Doctor REACT to SCRUBS | Psychiatrist Analyzes Debilitating OCD | Dr Elliott
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- Опубліковано 7 лис 2024
- I'm Elliott, a JUNIOR DOCTOR specialising in psychiatry and mental health. Thank you for all the requests. I love Scrubs and this episodes is one of my favourites. It's all about OCD. Don't forget to like, share and SUBSCRIBE and let me know if there are any other TV shows you want me to comment on.
Twitter: / elcarthy
Instagram: / dr.elliott.carthy
Who to contact
• call your GP - ask for an emergency appointment
• call 111 out of hours - they will help you find the support and help you need
• contact your mental health crisis team - if you have one
• If your life is in danger then call 999 or go to A&E
Mental Health Links
Mental health foundation
www.mentalheal...
Mind
www.mind.org.uk/
Samaritans
Tel: 116 123
Email: jo@samaritans.org
The Silver Line
www.thesilverl...
Tel: 0800 470 8090
Childline
Tel: 0800 1111
www.childline....
Self-harm links
Harmless (self-harm)
www.harmless.or...
Selfharm UK
www.selfharm.c...
Drug and alcohol support
FRANK
www.talktofrank...
Text: 82111
Call: 0300 123 6600
Drinkline
Phone: 0300 123 1110
Addaction
www.addaction....
DrugFAM
www.drugfam.co.uk
Drugs and Me
www.drugsand.m...
It’s been said a thousand times, but Scrubs was so great at consistently delivering real, poignant drama inbetween goofs.
For me they are the most realistic medical show, they show the everyday struggles of doctors and nurses without being overly dramatic. Most doctors and nurses use humor to deal with the worse aspects of the job, they are not living in soap operas like Grey Anatomy's makes it to be or discovering new diseases like in Dr. House.
And of course spam replies in the comments. Ugh.
I agree, they always delivered a good mix of comedy and drama without feeling like a Bollywood Special.
In a way it was the M*A*S*H of our generation.
The only show since MASH to do it right imo.
What I love about this episode is that OCD from which dr Casey suffers was written into script for Michael J Fox. As I understand, Michael in that period already stopped starring in movies and TV because of parkinsons. Scrubs writers had put OCD into Dr, Casey, so parkinsons tremors and "mannerisms", Fox suffered, wouldn't look strange. The role also connected with Fox, who saw similarities between him and the character. Especially the way they both handle their diseases.
I apologise for mistakes. English is not my first language and due to lack of use I could become a little rusty ;)
I majored in English. You wrote great. 👍
@@matthewkreps3352 Thanks, I studied English Philology in the University of Warsaw, but if you don't use foreign language regularly you become rusty very quickly. Moreover I keep very high standards for my english. With spoken english I allow myself to make some mistakes but with written english I must not make mistakes. I hadn't have many occasions to use written english in over two years before writing this comment. Sometimes I need to translate some buissness letters for my family and once I had to translate parachuting manual to Polish. In those cases error can lead to injury or losing buisness partner.
@@MasterV667 honestly don’t worry about it too much, your writing is perfectly clear. i only saw about two typos, and having some mistakes in written english is pretty much fine especially if it’s your second language (i’m getting a degree in writing and we all make mistakes sometimes. i’m hoping to be an editor and that job wouldn’t even exist if writers never made mistakes, first language or not!)
@@MasterV667 you’re typing English pretty well. Now have someone try to type Polish and it’ll be a mess lol. Don’t fret man.
@@MasterV667 Your english is 10,000 times better than my Polish, and I'm trying to learn! Dzien Dobry!
As a doctor with OCD, this last scene is the only scripted depiction of the disease I've ever seen that truly conveys the weight we carry. I cry every time MJF delivers the line "I just want to go home...but I can't stop washing my damn hands." It perfectly captures the pain and the paradox of how distressing the obsessions are, and how the compulsions can be even more stressful (not least of all because they are often humiliating). Thank you for mentioning ERP, and for specializing in OCD (there are so few psychiatrists and therapists who do!), because there is a way to lessen the burden of this disease. It's painful, but it works.
Did you know that Zach Braff, who plays J.D., was diagnosed with OCD at the age of ten? That moment where he says "no I need to talk to you RIGHT NOW" almost says "I've been through people not understanding this" before.
This whole episode was written with his experiences, his perspective as an OCD sufferer.
That's what makes this such an understandable episode.
The final scene of this episode was extremely sad, everyone going to take their frustration out on him only to see him obsessively cleaning his hands... I never forgot it
Yeah a truly memorable moment. The thing I love the most about Scrubs (and there is plenty to love) is how it's capable of going from a really goofy mood to some really serious shit in mere moments and it doesn't feel forced at all. I don't remember which episode it was, but I remember realising at some point that it made me go from laughing, to almost tearing up, to laughing again in less then two minutes. Moving your audience is difficult; making your audience laugh is difficult; doing both back to back repeatedly? Jesus, how did they even manage that?
@@brodericksiz625 Brilliant writers, careful casting and very good set chemistry.
the music, the pacing of it all, the mixed look of realization and frustration but understanding, acceptance and probably self loathing at what they were about to do
it was a sight to see
I can imagine that that single scene can do so much good for so many people. It teaches a whole lot of people who don't suffer from OCD or other anxieties etc. what it's really like. So often we're aware of what we're doing, yet that doesn't mean we can stop. Someone with depression can be perfectly aware that they're only focusing on the negative of things, yet not be able to stop. Someone with ADHD can be aware that they're always late for appointments, yet not be able to fix it. Someone with autism can be perfectly aware that they're not responding to the social cues they're getting, yet not be able to change the conversation accordingly. For the record, all of those describe me :') I feel like especially that side of many personality traits and mental health issues is WAY underrepresented in popular media, and hence also way too unknown to the general public. If I had a nickel for every time I heard "well, if you know you're always late for things, why don't you just leave earlier?" Especially the word 'just' is deadly.
