Pratica di Shadowing: Alternatives To Psychiatric Medications - Impara a parlare inglese con i video
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Good morning, Peter Gertz.
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I'm a psychiatrist.
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Alternatives to psychiatric medications.
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I'm a psychiatrist, like I said, and I prescribe psychiatric medicines all the time.
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Sometimes I feel good about doing that, sometimes not.
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Any medicine, aspirin, Benadryl, can have positive and negative effects.
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Unfortunately, any medicine is a double-edged sword.
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And adverse effects of psychiatric medicines can include some quite unpleasant things, weight gain, high blood sugar, sexual side effects, tardive dyskinesia.
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So movements like twitching in the long run that may or may not go away.
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Some psychiatrists advocate not prescribing psychiatric medicine at all.
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In my opinion, that's too extreme.
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And from what I can tell, the psychiatrists who recommend not prescribing psychiatric medicines at all, they don't work in emergency rooms,
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on psychiatric wards, in prisons, or they don't necessarily work with agitated,
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violent, demented, autistic patients or patients with intellectual disability.
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They don't necessarily also work with impoverished patients who might not have the resources to even have a good diet.
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So bottom line, in my opinion, I think it's too extreme to be totally against psychiatric medicines.
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And in general, my experience has been that people who advocate not prescribing psychiatric medicines at all,
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that they're not people who do clinical work with severely troubled psychiatric patients.
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Research about medicines can be flawed.
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So what are we supposed to do if we're not the ones doing the research?
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We don't really know what to believe, what not to believe.
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Based on my experience over the years, there is definitely a place for psychiatric medicines, a big place, but certainly there are alternatives.
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And like I said, any medicine is a double-edged sword.
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So we want to be very careful with our prescribing.
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And we also want to respect the the experiences of patients.
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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.
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So an open mind as usual is important.
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To back up, how can we improve the mental health of our population so that there's no need for psychiatric medicine?
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It sounds like a joke, but there is a serious aspect to that.
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Can we end child abuse,
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neglect, child neglect, poverty, racism, alcohol and drug addiction. That would be wonderful.
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And that would certainly change our society
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and make psychiatric problems less likely for people who grow up in a world without those things that I mentioned.
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Social reform may be a very good thing to look at.
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Can we change our prison system?
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How can someone be mentally healthy living in an environment where there's frequent assault, rape.
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It's, they're very difficult situations for people.
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And if we could look at those, that might be a very good thing for our society.
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Diet can be very helpful with mental health.
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Reportedly, a paleo diet could help.
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A keto diet could help.
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Gluten-free diet could help.
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When I was growing up as a child, I ate a lot of Froot Loops and other cereals, and I enjoyed them, of course,
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but they're definitely not the healthiest food.
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And 11 years ago, I had another period where I was eating a lot of cereal again, not eating healthily.
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I remember one particular dinner, to a large extent, my dinner consisted of famous Amos cookies and cereal.
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I think it was frosted flakes and maybe another cereal that evening.
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And I was eating, I was about to eat my fourth bowl of cereal that evening, and I noticed, my God,
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this bowl tastes very salty.
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And what had happened was my son had salted the cereal because he didn't want me to keep eating like that,
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in his words, he said, you're going to be a poster boy for a diabetic.
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So that gave me food for thought.
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And I was actually starting to get arthritis during that time, maybe partly related to the diet.
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I stopped eating gluten, so I stopped eating American wheat.
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And within weeks, as far as I recall, my arthritis disappeared.
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So that was wonderful.
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And I was then able to eat wheat, but not in America.
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So I have eaten since then a good amount of European wheat, so Italian, French, German wheat, without any problem whatsoever.
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So there's something about the American wheat that really was troublesome for me.
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So all that to make the point, diet can be very helpful with health, including mental health.
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And that's easy to say, of course.
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So again, if someone's incarcerated in prison, they're very likely not going to be able to order a paleo diet in prison,
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which would be quite expensive anyway, I think.
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We want to look at medical issues.
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If someone has mental health issues, for instance, the thyroid, thyroid problems can cause mental health issues, very well known issue.
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And for example, also look at someone's vitamin B12.
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So vitamin B12 deficiency can also cause mental health issues.
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If someone is using alcohol and or drugs and maybe concurrently on psychiatric meds or not.
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Rehab probably is a good option
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and once you're sober then we can look at would medicine potentially be a good option or not.
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Of course easy to say for someone to get sober.
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It can take a lot of determination, a lot of tries, a lot of work.
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If someone does not want to take psychotropic medication in the first place or wants to get off psychiatric medicines.
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Psychotherapy may be a crucial thing to do.
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Psychological factors can be very important.
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I remember a patient who was married for many years
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and then suddenly unexpectedly her husband died
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and she had always talked about her marriage as being a good marriage
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but I noticed that after her husband died the the patient was doing very well psychiatrically, surprisingly to me.
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And then she told me he'd been very controlling her husband and it seemed like the patient felt liberated.
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So again, psychological issues can be key to look at, especially if someone does not want to be on psychiatric medicine.
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And that particular patient actually ended up within several months of her husband dying being on a lot less psychiatric medication.
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Another issue that is well treated often with psychotherapy is obsessive compulsive disorder.
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So again, psychotherapy can be a very helpful thing.
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Yoga, Tai Chi, meditation, acupuncture, they can all help balance the nervous system, help reset, so to speak,
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the nervous system, balance the sympathetic and parasympathetic nervous systems.
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And if you make one of those, at least a regular practice, that can really help emotionally, psychiatrically.
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We want to ask our patients about exercise, their social life, their sex life,
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all those can be very important aspects of being a human being.
