Відео

I've been told that this is a standard practice that nurses are advised to do, not necessarily as part of formal therapy but to enable them to deal with some of the traumatic situations which they have to deal with. Hopefully, someone with experience of that can confirm.

LOL@ "yes, I have a training routine". The good ones always do. Good video, thank you. My therapist did this with me in a different way, and it works. What she did wasn't as intensive as sending audio clips each time...big ouch there. I'm still my own worst critic and hold myself to unobtainable standards. This was a very good interview and reaction. A much appreciated reminder.

Stuart, your take on the type of therapy used in the Lucy Letby case was presented in a very interesting and informative way for the viewers of your channel, who asked about the notes written by Letby, used in testimony within this case. I understand that Written Exposure Therapy is used with people, such as Lucy Letby who are having an extremely difficult time addressing problematic or emotionally sensitive behavioural or avoidance issues. I understand that Imagined Exposure is an essential tool for examining potential or actual extreme actions in situations where said actions could be perceived to be or have been potentially damaging, or dangerous either to the person themselves or to others. The need to explore the extreme thoughts or feelings accumulated, experienced or imagined which have been blocked or deeply hidden by the client at the time the clients situation occurred; and in the immediate aftermath. The idea of the client being able to re-live or re-tell their thoughts in a safe and secure environment, to both relieve stress and for the client to gain greater insight into their feelings or understanding of their actions/predicament is most likely essential. I thought you explained the therapists practices and therapeutic intent perfectly. I did actually follow this case in quite a bit of detail at the time, primarily because during the time of Lucy Letby’s arrest my mum was in The Countess of Chester hospital where she was in palliative care and subsequently passed away. I know because I was at the hospital every day for three months (because my mum was too ill to be moved into hospice care) that nearly every nurse and the doctor dealing with the care of my mother and others, were extremely upset by this case. Although, obviously staff had been warned not to discuss the case with anyone, I felt and instinctively understood, and indeed staff hinted that most employees working at the hospital, felt that certain senior hospital training staff, clinicians and the trust itself had let all the other staff down, most considerably. Some patients, visitors and ward staffs emotions (although the staff were extremely professional at all times) were definitely heightened at that time. Lucy Letby herself actually lived on the street my best friend parents lived on, and they had actually talked to her in passing on occasions. They said she always came across as a nice person, if at times a little unsure in conversation and always seemed in a rush. I personally felt on the whole the courts and jury came to the correct conclusion in her case. I really can’t begin to understand myself why she did what she did, and I know what came out in court was only parts that specifically pertained to the cases at hand. There were a lot of other things that occurred in that hospital and at other hospitals which were never addressed in those court cases. I am surprised she has not been arrested for further offences. My heart goes out to those poor families who lost their children and siblings. Also, to anyone in or around the hospital, the staff and the court case who had to deal with the fallout resulting from this harrowing, horrific and heartbreaking case.

I send my love out to Lucy Letby, I don't believe she was a malicious murderer, and I don't think she should be where she is right now. I know what it's like being blamed for things, I have ADHD and I'm an eldest sibling. There is nothing more unjust that capitalising on someone's feeling of shame and guilt just to satisfy the mobs calls for revenge. Call me a bleeding heart liberal, but Lucy Letby is not a monster to me, and I really really hope she gets empathetic and unbias therapeutic support where she's at.

but I think what you're describing sounds very different to PTSD on an ontological level even if it may have deontological similarities.

Thank you so much for this video. My parents took me to an in patient care center for evaluation when I was a young teen for behavioural issues. I was asked zero questions about trauma (which I may not have disclosed given the shame, fear, and the fact that one of my abusers was at that time a parent), and my philosophical view of death was taken as suicidal. I was slapped with a major depression label, handed pills, which I reacted badly to (no real therapy) and sent to color in a corner for a week before being released. So now, anytime I have to seek a new therapist for insurance reasons I open with an extremely condensed overview of my trauma history and current symptoms. I have to disclose that while I am not afraid of dying, don't really care if I do die (I'll be dead at some point anyway, no one gets out alive), I am NOT seeking death and went through tons of medical crap to avoid it so please don't take my extremely dark humor as an indicator of self harm or suicidal ideation. I literally have a disclaimer intro for any new therapist covering all of that and more. While I appreciate the science of mental health, I feel the medical industry in general tries to put everyone in a specific box. I feel there should be some changes made and there shouldn't be so much rigidity. I think the problem is that they're trying to quantify trauma and it just doesn't work since individual brains process things in their individual way. If it looks like a duck, and quacks like a duck, it's probably a damned duck despite it being purple with pink polka dots. Bad analogy but I just don't have the bandwidth to come up with a better one right now. Apologies, went on my own little rant there. I've been through this so many times. Hopefully I won't have to "break in" a new therapist for a long time.