@@MerelvandenHurk Yeah, that's the real shitter of these things--a lot of time, knowing rationally that what we're doing is nonsense doesn't mean our lizard brains care. We can't get the emotional relief we need without doing things that we know to be pointless wastes of time and effort and sometimes money. In my case it's ADHD and depression and anxiety rather than OCD, but my wife has OCD and it works out the same way--I know things aren't as bad as they seem and that I'm just honing in on a thought because it's interesting (in a depressing or stressful way) rather than because it's likely, but that doesn't mean I can act on it.
I know that no one else cares whether I said the wrong thing in a social interaction or didn't know the right way to respond to something--they almost certainly forgot about our interaction as soon as it was over. But I still can't stop going over everything wrong I did and how it could alienate people. She knows (rationally) that she didn't hit anybody when she was out driving but she still has to loop back around and repeat the journey several times if she drives by herself and sees anyone walking on the side of the road because emotionally that fear keeps replaying in her head.
Like Dr. Carthy said, it's utterly exhausting. And that's when it's at its best and *isn't* eating up material resources like time, physical health or money (because sometimes these extra steps things can cost a lot of money over time for a benefit that we know is not truly necessary, other than to satisfy The Disorder. I'm just lucky I haven't gotten truly sucked in to slot machines or paid gacha games, because those things are DESIGNED to bleed money from ADHD people with surgical precision)
MJ absolutely killed this role, that final scene gets me every time. He said he was drawing from his own struggles with Parkinson's, and you can tell it was a personal role for him.
I like that the ending is a twist in a way. There's this whole trope of disabilities giving people superpowers, and most of this episode falls into that. But then the ending comes in and you realize he's actually struggling a lot, he's just learned to keep things more private.
My husband has OCD and it is always such a relief to see it portrayed more accurately than Monk. He isn't a crime solving genius. He's a human who's brain often feels like it's out of his own control.
I don't think it's implied that Monk is crime solving genius *because* of OCD, he's just one who happens to have it. It's been a while, though so I might be wrong...
@@TheLighthouse1983 You're correct. Monk is a crime solving genius, AND has OCD. They aren't necessarily connected, though like the doctor in this SCRUBS episode, it probably helped in some ways.
Monk's OCD also originally wasn't as severe. The underlying backstory and main plot to the entire show is that he underwent extreme emotional trauma and had a total mental breakdown, which caused his existing disabilities, including OCD, to intensify to a degree that rendered him unable to remain on the police force, or even really function without assistance.
@@Blackbaldrik that's how I remember it, too. It helped him some, yet hindered him in more ways than one.
I really liked Monk because of the nuance to his character. He's depicted as having much milder mental health symptoms before the trauma of losing his wife. He was a genius and a cop before this trauma. The first few seasons revolve around his frustration with his inability to work as a cop again, which is the one thing he wants in life. He faces some very scary issues. I will never forget the episode where he goes into the wrong apartment and doesn't remember how he got there. He gets lost and disoriented in a city, a scene that always made me feel so heard as someone with anxiety and panic attacks. I think it's a really great example of how trauma can shape a person with preexisting issues, as someone whose own disorder escalated after a significant trauma. Don't get me wrong, it was far from perfect (and I think a lot of the nuance is mostly due to Tony Shalhoob's excellent portrayal) but it always speaks to me deeply. Not only that, but he was allowed to have character traits beyond his diagnosis, which is so often not the case. He was a little bit mean and sarcastic, but with a good sense of humor. He's funny, and not just as the butt of the joke. He likes traditional things and doesn't care for technology. He's incredibly loyal, if not a little selfish in his relationships. He is brave and always does the right thing. And most importantly, the pay-off of his character growth isn't immediate. Over the course of the show, we see him work through his trauma slowly and painfully. We watch a man rebuild himself one episode at a time; we watched his backslides, we watched his success, we watched him grow and change-- and ultimately things never quite went back to the way they were . The final scene of the show suggests that there are better things to come, even if they are hard and come slowly.
Like many shows in the same vein, Monk is inspired by Sherlock Holmes. However, the show is not "What if Sherlock Holmes was a great detective because of his OCD," but rather "What if Sherlock Holmes had OCD"
@@TheLighthouse1983 it's a gift and a curse.
I love the hand washing scene at the end. I don’t have OCD but as someone with a mental illness I really related to the frustration in that scene. The idea that I don’t want to do this but my mental illness is making me is something that’s really misunderstood.
I relate in terms of rocking back and forth. If I have my feet up or if I'm laid back (physically), I don't have to do it, but otherwise, it's very, very strainuous (probably misspelled) to prevent myself from doing it. In certain situations, it's obviously very important that I sit still, but if I have to sit in a certain way and also have to sit still, I'll become increasinsgly stressed and anxious, eventually leading to difficulty breathing and a sense of panic where I either MUST at the very least bounce my legs and tap at something with my fingers or I HAVE to get up and leave. Leg-bouncing and such as like that fortunately keeps the need to rock at bay (in most cases), but if anyone were to insist I not even do THAT during a meeting, I'd simply say "no, that's not a possibility", lol.
