Dirty PLEASE post more often. The material you share on youtube has a far superior user-friendly interface compared to how all this is presented on First Aid.

I think it's important to think about the "happy vs unhappy" test results piece, because someone who may have an actual, real disease may receive many negative test results (something with a low sensitivity) and yet they are upset by this not because they want to be ill but rather because they want ANSWERS

I should repay this when I get my first payment as a doctor ..I owe you like alottttttt

@DirtyMedicine

4 жыл бұрын

you owe me nothing, my friend. keep crushing it

@allidoiscry4119

4 жыл бұрын

Just remember that cfs is a real condition

@ahmedmirza814

Жыл бұрын

Same i think for many creators

@Simple4d

Ай бұрын

Have you made your first payment yet ?

@markvincentordiz

24 күн бұрын

​​​​@@DirtyMedicine What about this? It is voluntary but this does not fall from your diagram. I have a stim but recently, I integrated it into a routine (just like for tourettic people, tics relieve premonitory urge discomfort). My routine includes the mimicking of my heightened unintentional startle/excitement that includes tight feeling, pleasure feeling and this causes a bubbly/foamy chest sensation. So it is a consequence of my voluntary routines. The mimicking of startle also exacerbate my muscle spasm (which is my underlying co-morbidity, testified by orthopedist that there is an observable and the radiologist that there is a measurable physical issue). By the way, voluntary cause but not expected for a problem to emerge. It is part of my suffering now, is it the domain/scope of somatic? Are there somatic cases that needs ER care? Prior to my stress/automatic responses, that is involuntary.

This video made my jaw drop 😮I have been suffering with debilitating physical symptoms since 2011!! I started out as a healthy, working, non-medicated, mother of three children. Next thing I knew I had double vision, extreme dizziness, trouble walking at work and sought emergency medical care. I was diagnosed with Menierres Disease. Within days of such diagnosis my eyes were stuck open and I felt my heart start racing one hundred miles an hour as I sat up on bed.. I felt my lungs slowly collapsing and the air leaving them. My body curled up in a fetal position and then I don’t remember much of anything after that! I started having 18-20 seizures a day. I took an ambulance to the nearest emergency room and was treated like a lepar and a drug addict. I remember being exhausted on the ambulance ride and hearing the ambulance EMT talking about me to the Nurse at the ER upon my arrival stating that he believed that I was just stressed out!! As a patient that has no control of neurological subconscious symptoms that cause physical symptoms, which she seeks treatment for and is treated so badly by All Medical Professionals, it makes her sickened to see this video on KZread! Students are trained in the medical field that even if it involuntary and subconscious, the patient is manifesting and worrying about their symptoms?! I have a diagnosis of non-epileptic seizures for twelve years that are caused from PTSD and MDD. Why hasn’t the AMA tried to come up with a solution to the actual patient’s problems instead of blaming the patients subconscious exaggerating their symptoms?! It leaves myself and millions of other people suffering with disorders without a cure or any hope in our future!!

@bobdylan7909

3 ай бұрын

I feel for you! My daughter is still suffering (at 32) after having her symptoms of Crohn's Disease attributed to somatic symptom disorder for years at the age of 10-13...zillions of doctor's' appointments and psychopharmaceuticals galore and me, as her mother, being categorized as unknowing and oblivious by school- and social systems, insisting something was physiologically WRONG.....by the time she was CORRECTLY diagnosed, there was irreversible damage, both physiologically and psychologically. She still suffers repercussions to this day. I can't blame the doctors, per se.....they really believed her symptoms were all psychosomatic.....but still, it haunts me, thinking how things could have been different had I insisted even stronger on correct investigation/examination....

@liz6034

2 ай бұрын

Me too. It makes me sick. Such an amazingly blatant lack of empathy. Such distrust and disdain for suffering humans. They have you diagnosed before you come in. It goes in your record. And no one ever actually listens to you ever again. And here we are, they ones who spend decades being sick before we finally, maybe, with a miracle, finally find out what was wrong just before we die. My dad had celiac, then normal pressure hydrocephalus, and he and my family spent decades suffering because they blamed it ALL ON HIM. Shame on them all.

