Psychiatric Interviews for Teaching: Mania

In this film, a psychiatrist assesses a man who has been referred by his GP. The patient demonstrates flight of ideas, pressure of speech, disinhibition, punning, grandiose delusions, and second person auditory hallucinations. His presentation is consistent with mania.

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.

31 Comments

  1. I speak like this when i feel really energized and people ask me if ive swallowed a talking pill. Rapid speech thoughts going at a thousand miles an hour and people cant keep up. Im not diagnosed but i know this can also be associated with ADHD and anxiety etc.

  2. An actor. AN ACTOR!? I was so convinced that this was a real patient interview, even knowing privacy laws would never allow it… just phenomenally well done.

  3. What's the point of having the manic patient being "played" by an actor who isn't even bipolar?? Better to get an actual patient who is willing to share their manic episode for education.

  4. my husband is currently sectioned 2 for mania. a lot of what he is like is like this, and worse. i am surprise he is not blowing kisses at her. he is a clever man and has gone absolutely weird/bonkers. He also visits hospitals just to be around clever people and keeps talking to every single stranger and bothers doctors on their lunchbreak. it is a horrible illness. i hope the drugs will help him.

  5. Neighbours might see this man leaving his house every day and be aware he is on benefits and think,'Look at him! He's not disabled, he seems friendly enough, why isn't he working?'. Inless you speak to these people for any lemgth of time you don't necessarily realise there is something seriously wrong. There's been a series of IPS/ work to welfare schemes over the years and having had to work alongside some of the mental health placements, I cannot tell you how much this go wrong. For the job at hand, for the peoplenwho have to try and work with them and for the person themselves. You see the twist in tone at the end… it alwys comes. It cam create havoc and be very costly to a company.

  6. Madam, In a . medical student level how can approach effectively and how can we satisfied, ok I did something and I will handle better in next like, waiting for you reply.

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