>> GOOD EVENING.

I'M PSYCHIATRY IS JAY FALL FOR LIFE FROM FORT WAYNE INDIANA.

WELCOME TO MATTERS OF THE MIND NOW IN ITS 22ND YEAR MATTERS OF THE MIND IS A LIVE CALL IN PROGRAM WHERE YOU HAVE THE CHANCE TO CHOOSE A TOPIC FOR DISCUSSION.

SO IF YOU HAVE ANY QUESTIONS CONCERNING MENTAL HEALTH ISSUES.

GIVE ME A CALL HERE AT PBS FORT WAYNE BY DIALING IN THE FORT WAYNE AREA, 969-2720, OR IF YOU'RE CALLING ANY PLACE COAST TO COAST.

YOU MAY CALL TOLL FREE AT 8, 6, 6, 9, 6, 9, 2, 7, TO 0 NOW ON A FAIRLY REGULAR BASIS WE ARE BROADCASTING LIVE EVERY MONDAY NIGHT FROM OUR SPECTACULAR PBS FORT WAYNE STUDIOS, WHICH LIE THE SHADOWS OF THE PURDUE UNIVERSITY FORT WAYNE CAMPUS.

AND IF YOU'D LIKE TO CONTACT ME WITH AN EMAIL QUESTION SO I CAN ANSWER ON THE AIR.

YOU MAY WRITE ME VIA THE INTERNET AT MATTERS OF THE MIND.

ALL ONE WORD AT W F DOT ORG.

THAT'S MATTERS OF THE MIND AT W F W DOT WORK AND I'LL START TONIGHT'S PROGRAM WITH AN EMAIL.

SO I RECEIVED OVER THE PAST MONTH.

THAT'S ACTUALLY A COUPLE DIFFERENT E-MAILS IN ONE AND IT READS DURING HER FATHER.

WE LIVE IN AN ERA PLAGUED WITH THIS INFORMATION AND ALL TURN THE REALITIES CHOIR.

SOME PEOPLE MORE SUSCEPTIBLE TO EMBRACING THESE ALTERNATIVE REALITIES.

WHAT PSYCHIATRIC TOOLS TREATMENTS OR PROCESSES ARE USED TO HELP DISSOCIATE PEOPLE FROM THESE REALITIES AS WE ADDRESS THE DEEP DIVISIONS WITHIN OUR SOCIETY AND GOVERNMENT AND YOU'D MENTION THAT HE ALSO WANT TO KNOW HOW AS A LAY PERSON YOU CAN CONVINCE OTHER PEOPLE THERE ARE ALTERNATIVE REALITIES MIGHT NOT BE ACCURATE.

WE BRING UP SO MANY INTERESTING ISSUES THERE.

SO I'M GOING TO START TAKING THOSE APART ONE BY ONE GIVING US A MY MY SOME OF MY THOUGHTS ON THIS.

WE'LL TALK DIS INFORMATION AN ALTERNATIVE REALITIES.

WE HAVE TO REMEMBER THERE'S A DIFFERENCE BETWEEN TRUTH.

CONVICTION WHICH CAN BE A VERY EMOTIONAL AND OPINION NOW THE TRUTH CAN BE.

THE COLOR THAT YOU SEE ON THIS PBS FORT WAYNE CUP.

MOST OF US WOULD INTERPRET THAT COLOR IS BEING BLUE.

BUT SOME PEOPLE, FOR INSTANCE, WHO ARE COLORBLIND MIGHT SAY IT IS ACTUALLY, YOU KNOW, BECAUSE PEOPLE WITH DIFFICULTIES COLOR BILAS BASED ON THEY'RE RETINAL PERCEPTION OF DIFFERENT COLORS WILL INTERPRET BLUES, YELLOW AND YELLOW IS BLUE.

AND I HAVE DIFFICULTY WITH RED AND GREEN.

SO THERE HAVE DIST DIFFERENCES IN THE COLOR PERCEPTIONS.

BUT THAT DOESN'T CHANGE WHAT COLOR IT ACTUALLY IS BASED ON THE REFLECTION OF THE LIGHT WAVES COMING OFF OF THAT CUP.

ANOTHER PERCEPTION CAN BE.

THIS IS AN EXTREME US LOOK AT MY BRAIN HERE AND PEOPLE CAN SAY, OH, THAT LOOKS LIKE A BASKETBALL.

YOU'RE HOLDING AND THEY MIGHT INSISTS THAT.

I'M HOLDING A BASKETBALL KNOW THE TRUTH IS THAT THIS IS A PLASTIC MODEL OF THE BRAIN THAT'S NOT A BASKETBALL.

