Welcome to A Psychologist Talks! My name is Dr. Justin Barry, a psychologist who enjoys thinking and chatting about all things linked to psychology, all while applying a unique Relational Psychodynamic lens. Whether you are a provider looking deeper into why we do what we do, a consumer desiring elaboration or more information, or just happened upon my channel: my hope is to provide content that adds depth, enhances nuance, and - perhaps most important of all - inspires curiosity about topics not found or only superficially discussed elsewhere. Thank you for visiting, and stay curious!
Disclaimer:
Please note this channel is for information purposes only. It DOES NOT constitute professional advice for your personal situation, nor is it a substitute for treatment with a professional.
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Thanks for video, could antisocial personality disorder and drug use eg weed and meth cause schizophrenia symptoms? Would really be grateful for a reply ❤🇦🇺
Dr Justin Barry, good to see you doing the dissociative experiences realm of the human existence justice by making it known, normalized and better understood! I always enjoyed consulting with you and hearing your perspective on things. I teach trainings on understanding and treating dissociative disorders so it’s great to have a short overview to direct people to if they want to understand but not take the full training. Great work sir!
Hey there! Certainly high praise coming from you! I appreciate you watching and referring anyone to my shenanigans :)
Thank you a lot for sharing your perspective on this issue, as a feminine trans man it was actually quite eye opening to hear how much more difficult society makes it to be yourself as a cis guy who leans more toward emotionality growing up. Because I've never realised just how privileged my experience was in that regard, since even though I now identify as a man I was still raised with feminine social expectations placed on me and socialising in mostly female spaces, where emotions and open communication about them were very normalised , but it must be so much more challenging to cope with and understand your own emotions in healthy ways when there's this intense pressure of toxic masculinity, therefore it's no wonder that so many men develop destructive tendencies like anger issues when they're the only outlet they have in order to still be seen as a "proper man".
Hello there! I apologize for my delay in seeing this comment. I very much appreciate your vulnerability in sharing about your journey as a point of reflection upon mine. I think we all do a little bit better in this world understanding each others' situations or "situatedness." Perhaps that's a bit cliche and/or sappy, but I believe it to be true in my line of work... we observe ourselves and others a little more richly in the process. I do hope your journey through gender has and continues to be a fruitful one, all the ebbs and flows included. Thanks again for watching/listening!
I’m a pgy5 psych resident prepping for Canadian royal college exams. Just wish I found your videos earlier! So helpful, especially the psychodynamic formulations!!
Hello there! I'm so glad (and honored) that you have found them helpful in your education journey. It's a long haul, and I hope you have been enjoying it so far. Best of luck!
I really appreciate your thoughts on this, as I see more and more people through my job using “neurodivergent” as a label for themselves, almost as a diagnosis in and of itself. With autism evaluations very difficult to come by in my location (sometimes taking a few years on a waitlist depending on insurance, etc), I will often hear parents using this term for their child when they haven’t been properly evaluated, but they believe some atypical traits are there. Your catchphrase “Stay curious” seems like a perfect ending for this discussion, as I don’t think it would do clinicians any favors by shutting down people using this term, but instead using it as a launchpad to ask more questions about the divergent behaviors.
Hey there! Appreciate the watch and comments! Indeed, people naturally seek words to which they can attach their experiences, but the reason they attach to them is a mystery unless we ask. It's never safe to assume we're all talking about the same thing just because we're using similar language. PS: "a few years" ... ouch!
What about strong attachment to playing games or talk about them? By games I mean, tabletop, card, sports, video games , maybe just playing catch ball with a dog. I see it as passion and it's what drives me in making my first game. The part about achievements was what would strongly pull me in as kid but as I was not good at it, it made me realised that achievements in school didn't matter much but the info did. To me sports have never been much different from competitive games at least.
There’s a whole business in game reviews; another iteration of the art critic. And when we love art, why wouldn’t we talk about them? Many positive things, especially given we have created games out of things since… well, ever? I realize this episode leans a smidge more on the dangers, which is what it is, but hopefully I captured some of the enjoyable things for me.
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I cannot begin to tell you how eloquently and precise you have explained this topic! They make everything harder for themselves, and of course everyone around them, and and it would truly take the smallest effort and tweaks of change for them to actually be as powerful as they want to think they actually are! It’s really very very sad!