@pierce1234567891

2 ай бұрын

U have factitious do ?

how are u so smart...this was so much easier to swallow...you're blessing to the world, thank you

@titifermen

3 жыл бұрын

I agree

This flow chart is everything

Great explanation! Liked the flow chart, and revisiting on key items to remember. Been studying all day, one of the best talks I’ve heard!

Dirty, I'm speechless. I'll recommend this channel to my friends and juniors. You're a gem on this planet a life saviour. Thank you. Continue the good work :)

Wow! I was like I am in the real class. How is he making everything so clear and easy. Thank you so much Dirty!

You can’t imagine how helpful you are for me: I tried numerous ways of studying and just feel stupid any time, but thanks to you I see a little improvement in concentration and understanding topics. I am grateful for that 🙏 please do more and keep going.

Very interesting. I had a cardiologist tell me I was having somatic symptoms. Later to find out I had severe heart disease and heart failure that he was overlooking because he assumed it was something along these lines. It’s a common problem of people with my diagnosis. Young female patient, otherwise appearing healthy, with fainting and high heart rate (Dysautonomia) (rheumatic heart disease) (heart failure)

@imParisthoee

2 жыл бұрын

Hi Erica, do you mind saying your age? I’m a young woman who feels like something is wrong with my heart but have had doctors chalk it up to anxiety

@imParisthoee

2 жыл бұрын

@@EricaDiebold well isn’t that wonderful. I am 24. thanks for responding!

@claire5399

2 ай бұрын

@@imParisthoeeI’m so sorry.

Words is not enough to express my gratefulness. I just wanna say thanks for everything ❤

THANK YOU So much for breaking this down. This helped me a lot in preparing for my mental health test.

thank you! I have my final mental health exam tomorrow and these are included in our exam and it just wasn’t clicking before watching your video. It’s like you brushed away the brain fog. Thank you again!

My mother is diagnosed with Illness Anxiety Disorder, thank you for creating this video.

You are so amazing, I’m addicted to watching your videos!

Thank you for sharing this video about symptoms and medications and the conflicts that can arise. Very helpful.

You just saved my day. Thank you 🙏🏽 God bless you.

I love this. You teach the way I learn to a tee. Please, please, keep posting!

Awesome breakdown! Very helpful! I’m a social worker studying fir my license exam and this information is very useful! Thank you!🙏

Best explanation ever...you really have the knack of simplifying complex medical topics in very appreciable way

THANK YOU so much for this! This chart is a life saver!

Such a clear explanation, you are a godsend for students. Thank you so much!

Thanks for the really clear breakdown with awesome use of examples and high yield tips!

Thank you. Such a blessing to the world

its VERY HELPFUL. Watched this for my online class since i kinda need an extra explanation other than just reading lecture notes. Thank you .

Thanks for the explanation. Please make more flowchart lecture's on disorder like this one, it helps a lot.

Absolutely incredible.

I know I am really late to the game on this video... But wow I am super impressed. You just cleared up a subject that legit was giving me trouble, but not anymore... Thank you! When I become a doctor and have a little extra money to spare, you def got yourself a supporter for the next group of doctors coming up behind me :)

@DirtyMedicine

3 жыл бұрын

Thank you for being a Dirty Medicine member!

Best videos ever, as freakin always. One thing only, just to be sure, is that I had a question with conversion disorder in which the patient didn't care all that much about her symptoms (was brought to the clinic by a friend), which is very non-pathognomonic (usually they DO care, and are troubled, as you've mentioned). It's called la-belle indifference and has been associated with conversion disorder. Just though I'd mention it here for completeness sake, maybe people who read it will get another extra pt. Good luck y'all

@teamsankiyt5936

2 жыл бұрын

Do you want medicene of somatica

I'm so grateful for ur videos..it got me through prep time and is still helping me in MD...ur content is far superior than textbooks that are just plain confusing mostly.....Thank You!!!!