HOW WOULD I KNOW WOLF, I TRY TO BALANCE IT.

WE'RE BREAKING SEVERAL PIECES.

SO THERE'S TRUTH THAT ARE VERY FINITE.

AND THEN THERE CAN BE OPINIONS AND OVER THE PAST SEVERAL YEARS I'VE HEARD THIS TERM DIS-INFORMATION BANTERED ABOUT QUITE A BIT, ESPECIALLY AS WE TALK POLITICS AND IN GOVERNMENT FUNCTIONING AND IT REMINDS ME OF A STORY, A CONCERNING, A PHYSICIAN BACK IN THE 1840'S BY THE NAME OF IGNACE HIM A WISE DOCTOR SIMILAR WISE WAS A PHYSICIAN WHO NOTICE THAT ON A PARTICULAR MATERNITY WARD VERSUS ANOTHER MATERNITY WARD.

WOMEN DIED AT 5 TIMES THE RATE COMPARED TO THE OTHER ATTORNEY WORDS.

SO WE STARTED LOOKING AT DIFFERENT REASONS WHY THESE WOMEN WERE DYING.

ANY NOTICE THAT G SOME OF THE WOMEN WERE POSITION IN A DIFFERENT WAY.

WHAT ARE THEY DYING OF CHURCH.

I'LL BET FEVERS.

WE HAD CHANGED THEIR POSITION AND HOW THEY DELIVER THAT DIDN'T WORK.

HE HAD THEM THE SAME KIND OF TEASE THAT THE WOMEN WHO WERE NOT DYING AS MUCH OF THAT WORD OR DRINKING THAT DIDN'T WORK.

THEY HE HAD THE PRIESTS NOT COME THROUGH THE AWARD AFTER A WOMAN DIED BECAUSE THAT HE THOUGHT MIGHT HAVE SCARED WOMEN INTO DYING AND THAT DIDN'T WORK.

SO HE FINALLY NOTICED THAT WHEN ONE OF HIS FRIENDS WHO IS A PATHOLOGIST ACCIDENTALLY CUT HIS FINGER.

WE'RE DOING AN AUTOPSY ON A WOMAN WHO DIED OF CHILD DEAD FEVER WHEN HE CUT HIS FINGER, HE DIED.

SO WE THOUGHT, HUH.

MAYBE IT HAS SOMETHING TO DO.

THIS PARTICULAR PHYSICIAN AFTER COMPLETING AN AUTOPSY OR WOMAN WHO DIED, MAYBE HE NEEDED TO WALK IN.

YOU NEED TO WASH HIS HANDS BEFORE GOING TO OTHER WOMEN TO EXAMINE THEM WHILE THEY'RE STILL LIVING.

SO HE SUGGESTED TO THE PHYSICIANS ON THE WORD.

YOU KNOW, IF YOU'RE GOING TO EXAMINE A WOMAN WHO DIED AND DO AN AUTOPSY ON A WOMAN WHO DIED.

YOU NEED TO WASH YOUR HANDS AND BASE YOUR HANDS IN A SOLUTION OF COREY BECAUSE AFTER YOUR HAND OR DEAD BODY.

THERE'S A SMELL TO IT.

SO THE KOREAN WILL ALSO PRESS THE SMELL.

THE SUGGESTION WAS THAT DOCTORS SHOULD BETWEEN PATIENTS EVEN WASH THEIR HANDS AND USE A LITTLE BIT OF CHLORINE SOLUTION.

THIS IS BACK IN THE 1840'S IN 1850'S.

THIS WAS DRASTIC TYPE OR RECOMMENDATIONS BEING MADE HERE AND WHAT HAPPENED.

THE DEATH RATE WENT FROM ONE IN 8 ACTUALLY ONE IN 6 TO ONE IN 8 EAST 84 SO THE DEATH RATE DECREASED FROM ONE IN 6 WOMEN DUE TO FEVER TO ONE 84 STILL A GREAT DEATH RATE BUT STILL DRASTICALLY LESS.

DO YOU THINK THAT EVERYBODY GIVING HIM HIGH FIVES AND HE GET 1800 SICK WITH ONE OF THE NOBEL PRIZE.

NO, HE FORWARD NOW KNOW SPREADING DISINFORMATION.

SO HE LOST HIS MEDICAL LICENSE.

HE WOULD LIKE A STREET EVENTS.

