Being a survivor of psychosis, this video actually made me tear up. I don’t wish it on my worst enemy. Psychosis really is an experience that really messes with how you live your life. I wish everyone well.

A lot of people down on the interviewer. I thought her manner was warm, accepting, and empathetic.

0:50 - "My housemates work for MI5 and they're doing stuff to my brain" = Persecutory delusion/paranoia 2:00 - "I can hear them talking about me" = Auditory hallucinations 2:40 - "They're always talking about everything I'm doing" = Running commentary 3:50 - "They're putting stuff in my brain...they're not my thoughts" = Delusion of control/thought insertion 4:15 - "It's MI5" = Preoccupation 5:40 - "I don't leave my room much" = Isolative behavior (negative symptom) 7:00 - "I thought of taking some pills" = Passive suicidal ideation 9:00 - "I smoke a bit of weed" (cannabis associated with increased psychosis in pts w/ schizophrenia) 10:45 - "I'm not ill" = Lack of insight Also of note: Poor eye contact, fidgety/distractable. Anyone notice anything else?

Remember this gentleman is an actor. :)

Man, when he says “I don’t know why they’re doing this. I’ve done nothing wrong.” 5:15 it made my heart sink. Imagine being fearful or anxious about something you haven’t done and not knowing that it’s not real. The experience is real in his head, but the actual actions of others around him for others to verify is not. Reminds me of that episode of House, where the boy thinks he has a chip in his neck and that the aliens know where he is. I couldn’t imagine having this happen to my kid.

Suffering with psychosis is like living in hell, I’m not one to break. I’ve suffered with my mental health for a long time but when I went through temporary psychosis I just broke, I heard loads of voices pointing out my flaws and I was in a restaurant and just broke down crying because I genuinely thought the voice’s were the people around me

So incredibly sad that the mind can get this sick. Absolutely incredible.

My partner has just been diagnosed with paranoid schizophrenia. These are the exact same symptoms he has been going through. It’s so heartbreaking

Really nice line of questioning without escalating the situation. Feeling safe is really important I love that she asks about this and continually keeps him at ease as much as possible.

I love how everyone is trying to diagnose an actor themselves

I just recently suffered from psychosis due to undiagnosed bipolar disorder but now that I've been diagnosed and am being treated I cant even fathom having thoughts like that again.

It's very interesting that although the cause of the delusions is likely chemical/biological, the actual delusions themselves are deeply culturally rooted (e.g. housemates, Mi5, tracking devices, brain chips, conspiracies, etc). In some other cultures schizophrenic people are more likely to have positive delusions, and their delusions are not often viewed negatively by family and friends. In many cases, delusions involve voices of dead loved ones, and these "patients" are viewed as chosen people who help the dead to communicate with the living. They're viewed as having a gift, not a disease. I find that fascinating.

If you have a family member or friend that is like this, they tend to explode in anger when you point out the flaws in their perception of persecution - then they'll blame you and everyone else instead of looking inward or asking for help. They'll look for anything and everything to back up their theories - even a glance from a stranger walking down the street can be enough to make them think they are persecuted. It's one of the worst mental illnesses because it all seems so real to the person whose suffering from this, and the patient can be at real risk of being hurt or hurting someone

Wow, this is intense. What a gift to share. I can't imagine how challenging this must be.

Bless all the professionals helping these patients and I don't know how much support these professionals get but they deserve more

Psychiatrist has perfected the warm, disarming and comforting "okay". She should do an asmr video of her just saying that for an hour - I'd sleep for a month.

I suffered psychosis (persecutory delusional disorder) for almost a decade after my dad passed (I now understand that I had traits as a child along the way). The worst of it was dealing with my wife’s ex boyfriend at the same time … playing mind games with us and stalking here - police couldn’t do anything about him - I broke down numerous times because I was being told it’s not real… , somethings were real and others I was perceiving to how I wanted them to look. A tissue blown from up the street might set me off as someone used it to wipe prints off a doorknob. It’s an awful condition.

This guy is a pretty good actor. I like that he looks around the room a couple times.

She never contradicts him or expresses doubt about the truth of what he's saying. If she did, he wouldn't have trusted her to go on. She's very sensitive. Good for her!!

