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goertzpsychiatry
Приєднався 4 жов 2019
Відео
Is Diagnosing Mental Illness Condescending?
Переглядів 27714 днів тому
Psychiatrist Dr. Peter Goertz discusses.
Can Coworkers Be Difficult To Interact With?
Переглядів 22021 день тому
Psychiatrist Dr. Peter Goertz discusses.
What Was Residency In Psychiatry Like?
Переглядів 410Місяць тому
Psychiatrist Dr. Peter Goertz discusses.
Are People Diagnosed With A Mental Illness When They Don’t Have One?
Переглядів 4372 місяці тому
Psychiatrist Dr. Peter Goertz discusses.
Suicide Attempts In Borderline Personality Disorder
Переглядів 4102 місяці тому
Psychiatrist Dr. Peter Goertz discusses.
Can Emotional Trauma Cause Physical Problems?
Переглядів 2593 місяці тому
Psychiatrist Dr. Peter Goertz discusses.
Do All Psychiatrists Have Mental Problems?
Переглядів 8683 місяці тому
Psychiatrist Dr. Peter Goertz discusses.
Anti-psychiatry, thoughts of a psychiatrist
Переглядів 1,7 тис.3 місяці тому
Anti-psychiatry, thoughts of a psychiatrist
Paternalism In Medicine, thoughts of a psychiatrist
Переглядів 3633 місяці тому
Paternalism In Medicine, thoughts of a psychiatrist
Do The Benefits Of Psychiatric Medications Outweigh The Risks?
Переглядів 4074 місяці тому
Do The Benefits Of Psychiatric Medications Outweigh The Risks?
Should I Be A Psychologist Or A Psychiatrist?
Переглядів 2,2 тис.4 місяці тому
Should I Be A Psychologist Or A Psychiatrist?
Can Worrying About Patients Drive A Doctor Nuts?
Переглядів 3785 місяців тому
Can Worrying About Patients Drive A Doctor Nuts?
Patients Who Can Bring Up Negative Feelings In Psychiatrists
Переглядів 4025 місяців тому
Patients Who Can Bring Up Negative Feelings In Psychiatrists
Am I Helping My Patients As A Psychiatrist?
Переглядів 4165 місяців тому
Am I Helping My Patients As A Psychiatrist?
Sexual Attraction Between Patients And Psychiatrists
Переглядів 9505 місяців тому
Sexual Attraction Between Patients And Psychiatrists
Factitious Disorders(Munchausen Syndrome)
Переглядів 4796 місяців тому
Factitious Disorders(Munchausen Syndrome)
Identifying Patients With Dissociative Identity Disorder
Переглядів 1,1 тис.6 місяців тому
Identifying Patients With Dissociative Identity Disorder
Synchronicity, thoughts of a psychiatrist
Переглядів 4616 місяців тому
Synchronicity, thoughts of a psychiatrist
Does True Love Exist? Family Caregivers Of Patients
Переглядів 2506 місяців тому
Does True Love Exist? Family Caregivers Of Patients
But how to be in the moment? Thank you for your vid
Thank you. Yes, “being in the moment” is easy to say, but often not easy to do. This may be a topic for another video. Peter Goertz
God doc this demon never leaves me.... im on 5 meds.
Scary! Ive seen few violent ones. But its not fully their fault.
They Save Lives!! Hi haters.....
Im kinda a hazard off medication but dont want to be on pills for life!! Im stuck! Thanks vids doc. I take 5 different meds!!
Thank you for sharing this.
Brilliant Doctor!!!
Thank you very much! Peter Goertz
See "The emperor's new cloths." The weavers are the psychiatrist. "The emperor has no cloths!"
What are your thoughts on the replication crisis in science being especially prevalent in your field of work?
Sorry, I am not knowledgeable about this aspect.
I could tell you about the abuses done by Romanian police and psychiatric hospitals and their psychiatrists. Stuff you'd expect in 1950 not in 2024.
One thing you can look into is deprescribing.
Psychiatrists are a tool of the pharma industry to sell pills. "Oh kids are bored at school? Well lets solve that, WITH METH". Only surveying people who are indoctrinated into the psychiatry scheme will net you skewed and biased results as well. Why not survey everyone so you could also gauge why people speak out against your type of work, that way you'd actually know why people call it unethical. Go google the murder of Rebecca Riley and tell me we need more psychiatrists on this planet.
I say this as a psychiatry residency applicant this year, I have heard people call psych docs drug dealers. So, even the doctors get stigmatized and accused of being unethical. If not for mental health workers, who would care for the patients? It's a strange world we live in.