Thanks for the kind words!
What a superb explanation from an albeit "mechanical" perspective. If, as a society we are to become more *affective* in our own initiatives, voting for example, then it is critical to identify prohibitive human patterning beneath the surface.
"Affective." That tickled me! And very well put.
covert narcissists are 80% female. most narcissists are female, not male. i don't get why you would claim that narcissism is more common among men.
Yr assuming ppl are male or female. But narcs never individuate. They are stuck at a very early age before gender is understood. They are self centred, sexually. Onanistic. They can think they are lesbian and wear men's clothes and be aggressive. I know a couple of people like that. One of them is not lesbian if the current prey is male. The male prey was rich, not any more. She took his money. Because they are not interested in bonding, they can't bond, they do not want love, they have no reference for love and can't give it or receive it. They value money more than anything, and the power and control it gives them. This is their idea of success.
I allude to gender being on a spectrum, but for simplicity sake + aligning with available research, I speak mostly in terms of male/female. I get real curious about if future researchers will uncover new trends when exploring gender fluidity. Insofar as them not differentiating, that might be a case-by-case sorta thing, especially since your description seems a bit more severe/malignant-like (it does not capture the full spectrum of NPD). That is, while it could make sense that some of them might be more preoccupied with power than their identity, we often figure out how to navigate power based on our identity (and how people respond to it). So in the very least, there would be some attunement to identity. Meanwhile, I can promise those at higher organizational levels are actively figuring out identity - gender included. In any case, interesting reflections, unfortunate as stories like those are. Thanks for offering them!
Could you possibly talk about oppositional defiant disorder in adults and its treatment?
I think it's called psychopathy when its in adults
Oppositional Defiant Disorder (ODD) is a diagnosis only for children and adolescents. When we port into adulthood, it could translate into numerous potential diagnoses, depending on how the symptoms present in the context of adulthood. Assuming symptoms even continue, as there is a heavy environmental component to ODD.
@@apsychologisttalks that's interesting. Thank you for your reply. What diagnoses would those be, if I may ask?
ODD is an interesting diagnosis for children and adolescents, because it could be indicative of underlying mood issues, underlying issues with authority, poor social choices/with whom they spend time, adolescent-specific issues (it's a stormy and stressful time), and even issues coping around poor parenting or temperamental mismatches between parent and child. Add another layer if there are co-morbid conditions (say, ADHD, which is commonly co-morbid). Thus, you could see a range of mood/anxiety/conduct/personality disorders in adulthood. For most cases, because it is often so situational-contextual, there's an increased risk for depression and anxiety in adulthood, IF anything at all. That's an important "IF," because often when you remove the situational variable and give increased independence = less problems. However, I would bargain the earlier the onset, the more temperamental it seems, and the existence of co-morbid concerns could increase the likelihood of more serious conduct/personality issues in adulthood.
A corroding to new research, this day's its about 50/50 men and women with narcissist personality disorder
Super interesting.
This is gold! I appreciate being introduced to the various techniques and modalities used by mental health practitioners. Do these applications prove remotely effective with the malignant variety? Could you possibly produce a video on the senior narc which encapsulates all-such struggles faced in their final years of life?
I can’t recall if I mentioned it in the subtypes episode, but treatment for malignancy usually ain’t terribly successful - assuming they even come in to see us. This is because we run the risk of, depending on the person, teaching them to be more manipulative. My brain goes to more behaviorism with them if anything. They can get some of what they want without being nightmares to society. Do note “malignant” is thrown around a bit much these days, so we are talkin’ the true-blue ones here (see the subtypes episode). Your question about geriatric cases is super fascinating and not something I’ve thought about or addressed in my work. Gero psychologists probably have far more wisdom than I. It is certainly curious to think about how defenses might look later in life. I would imagine either a softening or a hardening, with the softened being more amenable to challenges, and the hardening… well… not a great sign. Part of me wonders about using more direct confrontation (after some allying) if I was a provider meeting with someone walled up at the end of their lives. They can tackle this or risk dying angry and alone sorta thing. But I’m pretty confrontational once my frame is set and I get the relationship going.
Great vid. Keep up the good work
Thank you!