LET'S GO OUT ON THE STREETS AND WARN WOMEN WHO WE SAW WERE PREGNANT TO ONLY SEE DOCTORS WHO ARE WILLING TO WASH THEIR HANDS IN BETWEEN PATIENTS AND A NEW SCORING SOLUTION.

BASICALLY HE GOT SO UPSET AS WE NOW KNOW, HE WAS GETTING MORE AND MORE MANIC.

HE WAS GETTING MORE AGITATED.

HIS WIFE ACTUALLY COMMITTED HIM TO WHAT WAS THEN KNOWN AS AN INSANE ASYLUM.

AND 2 YEARS LATER HE DIED DUE TO HIS GETTING PHYSICALLY ASSAULTED BY OTHER.

PATIENTS AND HE DIED OF SEPSIS, WHICH IS EXACTLY WHAT THE WOMEN WITH CHILDHOOD BEHAVIOR OF OUR CHILD FEVER WERE DYING OFF.

SO THEY WERE DYING OF A BACTERIAL INFECTION.

SO THE MORAL OF THE STORY OF THAT WAS THIS IS A MAN WHO WAS ACCUSED OF SPREADING THIS INFORMATION FOR SOMETHING THAT 50 YEARS LATER WAS FOUND TO BE TRUE.

SO WE NEED TO BE CAREFUL ABOUT USING THAT TERM DIS-INFORMATION AS A MEANS OF SEA OF EXPRESSING AND WILLINGNESS TO HEAR THE OPINIONS OF OTHER PEOPLE.

WELL, THE STRENGTHS OF OUR SOCIETY HAS ALWAYS BEEN THAT WE'VE BEEN ABLE TO SHARE EXPRESS FREE SPEECH.

SO YOU HAD ASKED, YOU KNOW, HOW DO GET PEOPLE WHO ARE YOU AND YOUR FAMILY AND OTHER PEOPLE IN YOUR WORK CIRCLE TO BE CONVINCED OF.

THEY'RE LISTENING TO DIS INFORMATION.

HOW DO YOU CHANGE THEIR PERSPECTIVES ON THAT.

WELL, YOU DO IT BY BECOMING EDUCATED ON THE DIFFERENT FACTORS SELF AND BE ABLE TO CONVINCINGLY CONVEY YOUR POINT OF VIEW AS OPPOSED TO SHUTTING THEM UNFRIENDING THEM AS AS PEOPLE WERE DOING SOCIAL MEDIA OR DECREASING THEIR ABILITY TO EXPRESS SPEECH.

AND I'M CONCERNED THAT YOU MENTIONED THIS INFORMATION AND CONCERNS ABOUT HOW WE DID MANY SHIP TO A PSYCHIATRIST BECAUSE WHAT WE DON'T WANT TO DO.

OUR SOCIETY IS WEAPONIZED.

PSYCHIATRY HAS BEEN DONE BEFORE AS RECENTLY AS THE 1970'S, THE 1980'S.

PSYCHIATRY WAS WEAPONIZED IN THE SOVIET UNION AND ESPECIALLY IN ROMANIA AND CHINA WERE IF YOU DID NOT BELIEVE IN THE UTOPIAN SOCIETY THAT THE GOVERNMENT WAS TRYING TO PRODUCE YOU THEREBY WE'RE DETERMINED TO HAVE A PSYCHIATRIC ILLNESS.

THEY CALLED A SLUGGISH PSYCH.

THE SLUTTY SCHIZOPHRENIA.

SO THIS PSYCHIATRIC ILLNESS DUE TO YOUR.

WELL DISTRUST OF THE STATE ARE BELIEVED THAT THE STATE IS NOT REALLY DOING WHAT'S IN YOUR BEST INTEREST LEAD.

YOU'RE GETTING INTO A PSYCHIATRIC HOSPITAL IN THERE ARE LITERALLY THOUSANDS OF PEOPLE WERE HOSPITALIZED IN PSYCHIATRIC HOSPITALS DO TOO.

THEIR POLITICAL POINTS OF VIEW.

AND AGAIN, THAT'S THE WHOLE CONCEPT OF WEAPONIZING PSYCHIATRY.

AND THAT'S CONCERNING OVER THE PAST SEVERAL YEARS THAT PSYCHIATRISTS HAVE BEEN EXPRESSING THEIR OPINIONS ABOUT THE.

EMOTIONAL.

STABILITY OF INDIVIDUALS WHO DIDN'T AGREE WITH THEIR PARTICULAR VIEWPOINTS FROM A POLITICAL IDEOLOGY.

SO WE HAVE TO GET BACK TO THE POINT WHERE WE'RE OUR COUNTRY WAS FOUNDED BACK GOING ALL THE WAY BACK TO THE 17TH CENTURY, THE 18TH CENTURY PEOPLE WOULD GET.