Where I live have not diagnosed me with C ptsd although have been diagnosed with ptsd. Yet I had repeated SA as a child and then met my ex at 17 where I was again subjected to SA, I have flash backs, Hypervigilence, agoraphobia, Self Hate, guilt, self blame, anxiety, depression, panic attacks - the panic attacks mostly happen at night from nightmares - was drugged and assaulted which causes the nightmares. I wake up and cant breath - literally cannot get any air in, its like throat has closed up, my current supportive hubby knows how to bring me out of it, but by the time I am breathing again I am gasping as throat very slowly opens up, its terrifying I trash about on the bed just trying to breath, the more panicked I am the worse it is, so he just calmly talks to me and says its ok, shhhh, was just a dream your here with me now. rubbing my back. very embarrassing, but in the panicked state other accidents happen. I am desperate for help. My mental health team will only offer me group therapy and been on many courses but you are not allowed to talk about personal issues, only the effects that they cause on you. This is so that other members in the group don't get triggered. I desperately need specialised therapy, but there is not the funding or support in Pembrokeshire. You are the only person that explained about the brain wanting to keep me safe so I slowly withdraw from society. I am on 300mg Venlafaxine, also zolpidem 10mg, as I fight sleep. I dont take Diazepam. I am constantly tapping my feet even when resting. I get startled easily.

Thanks for your thoughts, agree with basically everything you said. I find your passion and empathy really encouraging having personally had some terrible experience with MH treatment. It's been a really long road and strict assessment criteria, gaps in service structure and treatment that seemed to be more about checkbox filling and drug prescribing than listening to the thoughts of the patient certainly didn't help.

Yes, this is exactly the questions professionals need to figure out and those of us who seek answers to our illnesses/problems need to share our experiences about because if you're not going through it yourself it's impossible to know what we're going through if we don't share it, there is no theory or textbook that covers people outside of the box, that's the failing of facts and the reason why common sense needs to be more common and used among professionals, although knowing how Healthcare business works it's the leadership that needs to be hell of a lot better and give the professionals time to work with their patients rather. Anyway, this video needs to go viral because you bring up many of the problems we as patients face and other professionals needs to see this and take part in the discussion. Thank you for doing all that you do for us!

Yes Stuart, I loved what you said. Pretty much agreed with all of it. I think so much is missing from the DSM. It‘s is too scientific in its classifications sometimes and not holistic enough in its approach. I think the inflexibility within procedural diagnostic assessment means so many miss out on valuable treatment. So many classifications within the DSM are based on the study of the predominantly male adults and their experience, which is also problematic. I think developmental trauma is very often ignored or brushed under the carpet, because of the current need to prioritise a tick box symptomatic approach and because it is recognised that acknowledging such trauma exists would necessitate more time having to be factored into treatment plans and exploration of the situations and events which brought about this trauma which will have occurred over longer periods of time. Putting it bluntly this is costly in terms of both time and money. The DSM as you quite rightly said, also misses out on the grey areas of overlap and co-morbidity. There seems to be a lack of understanding in relation to the accumulative compounding effects of multiple trauma events caused in multiple ways, some of which can be very subtle in nature. As a result Inter-relational, inter-generational, group, interracial, historic, moral, peer-related or sibling-related trauma is never fully explored, recognised or contextualised. This has always frustrated me. So often symptoms are treated without any real understanding or consideration of what lead to the underlying causes; which for the individuals involved can be complex and not always easily pinpointed if they first occurred and then continued repeatedly during childhood. So adults will not always remember or indeed understand the real reasons as to why the trauma interferes with their day-to-day lived experience, or indeed why things from their childhood keep occurring/repeating into adulthood because the patterns of ongoing trauma of this nature are simply dismissed as side-effect to the obvious symptoms and not problematic in their own right. Plus, the misdiagnosis that occurs as a result of not understanding the complexity of underlying causes can actually be extremely harmful and add to a persons ongoing trauma.

