Psychiatric Interviews for Teaching: Anxiety
Video Overview & Insights
In this film, the GP is seeing a patient who has presented several times before with complaints of palpitations and shortness of breath.
An eleven minute doctors appointment.....that's almost unbelievable
The patient describes the onset of her problems, which was a panic attack. She has then gone on to develop agoraphobia. The problem has affected a number of areas of her life.
The GP explores the patient's understanding of the problem and it is apparent that she has attributed this to a problem with her heart. The GP then goes on to give the patient an alternative explanation; that this is anxiety. She describes the physiological symptoms of anxiety and explains why avoidance is a problem.
I'm an amputee and I'm also a carer of my paralysed partner. I gotta get up at night to help my friend, I've got a problem with my sleep and I was told to wear earplugs but I'm already partial deaf...
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.
This is amazing! Very informative, practical and detailed. Thoroughly enjoyed this. Thank you.
More User Perspectives
For people new here. Both of them are actors
@azizkash286All this channel is great!!! I can say this at All! Thank You for all these records!!! A great job for us
@gusiecevaTalking or tablets can be part of the solution, and that is fine.
However, I feel the best approach is to also include, and perhaps even prioritize, the process of helping people feel safe in their bodies. This can be done through practices such as yoga with breathwork, and eventually meditation, once enough safety and stability are present. Ideally, it would be offered as a complete package.
This is the most fantastic explanation of anxiety I have ever heard from the doctor! And really well done with the acting, I kept forgetting it's just a teaching interview!
@gabrelasIt sounds more like panik attack. The doctor is really wonderful.
@SGKUser1972Had a really stressful week. After weekend, half a day of work, I asked to go, which was fine.
Way home, I suddenly cramp, sweat, 140+ heart rate. Wife went to get me anyway, right on time. In the car, extremeties gone numb, thoughts and feelings like 'closing in'.
Thought I had a heart attack, with 29, nope. First ever and only panic attack. Been more aware of any changes in my heart rate too a year of two.
Stuff is scary. To think people deal with this regularly.. gets me shivering
They didn't talk about the post panic attack overwhelming fatigue
@TineFaunaSableThis is spot on how I felt for years. And I didn't even know the word or concept of anxiety.
@TineFaunaSableIllness Anxiety Disorder in specific
@sleepwalker914Deep-breathing, exercises work.
@ClaudiaMitchell-z4nCertainly don't agree with the approach here! You must prescribe immediately to alleviate suffering!
@Pl15604I wish GPs in the UK actually took anxiety this seriously
@em9316Goleman's book: "Emotional Intelligence" describes the physiology of anxiety feedback loops. Worth reading..
@beakytwitch7905Ok so, as someone who has actual OCD and GAD we know it's anxiety. 😅 not just chest pain and racing heart. There's so much more to this.
@ZiggyWhiskerzBe one with nature, a little exercise, good food and an occasional glass of white or red wine (or two)
@ScotscanBut shouldn't the diagnosis be panic disorder instead of anxiety?
@syliva-s3jIt's important to note, that ECG's are not infallible, the patient does have a genetic history and is not fit. The risk for women post menopause of heart attack is higher, I would definitely be recommending her GP order more tests before dismissing the symptoms as purely psychological. If everything then looks ok, then you can proceed with mental health assessment. Many a hospital patient has been admitted with diagnosed anxiety, when their heart condition has been overlooked, due to a misleading ECG.
@YogayinThe doctor talked way too much. She should have asked about the "trouble at work" and she should have guided the patient to reach on her own the idea of the fear of repeating the "event". I mean, what she did is great for selling medicine, but it's making things worse for the patient
@that_other_oneI had some insomnia earlier this week and spent a couple days stuck in an anxiety spiral about prion diseases in which the insomnia and health anxiety were obviously proof I was dying… making more of both. 🤦🏽♀️
@sophiaschier-hanson4163Talk about being cut off at the most important point.
@CityThatCannotBeCapturedthis patient actress is very good
@dmgsoultogetherness6667I have to say as someone with GAD and Panic Disorder asking someone in that state to wait a week before starting treatment would be torturous.
@ryanpepper8188Excellent actors! Very convincing and educational.
@toddlerlasagna6715dealing with this exact thing now. it's been interfering with my studies and relationships for the last few years
@isaachoward5302I can shut down this fraud business by having a few Mexican people in Houston take a polygraph test in front of the world live on TV asking them if they are the ones using their third eye 👁️ to harass people and making them think 💬🤔 that their crazy hearing voices.... they've been caught in Houston Texas also claimed to be witches and demons and the Saints of the dead...
@DZP100Y’all this is a PSYCHIATRIC INTERVIEW. This isn’t a PCP or GP. Totally different specialities.
@alissabohmann2750This video cured my anxiety.
@j.b.4340Been there ❤ its horrible
@joannelewis3390I don't wish it to my worst enemy.
@rosyb3lleWhat is the predisposing factor here?
@bye.bye.butterflyyyA Kimyala henson?
@jamespatrickbulger9688Thanks for the video, helped a lot
@watchdog471So, client gets a 10 min talk, after the talk the client is sent away with no solution whatsoever, just another appointment. No matter how well this doctor is "engaging", her result is zero. - What if the client gets another attack this afternoon, or every day from now on? Oh, she should just wait until her next 10 min talk.
@NilodeRoockThe thing is if you have tormented spirits you could have all the symptoms of these kinda people. The worst kinda spirit you can have is a dumb one cause they don't like people who are smarter than them. Another bad spirit is a ugly one .
@mikche1the doctor is amazing and extremely empathetic but the pace of the interview is even stressing ME out...
@ilenaoik72204 ecgs 2 echo test 1 trade mill test 1 hotler ecg 24 h control for blood pressure 1 ct angiography with 0 calcium score no narrowing no plaque for 2 last year and yet constant chest pressure some time pain along left arm.
Its like a hell it took a lot a courage and convincing to calm down.
It is not by adrenaline, it is by cortisol response that cause panic and hypervigilance And with more acetylcholine domination makes the valves and artery constrict more !
@sberznjicool!
@mariosaragih9108So this isn't a real session ??
@jkh-jkhThis is such a good resource for undergrad Psych students!
@isabellekyraWow, I used to have really bad anxiety and this really reminds me of how it was, I'm so happy that I'm not like this anymore
@zenolord2242I was at 18 years old when I came to my doctor for the same issue (also anxiety induced) and I remember him sitting me down in one of the exam rooms and just looking in the eye and telling me "you don't have to live like this" and that's when I started treatment.
@sleepydoeI’ve suffered from anxiety as a kid and I’m 30 now, mine was the stomach aches and the fear. Eventually at 28 I panicked. I actually learned something from this video for myself and others.
@BarelyKerriThis is me
@albelgrewal5208"Patient" get a full medical work up first? Eliminate physiological issues before any psychobabble.
@tertommyThis doctor is great!! If they were all like this there would be less mental health problems.
@tracystandish3420it's very useful
@rachidkhalfat2974