I’ve had severe paranoia with hallucinations. The intakes are very difficult because you want help but you certainly distrust the clinicians. It’s really scary to be asked these questions actually. Honestly this doctor’s constant “rights” would trip me up.

Thoroughly informative and insightful. Thank you!

as a psych student this helps me a lot to understand my report, thank you for the vid! ❣️

This was a really great interview with a patient that is suffering from psychosis. She really knew how to handle this patient even if he was an actor both did a great job illustrating what it is like to see a patient that has psychosis. Brilliantly done and this really made me as a future clinician know what to look for when interacting with a patient that is suffering from psychosis and other disorders as well.

an illuminating and easy to follow series with excellent audio quality. i mean, if one picture is indeed worth 1000 words... then how can one not glean an insight?

"Im not ill or anything, i just want this thing out of my head" i have the same feeling. it's my brain.

Thanks a lot! That was a great learning experience.

Wow! This guy is an actor. He's terrific with his acting! I thought he was for real.

Really incredible session! They express a very accurate and reliable story, the act work looks genuine. Thanks a lot!!

I experienced only drug induced psychosis when I used to take high doses of dextromethorphan, and smoked weed on it, or from taking just high doses of dextromethorphan, and redosed it several hours later. I did too hear voices talking to me, and controlling my movement, and what I would say. That induced fear and anxiety in me up until a point where I would get psychosis later down the line, and that fear and anxiety just disappeared all together, right up until my doctor prescribed me 2 antidepressants, and that put a total stop of me taking DXM anymore. I still don't feel fear, and very rarely experience only very low levels of anxiety. I am fine now, and I know for sure if I were ever take that stupid DXM on my antidepressants, I could get serotonin syndrome, and that is very bad condition that I could even die from.

I live with bipolar disorder with psychotic features and have experienced similar thoughts. It's definitely terrifying and confusing.

very good and informative video, thanks for sharing!

I counted close to 200 "right"s and "okay"s.

I honestly would have never thought he was acting lol, he was really convincing!

Psychosis can be very powerful. I have severe social anxiety, it's a very hard thing to even type text to my internet friends and no joke, 12 years ago it was very stressful to even stand in front of a window in my moms apartment. But my first episode of psychosis I had two years ago made me run naked outside. It felt like life was seen from another perspective, as if it was some sort of lie and the "real" life was gonna start later so whatever I do here did not matter.

I'm doing research for a horror book I'm working on, and this we very helpful. Andy I wish you the best man.

with my all respect to Dr. Taylor experience and skills one point that is very obvious for me in this interview was about the flow of speech of psychiatrist! I think it is a little bit fast, may be cause of native language or anything else but at all she well done to create contact with patient and to know about diagnosis.

I watched this with 2 consultant psychiatrists. Both agreed it's effective only as a gross simplification. For example, one rarely ever finds a paranoid /suspicious patient immediately willing to disclose a persecutory delusion - as this young man does within his first sentence .....

This is like a job interview I once had.

Wow. She truly is an experienced psychiatrist.

This is quite relatable, so strange that so many peoples psychosis experiences are similar. Spent three years psychotic before i got help.

Amazing interview demonstration! I'd love to watch more! Is there any extension videos regarding interview with this patient's parents? (like what mentioned in the video that the doctor is gonna interview his parents?)

The patient is a good actor, very well done

This is an intense and very specific experience of psychosis.

Bless him. My heart is broken 😭

Warning signs before psychosis: It starts with gradual changes in the way you think about and understand the world. You or your family members may notice: A drop in grades or job performance Trouble thinking clearly or concentrating Suspiciousness or unease around others Lack of self-care or hygiene Spending more time alone than usual Stronger emotions than situations call for No emotions at all Signs of early psychosis: You may: Hear, see, or taste things others don’t Hang on to unusual beliefs or thoughts, no matter what others say Pull away from family and friends Stop taking care of yourself Not be able to think clearly or pay attention Symptoms of a psychotic episode: Usually you’ll notice all of the above plus: Hallucinations: Auditory hallucinations: Hearing voices when no one is around Tactile hallucinations: Strange sensations or feelings you can’t explain Visual hallucinations: You see people or things that aren’t there, or you think the shape of things looks wrong Delusions: Beliefs that aren’t in line with your culture and that don’t make sense to others, like: Outside forces are in control of your feelings and actions. Small events or comments have huge meaning. You have special powers, are on a special mission, or actually are a god.

