Psychiatrist Answers Mental Health Questions From Twitter | Tech Support | WIRED

I'm

psychiatrist

Dr. Eric Bender, let's answer your

questions

from the Internet. This is

mental

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at Pink Penguin. Someone write, please inform me. What does psychotic mean? Psychotic means a break from reality. You are experiencing things that other people might not have and may include. auditory hallucinations hearing things other people may not be hearing visual hallucinations, although they are rare, you may have delusions fixed false beliefs that you believe are true even though other people show you that they are not true psychotic does not mean that someone will to commit crimes Andre H Perez, how come depression exhausts you, but sometimes I'm too sad to even sleep?

When you are depressed, your circadian rhythms are disrupted. In fact, one of the first things we ask patients is about sleep. People don't realize they have this. Imagine that when you are depressed you can sleep more, but in reality it is the opposite, you wake up early and people say: why do I wake up at 5:00 in the morning without even setting an alarm? It's because your sleep cycle has been phased out. displaced or advanced phase you go to bed earlier and wake up earlier we believe this has to do with the lack of neurotransmitters when you are depressed, so there is less serotonin, more epinephrine and less acetylcholine and for some reason this makes us wake up early in Aton Supreme, anyone thinks the outfit is contagious.

I will tell you watching high school students in the Bay Area go through the college application process. I can absolutely tell you that it is contagious. There was a study that observed an audience watching a speech being given. For someone who was very anxious, saliva samples were collected from the audience and the presenter. The saliva had elevated levels of cortisol, which is the stress hormone not only in the presenter but also in the audience, so stress is absolutely contagious when, for example, the baby asks

questions

. Can depression be hypnotized? No hypnotherapy is very effective for some things.

It can help people with the sensation of smoking. It can help people decrease their temper. Sometimes hypnotherapy can also be used to treat sleep disorders and insomnia. You cannot change the level of neurotransmitters in your body. brain that correlate with depression some people are more hypnotizable than others when you look at this eye chart it gives you an idea of ​​a gradient of how hypnotizable someone might be you ask them to look up when they look directly ahead that's a zero , then one is slightly, you start to see a little bit of white, then you start to see more white, the scale goes up to four, and you see mainly white, almost exorcist style, there is a correlation between those who show a lot of white when they put the eyes roll back and can be easily hypnotized DJ Leapcard asks what the difference is between a psychologist and a

psychiatrist

and which one do I need to see.

Well the psychiatrist has gone to medical school so they can prescribe medication if you're feeling overwhelmed and need to talk to someone a therapist would be nice, it could be a psychologist or a psychiatrist. If you suspect that medication is needed, then you would like to see a psychiatrist in Bel Maps. He wants to know a question for the psychiatrist. Counselors, how do you not cry well in Bell? To be honest, sometimes I start crying with patients. After all, we're human, although some people don't think we're on the Mets at number 33. Do personality disorders run on a spectrum like yours? you have mild narcissism disorder absolutely there is a spectrum here you can absolutely have narcissistic traits when it's un

health

y it's when you start thinking only about yourself fantasies and obsessions about unlimited power or beauty and then full blown disorder you could go so far As for being a malignant narcissist, you have a lack of empathy and don't really care about other people, this is where we find psychopaths in resilience doc, how do you think the brain-gut connection works?

Preclinical data, meaning data and research from animals, not people, show that there is a relationship between the brain, the gut, and the microbiota or bacteria that populate the gut. What we found was that in some stress-induced rodents they ended up having short chain fatty acids and what we found is that there is actually less serotonin produced in the stress-induced rodents. intestines, that is not the same serotonin that is in the brain, yes it is the same structure, but the serotonin in the intestine does not cross the blood-brain barrier, however, what we found is that the inflammation caused during this stress causes the nerve vegetable, which is involved in depression does not trigger the way it is supposed to and, as a result, this inflammation could have something to do with a depressive state, suggests that with a healthy intestine and a healthy microbiome we can improve the state in the mood, okay, the next question on dar's nobot wants To know when formal psychiatry started well.

