There was a reason why the 3rd patient did not want to answer you. Sending people to a hospital where they have their dignity and freedom taken from them along with another bill makes the problem worse. This is why people don't trust therapists.
I wish there was a doctor like this would even be interested in talking to me. In the past few months I have lost my mom, my wife, my Chihuahua Randy. Living alone and it is becoming difficult to care for myself. I will be running out of money in about four weeks. No income other than my Social Security, which doesn't even cover my rent. Cannot work due to several significant health issues. I am too weak and broken down to make it living on the streets or in a homeless shelter. No family or friends. I am not sure how I feel about being locked up in a psych ward, but I doubt it would do any good. I don't think I am crazy, I am just out of options. Never dreamed that a situation like this would lead to the end of my life.
It’s not so much that. As it is that it distracts from actual help. Suicidal people are looking for someone to help them live a life. They don’t need someone to help them not die. But when you tell someone you’re suicidal, that’s all they focus on, retraining you if necessary, are they gonna be liable, etc. They immediately forget that I came to you for help. Like, if I’ve gotten a problem or problems, so overwhelming that I’m considering suicide as a solution. Ask yourself “a solution to what?” Because THAT’S what I need help with. THAT’S what I came to you for. I didn’t come to you so you could take the solution away, I came in hopes that you’d have an alternative solution.
@@AwesomeSauce-ex3ok OMG, you are exactly right. I don't really want to die, but I live alone, have run out of money, and my health is such that I just can't care for myself anymore. I am too old and sick to make it living on the street or in a homeless shelter. If I had solutions to those problems the entire thing might be moot. Thank you so much for posting this.
All this talk about hospitalization despite what the research literature points to--that poverty is a top risk factor for suicide, that chronic social isolation--especially damning among the older--is a top risk factor for suicidal ideation, that suicide risks among the most destitute like the homeless is substantially higher than the risk in the general population... If we made our culture a gentler, more supportive place more of us wanted to stick around to experience, suicide rates would likely fall naturally. Instead, we talk about forcibly locking people away against their will where more contemporary research is showing the trauma many experience in these places is associated with increased suicide risk (see, for example, Forte A, Buscajoni A, Fiorillo A, Pompili M, Baldessarini RJ. Suicidal Risk Following Hospital Discharge: A Review. Harv Rev Psychiatry. 2019 Jul/Aug;27(4):209-216.). Very telling that the speaker, mentioning his patient whom he institutionalized, says that he doesn't know what happened to her AFTER.
This is honestly something that needs to be at the front of suicidality discourse, especially important now with all the displacement and financial hardships people are experiencing everywhere
I am 46 and have suffered from suicidal thoughts since I was 10 years old. I have the means and the motivation is only a hair away. I don’t have any family and few true friends. I’ve been hospitalized for my psychiatric problems 3 times and can’t think of a reason to go on with this miserable experiment called existence.
If you have suicidal thoughts please go to an emergency room. The following video may help Is Life Worth Living? Thoughts of a psychiatrist ua-cam.com/video/BmaS3GODRhg/v-deo.html I hope things improve for you soon. Peter Goertz
I was like that too my whole life. It gets better when you seek help. Just lie about the suicidal part or you'll end up in a paper gown coloring while people around you scream at each other, and it does not help
I suffer from Aspergers, OCD, hypothyroidism, and severe clinical depression. All these equal a death sentence. Seen so many psychiatrists that can't help me, I feel its time to give up and call it quits.
Hi Rick, If you have suicidal thoughts please go to an emergency room. In my experience situations that seem hopeless to the affected person can improve. I hope things improve for you soon. If you are not already seeing a psychotherapist, it may be wise to start seeing a psychotherapist. Peter Goertz
I’m sorry you’re feeling that way, but I don’t blame you one bit. I’m not sure why we are placed here in this world and many of us have been dealt such a raw hand. I can’t imagine that a lovey God would vanish us all to hell just because we decided to take ourselves out early. I think he will welcome us with open arms. But when I get there, seriously, do want to find out why he created a world like this in the first place.
@@weaverdreams God created this world so he could love us. Abandon the thoughts you are worthless to others and Accept the thought that God loves you. And in return, love God with every inch of your being - How? By thanking God for all things in your life - the good things and the bad. Every time you do this God will acknowledge your gratitude and suffering and shower you with grace - you will know the grace when you feel peace. I have had much tragedy and rejection in my life, but I have discovered spending at least 30 minutes every night before bed in honest, sincere prayer to the one who loves me, God, and acknowledging my weakness, asking forgiveness for those I have hurt as well as earnestly saying I forgive those that have hurt me; those that have physically hurt me, ignored me, mistreated me, taken advantage of me, alienated me etc. and I ask for guidance and strength to stay away from people that do harm. When all is said and done "Pick up the graces other people let fall to the ground and do good with it." Trust in the Lord.
The question is when to back off and let the person make their own decision? All you “professionals” who think you know everything need to realize that you’re not walking in that person’s shoes. Within 20 years, we will ALL be able to decide on an early Final Exit without judgment, and it will be about damn time. As it is, most of us have to spend $15,000 and go to Switzerland to get it because we have so many bass-ackwards people who think the way you do. (“I know best and you need to keep living until you spend every penny you’ve got and end up senile in a nursing home.”)
It’s really weird to me, I’ve never really heard of people going to the hospital for suicidal thoughts. Even ideations are just that at best. I’ve wanted to be dead from as far back as I can remember. 2-3 years old. I started stockpiling narcotics several years ago in case I ever needed them. I oftentimes find myself staring down my handgun to try to see a better place quite often. I had goals of things I had hoped to do but they are not very realistic goals. There is no future for me. People often say being actively suicidal is not normal, and from a societal standpoint maybe not. It is in fact my normal. Counseling and medications have only band aided the problem. I assume just not be here anymore, because we will all die eventually anyway. I’m ready to go home and be with Jesus out of such a sick evil world.
