@Irrelevant Noob she’s not quoting what the comedian said, she’s providing you with further information that you may not know. Also, being neurodivergent has nothing to do with illnesses like depression and bipolar. Neurodivergent refers to disorders like autism and ADHD.
To be fair: Hasan Minhaj is incredibly good at bringing his bits full circle and the entire special was about him learning humility and restraint. Even though his DO-bashing was light-hearted punching-bag-humor, he kinda walked it back a bit in the end and at some point he expresses sincere gratitute towards the Doctor who helped him conceive. The entire special is well worth a watch.
That's useful context. I'd add that in his career Hasan Minhaj has talked quite a bit about status associated with test scores and with specific degrees. As someone with a B.A. from UC Santa Cruz, I had to reflect for a minute about his comments about my degree being lower status than some of the other UC schools before I realized that I and my D.O. specifically chose lower-status degrees partly because our parents didn't prioritize impressing strangers with our H.S. test scores...
@UltraSuperDuperFreak You "hate" someone because you don't share the same comedic tastes? You are definitely not nuanced in thought or expression, if also not in comedic tastes.
Yes! Seriously! Love her! I’ve followed her since before she was famous. 😅 I think Dr. Mike made too quick of comments and misinterpreted what she said. She didn’t say she was medicating herself, just googling what was prescribed to know more about her treatment.
Depence.. i kinda hate her alot. saw like start of a show ... enough to make me avoid her from there on honestly. she's just not funny to me . But we are all so diffirent in taste so clearly i can see how other like it.
After thinking I just sucked as a person for half my life, having a label is absolutely beneficial for patients. It’s soooooo nice to finally know what’s going on. Not to mention getting a diagnosis/labels leads to getting correct treatment (which can sometimes be medication) which can be 100% life changing. I celebrated the hell out of my diagnosis 😂
i thought i was a lazy idiot with no self-motivation. no, im ADHD as well as autistic. my "anger issues" are actually a result of sensory overload. if you dont overload me, im one of the calmest people you'll meet. thought i was kinda dumb for not being able to solve certain math problems...and its either dysnomia or visual-spatial deficit (cant recall at the moment. i have both proffesionally Dx). what happens is i tend to recall some things in a reversed order, in both spelling and math equations
@Ally nobody is invalidating your experience, but your experience isn't the only one out there. If you were diagnosed, for example, with histrionic personality disorder, yes that's definitely beneficial. But there are people out there who want to get the diagnosis, just for the sake of it. They want that depression or anxiety diagnosis, after feeling a bit down or being stressed out because of work. And I'm not saying these diagnoses aren't real, because they are and people struggle with them daily. But some people, after experiencing normal amounts of sadness and stress, run after those diagnoses like it'll solve all of their problems, instead of focusing on causes of whatever feelings they're feeling. Does everyone get depressed from time to time? Yes. But not everyone is clinically depressed. And for those who aren't, it's more beneficial to just focus on treating the symptoms. I guess we are talking about different things. And I'm glad your diagnosis helped you in dealing with it. But you can't ignore the other side of things, and doctors are the ones who have to make that judgment, whether people came to them for the right reasons and they have the full rights in saying that diagnoses sometimes aren't the best thing.
@karla Then I guess we disagree 😂 Drugs isn’t the same. They’re physically and mentally addicting. But even if you wanted to say that, people get treatment for being addicted to drugs. People get treatment as a result of being diagnosed. I think you’re talking about something different. I’m not talking about a label for the sake of having a label. I’m talking about spending years not knowing wth is wrong with you and FINALLY figuring it out so you can start to put your life together. It’s two completely different things. If you didn’t understand my comment it’s because you haven’t experienced that feeling. Which is fine, but don’t invalidate mine and others experiences. I know the hell I went through before finding out my diagnosis. You can call it a label, but it’s actually a diagnosis. Which means those doctors who know more than the rest of us felt that my condition was real enough to warrant it. That’s a little different than a high school kid calling themselves emo for the sake of fitting in with the trends
@Ally couldn't you say that for literally anything? Xyz isn't the problem it's people's reaction to it. Drugs aren't the problem, it's people's reaction to drugs, for example. Doctors saying "I don't like labels" isn't strange at all, I think doctors have a bit more experience than rest of the population, about what said labels can do to people. Especially in today's population of kids, who are chronically dependent on their phones and tiktok, desperately searching for label/diagnosis can be harmful.
I had a roommate whose boyfriend was a sleepwalker. One night, he completely disassembled one of our toilets and then methodically put it back together. Another night, he walked into the living room and peed on the vacuum cleaner. And yet another time, he jumped out of the second story window and fractured both of his feet. I was the only one awake at that time and so I was the one that heard it go down. It was wild. Oh, and he was butt naked.
Omg this is insane. One of my cousins used to sleep walk and he’d just leave the house and start walking around the neighborhood and then pee in random places
@Raquel Santos One of my aunts, as a teen, woke us all up by screaming in the middle of the night. She was sleepwalking and said she was dreaming that she was opening a door. It turns out she reached out, firmly gripped one lobe of a potted cactus with huge, sharp terrifying needles, and just wrenched it right off the plant. She was seriously injured, it was crazy
You just brought back some childhood memories of my brother sleepwalking. One time he got up out of bed and walked into the bathroom and opened the cupboard under the sink and peed in the waste basket. 😂
No no, Dr. Mike. No no. They will write "gay?" On it. I was a medical technician in the Air Force. The doctor I worked with not only assumed a patient was gay, but ordered labs based on that assumption and documented that assumption in the record. Which the patient later saw because he was applying for disability and was not thrilled about, given that he was not gay.
@diane9247 he's not running labs (blood tests) to see if he's gay, the doc assumes he's gay, so then thought it'd be appropriate to run an HIV test, bc that is more likely to spread in the gay community. Which is why as a doctor you should just ask. Just as importantly though, as a patient you should always tell your doctor the truth, about everything. Even if it may be unrelated or you don't see how it's relevant, bc there's usually a medical reason behind it. For example I'm not a fan of stating that I'm a recovering drug addict, esp while I was still using, bc I was ashamed and afraid I'd get arrested or something. But it's smart for my own safety bc of risk of infection, drug interactions, etc. They're not there to get you in trouble, or judge (if they do, find a new doc).
@diane9247 No, so, the doctor assumed the patient was gay, and based on that assumption he ordered an STD panel because obviously this married USAF officer is having unprotected gay sex.
What "labs" would tell you anything about sexual preference, and what would be the purpose of proving or disproving gayness anyway? Expulsion from the Air Force?
Personally, I wanted a name for what I was dealing with. It made me feel better and helped me figure out how to deal with it. I dealt with everything by myself because I thought I didn't need help.
A label was really important for me as someone with EDS. I was ignored and dismissed and made to doubt my own perception of the world. Having a name gave me a place to start researching and understanding what I was going through and finding other people who have had the same experiences. EDS took zebras as their mascots because when you hear hoofprints, think horses, not zebras. Sometimes it is a zebra, though, and each zebra has different stripes. Different presentations, different systems effected.
I love how Pamela puts it exactly how is supposed to be, it's on the doctors to say whether meds are meant for you or not. Try therapy first before medicine and then see if medicine is useful.
I never would have gone to therapy if I hadn't been able to get anti-anxiety meds first. There isn't a right or wrong way to get help. And even with therapy, I'm still on my anti-anxiety meds, and even with therapy and meds, there are still good days and bad days. Mental health is complicated, and people promoting that "X" is the only way to deal with it make things worse.
@Jᴀsᴍɪɴ Aɴɢᴇʟᴠᴏɪᴄᴇs I have a similar experience with getting a late diagnosis, but for depression. Had I been diagnosed in the first two years or so, I might have been able to heal from therapy alone. It's been over 10 years and I still need my meds to keep me stable. Therapy has helped tremendously though. But yeah, my whole life got derailed because of the late diagnosis and the damage me trying to cope without support for so long resulted in. I'm also positive that I have an undiagnosed anxiety disorder, from childhood, that went untreated and is what led to the depression years later. I'm sorry that you were diagnosed so late, but I am glad that therapy is helping you with the other issues you've faced as a result. I hope things continue to improve for you.
@Maria Rev I was diagnosed with Adhd at 17 and due to being undiagnosed so long I developed multiple other things (mainly a social phobia and some anxiety disorder, don't know the exact English names). I started ritalin and we hoped my other issues would kind of, fix itself, once the time core problem was helped. It did help but not enough so a year later i went to therapy too. If I was diagnosed earlier, back when the other issues just started to develop, medication would've probably been enough. I honestly feel like a full, functioning human being for the first time in my life lmao
Sometimes you need to start with medication for the therapy to be effective. That being said, yes, I agree that therapy before medication should be more common than medication before therapy. I also believe that therapy should be encouraged alongside medication when meds are needed.
Every patient deserves the right to know their diagnosis when it comes to a physical ailment. That should include any regarding their mental health too!
I was already in love with Taylor before that presentation, but, after that... I feel NORMAL. I'm not used to feeling that after I started having bipolar disorder symptoms.
What do you call the person who graduates last in medical school? Doctor. I think Dr. Mike needs to be reminded that the market has its fair share of sub-par doctors.
You just got +1M points for noting that celebration of radical self acceptance does not equal celebrating medications and understanding not everyone should be medicated. And the labels are for legal stuff not for diagnosis is just - we need more people like you speaking up.
I actually had to get my toe numbed because of an ingrown toenail removal and when the doctor stuck a needle in my toe to numb it, I heard her whisper "did that break"... DID WHAT BREAK!! A VEIN, THE NEEDLE, WHAT BROKE IN MY TOE and that's not even the worst thing, she had to do that twice and I'm terrified of needles.
Once I went to my doctor to talk about depression. She walked into the room, looked at me, and said "So you're here to get something for your acne?" All I could say was "well I wasn't before, but now I am..."
@psywolf sounds like an Asian parent. They tend to look you dead in the face and point out anything they feel is flawed, thats just their way of saying "hi"
I had something like this happen to me once, but I think it was a communication mixed up. I was going to a dermatologist trying to get allergy testing done for common substances used in skincare, cosmetics, etc to try to figure out better options that won't irritate my skin & rosacea. The doc walks in and says, "okay, so you're here about a rash?" 🤨🤨 So I said, "uuummm, no. Also, I've been waiting for this appointment for 10 months, I'd better not have a rash going on that long!" Wtf.
Labels are important to chronic patients. It helps us know we aren't insane and we're not dying to know what's wrong. It's different than psychiatric conditions perhaps. But it's important to have diagnoses for chronic illness symptoms.
Wish they had reacted to the whole performance with Sam Comroe! He’s such a good comedian and amazing performer. I’d even want to see them watching all of his performances on AGT.
