Psychiatry DOCTOR reacts to HOUSE: Functional Pain?

Ever been told "it's all in your head"? This clip from House is all about his pain, but the kind of pain that might benefit from a psychiatrist. Don't forget to like, share and SUBSCRIBE and let me know if there are any other TV shows you want me to comment on.

Disclaimer: these videos are for educational purposes only. The aim is to use the depiction of mental illness in the media to discuss evidence-based practice. This is not a form of medical advice.

Who to contact
• call your GP – ask for an emergency appointment
• call 111 out of hours – they will help you find the support and help you need
• contact your mental health crisis team – if you have one
• If your life is in danger then call 999 or go to A&E

Mental Health Links

Mental health foundation

Mind

Samaritans
Tel: 116 123

The Silver Line
Tel: [phone]

Childline
Tel: [phone]

Self-harm links

Harmless (self-harm)

Selfharm UK

Drug and alcohol support

FRANK
Text: 82111
Call: 0300 123 6600

Drinkline
Phone: [phone]

Addaction

DrugFAM

Drugs and Me

[andysutcliffe]

The reason the jump to bizarre ideas, is that the premise is people only get to House if all the normal things have already been ruled out by other doctors.

[tarksurmani]

"When you hear hoofbeats, think zebras not horses!" G. House

When all your patients have gone through tens of doctors and hundreds of tests, then the horse would already been found, this majestic beast is a zebra or hundred horses.

[rebbyberard]

the thing about chronic pain (at least, in my 7 years of experience) is that pain is a signal telling your brain something is wrong, as you said, but when there's nothing you can do to fix what is wrong you just get to go through life with your brain screaming at you SOMETHING IS WRONG all the time with no respite. the pain hurts, yes, but the unendingness of it is what really sucks.

ALSO, in regards to the whole "psycho-somatic pain isn't real" thing. ALL pain is in the brain. not feeling pain doesn't mean something isn't wrong, and feeling pain doesn't always mean something is wrong medically. we like to think of the mind as separate from the body, so pain from a broken bone is real but pain from a mental illness isn't, but the brain is just another part of our body, and it's the vehicle through which we experience our bodies. so if something's going on in your mind, it can affect how you experience the rest of your body.

[spiff]

Outside of clinic hours house is usually the 5+ doctor to get the patients. All normal tests and thoughts have been disproven several times at different levels.

He jumps to the most extreme because for it to be simple, several respected professionals would have had to miss the same basic things.

P.s. houses pains is half real half psychosomatic.

[melaniesinclair]

Good analysis. I would also like to see you react to the 2 episodes in season six in which House is hospitalized in a psych ward.

[karmafree]

10 years ago I was diagnosed with fibromyalgia. A Dr. House Episodes even makes fun of this condition by acting as if it's imaginary. About 3 years ago I got diagnosed with ADHD and surprise.. The medication for ADHD lessens my pain symptoms of my Fibromyalgia. There is even a study which points out that ADHD and Fibro are often comorbid.

[slaanu]

I responded very well to this video and have a feeling of validation seeing this be discussed, towards the end of 2018 I was diagnosed with delusional disorder, with mixed delusions, mostly around somatic delusions, I would have sensations of heart attacks where my chest would hurt, my heart beat hard and fast and my left arm go numb, or if I ate food that I hadn't tried before I would have anaphylactic symptoms without actually experiencing any symptoms, pills would feel like they get stuck in my throat, I could physically feel cancer growing through my body or get such rapid shallow breathing that I would hyper ventilate because I thought I aspirated a tiny bit of fluid, I've even had to go to the hospital for pain that made it difficult to walk and everytime I tell the doctors or nurses about my condition I feel insane and a burden on resources because it never has actually been something physically wrong and has lead to many distressed nights where I can get no sleep until my brain is so exhausted it shuts down, so thank you so much for spreading information on somatic pain!

[skeptiwolf]

One woman, I personally met, went to the doctor with ear pain. She left with a diagnosis for depression and meds. Pain went away.

[RedKimmie]

This reminds me of a few years back, when suddenly I felt a pain in my foot, as if something broke when I was walking. It was extremely painful and I couldn't walk for almost a week, despite there seemingly being no physical issue. Then, suddenly, it just... stopped. I never understood what happened there at all.

[seinfeld]

ive been accused of somatoform pain by an intern, i heard him speaking to another doctor and he goes "let me see if this is in this guys head or not", then sighs and walks in . turns out I had EA t cell lymphoma in my small intestine

[IceMetalPunk]

Didn't you know that's what House, MD stands for? House, Majorly Dubious 😂

[susanb]

I have a severe chronic pain disorder called CRPS - complex regional pain syndrome. My sympathetic nerves are constantly misfiring sending pain singnals to my brain even though there is mo longer any injury there. The pain is a constant ant stabbing burning pain with lots of swelling, extreme sensitivity (to where I can't have clothes touching my skin in my problem areas on most days) and occasionally red and blotchy skin. I bring this up because I developed this from an injury I had at 16 years old, 21 years ago, and it took 3 years and over 20 different doctors from across the country to get a diagnosis and then find a doc who knowledgable in n how to treat this rare condition. Do you know how many have told me I need to see a of some kind because this was all kn my head? If I ever have to go to the hospital I get treated so badly and like a drug seeker (even if I never even ask for anything for pain and am there for a totally different reason). If a doctor doesnt understand what something is, it is automatically something psychological. Why not look it up? Call my CRPS specialist? I don't understand why doctors are full of themselves and can't say I don't know and look it up instead

[brookiieleetylahh]

I was diagnosed with Conversion Disorder. I lost the ability to walk, extreme fatigue, loss of feeling in my legs & feet, general weakness. But a few years before I had been diagnosed with CRPS with the same symptoms.

[BadlandSurvivor]

House only takes cases which other doctors have tried to solve but couldn't that's why his team only deals with extremely rare diseases...

[paulyberk]

I took a pain science course with the cognitive neuroscientist Lorimer Mosely. Among the factors influencing the placebo effect were whether or not the placebo was "branded" and whether or not the clinician was attractive or wore glasses.

[iwonapietrzak]

O wow, i love to listen when you explain things..it's fascinating and yet easy to digest.

[Chartti]

Just going back to watch some older videos. This suddenly clicked with me that House's addiction is similar to how Holmes gets depressed when he doesn't have a case and rationalises the 7% solution and more dangerous situations he puts himself in. I knew it was there before in the show and books, but it's just been reignited in my mind especially since this is beyond House's regular drug taking.

Also still can't believe you don't have more subscribers!!!!❤

[impoisonivy]

I just have to point out that Vicodin is HYDROcodone, not OXYcodone.

[Senaleb]

yeah as somebody who lives on gabapentin, my pain isn't psychological lol. The pills have varying degrees of effectiveness...but essentially let me live semi-normal without screaming all day. My pain seems to get really serious at night, causes sleepless nights, and wake up pissed off at the world.

[acth]

Why is it when ever a doctor reacts to House they always complain about House thinking it's something rare and unlikely instead of something obvious???? HELLO People, a case only ever gets to House if all the common and likely causes have already been ruled out by other doctors and they can't figure out what's wrong. It's then given to House who thinks of something so brilliant and out of the box that no one else would think of.