I’ve been struggling with suicidal thoughts but i don’t know if i should open up to my therapist about it out of fear. She knows I have passive suicidal thoughts and we have a safety plan installed but im scared to tell my support system. I even texted the suicide crisis # and even after i chatted with them I still self harmed. I messaged the number because over the last week my thoughts have become active. I’ve dealt with depression but this time it feels different, my thoughts are everywhere. I haven’t been able to escape these thoughts, i distract myself and as soon as I feel a bit better and tell myself that it’ll be okay and try finding motivation, they circle back to the point of relapsing on self harming. I don’t think i’ll do it soon, and don’t want to but this voice in my head keeps trying to convince me. I feel like a coward for contemplating it so much. I honestly feel like i’m trying to hide from my own mind and don’t feel comfortable or safe in my own body. I just feel overwhelmed and confused, i don’t know what to do
Please go to an emergency room and get evaluated psychiatrically. Please be open about your suicidal thoughts when you speak with doctors and other health professionals. Peter Goertz
@@goertzpsychiatry9340 Hi peter, I feel a bit better now. I decided to ignore my head and plans no matter how much they keep circling back. I now feel like it’s either I get better and choose to push forward or I stay this way and follow through. It’s the only thing that has motivated me to try again but i know i have that plan just in case. I let my mom know about my feelings and she’s trying her best to support me. I’m afraid of going to the hospital or emergency room so for that reason I have to get better
God created this world so he could love us. Abandon the thoughts you are worthless to others and Accept the thought that God loves you. And in return, love God with every inch of your being - How? By thanking God for all things in your life - the good things and the bad. Every time you do this God will acknowledge your gratitude and suffering and shower you with grace - you will know the grace when you feel peace. I have had much tragedy and rejection in my life, and I was able to overcome the wretched thoughts by literally telling the bad thoughts to get in the corner and do not come out, followed by words that praise to God - God you are so good, you are so beautiful and I do, I do I do believe you love me - hard to do yes, but it can be done. I have discovered spending at least 30 minutes every night before bed in honest, sincere prayer to the one who loves me, God, and acknowledging my weakness, asking forgiveness for those I have hurt as well as earnestly saying I forgive those that have hurt me, those that have physically hurt me, those that ignored me, mistreated me, taken advantage of me, alienate me etc. and I ask for guidance and strength to stay away from people that do harm. When all is said and done "Pick up the graces other people let fall to the ground and do good with it." Our purpose is to do good for others with no expectation of any recognition or thanks from anyone - because we know this is all pleasing to the Good Lord, the one who loves us and that's all that matters.
How are you doing now? I really really do hope that you are alive and well. ❤ Reading your comment was like reading my own feelings written down so clearly. I feel like I'm in the exact same spot. I have no idea what to do or what I will do. Hoping to find an answer for myself
So I’m 26, I’ve never had the actual drive to take my own life, I don’t have a terminal diagnosis. But for the longest time, since I was a teenager I have been constantly planning my own funeral I know everything I’m going to have at it. The colour scheme, music, food, everything. I don’t want to kill myself but I can’t wait for my funeral either I’m weirdly excited for it, I don’t want to live but I don’t want to die either. I’ve always hoped maybe I’ll get seriously ill one day, so I’ll have like a way out in which nobody blames themselves for, as selfish as that sounds. I even actually went into a funeral directors the other day and actually started paying for my funeral plan so I know everything I want for it will happen, and my family won’t be in insane debt because of it.
If you think like this you're at risk of being sued for False Imprisonment. Someone only needs to be hospitalized if they are for sure a risk to themselves or others. That girl should not have been locked up.
I totally agree that refusing to answer questions about suicide should not necessarily mean that girl should've been locked up. The reason why therapists do this is a liability issue. They are legally obligated to have you locked up. They will say it's to protect you, but in reality it is to check some boxes and cover their ass. Its a fucked-up system that incentivizes people to lie to their therapists or not seek help at all.
What if I really really think I need someone to talk to, but I absolute under no conditions can be hospitalized. I can’t do it. I know it. I can’t afford it for one. Someone once told me “you’re worth more than money” but that’s not true. You need money when you try to succeed as an adult. I think going could tip me over and the one in my area is awful. I just can’t do it. a therapist and some meds should do the trick.
If you are a danger to yourself or somebody else you need to be hospitalized. If you are not a danger to yourself or somebody else but you are in severe emotional distress, an intensive psychiatric outpatient treatment program may be an option. Peter Goertz
I am a danger to myself. Have been all my life and it's coming closer to a logical peaceful conclusion. Good luck getting me in hospital, and I ain't touching any more of the toxic meds. If I decide to go, it's gonna be my choice and my choice alone.
I'm hoping for a reply but if not. I wish you happiness. I'm a f of 34. Currently awaiting a mental health assessment in the UK. I have these outbursts I call them about once a week that can continue for 3 to 4 days. I feel my mood drop. I can cry randomly and I seem to pick fights with my partner when I'm in the outburst. I say some horrible things. I was put on sertraline and it can prolong my mood maybe to 2 weeks before one of these outbursts. I was also punching my thigh when I felt like this which led to horrific bruises but now I'm self harming with cutting. I'm feeling very scared about my assessment. I don't want to go to a hospital. I'm not sure how it works here in the UK. I just want the help to be better. Not be pulled away from my loved ones. Have you any advice?
As a previous patient of the wrong psychiatrist I remember not telling a psychiatrist some information about myself he was very nice but I didn’t trust him. I went home frighten as I would think he was also frightened the building didn’t have good natural light in his private practice it was tiny and remote , I also found out he was based in one of those old lunatic asylums. I guess you can have good one who also knows about this and inspects the building to make sure it’s up to standard - it’s never nice to comment on a persons home or place of work - I guess but it wasn’t great.
So I need help. Never thought I would commit suicide. However over the past year I write down how I would do it I’m 52 a vet and 4 grown kids. Never thought I would be weak, but I do plan how I would do it. I will do it in my car 40 cal to head. However I think I will put cones up with a letter to stop anyone who doesn’t want to see the mess a way out. I’ve written all my kids, I’ve done it all except do it. I think about it daily. As a former Spec forces soldier I feel all alone and all I do is hurt people. Being vulnerable right now, but I’m lost. I will do my best to not do this. I do love my kids and grandkids however I feel like a looser and dealing with so much shit!! Anyway thank you for the video. Appreciate it.
Hi Ron, I am sorry to hear how you are feeling. Please do get help, e.g. by calling 911, going to an emergency room, or going to a clinic. Please think of your children and other people who care about you. I used to work in a VA clinic; veterans who feel like you can feel better. Thank you. Peter Goertz
I’m sorry you’re feeling like this, but I do know exactly how you feel. But I think since you’ve got four kids and grandchildren that it would break their hearts to see you go. My sister just took herself out and her kids and grandkids are heartbroken. I was ostracized from her, but I cry every single day For the loss and the sister that I never knew. I will never get a chance to know her or love her. It’s just absolutely devastating. And now I want to take myself out as well. Because I just cannot stop thinking about it.
Great video, thanks! As an idea for a future video... what psychiatric mimics have you spotted/missed in your career? ie hypothyroid or autoimmune encephalitis etc. :D
Somebody please explain why it's wrong for a person to decide what to do with his life, including ending it? Society has deputized mass shootings and cancer as the only entities authorized to end a person?
Thank you Vu for bringing this up. In my opinion one example of an aspect to consider is that in hindsight people who attempted suicide can be happy that they survived. Peter Goertz
In the 1890s into the 1900s the Detroit Free Press would have a list on January 1st of the New Year detailing all of the deaths in the city for the prior year. I remember there were a lot of suicides on these lists and it seemed that the majority of them were suicides due to poverty. The list would have the decedent's name and next to it the cause of death and many of the deaths listed poverty as reason for suicide.