As someone who take a blood-pressure med off label for migraines (to INSANE success), that has been used off label for migraines for decades... Yep 👍🏼. Never had high blood pressure in my life, but have had a 97% reduction in migraines (~3 per year, down from ~300 days per year)
As someone who recently received an adult diagnosis for ASD as well as ADHD I will tell you that finally getting that label has been one of the best things that has ever happened to me. I was being treated for anxiety and depression since about the age of 12, and while different types of therapies and medications helped manage some of the things I struggle with it was mostly just a bandaid effect for over a decade. Lots of “let’s give this medication a try and check back in about a month or two to adjust.” Like Taylor, it wasn’t until after doing tons of my own research and taking it to my doctors that they finally went “huh you might actually be on to something”. Also chances are you won’t even get to request medications you might not need because most GP’s will probably just start throwing pills at you until they settle on a combination that even remotely works.
I worked in a daycare where the director didn't like labels so wouldn't tell us if a kid had a diagnosis. Which meant, sure, that we didn't start out with this kid with preconceived notions about how they would behave. But it also meant we had no tools or support to help them, would misunderstand their behaviour and read something as oppositional when it was just their neurodiversity, etc. Hard on the kids, hard on the staff. And worse, it led, after a while, to us just making on the fly diagnoses ourselves - "Oh, that kid has got to be on the spectrum" - when we were of course in no way qualified. Bad situation all around. A diagnosis and a label means we can start to work on getting a person the help they need.
I got my ADHD and Dyslexia diagnoses at age 26. Doc said the most common emotion for adults who get ADHD diagnosed is relief. Like a whole bunch of stuff you went through just makes sense now. Also my coffee consumption dropped from several daily to occasionally one, because I'd been subconsciously self-medicating in the office with bad instant coffee.
I hate labels, just because even though I clearly had something up with me, I never got any support because I didn't fit neatly into any specific label. To this day I still just say "neurodivergent", because none of the more specific labels fit neatly
As someone who is thankful every day for my ADHD diagnosis, my heart breaks for every single person struggling and suffering through not having a diagnosis of it. I think of every person who could have changed the world but couldn’t “focus” in school and was unable to achieve their dreams.
These two are cute & the Doc was actually pretty funny and made some good points. Im a former RN. I actually much prefer D.O. s because they do more than match drugs w diagnosis. Very amusing
The bonkers notions that actual supposedly learned individuals such as doctors have about extrahuman Black pain tolerance probably plays a role in the administration of placebos to black people in obvious, demonstrative, declared pain.
Hey Doc, I'm a Paramedic from Long Island. I thought you'd appreciate this story.. I got interrupted while watching your videos to go help a woman who was likely just having an anxiety attack but during my assessment, her 11 year old son Bryan was super helpful in translating from their native language and obviously comprehended some of the medical questions I was asking. I asked how he got to be so smart and he says "I watch Dr Mike on Clip-Share". | promised him I'd message you and ask for you to give him a shout out in a future video if possible. Thanks for what you're doing. It's super entertaining and you're obviously having a great affect on our youth.
I once had a severe toothache. The dentist said that I need a root canal treatment. So I begged for local ASAP, as I was in lots of pain. I've got a slow-acting one due to my glaucoma. But the dentist didn't wait. He drilled me, ripped the nerve out and filled the cavity. A literal minute after I left the room, the anesthetic kicked in and I lost feeling in half of my face...
When you have a chronic disorder and you go through tons of tests and it goes on and on for years, and you finally get a diagnosis, it means the world! Just having an idea of what is wrong and that you aren't just crazy and suffering and everyone keeps telling you that they have no idea what is wrong with you, or even doubt there is anything wrong. Having that diagnosis, no matter how bad, is a relief.
@gymnasticsgirlie06 Ahh ok, I think it is a language issue and cultural issue. Where I live all of that is done through the Kupat holim (medical services) like dieticians are doctors and they work out a medical clinic, or out of a specialists office. I have a Gastro dietician because of my GI issues and she is a doctor and works at the specialists GI clinic. Parenting and child care including lactation and child development is through tipat halav which is all doctors or nurses and is done through the medical clinic and is required by law to see them. They also act as the first line for CPS. We have psychiatrists at most local clinics. We also have universal health care so it is all covered by trained medical professionals. It is very hard to find someone who has not been to medical school. We have a medical school here for Chinese and eastern medicines and they are considered medical professionals and are part of the medical system, same with holistic medicine, acupuncture, and many others that are not considered medical professionals in a lot of western countries. They still train at medical schools but for only 2 years.
@Sloth Dance I think you misunderstood me. Not all doctors are generalists; rheumatologists are specialists and they are still doctors. Dr. Mike is a generalist doctor because he is a Family Medicine Physician. I meant that ANYONE who went to medical school, whether they are a generalist or a specialist, is (usually) ill-equipped to handle anything related to diet, parenting, or directly mental health because they all relate to aspects of mental health, which medical school education seriously lacks in. The only exception I would say is a Psychiatrist because they go through extra training.
I actually have a story about meds being used for multiple different things, both me and my sister take lamictal except she takes it for her mental health and I take it for epilepsy.
I don't get why doctors don't understand the importance of being able to put a name on your mental issues. Had I not been diagnosed with my ED I would still be questioning why I don't enjoy eating like everyone else.
As someone who got diagnosed with ADHD in my 40's, the diagnosis was hugely impactful. It took a lot of my past "failures" from something that was a character flaw (it happened because I'm lazy, careless, disrespectful, rude, over-bearing, or any of the other things I was told from the time I was a child) to something that happened because I was undiagnosed ADHD and was doing my best at bare-knuckling my way through this neuro-typical world.
ADHDer!!!!! i was Dx at 7, but was never informed what it meant until i started googleing the sh** out of it at 15. turns out a lot of what i hated about myself was rooted in some way in ADHD... for instance. those "anger issues"? sensory overload. yeah, fun when you cant ignore sound or touch, and both are WAYYYY TOO MUCH. i did discover that my favorite music calms me when i play it with a bass boost through noise cancelling headphones
@Cathie Healey Hmm... that's true. I remember that in the early 2000s there was a lot of discrimination in schools against ADHD but parents that fought for their dependent's fair treatment really made a difference. So anyone who had that privilege to have parents that fought back might have benefited. There were also activities that school wrongly forbid with having ADHD. I'm not saying that having that diagnosis was bad or good, but that no one can ever really know what ifs. It was so different back then. At latest by the late 90s accommodations were guaranteed by law so that could at least be used as a threat to get treatment. Something I had to do a couple of times as a kid. Any help helps and I'm sorry, your situation must have been incredibly tough. I genuinely cannot imagine because I never experienced it. Congratulations for your great grades in university! Wish me well, I have 4 Ds and took last semster off. I hate the unknown. I simply can't know what I don't know about alternate realities. So I'm sorry I don't know.
@Lyn If I had had been diagnosed and treated as a child, it's likely my education experience would have been radically different (I barely graduated high school, and only went to college in my 40's when I got diagnosed..and then graduated with a 3.96).
Honestly, I sometimes wonder if it would have been magical to have been diagnosed later. I don't think it would have made my situation any better at all, but I was diagnosed at 5 and I was still called all of those horrible character flaws by family throughout the years even with the diagnosis. They have ADHD too! One of them works in the medical field! It doesn't even make sense. The sad part is that a lot of us share the same sorts of things, we hear these things from other people first. That's why it's really important to have community. I don't really think there is a right time to be diagnosed. Any time is a good time. Kids with ADHD that know about it aren't really going to adopt life long changes that improve life forever. That's too much pressure on kids. So any time for a diagnosis is a good one.
2:36 the labels are extremely meaningful to the patient. Being told "Here's what's going on" is comforting, and it can be an identity aspect in some cases like ADHD and ASD. It also makes it feel less like you're fighting the universe and more like you have an actual specific thing to deal with, because you can finally group all the symptoms into a single thing.
At night sometimes I have something called, “restless leg syndrome.” I sometimes have it alongside my mom, and my papa has it too. He has it more than me or my mom. Its not fun when you need sleep and can’t get that sleep you need.
I want Dr Mike to think about the fact that a lot of rare disease patients get ridiculed about wanting a diagnosis. It can be framed as the person being a hypochondriac or the person just wanting to Google it. But with all the people I've worked with, it has mostly been to try and get some security and self-determination back. If you have no idea what's happening to you, that's scary af.
@Nurse Ratchet no one is suggesting that a doctor should not practice responsibly. However, your response highlights the very real stigma that exists surrounding the use of psychiatric medications. Telling a person with a mental health disorder to just get therapy is like telling a diabetic to just change their diet. Without using both tools, medicine and lifestyle changes (like those learned in therapy), neither patient would get better. And the results of not receiving both treatments can be just as detrimental.
Absolutely agree! For years I had an inkling something wasn’t right with my treatment… So like Taylor I looked it up and low and behold I was right and am living my best life
Thank you for saying this. I know that he’s a good guy, but his attitude here came off very ableist. It’s clear he’s never been in the position of seeking treatment for a problem and being dismissed by, sometimes, multiple doctors until someone FINALLY connects all your symptoms with a diagnosis. You can feel like you’re losing your mind. And the feeling of your pain or distress not being taken seriously can be so dehumanizing.
Yeah I had a gyn write lesbian on my medical chart years ago, she was super rude and acted like she didn't want to treat me after I disclosed. Safe to say I never went back.
I had trouble enjoying the first part of this video when Doctor Mike was talking about drug interactions and relying on doctors knowledge other then your own. My sister sees a Psychiatrist, and has seen a psychiatrist since she was like 16, she's 24 now. For 2 years, 2 entire years, she vomited almost every single day. Her esophagus and stomach are permanently messed up from throwing up almost every day for 2 years. She saw countless doctors during this time, reporting her medication use everytime. It wasn't until her own research 2 years later that she realized 2 of her drugs were interacting with each other causing her to vomit. Not her psychiatrist, not a single doctor she saw in 2 years begging for help, realized the medicine interaction. When all it took was a quick Google search on her own time of her meds. She stopped taking one and she was instantly better. Can you imagine violently vomiting for 2 years straight almost every single day?? She gained almost a hundred pounds because her body went into starvation mode and everytime she ate and was able to keep it down her body held on to that because there were sometimes 3 to 4 days straight she wasn't able to keep anything down. The psychological damage she went through because of this is enough to drive someone to unaliving themselves. So no, I'm sorry. But don't always trust your doctor. ALWAYS do your own research and PRESENT that to your doctor. If your doctor actually cares about your health and wellbeing instead of their ego, they won't be offended by you being a part of your health care regimen conversation.
