Psychiatric Interviews for Teaching: Mania

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University of Nottingham
In this film, a psychiatrist assesses a man who has been referred by his GP. The patient demonstrate...
Video Transcript:
foreign tell me a bit about this then well this is this is the work I've been doing yeah which is really important and it's it's uh it's my cure for cancer okay that's what it is you know it's it's all written down here right uh it's not written down it's here and it's only me books right what I get from the papers is I get uh I'll get some Clues as to what you know what I'm supposed to do now to get the other Clues to so I can hone it down and come up with
a final thing John has all of this been going for ages now well I've been out for a week about a week but this week I've been working really hard because we're going on longer than the week but I've been working it really hard for this week what numbers you have to find out am I right thinking you normally do a different job yeah I'm a mechanic you're a mechanic yeah okay manic mechanically manic mechanics yeah it was mermaid Dave I bought shown this and he told me he told me to go away because it
was bunkers off my goodness that's okay anyway so you did that and uh so I said well you know I didn't think he was clever enough right you know not not because I went to see the doctor about it because I thought you know show him because it is a doctor you know he's been to University he's done stuff yeah yeah he really didn't he didn't have time I thought how can you not have time to hear about cure for cancer right you know what I mean okay so that's why he sent me this to
you because I'm telling you all about it okay well tell me about it I've got I've got my various bits and pieces here and I find things in the papers like you know the football results you see they need adding together and then I have to find some other information on this page their business and let's see there's some majors and page numbers right add those together and take it away from what's on there yeah so that's uh I do that and then and then what you find what does that number Define you find other
things that number corresponds to numbers I've got on me um Army chart I've got a big chart on my wall right and I'll find that number and then that adds up to something else and he says it's all there I mean that's that's really good I'm gonna get one of those what's that that's that's really good that's as a phone it does that does internet and everything so find out more stuff right you know that way when I'm out and about but that's that's and there's numbers you see I'll use those numbers there you'll then
need adding up and take it away from something John when you've done all this with all the numbers and the chart where will that leave you what what is it you're headed for what was the cure for cancer cancer how's that going to work then well how it works is God tells me you know uh that you know I'm doing a really good job how great I am and how fantastic it is I'm working at this you know okay and I just I'll just keep going at it you know don't stop I don't stop okay
can I just take you back a step do you said God tells you God tells me can you tell me a bit more about that well he tells me he just he just talks to me you know he talks he just he talks to me he tells me you know I'm doing a really good job and I'm fantastic it's wonderful and I'm great show this to people right that's why I'm coming to show you John when God talks to you can I just clarify this with you does he talk to you like I'm talking to
you with the voice coming through your ears or does it feel more it doesn't come through you it comes out your mouth voice comes out your mouth and goes in your ears that's right yeah you should know that because you know you you're a doctor as well you should know these things and is that how the voice seems I hear him in my ears because he's more used to hearing and okay and he talks to me with his mouth because you know so the voice seems to come through your ears rather than inside because he's
a big bloke he's a big is he a big bloke he's a big bloke yeah yeah and he's got big big beard what's he like then well it's big but a big beard yeah I called him beardy bearded once he didn't like I got right up okay plus you've got the raw cooking yeah I can imagine yeah okay yeah and what kind of things when he's talking to you what kind of things does he say to you John he tells me I am fantastic right yeah for doing this you know getting stuck into this and
keep keeping it and I should show it to people right and that's right that's what I do I'll come out well okay oh other I've sent copies of stuff to the pope right and you know Archbishop of Canterbury none of them were written back do you think they would you know because they're close to God they probably know him right yes they probably made him and stuff you know going with the Pope he came to me I mean you don't know I would assume the pope knows God right you know he's addressed his telephone number
and everything like that right but you know then uh oh it's the archbish account but I think he's just rude because he's not moving back that way and there's Toby Blair he's written to Tony Blair as well yeah what did he say what what did Tony say nothing I've got a letter back well I didn't even go back from him I got back from somebody else right not him okay lost the post and somebody got it by mistake but just hoping nobody's stolen my ideas sorry to interrupt the second John as though this has all
been keeping you really busy really busy really busy have you been sleeping no no time to sleep no no time to sleep when was the last time you had a good night's sleep would you say don't need it I don't need it I'll go with this enthusiasm from God you know inside me so you feel as though you've got a lot of energy yeah yeah I've got that in the door the other day you know and there's lots of numbers on there and he's adding up and taking them away feeling about yourself you know your
self-esteem how do you feel about yourself as a person at the moment fantastic you feel fantastic I feel fantastic because you know God's telling me I am yeah I'm doing really really good job it's all there and it's all happening and tell me this John because I couldn't get it from your GP letter have you ever had anything like this before in your life where you felt full of energy and lots of bright ideas no no but this has been going on for so long that I can't really remember anything else you know and have
there ever been any times in your life when you've kind of been the opposite John where you've been a bit down in the dumps nothing nothing like that nothing I don't know okay and what about any family history does anyone in your family have things that's just me I just just me it's really well they're not they're really that clever he's not that clever family your family you know yes we'll have to come and see doctors I'm getting a good place hospitals and things like that because do you feel as though you're more clever than
perhaps other people well yeah well yeah well I'd certainly keeping those people at work you know because they're a bit thick and John I guess I'm just wondering what what might have happened to start all this off for you have you any thoughts yourself this on well God yeah God yeah okay yeah and yeah I did just count me one day okay just count me yeah so I started diagnosing connections with numbers and things yeah and it's it's it's all there you've just gotta find it yeah I want to dig deep and look for it
yeah I mean okay how have you been feeling physically in your physical health any problems there fine fine I'm fine yeah and have you been taking any prescribed medication or anything no no no nothing nothing substances I just need everything within me now I don't need anything else anything and and you know how you were saying that your mace at work said that you were you were who died yeah yeah you said rude things he said he kind of suggested that you told him I said yeah you did yeah no no no no but it
sounded like he thought you weren't very well at the moment no I'm fine what do you think to that can we can we can we look at this now because this is what I want to talk about right this is I've come here to talk about this and you see me going off from something else you're not really paying attention yeah I guess you want to do that now can we talk a bit more of this now well I guess before we get back into that I guess well no don't get back I want to
talk to you about now can we talk about it now please I guess John what I'm wondering is whether this might be a sign that you're not very well at the moment no I'm fine I want to talk about this you seem to want to change the subjects I don't want to talk to you anymore I've had enough of you and I've had enough of being out I want to talk to somebody else I want to talk to the boss I want to talk to your boss where's your boss I am the boss and I
want to talk to somebody else there must be somebody else I can talk to there isn't I talked to the dead man I'm fed up we talked to Holy rag I want to talk to the engineer no more monkeys the organ grinder for me I want to talk to the top man top boss top cat that's what I talk to Top Cat Top Cat top cat yeah
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