Hello! I loved your video here. Can you focus more on people who suffer from NPD or BPD can improve themselves and can actually change themselves? The internet says once a narcissist always the same. I don't agree with it. One can change when they want to and with people's support. So, all the videos talk about the character traits of a narcissist. But how to change it. Something bad happened to them in their early childhood. Something happened that made them this way. If they try hard, they can change it. So, please show direction to those people explaining in detail what are their characteristics, how it harms others and how they can change it by trying again and again and become better at it. Thank you ❤
As you've said yourself, they can change if they want. The problem is that in mine and many other's experiences, it's so rare for them to admit they ever did anything wrong, getting them to want to change is extremely rare.
My next episode will be on “treatment.” It’s a loaded topic, and it’s something I have to be a bit reserved about (I am not offering a training/full guidance). Will see what I can do!
I failed to see this comment. Indeed, you are on a solid track. The defense seriously limits self-awareness and fights heavily against feedback, so it's an uphill battle. And it's worse the more entrenched/lower organizational level they are. That said, higher functioning or "neurotic" folks are very much within reach. Still, most need compelling reasons to enter treatment, and even then they have to find a provider who really knows how to work with them in an intentional way. Anecdotally, on top of a lack of education offered about personality disorders and treatment (a glaring issue in the field), current social trends are sometimes miswielded by providers in a way not conducive to personality work. For instance, if an individual with narcissism is reduced to "an abuser" or being "toxic," how are they going to get the help they need? I am not saying these are not destructive individuals that would not fit these labels, but we need only look to greater society to see the success rates of changing mindsets and behavior when we reduce others to caricatures or buzzwords. Personality work requires an entertainment of the in-betweens. The goal with NPD is neither to coddle nor cudgel them. A difficult but noble (and often taxing) undertaking for providers. I talk about this some in the treatment episode.
Woah I love this. The fact that things like this might actually exist is like fantasy to me. Love the fact that I can see your passion radiating during these explanations. (That's how I see it) Psychology sounds really interesting at least when I hear from your explanation in this video. Hope you get something out of this too.
I appreciate you seeing my passion! I call it “nerding out,” but I’ll take it! There’s lots of really fascinating aspects of the human personality and all of its dimensions. More to come (beyond narcissism)!
Wise education.
weird comment coming in.. i hate beards for the most part. but yours looks very good. under your face mainly , very interesting, and well balanced
23rd subscriber here 🍻
Thanks for the sub!
PLEASE PLEASE PLEASE CONTINUE THE SERIES AND GO INTO THE PARTNER ABUSE AND THE EFFECTS I BEG OF YOU 😢
I appreciate the suggestion; it's a huge topic. I'll look into it and see what I can do. It could tie in with treatment, social intersections, and/or an additional episode. Will see what I can do. Thanks again.
I feel you explained it extremely well and I too wish WE all could see the gray or at the very least TRY! Think to think! People don’t care unless they know you care “ but” it works both ways! Being curious only to defend one side or the other is a slippery slop to possibly start a debate. Being curious to learn something and or understand a different perspective is growth. 😊
Huuum
imo based upon what i have learned, the question is more about assimilation, not replacement.
I would generally agree (I think), although technology has replaced some skillsets utterly and completely (but even then it might be better to think of that as displacement; a different job arises because of that). Outside of those circumstances, it's more that FACETS of what we do are inevitably replaced along that way. That is, any time technology augments what we do, there are certain aspects of what we do that become irrelevant. This is what I spoke some about. That certain types of therapies could become irrelevant for humans to do. Such is the process of assimilation. Unless we go the route of the Borg, where it starts assimilating us ;)
this is probably obvious to you, but when you mentioned about people coming in to see you, and they were still going too fast (im paraphrasing), it might help if they close their eyes or look down and focus upon their breathing.
Mindfulness/meditative practices are great for many! That or some humor, such as picturing a cat helicopter attack.
@@apsychologisttalks you nailed the precise reason for my name! i have a funny attack helicopter cat video on my channel that always makes me laugh a lot.
my understanding, is that a healthy person is dynamic, and grows and changes over time, and that an unhealthy person remains static.
I would agree. Albeit to add a smidge of nuance: dynamism is not synonymous with CONSTANT change. We all have (and need) periods to pause, it's just folks who are in healthier states of being tend to be more efficient within that pause and more readily translate it into intentional action.
