Psychiatric Interviews for Teaching: Mania
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- Опубліковано 6 лют 2025
- In this film, a psychiatrist assesses a man who has been referred by his GP. The patient demonstrates flight of ideas, pressure of speech, disinhibition, punning, grandiose delusions, and second person auditory hallucinations. His presentation is consistent with mania.
Please note that this video has been made by the University of Nottingham for teaching purposes. The psychiatrist is a real psychiatrist but the patient is played by an actor.
I was certain this was a real patient. One of the best standardized patients I've seen representing mania
It's extremely difficult to interrupt a mania patinet. I failed the my oral test in an interview with a bipolar patient. What a lesson I've learned.
This dude feels like the final boss for mental health diagnosis.
This guy deserves an academy award. Absolutely brilliant in his presentation and the Dr. is great as well.
Lol. The Dr. is peddling, while his gears are turning. I bet she cut his words off mid-Air after an hour with a pair of hedge clippers.
He is a brilliant actor great representation of a person in the height of mania
"The voice doesn't come through your ears, it comes out your mouth" this part always kills me!
You’re a doctor u should know this lol
Your still alive.. how does it kill you?
Haha me too. And shes a doctor so she should know this...
If this man is playing the part of a manic episode he deserves an Oscar. I don't think anyone could fake that so well. I've seen too many of them in real life.
give that man an oscar!
man of the year...
I’ve actually seen and experienced a women and a man going through manic episodes. They can last days, months and even years. I’ve honestly knew a women who stopped taking her medications for her bipolar, and she behaved very similar to this man. I think it’s impossible to fake this behavior.
@@BetterCallShannon the patient in this video is played by an actor
@JZ's Best Friend 😂😂😂😂😂You are so funny
like !! he killed the role! extremely believable.. super amazing!
The actor played terrifically. Thanks for the video
Armin ND Yes, I work with these patients as a doctor in training. Perfect acting!
Does the patient has a bipolar disorder with a manic episode ??
@@pain9999100 yes.
@@HeavyProfessor what is the treatment for this pathology?
Actor? do you mean he is acting?
This is SUCH an accurate representation of mania and what I go through and how my family and friends stay patient during my episodes (literally nearly word for word how I will act!!!)
Thank you for this video and explaining how it truly looks 💚
My mother looks at me like I have mania. Which I probably do. It would be interesting to hang out with someone who has it too, to compare.
I hope the powers that be spared my two kiddos from my weirdness tho.
I wonder if my husband would see this and say…yea that’s you baby sorry.
I don’t think I’m as bad as this actor tho. God doesn’t talk to me but I feel like I’m shown little tidbits of synchronicity that feels like I should follow it. I haven’t actually been led astray yet and have actually improved my life financially so I’m not seeing this as mania. More like spiritually awakened. And if that’s the definition of mania then everyone who feels spiritually awakened is a maniac too. Which doesn’t seem fair at all when others simply can’t keep up you because you are on a whole different level of vibration.
The actor was very believable. I've worked on an acute adult crisis stabilization unit for 12 years as a psych RN and am all too familiar with patients who present with severe mania. In the description it states he is an actor, but I'm pretty sure he is also a doctor acting the part of a manic patient because of how well he represented all of the nuances... especially calling the interviewer a $hit doctor. I have heard patients say that to our psychiatrists many times over the years. Good job.
Brilliant acting! All of the difficulties in interviewing patient's with mania comes through really well.
Problem is, he's not acting. People with bipolar are often very animated. This is very normal for someone with bipolar.
@@10MinutestoRouletteFortune he is a actor, he is portraying someone in a manic episode
he does not have any mania disorders
@@10MinutestoRouletteFortune This is more common with Bipolar Type 1. The majority of patients have Bipolar Type 2, which includes more depression (and sometimes anxiety). Manic episodes are far more common for Type 1 patients.
"They call me the manic mechanic"
Me: **Died**
This actor is amazing! I rarely see mania so accurately depicted.
I can really feel what it was like interviewing a patient with maniac when in psychiatry class. Patience is the thing!
I absolutely love his comment on the advert for the phone. “So I can find out more stuff.” He’s very sweet. So many of these folks are so intelligent with so much to share and can’t pace or focus.this actor reminds me of Michael Caine
There is some wonderful casting and great acting here. The industrial/educational videos in the states are filled with terrible indicating and overacting and sadly sometimes its not even the actors fault as they are asked to "act" that way at the request of the directors or producers. This is honest and truthful. Wonderful!