Psychiatry dates back to the 19th century. We used to have a group of doctors called alienists and their job was to understand, treat and be with people who had an alienation from the rest of society that was due to

mental

health problems in 1895 Freud wrote studies on hysteria some consider the birth of the psychoanalysis why no one talks about how depression and anxiety can cause significant memory loss depression can actually make us have memory problems what we think it has to do with is a lack of glutamate glutamate is the excitatory neurotransmitter and when there is less than that we find that people do not establish the memory processing speed of someone with a depressed mind can be 40% lower than when they are not depressed, there is something It is called pseudodementia, in fact, this false appearance of dementia, but it could actually be depression in Megie Meg 26.

Have you ever had a random thought that just won't get out of your head? I'm analyzing it right now, first of all as a human being. you have a random thought, if we don't want it it is called intrusive and then it can become obsessive if you can't let it go and that's when it can start to get into the range of obsessive compulsive disorder, so the obsessive thinking pathway starts with the connection between the orbitofrontal cortex and goes back to these areas here called the basil ganglia. When that pathway is activated, there is a worry, but then the inhibitory pathway goes back to the orbitofrontal cortex and actually turns it off, inhibits it. someone with an obsessive thinking disorder where they keep worrying about the same thing, there is an overactivation of that direct pathway back and an underactivation of the inhibitory pathway, it's like there are no interruptions to stop this worry, so we have this cycle that goes on and on and on and on.

Cognitive behavioral therapy or CBT is used to help someone with these types of obsessions. You can also do something called exposure and response therapy, which is where you create a hierarchy of fears. Let's say someone is afraid of spiders. The first rung of that hierarchy of fears might be fine. let's talk about spiders, next could be going to the tarantula exhibit and last could be petting the spiders and letting them crawl on you, oh no, Mimi is asking why Tik Tok keeps telling me I have ADHD. Tik Tok is going to I tell you many things, please don't look at Tik Tok as your only source of information for mental health.

A study that analyzed 500 videos on Tik Tok with the hashtags mental health advice and mental health advice showed that about 84% were misleading. About 31% had inaccurate information and 14% had information that was harmful. Only 9% of the people making the videos even had relevant qualifications for making the videos. As a society, right now our brains are being trained to be stimulated for only a few seconds and function. to the next thing and move on to the next thing and move on to the next I think people have a hard time concentrating it's not ADHD maybe it's being on Tik Tok too long on Mindy I wish there was more information available on how mushrooms can help control ptsd anxiety and depression the information is here and beyond there is a lot of promise that mushrooms or mushrooms can really help with ptsd or depression what we are talking about when we talk about mushrooms is in actually silos cybin a chemical that binds to the serotonin receptor particularly in the thalamus, which is why we have these hallucinations, but the interesting thing is that it is not the hallucinatory experience that is necessarily the treatment.

There is a case report of a man who received siloc cybin guided treatment and did not have the psychedelic experience and was actually a little disappointed that he didn't do it, but 40% of his depressive symptoms went away according to his reports and the structured assessments that they gave him. There's something about having a guided treatment, something about having someone there with you can be really helpful and really powerful, it shows us that there really is value in being interconnected with each other in Hex Bags Am I having a panic attack, heart attack, heartburn , a strange pain in the chest, what is crying, Emoji, crying, Emoji, a panic attack is abrupt, does it come out of nowhere?

You may have chest tightness, trouble breathing, your throat may feel tight, you may have sweaty hands or sweat all over, and maybe some pain, so you feel like you are going to have a heart attack. heart attack, that anxiety peaks after a certain number of minutes and then goes down, but you're so upset and worried that you panic. There is also something called an anxiety attack. Maybe you're giving a presentation. Maybe you have to take a test. You become more and more anxious and feel like you can't continue. That's an anxiety attack at the moment of your death.

Want to know? Help. I'm having an anxiety attack in the middle of class. Sad face. What do I do? Can I help you? you can do a grounding

tech

nique remember where you are and what you are doing I am here I am sitting in the room there are people around me some people follow the rule of 3 three three see three things hear three things and move three parts of your body something common thing people say is just breathe that's not helpful I never find it helpful to say just breathe a good breathing

tech

nique is actually inhaling through your nose and exhaling for twice as long so you can inhale for a count of three and exhale for a count of six, it's the exhale that's actually relaxing in Interrupted Angel I'll be honest, I don't know the difference between serotonin, dopamine, oxytocin or endorphins and at this point I'm too afraid to ask that endorphins are hormones.