Thank you for sharing this. Peter Goertz
Did you miss the whole thing where tons of doctors were caught taking bribes from pharmaceutical industries and pushing people into addictive drugs for no reason? Have you ever heard of the opioid crisis or where you born only a couple years ago or something? RIP Rebecca Riley.
it’s complex because as a patient it causes me quite significant financial harm to NEED a psychiatrist in the US, so even as someone whose life has been sustained by psychiatry, has had suicide attempts, hospitalizations, ect, the system in the US along with the power dynamic and sometimes a feeling of poor care when you’re desperate can all trend toward, frankly, resentment. it also feels like this often richer person benefiting from your suffering-that is the model, since I don’t want help as a service I must buy to survive but because someone thinks i’m worthy of care. i think that there are probably ways to portray yourself and types of transparency that minimize these problems that you may learn. as a nurse, i have faced the nurse ratchet stereotype, etc. it all falls out of the patient not sharing out context of what is going on systemically or for them particularly. I also recommend visiting BAD psych hospitals. I was once admitted to Smokey Point Behavioral Hospital on Marysville WA. I didn’t see a provider for days, didn’t know if I was voluntary or involuntary, didn’t know when I’d leave, had no med changes, was given meals I was allergic to, was cut off from ketamine therapy, could see family only twice a week for 30 minutes a time, never saw a therapist. Some psych hospitals I think are scams to bill medicaid when the ED MUST commit someone. I was essentially imprisoned and helpless and it was intensely frightening while I was at my most vulnerable. If that’s a patient’s context…
@@aconcretemoth9382 Thank you for sharing your experience. That is eye-opening and thought-provoking. I'll come back later today to see if you make another edit.
No But i think it is strange, despite being dual board certified, you are not qualified to practice neurology..
Because psychology/psychiatry are soft sciences, neurology is a real science
@@mystriddlery boy you sure just opened a real can of worms there
@@mystriddlery unfortunately, psychiatry is very much a real science. We can use fMRI & electroencephalographs to map out areas of the brain related to psychopathology. For example, certain areas can become overactive with anxiety, and underactive with depression. I’m not going to get into specifics but you can look it up yourself
@@reddbendd Ive read things about that and it seems like an excuse to diagnose people with something and sell them pills their whole lives. They say someone with ASPD has a smaller amygdala, but when I researched that, the science seemed pretty fuzzy, not very conclusive to me. Whats your opinion on the replication crisis in science being disproportionately prevalent in your field of work? Doesnt that concern you?
Hmm.. Psychiatry ruined my life.. Psychiatry saved my life.. I guess I have no answer that I can summarise here.. Maybe it depends on suitability to the role to large degree.. It carries enormous responsibility and self awareness is crucial.. I enjoy your videos and find you far less threatening than some psychiatrists I have encountered.. You seem thoughtful/empathetic.. I imagine drinking tea with you rather than legging it.. I doubt this helps much.. Best wishes 🙂
Thank you very much! Peter Goertz
I am under the care of both a psychiatrist and clinical psychologist. And, yes, I am very thankful for both of them and the care they have provided over the last 4+ years.
Thank you Lisa for sharing this. Peter Goertz
I would like your thoughts on Jerry Marzinsky on utube.
I had never heard about him. Thank you for telling me about him. Peter Goertz
U a great doc!!!!! 😊
Thank you!
First 😊
Hillary Clinton said that she arrived in Bosnia under sniper fire dodging bullets. It was later found out there was no sniper fire at that time. Hillary has also said that she was named after sir Edmond Hillary who climb Mt. Everest. When Hillary was born Edmond was an unknown bee keeper and it was something like 6 years after Hillary Clinton was born that he climbed Mt. Everest. If she had been an unknown psychiatric patient psychiatrist would say she was psychotic. And what about Kamala Harris spaced out word salad? And being confused, not knowing she was in North Korea instead of South Korea. If these two were were unknown psychiatric patient they would be labeled schizophrenic psychotic.