She is WAY better than the "doctor" from the "psychosis" video. And the acting is more realistic here again, the guy suddenly closed at the end, as the result of loosing the trust in the doctor, even though she's been very careful.
even his shirt is manic. i love it
Robert Watson 🤣😂🤣 damn i also want a manic shirt. Should be a new business: the personality disorder shirts
I was thinking exactly the same thing...also that he reminds me vaguely of Geoffrey Rush.
Hahaha lol
True. It would not work if he was dressed all in black.
🤣
I've dealt with people in maniac episodes, and this is very on point. His acting skills are amazing! It's almost like he is not acting, and really experiencing mania.
Not sure who has a mania here: him or her 🤣
@@LukeXMVhim,she can't get a word in😅
I'd sit and listen to this guy for hours!
I agree. He is awesome.
I agree. However this won't last very long. For better or for worse. He's bound to crash. In one day, one week or maybe even one month. Then he'll feel miserable, hopeless, exhausted, empty and possibly with an overdrawn bank account and strained relationships.
If you are not bipolar and want to know what mania feels like, do some blow! OK don't do that, but if you did, you'd have both sides of the story: the high, the energy, the delusion of grandeur and the pressured speech and then the low, the depression (all wrapped up in a messy session). In other words: it's super fun. Except that it's not.
kailinu
Depends on the person, point of view and personality. We are all here to learn and evolve. For me this guy is inspiring and extremely funny. Cheers ! We are all trapped in a fucked up political, economic, social and cultural system. We should find a way to transcend this trap.
The problem is that our imagination, social , emotional problems have become the cash cows for the arrogant "mental health workers" who believe that they are all knowing, all wise and all perfect. They have no sense of humor.
ive had friend's talk like this for 2 days straight....love em to death but it does start to do ur head in after the first 24h....
kailinu He may not necessarily crash. He might just be manic. It's less common, but it happens.
This psychiatrist has a lovely manner. Really genuine.
Emma C no she really doesn't. She seems very interruptible and pretentious. She's only focused in on diagnosing according to her questions, not listening to him and trying to figure out what is really the problem.
As you've seen in this video, a manic patient can talk for hours about irrevelant subjects, so she had to interrupt him to diagnose.
@@reshamm95 You need to narrow his answers to get the info to be able to diagnose, some patients can talk for minutes with giving any useful information.
Telling him her name would be more genuine
@@reshamm95 if she let him talk the whole time she would never get anywhere, psychiatrists work on a fixed schedule she can't just wait the whole time and only get a couple of answers in because it would be a waste of her time and his money
first good example of mania here on youtube, reminds me a lot of my first psychiatrist vidit during full blown mania.
Great technique. OSCEs are under 8 minutes, i guess there are certain part where you would have to interrupt and get to the point. Some of you are commenting on how rude she is but this is meant for Medical students and psychiatry trainees. We are trained to confront with patients in this manner because our exams are under 8 minutes and thats inclusive of presenting to the examiner our findings. So yes, there is nothing wrong with her interview, i am sure she is a professional herself. The only thing wrong is, it should be quicker and more straight to the point (this is to prepare medical students for exams anyways.
after 8 years ... nothing has changed... exams are of 8 minutes and patients are getting a bit harder
Your exams's are 8 mins?.....well good luck with that as it takes on average 10 year's to diagnose bipoar ,I am bipolar too 23 year's for me,have non prescribed drug's been ruled out for starter's?....
This guy is a fantastic actor. BRAVO!! Much Applause. Great Job.
i'm a fourth year medical student,i admire this doc...she's grt and patient.thnk u
I am an avid #MentalHealthAwareness advocate and performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my UA-cam channel, so I get excited when I see other advocates. 💙❤
An actor. AN ACTOR!? I was so convinced that this was a real patient interview, even knowing privacy laws would never allow it... just phenomenally well done.
The guy is a great actor! That was hectic....and very like how mania can present in a person. Also...hilarious in parts...some of the lines he comes out with.
This man is unrivalled.
Perfectly done mania.
Makes me wonder if this man is a psychiatrist himself. He seriously nails this perfomance! I can only imagine someone who treats patients that actually do talk with people who behave like this that would give this accurate detail. Does the actual psych aware that he is an actor?