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
I'm just entering teenage years and i have felt like there's just a void no matter what i do i just can't be happy. I've been going through this for 5 years and i am getting so deranged to the point of imaging people and me having kids to be happy and im in counseling but my parent doesn't take time to schedule the sessions. I just hate feeling this way i don't even know whats going on with me and why i feel like this i have tried to end it 9 times now. Countless of methods. I've planned, i have ideation's of it very often and what makes it worse is that i just rot inside all day my family has a history of mental illnesses and addiction. The only option that i see now is ending it. I've tried to stay alive but i just can't take it anymore.
The Mental Health Services Act of 1980 was one of the best pieces of legislation ever introduced and signed into law. In 1981 Ronald Reagan and Congress rescinded it and after that the hospitals started closing into the year 2000 because the funding ran out.
Yeah, you should just follow human rights or the science and never do it. I've been commited against my will for alleged suicidality, when I wasn't and clearly stated so. This was by far the most traumatic experience of my life. The dehumanization was what I would expect from r-word. Just don't do it. Your gut feeling will be wrong 95%+ of the times and you will traumatize dozens of people to maybe safe one. Learn to accept your own powerlessness in those situations instead and treat others with dignity.
@@goertzpsychiatry9340 I'd rather you'd use the time on reflecting how you'd feel when you get locked up for some gut feeling than writing a hollow "thanks". Would you want the judge to go by his gut feeling if you were accused of a crime?
@@Benjamin-xv9le The problem is with the system. In case of a suicide psychiatrists run the risk to get sued, so they want avoid this by having their patients committed. And here's another problem, the suicide rate after hospitalisation is extreme high due to misdiagnoses (that's the standard, so they can force drugs upon patients which prevents them from getting sued, so they make up stuff about the patients), drug effects, overdoses and dehumanizing treatment, triggering people on purpose to have a justification for injections. So, in many cases, hospitalisations act as a catalyst for suicide. Some psychiatrists are aware of those facts and avoid hospitalisations, others work together with those institutions and maybe get some extra paychecks. Overall, I'm sorry this happened to you, it happened also to me. You can be glad, you made it out relatively unharmed, many people aren't so lucky. The system's gotta be changed, what they are doing to people is beyond disgusting.
@@kareendeveraux1847 Yes, I was fortunate. It was just a week. I got rid of the schizo diagnosis. I never got drugged. I'm left with "just" PTS and survivours guilt, but I have a job, social life and hobbies now. I'm well aware that many people are harmed way more than I was, which is why I'm speaking up here.
Going to hospital with thoughts is a waste of everybody's time. You only go there if you're already injured or somebody finds you on the way out. there's ways to do yourself in at the hospital as well, but I'm not about to disclose that here.
Ive been having thoughts of suicide for a long time now. I keep setting dates and even have a plan but I never follow through. I have an appointment with a therapist for the first time coming up in june. I tried the app better help, but honestly it was sort of a joke. Some days I feel alright but others if I had a gun close by id most definitely use it. Truthfully I think i want to die, im just scared to do it. Is this a serious matter? Im not on any meds and work a fulltime jobz which im surprised ive been able to keep. I also even told my parents that I wish I wasnr born and such but I dont think they believe me. I dont really know whay to do. Just waiting on my appointment. It would be nice to talk to someone.
@@goertzpsychiatry9340 I'm sorry I commented this last night. I feel better this morning. It wasn't right for me to say something like this. I relapsed on alcohol so I was in a bad mood.
Can relate so very much to some of your writings. That would make it so so easy for me. If only I'd been born in America. Hope you feel better, take care.
When should someone ask for help? Like what would be signs that start to make you worry? What are healthy ways of getting help because all you see are people being forced after it got too far already?
Thank you for asking these important questions. If your gut feeling tells you that the suicidal thoughts seem different from previously, that may be a danger sign. It is important to have a psychotherapist(and possibly a psychiatrist, family members and friends) whom you see regularly, trust and can reach out to easily. Peter Goertz
Some signs might be an extreme change in mood. Say someone's been depressed for many years, if suddenly they're very different it might be because they've decided and they're feeling relief from certainty of decision and soon to be peace. If someone stops doing small daily things like brushing their teeth, eating, drinking or even things like paying the bills, getting their usual shopping (groceries etc) may speak to that they're not planning on being around in the long run. If someone is catatonic, that's a pretty serious sign, or can be. Emotional instability, however you know someone, if you feel they're beginning to crack. I mean if they're acting way off base and as if consequences don't matter then this also could be a sign they're not in it for the long hall. Items you may see or receipts, internet histories... Any charcoal grills + carbon monoxide detectors, any Carbon monoxide detectors and tubing, any rope and/ or videos about how to tie certain knots such as a snare or noise, any locations such as high-rises, cliffs, beaches or rail tracks etc etc. If someone is tieing up loose ends, as if they have to speak to or send messages to everyone important in their lives all at once. Isolation, if someone cuts themselves off things can spiral. I think there's a million different things. I could keep on writing but have to stop now.
If say you had a patient who was chronically suicidal, that is has been suicidal since the age of 5 and is say somewhere around 35. They've experienced unspeakable trauma at the hands of caregivers. They have quite a few illnesses including bipolar and chronic pain. They've also had a suicide plan that they are in a way, "romantically attracted to" if that makes any sense? It's not that they are literally attracted to it, I don't even know how you would be, but it's the one way they've always dreamed of going out. They've gone to therapists all their adult life. They actively want to die. What would you say to that person? Oh and they can't do hospitals. Literally dies inside when in a hospital and can't handle it. What would you say to her?
Thank you Beth for bringing this up. If someone is actively suicidal, they need to be evaluated in an emergency room. Situations similar to what you describe may not be uncommon. It seems important to try to find meaning and purpose in life, and to be in psychotherapy with a therapist whom the person trusts. Peter Goertz
@@goertzpsychiatry9340 i watched them both and i can say i disagree in that i didnt choose my father and refuse to ever believe i chose that or give him gratitude thats just no way i cant and the other radical acceptance or something right? but that doesnt work for me and i cant and had a hard time believing life is worth living. i dont think im better than anyone. i know that isnt true. i dont do coping methods i dont do anything right. i spend every waking day just thinking about this. i cant. and i just. this. i cant agree. sorry. no.
@@BethBTC What I am suggesting is not that we actually chose our challenging experiences, but that we live our lives as if we chose our challenging experiences, in order to feel empowered, and in order not to feel like victims. Of course this is easy to say, but it can be very difficult to do.
I have high functioning autism, borderline bipolar disorder and clinical depression which makes me have anxiety. I have seen three psychiatrists and my condition has not improved. The side effects of medication scare me.
What if they said they have saved up for assisted dying abroad and they just want a copy of their medical records because they can't go on dealing with an incurable medical issue? Would intervention happen?
