Luyện nói tiếng Anh bằng Shadowing qua video: Alternatives To Psychiatric Medications

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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

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Từ vựng và ghi chú luyện nói cho bài học này

Video này có 105 câu và 1346 từ để luyện shadowing. Phần lời nói dài 10:02. Người nói giữ tốc độ đều, khoảng 134 từ mỗi phút, vừa sức để nói đuổi theo. Chỉ 80% số từ nằm trong 3.000 từ tiếng Anh thông dụng nhất, nên từ vựng khá khó.

Từ vựng quan trọng trong video

15 từ đáng học trong video, kèm phiên âm và nghĩa:

Từ	Phiên âm	Nghĩa
cereal danh từ	/ˈsɪə.ɹɪ.əl/	ngũ cốc
medication danh từ	/mɛdɪˈkeɪʃən/	phép trị liệu
wheat danh từ	/ˈwiːt/	lúa mì
psychiatrist danh từ	/ˌsaɪˈkaɪ.ə.tɹɪst/	nhà tâm thần học
helpful tính từ	/ˈhɛlp.fl̩/	hay giúp đỡ
hurricane danh từ	/ˈhʌɹɪkeɪn/	bão, bão táp
sword danh từ	/soɹd/	gươm, kiếm
yoga danh từ	/ˈjoʊ.ɡə/	thuyết du già
vitamin danh từ	/ˈvɪt.ə.mɪn/	sinh tố, vi ta min
neglect động từ	/nɪˈɡlɛkt/	bỏ lơ, bỏ mặc
arthritis danh từ	/ɑːˈθɹ(a)ɪtɪs/	viêm khớp
poverty danh từ	/ˈpɑːvɚti/	sự nghèo nàn
resource danh từ	/ɹɪˈzɔːs/	tài nguyên
ward danh từ	/wɔɹd/	trẻ tạm nuôi
disorder danh từ	/dɪsˈɔɹdɚ/	rối loạn

Cụm động từ bạn sẽ nghe

Từ	Nghĩa
back up động từ	lùi

Ngữ pháp trong video

Những cấu trúc người nói dùng nhiều nhất, kèm đúng cụm từ trong video:

Cấu trúc	Trong video
Mệnh đề quan hệ who / which + mệnh đề — thêm thông tin về người hoặc vật	people who advocate · people who do · people who grow
Thì hiện tại hoàn thành have/has + quá khứ phân từ — việc đã xảy ra nhưng còn liên quan đến hiện tại	has been · have eaten
Câu bị động be + quá khứ phân từ — nhấn vào việc xảy ra, không phải người làm	can be flawed · was frosted

Phát âm cần chú ý

Người nói dùng 17 dạng rút gọn, ví dụ don't, they're, I'm. Hãy nói theo dạng ngắn đúng như bạn nghe.

Âm “th”: arthritis /ɑːˈθɹ(a)ɪtɪs/, thyroid /ˈθaɪ.ɹɔɪd/, sympathetic /ˌsɪm.pəˈθɛt.ɪk/, psychotherapy /ˌsaɪkoʊˈθɛɹəpi/, parasympathetic /ˌpɛɹ.ə.sɪm.pəˈθɛt.ɪk/
Âm “sh” và “zh”: medication /mɛdɪˈkeɪʃən/, potentially /pəˈtɛnʃ(ə)li/, emotionally /ɪˈməʊʃənəli/, crucial /ˈkɹuː.ʃəl/, determination /dɪˌtɜːmɪˈneɪʃən/
Từ dài — đặt trọng âm cho đúng: psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, medication /mɛdɪˈkeɪʃən/, psychiatrist /ˌsaɪˈkaɪ.ə.tɹɪst/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, potentially /pəˈtɛnʃ(ə)li/

Cách luyện với video này

Nghe hết video một lần, chưa cần nói, và ghi lại những từ bạn chưa biết.
Nói đuổi từng câu ở tốc độ bình thường, lặp lại mỗi câu đến khi nhịp của bạn khớp với người nói.
Ghi âm giọng mình rồi so với bản gốc, chú ý các từ như cereal, medication, wheat.

Phương Pháp Shadowing Là Gì?

Shadowing là kỹ thuật học ngôn ngữ có cơ sở khoa học, ban đầu được phát triển cho chương trình đào tạo phiên dịch viên chuyên nghiệp và được phổ biến rộng rãi bởi nhà đa ngôn ngữ học Dr. Alexander Arguelles. Nguyên lý cốt lõi đơn giản nhưng cực kỳ hiệu quả: bạn nghe tiếng Anh của người bản xứ và lặp lại to ngay lập tức — như một "cái bóng" (shadow) đuổi theo người nói với độ trễ chỉ 1–2 giây. Khác với luyện ngữ pháp hay học từ vựng bị động, Shadowing buộc não bộ và cơ miệng phải đồng thời xử lý và tái tạo ngôn ngữ thực tế. Các nghiên cứu khoa học xác nhận phương pháp này cải thiện đáng kể phát âm, ngữ điệu, nhịp điệu, nối âm, kỹ năng nghe và độ lưu loát khi nói — đặc biệt hiệu quả cho người luyện IELTS Speaking và muốn giao tiếp tiếng Anh tự nhiên như người bản ngữ.

Phương pháp shadowing: đọc hướng dẫn từng bước đầy đủ →

Luyện nói tiếng Anh bằng Shadowing qua video: Alternatives To Psychiatric Medications

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