@@VelkanAngels yea that's the problem with people that don't understand people with disabilities I suffer from Asperger's and my panic/anxiety attacks both happen at once which makes me black out for 5-10 mins not knowing what happens I'm aware of when them come but can't control it. It makes driving for Lyft very difficult and I'm sad to say because of my latest attack I'm not being told I should stop working for Lyft and go back to not working because I can't control my cough out burst cough. I some times cry because Im not sure what to do about it and there any much help for me. But I've lived this long without covid so I should be fine :)
Agreed! I have ADHD (among many other things), and if I had a nickel for every time I heard "well, if you know you're always late for things, why don't you just leave earlier?"
The thing that sucks is that you know what you’re thinking is utterly ridiculous and that you’re missing out on great things happening around you because these thoughts are tainting all your experiences
I don't have OCD, but I do have a more general anxiety disorder, and I can relate. It gets to the point where you can't tell whether your thoughts are rational or totally unfounded anymore, but you know that your life would be so much better without it because it keeps holding you back, and you just wish you knew whether you were afraid for real reasons or afraid just because you're crazy >_>
That is without a doubt the worst thing about OCD. The entire time you're dealing with it you know rationally it is ridiculous but the anxiety caused by not giving in is so intense it feels like you have no choice.
Does anyone know why we don
't get proper treatment- therapy for it to heal? What has happened to psychiatry, they increase trauma by withholding replies, intentions, options, plan, what they offer even, i e what it is I am queuing up for an being tested for. i said i seek trauma therapy, and get so much worse from their non- professional process of admission. Seeing a Dr without any proper Dr talk or getting to tell what i have and what i need, what is already known and the questions I have.They don't seem to be Drs at all, and i get so nervous, sleepless and tense with pains from them that I seem much sicker, and my real sickness can't be shown because of fear and lack of enough se cu. rity. 3 months of hesitation and working to feel safe enough on the phone, believe enough in them to go there, and then being unprofessionally "tested" by a Psychologist"- at the same time having it too badly to just drop it all and be alone. And it is hard to really know that it won't get better. The worst is the false,dangerous untrue and dishonest journals, where they depict me as worse than I am, different from what I am, with narrow, too quick "interpretations", can't even call it that.Words not checked for what I mean by them, and taken outside of their context makes it both misrepresenting and dangerous, if others believe or take as facts..
I'm so nervous for these great moments in my life only to be altered or tainted by these thoughts. Any advice? I'm 17, and I got my whole life ahead of me, and I just want to get better
@@myless.5493 Seeing a therapist is probably the best bet, because while these thoughts have waxed and waned for me over my life, I'm never 100% sure what made the latest fixation finally settle down, and sometimes they come back at full force with the slightest trigger. I do find that concentrating on writing about something else makes them calm down temporarily though. I do wonder if I can fill my head with enough positive mental feedback loops, reinforced by writing about them, it might eventually overpower the negative ones, but that's just a hypothesis. A qualified therapist would be able to provide better advice.
As someone who has adhd and a fine motor skill this episode is so important. It gives people with invisible disabilities viability and truly shows our struggles that others don't see. Still makes me tear up.
I looked for someone who reacted to this episode since I know a lot of shows don't get ocd right and I wanted to see a professional to react to it. Everyone always use ocd as a brunt of a joke or a skit and focus on cleanliness and that's it. OCD must be so exhausting and anxiety inducing to experience for the rest of your life.
As someone who suffers from it, it can be pretty rough. And I have a rather mild case
I covered OCD in one of my videos for my UA-cam channel and it’s definitely a topic that needs more awareness!
I have OCD and it sucks. One compulsion I had at one point was that I couldn't sit down on most chairs. I don't want to share the reason because it is hard to talk about and it embarrasses me. I also couldn't literally face people meaning that I have to position my body so I wasn't facing people. Some of my main ones right now is feeling like I did something wrong and having to say sorry over and over and over again. Sometimes I will say sorry over in over for minutes. I also fear like someone will murder me and my family sometimes. I also obsessive over random things (bad of course) for hours on end. I have more, but some are harder for me to talk about than others. Long story short the disorder tortures my brain.
It's really annoying, I have hand washing/cleanliness issues, plus having things in a certain order. I can't touch anything I perceive to be dirty without getting really anxious and have to wash my hands like surgeon. I know to help I'd have to confront my anxieties to help it but I'm not prepared to deal with the cleanliness one.
It's really debilitating and infuriating.
Stress in the last few years have made it worse.
I wouldn't wish it on anyone.
The book "Brain Lock", written by Jeffrey M. Schwartz, has helped me a lot.
So, if it wasn't for that scrubs episode - I doubt I'd ever been able to admit my OCD and seek help. Having it humanised, but most importantly shown, allowed me to understand that I wasn't alone in this disorder. I have up days and down days, but a good few years in down cycle now. Representation that's accurate and humanising and not leaning into stereotypes or false understanding is important.
I find this actually all the time with scrubs, where maybe the way they make diagnoses and treat stuff and resucitate isn't particular realistic. But the way it portrays the dynamics of a hospital, the feelings of doctors, nurses and patients is really well done
I have OCD and I love how appreciative how you talk about it while still describing how crippling it is. Thank you a whole lot!
"Imagining the worst case scenario again and again and again and again..." Hit the nail right on the head! I love that they included this symptom. I wish you had taken a second to point it out.
This episode really hit home for me and as a result, is one of my favorites. It, for me, does a great job showing a humorous side to OCD while also taking it seriously.