I would expect her pharmacist to catch that before a doctor did, honestly. My pharmacy is wonderful - I take a drug in an unusual way, and every time there is a new pharmacist they ask a lot of questions when handing it to me. It's like a little light goes off in their head saying "Hey wait this isn't right, we need to make sure she's OK".
just a small contribution, I believe that labels are important because it allows us to recognize and face our differences that are not necessarily bad. Having a certain disease, which allows you live better if you know that you have, a sexual orientation, gender, racial, social identity, etc. Now, I don't think we should get so attached to them, because of course, we are some label but we are more than one and allowing ourselves to accept this wide range of things that we are gives us the opportunity to accept more to those around us and help them a us in some way🤷🏽♀️Also, you have to be careful with marrying the labels since not all of them are permanent. People change, society changes, we need certain certainty of things but also accept their possible mutation, a clear example is sexual orientations and identificationsor social movements. Just that, much love Doctor, I follow u for a long time ❤️
1:40 Somebody should make a program that lets you input different drugs and it provides the typical uses, inter-reactions, and side effects. They've got stuff like that for games to make optimal builds, so why not for actual meds?
I have tics to and I just realize by watching this that I also pick up other’s tics so at the end of the video it was kinda funny how he had a tic and the she stared to have the same one and then I started having the same tic and now everything makes more sense 😂
Dr mike: do you not feel refreshed after you wake up Me: it’s been so long since I’ve been refreshed when I wake up I forgot that was supposed to happen
Hassan's DO joke is a throwback to a bit he did in his first special. Basically he did a whole bit about how DOs have a lower score on their MCATs then MDs and DOs got PISSED, so in true comedian fashion he revisits that bit in every special.
My psychiatrist for about 2 years also never told me what I had. She just prescribed Lamictal and Lexapro. She only explicitly said I was bipolar II when I asked her, "What do I have?" TWO years later. The entire time, I just thought I had depression, or that she was just treating symptoms but not an actual condition. I'm personally glad to have the "label" of bipolar because, ever since I was a young teenager (like 13 or 14), my way of coping was to read about things I could relate to. So I did a lot of Googling about depression, self-harm, suicidal ideation, etc. And it really helped me feel better about myself because I understood what was going on with me on a more objective level. So being able to read up on bipolar disorder is also quite therapeutic for me.
Same here with my diagnoses. It helps tremendously to be able to seek knowledge and tools about how to cope or improve my behavior, and understand the patterns and causes.
no joke, i had a cortisone shot in my foot and they Dr. said he would like to numb me but cant because it would hurt worse than the actual injection of cortisone. instead he had me dunk my foot in icewater until it was a little numb.
She didn't say she's backing random pill combos though so why's he like, "I don't want people to try it themselves blah blah"? Does he think people randomly have access to all kinds of meds like you just hit up your local dealer for some antidepressants?
just for the record: taylor wasn't saying she was giving herself medications based on google searches. she said she googled the medications her doctor had prescribed her that were working, noticed they were all mostly used for bipolar, and then asked her doctor about that. she wasn't self medicating, she (and her doctor) just thought she had depression and anxiety, and noticing that the meds that worked were primarily used for bipolar prompted them to realize that she was actually bipolar.
my therapist was super into avoiding diagnosis...when I finally insisted and got diagnosed w autism and ADHD it allowed me to manage my symptoms and actually function. Sure, we are not a symptom, but if we have an invisible disability, knowing about it is super helpful in learning how to acomidate ourselves and work with it.
Is that kind of hits home with me I had no idea I had ADHD and was apparently diagnosed with it as a child but I just found out a couple of years ago that it's been in my medical records documented that I was diagnosed with it as extremely young age I've never been medicated for it I was just told to learn how to cope with it
Dr Mike, I encourage you to watch Taylor Tomlinson’s whole special. She nails it. Just because someone makes a joke about having diabetes doesn’t mean they’re “celebrating it,” as you say. That attitude is a manifestation of bias against mental illness. It’s a brain disease, nothing more, nothing less. Those of us with mental illness and trauma can make jokes about ourselves the same as anyone else. We are real people.
LABELS are important.. because when you go to a doctor and they ask family history, it is different to say "yeah bipolar runs in the family" and considering that as an option from the start, than having to jump through hoops because your mother's/brother's doctor didnt want to "influence" their mindset by telling their patient what diagnosis they are considering fits their reality the most.....
Really love Pam being here for this one, because the perspective of a patient and a doctor can be really different on some of these things (like the ''don't celebrate it, ppl are gonna ask for meds'' vs ''no it normalizes it'' thing) and it's super important to have these discussions
There's also a difference between what doctors believe is the standard and what patients experience as the standard. It's like difference between in theory and in practice.
I agree! Doctor Mike didn't really seem to get the stigma that surrounds taking mental health medication and I found that kind of concerning. It's not like 1 comedian (as popular as Taylor Tomlinson is) is going to have people clamoring for meds they don't need just to . . . be cool?
This. The most obvious thing for me to do, I overlooked because of other people's potential perceptions and my own internalized ableism from that. I experience this with my ADHD meds sometimes, but it was actually the concept that an emotionally support animal would make a drastic difference in my mental health (she absolutely did, and she still does) that gets me the most with this concept. Part of my brain tries to convince the rest that I'm "just a 20something trying to be trendy and get out of pet rent" but I know the truth is that my issues and needs were simply ignored for the first 19-25 years of my life due to being autistic and afab at the same time, and I'm finally paying attention to them and so it feels like a lot all at once and it's taking awhile to override all of those thoughts. I was willing to let myself go without what's become one of the most important parts of taking care of my own health for years, because of feeling lesser, of feeling like a fraud even though it's not true, all the things where "I wouldn't be the way I am (which is inherently bad???) if my mother hadn't/if I hadn't xyz", "you don't need help you just experience a complex web of personality issues, strengths, and weaknesses that exactly matches autism, adhd, etc. it feels like I can't move without bumping into a news article about how "ADHD meds are legalized meth for little boys who choose to not behave and who have lazy parents, red dye 40, vaccines, who knows what else." There's a new adhd medication commercial out and it makes me angry when I see it because of the subtle messages that I've been trained to look for as an undiagnosed (then later diagnosed) autistic person. Only children. The boys are doing things that look like classic "misbehaving" (the teenage boy is on his phone in class...) the one girl is a bad friend because she's staring off into space instead of playing table tennis. It's dumb. Medication commercials are dumb (saw one that said in the fine print the placebo pill for a type 2 diabetes drug was a sugar pill, which seems unfair), but, I want to at least be represented decently if it's going to be about a disorder I have.
@danholmesfilm You take antibiotics when you have an infection. You use lotion to keep your skin from drying out. The human body is not infallible, and if something is wrong, you fix it. If that means going on psych meds to keep you from wanting to slice your skin off, or to keep you from standing at the stove checking to make sure it's off 4 or 5 times, then it absolutely is always good. You know what's not good? Normalizing the toxic narrative that mental illness and its treatments need to be hidden.
@danholmesfilm it is when it comes to medication for mental illness. Medication for mental illness saves lives, and people suffer unnecessarily because they are reluctant to take medication, because we get told left and right that you shouldn't want to take medication for mental illness. Most chronic mental illnesses cannot be cured by lifestyle changes, but they can be managed with medication, to the point that people's lives aren't lead by their mental illness anymore. Normalizing medication for mental illness saves lives.
Seriously though, don't withhold medication because of a perceived risk of addiction based on someone's postcode. Withhold it based on that individual's past behaviour... Otherwise, essentially, poor people will have to suffer more during medical procedures they can barely afford because you've assumed torturing them will protect them from addiction 👀
I'm a psychiatrist, he has a pretty decent understanding of mental health for a non-psychiatrist. A lot of doctors, especially in the ED think "Oh its psych, I'm going to stop thinking now and refer to psych" As a psychiatrist we catch a lot of medical illnesses that people write off. Also, we definitely write "gay?" In the chart lol
It matters for psych though. Depression and anxiety can come from that. Being afraid people will hurt you is less paranoid if you're gay or trans, where attacks are much higher.
Dude, going from having depression to being on anti-depressants and feeling genuinely happy and chill again was and is a cause to celebrate. I will cheer every time it comes up. (To anyone who's wondering if they should be medicated, just talk to a family doctor and be honest. They've heard weirder and dumber than anything you've got.)
When I was 15, a doctor prescribed me “water pills” to help me lose weight. It ALSO lowers blood pressure, and I’ve never had BP issues. One morning, I passed out in the shower!
I always write low blood pressure on my paperwork and I still have to double check all medications. I didn’t start checking until after I woke up (sober) on my bathroom floor. I’ve since been prescribed medications that would’ve made me pass out or worse.
This is from 3 weeks ago, but I'm disabled (chronic illness, chronic pain, ASD) I had been watching Taylor a lot and a quote from her came up and I haven't stopped thinking about it. "I don't think anyone should feel bad if they get diagnosed with a mental illness, cause it's just information about you that helps you know how to take better care of yourself. Being bipolar, there's nothing wrong with it. Being bipolar is like not knowing how to swim. It might be embarrassing to tell people, and it might be hard to take you certain places, but they have arm floaties! And if you just take your arm floaties you can go wherever the hell you want! And...I know some of you are like "But Taylor, what if people judge me for taking arm floaties?" Well those people don't care if you live or d!e, so, maybe who cares? Maybe f***k those people a little." For me, as someone who does need quite a bit of medication, I think it's a little bit unfair to say that jokes that normalize taking medication are harmful because then people who don't need medication may want them, because the jokes aren't for those people, they're not made to say "Hey, go get some meds!" They're for disabled people who were taught to feel ashamed of their disabilities and mental illness to know they're not alone, they're not weird, it's to tell them, "Go take you meds, hun, because your health is more important than their opinions." But that's just me! 🙃 Edited: Because my grammar was annoying me. 😌
Ok, I've got to chime in now; I was just happily enjoying the vid, but then Doc said something that, as a patient, I _wholeheartedly disagree_ with!! He said he disagrees with "labels" (by which, we must assume, he mean diagnoses, given what he say about insurance etc.), because "a person is not a diagnosis." Now, yes, we can, I'm sure, all agree that a person is not a diagnosis, but diagnoses/labels can be - and way more often than not _are_ - *absolutely invaluable* to a patient!! And no, it's not because we are the diagnosis, not because we are the label, but because *_WE FINALLY HAVE A REASON FOR OUR MYRIAD SYMPTOMS_* which, in turn, can be _massively healing_ to a patient's _emotional_ health!! I'm a *Fibromite* (I suffer with Fibromyalgia), which comes with potentially up to 200 different symptoms (in different combinations, and to varying decrees of frequency & severity, for each individual Fibromite)! For 85% (yes, I calculated it) of my life I suffered in silence, putting on a brave face, because all my symptoms were thought to be unrelated, eventually leading to me being called a hypochondriac… Until I _finally_ got my diagnosis, when suddenly my life made sense! No, I am not Fibromyalgia, but getting the diagnosis that I _have_ Fibromyalgia _helped_ me in ways that this doc clearly will never understand! The "label" of *'Fibromite'* is one that we, within the FMS & CFS community give ourselves, as a way of feeling some semblance of belonging, and to show solidarity, love & support to our brothers and sisters!