Its interesting that these psychology videos always make the leap that persons suffering psychosis are willing to talk or answer questions in the first place. Doctors often act as though the patient knows or believes that they are psychotic, which is nearly never the case with genuine psychosis. It can be rather patronizing the way the doctor asks the questions, and the way they respond as well. Then again, its an interesting video.

Wow this is really fascinating!

Psychosis was such a bizarre thing to experience. One moment i felt like superman and the next i felt like a scared animal. I felt some of the worse dread ever but at the same time i felt entirely connected to everything and everyone. Such power … permanently changed me

The fact you question it is what makes you sane.

My housmates are working for MFI, and keep trying to sell me a discount three piece suit.

Her interrupting his answers is driving me crazy.

Wow that guy is a really convincing actor, I really thought this was not acted at first.

We as family members of the victims of this illness should just be patient with them. All we can do is be supportive and show them great amount of love, for love is a medicine too.

listening to Andy's responses and cant help hes sporting a lovely looking North Face jacket.

This is very sad, everything he is feeling is real to him he must be frightened by all that is going on. I hope he gets the help he most desperately needs .Starting with his drug taking would be a good first step.

I wish the psych i first saw was warm like this lady, he was cold sat quite far away and didn't talk very much. I'm not someone who minds silence so the doc being quiet didn't and still doesn't make me want to fill the silence. I like her manner.

Being isolated for awhile triggers alot of mental disorders.

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 KZfaq channel, so I get excited when I see other advocates. 💙❤

Thank you for this.

This video is exactly like University of Newcastle "Psychology Teacher" KZfaq channels video. Is this a standard way of teaching how to interview patients?

This is brilliant, thank you.

Plot twist: he's not delusional, and his mother is actually working for MI5 as well...

Very brave. I wish you all the best.

He must be very brave to talk about what he thinks is going on.

The interviewer is talking way to fast and it feels like shes not really acknowledging his feelings by saying "right" and asking question before he's even done talking. Very stressful to watch.

just to fluid to be true, but great interviewing skilss, congrats on the videos, so helpfull. Psychiatry Resident from Panama

Imagine how absolutely distressing and debilitating this must be.

The way she says "that must be very difficult for you" sounds very raw and apathetic, in my opinion at least. A better way I guess would be "I imagine that must be very disturbing for you" in a more slow and passive way.

I have a family member who has psychosis.. the problem is, she's not letting anyone near. She has studied psychology and psychoanalysis and thinks we are trying to manipulate her.. when we suggest seeing a doctor, she wants to know the methods and she won't let them 'manipulate her brain'. It's getting worse and we don't know what to do about it.

Are these scenarios taken from real records with details changed, or made up?

i have schizophrenia....its been 21 years now....i must point out that i look pretty normal from the outside....mine is when i am alone...thats when the thoughts appear...thanksfor the video

I’m impressed by acting, so real

Plot twist: all of you guys are working for MI5. The doctor is actually M, and the patient is .... Yes, you guessed it right .... Agent 007!

That is how you check for symptoms in medicine. Doctors have to trust that patients will be honest about their experiences. This is what guides diagnosis and investigation.

Wow , the consultation was so smooth

Lack of desire for physical conflict, passive suicidal thoughts by means of pills versus violent harm, not wanting to drag his parents into his sense of danger would indicate lack of violent tendencies at this stage. Obvious present paranoia and preoccupation with MI5 to explain the things he's experiencing with his auditory hallucinations. You obviously can't explain to someone in that condition that they're wrong, especially when already on the defensive so the method of being the person to provide support to help them cope with the situation really is the best starting place.

This guy's a great actor!!

Jeez can he even get a word out without her interrupting with “right ok”

The man is a very convincing actor.

My sister is just like this man. Unfortunate never got well. In a nursing home now.