So, you order someone to be locked up against their will like they're some kind of criminal, and you don't even bother to follow up? You just go home and play your guitars? How do you live with yourself?
I have had these feelings, luckily for me, 7 more days 'til my next appointment and I might be able to relay more about my attraction to body horror which I theorize might be gender dysphoria/body dysmorphia manifesting itself through my imagination. either way, I'll cut this short before I divulge too much BS, thank you for posting and replying to people in the comments. I was reading through and it seems like you help a few people here and to me, that's so awesome, I appreciate what you do :)
I have tried to kill myself before multiple times, i still want to kill myself and i have been like this since i was 10 (15 now). I dont know what i should do if i ever want help, my mum knows but i have not gotten any mental help for over a year now which is making opening up very hard to do. Its making me feel crazy as i am almost always either thinking of ways to kill others or myself. i laughing when i witnessed the murder of a 11 year old in real life and i laughed when a family member died. Would you consider this a little bit worrying or incredibly worrying? I feel i am losing myself with everything going on in my life.
I don't know how to start, I already told my mum I stopped cutting years ago when I only stopped a few months ago so if I tell her then she might overreact
How does someone get help for being a danger to themselves when they've taken themselves to a location where they know other people won't suspect them until after they go?
How is this not a privacy violation to the patients you’re talking about? If they saw this video, wouldn’t they know you were talking about them? It’s a miserable idea that the doctor I see today might be YouTubing about me tomorrow.
I’m worried I’ll have to go because I’m thinking of it everyday. I have no plan and can think of the bad affects but that’s it. I’m 27 by the way. I’m currently on several medications I have told my therapist but she thinks I’m fine
I am sorry to hear this. I hope things improve for you soon. This video may help Is Life Worth Living? Thoughts of a psychiatrist ua-cam.com/video/BmaS3GODRhg/v-deo.html
Hello,I was diagnosed with MDD and anxiety,first the medication helped but now I am suicidal,I think I am in the border of passively and actively suicidal,I never thought i would have such thoughts,and i think i have Pure O,and i would really be glad if u could tell me if i brought up to my therapist that i think i have Pure O,would it offend him and not like it?
Please go to an emergency room now and get evaluated regarding your suicidal thoughts. In general it is good to be open with one’s psychotherapist. I hope that you feel better soon. Peter Goertz
Hello Dr Goertz I don't think this video is the exact topic, but I wanted to hear from a real psychiatrist. I am very interested in getting deeply acquainted with psychology, literature, spirituality, physiology, language and what not. As well as struggling with mental health myself for most my life, I find the idea of going into psychiatry/psychology/academics to be a great cluster for me to explore my interests and put them to use. That being said I am very interested on the wellness as a whole approach. I suppose in psychiatry terms "psychotherapy". I hear varying things about psychiatry, one often being its very medication oriented. Lots of visits are 15 minutes long, people get their pills and head off. Are there psychiatrists that basically are psychologist/wellness coaches that have the ability to look for and prescribe medications to those that need it? Or is it more of the medication managers? If I wanted to do psychotherapy would going to medschool and becoming a psychiatrist be a mistake? Is clinical psychology a better route? If you prescribed less pills would you make less money? Can you interweave a psychiatry career with academics? Thank you so much! Sorry if this is a barrage of questions and excessive.
In the past many psychiatrists did a lot of psychotherapy, however now most don’t. I still do a fair amount. If you want to do psychotherapy, it may be easier to become a social worker or a psychologist. Insurances pay more for medication management than for psychotherapy. You can be a psychiatrist and be in academics. Peter Goertz
@@goertzpsychiatry9340 Is a Ph.D easier than med school? Ah this is what i figured, psychiatry is more centered on med management. Thanks for the info!
I have never felt like committing suicide ever! And for the first time I'm homeless and I don't believe it's because of myself. My son and my husband both have the ability to help me but refuse. I have begged them. I don't know why I'm being pushed into a smaller and smaller space but that's what being done on purpose I'm not sure why but it's pissed me off in a way that I'm feeling more like hurting someone else. Maybe this is what they want smh I'm not going to fall for the bullshit but I undeniably need help out
How about get some better meds for people to take instead of telling people to go the the hospital, where they end up feeling like another kind of prisoner? Yeah, being locked up keeps me from hurting myself but only compounds the initial desire. Use common sense. The fact of the matter is that the system has no real answers or solutions. So please stop pretending you do, just so you don't feel bad after someone dies by suicide. Btw, speaking to the medical system in general, not specifically the man in the video.
There was a reason why the 3rd patient did not want to answer you. Sending people to a hospital where they have their dignity and freedom taken from them along with another bill makes the problem worse. This is why people don't trust therapists.
I wish there was a doctor like this would even be interested in talking to me. In the past few months I have lost my mom, my wife, my Chihuahua Randy. Living alone and it is becoming difficult to care for myself. I will be running out of money in about four weeks. No income other than my Social Security, which doesn't even cover my rent. Cannot work due to several significant health issues. I am too weak and broken down to make it living on the streets or in a homeless shelter. No family or friends. I am not sure how I feel about being locked up in a psych ward, but I doubt it would do any good. I don't think I am crazy, I am just out of options. Never dreamed that a situation like this would lead to the end of my life.
It’s not so much that. As it is that it distracts from actual help.
Suicidal people are looking for someone to help them live a life. They don’t need someone to help them not die. But when you tell someone you’re suicidal, that’s all they focus on, retraining you if necessary, are they gonna be liable, etc. They immediately forget that I came to you for help.
Like, if I’ve gotten a problem or problems, so overwhelming that I’m considering suicide as a solution. Ask yourself “a solution to what?” Because THAT’S what I need help with. THAT’S what I came to you for. I didn’t come to you so you could take the solution away, I came in hopes that you’d have an alternative solution.
@@AwesomeSauce-ex3ok OMG, you are exactly right. I don't really want to die, but I live alone, have run out of money, and my health is such that I just can't care for myself anymore. I am too old and sick to make it living on the street or in a homeless shelter. If I had solutions to those problems the entire thing might be moot. Thank you so much for posting this.
@@jamesmoninger1982hope you are alright
Especially if there is also a disparity in treatment (racism) at the facility you are sent to against your will.
All this talk about hospitalization despite what the research literature points to--that poverty is a top risk factor for suicide, that chronic social isolation--especially damning among the older--is a top risk factor for suicidal ideation, that suicide risks among the most destitute like the homeless is substantially higher than the risk in the general population... If we made our culture a gentler, more supportive place more of us wanted to stick around to experience, suicide rates would likely fall naturally. Instead, we talk about forcibly locking people away against their will where more contemporary research is showing the trauma many experience in these places is associated with increased suicide risk (see, for example, Forte A, Buscajoni A, Fiorillo A, Pompili M, Baldessarini RJ. Suicidal Risk Following Hospital Discharge: A Review. Harv Rev Psychiatry. 2019 Jul/Aug;27(4):209-216.). Very telling that the speaker, mentioning his patient whom he institutionalized, says that he doesn't know what happened to her AFTER.