"we shouldn't focus on labels" you're a DOCTOR you should know how helpful they are for people who have spent years looking for the right diagnosis and have gotten the wrong one so many times. Getting a correct diagnosis is an amazing feeling
As someone who is late diagnosed, labels are SO important. It’s not just for insurance, it really does bring a whole world of self understanding when you finally find the right diagnosis. And I’m fully on board with CELEBRATING mental health medication because it is life saving. Normalizing it isn’t gonna make people wanna try all the drugs on their own, but it will make people able to talk about it.
@Emily Porter yep. Ablist stereotypes not only harm people who fit neatly into all "the criteria" but fucks with anybody who doesn't but is still part of it. And unfortunately, doctors don't usually get trained out of that but rather taught to reinforce it
@Eni E I think he's coming to it from the perspective of a general practitioner rather than a more therapuitic one, or that of someone who actually has conditions like this, which is on him to understand more about as you and the girl in the video say, but I also understand he's just saying what he thinks is best, not trying to be cut and dry about it
@Foolishly Foolhardy That's not the fault of the medication or other people eith the condition though. That's genral doctors doing the job of a therapist.
Absolutely. The relief i felt after having been diagnosed with inattentive ADHD was great. I no longer felt an unexplained guilt from being useless while sitting up late at night crying from having taken all day finishing my homework, which normal people would use barely an hour on.
There's another creator with torettes that was diagnosed in her 20s but wasn't told until a few years later. She was just happy to know she was valid. I as someone who wasn't diagnosed with ADHD until I was 19 was also so happy to be validated and know that it was a medical issue I could mitigate with something. That I wasn't just stupid or a failure.
I was taking 14 pills a day last year. They were all treating mental health stuff (and 1 was for seizures.) Turns out they were messing with each other and CAUSING the seizures. This year I found out my mood was funky because of my hormones! Hypothyroidism and PCOS. Kinda relevant, I guess.
Think of the labels like a mountain. If someone tells you to climb a mountain and they just lay out a bunch of random gear, it’s gonna be difficult because you won’t know what gear will be most useful. If they tell you what mountain it is then you can pick the appropriate gear to make the task easier and more successful.
Starting right off with Taylor Tomlinson's bit (love her) - Pam with the destigmatizing mental health. YES! And if a patient comes to Dr. Mike expecting an Rx and he's not sure, suggest talk therapy or a specialist. Also- sometimes a diagnosis can be validating for folks. I know a few people who got new diagnoses in adulthood and it helped them
I get that you need to look at symptoms by themselves, but calling something what it is, even if it is maybe not the textbook example , can still be helpful.
Imagine some of the people who have sorely needed a diagnosis of autism most of their life and then finally got it, it might make things make so much more sense to everyone involved. I'm using that example because that can include such a wide spectrum of people that can have different symptoms, also because my daughter is on the spectrum.
Every time Dr Mike starts commenting on mental health care, I get a headache from grinding my teeth. Dr Mike. No one is out here requesting mood stabilizers if they don’t suspect something is wrong. Please put more trust in patients’ abilities to suspect something is wrong with their mental health. That doesn’t mean they’re always right about their diagnosis, but it probably means they need a referral, and in that case, they’re in the right place.
@cryingtyrs exactly! Most of the time, the people that complain about labels are NT people who don’t need them. Without a label, I wouldn’t have any sort of guideline for the way my mind works and why. There are so many traits that I’ve gone my whole life thinking are personality flaws. With an explanation for WHY I struggle with certain things, I have the information necessary to work around them. It’s like sitting in a chair and being told to stand up, but you can’t. You’re asking yourself why can’t I stand up? Everyone else can stand up, but I can’t do it. Maybe I’m not strong enough. Maybe I don’t actually WANT to stand up? People start asking if you’ve tried essential oils or drinking water or going outside or just trying harder. Then someone finally tells you you’re tied to the chair. Does knowing you’re tied to the chair instantly free you? No, but it informs you on your next steps.
His takes on mental health are NOT it, if anything if i was a patient of his i would not feel comfortable even bringing up the topic of mental health to him. Their take on labels also left me feeling weird as an ND person, i find it incredibly useful to have a label to help me understand my symptoms and impliment strategies to make life easier. Also in cases where you dont get a childhood diagnosis, you have to research and somewhat self diagnosis so you know what professional help to seek
as a social worker, they don't tell patients their mental health diagnosis because it labels them, it can cause them a self fulfilling prophecy, it can cause stigma followed by depression. You really have to know your patient because knowing their diagnosis and learning specific techniques for managing and coping but be prepared to deal with the fall out of the grief and possible worsening symptoms due to decompensation after learning the diagnosis.
I think it’s because it’s a doctor that he knew when he was young…so it was weird. Hahahaha and then he ends up saving his baby spermmm-soooo…that’s a win for the doctor…
Wow, I'm on Duloxetine, Bupropion, and Trazadone. I also need Metoprolol, Amolodipine, and Simvastatin (Not only am I depressed but my heart has issues. ) I didn't mention Synthroid, Cetirizine, and Vitamin D...the worst is the Docusate. I'm just a crazy disabled veteran with high blood pressure, coronary artial spasms, bummed out thyroid, IBS, migraines (but I cannot take NSAIDS due to stomach ulsers confirmed by an EGD). I have sleep apnea and seasional rhinitis. I had to be spayed because of uterine and ovarian cancers. It's amazing that I am even watching this video right now. I do have multiple illnesses and have to have a sense of humor. If I didn't I'd be in tears. The do say "Laughter is the best medication 💊 "
Wow, I feel that first comedian. Years of struggling to handle my mental health issues and I finally get a proper diagnosis of bipolar. 12 ECT treatments and a proper medication regimen later and I'm currently doing swell.
I sorta agree with the labels comment,but also..When I was a kid I always thought I was stupid and incapible of making friends,even had a teacher tell me I was unteachable. I was taken out of most of my classes because of it. I was always depressed and felt unworthly of anything. In my late 20s I went and got an assessment done and a week later was told I have mild intellectual disability,autism and ADHD..I know they're just labels but I left the appointment crying because for the first time I felt validated..so yah,their just labels,but sometimes a label can fully change a person's entire life. Now when i'm not understanding something I know what I need to do to get that little bit of extra help and when I completely fail at doing simple things I know why and know what I can do to be able to do it "properly"
"But really, a person is not a diagnosis" SAY IT LOUDER FOR THE PEOPLE IN THE BACK! I'm autistic and this is how I feel when people use autism as an insult. We are more than a diagnosis. We still have souls, we still have feelings, and we are still human. That being said, you and Pamela are such a dynamic duo.
@HappyPiano In mental development, sure. And sometimes you like something so much you want to experience it over and over. But I'm referring to them going through the same basic social routines because their minds aren't able to process anything more important.
@Cory Walker Yes. Affective empathy is more important, and that’s the one we (autistic people) have plenty of. Psychopathy and Autism are opposites in many ways.
@TheReaverOfDarkness So can we. What autistic person before the invention of CD’s hasn’t played a cassette until it literally broke? Because I know a few. I watched the same movies over and over as a young child. I think repetition is a human thing, not an NT or an Autistic thing, it just shows differently.
@Cory Walker 1) I think you’re confusing psychopath with autistes, don’t recall absence of empathy being a symptom, it’s more the ability to recognize emotion than to share them, 2) in theory, you care because YOU have empathy.
15:57 Did something similar to Mike, although I was sleepwalking and opened up the window before climbing out and dropping down. Weirdest part of it was how nonchalant I was about the whole thing, I just went back in and cleaned the cuts from the gravel and went back to sleep. Didn't really realize what had happened until the next day.
He’s like when you show your parents a meme and they turn it into a lecture 😂
Yes!!!
Yesss
I hate the fact that I'm basically like a parent but I don't have any kids. I totally turn memes into lectures all the time.
😂😂😂😂😂
Chill Dr. Mike its just a joke!
She didn’t say she was “trying combos herself” she said she’s GOOGLING what the combos mean herself.
@Nicole B-R Its just the normal "listen to one sentence and make up my mind" mindset of nowaday
@Irrelevant Noob she’s not quoting what the comedian said, she’s providing you with further information that you may not know. Also, being neurodivergent has nothing to do with illnesses like depression and bipolar. Neurodivergent refers to disorders like autism and ADHD.
@JCGver good to know you're dismissing any gullible person as brain-dead and beyond saving. :-
@Irrelevant Noob hey man, doctors can only do so much. Being completely braindead is above what a doctor can fix...
@RiseOfTheCupcake Original oh ok. Thanks for the explanation :D
To be fair: Hasan Minhaj is incredibly good at bringing his bits full circle and the entire special was about him learning humility and restraint. Even though his DO-bashing was light-hearted punching-bag-humor, he kinda walked it back a bit in the end and at some point he expresses sincere gratitute towards the Doctor who helped him conceive. The entire special is well worth a watch.
@F St You got something to look forward to then ^^
I haven't watched his most recent special. But the one from a few years ago is one of my favorite stand up specials of all time. It was sooooo good!
That's useful context.
I'd add that in his career Hasan Minhaj has talked quite a bit about status associated with test scores and with specific degrees. As someone with a B.A. from UC Santa Cruz, I had to reflect for a minute about his comments about my degree being lower status than some of the other UC schools before I realized that I and my D.O. specifically chose lower-status degrees partly because our parents didn't prioritize impressing strangers with our H.S. test scores...
Taylor Tomlinson is an AMAZING comedian (she’s the first one).❤
I see her on shorts all the time and I always like those ones, she so funny.
@Allison Rogers "i kinda hate her alot." That one sentence is so all over the place that it doesn't mean anything.
@UltraSuperDuperFreak You "hate" someone because you don't share the same comedic tastes? You are definitely not nuanced in thought or expression, if also not in comedic tastes.
Yes! Seriously! Love her! I’ve followed her since before she was famous. 😅
I think Dr. Mike made too quick of comments and misinterpreted what she said. She didn’t say she was medicating herself, just googling what was prescribed to know more about her treatment.
Depence.. i kinda hate her alot. saw like start of a show ... enough to make me avoid her from there on honestly. she's just not funny to me .
But we are all so diffirent in taste so clearly i can see how other like it.
