Psychiatric Interviews for Teaching: Depression
In this film, the GP is seeing a patient who has a depressive disorder. The patient describes symptoms including low mood, tearfulness, reduced energy, reduced motivation, early morning wakening, loss of appetite, weight loss, poor concentration, reduced enjoyment and reduced interest in self-care.
The GP explores the effect of the symptoms on other people in the patient’s life, explores the past history of low mood, and makes an assessment of suicide risk. The GP then gives the patient an explanation of depression.
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.
26 Comments
I'm a licensed therapist and professor in the US and I struggle to find videos for students. Here, the actress is astonishingly believable and real–but the clinician is also really, really skillful. This social worker exemplifies caring, thorough, thoughtful assessment. Really skillfully done. Any student of therapy should hold her up as a role model.
wish we GP-s here like her
Depression isn't sadness, it is a chronic and persistent low mood often with suicidal ideation.
Anyone who suffering with dipresseion read my all information in down billows:
In my experience with people and patient's all the things i will tell you what to do when you are suffering with dipresseion.Fist thing we need to know about the type of dipresseion here :
1) The dipresseion to loss someone it's like losing someone to your close like mom ,dad, brother, bestfriend,peat dog it this cases some people recover by getting new relationship like getting married or having baby but in most cases its life time sorry but true
2)The dipresseion to damage something physical its like if something broken in your body can't able to fix or getting worse disease like alpaca, cance,vartilgo,aids . In this type of cases like smal broke bones fixed and any fixable physical problems are ok for patients there dipresseion is fully recovered by there physical recovery but if physical problems are not received than sorry it's life for time most of people's.
3)The dipresseion about time
Its its like a person having sadness and fear about time thay are afriead about getting old or change in life so for them life changing=dipresseion increase=life time meds sorry again
4)The dipresseion about no reason it's when you have no reason About your dipresseion it's like you have everything but at the same time you have nothing in most cases patients are fully recovered in this scenario.
5)others are ocd,pure.o,or sometimes body saming if you need any kind of help talk to me i will help you promise ❤
I know she was acting here, but my heart still breaks for her and her depression.
This is not depression . This is sadness
When I'm seriously depressed I lose the ability to cry.
7:36 So. This lady has a crap job that does not pay enough to cover minimum of expenses…and she’s got a boyfriend who is pressuring her. She has two children and they might act up. Maybe explore these factors before making a diagnosis?
I had this same conversation with my doctor a few months ago 3 sets of tablets later tried and I’m still no better 😢don’t know what to do
An excellent example, i will certainly look for these signs and attempt to make them feel better. I think the lady in the scenario needed a structured respite plan, from her family! Thankyou for the learning video.
REAL DEPRESSION ISN'T OF MONTHS ..IT TAKES UR SOUL AWAY IN YOUR YOUTH..AND MAKES U OLD
very good portrayal, depression hits different for everyone
Can somebody write this in MSE examination for me?
is the main diagnosis a single episode major depressive disorder without psychosis with a differential of substance induced MDD without psychosis?
A lot of people might heal by just this act of sit down talk and the other one listen à lot i was yransferring from doctor to doctor they all harry to prescribe medication but my cousin she is à psychiatrist she sit with me listen yo me for 45 min or 1 hour i get à lot of better after that she didnt said à word just listening and asking 2 or 3 questions à lot of people dont have emathetic listeners to talk i know its not the problem always but listening is key
The actor (patient) is amazing at acting. I had to check to see if this was a real patient!
Possible ADHD as well?
Is this acting or is she really interviewing people with real problems?
That poor 80 year old mother and those poor people.
I have to watch this for school and boy is it a tough watch. Ive dealt with depression that comes and goes since I was about 12. In 2015 I did this after a bunch of whiskey and I threw it all up. I called my best friend and she told me that was it. She'd been dealing with my depression for too long and that was the last straw. I understand…my depression was making her life hell. It took me a long time to not actively want to end things, but I'm dealing with some extremely debilitating depression again and I have no real support for it. Its hard dealing with depression that just swallows you up like this.
The doctor doesn't even have Wikipedia up. Very unrealistic.
Sitting in that office would make anyone depressed
It hasn't gone anything like this in my experience. The first GP I talked to about depression just gave me the PHQ-9, asked whether I was having thoughts of harming myself or others in a bored sort of way, then gave me a prescription and told me to come back in 4 weeks. Took less than 5 minutes and made me feel like I'd been wasting her time somehow. Some GPs have been better. Usually the younger ones. They've probably had more training on this than doctors used to get. Another thing is that this video is over 14 minutes long. Has anyone ever talked to a GP for that length of time? You do see them checking their watch sometimes. It's not their fault really. I know they're overworked and have to be as quick as possible so that they can see everyone.
Anybody want to share their DSM-5-TR diagnosis of this client? This is a learning and practice exercise.
*energy conservation
I love the patients for their participation and honesty. For me, it’s felt rare since I heard another reliable source of human experience from the past. It’s reassuring and I hope these folks had support to pull themselves out of it and enjoy their lives ❤ it’s sad how a lot of their problems are just caused by real life situations out of their control that would have a strong effect on someone’s wellbeing. I almost feel condescended by the middle class GP dismissing real poverty and class issues as sorrowful patterns of malevolent thoughts. Allison sounds like she has such a hard life managing everything on her own and she’s falling apart because she needs a safe place to grow her own heart.
Edit: apparently this is acting? I’m honestly shaken! Somewhat reassuring as it did get me sad. Rather know they are working and are happier in real life!not sure what’s true but big respect either way