Endorphin comes from the name endogenous, which means it is made. within us and morphine, which is a pain reliever, and endorphins imitate what morphine does, the runner's euphoria comes from endorphins, serotonin and dopamine are neurotransmitters, they transmit messages in the brain, serotonin has to do with mood and anxiety, and dopamine has to do with joy, pleasure, and sometimes even motivation or attention, serotonin is involved in depression and anxiety when it is low, and dopamine It may also be low in depression and ADHD. Oxytocin is that love or bonding hormone in women when breastfeeding that actually helps form a loving relationship with the child in times of anxiety.

Says anyone has tried fish oil or omega-3 supplements for mental health. They are supposed to be good for anxiety and depression. Did you notice any difference? Omega-3 fatty acids increase blood flow in the brain. Now this doesn't necessarily correlate with improvements in mood. but some people report improvements in mood and that omega-3s can actually help with depression, even with ADHD, there is a population that will respond to that and they will be able to concentrate more. You can take 1 G or even 2 G, but studies show that going up to four grams doesn't really do anything. 1G is the equivalent of eating salmon, maybe three times a week, you might get fish burps, though keep that ad in mind.

Rider Trill writes I would love to know what triggers schizophrenia as in reality studies we know that there are now over 200 genes responsible for schizophrenia and what happens is if you have enough errors in those 200 genes you can develop schizophrenia even in schizophrenia and something that We know it has a strong genetic component there. They are environmental factors and we know this from twin studies, if one twin develops schizophrenia, there is a one to two chance that the other will, but it doesn't 100% suggest that there is something in the environment that could unlock it, which could be substance use, could be trauma.

We're still trying to figure out the connections between these. What is the environmental factor? exactly what genes are activated exactly here is another how stress works How is the freezing response destroyed when we face stress? There is a section inthe brain called the amidala. a nucleus, a set of cells that detects a threat and sends a message to the hypothalamus. The hypothalamus then primes our body to produce adrenaline or cortisol, allowing us to have that fight ORF flight response. Are we going to prepare to face this? threaten or we're going to take off what can also happen is another response called the freeze response the deer in the headlights response your body has been flooded with cortisol it prepares you to fight or flee but if your body doesn't respond then you don't do anything That destroys the freezing response would probably involve some cognitive behavioral therapy or other types of therapy where you talk about what is keeping you frozen in place while lifting.

Depression can be overcome by humanity or it can only be absolutely managed. Depression can be defeated. I have seen people who have depression in what is called remission, it does not come back. What happens in depression is that we have lower levels of serotonin and when I talk about serotonin I mean that between the neurons in the synapse, in that connection between nerve cells, there are medications called selective. Serotonin reuptake inhibitors with very elegant names, SSRIS, which target the serotonin regulators and block them, and then the serotonin stays in that synapse, which increases the dendrites, which are the branches of the nerve cells, and with that you get a mood lift, hopefully, medications.

This category could include fluoxitin or the brand name proac Cene, which is Zoloft esalo pram, which is Lexapro. What we think these medications do is increase the number of dendrites, that is part of the reason these medications can take 2 to 6 weeks to take effect. We are increasing synaptic connections, so medication is one way to beat depression. Some studies show that therapy and medications together help more than just medication or therapy alone in Goldes 27 writes. I was telling my therapist about Charming, which was about generational trauma and she was like, huh, are you sure about that, a Disney movie, yeah, I'm sure Kanto was absolutely about what's called transgenerational trauma. .

Abella, the grandmother, lost her husband. Pedro, they killed him right in front of her. What ends up happening is that that trauma was so disruptive that she wants to keep her children close to her, she wants them not to do anything that causes her any kind of worry or pain. Everyone is trying to protect Abella so that she doesn't experience any kind of loss or sadness again and, in the case of Bruno, who she recognizes, she waits. this doesn't feel good he's the outcast because he's not part of this group of people who protect Abella she doesn't want anything to do with him we don't talk about Bruno well you know you should talk about Bruno because Bruno is In fact, I I realize something is wrong with latrae.

The questions are genetic mental health problems. There is a gene on my mother's side of the family that makes me question my reactions all the time. Some mental health conditions have very strong genetic components, such as bipolar disorder, schizophrenia, autism, even ADHD. In fact, in cases of ADHD, sometimes 25-50% of the time a parent has ADHD, but genetics is not the only part of the picture, your environment plays a huge role in the expression of your genes. , so it could have one or several contributing genes. to you showing a mental health problem and if they are not activated then you are not going to express that this is called epigenetic, it means that there is something else that activates this genetic code that unlocks it in the metal.