After thinking I just sucked as a person for half my life, having a label is absolutely beneficial for patients. It’s soooooo nice to finally know what’s going on. Not to mention getting a diagnosis/labels leads to getting correct treatment (which can sometimes be medication) which can be 100% life changing. I celebrated the hell out of my diagnosis 😂
We all "suck as a person". That's just being human. It's the rest of the stuff that needs diagnosis.
i thought i was a lazy idiot with no self-motivation. no, im ADHD as well as autistic. my "anger issues" are actually a result of sensory overload. if you dont overload me, im one of the calmest people you'll meet. thought i was kinda dumb for not being able to solve certain math problems...and its either dysnomia or visual-spatial deficit (cant recall at the moment. i have both proffesionally Dx). what happens is i tend to recall some things in a reversed order, in both spelling and math equations
@Ally nobody is invalidating your experience, but your experience isn't the only one out there. If you were diagnosed, for example, with histrionic personality disorder, yes that's definitely beneficial. But there are people out there who want to get the diagnosis, just for the sake of it. They want that depression or anxiety diagnosis, after feeling a bit down or being stressed out because of work. And I'm not saying these diagnoses aren't real, because they are and people struggle with them daily. But some people, after experiencing normal amounts of sadness and stress, run after those diagnoses like it'll solve all of their problems, instead of focusing on causes of whatever feelings they're feeling. Does everyone get depressed from time to time? Yes. But not everyone is clinically depressed. And for those who aren't, it's more beneficial to just focus on treating the symptoms. I guess we are talking about different things. And I'm glad your diagnosis helped you in dealing with it. But you can't ignore the other side of things, and doctors are the ones who have to make that judgment, whether people came to them for the right reasons and they have the full rights in saying that diagnoses sometimes aren't the best thing.
@karla Then I guess we disagree 😂 Drugs isn’t the same. They’re physically and mentally addicting. But even if you wanted to say that, people get treatment for being addicted to drugs. People get treatment as a result of being diagnosed.
I think you’re talking about something different. I’m not talking about a label for the sake of having a label. I’m talking about spending years not knowing wth is wrong with you and FINALLY figuring it out so you can start to put your life together. It’s two completely different things. If you didn’t understand my comment it’s because you haven’t experienced that feeling. Which is fine, but don’t invalidate mine and others experiences. I know the hell I went through before finding out my diagnosis. You can call it a label, but it’s actually a diagnosis. Which means those doctors who know more than the rest of us felt that my condition was real enough to warrant it. That’s a little different than a high school kid calling themselves emo for the sake of fitting in with the trends
@Ally couldn't you say that for literally anything? Xyz isn't the problem it's people's reaction to it. Drugs aren't the problem, it's people's reaction to drugs, for example. Doctors saying "I don't like labels" isn't strange at all, I think doctors have a bit more experience than rest of the population, about what said labels can do to people. Especially in today's population of kids, who are chronically dependent on their phones and tiktok, desperately searching for label/diagnosis can be harmful.
The correct comeback for "Is that genetic?" is "No, it's contagious."
I had a roommate whose boyfriend was a sleepwalker. One night, he completely disassembled one of our toilets and then methodically put it back together. Another night, he walked into the living room and peed on the vacuum cleaner. And yet another time, he jumped out of the second story window and fractured both of his feet. I was the only one awake at that time and so I was the one that heard it go down. It was wild. Oh, and he was butt naked.
Omg this is insane. One of my cousins used to sleep walk and he’d just leave the house and start walking around the neighborhood and then pee in random places
Scary!
@Raquel Santos One of my aunts, as a teen, woke us all up by screaming in the middle of the night. She was sleepwalking and said she was dreaming that she was opening a door. It turns out she reached out, firmly gripped one lobe of a potted cactus with huge, sharp terrifying needles, and just wrenched it right off the plant. She was seriously injured, it was crazy
You just brought back some childhood memories of my brother sleepwalking.
One time he got up out of bed and walked into the bathroom and opened the cupboard under the sink and peed in the waste basket. 😂
My mom sleep EATS. She once ate a handful of onions. I’m going to send her your story so she knows how good she has it
No no, Dr. Mike. No no. They will write "gay?" On it.
I was a medical technician in the Air Force. The doctor I worked with not only assumed a patient was gay, but ordered labs based on that assumption and documented that assumption in the record. Which the patient later saw because he was applying for disability and was not thrilled about, given that he was not gay.
You can always be gay and happy though. Old term (I'm joking but not about the term)
@diane9247 he's not running labs (blood tests) to see if he's gay, the doc assumes he's gay, so then thought it'd be appropriate to run an HIV test, bc that is more likely to spread in the gay community.
Which is why as a doctor you should just ask. Just as importantly though, as a patient you should always tell your doctor the truth, about everything. Even if it may be unrelated or you don't see how it's relevant, bc there's usually a medical reason behind it.
For example I'm not a fan of stating that I'm a recovering drug addict, esp while I was still using, bc I was ashamed and afraid I'd get arrested or something. But it's smart for my own safety bc of risk of infection, drug interactions, etc. They're not there to get you in trouble, or judge (if they do, find a new doc).
@diane9247 No, so, the doctor assumed the patient was gay, and based on that assumption he ordered an STD panel because obviously this married USAF officer is having unprotected gay sex.
What "labs" would tell you anything about sexual preference, and what would be the purpose of proving or disproving gayness anyway? Expulsion from the Air Force?
@La Brujita I hate giving blood for tests, so I see it would be troublesome with that happening.
Personally, I wanted a name for what I was dealing with. It made me feel better and helped me figure out how to deal with it. I dealt with everything by myself because I thought I didn't need help.
@Lillian K, an ADHD label is amazingly life-changing :) Better than the other labels that can pop up in its place.
Totally agree. I recently found out I have ADHD and it's honestly such a relief to have something to help explain the symptoms.
A label was really important for me as someone with EDS. I was ignored and dismissed and made to doubt my own perception of the world. Having a name gave me a place to start researching and understanding what I was going through and finding other people who have had the same experiences. EDS took zebras as their mascots because when you hear hoofprints, think horses, not zebras. Sometimes it is a zebra, though, and each zebra has different stripes. Different presentations, different systems effected.
I love how Pamela puts it exactly how is supposed to be, it's on the doctors to say whether meds are meant for you or not. Try therapy first before medicine and then see if medicine is useful.
I never would have gone to therapy if I hadn't been able to get anti-anxiety meds first. There isn't a right or wrong way to get help. And even with therapy, I'm still on my anti-anxiety meds, and even with therapy and meds, there are still good days and bad days. Mental health is complicated, and people promoting that "X" is the only way to deal with it make things worse.
@Jᴀsᴍɪɴ Aɴɢᴇʟᴠᴏɪᴄᴇs I have a similar experience with getting a late diagnosis, but for depression. Had I been diagnosed in the first two years or so, I might have been able to heal from therapy alone. It's been over 10 years and I still need my meds to keep me stable. Therapy has helped tremendously though. But yeah, my whole life got derailed because of the late diagnosis and the damage me trying to cope without support for so long resulted in. I'm also positive that I have an undiagnosed anxiety disorder, from childhood, that went untreated and is what led to the depression years later. I'm sorry that you were diagnosed so late, but I am glad that therapy is helping you with the other issues you've faced as a result. I hope things continue to improve for you.
@Maria Rev I was diagnosed with Adhd at 17 and due to being undiagnosed so long I developed multiple other things (mainly a social phobia and some anxiety disorder, don't know the exact English names). I started ritalin and we hoped my other issues would kind of, fix itself, once the time core problem was helped. It did help but not enough so a year later i went to therapy too. If I was diagnosed earlier, back when the other issues just started to develop, medication would've probably been enough. I honestly feel like a full, functioning human being for the first time in my life lmao
Sometimes you need to start with medication for the therapy to be effective. That being said, yes, I agree that therapy before medication should be more common than medication before therapy. I also believe that therapy should be encouraged alongside medication when meds are needed.
Every patient deserves the right to know their diagnosis when it comes to a physical ailment. That should include any regarding their mental health too!
I was already in love with Taylor before that presentation, but, after that... I feel NORMAL. I'm not used to feeling that after I started having bipolar disorder symptoms.
@Clara Berner totally did! After her first stand up I'm always checking for new stuff.
Have you seen her whole skit on her diagnosis? It’s wonderful! I laughed so hard I totally cried.
You two are always a chaotic duo and I love it!
What do you call the person who graduates last in medical school? Doctor. I think Dr. Mike needs to be reminded that the market has its fair share of sub-par doctors.
You just got +1M points for noting that celebration of radical self acceptance does not equal celebrating medications and understanding not everyone should be medicated.
And the labels are for legal stuff not for diagnosis is just - we need more people like you speaking up.
I actually had to get my toe numbed because of an ingrown toenail removal and when the doctor stuck a needle in my toe to numb it, I heard her whisper "did that break"... DID WHAT BREAK!! A VEIN, THE NEEDLE, WHAT BROKE IN MY TOE and that's not even the worst thing, she had to do that twice and I'm terrified of needles.
😬😬😬 Definitely not the reaction you want to hear!
Once I went to my doctor to talk about depression. She walked into the room, looked at me, and said "So you're here to get something for your acne?" All I could say was "well I wasn't before, but now I am..."
@Starempress30 In this case it was a white parent. I think it's just a general parent thing
@psywolf sounds like an Asian parent. They tend to look you dead in the face and point out anything they feel is flawed, thats just their way of saying "hi"
I had something like this happen to me once, but I think it was a communication mixed up. I was going to a dermatologist trying to get allergy testing done for common substances used in skincare, cosmetics, etc to try to figure out better options that won't irritate my skin & rosacea. The doc walks in and says, "okay, so you're here about a rash?" 🤨🤨 So I said, "uuummm, no. Also, I've been waiting for this appointment for 10 months, I'd better not have a rash going on that long!" Wtf.
Yeah same and I went in for a health checkup initially lol but the prescription helped my acne 🤙
Hilarious 😆
Labels are important to chronic patients. It helps us know we aren't insane and we're not dying to know what's wrong. It's different than psychiatric conditions perhaps. But it's important to have diagnoses for chronic illness symptoms.
I believe it's important for all conditions. It really just depends on the person and how they will see that 'label'.
I'm so happy they listened to Tom Segura's medical roast skit. That's my favorite bit and he's my favorite comedian.
Wish they had reacted to the whole performance with Sam Comroe! He’s such a good comedian and amazing performer. I’d even want to see them watching all of his performances on AGT.
Love Sam!
yesss same
As someone who take a blood-pressure med off label for migraines (to INSANE success), that has been used off label for migraines for decades... Yep 👍🏼. Never had high blood pressure in my life, but have had a 97% reduction in migraines (~3 per year, down from ~300 days per year)
As someone who recently received an adult diagnosis for ASD as well as ADHD I will tell you that finally getting that label has been one of the best things that has ever happened to me. I was being treated for anxiety and depression since about the age of 12, and while different types of therapies and medications helped manage some of the things I struggle with it was mostly just a bandaid effect for over a decade. Lots of “let’s give this medication a try and check back in about a month or two to adjust.” Like Taylor, it wasn’t until after doing tons of my own research and taking it to my doctors that they finally went “huh you might actually be on to something”.
Also chances are you won’t even get to request medications you might not need because most GP’s will probably just start throwing pills at you until they settle on a combination that even remotely works.
I worked in a daycare where the director didn't like labels so wouldn't tell us if a kid had a diagnosis. Which meant, sure, that we didn't start out with this kid with preconceived notions about how they would behave. But it also meant we had no tools or support to help them, would misunderstand their behaviour and read something as oppositional when it was just their neurodiversity, etc. Hard on the kids, hard on the staff. And worse, it led, after a while, to us just making on the fly diagnoses ourselves - "Oh, that kid has got to be on the spectrum" - when we were of course in no way qualified. Bad situation all around. A diagnosis and a label means we can start to work on getting a person the help they need.