@@apsychologisttalks i agree with what you said about nuance and afterward. i think its a good thing that you noticed that i didnt include that, i could be more mindful about including that in the things that i write.
is personality causative of itself? i think that it isnt, and id like to relate a personal story about one of my experiences with meditation if you dont mind. i was meditating with my eyes closed, focusing upon going deeper and deeper within myself to the core of my identity. i was using the mantra "i am this i am". what i saw looked like multilayered multicolored patterns of light surrounding what i understood to be the core of my identity. the patterns of light surrounding it, i understood to be everything about my personality, and my opinions, my beliefs etc. i understood that i had created all of it, and i watched it all unravel away from the core of my identity. for some, this might be a bad experience, but for me this was a positive experience.
is personality the seat of who you are? why do you believe that?
Who we are is a mixture of nature and nurture (noting that for many spirituality can be easily tied in with nature/nurture, should that be their belief system). My metaphor: personality is the soil from which a tree (ourselves) grow. Still affected by the sun, the elements, objects around it, and even the tree itself. All cycle back into the soil - directly and indirectly - and so the tree continues to grow. As the tree ages through the centuries, it does not branch quite so drastically - unless some great force compels it to - but it grows nonetheless until its inevitable end. Personality is not everything, but it is a steady and monumentally important companion from start to finish.
im commenting before i watch the video. the 2 things id like to comment about, firstly the definition of the word disorder isnt definitive, and it seems to me that it leaves the idea open to subjectivity. secondly, just my opinion about observations, it appears to me that the things going on with people who have personality disorders go deeper than personality.
Deep & Insightful talk ⭐ Sir could you recommend some top books on fear of starting & failure as i struggle to manage my emotions when after 2 months i would be searching for a job after a 3 yrs of career gap in uncertain atmosphere.. how to tackle the mood swings & unnecessary thoughts to become an achiever..
Hi there. Apologies, as I don't appear to receive notifications about comments. It's an excellent question, although I do not have a book recommendation for that particular need. The first thing that came to my mind is something in the realm of "Positive Psychology" or perhaps addressing the topic "Resiliency." I did a quick search for these topics paired with job searching and a few possible articles popped up. While I cannot dispense medical advice to the public, I'll offer a personal reflection should it be helpful: I was unemployed for about 5 months after receiving my doctorate, which was quite the blow to my ego. It was impossible to fully guard against self-doubt, and perhaps the purpose was not to stop it from happening (I believe self-doubt can be reflective of a willingness to self-evaluate); rather, to find counterbalancing forces that softened its inevitable presence. Put differently: by perceiving moodiness and negative thoughts as solely a problem that "shouldn't be happening," I ironically made them all the more powerful and likely to recur.
@@apsychologisttalks Fresh perspective ! Should i study more in depth about positive psychology & resilience ? I know that inaction breeds self doubt but i need to know an effective solution when taking action seems troubling due to lot of noise, options to select from as it leads to unclear path where clarity is a lot loss to decide efficiently..
Hmm. I think I am understanding. For some, meditative practices and/or journaling can be helpful to clear the mind of noise. For others, shifting perspective about what you are gaining from action (being not solely preoccupied on the outcome but also what you gain from the process itself) can be helpful. I alluded to this in my first response. Within a similar vein as positive psychology, finding ways to remind yourself who you know yourself to be independent of the outcomes is imperative (which is readily intertwined with whatever positive relationships we have had in life, both past and present, as they are helpful anchors for our self-concept). I hope these are helpful start points.
@@apsychologisttalks It means a lot 😊 Thanks a Ton ! would practice on these insights wholeheartedly to reach the solutions.
This is an interesting idea! I agree language processing AI may well replace some of these manualized treatment modalities - hallucinations and all - but if I understand the potential of machine learning AI, the output created, therein, would virtually mirror our own. Moves us out into the nitty gritty domain of what consciousness really is. If that were to be developed, could it not connect with ppl in the same way we do as it picks up on nuances in verbal and nonverbal language? Could it not learn to connect to us in the same way we connect with each other? The well goes deep and expands still more 🤷🏼♂️ 😉
I’m not smart enough to know, but I would suspect (or is this just hope?) that if the day ever comes, there will still be some facet unique to us. Perhaps small or idiosyncratic.