My brother has SEVERE ocd. If I had a worst enemy, I wouldn't wish my brother's mental state on them. 😕
I haven't seen the episode myself (oddly enough, as I really enjoyed Scrubs), but as someone with severe OCD, thank you for reviewing it and explaining it, I'll use it as an example when trying to explain how I feel to others. It's such a strange disorder, as I know how counterproductive the compulsions are (contamination OCD in my case and the excessive washing/disinfecting has caused quite a few skin problems and other health issues), but it feels almost impossible to stop. I'm starting a new medication soon, hopefully, this will take the edge off a bit as I feel therapy isn't doing much anymore. Every day is a battle, but I keep telling myself that I will win!
My friend has OCD, and after struggling really really hard, finally got some therapy. The therapist told her to try not doing her compulsions and seeing what happened. Her obsessions and compulsions were pretty irrational, like old wives tales, step on a crack, break your mother's back kinda level. Anyway, my friend was desperately trying to regain some control in her life and whilst working (in a care home overnight) she didn't do one of her routines, and a resident died that night. Obviously, she understands that those things aren't linked, but her OCD brain absolutely insists that it was. She hasn't worked full time in a while now, but I'm always so so proud of the things she accomplishes, professionally and socially. It's like living your life carrying a huge boulder whilst most people are carrying a pebble. It's exhausting, and unfair. She's doing okay atm, but the boulder is always gonna be there. She is just so strong.
The therapist told her to try not doing them????? Did they not understand how OCD works????
@@turner15yeah, it sounds like the therapist DOES know how it works. ERP is a type of exposure therapy where you are slowly and in a safe environment exposed to the obsession triggers, but you try not to do the compulsions with it. It's one of the most well-known forms of OCD therapy and he literally talks about it in the video
My heart went out to Dr. Casey watching this episode.
When it came to Scrubs, they had a somewhat nuanced way of portraying OCD because Zach Braff (Playing J.D) appearantly has it.
@Knit3Together Completely possible, I don't know the specifics.
The scene about shaking hands was an inside comment about Michael J Fox's Parkinson's disease. I think there were several comments sprinkled throughout the episode, which only shows Fox's sense of self-humor.
As some who describes themselves as "Able Disabled" (physical disability) the thing that gets me in this episode is the way that you can be riding high 99% of the time, but when that trip does come, it takes you down HARD. You can see DR C struggling harder because he knows that he can do better. He knows that he is a great doctor and his OCD popping saying "Hi, Still here. Remember me" is like a triple whammie to him.
Excellent video. Thank you. -Thought I'd add that the past year of Covid has been especially tough because many of our fears/anxieties are absolutely valid. And in some cases, if people know you have OCD, you get eye-rolls or dismissed even-though you are absolutely correct.
Covid has been awful for people with conditions like anxiety disorders and OCD. Hopefully most psychiatrists, like me, would take it seriously when someone is struggling
@@DoctorElliottCarthy ♥
Thank you so much! I wish more people understood how exhausting and occasionally all-consuming OCD is. Sertraline has saved my life. ERT has saved it more.
Fox nails the portrayal. I also appreciate the fact that the character is such a respected doctor, because even though it can be draining, we know how to work hard and be compassionate. Because, dear heavens, it is a lot of work.
Since you love “Sunny” you should look at the episodes with Charlie’s mum. She fairly clearly has OCD, (specifically counting with the thought pattern of catastrophe) and it does highlight the irrationality of it, but also that irrationality doesn’t stop the OCD brain. It also makes you re-contextualize the fact that she was a prostitute. But it made me sympathetic to Charlie’s childhood, because motherhood can be really tough with OCD especially as Mrs. Kelly is a single mom.
What do you mean did you have OCD before
@@ryanong3517 I was diagnosed with OCD at the age of 7
@@sarahmeredith4853 Oh that's rough. Good to hear you're better now
I loved this portrayal. I was only 15 when I was diagnosed with OCD and it was nice to see a well written character, and a successful doctor/surgeon at that.
I wish OCD was portrayed this kindly & accurately in most fiction because it’s such a misunderstood disorder. A lot of people have heard of OCD, but not many understand how debilitating it can be. I learned a lot from this vid, thank you for the insight!
The guest episodes of Scrubs are usually the best. Even though Brendan Frasier's episodes are my favorite guest episodes, this one is easily a close second because of how human it is. Scrubs was always at its best when it made you both laugh and cry in the same episode.
Michael J. Fox is a fantastic actor and using OCD as a cover for his Parkinson's was a rather clever move by the writers because you become so fixated on the repetitious behavior of the character that the Parkinson's quirks sort of fade into the background, which, of course, is also because of Michael J. Fox's acting (and no doubt the team took multiple takes to get it just right).
Sucks that the disease took away what could have been an incredibly long-running successful career from him, but I'm glad it didn't hold him down. He still does voice-work and has appeared in shows like Curb Your Enthusiasm and (obviously) Scrubs in the past. In his current state it's much more difficult, though, I imagine. But he's working really hard to beat the disease not just for himself but for everyone else who has it too. They've raised a _lot_ of money towards ending the disease once and for all.
This last scene... That is the real scrubs, they real you in with the humor and the characters. Than hit you square in the gut with moments like that, showing you real characters dealing with real problems and simultaneously showing that OCD is very serious absolutely brilliant.
I don't have ocd but like many people i went through a period when i mistakenly referred to my weird quirks as me having ocd. Having anxiety and looking back at this episode i feel apologetic for my ignorance and know really understand what he felt at the end. People just tell you to stop or to get over it or look at you like you want to do/feel the way you do, especially when you know it impedes your life. The more it becomes okay to talk about mental health and the more support/help is available makes all the difference. But i feel really bad for those who have and do suffer in silence. So ty for this reaction, for people who read the comments and for those who did the show.
As someone that has OCD, I loved this episode of Scrubs as a kid and I still do to this day. It's one of the best and honestly one of the only good representations I've seen of OCD on tv.