I got my ADHD and Dyslexia diagnoses at age 26. Doc said the most common emotion for adults who get ADHD diagnosed is relief. Like a whole bunch of stuff you went through just makes sense now. Also my coffee consumption dropped from several daily to occasionally one, because I'd been subconsciously self-medicating in the office with bad instant coffee.
I hate labels, just because even though I clearly had something up with me, I never got any support because I didn't fit neatly into any specific label. To this day I still just say "neurodivergent", because none of the more specific labels fit neatly
As someone who is thankful every day for my ADHD diagnosis, my heart breaks for every single person struggling and suffering through not having a diagnosis of it. I think of every person who could have changed the world but couldn’t “focus” in school and was unable to achieve their dreams.
SAME!!! Thank you for sharing!
Love this collab 😊 please do more often please 🥹🥹🥹
These two are cute & the Doc was actually pretty funny and made some good points. Im a former RN. I actually much prefer D.O. s because they do more than match drugs w diagnosis. Very amusing
The bonkers notions that actual supposedly learned individuals such as doctors have about extrahuman Black pain tolerance probably plays a role in the administration of placebos to black people in obvious, demonstrative, declared pain.
I came down to the comments to see if anyone else picked up on that.
Hey Doc, I'm a Paramedic from Long Island. I thought you'd appreciate this story.. I got interrupted while watching your videos to go help a woman who was likely just having an anxiety attack but during my assessment, her 11 year old son Bryan was super helpful in translating from their native language and obviously comprehended some of the medical questions I was asking. I asked how he got to be so smart and he says "I watch Dr Mike on Clip-Share". | promised him I'd message you and ask for you to give him a shout out in a future video if possible.
Thanks for what you're doing. It's super entertaining and you're obviously having a great affect on our youth.
sometimes I forget that other people live on Long Island, that's literally so sweet he's such a great kid
How cool is this?! Wow.
++
This is a magical story
Great comment 😁
I once had a severe toothache. The dentist said that I need a root canal treatment. So I begged for local ASAP, as I was in lots of pain. I've got a slow-acting one due to my glaucoma. But the dentist didn't wait. He drilled me, ripped the nerve out and filled the cavity. A literal minute after I left the room, the anesthetic kicked in and I lost feeling in half of my face...
Ah, the middle of the pandemic when Doc Mike was letting it rip at parties. But a comedian shouldn't make a joke that they immediately clarify.
@Anni Psy yes. Tried to post a link to a medscape article about it but it wouldn't let me. It's an article by Marcia Frellick from the end of 2020.
he did?
When you have a chronic disorder and you go through tons of tests and it goes on and on for years, and you finally get a diagnosis, it means the world! Just having an idea of what is wrong and that you aren't just crazy and suffering and everyone keeps telling you that they have no idea what is wrong with you, or even doubt there is anything wrong. Having that diagnosis, no matter how bad, is a relief.
@gymnasticsgirlie06 Yea, that makes more sense. 😄
@Sloth Dance Ohh, I assume you live in Europe. I live in the US.
I know exactly what you're talking about. I wasn't diagnosed with Ehlers Danlos Syndrome til I was 47.
@gymnasticsgirlie06 Ahh ok, I think it is a language issue and cultural issue. Where I live all of that is done through the Kupat holim (medical services) like dieticians are doctors and they work out a medical clinic, or out of a specialists office. I have a Gastro dietician because of my GI issues and she is a doctor and works at the specialists GI clinic. Parenting and child care including lactation and child development is through tipat halav which is all doctors or nurses and is done through the medical clinic and is required by law to see them. They also act as the first line for CPS. We have psychiatrists at most local clinics. We also have universal health care so it is all covered by trained medical professionals. It is very hard to find someone who has not been to medical school. We have a medical school here for Chinese and eastern medicines and they are considered medical professionals and are part of the medical system, same with holistic medicine, acupuncture, and many others that are not considered medical professionals in a lot of western countries. They still train at medical schools but for only 2 years.
@Sloth Dance I think you misunderstood me. Not all doctors are generalists; rheumatologists are specialists and they are still doctors. Dr. Mike is a generalist doctor because he is a Family Medicine Physician. I meant that ANYONE who went to medical school, whether they are a generalist or a specialist, is (usually) ill-equipped to handle anything related to diet, parenting, or directly mental health because they all relate to aspects of mental health, which medical school education seriously lacks in. The only exception I would say is a Psychiatrist because they go through extra training.
I actually have a story about meds being used for multiple different things, both me and my sister take lamictal except she takes it for her mental health and I take it for epilepsy.
Finally a wicked match! Pamela can keep up with the doc
I don't get why doctors don't understand the importance of being able to put a name on your mental issues. Had I not been diagnosed with my ED I would still be questioning why I don't enjoy eating like everyone else.
As someone who got diagnosed with ADHD in my 40's, the diagnosis was hugely impactful. It took a lot of my past "failures" from something that was a character flaw (it happened because I'm lazy, careless, disrespectful, rude, over-bearing, or any of the other things I was told from the time I was a child) to something that happened because I was undiagnosed ADHD and was doing my best at bare-knuckling my way through this neuro-typical world.
ADHDer!!!!! i was Dx at 7, but was never informed what it meant until i started googleing the sh** out of it at 15. turns out a lot of what i hated about myself was rooted in some way in ADHD... for instance. those "anger issues"? sensory overload. yeah, fun when you cant ignore sound or touch, and both are WAYYYY TOO MUCH. i did discover that my favorite music calms me when i play it with a bass boost through noise cancelling headphones
I was diagnosed at 35. Same.
@Cathie Healey Hmm... that's true. I remember that in the early 2000s there was a lot of discrimination in schools against ADHD but parents that fought for their dependent's fair treatment really made a difference. So anyone who had that privilege to have parents that fought back might have benefited. There were also activities that school wrongly forbid with having ADHD. I'm not saying that having that diagnosis was bad or good, but that no one can ever really know what ifs. It was so different back then. At latest by the late 90s accommodations were guaranteed by law so that could at least be used as a threat to get treatment. Something I had to do a couple of times as a kid. Any help helps and I'm sorry, your situation must have been incredibly tough. I genuinely cannot imagine because I never experienced it. Congratulations for your great grades in university! Wish me well, I have 4 Ds and took last semster off. I hate the unknown. I simply can't know what I don't know about alternate realities. So I'm sorry I don't know.
@Lyn If I had had been diagnosed and treated as a child, it's likely my education experience would have been radically different (I barely graduated high school, and only went to college in my 40's when I got diagnosed..and then graduated with a 3.96).
Honestly, I sometimes wonder if it would have been magical to have been diagnosed later. I don't think it would have made my situation any better at all, but I was diagnosed at 5 and I was still called all of those horrible character flaws by family throughout the years even with the diagnosis. They have ADHD too! One of them works in the medical field! It doesn't even make sense. The sad part is that a lot of us share the same sorts of things, we hear these things from other people first. That's why it's really important to have community. I don't really think there is a right time to be diagnosed. Any time is a good time. Kids with ADHD that know about it aren't really going to adopt life long changes that improve life forever. That's too much pressure on kids. So any time for a diagnosis is a good one.
2:36 the labels are extremely meaningful to the patient. Being told "Here's what's going on" is comforting, and it can be an identity aspect in some cases like ADHD and ASD. It also makes it feel less like you're fighting the universe and more like you have an actual specific thing to deal with, because you can finally group all the symptoms into a single thing.
At night sometimes I have something called, “restless leg syndrome.”
I sometimes have it alongside my mom, and my papa has it too. He has it more than me or my mom. Its not fun when you need sleep and can’t get that sleep you need.
I want Dr Mike to think about the fact that a lot of rare disease patients get ridiculed about wanting a diagnosis. It can be framed as the person being a hypochondriac or the person just wanting to Google it. But with all the people I've worked with, it has mostly been to try and get some security and self-determination back.
If you have no idea what's happening to you, that's scary af.
@Lowbattery lifestyle idk how to reply to arguments i didn't make and i didn't hear the doc make. Good luck w things.
@Nurse Ratchet no one is suggesting that a doctor should not practice responsibly. However, your response highlights the very real stigma that exists surrounding the use of psychiatric medications. Telling a person with a mental health disorder to just get therapy is like telling a diabetic to just change their diet. Without using both tools, medicine and lifestyle changes (like those learned in therapy), neither patient would get better. And the results of not receiving both treatments can be just as detrimental.
He's talking about the over-prescribing of psychiatric medications and Dr responsibility. I personally prefer an MD who looks at things carefully.
Absolutely agree!
For years I had an inkling something wasn’t right with my treatment…
So like Taylor I looked it up and low and behold I was right and am living my best life
Thank you for saying this. I know that he’s a good guy, but his attitude here came off very ableist. It’s clear he’s never been in the position of seeking treatment for a problem and being dismissed by, sometimes, multiple doctors until someone FINALLY connects all your symptoms with a diagnosis. You can feel like you’re losing your mind. And the feeling of your pain or distress not being taken seriously can be so dehumanizing.
God I love you two. You crack me up. Also Mike Birbiglia is one of my favorites.
Not yet but plan to
He’s so amazing! Did you catch the newest one w the helicopters ?
I love this, and I hope you do more of these you to work good together
Yeah I had a gyn write lesbian on my medical chart years ago, she was super rude and acted like she didn't want to treat me after I disclosed. Safe to say I never went back.
I had trouble enjoying the first part of this video when Doctor Mike was talking about drug interactions and relying on doctors knowledge other then your own. My sister sees a Psychiatrist, and has seen a psychiatrist since she was like 16, she's 24 now. For 2 years, 2 entire years, she vomited almost every single day. Her esophagus and stomach are permanently messed up from throwing up almost every day for 2 years. She saw countless doctors during this time, reporting her medication use everytime. It wasn't until her own research 2 years later that she realized 2 of her drugs were interacting with each other causing her to vomit. Not her psychiatrist, not a single doctor she saw in 2 years begging for help, realized the medicine interaction. When all it took was a quick Google search on her own time of her meds. She stopped taking one and she was instantly better. Can you imagine violently vomiting for 2 years straight almost every single day?? She gained almost a hundred pounds because her body went into starvation mode and everytime she ate and was able to keep it down her body held on to that because there were sometimes 3 to 4 days straight she wasn't able to keep anything down. The psychological damage she went through because of this is enough to drive someone to unaliving themselves. So no, I'm sorry. But don't always trust your doctor. ALWAYS do your own research and PRESENT that to your doctor. If your doctor actually cares about your health and wellbeing instead of their ego, they won't be offended by you being a part of your health care regimen conversation.
