The essence of the psychiatrist skill and negotiating skill is at the ending part. It's very difficult to say it again that a part of the patient/client's pain is from the mind. Also, she showed much of empathy and understanding on the clients to...persuade her a to engage in a new approach. The whole ensuring things and calming is just to make her to believe 'Okay, let's do something different and we need to stay frequently for 3 months". Great work!

This interview made me remind of my cousin. He felt pain in his testicles and his doctor couldn't find any problem So, he got a referral to psychiatrist. On the day he was going to get the referral, a friend doctor of his doctor was in the office and thought my cousin might have a very rare kind of testicle cancer and both doctors agreed to have him tested for that. The result came positive, my cousin under radiation and chemo and other treatments. He survived and it never came back.

If this was real, I would want her to get tested for SIBO (small intestinal bacterial overgrowth). I had it and it was mistaken for anxiety. It was cured after a week of antibiotics.

very good , no confrontation, good rapport and informed consent on decision .

I pass VERY smelly wind. Barbara - 2015

I enjoy what you are showing people as it pertains to the different conditions that are out there. It is thought provoking as well as an engaging learning experience. The component of hyper sugarization (made up of course) and alcoholism, should be considered in the incorporation of all pathologies and conditions, though, as they are integral in pathologies. I men that not in the sense of shock value, but reality.

A simple case of severe IBS that hasn't been correctly identified, leading to self doubt, lack of self esteem and confidence as well as fear.

this is what a visit to a psych doc should be. but in reality a visit is shorter than this video with a waiting time longer than 100,000 rewatches :/ mental health help is so awful these days

Thank you.

Good job doctor!

I got told I had this problem many times and it variously turned out to be a) an arterial dissection b) a huge ovarian mass and c) a kidney infection. Each time it was "all in my head."

I've had somatization disorder now for 12 years being diagnosed only 6 years ago. After hundreds of doctors appointments and multiple tests like m.r.i.s, ct scans, ultrasounds over that 12 year span, nothing has been found from these symptoms that I go through. I've tried meds, cognitive behavior therapy, acupuncture and almost everything in the book these past 6 years yet I still suffer from this debilitating disease. I applied for social security disability and got it right away as have just been crippled by this disease. Scary thing is that you don't know what's real and what's not. I was diagnosed with thyroid cancer last year even though I felt no symptoms for that one particular thing. It was found as I had an m.r.i. for swelling under my jaw. My shrink said to stay away from doctors while my doctor said if i'm dealing with real symptoms, i must follow up with a doctor. I feel real painful and destressing symptoms....what do I do? Any advice would be appreciated?

Symptoms started since Egypt food poising. That would indicate to me rather physical problem, not psychological, because in Egypt you should always suspect unusual exotic infections which may be tricky to diagnose. Worsening symptoms when lonely and improving when happy happens even with physical disease, think when you have flu, you often feel instantly a bit better when your partner/parent show love & care for you. Better example of somatisation would be unspecific tummy pain always before school exam, work deadline etc.

Health care is clearly better in Britain than in the US. My wife is this woman times 10. Even with great health insurance, you can't get a physician to spend 10 minutes with her, and there is NO mental health system here. See a psychiatrist and they will give you 3 minutes and another drug. This was helpful because we've had a number of docs say that it's a severe case of somatic symptoms disorder, but it's good to see how this therapist addresses it.

That's what Dr. Brown was for. The patient already decided testing was inadequate, despite logic to contrary. By the time the patient arrives for this interview it is focused on psychiatric evaluation because the primary has already dealt with attempting to explain all of the tests that were done and the fact that all detectable organic conditions were ruled out. Here she is trying to elicit the cardinal symptoms of complex somatic symptom disorder, which is what the patient was referred for.

I suffer from IBS and I once made an appointment with a Dr who wasn't my usual GP to ask about medication because the OTC ones wasn't working and guess what he said? 'IBS doesn't really exist, it's a psychological problem' so I replied 'I've been diagnosed with it and take medication but it isn't working.......His words 'Exactly' well I just stormed out I was furious!

great film, very helpful , but she mentioned that NHS running out of money which is in 2012 . hat if you had filmed at 2018 what would she have said about NHS and privatisation!

Very informative video

This actress was very good.

very Rogerian

All organic and physical testing negative. It gets better when she is outward focused and worse when she feels alone. Classic case of TMS or MBS. Read any book on Mind Body Pain Syndrome. Sarno. Schubiner. Education on "its all in your head" and "i cant see how my mind causes this pain" is paramount for her healing. These interpretations can and do block a person from accepting the treatment. She is clearly resistant to letting go her established fears and associative evidence. Well done GP! Great questioning and discovery.

It is still discussed whether or not the IBS is a somatisation disorder

This happened to me, even Mayo thought I was fat and it was IBS. It took close to 11 years for GI doctors to figure it out, despite numerous small bowel obstructions and abnormal imaging. It turns out I have Crohn's disease, an autoimmune disease. This poor woman might be really sick.

What happened on the trip when it started besides being sick?