Thanks a lot! I have just beginning to study psychiatry this semester

You will be always my favorite channnel!!!! Great explanation

I'm studying for my upcoming board exam and this lecture is so helpful and very easy to understand!! Thank you!

I am studying for my AMFTRB exam, and your content is so helpful. Thank you.

Simply thank you for producing this chart which is very helpful.

Great presentation! supportive for learner's.

Precise & clear!

What about someone who has fatigue , low energy, brain fog ,hypersomnia & is diagnosed by a neurologist , sleep medicine MD with anemia ( low iron) & is given iron supplementation with the possibility of future infusions. The neurologist says this could be the cause of all the symptoms. Yet, the psychologist who is being seen for future brain mapping doesn’t understand how to read the lab work & is suggesting either a possible sleep disorder,cortisol issues or conversion or hypochondria /somatic symptoms? I don’t understand why a psychologist doesn’t understand how to interpret iron lab work, but will jump to even suggesting hypochondria/somatic behavior at this early date after only spending 15 minutes with a client? I am baffled. Can you give any possible explanations for this? It would be much appreciated. Thanks! (PS - the neurologist states many MDs Do not know how to correctly interpret lab work involving Iron levels. ) looking forward to your input.

Excellent, Since few days ,was thinking to read, Now very clear

Thank you very much for simplifying the somatoform disorders.

Thank you very much, this video helped me understanding these disorders better. Thumbs up!

Thank you for making this easier to learn and understand.

Thank for the simplifying it. I'm currently taking mental health and we just covered these disorders and I was confused. Watching your video really clarified some things. I wished you had some questions to help connect the dots

Thank you so much bro ! You saved me so much time AND simplified everything ❤ 1 chapter down, 2 more to go !

This video was soooo helpful!!! Thank you!!!!

Thank you for the information in one video! Great insight❤

Best explanation ever!! Thank you!!

i have a test tomorrow and i had such a hard time understanding these from my notes and the lecture. THANK YOU!!

very helpful the way you categorized it!

Very thorough and I truly understood the material

Excellent way of explanation..i understand myself i will be in somatoform disorder.

Excellent explanation...

Thank you so much for this. Was literally struggling to answer these questions.

Cant thank you enough for uploading this..!!

You made it easier to remember. Thanks!

fantastic video. great explanations

Watching this now prepping for Step and was taken aback when you showed Gypsy Rose lol who would've thought shed be where she is now

Thank you for saving my life lol. I now know how to explain everything much better.

Awesome video. Thank you

So very helpful!! Thank you!

Im not a med student but I study psychopathology and this really helped me out alot thank youu!!!!!

99% awesome! Thank you so much. Side note on Conversion Disorder according according to my 2021 Abnormal Psychology textbook -- additional clues Female more than male, 10 more likely to find them at a neurology clinic (where they make up 5%) and worry NOT always a feature, as 20% exhibit total indifference to their symptoms (la belle indifference).

@michaelgoldstein8516

2 жыл бұрын

Yeah, that's something that needs to be mentioned in the video. There will be some patients who have la belle indifference in conversion disorder, and most of my conversion disorder questions had that in there. Additionally, I had a real conversion disorder patient on the wards, and she had very little actual worry about her symptoms. She was just chilling despite not being able to move her legs at all for seemingly no reason.

@SatumainenOlento

2 жыл бұрын

I was looking at this video as I would be very happy to have that conversion disease and somatic syndrome diagnosis to myself. Left side of my body is having weakness and tingling +I have many physical symptoms. I have not had yet many tests, but extensive bloodwork MRI of skull and spine, which did not show any abnormalities. Very happy about that! But I still have symptoms and I wish that some test would show something so I would know where the problem is and I could get help instead of being labelled hypochondriac. Or factitious. Or malignering. It is very frustrating to be without diagnosis. Before I felt very anxious about it. Now I am starting to feel nothing. Maybe I am becoming la belle 😁 what ever that is. These symptoms are affecting my life considerably and chances are that there is something wrong. But hearing about these possible diagnosis made me happy as easy recovery from these is very possible. And yes, I do have depression, anxiety and traumatic events background. I have been feeling very happy since last spring, but the symptoms just got stronger. So I do wonder if they are just suppressed trauma. I will ask my doctor to view this video. Hope he stops talking to me like I was hypochondriac or mentally ill. It is extremely harmful and abusive.