I would expect her pharmacist to catch that before a doctor did, honestly. My pharmacy is wonderful - I take a drug in an unusual way, and every time there is a new pharmacist they ask a lot of questions when handing it to me. It's like a little light goes off in their head saying "Hey wait this isn't right, we need to make sure she's OK".
the reason why he's so successful has a key and that is his sense of humour
The vibe I'm picking up is that Dr. Mike went there, and that there is an incredibly great place to go.
just a small contribution, I believe that labels are important because it allows us to recognize and face our differences that are not necessarily bad. Having a certain disease, which allows you live better if you know that you have, a sexual orientation, gender, racial, social identity, etc. Now, I don't think we should get so attached to them, because of course, we are some label but we are more than one and allowing ourselves to accept this wide range of things that we are gives us the opportunity to accept more to those around us and help them a us in some way🤷🏽♀️Also, you have to be careful with marrying the labels since not all of them are permanent. People change, society changes, we need certain certainty of things but also accept their possible mutation, a clear example is sexual orientations and identificationsor social movements. Just that, much love Doctor, I follow u for a long time ❤️
I have Tourette’s and my doctor has me taking Tompamax which is actually mainly used as a seizure, migraine, and anxiety medication as I am told.
1:40 Somebody should make a program that lets you input different drugs and it provides the typical uses, inter-reactions, and side effects. They've got stuff like that for games to make optimal builds, so why not for actual meds?
I have tics to and I just realize by watching this that I also pick up other’s tics so at the end of the video it was kinda funny how he had a tic and the she stared to have the same one and then I started having the same tic and now everything makes more sense 😂
Dr mike: do you not feel refreshed after you wake up
Me: it’s been so long since I’ve been refreshed when I wake up I forgot that was supposed to happen
Hassan's DO joke is a throwback to a bit he did in his first special. Basically he did a whole bit about how DOs have a lower score on their MCATs then MDs and DOs got PISSED, so in true comedian fashion he revisits that bit in every special.
Ok but the DO complex he’s showing here being so defensive is INSANE
DOs are insecure because few would choose to be a DO rather than an MD. Doctor Mike here is displaying that.
@Martine Griffiths doctor of osteopathy
What's a DO?
Q: What do you call the DO who finished last in his class?
A: Doctor.
My psychiatrist for about 2 years also never told me what I had. She just prescribed Lamictal and Lexapro. She only explicitly said I was bipolar II when I asked her, "What do I have?" TWO years later. The entire time, I just thought I had depression, or that she was just treating symptoms but not an actual condition.
I'm personally glad to have the "label" of bipolar because, ever since I was a young teenager (like 13 or 14), my way of coping was to read about things I could relate to. So I did a lot of Googling about depression, self-harm, suicidal ideation, etc. And it really helped me feel better about myself because I understood what was going on with me on a more objective level. So being able to read up on bipolar disorder is also quite therapeutic for me.
Same here with my diagnoses. It helps tremendously to be able to seek knowledge and tools about how to cope or improve my behavior, and understand the patterns and causes.
no joke, i had a cortisone shot in my foot and they Dr. said he would like to numb me but cant because it would hurt worse than the actual injection of cortisone. instead he had me dunk my foot in icewater until it was a little numb.
Pam makes a joke, DoctorMike doesn’t get it, and Pam’s smile just radiates.
Perfection ❤
@Jordi Lopez Sosa no, I don't think so
They're together right?
He is definitely smart...so smart that sarcasm frequently escapes him.
He doesn't get anything..even the milk
nice profile pic you have there
She didn't say she's backing random pill combos though so why's he like, "I don't want people to try it themselves blah blah"? Does he think people randomly have access to all kinds of meds like you just hit up your local dealer for some antidepressants?
just for the record: taylor wasn't saying she was giving herself medications based on google searches. she said she googled the medications her doctor had prescribed her that were working, noticed they were all mostly used for bipolar, and then asked her doctor about that. she wasn't self medicating, she (and her doctor) just thought she had depression and anxiety, and noticing that the meds that worked were primarily used for bipolar prompted them to realize that she was actually bipolar.
my therapist was super into avoiding diagnosis...when I finally insisted and got diagnosed w autism and ADHD it allowed me to manage my symptoms and actually function. Sure, we are not a symptom, but if we have an invisible disability, knowing about it is super helpful in learning how to acomidate ourselves and work with it.
Is that kind of hits home with me I had no idea I had ADHD and was apparently diagnosed with it as a child but I just found out a couple of years ago that it's been in my medical records documented that I was diagnosed with it as extremely young age I've never been medicated for it I was just told to learn how to cope with it
Dr Mike, I encourage you to watch Taylor Tomlinson’s whole special. She nails it. Just because someone makes a joke about having diabetes doesn’t mean they’re “celebrating it,” as you say. That attitude is a manifestation of bias against mental illness. It’s a brain disease, nothing more, nothing less. Those of us with mental illness and trauma can make jokes about ourselves the same as anyone else. We are real people.
"When "don't want" becomes "can't have" made me tear up, 😢 I know exactly what he means 😢
LABELS are important.. because when you go to a doctor and they ask family history, it is different to say "yeah bipolar runs in the family" and considering that as an option from the start, than having to jump through hoops because your mother's/brother's doctor didnt want to "influence" their mindset by telling their patient what diagnosis they are considering fits their reality the most.....
This was so good. 😂
Really love Pam being here for this one, because the perspective of a patient and a doctor can be really different on some of these things (like the ''don't celebrate it, ppl are gonna ask for meds'' vs ''no it normalizes it'' thing) and it's super important to have these discussions
There's also a difference between what doctors believe is the standard and what patients experience as the standard. It's like difference between in theory and in practice.
I agree! Doctor Mike didn't really seem to get the stigma that surrounds taking mental health medication and I found that kind of concerning. It's not like 1 comedian (as popular as Taylor Tomlinson is) is going to have people clamoring for meds they don't need just to . . . be cool?
This. The most obvious thing for me to do, I overlooked because of other people's potential perceptions and my own internalized ableism from that. I experience this with my ADHD meds sometimes, but it was actually the concept that an emotionally support animal would make a drastic difference in my mental health (she absolutely did, and she still does) that gets me the most with this concept. Part of my brain tries to convince the rest that I'm "just a 20something trying to be trendy and get out of pet rent" but I know the truth is that my issues and needs were simply ignored for the first 19-25 years of my life due to being autistic and afab at the same time, and I'm finally paying attention to them and so it feels like a lot all at once and it's taking awhile to override all of those thoughts. I was willing to let myself go without what's become one of the most important parts of taking care of my own health for years, because of feeling lesser, of feeling like a fraud even though it's not true, all the things where "I wouldn't be the way I am (which is inherently bad???) if my mother hadn't/if I hadn't xyz", "you don't need help you just experience a complex web of personality issues, strengths, and weaknesses that exactly matches autism, adhd, etc. it feels like I can't move without bumping into a news article about how "ADHD meds are legalized meth for little boys who choose to not behave and who have lazy parents, red dye 40, vaccines, who knows what else." There's a new adhd medication commercial out and it makes me angry when I see it because of the subtle messages that I've been trained to look for as an undiagnosed (then later diagnosed) autistic person. Only children. The boys are doing things that look like classic "misbehaving" (the teenage boy is on his phone in class...) the one girl is a bad friend because she's staring off into space instead of playing table tennis. It's dumb. Medication commercials are dumb (saw one that said in the fine print the placebo pill for a type 2 diabetes drug was a sugar pill, which seems unfair), but, I want to at least be represented decently if it's going to be about a disorder I have.
@danholmesfilm You take antibiotics when you have an infection. You use lotion to keep your skin from drying out. The human body is not infallible, and if something is wrong, you fix it. If that means going on psych meds to keep you from wanting to slice your skin off, or to keep you from standing at the stove checking to make sure it's off 4 or 5 times, then it absolutely is always good. You know what's not good? Normalizing the toxic narrative that mental illness and its treatments need to be hidden.
@danholmesfilm it is when it comes to medication for mental illness. Medication for mental illness saves lives, and people suffer unnecessarily because they are reluctant to take medication, because we get told left and right that you shouldn't want to take medication for mental illness. Most chronic mental illnesses cannot be cured by lifestyle changes, but they can be managed with medication, to the point that people's lives aren't lead by their mental illness anymore. Normalizing medication for mental illness saves lives.
Seriously though, don't withhold medication because of a perceived risk of addiction based on someone's postcode. Withhold it based on that individual's past behaviour... Otherwise, essentially, poor people will have to suffer more during medical procedures they can barely afford because you've assumed torturing them will protect them from addiction 👀
I'm a psychiatrist, he has a pretty decent understanding of mental health for a non-psychiatrist.
A lot of doctors, especially in the ED think "Oh its psych, I'm going to stop thinking now and refer to psych"
As a psychiatrist we catch a lot of medical illnesses that people write off.
Also, we definitely write "gay?" In the chart lol
It matters for psych though. Depression and anxiety can come from that. Being afraid people will hurt you is less paranoid if you're gay or trans, where attacks are much higher.
Dude, going from having depression to being on anti-depressants and feeling genuinely happy and chill again was and is a cause to celebrate. I will cheer every time it comes up. (To anyone who's wondering if they should be medicated, just talk to a family doctor and be honest. They've heard weirder and dumber than anything you've got.)
When I was 15, a doctor prescribed me “water pills” to help me lose weight. It ALSO lowers blood pressure, and I’ve never had BP issues. One morning, I passed out in the shower!
@midsyntax my passing out was blamed on being fat. It was actually low blood sugar (which can kill you) and low blood pressure from low body salt.
I always write low blood pressure on my paperwork and I still have to double check all medications. I didn’t start checking until after I woke up (sober) on my bathroom floor. I’ve since been prescribed medications that would’ve made me pass out or worse.
This is from 3 weeks ago, but I'm disabled (chronic illness, chronic pain, ASD) I had been watching Taylor a lot and a quote from her came up and I haven't stopped thinking about it.
"I don't think anyone should feel bad if they get diagnosed with a mental illness, cause it's just information about you that helps you know how to take better care of yourself. Being bipolar, there's nothing wrong with it. Being bipolar is like not knowing how to swim. It might be embarrassing to tell people, and it might be hard to take you certain places, but they have arm floaties! And if you just take your arm floaties you can go wherever the hell you want! And...I know some of you are like "But Taylor, what if people judge me for taking arm floaties?" Well those people don't care if you live or d!e, so, maybe who cares? Maybe f***k those people a little."
For me, as someone who does need quite a bit of medication, I think it's a little bit unfair to say that jokes that normalize taking medication are harmful because then people who don't need medication may want them, because the jokes aren't for those people, they're not made to say "Hey, go get some meds!" They're for disabled people who were taught to feel ashamed of their disabilities and mental illness to know they're not alone, they're not weird, it's to tell them, "Go take you meds, hun, because your health is more important than their opinions." But that's just me! 🙃
Edited: Because my grammar was annoying me. 😌
I LOVE Taylor Tomlinson! She's hilarious! 😂
Ok, I've got to chime in now; I was just happily enjoying the vid, but then Doc said something that, as a patient, I _wholeheartedly disagree_ with!!