😂😂😂
"Names are games". For some reason I like that comment alot.
wow! a brilliant performance by the actor playing John. The doctor was compelling too
I met a man recently who presented like this, he was practically homeless, but had found a shack to live in. I just found him very intriguing and overwhelming, yes, but interesting! He was a bit more sensical but definitely had a flight of ideas
totally sold the manic state, i've interacted with several family/friends exhibiting these behaviors & it's spot on.
Thank you for admitting it’s a re-enactment and for stating the obvious reasons one cannot post actual client interviews. The days of Titticut Follies and the Stanford Prison Experiment are long gone. (Frankly the Harlow monkey experiments break my heart the most.) My overall point is that there are other channels implying they are showing real patients well after the 50’s, 60’s and 70’s and it’s leading to people, those who are suffering now, attacking anyone suggesting we are watching actor portrayals lack compassion. Calling out a channel for being misleading has zero relation to empathy for those with the conditions being portrayed.
So we just studied manic disorders in our Psychology class today, and i thought the symptoms resembles of that of ADHD, but i totally understand the difference now. Thank you for posting this.
What's the difference?
@@irishcountryman4866Being hyper,pressured speech,racing thought's as to ADHD,hyperactivity,but with lack of concentration
Fantastic writing and acting. Great response from the psychiatrist.
"I called Him 'Beardy-Beardy' once. He did NOT like it."
In all seriousness this is probably about as close to an actual manic episode as acting can get. There's just no replicating the genuine thing.
How has this guy not stuttered or stopped to think for a second, incredible acting
What an excellent performance by John! Great interation with them both.
Flight of ideas
pressured speech
acceleration of thoughts
disorganised speech
Derma Laz pressured speech so serious
Grandiose
Flight of ideas
Sleep deficit
Talkativeness
"i don't bother with names that's too weird CALL ME JOHN" 😂
Very interesting personification, even down to the way he is dressed.
Medical student here, thank you so much for such an informative video!
I would have never known he was acting. Incredible
this is exhausting to watch :O i cant imagine doing it in practice now
I didn't realize so many people were experts here on UA-cam. I also didnt realize that people have such a disbelief in mental disorders. This published by the University of Nottingham as resource for students and people interested in the field. I'm only an undergrad, but I've had real experience with those who suffer from some of these disorders and it's certainly a issue that our country faces nowadays; the fact that people are so dismissive of it's mere existence proves a cause why it exists in the first place. If we had the the mental capacity to recognize the issue, we could come to together as a society and push towards a brighter future.
I didnt realize we were all experts mate
I am about 4 hours from my psychiatry exam and there is nothing else I would do other
than watching these videos to improve my clerking skill, Nice videos..
What did you specialise in? It has been 7 years. Im currently watching it 7 hours before my exam haha.
i will a role play tomorrow for my aviation psychiatric class...being a manic patient... this video give me a big big help...thank you
This is actually pretty realistic. Mania is concerned with a very large symptom set but what is illustrated very well here is the inappropriateness of the connection that the service user wants to have with the clinician. It’s a good example of pressurised speech. 😊👍
Fantastic actor. Very interesting seeing this problem 'played-out'
felt honour have visited nottingham and discussed with Mrs revalty 🙏best regard from Indonesia
That poor woman couldn't get a word in!
Welcome to mania lol
8:53 was a good opportunity to earn his trust in showing a genuine interest in his work then gently going back to gaining further information and seeing how she can link his work to him gaining the further information so he can continue his work yet actually begin to feel better enough to slowly see that the impact of the therapy along side his work is having a positive impact on his health and therefore help him gradually dedicate more time looking after himself and in time seeing that the foundations to his work can be gently dropped as having seen reality for what it is. 8:53 was a hard time for them both but bravo to bother actors!
This is indeed a staged scenario using actors.
wow.. i would never thought that was acting.. perfect. thank you.
Is Doctor Vehdi an actor as well ?
The Doctor is played by a real psychiatrist.
***** Thank you very much for the fast reply . I appreciate it .
That is really dissapointing because i wanted to see how a manic person acts and you cant just stage that it makes this video really pointless
Great actor. I wanted to see how she dealt with it in the end though!
Actor?
Monk Nhandu He's an actor. Read description.
he woulda been sectioned probably judging by it
This video, along with the other interview for teaching videos, have been extremely helpful! Thank you!!