I appreciated this brief lesson. Thanks for taking the time.

love to see you deal with lucid dreaming. bane of my existence

Thank you Stu. Having done my own let's call it self diagnosis and also worked with a therapist for over a year, I found that I often underestimated the impact, effects, and response/my own reactions, thru denial and dissociation. Guess all I'm trying to say is that sometimes we aren't the best judges of our own condition and needs for treatment, and if someone is already considering filling in the questionnaire they are at least on the right path to recognising they need support. I can only say how much therapy has helped this old skeptic so would recommend wherever possible to anyone who has the option.

Thank you for this information, it will help a lot!

Im so sorry for your loss - im going through a similar situation with my 16 year old jack russell and don't know how i will cope when the day will come i have to put him to sleep.

Thank you I I found you through some Ren music reactions due to relating to his music, and have written to you in an email. I am now checking out many of your videos.

Hello, keep up the work. From what you said, I think you will be interested in this channel 👉 #drjohnaking. I find him informative, yet down to earth.

Kudos! Thanks for this. Nicely done. A quick explanation of the premise would have been the icing on the cake.

I’m so sorry for your loss. Care and ❤ to you and your family.

not sure if i was supposed to simply not swallow the candy or to avoid swallowing the saliva as well. if it was the latter, i failed miserably.

this seems a good idea and defiantly worth a try. as the last bit of advice (to imagine a shelf in my head before i went to sleep and place things on the shelf that could help in the dream) given by another therapist but that advice didn't really seam to work . so going to try and to try to be open to trying. maybe i might help

Great video. Thanks for your hard work on these.

Stuart, I think your explanation was very clear and the way you broke it down was effective. I was wondering where the crossover between Complex PTSD associated with Developmental Trauma and DID (Dissociative Identity Disorder) occurs; and why they are recorded as two separate disorders with similarities in presentation rather than being considered as part of a conditional spectrum. Especially given the crossovers of self injury, S ideation, flashbacks, strong potentiality of abuse, risk taking, somatization, image distortion, disorder or dis-regulation of personality etc. Perhaps you could make a video on this?!

This one fits me almost perfectly, the only difference is in the first part where the type of threat I faced has been and still is in part of a forced economical kind over several years, in other words my economical situation has forcefully but legally been used against me to gat me to do things I know I can't or normally wouldn't do for several years and it ended with me suffering a severe burnout that has now lasted since 2017 and it all started back in 2011. I am convinced that I have some form of PTSD but I'm not getting treatment for it as I mentioned earlier. So my question to you this time is if you have plans on making videos on possible treatment paths and what to think about or avoid while trying to heal? You mentioned something about systems at the end which is interesting so maybe you already have plans to do this.

Thank you for the time and energy you put into making these videos and making the topics clearer to understand

Your videos help me so much especially during exposures against my emetophobia🫶🏼 So i don't lose my mind/body.

11:30 I fit into most of that except for criterion A where I don't fit in at all, it's been going on for 6-7 years and still I don't get the diagnosis because I don't fit criterion A, what are your thoughts about this? Nothing we have tried helped so now my doctors have given up and are helping me to get medically retired to relieve my stress burnout, also it turned out that I have Asperger's syndrome which in combination with trying to do things the "normal" way prior to my burnout made me sick well before that with high blood pressure and heart rate but all labs normal, What are your thoughts based on this limited info? As far as I understand the DSM is used here in Sweden I think.

This was very interesting and helpful. I will admit I did have the thought of 'reading off a script' but I know that in all of life there are guidelines and you need to make sure that they are used as guidelines and not hard fast rules in some cases - and your profession it is used as a path to go down to help an individual. Thank-you for the great breakdown.

Really interesting and helpful, thank you Stuart

Stuart this was an interesting breakdown and comparison between the two sets of diagnostics (DM5 and ICD11). You seem to subtly suggest that the ICD11 offers the more thorough overall assessment because of its separation and further breakdown between PTSD and Complex PTSD; I personally think this is the case. I am wondering where does ‘Engaging in risky, reckless, or destructive behaviors’ come into either diagnosis, and is that more part of Complex PTSD?

thank you ❤👍

❤👍 thank you

I'm sorry for your loss.. love from Italy 💔🇮🇹

I lost my first dog when he was 14, too. Loved him to pieces. Still miss him sometimes (Nearly 14 years later!). So sorry for your loss.