He said he disagrees with "labels" (by which, we must assume, he mean diagnoses, given what he say about insurance etc.), because "a person is not a diagnosis." Now, yes, we can, I'm sure, all agree that a person is not a diagnosis, but diagnoses/labels can be - and way more often than not _are_ - *absolutely invaluable* to a patient!! And no, it's not because we are the diagnosis, not because we are the label, but because *_WE FINALLY HAVE A REASON FOR OUR MYRIAD SYMPTOMS_* which, in turn, can be _massively healing_ to a patient's _emotional_ health!!
I'm a *Fibromite* (I suffer with Fibromyalgia), which comes with potentially up to 200 different symptoms (in different combinations, and to varying decrees of frequency & severity, for each individual Fibromite)! For 85% (yes, I calculated it) of my life I suffered in silence, putting on a brave face, because all my symptoms were thought to be unrelated, eventually leading to me being called a hypochondriac… Until I _finally_ got my diagnosis, when suddenly my life made sense!
No, I am not Fibromyalgia, but getting the diagnosis that I _have_ Fibromyalgia _helped_ me in ways that this doc clearly will never understand! The "label" of *'Fibromite'* is one that we, within the FMS & CFS community give ourselves, as a way of feeling some semblance of belonging, and to show solidarity, love & support to our brothers and sisters!
"we shouldn't focus on labels" you're a DOCTOR you should know how helpful they are for people who have spent years looking for the right diagnosis and have gotten the wrong one so many times. Getting a correct diagnosis is an amazing feeling
As someone who is late diagnosed, labels are SO important. It’s not just for insurance, it really does bring a whole world of self understanding when you finally find the right diagnosis. And I’m fully on board with CELEBRATING mental health medication because it is life saving. Normalizing it isn’t gonna make people wanna try all the drugs on their own, but it will make people able to talk about it.
@Emily Porter yep. Ablist stereotypes not only harm people who fit neatly into all "the criteria" but fucks with anybody who doesn't but is still part of it. And unfortunately, doctors don't usually get trained out of that but rather taught to reinforce it
@Eni E I think he's coming to it from the perspective of a general practitioner rather than a more therapuitic one, or that of someone who actually has conditions like this, which is on him to understand more about as you and the girl in the video say, but I also understand he's just saying what he thinks is best, not trying to be cut and dry about it
@Foolishly Foolhardy That's not the fault of the medication or other people eith the condition though. That's genral doctors doing the job of a therapist.
Seriously... People try drugs because they want to try drugs, it has nothing to do with whether they have a condition or not
Absolutely. The relief i felt after having been diagnosed with inattentive ADHD was great. I no longer felt an unexplained guilt from being useless while sitting up late at night crying from having taken all day finishing my homework, which normal people would use barely an hour on.
There's another creator with torettes that was diagnosed in her 20s but wasn't told until a few years later. She was just happy to know she was valid. I as someone who wasn't diagnosed with ADHD until I was 19 was also so happy to be validated and know that it was a medical issue I could mitigate with something. That I wasn't just stupid or a failure.
I was taking 14 pills a day last year. They were all treating mental health stuff (and 1 was for seizures.)
Turns out they were messing with each other and CAUSING the seizures.
This year I found out my mood was funky because of my hormones! Hypothyroidism and PCOS.
Kinda relevant, I guess.
I only take meds for hypothyroidism and diabetes now.
Think of the labels like a mountain. If someone tells you to climb a mountain and they just lay out a bunch of random gear, it’s gonna be difficult because you won’t know what gear will be most useful. If they tell you what mountain it is then you can pick the appropriate gear to make the task easier and more successful.
Starting right off with Taylor Tomlinson's bit (love her) - Pam with the destigmatizing mental health. YES! And if a patient comes to Dr. Mike expecting an Rx and he's not sure, suggest talk therapy or a specialist. Also- sometimes a diagnosis can be validating for folks. I know a few people who got new diagnoses in adulthood and it helped them
I love when Pam is on your channel. She’s freaking hysterical.
The collaborations with Pam are phenomenal!
I love Pam, she's hilarious. I hope we'll see her interact with Bear in the next video.
Y’all are the best. ❤
She's honestly my favorite guest of his. I'm always like, "Yay! Pam's in this one!" When I see the thumbnail.
I love Taylor Tomlinson. Her newest standup special was memorable for me when it comes to mental health.
I get that you need to look at symptoms by themselves, but calling something what it is, even if it is maybe not the textbook example , can still be helpful.
Imagine some of the people who have sorely needed a diagnosis of autism most of their life and then finally got it, it might make things make so much more sense to everyone involved. I'm using that example because that can include such a wide spectrum of people that can have different symptoms, also because my daughter is on the spectrum.
If being abusive with your family is a sign of depression then... well.. one of my family member has been depressed for years.
Every time Dr Mike starts commenting on mental health care, I get a headache from grinding my teeth. Dr Mike. No one is out here requesting mood stabilizers if they don’t suspect something is wrong. Please put more trust in patients’ abilities to suspect something is wrong with their mental health. That doesn’t mean they’re always right about their diagnosis, but it probably means they need a referral, and in that case, they’re in the right place.
@cryingtyrs exactly!
Most of the time, the people that complain about labels are NT people who don’t need them. Without a label, I wouldn’t have any sort of guideline for the way my mind works and why. There are so many traits that I’ve gone my whole life thinking are personality flaws. With an explanation for WHY I struggle with certain things, I have the information necessary to work around them.
It’s like sitting in a chair and being told to stand up, but you can’t. You’re asking yourself why can’t I stand up? Everyone else can stand up, but I can’t do it. Maybe I’m not strong enough. Maybe I don’t actually WANT to stand up? People start asking if you’ve tried essential oils or drinking water or going outside or just trying harder. Then someone finally tells you you’re tied to the chair. Does knowing you’re tied to the chair instantly free you? No, but it informs you on your next steps.
His takes on mental health are NOT it, if anything if i was a patient of his i would not feel comfortable even bringing up the topic of mental health to him.
Their take on labels also left me feeling weird as an ND person, i find it incredibly useful to have a label to help me understand my symptoms and impliment strategies to make life easier.
Also in cases where you dont get a childhood diagnosis, you have to research and somewhat self diagnosis so you know what professional help to seek
4:34: Wow wow wow! Back up a minute Mike. What does she mean by "You know when I'm faking it?" 🤣🤣
My little sister got diagnosed with autism very recently and she is so glad to know it. It’s explained a lot and makes her feel less like a mistake
taylor tomlinson is amazing
I'm here because I saw Taylor and she's the best
as a social worker, they don't tell patients their mental health diagnosis because it labels them, it can cause them a self fulfilling prophecy, it can cause stigma followed by depression. You really have to know your patient because knowing their diagnosis and learning specific techniques for managing and coping but be prepared to deal with the fall out of the grief and possible worsening symptoms due to decompensation after learning the diagnosis.
Action movies should be using "sugar glass" which is what it sounds like so it doesn't have dangerous shards but looks like real glass.
My husband and I stayed in that room! They have a plaque on the door and everything.
" (Mike and Pam chaos) " had me dyingggg
12:24 Did... did Dr. Mike just quote Ross from Friends? By saying "Unagi" as if it were some kind of fancy mental technique 😂
I think it’s because it’s a doctor that he knew when he was young…so it was weird. Hahahaha and then he ends up saving his baby spermmm-soooo…that’s a win for the doctor…
I love your collabs, they're so educational, opinionated, communicative, and fun. 😊❤️
They started the video and immediately started to lightly argue XD
Wow, I'm on Duloxetine, Bupropion, and Trazadone. I also need Metoprolol, Amolodipine, and Simvastatin (Not only am I depressed but my heart has issues. )
I didn't mention Synthroid, Cetirizine, and Vitamin D...the worst is the Docusate.
I'm just a crazy disabled veteran with high blood pressure, coronary artial spasms, bummed out thyroid, IBS, migraines (but I cannot take NSAIDS due to stomach ulsers confirmed by an EGD). I have sleep apnea and seasional rhinitis. I had to be spayed because of uterine and ovarian cancers.
It's amazing that I am even watching this video right now.
I do have multiple illnesses and have to have a sense of humor. If I didn't I'd be in tears. The do say "Laughter is the best medication 💊 "
Wow, I feel that first comedian. Years of struggling to handle my mental health issues and I finally get a proper diagnosis of bipolar. 12 ECT treatments and a proper medication regimen later and I'm currently doing swell.
I sorta agree with the labels comment,but also..When I was a kid I always thought I was stupid and incapible of making friends,even had a teacher tell me I was unteachable. I was taken out of most of my classes because of it. I was always depressed and felt unworthly of anything. In my late 20s I went and got an assessment done and a week later was told I have mild intellectual disability,autism and ADHD..I know they're just labels but I left the appointment crying because for the first time I felt validated..so yah,their just labels,but sometimes a label can fully change a person's entire life. Now when i'm not understanding something I know what I need to do to get that little bit of extra help and when I completely fail at doing simple things I know why and know what I can do to be able to do it "properly"
I had a dentist ask if I was happy with my gums or of I wanted botox.
"But really, a person is not a diagnosis" SAY IT LOUDER FOR THE PEOPLE IN THE BACK! I'm autistic and this is how I feel when people use autism as an insult. We are more than a diagnosis. We still have souls, we still have feelings, and we are still human. That being said, you and Pamela are such a dynamic duo.
@HappyPiano In mental development, sure. And sometimes you like something so much you want to experience it over and over. But I'm referring to them going through the same basic social routines because their minds aren't able to process anything more important.
@Cory Walker
Yes. Affective empathy is more important, and that’s the one we (autistic people) have plenty of. Psychopathy and Autism are opposites in many ways.
@TheReaverOfDarkness
So can we. What autistic person before the invention of CD’s hasn’t played a cassette until it literally broke? Because I know a few. I watched the same movies over and over as a young child.
I think repetition is a human thing, not an NT or an Autistic thing, it just shows differently.
@Cory Walker
We can. Can you?
@Cory Walker 1) I think you’re confusing psychopath with autistes, don’t recall absence of empathy being a symptom, it’s more the ability to recognize emotion than to share them, 2) in theory, you care because YOU have empathy.
12:02 bro whatever doctor Pam went to see that day needs her license revoked
15:57
Did something similar to Mike, although I was sleepwalking and opened up the window before climbing out and dropping down. Weirdest part of it was how nonchalant I was about the whole thing, I just went back in and cleaned the cuts from the gravel and went back to sleep. Didn't really realize what had happened until the next day.
Listening to Dr. Mike say “Men will express depression by becoming obsessed to going to the gym” while I am walking to the gym 🙃
Taylor Tomlinson is the best comedian alive. Love her!