So I do have “extreme views” on psychiatry. I believe the concept of mental illness is inherently fascist and that psychiatry must be abolished. I’ll copy and paste part of a blog post I wrote about this - it’s quite long but it would be nice to hear your opinions: I believe that the concept of mental illness is inherently fascist because it creates an out group that is blamed for social problems. Individuals that don’t conform to the expectations of capitalist society are labelled as crazy in order to legitimise said expectations, because “no sane person has a problem with them”. This is quite clear in the historical diagnoses of drapetomania (which pathologised the desire of slaves to escape, proposing or at least supporting the argument that sane slaves didn’t want to be free, and so legitimising the institution of slavery), and homosexuality (which remained in the DSM until very recently, legitimising homophobia by claiming it is scientific as opposed to the religiously motivated homophobia that was increasingly being criticised), but it is also the purpose of modern diagnoses. ASPD for example serves the sole purpose of legitimising the law: it is diagnosed almost exclusively in prisons and then taken as evidence that “our laws are great actually, only sociopaths break them”. Disorders like ODD and CD, which literally include disobeying parents and bunking school in their official criteria, serve a similar purpose: the idea that kids are inferior to adults and so should do what they say is legitimised by that fact that “sane kids obey authority. Kids who don’t are sick and need help”, with “help” usually referring to more authoritarian parenting, schooling, or incarceration. And it’s not just controversial diagnoses like these that are harmful. ADHD, for example, suggests that individuals who can’t concentrate in school/work environments have something wrong with them, and so shuts down criticism of the school/work environments themselves. People will blame the current “children’s adhd epidemic” on everything from social media to attention seeking but will never suggest that the education system is fundamentally flawed. There is no way to medicalise a thought, feeling or behaviour without implying that there is a good and sane way to think, feel and behave. Deciding what is good and sane is not something that can be done scientifically - it is a social and political process. Allowing this process to take place without proper democratic participation and without the rule of law is a fundamental principle of fascism. Even if you don’t go as far as to say it is fundamentally fascist, you have to admit that it can easily be abused by fascists, as it has in the past. There are already plenty of people who believe that some people, namely the “mentally ill”, should be denied basic rights, such as freedom from incarceration without due process and freedom from cruel and unusual punishment. Now that we have already created an out group that is deserving of less rights, fascists don’t need to create another one, they just need to convince people that another group is actually part of that first group. This is how fascism works. Whether it’s directly pathologising gay people as mentally ill, or indirectly subjecting poor people to pathologisation through the medicalisation of homelessness, low educational attainment, being a victim of parental or domestic abuse, the list goes on. Psychiatry will always be a tool of fascism. It has not progressed at all ideologically since the days when mental illness was believed to be devil possession. It is still believed to be something that happens to you, and that is wrong with you, and that controls you in the same way that a devil would, making you a shell of yourself, “not in your right mind”, not a human being that others can relate to, and definitely not a product of a sick society. The othering, blaming, and dehumanisation are tools of fascism. I believe psychiatry must be abolished in the same way that prisons must be abolished. Medicalisation and criminalisation of mental health are both harmful, as incarceration of any kind is harmful and rarely ever rehabilitative. At least a person incarcerated in the criminal justice system has been found guilty of a crime in a court of law, and will not legally be subject to forced drugging or ECT. The move towards medicalisation of drug use, for example, will not protect drug users from state sanctioned harm and will not change the harmful ideology around drug users - that they are poor, black, lazy and violent - in any meaningful way. It certainly wouldn’t end the war on drugs. The only real change that would result from medicalising as opposed to criminalising drug users would be that it removes their democratic and legal protections. The abolition of psychiatry is a fundamental and necessary part of prison abolition. No amount of reforms will truly destigmatise mental illness when the whole concept was designed to blame, dehumanise, and stigmatise non conformance to the ills of our world. Anti-psychiatry is anti-fascist at its core. ------------------ So, what do abolitionists do with people who are actively homicidal? Of course we need to protect ourselves and our communities, but that doesn’t mean we can incarcerate people without due process, and even if a person is found to be an active threat they should not be subject to drugging, forced treatments, or torture. Incarceration should never be punitive, only preventative and only used as a last resort. What would I do if I had a psychotic family member? Well I do actually. My mum has had psychotic episodes, and i’ve never forced her to take medication, although to I support the legalisation of all drugs and would never shame anyone for using them. My problem is with forcing or tricking people into taking drugs, and with the pharmaceutical companies that profit from them. I’ve also never called the police on her, despite her having called the police on me multiple times, as well as getting me in trouble with my school and social services (and no, this isn’t related to her psychosis - she’s been doing these things well before her first episode.) It seems like I have more respect for my abusive mother than most psychiatrists do for the people they make it their career to help. What I have found helps with her psychosis is treating her like a normal human being that just has ideas about the world that I find strange. Just