Scrubs is one of these comedy shows that knows when to take a topic seriously. They maybe making jokes and crazy stuff all around it, but then there is the one scene where they hit it right where it hurts and makes you think about it.
There are several episodes like that, I think "My Lunch" is one of the most famous one.
But this was also one of the I think really good episodes.
The ending of this episode makes me cry, so human and genuine
Great episode and great incorporation of MJF and his health. While different disorders the same theme rings true and while a brilliant actor his actual frustration with how chronic health issues impacts is amazingly poignant and heartbreaking. The scream is too real as I can imagine that sort of rage with being unable to stop things like his tremors. Exposing his own “weaknesses” for a sensational piece of acting.
I believe I read Zach Braff was dx with OCD young. Which probably also helped lend a degree of realism and made this sensitive to the issue.
the ending scene was to relatible. perfect capture. also that the first thing he did was apologizing, cause people dont understand the pain you go threw so you eventally learn to act like you dont have it and you dont expect them to understand when you did something that it was because of your ocd, cause they would say you always just blaming your sickness or we dont wanna make assumptions for you.
My mom has ocd and she never really explained how it effected her until I got diagnosed with anxiety and depression and my therapist talked about how my thoughts of worthlessness/anxiety of my future is obsessive and said that’s probably how your mom feels sometimes with her disorder. She told me her obsessions are doing compulsions so that we don’t die or get hurt, like locking the doors in our house, etc.
Another youtube creator who suffers from OCD once made a point of saying that there's a reason "Obsessive" comes *before* "compulsive" in the name of the disease: Most people see the compulsive behaviors and that's what we associate with the disease, but it's the internal obsessions over stupid things that you KNOW are stupid and you KNOW you shouldn't be freaking out over but you can't stop anyways because your brain grabs onto these thoughts like a vice grip and refuses to let go that are really the main component of the disease.
The surface level actions of washing your hands 100 times or checking and re-checking and then re-re-rechecking something over and over again can range from 'quirky' to 'uncomfortable' for the outside observer, but those things we can see are almost nothing of what the disease actually is, and no matter how awkward or uncomfortable it may be to be around someone with these compulsions, it's absolutely NOTHING compared to being the person suffering from them.
as someone w/ ocd I can confirm that when I'm stressed bc of smth else my compulsions become 100x worse. I'll keep doing the things I 'have' to do and if smth interrupts me I have to start over even though I know I've already checked something 20 times. I have to factor in 10-15 minutes before I leave the house just to check all the windows and doors multiple times. ocd is truly the worst
One of the few episodes that elevated the show to extreme heights.
Love the show. Currently rewatching it for the 20+ time.
As someone w OCD, this episode hit home for me...thanks so much for covering it
I think i'm going to just pull up notepad and type in how unbelievably underrated and amazing that Scrubs is, so whenever I see a reaction to it where the person is shocked at how real and just overall good the show is I can just copy and paste. such an amazing show
Top 10 list for sure
Yeah, suffer from OCD pretty much my whole life. When I was 10 years old we had a car accident, and then it got really worse.
It's true what you said, it's really exhausting, and sometimes you just want peace.
You have to learn to live with it, which is no easy task because most of the people don't understand.
The last scene is brilliant. What he says about burden is true.
This was a great episode, and really reminds me of one of my favorite episodes, My Super Ego, in season one. That one is also about a perfect doctor and the burdens that they deal with.
Doctors and nurses are easily triggered by the Q word: Quiet. Lol. As in, "Today seems real quiet. Few cases to prep for." I'll never make that mistake again
Yeah I learned that lesson the hard way too 🤣
Saying the Q word also works in retail. I speak from experience.
It carries over to veterinary clinics as well. Don't ever say the q word or suggest you'll have time to get other jobs done/leave early/make plans that involve leaving on time
Hospitality too, it's a bad word
People who have no idea what they're talking about: "OMG, I get so grumpy if my books aren't in the order I want. I'm soooo OCD!"
Me (with actual OCD): I once couldn't leave my apartment for three months because I was convinced it would burn down as soon as I did, killing my animals trapped inside, and it would somehow be all my fault. This was after months of me needing to literally unplug everything before attempting to leave (including the oven and refrigerator), and having full rituals where I had to touch all my stove burners and outlets to make sure they didn't feel hot. I once walked out of a Thanksgiving dinner so I could drive home to make sure all my animals were still alive and my place hadn't burned down. I installed multiple security cameras that I could access with my phone so I can check my living space whenever I get the fear it's on fire...and I walked out on a university midterm when the camera was malfunctioning so I could go home and make sure my cat was still alive, having to subsequently drop the class so I wouldn't fail it outright for walking out of my midterm."
We won't talk about what I've gone through with my germ fear and terror of kissing, public bathrooms and doorknobs. Especially in the age of COVID.
That being said, Michael J. Fox's portrayal of OCD was probably the most accurate I've ever seen in media. Also, John Green's character in "Turtles All the Way Down" (because John too has OCD and doesn't write it like a "cute quirk"). But, like this character, years and years of therapy and daily Zoloft have allowed me to hold down a full time job, graduate university, and almost have a social life.
@heather morgan, i have to know what does zoloft do to the body? I probably have ocd if it meana irrational fears much of the time
Just discovered your channel. Really great work. Watched several videos now. You should do more Scrubs, I hear it's pretty accurate medical wise. Looking forward to your next video.
Thanks a lot and really pleased you like it
Scrubs will always remain one of the best comedy series. I've started watching The Good Doctor, and it's really good too. Would love to see you respond to some of its episodes.