What an awesome video. Well done that actor and the psychiatrist!!!
people expect us to climb the walls or something, some of us are introverts and dont get dis inhibition. I lock myself in my house and have panic attacks, pace around all night, draw write organise things, plan trips, etc etc all inside my own mind, without saying a word to anyone. not all bipolars are the same. Good point :)
My man is living his best life
Great actor, also non verbally. The moment when he puts his glasses back on asymmetrically..
Wow, I am impressed. This guy is so unique and special he has God telling him how wonderful he is. That's nice and on top of that he has the cure for caner. The sad and tragic part is that this guy truly believes his delusions.
Superb acting...Psychotic symptoms of mania are clear...no hassles in diagnosing..
On point, such accurate and refined content (this was me.. no sleep, huge projects, God speaking to me and all. I was fantastic, on top of the world - involuntarily admitted five years ago. can relate)! Very impressed.
Good vid good acting and interpretation of mania ( I have bipolar myself ) the guy reminds me of a late 80's early 90's kids tv presenter lol
Very good representation of mania. Especially the part near the end where he gets frustrated and angry with her. Very typical of Bipolar Disorder. They are full of ideas, excited, happy & upbeat. But the minute you don't do what they want, they will turn on you.
it really depends on the person and the severity of their condition, a lot of people who are Bipolar don't experience psychosis during mania, saying that the person will turn on you when you disagree with them is a bit stereotypical to be perfectly honest.
I can see how that could happen with someone deep in psychosis though, or alternatively they could become a harm to themselves.
I actually feel like I need to debrief after watching this- great actor!
Actually the best acting I’ve ever seen
I trained as a junior doc in psych for 4 years - one manic chap I admitted insisted that he show me a card trick before moving on - after fanning the cards I was invited to choose one - which I did , whereupon he told me to eat it ! Then , as he was talking , he wrote out the first page of the score to 'Tristan and Isolde' as he had seen my name . Amusing as this anecdote may be , it's a serious illness with serious consequences .
The best accurate portrayal of manic behaviour I have seen!
This guy seems like great crack. 😅 Actor's pretty good- pressured speech, clang association, punning, flight of ideas, grandiosity, inappropriate, elated affect, all in the first couple of minutes. Manic patients were always my favourite patients.
what an amazing actor, respect
Oh my my... This is mania... Well acted
The brightly colored shirt was a nice touch.
He deserves an Oscar!
this "conversation" sounds exactly like "conversation" between me and my buddies on amphetamine..joke on a side now,the worst thing mania can do to the person is when a patient is when comedown starts after mania episode..it brings huge depression
Had I not read the comment I would’ve never guessed he was an actor!
Wow this reminds me so much of my ex's mom. She had so many notebooks of her lists and it was hard to keep a conversation with her a lot of times.
Even an oscar winning actor is no match for this guy
6:00 to 6:06 the look on the doc's face is borderline disbelief. Great content.
Very good acting!
this actor is brilliant. really hoping he got some top notch roles since.
I feel like I’m at work. Psych RN here. He’s doing a great job.
Especially when he shuts down at the end.
I need a glass of water now after having seen that. My heart is skipping a bit faster. Are some people really like that? Geeez !
Thanks for this video..really useful for medical students on clerking history during OSCE from a manic patient as in the video. best one :)
Hardest OSCE ever.
You shouldn't have said everything to her. Brilliant friend
I came from Timbah on Toast's video about Kanye West's mania. I was certain that this was a real therapy session. I didn't know this was an act. That guy deserves an Oscar.
he displays clanging as well. associations based on the rhyme and sound of words.
I worked with somebody who was a bit like that. And he really was a researcher...
Absolutely spot on...for someone without pressured speech he def pulled it off..👍.ps..only thing missing was over the top laughing and or sweating...
In the first cuple of minutes he laughs a lot :)
This was absolutely hysterical, but only because it was so accurate! (Not saying mania is funny by the way, I just mean it was a spot on interpretation.)
I have ADHD and this reminds me so much of my brain
I have Bipolar and mania is absolutely hilarious
brilliant demonstration
This is kinda scary ngl, even if he is acting.. he played his role so well
Excellent and really useful. Great job. My respect
Nicely done. Helpful for basic training purposes. Good effort to get this together.
Love the reference to Doctor Who... "is such a good programme."
That's my brother-in law to a tee, even when heavily medicated he can still have patches like this. Fantastic actor.
Best line was when doctor Beddi apologised for interrupting him🤣