DISCUSS THEIR IDEAS AND TAVERNS IN CHURCHES AND SOCIAL GATHERING.

SO THEY HAD A FREE EXPRESSION OF SPEECH.

AND WHAT WE DON'T WANT TO DO IS SHUT DOWN SOME BODIES FREE EXPRESSION OF SPEECH IS SPEECH CALL PEOPLE NAMES.

IF THEY DON'T BELIEVE IN WHAT WE START TO QUESTION THEIR CHARACTER EVEN PHYSICALLY ASSAULT THAT'S WHAT HAPPENS ON THE SCHOOLYARD YOU CAN'T REALLY.

CONVINCE SOMEBODY ELSE OF YOUR PARTICULAR POINT OF VIEW, YOU YOU BEAT THEM UP.

SO WE GOT TO GET AWAY FROM DOING THAT AS ADULTS.

AND AGAIN, THAT'S ONE OF MY CONCERNS ABOUT WHAT WE SEE WITH SOCIAL MEDIA OVER THE PAST 10 OR 15 YEARS.

PEOPLE HAVE DIFFICULTY EXPRESSING OPINIONS AND LISTENING TO THE OPINIONS OF OTHERS.

WHAT THEY DO IS THEY SHUT DOWN THE UNFRIEND THEM AND THEY JUST GO AND DO THEM.

SO THEY HAVE DIFFICULTIES HEARING THE OPINIONS OF OTHERS.

WE SEE THAT A LOT OF OUR COLLEGE ENVIRONMENTS RIGHT NOW.

SO WHETHER YOU'RE FREE MARKET CAPITALIST.

YOU'RE A LIBERTARIAN WHETHER YOU'RE A SOCIALIST YEAR COMMUNIST, YOU STILL NEED TO GATHER YOUR DATA, YOUR FACTS, YOUR YOUR INFORMATION, THE BEST YOU CAN AND CONVEY YOUR ARGUMENT.

THE BEST WAY POSSIBLE TO BE ABLE TO CONVINCE OTHERS OF YOUR POLITICAL POLICE.

BUT AT THE SAME TIME IT'S VERY IMPORTANT FOR ALL OF US TO RESPECTFULLY LISTEN TO THE PERSPECTIVES OF OTHERS AS OPPOSED TO MERELY SHUTTING THEM DOWN.

THAT'S A VERY LONG ANSWER TO YOUR IS VERY INTERESTING QUESTION, THOUGH.

SO THANKS.

THANKS FOR GIVING IT TO US.

LET'S GO TO OUR FIRST CALLER.

HELLO, LOUIS.

WELCOME.

THE MEMBERS MIGHT.

LEE GOOD MENTIONED YOU FLOW, MAX FOR PROSTATE ISSUES AND NO ONE WITHOUT CAUSE ANY WITH THE BRAIN IS ARE THERE ANY ALTERNATIVES TO FLOW.

MAX LOMAX'S, A BLADDER MEDICATION.

LOUIS.

I'M A PSYCHIATRIST.

SO THAT'S NOT AN AREA THE BODY WHICH I TREAT.

SO IT'S NOT SOMETHING THAT CERTAINLY WANT TO GIVE YOU AN OPINION ON SPECIFICALLY.

I CERTAINLY REFER YOU BACK TO YOUR WALLET.

JUST FOR TALKING ABOUT ALL THAT STUFF.

LOMAX NOW FLOW MAX DOES AFFECT THIS CHEMICAL CALLED ACETYLCHOLINE.

AND IF IT'S A MEDICATION THAT'S CAUSING YOU ANY SIDE EFFECTS FROM AN EMOTIONAL STANDPOINT.

TALK TO YOUR UROLOGIST ABOUT THAT.

TYPICALLY IS VERY SAFELY GIVEN TO PEOPLE.

IT TENDS TO WORK OUT WELL, BUT YOU KNOW, IF YOU HAVE A SIDE EFFECTS FROM IT THAT YOU NOTICED HAD THERE ON SET WHEN TAKING THE MEDICATION THAT'S WE WANT TO TALK TO YOUR FAMILY DOCTOR OR THE UROLOGIST WHO MIGHT BE PRESCRIBE IT LOUIS, THANKS, YOUR CALL.

LET'S GO TO OUR NEXT CALLER.

HELLO, 80 WALKING INTO I'D.

>> HAS BEEN THIS STING.

THE U.S. KETAMINE I DON'T KNOW.