Could you do 'My Fallen Mentor'? I recommend watching the episode 'My Lunch' before it first so you get the context.
This is by far my favorite episode.
I love the addition of great hear because jd beeing proud of his hair is a returning theme
Very nice video. I like your calm explanations.
About the obsession with symmetry...
Would it help for such a person to spend a lot of time out in nature? After all, there is no perfect symmetry to be found or to be expected in wildlife ever.
It would have been nice if you went more into the fitting therapy or medication. Just an overview would have been nice.
:)
Hello Dr Elliott Carthy! Love the channel.
This episode is the only piece of media I've seen that shows anxieties directly funneling into your ocd getting worse which then just gives you more anxiety. A lesson I learned the hard way noticing when I'd 'suddenly' have spikes over the years lol Also Michael J Fox's Dr. Casey has my vote as the equivalent to Smokey the Bear but for ocd. If anyone is curious what a bad episode of the Twilight Zone feels like live in a house with 8 clocks all seconds to a minute behind(many hand wound)some with chimes and many in the main thresholds of your house while having ocd. Takes me ages to get a soda from the fridge! (So I usually just keep water in my room, positives out of negatives) Thanks for the awesome video it is a media student's solace since I've found it.
Oh how I loved that show. The internal monologue (once a duet?) Dr Cox who is what his name sounds like. A good reaction, thank you.
i didn't know that OCD is anxiety-based simply bc i never thought to research the condition. thank you for explaining it!!!
Big shout out to Sertraline! Thank you for every thing you have done and continue to do!
I'm glad you noted aloud how exhausting OCD is. That was validating. Thank you.
More scrubs!!!
Only representation of OCD in TV I've felt was accurate.
Found this video by chance when looking at the original clip; they just discussed this episode on the Scrubs rewatch podcast!
Name of pod? Scrubs is my fav show all time wouldn’t mind hearing other’s opinions/views on it
@@dandresloan Fake Doctors Real Friends. It's done by the actors who play JD and Turk.
I feel like Dr. Casey's "expect the unexpected" can be interpreted in two ways. On the one hand, it's very good advice for someone in the medical field. On another level, as someone with OCD, a different interpretation springs to mind.
He mentions that he goes over the worst case scenario with situations over and over - something I unfortunately relate to. "Expecting the unexpected," in my experience, is maintaining constant hypervigilance and covering every contingency to keep the dreaded "bad outcomes" away and under control. It's to the point where I feel extremely uncomfortable if I notice I feel happy or relaxed at any moment - I'm always waiting for the other shoe to drop. If left unexamined, that in and of itself can lead to its own set of compulsions.
Dr cox has a lot of redeeming moments and man what a great actor for the role
As a fellow Brit, I wanted to pass on my approval of the strength of your cuppa - perfect brew!
My ocd was at its worse when i was in middle school, cant even talk to people because I keep on blinking, cant just buy food to eat because I have to walk upstairs and downstairs exactly two times, my neck sprains from moving it too much etc etc. God thankfully I get better now but I couldn't even do anything back then it was that debilitating. So this episode really... it feels relieving to see this and hear people relate to it. Honestly it's such a good episode, Im so happy that he was understanding in the end
My mom used to live in the appartement under a young man with OCD. I could hear him every night before bed checking that the windows were closed. Over and over. And him leaving his home, locking his door in the morning, turning the handle, over and over.
I always used to wonder what it was like in his head, probably very stressful.
Have you seen The Night Shift? I thought it was great but I wondered how close their portrayal of PTSD was. I'd suggest the Pilot or "Save Me" S1E8
I have OCD. The compulsion for me to do things a certain number of times in order for it to feel " right" can get so overwhelming. I related to this episode a lot. Thank you for covering this topic.
As someone who suffers from OCD, the "you're not supposed to see that" line hits hard
I really, really love "Scrubs", but by far the best episodes are the one with Michael J. Fox. His role is awesome and he's so powerful.
Having OCD. As someone who does. Can nearly ruin your life. The analogy i use for intrusive thoughts is like building a house in a hurricane. You want the foundation (your mind) to be stable and you know it won't be and it's futile, but you still try because you need to feel content in your control of your own mind.
Just bc he said no signs of leukemia while looking at the xray doesn't mean he didn't already check the other tests...that had no signs of leukemia. HOW DARE YOU QUESTION THE COX!!!!!
great reaction btw haha
Great video. Also your tea was a perfect colour 👌
I love your videos! Just started watching some of them. I suffer from OCD since 15 years now and ive gone threw a lot of diffrent therapiest sadly some of them made it so much worse for me. In a different video where you also talked about ocd you mention how much you underrastimeted that sickness and i honestly had to laugh so bad cause i met some therapists that didnt even knew really what ocd was. So thats where my problem is, cause you mention the way ocd is usually treated and here is the reason why it wont work in most cases (by the way the big bang theory made a great episode about that were amy does exactly that treatment on scheldons ocd) so you usually have 1 hour therapie anyone who has lived with ocd has eventelly learnt how to push there compulsions away for quite some time. i mean makes scense you cant do your ocd while youre crossing a street with the possibility of getting run over with a car right? So every person with ocd will just not do their ocd while the therapist is there but as soon as they are gone, they will do their compulsions. So second problem even if you can bring up enough self will to not do your compulsions that anxiety feeling doesnt just go away or down. Mine stayed there for 3 days until it finally went away. this is just not realistic for me to keep doing i mean i have a job and things to do i cant be on a anxcity level that high all the time so i do my compulsions so it goes away. There has to be better and diffrent ways to treat OCD. If there is please let me know. Sadly i cant go to therapie anymore cause in germany after 5 years of therapie you have to take i think a 2 year break from it cause you are healed, even tho they also say its a life long dieciese
I don't have OCD per se, but I do have an anxiety problem that in particular bad periods also manifested in OCD behaviors, mostly related to checking things (the gas valve, locks etc.) Once it got so bad I spent 30-40 minutes at times, checking the same stuff. I knew at that same moment I was doing it how "crazy" that was and I was so frustrated with myself to the point of crying. It made me scared about doing basic stuff even related to my job because I was worried about the most inane things all the time. Thankfully that particularly bad moment has passed.
