Psychiatric Interviews for Teaching: Psychosis

hi Andy Jon - come on in and have a seat I'm dr. Taylor I'm the on-call psychiatrist for this afternoon I got a call this morning from your family doctor because I think you went to see him this morning long with your mum and I got that the things have been a little bit difficult for you that's a rather distressing experiences so I think your doctor thought it might be helpful for us to have a bit of a discussion about that to see if I could help would that be all right with you no it's fine would it be alright nd for you to tell me a little bit about what's been going on well you're going to think it sounds stupid but my housemates are working for mi5 right and they're they're doing stuff to my brain okay they're out to get me okay that must be very difficult for you how long has this been going on for Andi there two months right and how did you first work that this is what was happening I came I one time and it moved thee to move the TV - was I right just I knew then and what was it that you knew at that moment that did the work for mi5 right okay okay it's been going on a couple of months yeah they did this new letter has started money and and he works for mi5 right he basically drafted them my housemates in Bingham against me okay okay now I've noticed a couple of times while we've been talking you've sort of looked round you into the room as if you're checking for something could I ask you what's happening at those times oh can I can hear them talking about right who is it you can hear by a space right so that you recognize it is their voices yeah okay I can hear them all the time right how many voices can you hear Andy three there's three of them okay and do they sound real like my voice sounds talking to you now yeah it's hard it's it's it's like I can I can hear them when they're not here right and so what they're not in when they're not in the house with you yes like yeah like they're in the other room us okay okay and can you hear what they're actually saying yeah they're talking about me right you're always talking about me okay there is commented on everything I'm doing that's can you give me an example of what they would say well like if I'm packing my bag to go to uni or something don't comment on that like you've left the house now okay okay yeah anything else do they ever talk to each other perhaps about you yeah that's what I mean and now the know the sort of the sort of tweak that I I know about them right and that there's the same like I'm making trouble okay and then and that they're they kind of saw me earth okay okay what about actually talking directly to you in the way that I'm talking to you now does that ever happen undie well okay so you've been hearing the voices of your housemates have there been any other changes have there been any changes perhaps to the way you're thinking sometimes people tell us that they are thinking changes in some way so for example they might feel that they're getting thoughts put into their head that aren't their own we had any experiences like that yeah I do think things that that aren't me like okay to put in thing to putting stuff in my brain it's not it's not me it's not I'm not thinking so different thoughts in your brain yeah it's like it's stupid stuff as works like the other day I was just I suddenly just started thinking about some woman in Coronation Street and I watching Christ it's not your kind of thing normally right - not my thought right okay and do you have any idea how that that's happening what is responsible its mi5 it's this chip of putting my head right okay and I can feel it all the time it's okay so you're getting thought put into your brain that aren't in your own what about a different sort of experience what about the experience that somehow other people are able to know what you're thinking even though you haven't actually told them no nothing like that they're just puttin stuff in one just putting stuff and can I just check Andy as well that you're not getting the experience when your thoughts just stop altogether like you have no thoughts left now if anything there's too much in her I wish I could unplug it okay okay get this thing on my head Jen you mentioned this this chip or this device in your brains you want to tell me a bit more about that wait it's a tracking device so they know where I am all times and that I could I could feel it moving around I rotate it again feel the physical sensation yeah okay okay that must be very difficult for you I don't I don't know why they're doing this to me I've done nothing wrong okay can I just check are there any problems Andy with the rest of your body any changes in sensation or any bits that feel different in any way no I feel fine I'm not writing not ill or anything okay it's one this thing I'm ahead okay it sounds like a very difficult time for you can I ask you Andy how are you coping with all this how is it affecting you well I know we leave in my room much and that's sort of have to wait till they go out go down and get some food but I have been doing stuff to my food ok what do you think's happening to your food the poison right ok are you actually eating much at the moment no ok now with all this happening and this so that you don't feel very safe I've got that right ok have you felt the need I don't know to take steps to protect yourself in any way well I've got a knife ok and like a baseball bat well see it's just in case again my room I just okay I don't want to hurt anyone I just feel like I've got to protect myself it's like it's cornering me to do this right ok have you felt the need to use either the knife or the baseball bat so far but