Thank you Aiah for bringing up important aspects!
@@goertzpsychiatry9340 thank you for your courtesy in the face of criticism and strong emotion.
This is honestly something that needs to be at the front of suicidality discourse, especially important now with all the displacement and financial hardships people are experiencing everywhere
He doesn’t know because he really doesn’t care. He’s there for the paycheck. That much is clear.
Remaining helpless forever as a vocation helps too
I am 46 and have suffered from suicidal thoughts since I was 10 years old. I have the means and the motivation is only a hair away. I don’t have any family and few true friends. I’ve been hospitalized for my psychiatric problems 3 times and can’t think of a reason to go on with this miserable experiment called existence.
If you have suicidal thoughts please go to an emergency room. The following video may help Is Life Worth Living? Thoughts of a psychiatrist
ua-cam.com/video/BmaS3GODRhg/v-deo.html
I hope things improve for you soon. Peter Goertz
Stick around buddy. Go out in nature. Exercise a bit every day. Have good hair if you are a lady. You matter to many people. God bless you.
I was like that too my whole life. It gets better when you seek help. Just lie about the suicidal part or you'll end up in a paper gown coloring while people around you scream at each other, and it does not help
Life is pointless!
I suffer from Aspergers, OCD, hypothyroidism, and severe clinical depression. All these equal a death sentence. Seen so many psychiatrists that can't help me, I feel its time to give up and call it quits.
Hi Rick, If you have suicidal thoughts please go to an emergency room. In my experience situations that seem hopeless to the affected person can improve. I hope things improve for you soon. If you are not already seeing a psychotherapist, it may be wise to start seeing a psychotherapist. Peter Goertz
Hopefully you live near a hospital that is not over crowded, with people that actually care. If not, you are screwed.
I hope you find a Doctor Who cares enough about you to help properly. I'm sorry they haven't helped you so far.
I’m sorry you’re feeling that way, but I don’t blame you one bit. I’m not sure why we are placed here in this world and many of us have been dealt such a raw hand. I can’t imagine that a lovey God would vanish us all to hell just because we decided to take ourselves out early. I think he will welcome us with open arms. But when I get there, seriously, do want to find out why he created a world like this in the first place.
@@weaverdreams God created this world so he could love us. Abandon the thoughts you are worthless to others and Accept the thought that God loves you. And in return, love God with every inch of your being - How? By thanking God for all things in your life - the good things and the bad. Every time you do this God will acknowledge your gratitude and suffering and shower you with grace - you will know the grace when you feel peace. I have had much tragedy and rejection in my life, but I have discovered spending at least 30 minutes every night before bed in honest, sincere prayer to the one who loves me, God, and acknowledging my weakness, asking forgiveness for those I have hurt as well as earnestly saying I forgive those that have hurt me; those that have physically hurt me, ignored me, mistreated me, taken advantage of me, alienated me etc. and I ask for guidance and strength to stay away from people that do harm. When all is said and done "Pick up the graces other people let fall to the ground and do good with it." Trust in the Lord.
The question is when to back off and let the person make their own decision? All you “professionals” who think you know everything need to realize that you’re not walking in that person’s shoes.
Within 20 years, we will ALL be able to decide on an early Final Exit without judgment, and it will be about damn time.
As it is, most of us have to spend $15,000 and go to Switzerland to get it because we have so many bass-ackwards people who think the way you do. (“I know best and you need to keep living until you spend every penny you’ve got and end up senile in a nursing home.”)
Thank you!!!!! Couldn't have said it better. 👍🏾👍🏾👍🏾
It’s really weird to me, I’ve never really heard of people going to the hospital for suicidal thoughts. Even ideations are just that at best. I’ve wanted to be dead from as far back as I can remember. 2-3 years old. I started stockpiling narcotics several years ago in case I ever needed them. I oftentimes find myself staring down my handgun to try to see a better place quite often. I had goals of things I had hoped to do but they are not very realistic goals. There is no future for me. People often say being actively suicidal is not normal, and from a societal standpoint maybe not. It is in fact my normal. Counseling and medications have only band aided the problem. I assume just not be here anymore, because we will all die eventually anyway. I’m ready to go home and be with Jesus out of such a sick evil world.
Hi Katelyn, Please go to an emergency room to have your suicidal ideation evaluated. Peter Goertz
I’ve been struggling with suicidal thoughts but i don’t know if i should open up to my therapist about it out of fear. She knows I have passive suicidal thoughts and we have a safety plan installed but im scared to tell my support system. I even texted the suicide crisis # and even after i chatted with them I still self harmed. I messaged the number because over the last week my thoughts have become active. I’ve dealt with depression but this time it feels different, my thoughts are everywhere. I haven’t been able to escape these thoughts, i distract myself and as soon as I feel a bit better and tell myself that it’ll be okay and try finding motivation, they circle back to the point of relapsing on self harming. I don’t think i’ll do it soon, and don’t want to but this voice in my head keeps trying to convince me. I feel like a coward for contemplating it so much. I honestly feel like i’m trying to hide from my own mind and don’t feel comfortable or safe in my own body. I just feel overwhelmed and confused, i don’t know what to do
Please go to an emergency room and get evaluated psychiatrically. Please be open about your suicidal thoughts when you speak with doctors and other health professionals. Peter Goertz
@@goertzpsychiatry9340 Hi peter, I feel a bit better now. I decided to ignore my head and plans no matter how much they keep circling back. I now feel like it’s either I get better and choose to push forward or I stay this way and follow through. It’s the only thing that has motivated me to try again but i know i have that plan just in case. I let my mom know about my feelings and she’s trying her best to support me. I’m afraid of going to the hospital or emergency room so for that reason I have to get better
God created this world so he could love us. Abandon the thoughts you are worthless to others and Accept the thought that God loves you. And in return, love God with every inch of your being - How? By thanking God for all things in your life - the good things and the bad. Every time you do this God will acknowledge your gratitude and suffering and shower you with grace - you will know the grace when you feel peace. I have had much tragedy and rejection in my life, and I was able to overcome the wretched thoughts by literally telling the bad thoughts to get in the corner and do not come out, followed by words that praise to God - God you are so good, you are so beautiful and I do, I do I do believe you love me - hard to do yes, but it can be done. I have discovered spending at least 30 minutes every night before bed in honest, sincere prayer to the one who loves me, God, and acknowledging my weakness, asking forgiveness for those I have hurt as well as earnestly saying I forgive those that have hurt me, those that have physically hurt me, those that ignored me, mistreated me, taken advantage of me, alienate me etc. and I ask for guidance and strength to stay away from people that do harm. When all is said and done "Pick up the graces other people let fall to the ground and do good with it." Our purpose is to do good for others with no expectation of any recognition or thanks from anyone - because we know this is all pleasing to the Good Lord, the one who loves us and that's all that matters.
