and those remedies do have side effects they can constitute parties very sleepy-eyed there can be weight gain but it’s a bigger danger to have somebody who’s psychotic who can do dangerous things you can use some medications including antipsychotics as depression stabilizers for long-term treatment family members can really support parties with bipolar affective disorder or even other mental health issues in many ways or you can ask them what’s it like to have this they might not want to talk about it but just saying something like if you ever want to talk about this i’m certainly willing to talk about it with you i want to be here to help you so just knowing that somebody’s there for you to talk about can be super supportive supporting and cherish are very important when it comes to helping somebody with mental illness it can’t cure it that’s the knock on the movie is that everything turns out fine and there’s some hint that pat starts taking his drug again but it’s a inkling it’s not something that’s testified very clearly so you do need to have love you do need to have support but it’s not going to see clear everything next up a beautiful brain interpreted my honour on the lecture sleeve who are you talking to tell me who you see here we view a depiction of schizophrenia and schizophrenia is often misunderstood schizophrenia is a psychopathic illness it’s an illness propose there’s a transgres from world schizophrenia is the diagnosis you make after seeing someone have a consistent psychopathic incident or episodes over a certain period of time so at first it would be a psychopathic occurrence or a psychotic fragment but you wait to diagnose schizophrenia until meter has passed and it’s still there a few months long of hallucinations or hallucinations or studied disorder in schizophrenia visual hallucinations are not as consistent as this person charles his so-called roommate i think they’re trying to certainly get you to see that he’s seeing something that’s not really there but you don’t generally see anything as consistent it’s more of a blur it’s more temporary medical doctors certainly does try to ask john what’s going on what are you seeing and that’s a good technique what i often like to do is say something like do you feel like your sentiment is playing manoeuvres on you do you feel like you’re seeing things other beings aren’t seeing or sounding things other parties aren’t hearing sometimes that can be a little bit more gentle than what are you seeing but i think it is a good idea to figure out what is this person visualize there’s no one there john there’s no one it’s right there some of these prescriptions do have side effects that can include drooling but it shouldn’t be a deterrent from taking medication because the drugs can help with delusions and hallucinations that really impair someone’s ability to function one thing that a beautiful mind did was it kind of correlated having schizophrenia and having a psychopathic illness with having genius or that he’s a genius because of his schizophrenia that’s not the case you’re not going to become a genius because you have a insane illness like schizophrenia he might have a high intellect and likewise have schizophrenia but it’s not the cause of it in fact there’s what’s called a downward drift if someone has a psychotic illness and doesn’t get gave over day it becomes harder and harder for them to function in civilization not that they get smarter and smarter and they actually have a really hard time functioning in their daily life my call is john nash i’m being held against my will somebody call the department of defense you do sometimes assure cases yelling out like that who are delusional or are nervous that they’re being held against their will and sometimes they are being held against their will because they’re believed to be a danger to themselves or others or because they actually can’t ply themselves with nutrient investing and protect they’re gravely incapacitated which is more of what he is but you do watch beings sometimes holler like this this is an old psych ward it’s pretty big and there are a lot of beings around i think in this shot now there’s maybe six mental health providers i feel like in some states it is able to not even is 6 mental health providers there’s such a shortage of mental health providers but a psychiatric ward can look like this where there are areas and those rooms are private chambers for beings this is dramatized to some degree they usually don’t look like jails so that part’s a little bit off but i can see that they’re trying to show that the patients are housed here in their individual offices and doors on the left i think it’s really important for media to get depictions of mental health right because people get a lot of their information from these movies even though it’s not certainly accurate it’s important to be accurate i was in thomastonon a convention once this daughter stood up started crying and said when am i going to see a depiction of someone with mental illness who’s not going to make me feel like i’m going to turn into a serial killer so that’s reason enough to have accurate depictions so people don’t feel shamed about themselves so parties don’t feel ashamed to go into treatment so people can have conversations and people can really pursue the help that they need thanks so much better for watching these excerpts with me i experienced interrupting them down and i hope you did too hope to do it again with you in the future[ Music]