Guru Girl Asks How Many Well, the CDC data is actually from 2015 to 2018. They said that during that period about 13.2% of the population took an antidepressant; However, that was before the pandemic, the American Academy of Pediatrics said in its Journal that as of 2020 there was a 64% increase in antidepressant prescriptions for children and adolescents alone, so it's certainly more than 13 .2% of the population now in sour kitas asking if ketamine therapy works by asking for a friend yes there is a lot of data about ketamine working for depression however it is very important to know that ketamine therapy is not recreational ketamine, there is an amount that is taken through an intravenous infusion, there is also esketamine in aerosol, what ketamine does is block the place where glutamate is located.

The excitatory neurotransmitter binds blocking glutamate which can increase, allowing us to feel better, but it only lasts 2 or 3 days. The drug rapamycin is being looked at, it is given with ketamine and what that does is actually prevent the appearance of GLE cells. the brain chewing up the neurons and the duration of ketamine lasts longer so there is promise here that is being researched at Yale and we still need to see more results and more data on Ruby Bonia 3. It's curious, is there a test for psychopathy? Yes, Robert Hair, a Canadian psychologist, came up with a scale called the psychopathy checklist.

He wrote down a series of traits that are looked at to see how someone fits on a scale of psychopathy. These include personality traits and others include criminal behaviors. Some of the personality traits. You may be pathologically lying, particularly about your own history, or you may be glib, you may not share much of the real thing with other people, someone reviews each of these 20 items and gives you a score of 0, one or two, zero not present, two is very present, maximum score. it's 40 if someone is 25 in some places especially for research they meet the criteria for a psychopath according to this checklist the closest DSM diagnosis is antisocial personality disorder that's where the rules are frequently broken but Not all people with anti-al personality disorder are psychopaths.

Typically, those with psychopathy actually have criteria for antisocial personality disorder. In Malik Mars wants to know if you can develop a personality disorder. I think I contracted one from someone. You can detect many things about people, but usually a personality disorder is no longer one. That said, there are a couple of cases where people can show personality traits when they are already in their family, for example, histrionic personality traits, being very dramatic about things, if someone in a family acts that way, you can start doing that too, there's something called Folly Ado. which is crazy for two and that's when a mental health experience is transmitted to another person and they have the same experience that usually happens when you live with someone psychotic and maybe they have a break from reality, in fact, the next movie of the Joker is completely called Adu referring to Harley Quinn and the Joker in their relationship in real jawbreaker wants to know what the dsm5 says about me thinking that everyone constantly talks about me behind my back well, the dsm5 could say that you are a paranoid person, There is something called paranoid personality disorder where the DSM lists criteria that say you may have delusional beliefs.

The DSM 5 is the diagnostic and statistical manual of mental illness. It is essentially the guidelines with all the criteria that psychiatrists and psychologists use to sometimes diagnose. to people with a mental illness It is controversial in the early volumes of the DSM that being gay was a disorder that has clearly changed over time. A new version of the DSM may come out once every 11 or 12 years or so, so I guess I'll have a new one to look forward to another time. About 5 years in X Tadashi wants to know what the inkblot test proves. The inkblot test, also called the roar shock test, was developed by Herman Rorock, he was a psychologist and psychoanalyst, and what happens when you do a roar crash test.

Someone could hold up the card and say tell me what do you see Batman, some kind of animal, something sexual and then there's a scoring system, you'd look at what part of the image someone focused on and the idea is that it reveals something about their unconscious. Initially I was worried about shock, I thought this might be a way to diagnose schizophrenia. We know that is not the case. The shell shock test is still used in some ways in psychotherapy, especially with children. You have an idea of ​​how they think what their life is like, so there is a way to extract something about something from this test it just won't be a way to diagnose schizophrenia in Soul money says what you think about integrative psychiatry that fuses traditional medicine with alternative therapies, can these things work together?

In fact, I have had patients given terminal diagnoses of illnesses, they took conventional treatment and then they brought in spiritual healers or guided meditation and what was a terminal diagnosis became this person's tumor shrinkage. There was a study that looked at about 30,000 results and the results with anxiety were that therapy and medication together made me better, that's an example of how you can combine treatments and do a lot of good, so those are all the questions for today. , thanks for watching mental health

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