Shadowing Practice: Alternatives To Psychiatric Medications - Learn English Speaking with Video

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Good morning, Peter Gertz.

I'm a psychiatrist.

Alternatives to psychiatric medications.

I'm a psychiatrist, like I said, and I prescribe psychiatric medicines all the time.

Sometimes I feel good about doing that, sometimes not.

Any medicine, aspirin, Benadryl, can have positive and negative effects.

Unfortunately, any medicine is a double-edged sword.

And adverse effects of psychiatric medicines can include some quite unpleasant things, weight gain, high blood sugar, sexual side effects, tardive dyskinesia.

So movements like twitching in the long run that may or may not go away.

Some psychiatrists advocate not prescribing psychiatric medicine at all.

In my opinion, that's too extreme.

And from what I can tell, the psychiatrists who recommend not prescribing psychiatric medicines at all, they don't work in emergency rooms,

on psychiatric wards, in prisons, or they don't necessarily work with agitated,

violent, demented, autistic patients or patients with intellectual disability.

They don't necessarily also work with impoverished patients who might not have the resources to even have a good diet.

So bottom line, in my opinion, I think it's too extreme to be totally against psychiatric medicines.

And in general, my experience has been that people who advocate not prescribing psychiatric medicines at all,

that they're not people who do clinical work with severely troubled psychiatric patients.

Research about medicines can be flawed.

So what are we supposed to do if we're not the ones doing the research?

We don't really know what to believe, what not to believe.

Based on my experience over the years, there is definitely a place for psychiatric medicines, a big place, but certainly there are alternatives.

And like I said, any medicine is a double-edged sword.

So we want to be very careful with our prescribing.

And we also want to respect the the experiences of patients.

So a lot of patients have problems with medicines, a lot of patients don't, and a lot of patients do very well on psychiatric medicine.

So an open mind as usual is important.

To back up, how can we improve the mental health of our population so that there's no need for psychiatric medicine?

It sounds like a joke, but there is a serious aspect to that.

Can we end child abuse,

neglect, child neglect, poverty, racism, alcohol and drug addiction. That would be wonderful.

And that would certainly change our society

and make psychiatric problems less likely for people who grow up in a world without those things that I mentioned.

Social reform may be a very good thing to look at.

Can we change our prison system?

How can someone be mentally healthy living in an environment where there's frequent assault, rape.

It's, they're very difficult situations for people.

And if we could look at those, that might be a very good thing for our society.

Diet can be very helpful with mental health.

Reportedly, a paleo diet could help.

A keto diet could help.

Gluten-free diet could help.

When I was growing up as a child, I ate a lot of Froot Loops and other cereals, and I enjoyed them, of course,

but they're definitely not the healthiest food.

And 11 years ago, I had another period where I was eating a lot of cereal again, not eating healthily.

I remember one particular dinner, to a large extent, my dinner consisted of famous Amos cookies and cereal.

I think it was frosted flakes and maybe another cereal that evening.

And I was eating, I was about to eat my fourth bowl of cereal that evening, and I noticed, my God,

this bowl tastes very salty.

And what had happened was my son had salted the cereal because he didn't want me to keep eating like that,

in his words, he said, you're going to be a poster boy for a diabetic.

So that gave me food for thought.

And I was actually starting to get arthritis during that time, maybe partly related to the diet.

I stopped eating gluten, so I stopped eating American wheat.

And within weeks, as far as I recall, my arthritis disappeared.

So that was wonderful.

And I was then able to eat wheat, but not in America.

So I have eaten since then a good amount of European wheat, so Italian, French, German wheat, without any problem whatsoever.

So there's something about the American wheat that really was troublesome for me.

So all that to make the point, diet can be very helpful with health, including mental health.

And that's easy to say, of course.

So again, if someone's incarcerated in prison, they're very likely not going to be able to order a paleo diet in prison,

which would be quite expensive anyway, I think.

We want to look at medical issues.

If someone has mental health issues, for instance, the thyroid, thyroid problems can cause mental health issues, very well known issue.

And for example, also look at someone's vitamin B12.

So vitamin B12 deficiency can also cause mental health issues.

If someone is using alcohol and or drugs and maybe concurrently on psychiatric meds or not.

Rehab probably is a good option

and once you're sober then we can look at would medicine potentially be a good option or not.

Of course easy to say for someone to get sober.

It can take a lot of determination, a lot of tries, a lot of work.

If someone does not want to take psychotropic medication in the first place or wants to get off psychiatric medicines.

Psychotherapy may be a crucial thing to do.