Put that Actor in a movie He is such a good actor

excellent interview, although the interviewer did sound a little robotic with her empathic statements "that must be very difficult for you"

Right, right, right. Oh man, the forced empathy act. Isn't it quite obvious how much I care and am genuinely curious about your situation after hearing me excessively say "right" ? Right, right, yeah, I get you dear. It comes off as "Oh, I know everything about your experience". Running the risk of having the opposite effect of empathy: condescension. Especially when the word "right" is shoved in the conversation repeatedly as soon as the first syllables of the person's answers are uttered. If you're going to ask me questions and all you want is raw data about my experience, you might as well just had me fill in a form. I'm sure valuable data is being gathered here which will ultimately overall help the person, but I'm sensing a lack of genuine human care which... Is needed. Always. P.S. Having had my chance to rant: overall informative and helpful. Thank you

I recently visited the "Art in the Asylum Creativity and the evolution of psychiatry" exhibition at Djanogly Art Gallery Nottingham. It runs from Saturday 07 September - Sunday 03 November 10am - 5pm and there is some fascinating insightful work on display including work by 'outsider artist' scottie wilson.

wow this was a great movie

How does the doctor know what's going on in someone's life isn't real or not? Just because it sounds far-fetched doesn't mean it's not real. Happened to me. Diagnosed with psychosis - although another person could confirm the truth of what I was reporting. In my case the psychiatrist apparently thought he could read my mind. Crazy.

Just incase people don't realise, this is role play for teaching purposes, she's doing an assessment NOT treatment and so this isn't therapy. Therapy would sound a lot different and the assessment would probably have a different tone depending on each individual-this was only an instructive video for students to know what questions to ask, what assessments to make etc..

Dear Andy Greetings, Hope this message find you will, i feel sorry of knowing that you are in bad and sick situation ,i want you to know that we are all supporting you and we are there in helping you . Hoping that you get will soon .

I am not a Doctor or a Professional Expert but after Listening to the Counselling Session, I Support the Patient because, Even I have Experienced Worst Psychosis during my PTSD...what you mentioned, "Drugs Induced Mental Disorders". So after Self Analysis for 10 yrs and Changing my Treatment I think the Patient should go for Hypnotherapy for Removing any Past Memories from Subconscious Mind which triggers Mental Disorders. Again I am just Recommending Hypnosis Session based on my Personal Experience for curing my Mental Disorders which included Psychosis and Depression.

beautiful example of non-judgemental report building w/ assessment

Thank you. You are valuable.

My ex claims to have been hacked to a such an extraordinary degree that I suspect she's suffering from psychosis. If the stuff she claims is true it would appear on The News or in the papers. She has problem with amphetamines and takes them daily and I believe they can cause psychosis, but she appears to be lucid, not noticeably altered or agitated, but she still insists that all the devices in the house have been hacked, including the fridge, washing machine, phones, tablets and game consoles. Her car is supposedly hacked too and it gets more unbelievable and bizarre. Would someone suffering from psychosis be noticeably affected or is it hard for an untrained person to spot?

My nephew was so young when he took cannabis. He’s now 25 and still sectioned. He has psychotic episodes. Not a danger to anyone but is too vulnerable to live alone. So sad x

MSE: Appearance: 21yo M appears stated age, dressed in casual clothes and has groomed hair and beard Behaviour: Good engagement with clinician, makes eye contact until distracted, fidgets with fingers Speech: Appropriate rate, tone and volume Mood: Anxious Affect: Mood congruent, intensity is appropriate, range and mobility are restricted Thought process (stream and form): Appropriate Thought content: Paranoid delusions (persecutory + grandiose) and thought insertion Perception: Auditory hallucinations, responding to external stimuli during interview Cognition: Intact as alert, orientated, intact memory Insight: Poor as unable to appreciate mental illness/ may benefit from healthcare Judgement: Poor as unable to weight up benefits and risks

Wow this psychiatrist is really good. Very nice.

I had an officemate in grad school. He started telling me odder and odder things. I told him to go see someone “this may be the last time you’re rational enough to go of your own accord” but I was too late. Miss you Max!

really excellent portrayal and very gently approached. i am a registrered mental health nurse currently involved in developing a training package that will focus on communication - would it be possible to use some of these clips? we would obviously reference your university as the source of the video.

You know you're in trouble when your roommates move the TV.... X,D

What are the differances between 1st and second person auditory hallucination?

My younger brother is going through almost the same thing, leaving alone and far away from us, and we don’t know what to and what can we do 😔😞😞😔