Scrubs is such a great show - they know how to balance comedy with drama so beautifully. I grew up loving Michael j Fox - as usual he’s brilliant in this.
This is the first time this channel has been recommended to me. Does UA-cam know I just got an appointment with a psychiatrist? Is it monitoring me? Well, it probably is monitoring me, but good thing I am not paranoid, my crazy is a different flavor.
The scene with MJF describing university reminds me of my time. I studied literature and I would reread novels and passages over and over again, because I had an obsession that I was missing something. I would write 100s of little post-it notes with the smallest interpretations and imagery within the passage. And then I would have a tear-away notepad for notes during lectures, and I would rewrite these notes into a notebook with colour coded inks for different types of information.
I still do that now, I always have 5 different colour pens in my handbag for my diary with appointments.
I also compulsively take notes during meetings, my boss has had to ask me to stop writing and just listen so many times.
I know the episode inside and out, got a good chuckle at the doc making an observation at 04:11 that is actually plays out in a poignant scene later on in the storyline. Great doctoring!!
Is there any advice anyone can shed some light on? I'm 17 years old, and I constantly re-walk through entries, cannot touch certain parts of my body in fear of intrusive thoughts, can't sign my name once, takes me forever to put my contacts in even though I can do it in less than ten seconds, takes forever to get out of the shower, etc. When ever something significant happens, I have intrusive thoughts, and I don't know how to get rid of it. I just want help, and I don't know how
A few pieces of TV and movies I'd really love your take on:
Noah Hawley Stuff, especially Legion
Dr. Tobias Fünke the fist ever professional Analrapist
Mr. Robot
Wandavision
Wristcutters - A Love Story
Ian Curtis Biopic: Control
A loved one very close to me struggles with relatively severe OCD (though most of the compulsions are mental rather than physical). The exhaustion is absolutely a defining feature. He’s constantly maxed out in terms of anxiety and stress, so any additional stressor can lead to panic attacks. Most films and TV shows are so far off the mark, but this is pretty accurate.
It'd be really interesting if you'd react to "mental". It follows the adventures of some kid you are in a psychiatrist structure because of their mental illnesses and I really enjoyed how they portrait these disorders, but I would love to see you, as a professional, react to it.
Anyway, since it's an Italian TV show (you can watch on platform like Rai Play) and I'm not sure if it has English subtitles, I'm just saying this with the knowledge that maybe you couldn't do it.
Anyway, I just discovered your channel and I'm loving your contents !!
When I was kid I had this thing where I'd have to do things in even numbers or else I'd end up stuck in an "alien world". So let's say I spun around... I'd have to spin around again so I wouldn't get stuck. Thank goodness I grew out of that, although it lasted well into my teens. Is that comparable to OCD?
I hadn't seen this one before and now the tears are cominggggg
So my only complaint is that Ocd isn’t always about cleaning and having the episode end on that paint could add to the common miss conception
You're right about cleaning being over represented in depictions of OCD in the media. Just as swearing in Tourette's is actually the exception not the norm. In my clinical experience its obsessions over symmetry and doubts that are the most debilitating and difficult to treat.
@@DoctorElliottCarthy As humans, our pattern recognition and processing abilities gave an evolutionary advantage; once you can recognise the pattern of tall dry grass waving in a breeze, you can notice the area of grass that doesn't wave the same because that grass is being supported by a large predator. I think alignment OCD represents the pattern-brain and the analytical brain creating an insufficiently moderated feedback loop.
On the other hand, I'm a software developer who was diagnosed with Dyslexia and ADHD at age 26, so overanalysing and thought-experiments are just what I do...
My guess is that the need to clean something is easily relatable to everyone. It's easier for someone without OCD to imagine not being able to accept that something is already clean than it is for them to be able to imagine something not being symmetrical enough.
Likewise, I think most people have experienced moments at which they have wanted to swear at an inappropriate time and were able to restrain themselves from doing so (or simply swore at an inappropriate time by accident). So it's easy for them to imagine what it would be like to not be able to have that restraint.
Considering most 30 minute sitcoms have very precise pacing, I would assume it just makes more sense to get people on board with the concept as quickly as possible and forego nuance. Even with full lengths films, going with the same cliche depictions of OCD, Tourette's, etc., might just be a safer bet for the director so they can make sure not to have to cut more important parts of their film if it runs too long.
I don't know if it was accurate, but I did like that in 'The Aviator' Leonardo DiCaprio demonstrated other compulsions that weren't related to germaphobia, like obsessively clearing his throat and repeating sentencing until they were "right".
I think it the amount of times rather than the cleaning. As illustrated throughout the episode
I like that you're not ( i know everything-ish) you know what i mean lol, got me subbed. Rly enjoy your videos.
Thanks a lot. I certainly don't know everything. Exposing gaps in my knowledge and then finding out the answers is what makes medicine and science fun. There is always something new
I was never diagnosed with OCD, but there was 1 thing for a really long time, that was super hard for me to stop doing-
After a sexual assault by someone I knew since I had been 7 when I was 17 hand washing became an absolute nightmare. I didn't even realize it was a compulsion even when my hands were just dry until I was washing them so often I was actually making them bleed.