Psychological factors can be very important.

I remember a patient who was married for many years

and then suddenly unexpectedly her husband died

and she had always talked about her marriage as being a good marriage

but I noticed that after her husband died the the patient was doing very well psychiatrically, surprisingly to me.

And then she told me he'd been very controlling her husband and it seemed like the patient felt liberated.

So again, psychological issues can be key to look at, especially if someone does not want to be on psychiatric medicine.

And that particular patient actually ended up within several months of her husband dying being on a lot less psychiatric medication.

Another issue that is well treated often with psychotherapy is obsessive compulsive disorder.

So again, psychotherapy can be a very helpful thing.

Yoga, Tai Chi, meditation, acupuncture, they can all help balance the nervous system, help reset, so to speak,

the nervous system, balance the sympathetic and parasympathetic nervous systems.

And if you make one of those, at least a regular practice, that can really help emotionally, psychiatrically.

We want to ask our patients about exercise, their social life, their sex life,

all those can be very important aspects of being a human being.

And I remember a patient when we, after we had a hurricane here in New Orleans,

I was seeing the patient for the first time since the hurricane, and she was looking a lot better.

And I was thinking, what is going on?

She seemed to be doing a lot better emotionally.

and she said she evacuated from the New Orleans area for the hurricane

and ended up spending time with family

and it seemed to me like the socializing with family helped her a whole lot

and I'm trying to remember she may have even been able to get off her psychiatric medicines during that time.

So again people's lives can be very important.

People are not just a bag of chemicals.

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Our patients are obviously humans and various aspects of their lives can affect them in positive or negative ways.

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If someone does want to taper off medications, it's a wise thing to do that slowly,

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very slowly sometimes, and also it's important to do that working with a psychiatrist.

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And if someone's tapering off medications,

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especially then it's wise to attend to other aspects other potential aspects of helping mental health

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so for example attending to diet then would be important psychotherapy yoga potentially etc thank you very much

הורד אפליקציה

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אוצר מיליםבנה את מאגר המילים שלך

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המלץ על סרטון

7 משפטים

אוצר מילים והערות הגייה לשיעור הזה

שיעור הדיבור הזה ברמה B2 מבוסס על הסרטון “Alternatives To Psychiatric Medications”. המילים שחוזרות הכי הרבה: psychiatric, medicine, patient, diet, mental. בסרטון הזה יש 105 משפטים ו-1346 מילים לתרגול Shadowing. הדיבור נמשך 10:02. הדובר שומר על קצב יציב של כ-134 מילים בדקה, קצב נוח לתרגול Shadowing. רק 80% מהמילים נמצאות בין 3,000 המילים הנפוצות ביותר באנגלית, כך שאוצר המילים מאתגר.

אוצר מילים מרכזי בסרטון הזה

15 המילים המתקדמות ביותר בסרטון, עם ההגייה והמשמעות שלהן:

מילה	הגייה	משמעות
cereal שם עצם	/ˈsɪə.ɹɪ.əl/	דָּגָן
psychiatrist שם עצם	/ˌsaɪˈkaɪ.ə.tɹɪst/	פְּסִיכִיאָטֶר
wheat שם עצם	/ˈwiːt/	חִיטָּה
psychotherapy שם עצם	/ˌsaɪkoʊˈθɛɹəpi/	טיפול נפשי
arthritis שם עצם	/ɑːˈθɹ(a)ɪtɪs/	דלקת מפרקים
gluten שם עצם	/ˈɡluːtən/	גְלוּטֵן
sober שם תואר	/ˈsoʊ.bɚ/	פִּכֵּחַ
vitamin שם עצם	/ˈvɪt.ə.mɪn/	וִיטָמִין
yoga שם עצם	/ˈjoʊ.ɡə/	יוֹגָה
acupuncture שם עצם	/ˈæ.kjuˌpʌŋk.t͡ʃɝ/	דִּקּוּר סִינִי, דיקור סיני
aspirin שם עצם	/ˈæs.pɹɪn/	אַסְפִּירִין
demented שם תואר	/dɪˈmɛntɪd/	דמנטי
diabetic שם תואר	/daɪəˈbɛtɪk/	סוכרתי, סוכרתית
liberate פועל	/ˈlɪbəˌɹeɪt/	שיחרר \ שִׁחְרֵר
salty שם תואר	/ˈsɔlti/	מָלוּחַ

Phrasal verbs שתשמעו

מילה	משמעות
back up פועל	נָסוֹג
grow up פועל	גָּדַל

דקדוק בסרטון הזה

המבנים שהדובר משתמש בהם הכי הרבה, עם המילים המדויקות מהסרטון:

מבנה	בסרטון
משפטי זיקה (Relative clauses) who / which + clause — מידע נוסף על אדם או דבר	people who advocate · people who do · people who grow
הווה מושלם (Present perfect) have/has + past participle — פעולה שקרתה בעבר ועדיין יש לה חשיבות או השפעה עכשיו	has been · have eaten
סביל (Passive voice) be + past participle — הדגש הוא על מה שקורה, לא על מי שעושה את הפעולה	can be flawed · was frosted

הגייה ששווה לשים לב אליה

הדובר משתמש ב-17 קיצורים וצורות מקוצרות, כמו don't, they're, I'm. אמרו אותם בצורה הקצרה, כפי שאתם שומעים אותם.

הצלילים של “th”: psychotherapy /ˌsaɪkoʊˈθɛɹəpi/, thyroid /ˈθaɪ.ɹɔɪd/, arthritis /ɑːˈθɹ(a)ɪtɪs/, parasympathetic /ˌpɛɹ.ə.sɪm.pəˈθɛt.ɪk/, sympathetic /ˌsɪm.pəˈθɛt.ɪk/
הצלילים של “sh” ו-“zh”: medication /mɛdɪˈkeɪʃən/, emotionally /ɪˈməʊʃənəli/, dyskinesia /dɪs.kəˈniʒə/, impoverish /ɪmˈpɒv(ə)ɹɪʃ/, socialize /ˈsoʊʃəlaɪz/
מילים ארוכות — שימו לב להטעמה: psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, psychiatrist /ˌsaɪˈkaɪ.ə.tɹɪst/, medication /mɛdɪˈkeɪʃən/, psychotherapy /ˌsaɪkoʊˈθɛɹəpi/, arthritis /ɑːˈθɹ(a)ɪtɪs/

צלילים שדוברי עברית מתקשים בהם:

/w/ — שפתיים מעוגלות, לא /v/: wheat /ˈwiːt/, twitch /twɪt͡ʃ/, whatsoever /ˌ(h)wʌtsoʊˈɛvɚ/
/æ/ — פתוח יותר מה-“אֶ” העברית, לא כמו “a” ב-“cup”: psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, acupuncture /ˈæ.kjuˌpʌŋk.t͡ʃɝ/, agitate /ˈæ.d͡ʒɪ.teɪt/, aspirin /ˈæs.pɹɪn/, evacuate /ɪˈvæk.ju.eɪt/
/r/ — הלשון לא נוגעת בשום מקום, לא ה-“ר” הגרונית: psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, cereal /ˈsɪə.ɹɪ.əl/, prescribe /pɹɪˈskɹaɪb/, psychiatrist /ˌsaɪˈkaɪ.ə.tɹɪst/, psychotherapy /ˌsaɪkoʊˈθɛɹəpi/

איך לתרגל עם הסרטון הזה

הקשיבו לכל הסרטון פעם אחת בלי לדבר, ורשמו את המילים שאתם לא מכירים.
תרגלו Shadowing משפט אחר משפט במהירות רגילה, וחזרו על כל משפט עד שהקצב שלכם תואם את הדובר.
הקליטו את עצמכם והשוו למקור, תוך תשומת לב למילים כמו cereal, psychiatrist, wheat.

מהי טכניקת השאדואינג?

שאדואינג היא טכניקת למידת שפה מבוססת מדע שפותחה במקור להכשרת מתורגמנים מקצועיים ופופולרית על ידי הפוליגלוט ד"ר אלכסנדר ארגואלס. השיטה פשוטה אך עוצמתית: אתה מקשיב לאודיו באנגלית ילידית וחוזר עליו בקול רם מיד — כמו צל העוקב אחרי הדובר עם עיכוב של 1–2 שניות בלבד. בניגוד להאזנה פסיבית או תרגילי דקדוק, שאדואינג מכריח את המוח והשרירים בפה לעבד ולשחזר דפוסי דיבור אמיתיים בו זמנית. מחקרים מראים שזה משפר משמעותית את דיוק ההגייה, האינטונציה, הקצב, הדיבור המחובר, הבנת השמיעה ושטף הדיבור — מה שהופך אותו לאחת השיטות היעילות ביותר להכנה לIELTS Speaking ולתקשורת באנגלית בעולם האמיתי.

טכניקת Shadowing: קרא את המדריך המלא שלב אחר שלב →

Shadowing Practice: Alternatives To Psychiatric Medications - Learn English Speaking with Video

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