How are you doing now? I really really do hope that you are alive and well. ❤
Reading your comment was like reading my own feelings written down so clearly. I feel like I'm in the exact same spot. I have no idea what to do or what I will do. Hoping to find an answer for myself
Thank you for this thoughtful video, Dr. Goertz. Have you an opinion on the Columbia Suicide Severity Ideation Screening protocol?
Thank you! I am not familiar with the protocol.
So I’m 26, I’ve never had the actual drive to take my own life, I don’t have a terminal diagnosis.
But for the longest time, since I was a teenager I have been constantly planning my own funeral I know everything I’m going to have at it. The colour scheme, music, food, everything.
I don’t want to kill myself but I can’t wait for my funeral either I’m weirdly excited for it, I don’t want to live but I don’t want to die either.
I’ve always hoped maybe I’ll get seriously ill one day, so I’ll have like a way out in which nobody blames themselves for, as selfish as that sounds.
I even actually went into a funeral directors the other day and actually started paying for my funeral plan so I know everything I want for it will happen, and my family won’t be in insane debt because of it.
Wow, thank you for sharing your personal experience. It sounds sad to me; I hope that you will be able to enjoy life more. Peter Goertz
@@goertzpsychiatry9340 Thank you, I hope so too 😊
If you think like this you're at risk of being sued for False Imprisonment. Someone only needs to be hospitalized if they are for sure a risk to themselves or others. That girl should not have been locked up.
I totally agree that refusing to answer questions about suicide should not necessarily mean that girl should've been locked up. The reason why therapists do this is a liability issue. They are legally obligated to have you locked up. They will say it's to protect you, but in reality it is to check some boxes and cover their ass.
Its a fucked-up system that incentivizes people to lie to their therapists or not seek help at all.
What if I really really think I need someone to talk to, but I absolute under no conditions can be hospitalized. I can’t do it. I know it. I can’t afford it for one. Someone once told me “you’re worth more than money” but that’s not true. You need money when you try to succeed as an adult. I think going could tip me over and the one in my area is awful. I just can’t do it. a therapist and some meds should do the trick.
If you are a danger to yourself or somebody else you need to be hospitalized. If you are not a danger to yourself or somebody else but you are in severe emotional distress, an intensive psychiatric outpatient treatment program may be an option. Peter Goertz
I am a danger to myself.
Have been all my life and it's coming closer to a logical peaceful conclusion.
Good luck getting me in hospital, and I ain't touching any more of the toxic meds.
If I decide to go, it's gonna be my choice and my choice alone.
Therapists and meds can do wayyyyyyyyy more harm than good.
I'm hoping for a reply but if not. I wish you happiness.
I'm a f of 34.
Currently awaiting a mental health assessment in the UK.
I have these outbursts I call them about once a week that can continue for 3 to 4 days.
I feel my mood drop.
I can cry randomly and I seem to pick fights with my partner when I'm in the outburst. I say some horrible things.
I was put on sertraline and it can prolong my mood maybe to 2 weeks before one of these outbursts.
I was also punching my thigh when I felt like this which led to horrific bruises but now I'm self harming with cutting.
I'm feeling very scared about my assessment.
I don't want to go to a hospital.
I'm not sure how it works here in the UK.
I just want the help to be better.
Not be pulled away from my loved ones.
Have you any advice?
Medication causes some people to be dangerous to themselves.
As a previous patient of the wrong psychiatrist I remember not telling a psychiatrist some information about myself he was very nice but I didn’t trust him. I went home frighten as I would think he was also frightened the building didn’t have good natural light in his private practice it was tiny and remote , I also found out he was based in one of those old lunatic asylums.
I guess you can have good one who also knows about this and inspects the building to make sure it’s up to standard - it’s never nice to comment on a persons home or place of work - I guess but it wasn’t great.
The environment in an office setting certainly can make a difference.
So I need help. Never thought I would commit suicide. However over the past year I write down how I would do it I’m 52 a vet and 4 grown kids. Never thought I would be weak, but I do plan how I would do it. I will do it in my car 40 cal to head. However I think I will put cones up with a letter to stop anyone who doesn’t want to see the mess a way out. I’ve written all my kids, I’ve done it all except do it. I think about it daily. As a former Spec forces soldier I feel all alone and all I do is hurt people. Being vulnerable right now, but I’m lost. I will do my best to not do this. I do love my kids and grandkids however I feel like a looser and dealing with so much shit!! Anyway thank you for the video. Appreciate it.
Hi Ron, I am sorry to hear how you are feeling. Please do get help, e.g. by calling 911, going to an emergency room, or going to a clinic. Please think of your children and other people who care about you. I used to work in a VA clinic; veterans who feel like you can feel better. Thank you. Peter Goertz
@@goertzpsychiatry9340 Thank you Peter for taking time to reach out. Much appreciated!!!
I would like to talk let me know I’m in Arizona
Hey, hope you are doing better☺️
I’m sorry you’re feeling like this, but I do know exactly how you feel. But I think since you’ve got four kids and grandchildren that it would break their hearts to see you go.
My sister just took herself out and her kids and grandkids are heartbroken. I was ostracized from her, but I cry every single day For the loss and the sister that I never knew. I will never get a chance to know her or love her. It’s just absolutely devastating. And now I want to take myself out as well. Because I just cannot stop thinking about it.
Great video, thanks! As an idea for a future video... what psychiatric mimics have you spotted/missed in your career? ie hypothyroid or autoimmune encephalitis etc. :D
Thank you and thank you for the suggestion! Peter Goertz
The hospital and most doctors is the last place for those struggling .. end up on meds that can end it all
Scary
Somebody please explain why it's wrong for a person to decide what to do with his life, including ending it? Society has deputized mass shootings and cancer as the only entities authorized to end a person?
Thank you Vu for bringing this up. In my opinion one example of an aspect to consider is that in hindsight people who attempted suicide can be happy that they survived. Peter Goertz
because doctor save's life, when u see someone hurting thrmselves by ending ownself u will naturally try to save them not encourage them to die
You have special power in your voice. Thank you for the video.
In the 1890s into the 1900s the Detroit Free Press would have a list on January 1st of the New Year detailing all of the deaths in the city for the prior year. I remember there were a lot of suicides on these lists and it seemed that the majority of them were suicides due to poverty. The list would have the decedent's name and next to it the cause of death and many of the deaths listed poverty as reason for suicide.
And by the way, this is exactly how NOT to get patients to trust you and be honest with you
Thank you for your comments. From my perspective these issues are complex, each patient/situation is different. 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
I'm just entering teenage years and i have felt like there's just a void no matter what i do i just can't be happy. I've been going through this for 5 years and i am getting so deranged to the point of imaging people and me having kids to be happy and im in counseling but my parent doesn't take time to schedule the sessions. I just hate feeling this way i don't even know whats going on with me and why i feel like this i have tried to end it 9 times now. Countless of methods. I've planned, i have ideation's of it very often and what makes it worse is that i just rot inside all day my family has a history of mental illnesses and addiction. The only option that i see now is ending it. I've tried to stay alive but i just can't take it anymore.