ANYBODY IS FAMILIAR WITH THAT.

SO YOU MIGHT WANT TO TELL YOUR VIEWERS WHAT THAT HOLD UP ANYWAY WHEN HE DOES USE KETAMINE TREATMENT WHEN HE HAS WHEN HE GOES TO WAR IN 2, AT A BODY DURING THE TREATMENT WHEN HE GOES INTO THAT HARD.

HE DOESN'T SEEM TO HAVE AS THE OF REACTION LIKE HOURS LATER.

BUT THEN LIKE IF HE JUST KIND IS EASYGOING DURING THE TREATMENT.

AND IT'S NOT AS OUT A BODY.

THEN LIKE LATER ON THIS WEEK AT ALMOST AS A DELAYED REACTION A LOT LIKE OUT OF BODY BAGS AND THE LIKE HAD A KIND OF A THING.

IS THERE ANY KIND CORRELATION BETWEEN.

LAURA C. THAT SHE WOULD HAVE.

WHILE YOU'RE HAVING THE TREATMENT VERSUS.

HOW YOU FEELING THAT HEART OF THE IS VERSUS LATER ON IN THE DAY, FOR EXAMPLE.

FORCES HOW YOU WOULD REACT.

THEY ARE IN THE DAY.

>> AIMEE THINKS YOUR ESKETAMINE IS THE LEFT-SIDED PIECE OF KETAMINE.

KENNY HAS BEEN AROUND SINCE 1970 ISN'T AS AS AN ANESTHETIC SCATTERED MEANS, THE LEFT SIDE OF PEACE.

THE LEFT SIDE OF PEACE IS 4 TIMES MORE POTENT THAN THE RIGHT SIDE IN PEACE ON THIS PARTICULAR RECEPTOR CALLED IN INDIA.

IT BLOCKS IN INDIA AND WE ARE IN MARCH MADNESS RIGHT NOW.

SO IMAGINE SETTING A PICK BASKETBALL.

IF YOU SET THE PICK ON A PARTICULAR PLAYING BASKETBALL.

THE PLAYERS ABLE TO GO AROUND THAT PARTICULAR PLAYER UPON WHO THE PICK IS BEING PLACED.

AND THAT'S WHAT THIS COULD MEAN.

DOES IT SETS THE PICK ON HIM IN INDIA, RECEPTORS GOES AROUND 02:00AM PA RECEPTORS.

AMPA RECEPTORS IN THOSE RECEPTORS ARE PARTICULARLY HELPFUL IN THE ABILITY FOR THE FRONT PART OF THE BRAIN TO BECOME MORE FLUFFY.

AND THAT'S HOW IT'S KETAMINE WORKS.

NOW.

A SIDE EFFECT OF US KETAMINE.

IT USES A NASAL SPRAY IS 40 MINUTES AFTER YOU RECEIVE THE NASAL SPRAY, YOU HAVE A PEAK IN THE BUBBLE.

AND DURING THAT PEAK OF THE BUBBLE.

YOU CAN HAVE SUCH SYMPTOMS AS AN OUT OF BODY EXPERIENCE, ALSO KNOWN AS DISSOCIATION DISSOCIATION IS WHERE YOU FEEL LIKE YOU'RE FLOATING YOU MIGHT PERCEIVE YOU'RE NOT REALLY INSIDE YOUR BODY.

IT IT CAN BE KIND OF.

THE SCARY FOR PEOPLE IN THE FIRST EXPERIENCE IT.

BUT THEN THEY OFTEN SAY THEY FEEL RELAXED AND SOMEWHAT CITY TO DURING THAT TIME.

SO THEY FEEL RELAXED A LITTLE BIT SEDATED.

AND AFTER ABOUT AN HOUR THAT TYPICALLY SAY IT'S WHAT WE OFTEN NOTICE.

AMY AND HAS DIFFERENT EFFECTS.

BUT AFTER AN HOUR TYPICALLY PEOPLE HAVE LEST ASSOCIATION.

THEY HAVE LESS THE OUT OF BODY EXPERIENCE AS YOU'RE AWARE, PEOPLE ARE MONITORED IN THAT CHAIR FOR 2 HOURS AFTER THEY GET THIS KETAMINE TREATMENT.

AND DURING THOSE 2 HOURS THEY'RE ASSESSED FOR ANY DISTURBANCES WITH SEDATION AND DISSOCIATION AS WELL AS INCREASE IN BLOOD PRESSURE BECAUSE OF THAT 40 MINUTE MARK WITH THE B * * * LEVEL IS PEAKING.