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And I remember a patient when we, after we had a hurricane here in New Orleans,
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I was seeing the patient for the first time since the hurricane, and she was looking a lot better.
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And I was thinking, what is going on?
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She seemed to be doing a lot better emotionally.
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and she said she evacuated from the New Orleans area for the hurricane
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and ended up spending time with family
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and it seemed to me like the socializing with family helped her a whole lot
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and I'm trying to remember she may have even been able to get off her psychiatric medicines during that time.
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So again people's lives can be very important.
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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
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Vocabolario e note di pronuncia per questa lezione
Questo video contiene 105 frasi e 1346 parole da ripetere con lo shadowing. Il parlato dura 10:02. Chi parla mantiene un ritmo costante di circa 134 parole al minuto, comodo per lo shadowing. Solo il 80% delle parole rientra nelle 3.000 più comuni dell’inglese, quindi il lessico è impegnativo.
Vocaboli chiave di questo video
15 parole del video che vale la pena imparare, con pronuncia e significato:
| Parola | Pronuncia | Significato |
|---|---|---|
| psychiatric aggettivo | /ˌsaɪ.kiˈæt.ɹɪk/ | psichiatrico |
| cereal sostantivo | /ˈsɪə.ɹɪ.əl/ | cereale |
| aspect sostantivo | /ˈæspɛkt/ | aspetto |
| medication sostantivo | /mɛdɪˈkeɪʃən/ | medicazione |
| wheat sostantivo | /ˈwiːt/ | frumento, grano |
| psychiatrist sostantivo | /ˌsaɪˈkaɪ.ə.tɹɪst/ | psichiatra |
| helpful aggettivo | /ˈhɛlp.fl̩/ | disponibile, utile |
| hurricane sostantivo | /ˈhʌɹɪkeɪn/ | uragano |
| necessarily avverbio | /ˌnɛs.əˈsɛɹ.ə.li/ | necessariamente, a tutti i costi |
| potentially avverbio | /pəˈtɛnʃ(ə)li/ | potenzialmente |
| sword sostantivo | /soɹd/ | spada, brando |
| psychological aggettivo | /ˌsaɪ.kəˈlɑː.d͡ʒɪ.kl̩/ | psicologico |
| advocate sostantivo | /ˈæd.və.kət/ | avvocato, avvocata |
| yoga sostantivo | /ˈjoʊ.ɡə/ | yoga |
| vitamin sostantivo | /ˈvɪt.ə.mɪn/ | vitamina |
I phrasal verb che sentirai
| Parola | Significato |
|---|---|
| end up verbo | andare a finire, finire |
| get off verbo | scendere |
| go away verbo | partire, andarsene |
| grow up verbo | crescere |
La grammatica di questo video
Le strutture che chi parla usa di più, con le parole esatte del video:
| Struttura | Nel video |
|---|---|
| Frasi relative who / which + frase — un’informazione in più su una persona o una cosa | people who advocate · people who do · people who grow |
| Present perfect have/has + participio passato — un’azione passata che conta ancora adesso | has been · have eaten |
| Forma passiva be + participio passato — conta ciò che accade, non chi lo fa | can be flawed · was frosted |
Pronuncia a cui fare attenzione
Chi parla usa 17 contrazioni e forme ridotte, come don't, they're, I'm. Pronunciale nella forma breve, così come le senti.
- I suoni “th”: arthritis /ɑːˈθɹ(a)ɪtɪs/, thyroid /ˈθaɪ.ɹɔɪd/, sympathetic /ˌsɪm.pəˈθɛt.ɪk/, psychotherapy /ˌsaɪkoʊˈθɛɹəpi/, parasympathetic /ˌpɛɹ.ə.sɪm.pəˈθɛt.ɪk/
- I suoni “sh” e “zh”: medication /mɛdɪˈkeɪʃən/, potentially /pəˈtɛnʃ(ə)li/, emotionally /ɪˈməʊʃənəli/, crucial /ˈkɹuː.ʃəl/, determination /dɪˌtɜːmɪˈneɪʃən/
- Parole lunghe — attenzione all’accento: psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, medication /mɛdɪˈkeɪʃən/, psychiatrist /ˌsaɪˈkaɪ.ə.tɹɪst/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, potentially /pəˈtɛnʃ(ə)li/
Come esercitarsi con questo video
- Ascolta tutto il video una volta senza parlare e annota le parole che non conosci.
- Fai shadowing frase per frase a velocità normale, ripetendo ognuna finché il tuo ritmo coincide con quello di chi parla.
- Registrati e confronta con l’originale, facendo attenzione a parole come psychiatric, cereal, aspect.
Cos'è la tecnica dello Shadowing?
Shadowing è una tecnica di apprendimento delle lingue supportata da studi scientifici, originariamente sviluppata per la formazione dei traduttori professionisti e resa popolare dal poliglotta Dr. Alexander Arguelles. Il metodo è semplice ma potente: ascolti un audio in inglese di madrelingua e lo ripeti immediatamente ad alta voce — come un'ombra che segue il parlante con un ritardo di solo 1–2 secondi. A differenza dell'ascolto passivo o degli esercizi di grammatica, lo shadowing costringe il tuo cervello e i muscoli della bocca a elaborare e riprodurre simultaneamente i modelli di discorso reale. La ricerca dimostra che migliora significativamente la precisione della pronuncia, l'intonazione, il ritmo, il discorso connesso, la comprensione dell'ascolto e la fluidità del parlato — rendendolo uno dei metodi più efficaci per la preparazione alla prova di speaking dell'IELTS e per la comunicazione reale in inglese.