Please go to an emergency room now. I am sorry to hear about your situation. I hope things improve for you soon. Peter Goertz
The Mental Health Services Act of 1980 was one of the best pieces of legislation ever introduced and signed into law. In 1981 Ronald Reagan and Congress rescinded it and after that the hospitals started closing into the year 2000 because the funding ran out.
Thank you for your input regarding these issues. Peter Goertz
Yeah, you should just follow human rights or the science and never do it.
I've been commited against my will for alleged suicidality, when I wasn't and clearly stated so.
This was by far the most traumatic experience of my life. The dehumanization was what I would expect from r-word.
Just don't do it. Your gut feeling will be wrong 95%+ of the times and you will traumatize dozens of people to maybe safe one.
Learn to accept your own powerlessness in those situations instead and treat others with dignity.
Thank you Benjamin for your personal input. Peter Goertz
@@goertzpsychiatry9340 I'd rather you'd use the time on reflecting how you'd feel when you get locked up for some gut feeling than writing a hollow "thanks". Would you want the judge to go by his gut feeling if you were accused of a crime?
@@Benjamin-xv9le The problem is with the system. In case of a suicide psychiatrists run the risk to get sued, so they want avoid this by having their patients committed. And here's another problem, the suicide rate after hospitalisation is extreme high due to misdiagnoses (that's the standard, so they can force drugs upon patients which prevents them from getting sued, so they make up stuff about the patients), drug effects, overdoses and dehumanizing treatment, triggering people on purpose to have a justification for injections. So, in many cases, hospitalisations act as a catalyst for suicide.
Some psychiatrists are aware of those facts and avoid hospitalisations, others work together with those institutions and maybe get some extra paychecks.
Overall, I'm sorry this happened to you, it happened also to me. You can be glad, you made it out relatively unharmed, many people aren't so lucky.
The system's gotta be changed, what they are doing to people is beyond disgusting.
@@kareendeveraux1847 Yes, I was fortunate. It was just a week. I got rid of the schizo diagnosis. I never got drugged. I'm left with "just" PTS and survivours guilt, but I have a job, social life and hobbies now.
I'm well aware that many people are harmed way more than I was, which is why I'm speaking up here.
Going to hospital with thoughts is a waste of everybody's time. You only go there if you're already injured or somebody finds you on the way out. there's ways to do yourself in at the hospital as well, but I'm not about to disclose that here.
Ive been having thoughts of suicide for a long time now. I keep setting dates and even have a plan but I never follow through. I have an appointment with a therapist for the first time coming up in june. I tried the app better help, but honestly it was sort of a joke. Some days I feel alright but others if I had a gun close by id most definitely use it.
Truthfully I think i want to die, im just scared to do it. Is this a serious matter? Im not on any meds and work a fulltime jobz which im surprised ive been able to keep. I also even told my parents that I wish I wasnr born and such but I dont think they believe me.
I dont really know whay to do. Just waiting on my appointment. It would be nice to talk to someone.
Please call 911 or go to an emergency room to get evaluated regarding this. Peter Goertz
@@goertzpsychiatry9340 I'm sorry I commented this last night. I feel better this morning. It wasn't right for me to say something like this.
I relapsed on alcohol so I was in a bad mood.
@@makaveli8745hope you’re doing alright brother.
@bongblaster2826 Thanks brother. Always trying my best. Hope you re doing okay too
Can relate so very much to some of your writings. That would make it so so easy for me. If only I'd been born in America. Hope you feel better, take care.
We live far tooooo long! Old,ugly and penniless is noooo fun!
Hi Patricia, If you have suicidal thoughts, please go to an emergency room. I hope things improve for you soon. Peter Goertz
So what’s the answer to help which med helps I
Hi, I’m sorry, I don’t understand your question. Peter Goertz
When should someone ask for help? Like what would be signs that start to make you worry? What are healthy ways of getting help because all you see are people being forced after it got too far already?
Thank you for asking these important questions. If your gut feeling tells you that the suicidal thoughts seem different from previously, that may be a danger sign. It is important to have a psychotherapist(and possibly a psychiatrist, family members and friends) whom you see regularly, trust and can reach out to easily. Peter Goertz
Some signs might be an extreme change in mood. Say someone's been depressed for many years, if suddenly they're very different it might be because they've decided and they're feeling relief from certainty of decision and soon to be peace.
If someone stops doing small daily things like brushing their teeth, eating, drinking or even things like paying the bills, getting their usual shopping (groceries etc) may speak to that they're not planning on being around in the long run.
If someone is catatonic, that's a pretty serious sign, or can be.
Emotional instability, however you know someone, if you feel they're beginning to crack. I mean if they're acting way off base and as if consequences don't matter then this also could be a sign they're not in it for the long hall.
Items you may see or receipts, internet histories... Any charcoal grills + carbon monoxide detectors, any Carbon monoxide detectors and tubing, any rope and/ or videos about how to tie certain knots such as a snare or noise, any locations such as high-rises, cliffs, beaches or rail tracks etc etc.
If someone is tieing up loose ends, as if they have to speak to or send messages to everyone important in their lives all at once.
Isolation, if someone cuts themselves off things can spiral.
I think there's a million different things. I could keep on writing but have to stop now.
If say you had a patient who was chronically suicidal, that is has been suicidal since the age of 5 and is say somewhere around 35. They've experienced unspeakable trauma at the hands of caregivers. They have quite a few illnesses including bipolar and chronic pain. They've also had a suicide plan that they are in a way, "romantically attracted to" if that makes any sense? It's not that they are literally attracted to it, I don't even know how you would be, but it's the one way they've always dreamed of going out. They've gone to therapists all their adult life. They actively want to die. What would you say to that person? Oh and they can't do hospitals. Literally dies inside when in a hospital and can't handle it. What would you say to her?
Thank you Beth for bringing this up. If someone is actively suicidal, they need to be evaluated in an emergency room. Situations similar to what you describe may not be uncommon. It seems important to try to find meaning and purpose in life, and to be in psychotherapy with a therapist whom the person trusts. Peter Goertz
@@goertzpsychiatry9340 okay i understand thanks
My videos “Can I ever recover from childhood abuse/neglect?” and “Is life worth living?” might also address some of what you mention.
@@goertzpsychiatry9340 i watched them both and i can say i disagree in that i didnt choose my father and refuse to ever believe i chose that or give him gratitude thats just no way i cant and the other radical acceptance or something right? but that doesnt work for me and i cant and had a hard time believing life is worth living. i dont think im better than anyone. i know that isnt true. i dont do coping methods i dont do anything right. i spend every waking day just thinking about this. i cant. and i just. this. i cant agree. sorry. no.