THAT'S WHEN YOU'RE GOING TO GET A LITTLE BIT OF AN INCREASE IN BLOOD PRESSURE.

THAT'S WHEN YOU HAVE THE DISSOCIATION AND THAT'S WHEN YOU HAVE MORE SEDATION IN GENERAL.

THOSE 3 THINGS WE OFTEN SEE AT THAT 40 MINUTE MARK NOW, TYPICALLY AMY.

PEOPLE DO NOT HAVE RESIDUAL SYMPTOMS AFTER THE 2 HOUR MARK OCCASION, PEOPLE HAVE SOME SEDATION AFTER 2 HOURS AND MANY PEOPLE AFTER THE 3RD OR 4TH TREATMENT, QUITE FRANKLY, GO BACK TO WORK.

THE REST OF THAT DAY AS LONG AS THEY DON'T DRIVE A CAR AS LONG AS THEY DON'T OPERATE HEAVY MACHINERY.

SO WE WARN PEOPLE NOT TO DRIVE A CAR OR OPERATING MACHINERY FOR THE REST OF THE DAY.

BUT MANY PEOPLE GO BACK TO WORK IN THE CASE OF YOUR HUSBAND.

AMIOT MENTIONED THAT HE MIGHT BE HAVING SOME DIFFICULTY DISSOCIATION OR AN OUT OF BODY EXPERIENCE LATER ON NUMBER ONE, YOU WANT TO SEE AT WHAT HE'S HAD THOSE KIND OF EXPERIENCES WHERE THE EARLIER IN TREATMENT OR THE LEADER IN TREATMENT.

IF THEY'RE STILL OCCURRING LATER IN TREATMENT AND THEY ARE INDEED BOTHERSOME.

A COUPLE THINGS CAN BE DONE.

THE FIRST MONTH WE OFTEN TREAT PEOPLE ONCE A MONTH.

I'M SORRY, ONCE OR TWICE A WEEK TWICE A WEEK FOR 4 WEEKS.

THE FORCE MONTH, THE SECOND MONTH.

WE OFTEN TREAT PEOPLE.

ONCE A WEEK.

THE 3RD MONTH THEREAFTER WILL TREAT PEOPLE EVERY WEEK OR EVERY OTHER WEEK WITH US.

KETAMINE SOMETIMES CAN DECREASE THE FREQUENCY OF US ENOUGH OR HAVING RESIDUAL SIDE EFFECTS LATER IN THE DAY OR WE CAN DECREASE THE DOSAGE.

WE OFTEN WILL THOSE PEOPLE 84 MILIGRAMS A DAY, BUT SOMETIMES RECORD ON THE 56 MILIGRAMS A DAY IF THEY'RE HAVING ANY SIDE EFFECTS THAT ARE UNCOMFORTABLE, ESPECIALLY LATER IN THE DAY.

BUT QUITE FRANKLY, IN THE MOST PEOPLE DON'T HAVE RESIDUAL SIDE EFFECTS.

THE REST THE DAY AFTER THAT 2 HOUR TIME PERIOD.

SO THAT MIGHT BE SOMETHING WE'RE YOU CAN TALK IT OVER THE TREATING CLINICIANS FOR THE U.S. KETAMINE.

AMY, THANK YOUR QUESTION.

LET'S GO NEXT, CALLER.

HELLO.

LEE WERE WALKING AMERICAN MIGHT.

ONLY RIGHT.

YOU'RE ON THE AIR.

LEROY.

>> 58.

SUFFERED FROM DEPRESSION FOR OVER 40 YEARS.

AND IS IT?

I TRIED FOR 3 MONTHS NOW TO BE SEEN BY SOMEONE.

BUT BECAUSE OF THE COVID, I'M SURE NOBODY IS HAVING PROBLEMS.

THE VICE YOU CAN GIVE ME FOR TRYING TO GET AN APPOINTMENT WITH SOMEONE.

>> YEAH.

ALERTLY, 58 YEARS OF YOU CERTAINLY BE ELIGIBLE TO BE SEEN BY A VIDEO VISIT WITH COVID RESTRICTIONS.

ONE THING KIND OF RESULTED FROM THAT AS WE'VE.

ACT.

WE'VE BEEN ALLOWED BY THE FEDERAL GOVERNMENT TO.

CREATE THESE VIDEO VISIT PLATFORMS WERE MANY PEOPLE WHO PREVIOUSLY DIDN'T HAVE ACCESS TO PSYCHIATRIC SERVICES NOW HAVE FOR IN THE STATE OF INDIANA.

