Shadowing Practice: Alternatives To Psychiatric Medications - Learn English Speaking with 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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Bu dersin kelimeleri ve konuşma notları
Bu videoda gölgeleme çalışması için 105 cümle ve 1346 kelime var. Konuşma bölümü 10:02 sürüyor. Konuşmacı dakikada yaklaşık 134 kelimelik dengeli bir hızla konuşuyor; gölgeleme için rahat bir tempo. Kelimelerin yalnızca %80’i İngilizcede en sık kullanılan 3.000 kelime arasında, bu yüzden kelime dağarcığı zorlayıcı.
Bu videodaki önemli kelimeler
Videodan öğrenmeye değer 15 kelime, telaffuzu ve anlamıyla:
| Kelime | Telaffuz | Anlam |
|---|---|---|
| psychiatric sıfat | /ˌsaɪ.kiˈæt.ɹɪk/ | psikiyatrik |
| cereal isim | /ˈsɪə.ɹɪ.əl/ | tahıl, hububat |
| wheat isim | /ˈwiːt/ | buğday |
| psychiatrist isim | /ˌsaɪˈkaɪ.ə.tɹɪst/ | psikiyatr, psikiyatrist |
| hurricane isim | /ˈhʌɹɪkeɪn/ | kasırga, urağan |
| sword isim | /soɹd/ | kılıç |
| psychological sıfat | /ˌsaɪ.kəˈlɑː.d͡ʒɪ.kl̩/ | psikolojik |
| yoga isim | /ˈjoʊ.ɡə/ | yoga |
| vitamin isim | /ˈvɪt.ə.mɪn/ | vitamin |
| sober sıfat | /ˈsoʊ.bɚ/ | ayık |
| arthritis isim | /ɑːˈθɹ(a)ɪtɪs/ | artrit, eklem iltihabı |
| poverty isim | /ˈpɑːvɚti/ | fakirlik, yoksulluk |
| violent sıfat | /ˈvaɪ.ə.lənt/ | şiddetli |
| assault isim | /əˈsɔlt/ | saldırı |
| resource isim | /ɹɪˈzɔːs/ | kaynak |
Duyacağınız deyimsel fiiller
| Kelime | Anlam |
|---|---|
| get off fiil | inmek |
| grow up fiil | büyümek, yetişmek |
Bu videodaki dil bilgisi
Konuşmacının en çok kullandığı yapılar, videodaki sözcüklerin aynısıyla:
| Yapı | Videoda |
|---|---|
| İlgi cümlecikleri who / which + cümle — bir kişi ya da şey hakkında ek bilgi | people who advocate · people who do · people who grow |
| Present perfect have/has + fiilin üçüncü hâli — geçmişte olan ama şimdi de önemli olan bir eylem | has been · have eaten |
| Edilgen yapı be + fiilin üçüncü hâli — kimin yaptığı değil, ne olduğu önemli | can be flawed · was frosted |
Dikkat edilecek telaffuzlar
Konuşmacı don't, they're, I'm gibi kısaltılmış biçimleri 17 kez kullanıyor. Bunları duyduğunuz gibi kısa söyleyin.
- “th” sesleri: arthritis /ɑːˈθɹ(a)ɪtɪs/, thyroid /ˈθaɪ.ɹɔɪd/, sympathetic /ˌsɪm.pəˈθɛt.ɪk/, psychotherapy /ˌsaɪkoʊˈθɛɹəpi/, parasympathetic /ˌpɛɹ.ə.sɪm.pəˈθɛt.ɪk/
- “sh” ve “zh” sesleri: medication /mɛdɪˈkeɪʃən/, potentially /pəˈtɛnʃ(ə)li/, emotionally /ɪˈməʊʃənəli/, crucial /ˈkɹuː.ʃəl/, determination /dɪˌtɜːmɪˈneɪʃən/
- Uzun kelimeler — vurguyu doğru yere koyun: psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, medication /mɛdɪˈkeɪʃən/, psychiatrist /ˌsaɪˈkaɪ.ə.tɹɪst/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, potentially /pəˈtɛnʃ(ə)li/
Bu videoyla nasıl çalışılır
- Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
- Normal hızda cümle cümle tekrar edin; ritminiz konuşmacıyla aynı olana kadar her cümleyi yineleyin.
- Kendinizi kaydedin ve orijinaliyle karşılaştırın; psychiatric, cereal, wheat gibi kelimelere özellikle dikkat edin.
Gölgeleme Tekniği Nedir?
Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.