😢

😢 Hey mate,. Soo sorry to hear about the loss of such an important part of your family, Daisy! Clearly hear, see and feel your pain at her passing! She is always with you! 💔Xx

Stuart can't imagine the pain you are experiencing at the moment. Keep well.

Oh I am so sorry for the loss of your beautiful dog. I always enjoyed seeing her when you have shown her on your channel. I could visibly see just how much you valued her companionship and you always called her your companion. I have dealt with the passing of several beloved dogs in my life, so I know how deeply this hurts because of the genuine understanding, compassion and kindness that our dogs give us. Daisy wouldn’t want you to put yourself aside, she would want you to shine. To offer your kindness and compassion, just like she did. Take care Stuart. Hugs to you and yours. Btw as a minimalist, I can concur, stuff doesn’t matter. Being present in as many moments as possible is what matters. 🤗💛

So very sorry for the lost of your dear Daisy. I understand the English language, but I can’t explain/express it well in English (but I do feel your pain)😢. Thanks for sharing this video. A big hug all the way from Belgium from me and my pet Sam 🫶

Stuart, I can't put in words how proud I am that you are doing this video instead of a short 'just wanted to let you know' because in times of social media showing vulnerability in front of a camera needs a lot of courage. I am really sorry for your loss and I hope you will take your time to grief and to take care of yourself. It is good that you noticed your focus shifted. So many different feelings that comes with grief. That was so hard for me to learn when my parents died. And tbh right now I fear the moment when my cat will die. Because she is my friend for about 12,5 years now. I think this is a good moment for me to go to her and be thankful that I still have her by my side. Thank you Stuart. Sending you warm hugs from Germany.

Stuart, I'm so sorry for the loss of your beloved Daisy. Your family gave her a good life starting with accepting her into your home and caring for her until the end. She was your best friend and you were most likely hers. That is a beautiful relationship. As a therapist, you know that grieving is a process and the only way is through. I wish you and your family all the best in your recovery journey. ❤

Oh Stu 😢 My heart aches for you and your family 🤗. Our animals are our family, our children, our best friends, and so much more... They love us unconditionally and give themselves absolutely to us in their trust and faith. The bond with a pet is something special and only another pet mum or dad (won't say owner as that's just demeaning the reality of the relationship) will truly understand the pain you are going thru right now. Thank you for taking the time to share and to articulate so beautifully and honestly the feelings and hurt... the darkness, negative self talk, the guilt, the questions, the need to push away the pain, avoid and distract, anything other than face it, the re-evaluation of what matters, before the acceptance starts to find a way in... And for being so real about how this impacts you as a therapist. I have been following your channel for a while (since you first reacted to Ren ☺️) and you seem to me to be a good, kind, empathic and genuine soul and as a therapist, because of this experience, you will meet your clients from a much deeper place of shared understanding and genuine empathy, ultimately supporting them in getting thru the stages of their grief and loss for their loved ones, human or otherwise. I have lost almost every person close and dear to me, parents, brother, partner, friends, and umpteen animals and for myself, I always felt the ball of grief doesn't get any smaller ... but somehow the box grows to hold the pain and all the love that has nowhere else to go... You had 14 years of her life, you will carry that love for the rest of your days and give it back tenfold to everyone else in your life, and hopefully many more rescue/re-home pups looking for their forever home on your heart (though it may feel impossible right now to even think of it, but the time will come, they leave a hole that must be filled). Hugs xx 🤗

I don't know how to say this in English so I write it in German: Mein Beileid. I was never in such a situation, and I can't imagine how it is. But I am afraid of the day a person I love will die. Because I know that the emotions will overwhelm me and I won't know how to live without this person. But life goes on and at some point in the future thoughts of a person, or in your case, of your dog will make you happy and you will remember what a good and happy life she had.

This is stupid

This sounds similar to Buddhist thought on the self. In Buddhism, there is a practice of "looking for the self", and in failing to find the self, the illusion of self can be broken. Seems like a direct parallel 🤔

Wow😊

Great! Thank you.

Really appreciate your work. Been struggling lately, grateful to find your exercises. Thank you sir.

I feel very lucky to have found this channel. I think you share informative videos. I have a small request. I am interested in the science of psychoanalysis, but I think what I read on the internet will not be sufficient for my career choice. If you could talk about what psychoanalysis is like, it would be very helpful to me.

Brilliant video, really good breakdown of this intervention