like I as an atheist would treat a believer. You genuinely think you’re going to burn in hell for eternity? Sounds pretty psychotic to me, but i’ll listen respectfully and explain why i disagree. My mum was paranoid about russian spies for a while - you could call it a delusion, but I think it’s more of an overreaction to the constant warmongering we hear in this country. It’s meant to make us react, and make us scared and paranoid, so it’s not surprising that people who are scared and paranoid enough as it is will overreact to the point of delusion. She also had a freak out about sex traffickers. A delusion, but a delusion that is actively promoted by our society, and that most people believe in to some extent, with some people like my mum taking it to the extreme. It’s a moral panic - sex trafficking is incredibly rare, especially the stranger abduction type that everyone is so scared of. White, housed teenagers like myself are not regularly being abducted by strangers, yet most parents live in a constant state of fear, watching and controlling their kids to the point of abuse because of this fear. Are they incarcerated and drugged by the psychiatric system because of this delusion? Or is it only the people who are too traumatised and oppressed by our society to be able to control their fears that become victims of psychiatry? So I dealt with this delusion like I would with it’s less extreme version. I showed her the true statistics for stranger abductions of teenagers and stated my opinion as to why it’s such a prevalent yet irrational fear - that it’s the moral panic of “stranger danger”, similar to other moral panics in that it keeps people fearful of, and so separate from, their communities, stifling attempts to organise, and shifting blame for social problems onto some “other”, some false threat. It’s not surprising that white mothers are usually more inclined to believe in this moral panic, while people of colour, homeless people and poor people are often the most victimised as a result of it. There have been far more stories on social media of “stalking” and “almost abduction”, usually perpetrated by people who aren’t white, are visibly disabled, poor or homeless, or who behave in strange but harmless ways (such as by muttering harmless words to themselves), than are statistically credible. I think that’s my essay writing done for the day, but my point is that psychosis is largely a result of fearmongering combined with emotional problems that are to be expected in such a harsh society. In cultures where these moral panics are rare, related delusions are also rare. Psychosis isn’t an argument for medicalisation, and it’s definitely not the most “severe” or “legitimate” mental disorder - that is a very stigmatising statement that even moderate and pro-psychiatry mental health advocates find offensive, harmful, and untrue. Abolitionists believe it shouldn’t be thought of as a medical disorder at all, but rather a product of social disorder. I hope this makes at least some sense, and explains a bit more about what the anti psychiatry movement stands for. It’s not scientology and it’s not right wing - it’s an explicitly leftist and anarchist critique of an authoritarian system and tool of fascism. I hope this doesn’t come off as rude and i’d love to hear your thoughts :)
Thank you very much for sharing this! I began reading it earlier this morning, and it gave me the idea for today’s video, “Is it unethical to be a psychiatrist?”.
It should be very easy to tell the difference between the patient's and the staff. The patient's are the one's running around like the wild man from Barneo. As you have describe in your "antipsychiatric video." They are homicidal, suicidal, agitated, depressed, emotional disturbed, and manic patient's. Really it seems like psychiatrist use the most extraordinary human behavior to justify their crimes against humanity. Psychiatric prey are usually children, old people, prisoners, and a confused mind. Also anyone who has had an appointment with a psychiatrist in the past, or taken psychiatric medicine. Why don't psychiatrist go after people like police officer Derick Chovan and the other police officers that were protecting his crime. Or Nazis, or racial hate groups? There is safety in numbers from psychiatry. Psychiatry is a criminal arm of the law. It allows the state to inflict cruel and unusual punishment and violate all human rights without responsibility. Psychiatrist destroy peoples lives without any accountability. Psychiatrist are such ogres.
The problem isn’t someone in the elevator next to you talking to themselves about “xyz”, the problem is the institutions now, the problem is the history of your field and how often you’ve gotten things wrong to a drastic extent, the problem is you strip people of humanity and you’re wrong about so much more than you’re right about it, you use the elevator as a straw man, when in reality you’re putting away the person at their desk that sometimes cries. My opinions on this whole thing is that you guys are too young of a field for the power You have. You seem like an older man too, so I don’t doubt for a second that you have done some inhumane things that have now come out that we’re completely wrong in your own field. This is a dangerous field: and that’s not even adding the limited “qualifications” It takes to get a job at in mental health facilities.
Thank you Karina for sharing your opinion. Peter Goertz
Psychiatry in the past has committed crimes against humanity with their psychopathic pseudoscience profession. Psychiatrist have shown they are not to be trusted. If psychiatrist didn't have the force of law they wouldn't be much better off than a palm reader.
Would you submit to electro convulsive therapy for $1000,000 or a Labotomy for $1000,000,000 . Psychiatrist Peter Breggin has said that ECT is a brain concussion. I understand they do ECT on children. Psychiatry seems to me to be a " permanent solution to a temporary problem." I never met a person that was for "psychiatric slavery" that wanted to be one.
Taylor Scott Jones Jason Harris Angela
I thought about this career path because of the mental history in my family, I wanna help people
Thank you for sharing this. Peter Goertz
Got a bipolar diagnosis. Psyche didn't believe I could drink 36 beers a day. Stopped drinking. Everything improved. No medication. I'm not anti psychiatry but maybe listen to the patients.