They just always felt dirty and- almost like I had dirty gloves on, and it was just something I was drawn to do over and over whether or not I was near a sink. Putting it off I'd have actual panic issues, but I had been a psych major and even though I had stopped going to a group thing because I felt I didn't have the problems they were saying were common (denial is a thing even if you know about most people being in denial), how bad the compulsion and the pain in my hands were I had to admit to myself that even though I knew what happened wasn't my fault- for simplicity I had to tell myself that even if I wasn't admitting I felt dirty, CLEARLY I felt dirty from it.
I don't have OCD, and the way I addressed it (this was between 96 and 98) was by being around a sink, and as long as I knew I didn't actually do anything where my hands needed to be washed immediately, I would make myself wait like 5 mins and "only" allow myself 3 hand washings, and then I would have to leave the room and wait another 5 before I would let myself do the same.
That grew in time and I got to the point where I would only let myself do 1 long handwashing session only when it was circumstances anyone else would wash their hands and it really really sucked. In that time I didn't get professional help (no insurance and more denial that I didn't need help), but I had made friends with some people who had experienced severe abuses in life and in being there for them, being supportive of them, and assuring them the things weren't their fault, that they weren't lesser people for stuff, my helping them made me realize I needed to accept that stuff about myself as well.
Took a bit, and because I don't have OCD I did get out of those loops- but I know people with OCD from my job helping people with developmental disabilities, and I do know when I was a teenager I didn't understand how compulsions worked, I didn't understand how people just didn't stop doing things, though I never would have thought negatively with people who couldn't- but while I'm not glad at what happened, of course, I am- kind of- glad I went through that period with that 1 compulsion which alone had such an impact on my life. It helped me help them better, esp when over tired and compulsions were causing frustration in coworkers who really needed a few mins to just sit after a hard day. I take over supporting whoever is stuck in a compulsion loop and just work on talking about anything other than the actions they were doing, without making them feel pressure to stop (that's an easy mistake to make and from my experience being pressured to stop makes you SO self-conscious that you can't stop that it makes it worse and it lasts longer). Also when it was about lining things up right sometimes, and I would ask if they wanted help first- helping them line things up helped the compulsion end a little quicker if it lined up quicker.
But ALWAYS ask, because if the compulsion is that THEY have to do it, you helping can just stress them out more and make that round of acting on that specific compulsion worse.
As someone that is diagnosed OCD, I hate when people use OCD as a colloquium. I also have Major Depressive Disorder. When I am depressed, I don't put any effort into my OCD tendencies. No anxiety is present. That may sound good, but when my mood is stable, I am overcome with OCD tendencies because I actually start caring about cleanliness, locking my door several times before bed, lights on or off, stepping over cracks on a sidewalk with my left foot while exhaling my breath, clenching my jaw in a pattern between left and right teeth . . . .
Moral of the story, just because you are a tidy person in your home does *NOT* equate to you 'being' OCD
For me my little bit of ocd is that I cannot walk over cracks or lines in the pavement between bricks or whatever, and when there are different materials on the pavement I have to walk over each material an even number of times. It's not debilitating enough that I have to go back and repeat it if I make a mistake, but it does annoy me a bit.
Scrubs doesn’t always get the medical stuff correct but the show pretty much always nailed the humanity and social aspects of the stories we saw
What do you think about Doug there is definitely something going on with him
I kinda wish that Kevin Casey would appear on The Good Doctor and becomes friends with Shaun.
I don't have OCD but I have a panic disorder, so I do understand some of the thought process. For example, even if there's no cars coming on a street that's never busy I still push the button and wait at the cross walk because you're supposed to do that, and crossing without doing that makes me anxious, not every time but most of the time. I know that I don't have to wait for the little green stick figure to tell me to walk because there's nobody coming so there's no danger but I still do. Even if I'm in a hurry.
Hi - please could yo do a video on the difference between SSRIs? I was on fluoxetine last year and I made me less distressed (I'm pretty sure I have BPD although haven't been able to access psychiatric services because of NHS bureaucracy) but I also just felt kinda numb and like my internal monologue was a lot more boring and less creative. Now I'm on escitalopram and it seems to be working much better. Why do some SSRIs work better than others for some people? Is it related to which mental health condition(s) you're struggling with or are there other factors?
Since you asked, please react to the two special episodes of Euphoria! One is about drug addiction, the other is about gender transitioning.
I think I did CBT for, what was it...six years? It DID help a bot with the more tangible issues like food contamination, but was completely-ineffective in tackling the more abstract hypochondria.
Have you seen the movie 'What if it works'? It's a really sweet film about a guy with OCD and a girl with Dissociative Identity Disorder - it'd be really interesting to hear your take on it!
well he could be looking at the cat scan knowing that he doesn't have leukemia because he testet it before but seeing all the symptoms of leukemia that can possibly be observed on the scan and going on like: "this is almost text book leukemia symptoms besides the fact that it isn't in fact leukemia!"
Man, I just watched this episode the other day (prob why UA-cam's algorythm showed me this video!) Michael J Fox did an absolutely terrific, outstanding job.
Regarding the damaging compulsions, I think one of the worst examples I saw (this was on some TV show, that featured couples trying to save their marriage) was a woman with OCD who, after defecating, would have to "clean" herself, and not just externally, going as far as inserting a toothbrush into the rectum (Possibly as far as reaching the colon) to scrub internally. It was a while ago, and I know she had on more than one occasion caused enough damage to need medical intervention (pretty sure it was sepsis due to gut flora getting into the internal injury caused by the toothbrush).