@@BethBTC What I am suggesting is not that we actually chose our challenging experiences, but that we live our lives as if we chose our challenging experiences, in order to feel empowered, and in order not to feel like victims. Of course this is easy to say, but it can be very difficult to do.
I have high functioning autism, borderline bipolar disorder and clinical depression which makes me have anxiety. I have seen three psychiatrists and my condition has not improved. The side effects of medication scare me.
I hope things improve for you soon. Peter Goertz
What if they said they have saved up for assisted dying abroad and they just want a copy of their medical records because they can't go on dealing with an incurable medical issue? Would intervention happen?
I don’t know. Thank you for bringing this up.
@@goertzpsychiatry9340 thanks anyway 👍🏻
Watching this like a buzzfeed quiz for if i should or not lmao
If you have suicidal thoughts please go to an emergency room. Peter Goertz
So, you order someone to be locked up against their will like they're some kind of criminal, and you don't even bother to follow up? You just go home and play your guitars? How do you live with yourself?
I have had these feelings, luckily for me, 7 more days 'til my next appointment and I might be able to relay more about my attraction to body horror which I theorize might be gender dysphoria/body dysmorphia manifesting itself through my imagination. either way, I'll cut this short before I divulge too much BS, thank you for posting and replying to people in the comments. I was reading through and it seems like you help a few people here and to me, that's so awesome, I appreciate what you do :)
Thank you Curtis! If you have suicidal thoughts please go to an emergency room. I hope things improve for you soon. Peter Goertz
I have tried to kill myself before multiple times, i still want to kill myself and i have been like this since i was 10 (15 now). I dont know what i should do if i ever want help, my mum knows but i have not gotten any mental help for over a year now which is making opening up very hard to do. Its making me feel crazy as i am almost always either thinking of ways to kill others or myself. i laughing when i witnessed the murder of a 11 year old in real life and i laughed when a family member died. Would you consider this a little bit worrying or incredibly worrying? I feel i am losing myself with everything going on in my life.
Hi Benny, Please go to an emergency room now to get evaluated. Peter Goertz
I don't know how to start, I already told my mum I stopped cutting years ago when I only stopped a few months ago so if I tell her then she might overreact
How does someone get help for being a danger to themselves when they've taken themselves to a location where they know other people won't suspect them until after they go?
If you are having suicidal thoughts please go to an emergency room. Peter Goertz
Talk therapy helps. You-all take care.
How is this not a privacy violation to the patients you’re talking about? If they saw this video, wouldn’t they know you were talking about them? It’s a miserable idea that the doctor I see today might be YouTubing about me tomorrow.
Thank you Becky for bringing up this important issue. In my opinion I have not given personally identifiable information about patients. Peter Goertz
patient confidentiality is protected under HIPAA. These are very generic cases with no identifiable information.
I’m worried I’ll have to go because I’m thinking of it everyday. I have no plan and can think of the bad affects but that’s it. I’m 27 by the way. I’m currently on several medications I have told my therapist but she thinks I’m fine
I am sorry to hear this. I hope things improve for you soon. This video may help Is Life Worth Living? Thoughts of a psychiatrist
ua-cam.com/video/BmaS3GODRhg/v-deo.html
Hello,I was diagnosed with MDD and anxiety,first the medication helped but now I am suicidal,I think I am in the border of passively and actively suicidal,I never thought i would have such thoughts,and i think i have Pure O,and i would really be glad if u could tell me if i brought up to my therapist that i think i have Pure O,would it offend him and not like it?
Please go to an emergency room now and get evaluated regarding your suicidal thoughts. In general it is good to be open with one’s psychotherapist. I hope that you feel better soon. Peter Goertz
@@goertzpsychiatry9340 Thank you,Sir
Hello Dr Goertz
I don't think this video is the exact topic, but I wanted to hear from a real psychiatrist.
I am very interested in getting deeply acquainted with psychology, literature, spirituality, physiology, language and what not. As well as struggling with mental health myself for most my life, I find the idea of going into psychiatry/psychology/academics to be a great cluster for me to explore my interests and put them to use.
That being said I am very interested on the wellness as a whole approach. I suppose in psychiatry terms "psychotherapy". I hear varying things about psychiatry, one often being its very medication oriented. Lots of visits are 15 minutes long, people get their pills and head off.
Are there psychiatrists that basically are psychologist/wellness coaches that have the ability to look for and prescribe medications to those that need it? Or is it more of the medication managers?
If I wanted to do psychotherapy would going to medschool and becoming a psychiatrist be a mistake? Is clinical psychology a better route?
If you prescribed less pills would you make less money?
Can you interweave a psychiatry career with academics?
Thank you so much!
Sorry if this is a barrage of questions and excessive.
In the past many psychiatrists did a lot of psychotherapy, however now most don’t. I still do a fair amount. If you want to do psychotherapy, it may be easier to become a social worker or a psychologist. Insurances pay more for medication management than for psychotherapy. You can be a psychiatrist and be in academics. Peter Goertz
@@goertzpsychiatry9340 Is a Ph.D easier than med school?
Ah this is what i figured, psychiatry is more centered on med management.
Thanks for the info!
@@thedog5k meds are super cool, though! i recommend dipping your toes in a pharmacology reference guide just to see the field is cool to you too
@@thedog5k also many therapists are masters-level and dont need a phd
Hey Peter, I’m having thoughts, I went in 28th of Nov and got out of the 4th and I think I need to go again but I just left what should I do
Hi Jose, Please go to an emergency room.
I have never felt like committing suicide ever! And for the first time I'm homeless and I don't believe it's because of myself. My son and my husband both have the ability to help me but refuse. I have begged them. I don't know why I'm being pushed into a smaller and smaller space but that's what being done on purpose I'm not sure why but it's pissed me off in a way that I'm feeling more like hurting someone else. Maybe this is what they want smh I'm not going to fall for the bullshit but I undeniably need help out
I am sorry to hear this. I hope you receive help soon. Peter Goertz
How about get some better meds for people to take instead of telling people to go the the hospital, where they end up feeling like another kind of prisoner? Yeah, being locked up keeps me from hurting myself but only compounds the initial desire. Use common sense. The fact of the matter is that the system has no real answers or solutions. So please stop pretending you do, just so you don't feel bad after someone dies by suicide.
Btw, speaking to the medical system in general, not specifically the man in the video.
Really helpful advice Dr Goertz.
Thank you Sarvesh!
Who pays for that hospilazation?
Thank you for asking that question. The answer may vary depending on insurance status and location/country. Peter Goertz
You do. I know
@@lj7878 💯
How much of a threat is a suicidal coworker to everyone else in the worlplac?
None. Instead of asking this why don't you take five minutes and talk to this person about their feelings? What the fuck even is this question?
I agree with everything you discussed in the video 👍🏻🙂
Stay for the bots at least