Thank you Shane for sharing this. Peter Goertz
this was very helpful !
Thank you Marjorie! Peter Goertz
Hello! First I love your videos! Then I don't know if it's a bit weird but I've started medical studies because I wanted to be a psychiatrist but now I have so many doubts and questions that are too complicated to search on the internet. So I was wondering if maybe you could help me if you have some time? Have a good day!
Thank you very much! My time is quite limited, but I hope some of my videos can help. If you have specific questions, please feel free to e-mail me on my website www.goertzpsychiatry.com
Am I too old to be a psychiatrist if I start my journey at 24? If you have had a psychological evaluation (just to have one, no issues which required one) is that going to work against you?
In my opinion you are not too old. These videos might help: ua-cam.com/video/joiCPDk8I-Y/v-deo.htmlsi=BYNnHL9i_ZBBuoBE ua-cam.com/video/yhx8DcRxxLk/v-deo.htmlsi=iyzMPVJw4sEIOeDw
Have you considered mentoring?
❤
Thank you! Peter Goertz
Havent been on youtube much. Spent probably 1000 hours psychoanalyzing at this point
I always warn about amotivational disorder. A common side effect. SNRIs can be used instead to combat that, but anxiety is a common side effect of SNRIs.
Thank you doctor for talking about that and explaining it.that video does really help.
Thank you very much! Peter Goertz
The wards are there as a holding cell to pump you full of meds and see what happens. How exactly is that better?
Hi Laura, If that has been your experience, I’m sorry to hear it. There certainly is room for improvement in the US medical/psychiatric system. Peter Goertz
The risk of being aggravated assualted by a psychiatrist as a "mental patient " is virtually 100 percent
Perhaps a video on "mania". Some doctors think elevated mood is just relief from long-standing depression and moderates over time. What are your thoughts?
Thank you for the suggestion!
Psych meds caused most of my " Severe and persistent" mental illness . Grateful to have been off all for 12 years! Suddenly was miraculously cured! Once I learned to feel the anxiety and address the issues instead of numbing out! It was hell getting off of benzos and effexor, and depakote and Adderall, but it was THE issue!
Thank you for sharing this. Peter Goertz
this is great stuff doctor. may i have your permission to use this footage for teachings?
Thank you Harriet! Yes, it is fine with me to use the video for teaching. Peter Goertz
Im 17 male with OCD and take 25 mg of ssris but is a temporary fix to the problem. OCD in my experience is chronic and sneaky and to counter harm thoughts, staying busy and being active helps alot because it changes your perspective of it.
Thank you William for sharing this. Peter Goertz
you run the risk of causing a young person to fear for her or his life... however controlled that strangulation may be!
Hi Jordyn, If you are experiencing abuse, please get help. Peter Goertz
Major Depression severe anxiety!!! Uh yes.
According to psychiatrist Peter Breggin electro convulsive therapy is a 🧠 brain concussion. Ask your psychiatrist if a brain 🧠 concussion is right for you?
After only a month on pills. My sexy drive and libido were gone. I quickly stopped and began getting to the root of the problems not just bandaids.
That's a blanket statement.
@@PJPer-zs8uj big medical systems pills are not the answer
Thank you for this, I have just recently stopped taking my SSRIs (in consultation with my psychiatrist) and was experiencing symptoms like insomnia and dizziness, but had not realised that this was probably due to my abrupt cessation. This makes me feel better knowing the reason, so thank you very much.
Thank you! And thank you for sharing your experience. Peter Goertz
The biopsychosocial model trust is so important, the effect of the therapy or medication.
In my experience, it's great until it's not.
Thank you for sharing this. Peter Goertz
Hello Doctor, I wanted to ask you if it is necessary for me to do a residency in internal medicine first to know how to manage patients or to do psychiatry directly. I'm about to become a doctor. I think I will be a good psychiatrist because I learned a lot about addiction and dependency due to a traumatic relationship I had with a narcissist. and I did a lot of research on my own about the twelve steps and also about personality disorders. I send you greetings from Argentina. Thank you! 😊
Hi Estefania, In the US it is necessary to do 4 months in internal medicine and 2 months in neurology in order to become a psychiatrist. Some people do a year of internal medicine before doing psychiatry. In my personal opinion a year of internal medicine is good as a foundation for psychiatry. Peter Goertz
Hello Dr. Goertz was curious about the process of deciding whether a patient needs to be admitted into the hospital or not. And also how to know when a patient needs to be discharged? Thank you
Thank you for the questions Billy, they may be topics for future videos.