'You have to have IBS to understand it'. Medicine does not have a cure for it or for other psychological and psychiatric disorders like schizophrenia amongst many others It has a poor understanding of these neurological disorders. It is often referred to as a functional disease, but my suspicion is that it is not entirely functional, it probably has physical causes as well. Anything that has a cause must also have a solution, that's the tricky bit. What is the lasting/permanent solution or cure?

Is it illness anxiety disorder? It sounds like it when she says I feel like it’s cancer

Sounds like IBS to me! A great probiotic worked for me!

I don’t know whether this is a hypochondriac disorder, somatic symptom disorder or conversion

17 mins WOULD be a double appointment!

I simpathise with the patient. What's the harm of doing more tests?

Wondering if this patient was ever investigated for a possible food allergy? But it does sound like IBS. But people can have symptoms that are idiopathic. That doctors do every investigation they can but they still can't find out the answers to medical conditions. These doctors aren't fobbing their patients off, it's just medical science hasn't uncovered the reason patient Joe Blogs gets the pain or symptoms he Or she does. So these doctors are left with the inevitable rotten situation of treating their patients the best way they can ⚛️

deleted scene from Woman Of No Importance

she could be my doctor

Unexplained abdominal pain that is from cramping to stabbing pain. Being referred to a surgery. Constipation and diarrhea. She should be tested for one of the types of porphyria.

شو اسم الدكتوره

This is a guide on how to talk a patient out of medical treatment. Somatic illness is from unknown causes, which doctors often confuse with being made up or psychiatric. The doctors here are trying to convince this woman that she's not sick because they can't figure out what is wrong. My mother spent 15 years telling the doctors there was something wrong and they told her the same thing, until she ended up paralyzed and blind on one side. This is terrible medical detection and has become far too common.

Wheres her GP?

How is this somatisation? Isn't it IBS?

The rapport was damaged!!!

hypochondrial disorder

Her smiling seemed inappropriate at times. Otherwise, excellent educational movie just like the others in this series.

IBS

an ideal filmed and edited session.Even with this 'ideal' set up,do you really think my g.p.would spend 18 minutes on my 'somatized' belly pain??? Completely disconnected with the real world and ending up with patient dissatisfaction. Apart from the obvious I.B.S.,there was absolutely no understanding let alone explanation of the somatizing process.Pathetic

Sounds like H-pylori

I know this is training video, but IBS can be tricky. As a hypnotherapist, the somatic sensations are rooted in subconscious known negative associations, and is not in the realm of logic/reason. EFT Tapping is also a great adjunct to break the pattern.

The way this shows the psychiatrist speaking to her patient comes across as deeply condescending. It is almost painful to watch. This woman has a complex disorder, and a complex mind, she is not a child. What doctors offer is limited. Testing is limited. Understanding of the body is limited. Understanding of the mind is limited. Period. When a patient presents with somatic issues, psychological assistance and care is needed. Most patients can sense they are being manipulated by this kind of approach, and it is fully understandable why, when being spoken to in this kind of way. In many cases of pain in the stomach and intestinal tract presenting as this disruptive, treatments must be explored intelligently and holistically, in ways that a browser at a "herb shop" would not necessarily be able to come by, or be educated on. Probiotics that are actually live and are of good quality are just one, though often extremely effective if not at least helpful. The RIGHT digestive enzyme, the RIGHT herb, for her, acupuncture and gentle exercise to relax the muscles, yes - the mind, and to promote digestive activity - there are complex reasons these happen simultaneously, to name just a few. To completely dismiss this is absurd and simplistic. Treatment should and must assess both simultaneously. The fact that the assimilation of treating body and mind is so under developed reflects incredibly poorly on doctors, while so many people like this woman, in real life, not a "misunderstood" woman who is acting, are truly suffering and are in fact not well, not only psychologically, but physically, with real issues that can - in actuality - apparently contrary to some academic thought - be addressed. Please, also know, that a very positive event in somebody's life, like a wedding, can make people with very serious chronic illness feel better and see improvement. This is truly ill considered and is of very poor depth.

Why do psychiatrists ALWAYS have this patronizing attitude in their body language and the way they talk. They seem to think their IQ is atleast 3SD above their average paatient and their sanity level is beyond human.

She needs a high fiber diet,, one bowl of all bran or bran flakes fixed my jippy tummy.

My advice to her is: Try DR. Harold Shipman👈 😈👌 He loved patients who kept coming back.

She needs a good diet. That s all

Very cute dr

Constapation Raisin Bran cheese for runs. Smelly stop eating meat, chicken etc. dead things. Vegetables, fruit no gluten and all organic. I was going to say it’s your hubby, stress.

this video makes me angry. how about asking about food? let het write a foot an pain diary. could be gluten or fructose. not a single question about diatry. GPs. please stop playing therapists.

That exessive nodding is so annoying and seems so fake! 😑

I think the proper diagnosis of this video are hypochondriasis not somatisation

Barbara Roberts - "Hello there my name is Dr Beddie, I'm one of the new GPs in the practice - First of all what would you like me to call you?" Lol bit strange......

Thank you.