dad take it out with you for protection no I know I don't want to get caught okay just in my room ok has it ever got so bad Andy that you felt the need to hurt yourself or even kill yourself that's the only way out the only way of coping with this well I thought about getting some pills but I couldn't I couldn't leave the house I mean I didn't care anything when you say getting some pills would that be to take an overdose of tablets yeah you've not actually done anything about that so far ok in the past have you ever had any problems either with your temper or getting into fights being aggressive either with your housemates or anybody else no I'm not that kind of person I don't want to I don't know her and you put on a little bit they're just driving me to this and can I just check again you've not been in trouble with the police or anything like that ok with all this that's going on is there anywhere at the moment Andy that you feel safe my parents house right okay and have you seen much of your parents recently yeah thought about going by there boy I don't want to drag them into this I don't want my five learn about night and throughout this last couple of months when you've had all these worries have you ever worried that your parents might in some way be involved in this conspiracy I thought about it but no okay okay check out a couple of background things with you Andy your general health is that okay you generally fit and well yeah I'm not he'll I don't there's nothing wrong it's just this thing in my hair just and you're not on any regular medication from your own doctor at this stage no I don't take any okay what about other drugs and by that I'm meaning alcohol cannabis pills anything else I don't I don't drink much alcohol right okay and what about drugs like cannabis is is my mom alone another no I think I said it's important I'm here about this is wouldn't be something we'd be discussing with your mum smoke weed okay would that be regularly for most days yeah and how much would you be spending on weed okay I could get like a ten Bhagat last day or so okay so you have a ten bag blessing you a day of weed any other drugs I'm thinking in particular things like speed or or pills thought of his speed okay is that on a regular basis Andy most I was growing later the weekend would do a bit book okay when was the last time I need it you would had any speed by a week or so ago right okay any other drugs at all no I don't know but I don't know you're getting it's not it's not the drug right this is it doesn't matter how my face I get this is constantly there it's always there okay I guess the reason I was checking I think we've picked up on is sometimes when people are having the kinds of experiences that you are they find if they take certain drugs it can make things feel a lot worse I just wanted to check that haven't been your experience okay okay I appreciate from what you're saying you're really very worried about this mi5 conspiracy and that that's the cause of the difficulties that you're having at the moment I just wanted to check with you do you think it could be due to anything else and I mean I've obviously met other people who've had similar experiences and sometimes they're extremely stressed some people might be actually mentally unwell and just were that whether any of these things might be relevant to you at the moment no because I'm not ill right it's them and I've read books on this as well I don't the government know about the right to know that they do this to loads of people I don't know how they can get away with it I've done nothing wrong I don't know why they're doing this to me okay okay sure and I think I can appreciate that I guess what I'm wondering is whether you think there's anything someone like me might be able to do to help you as a doctor that sometimes meeting with someone like a psychiatrist or having medication or for some people even coming into hospital for it for a short time might be helpful do you think any of those things would help you at the moment I don't know I mean how many here really because of a walnut no I tried to I don't want to worry about I've tried to talk to her about it she doesn't understand she doesn't really believe me I mean do you believe me well I certainly believe anything having a really difficult time at the moment I guess I'm not too sure about is what's causing this and I'm less sure this is due to mi5 guess what I'm wondering is it perhaps you're not as well as you might be at the moment I mean we've been through a lot of questions and what I'm thinking is we need to try and come up with a way of supporting you through this so I'm wondering because I know your mum is I think waiting in the waiting room might be a good chance now to get your mum in and then perhaps the three of us can put our heads together have a bit of a discussion about where to go from here and try and think of getting you some proper support would that be all right if I got your mum in okay okay if you want to sit there then I know just get your mum okay you

Channel: University of Nottingham

Views: 1,071,792

Rating: 4.8290305 out of 5

Keywords: psychiatric examination, personality disorder, psychiatric disorders, psychiatric symptoms, Nottingham, general practice, Medicine And Health Sciences, psychopathology, manic patient, patient interviews, anxious patient, doctor-patient interviews, communication skills, assessing psychiatric patients, psychiatric assessment, clinical interviews, psychiatric interviews, psychotic patient, psychiatric training, Psychosis, borderline personality, depressed patient

Id: ZB28gfSmz1Y

Length: 12min 29sec (749 seconds)

Published: Tue Jan 31 2012