YOU COULD BE TREATED BY ANY PHYSICIAN WITH A LICENSE IN THE ENTIRE STATE OF INDIANA.

THAT PHYSICIAN COULD IN FORT WAYNE, WHERE I WORK.

I COULD BE AT INDIANAPOLIS.

A PHYSICIAN COULD BE BLOOMINGTON.

INDIANA.

YOU COULD BE TREATED BY A PHYSICIAN IN THE STATE OF INDIANA TO A VIDEO VIDEO VISITS ARE QUITE COMMONLY USED FOR PEOPLE WITH DEPRESSION ANXIETY.

I KNOW IT MY PRACTICE.

70% OF OUR PATIENTS ARE BEING SEEN BY VIDEO VISITS NOWADAYS.

SO MEANS OF OUTREACH INTO PEOPLE.

IF YOU DO IN FALLS GETTING SIGNED UP ON THE PLATFORM A PLATFORM IS BASICALLY THE WAY OF YOU INTERACTING WITH SOMEBODY BY VIDEO EITHER BY YOUR SMARTPHONE, BY YOUR LAPTOP, BY YOUR TABLET AND IN DOING SO MANY PEOPLE ARE GETTING BETTER ACCESS THAN EVEN HAD BEFORE THE COVID RESTRICTIONS WHICH OCCURRED IN MARCH OF 2020.

VIDEO PLATFORMS.

A LOT OF PEOPLE ARE ABLE TO GET ACCESS BETTER NOW THAN THEY COULD BEFORE.

YOU CAN ALWAYS TALK TO YOUR PRIMARY CARE CLINICIAN ABOUT THE POSSIBILITY GETTING SET UP WITH SOMEBODY WHO MIGHT HAVE THAT YOU ACCESS.

BUT WE'RE ACTUALLY FINDING BETTER ACCESS NOW COMPARED TO 6 MONTHS AGO OR EVEN A YEAR AGO AT THIS POINT.

LEE RIGHT.

THEY WERE.

THANKS YOUR COUGH.

LET'S GO NEXT CALLER.

HELLO, THOMAS.

WALK AMERICA MIND.

THOMAS, YOU WANT ABOUT SOCIAL MEDIA.

WHAT SORT OF NEGATIVE LONG-TERM EFFECTS ARE RISING FROM THE OVER USE OF THAT AND WHAT CAN BE DONE TO REVERSE THE TREND.

THOMAS.

I THINK THAT IT IS IMPORTANT THAT WE END TRY TO TALK TO AND CONVERSE WITH THEM.

THE ONE OF THE BIGGEST DETRIMENT OF SOCIAL MEDIA THAT I'VE SEEN, AS I MENTIONED, PREVIOUSLY THE DIFFICULTY WITH ACTUALLY HAVING OPEN DISCUSSIONS WITH PEOPLE AND EXPRESSING AND SHARING OPINIONS.

PEOPLE ARE GOING TO DISAGREE WITH YOU OCCASIONALLY WITH SOCIAL MEDIA, THE TENNESSEE, IF YOU DISAGREE, SOMEBODY IS DUE JUST TO CLICK MAKE SURE YOU NEVER HEAR FROM THEM AGAIN.

WE CAN'T DO THAT SO MUCH WHEN YOU'RE INTERACTING WITH PEOPLE INTERMITTENTLY IN A SOCIAL OR TYPE OF INTERACTION.

WHEN YOU GO TO A CHURCH A SOCIAL GATHERING, EVEN A TAVERN OR FOR THAT MATTER, YOU KNOW, YOU START TO TALK TO PEOPLE IN AND EXCHANGE IDEAS.

AND THAT'S WHY CS REALLY HAVING TROUBLE AT THIS POINT.

HOMICIDE ICY ESPECIALLY THE YOUNG ADULTS IN THE KIDS GOING TO COLLEGE.

YOU KNOW, THEY JUST CAN'T INTERACT WITH ANYBODY WHO DISAGREES WITH THEM.

IT'S SO STRESSFUL FOR THEM.

SO THEY HAVE TO GO TO THEIR SAFE AREAS TO BE ABLE TO GET AWAY FROM SOMEBODY WHO MIGHT BE DISAGREEING WITH THEM AS OPPOSED TO STANDING UP AND DEFENDING THEIR OPINIONS, WHICH IS WHAT WE SHOULD DO.

THAT'S WHAT MAKES US BETTER AS A PHYSICIAN.

I FREQUENTLY HAVE REALLY QUESTION THE TREATMENT APPROACH.