@SatumainenOlento

2 жыл бұрын

@@michaelgoldstein8516 And if it helps you to understand how patient could become la belle about not able to walk. I had a walking difficulties, weakness in my legs, numbness etc. And ended up to the hospital. I was *extremely scared* and *extremely anxious* . I absolutely LOVE walking!!! So distress was deep. But during that time I worked out in my mind how big of a problem it would be in my life. How I would survive and most importantly if I did end to a wheelchair, Would I still want to be alive and experience life? The answer was YES. After that the anxiety was much lesser trouble. I knew I would be devastated if my legs would not work, but I would survive and learn to be happy again. After that I surely seemed indifferent about everything and quite happy too. Specially when my condition turned up to be not that severe. I think that when you have had mental health problems for many many years and you survive, you have learned to give yourself a "dose of rough love". And reduce the mental suffering in any way possible. Because beside mental suffering, some painless physical symptoms are sometimes nothing. And you learn to survive in adversity! You learn to think that how ever dark things goes, tomorrow is a new day and everything will look much better in a new light. So it is a mix of indifference and mental strenght.

@REGjr

Жыл бұрын

@@SatumainenOlento it's not called la belle fatigue or la belle exasperau (or la belle defensiveness about elusive somatizations that should be your own clue-in to the possibility of a subconscious need for them to be real. Defensive distractions emerge to keep us psychologically "safe" from recalling repressed memories when our egos still misperceive integrating them as survival threats. It's why abuse victims who don't come forward until after a perpetrator's death don't feel safe sooner. Regardless though, what you are describing (seeking treatment) is not indifference to symptoms. You said you would like that diagnosis but seem heavily-invested in needing a doctor to declare the way you already know you feel "real". Pychogenic symptoms always serve some purpose and I'd submit that even in cases where the purpose is careseeking or financial fraud they're ultimately mediating anxiety (likelier to be plausibly-rational current terror than the tantrum of a once-useful dissociative strategy refusing to grow up when the patient IS INDIFFERENT). That they're regressed does not indicate that all defensive behaviors are ego-compensatory, but if there is no current or presently immediate threat constraint (on you or your dependent minor children) you like(d) your drama WAY more than you (thought you'd) like this diagnosis, huh?

This was sooooo good! Thank you

Thank you. This is very helpful.

Excellent summary!

Such an awesome explanation🙏🏿

Beautiful diagram!

Thanks a million🌹🙏🏻 It's very helpful to me👍 I love the chart🤩

Thank you!! Such a helpful video

yes, very helpful. thank you

thanks, very clearly done

Brilliant explanation.

Thank you so much 😊 God bless

So so helpful for OT school!!

I’m studying to be a licensed mental health counselor. Your video significantly helped me out! Thank you and bless you!

@mimax4498

2 жыл бұрын

Same!

That was super helpful! Thank You

That's so much easier than considering that the testing system is inadequate.

That’s just brilliant, thank uoo

Thank you so much 😊

Thank you so much. You make it so easy for me

Awesome lecture! Thank you :)

thank you that was great

THANK YOU SO MUUUCH!!!!!!!!!!!!!!!!!!

Spot on... Thanks

Thanks for this Video

How can I thank you enough 😩🙏❤️❤️❤️

Very nicely explained

Good luck to you, you are awesome 🤩

You are so good. Thank you for help👌🏻🥰

as a psych rn this was awesome

Thank you so much!!

Waauw👍🏼👌🏼 Perfect explained

THANK YOU!

Dude, you are actually good

This was better than my prof.'s 1hr lecture..

Perfect! Just subscribed!

Great content!

Oh dirty, you are the best. Thank you

You are amazing!!!