Case study clinical example: Session with a client with Bipolar Disorder (fluctuations in mood)

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Video for use in teaching CBT formulation, aiming to demonstrate some of the triggers, thoughts, feelings and responses linked with elevated mood. In order to try and provide information to build a formulation, the session moves faster than an average session might and does not include all aspects of standard CBT (e.g., agenda setting). An actor plays the character of Tom [Sam Newton], but the dialogue is not scripted, and as such this represents a natural therapeutic exchange. I am a qualified Clinical Psychologist, but this is not a perfect example of CBT!

Filmed and edited by Leeds Trinity University [Ricardo Barker].


M Bibi says:

It's natural to be over stressed towards the end of the exam. Drug ritalin, probably caused a chemical imbalance.

Take The Red Pill says:

Makes me think the coffee, caffeine pills and the import his exams bestowed to him made him feel valued, relevant, powerful and capable and because he was starved of those feelings growing up he wanted more and more. In the long run the goal is to learn to get there slowly through good habits rather than external chemicals.

Marcel Audubon says:

ah – if this guy is an actor working from a clinical transcription, then he is a very good actor!!

johanne poirier says:

I’ve just read earlier comments which indicate he is not real! I feel like an idiot feeling anything for someone acting. Is the interviewer also acting? What is the point of this video? To increase our awareness of this problem in others or to fool us?

johanne poirier says:

Poor guy. I feel bad for him. He has so much he wants to do and he has to deal with this disorder. I wish him the best. Hopefully the medical establishment will find something to help him.

Jon Campos says:

Cute actor but the actual person in the interview would be more interesting.

J Wilcox says:

In CA now they offer ElecticBehavioralTherapy What is CBT ? This video showed nothing to me but at the end he mentions the shame he felt. Where was the formulation or agenda setting?

Pelican1984 says:

While this actor does an excellent job of portraying someone with bipolar disorder, I think it does a disservice to the public to do so. Interview people with the disorder; don't "simulate" them. Alternatively, why not use puppets? 😉

Fredricko Smithson says:

Definitely like to give the analyst one up

cruciferousvegetable says:

Lack of sleep and brute forcing workloads while giving up exercise could do this to anyone. I could not imagine going on 2 to 3 hours of sleep long term.

I hate group txt !!!!!!!! says:

Bipolar…….. we're all Bipolar gotdammit ……. born between two parents , mother / father , Male/ Female , good / evil , God / Satan , Dark / Light , Day /Night , Friend / Enemy , the fucking list is endless , ……..I say Bipolar is the natural state of being , no we are all caught between the dream and the nightmare .

Megan Wilson says:

The problem with mental illness and bipolar like you all say it’s a lack of understanding and I truly believe that people who develop it are creative strong people who have been put through shit from jealous people their whole lives which makes you internalise your emotions for too long. There’s no such thing as normal. Just some people hide it away for longer than others. I know I can’t personally hide away from my emotions and I refuse to. Bipolar NEEDS to be understood. But it needs the right people to spread understanding and stop bad apples or people that aren’t in touch with how their behaviour affects others from creating this stigma that shouldn’t exist. I was starting to get on a low again because I started seeing light and felt like I could help people with mental illness and I got pulled in for horrible meetings again and all people could say to me was ‘some concerns have been raised about you’ how does that help someone with bipolar?! I’m instantly left feeling like I’m a weirdo and I’m not. What they should have done was bring me in and say ‘are you alright megan it’s good to see you happy and doing well but you seem really really happy which is great but can you tell me what’s on your mind and what your feeling?’ But I honestly feel like a lot of people don’t know how to do this so we need to educate educate and educate

Nell philpott says:

Eat tuna and you will feel much better. And say the Lord's prayer even if you think you don't believe in God. Just do it and you will get help. I am not trying to trivialize this. Go well.

Roger Smith says:

Aww… Ell…. E's not crazy… E's just bal-la-oody English, Mate!! 🇬🇧💂

Irina D says:

Thank you for sharing this video. I find it very interesting, but my patients who have this disorder have a very challenging time to stay on track, which this actor seemed to do just fine with. I do agree with other viewers that a real case study would have been more helpful. However, I do understand that confidentiality issue and lack of consent on the patient side.

Matt Buchanan says:

I see an interviewer that has projected an image of pity and dehumanized the person with the "bipolar disorder".

We are all human beings with the same fundamentals and basic needs as the other. However, we are not all in the same circumstances or situations as the other. Ashame to see someone project such a shameful image onto another, almost convincing him to pity himself, instead of actually attempting to help the individual with his/her mental and emotional state/internal condition with intelligent action or suggestions to a change in their lives.

Anna Bean says:

Bless him. Hoping and praying that he’s doing well. There is hope, don’t give up.

Diagnosed with Bipolar 1 and generalized anxiety when I was 19 and I didn’t know anything about the illness. It was scary and unfamiliar and I was too afraid to read anything on the disorder because it would lay out every insecurity I may have. Feeling vulnerable because you are put into this social category by old white men.
I’m 23 now, what really helped me is having someone in your life that is compassionate enough to understand your illness. My fiancé has never been affected in any way by mental illness in his life, directly or indirectly, so dating at first was difficult because the disease is so extreme and really breaks people down.
Even though he couldn’t empathize what I was going through because he has never had the illness, he did the next best thing he could to be supportive.
He’s bought 4 different books on bipolar disorder, depression, anxiety, and most recently “Loving Someone with Bipolar”.

Illuminous Brown says:


Burhan Qerimi says:

This kid sounds more confused than depressed… I think he needs a mental mentor and life" s mentor as well, one that is strict and yells at him all the time

driverain2 says:

another clinical exam of a person who only needed human contact.

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