WE MIGHT BE SUGGESTING I'M ALL FOR THAT BECAUSE I WANT TO HEAR WHAT THEY HAVE TO SAY.

AND IF THEY HAVE A A GOOD IDEA THEMSELVES.

THEY THEY MIGHT HAVE TRIED IT BEFORE.

I WELCOME PEOPLE TO TO SENSE AND EXPRESS THEIR OPINIONS ON DIFFERENT THINGS AND I WAS REMINDED THAT THEY ARE THE ULTIMATE DECISION MAKER IN THEIR TREATMENT.

I CAN RECOMMEND ALL SORTS OF DIFFERENT THINGS.

I COULD EVEN PRESCRIBED FOR MEDICATIONS.

BUT THE BOTTOM LINE IS THAT'S THE PATIENT WHO TAKES THE MEDICATION.

SO.

DISSENSION EXPRESSING OPINIONS THAT SOMETHING IS VERY HEALTHY IN OUR SOCIETY.

ANOTHER CONCERN I HAVE WITH SOCIAL MEDIA.

THOMAS WILL BE THE SENSE THAT PEOPLE WILL IDEALIZED YOUR LIFE'S THEIR AND IT CAN BE DEMORALIZING TO OTHER PEOPLE WHO QUITE FRANKLY BECOME ENVIOUS THAT THERE ARE A LIFESTYLE DOES NOT APPEAR TO BE AS JOYOUS AND FULFILLING AS THOSE ON SOCIAL MEDIA.

SO PEOPLE HAVE TO BE VERY CAREFUL NOT TO INDY WHAT THEY'RE SEEING ON SOCIAL MEDIA WHEN PEOPLE ARE PLACING THEMSELVES IN THIS VERY, VERY POSITIVE LIGHT.

AND THE 3RD ISSUE I HAVE THOMAS WAS IT WAS SOCIAL MEDIA WILL BE PEOPLE THAT HAVE DIFFICULTY INTERACTING FACE TO FACE.

I MEAN, ESTABLISHING EYE CONTACT BEING ABLE TO TO PROVIDE IN THE BUSINESS WORLD FRANCE'S CUSTOMER SERVICE TO INDIVIDUALS WITHOUT TEXTING THEM WITHOUT THESE ARE THE KIND OF TECHNIQUES THEY MIGHT AND SOCIAL MEDIA.

SO WITH SOCIAL MEDIA.

I THINK IT SHOULD BE USED VERY SPARINGLY.

BE VERY CAREFUL WITH YOUR CHILDREN AND YOUR ADOLESCENCE AS THEY ARE USING IF THEY'RE USING AS THEIR PRIMARY FORMS OF COMMUNICATION.

NOW THEY NEED TO BE ABLE TO BE AROUND PEOPLE AND BE ABLE TO SOCIALIZE AND STILL HAVE THOSE CONVERSATIONS AND I THINK WE'RE LOSING A LOT OF THAT WITH SOCIAL MEDIA RIGHT NOW, THOMAS.

THOMAS, THANK YOUR CALL.

LET'S GO TO OUR NEXT E-MAIL OR NEXT E-MAIL READS YOUR FATHER, HOW EFFECT THESE GENE TESTING.

I HAVE SEVERAL FAMILY MEMBERS WHO SUFFER FROM ANXIETY IS GENETIC TESTING IS A MEANS OF GIVING US ANOTHER DIMENSION TO OUR TREATMENT DECISION PROCESS.

IS NOT THE CITY ITSELF IN TERMS OF WHAT MEDICATION WE MIGHT USED TO TREAT ANXIETY.

DEPRESSION IS CERTAINLY NOT A DIAGNOSTIC.

BUT WHAT IT DOES, IT INCREASE THE PROBABILITY THAT ARE TREATMENT APPROACH MAY WORK BASED ON HOW QUICKLY SOMEBODY BREAKS DOWN A MEDICATION OR 2 BASED ON THE MECHANISM VACTION MEDICATION AS IT'S CODED BY THE JEANS AND ALSO BASED ON SOMEBODYS LIKELIHOOD TO BREAK, BE ABLE TO BREAK DOWN THIS B VITAMIN CALLED VITAMIN B 9, ALSO KNOWN AS FOLIC ACID.

SO WE USE GENETIC TESTING TO TRY TO HELP US UNDERSTAND WHICH MEDICATION MIGHT BE BEST FOR SOMEBODY.

SO OBVIOUSLY WE STILL DON'T NEED.

WE STILL NEED TO TALK TO THE PATIENT AND DETERMINED THE DIAGNOSIS BY LOOK AT ALL THE SYMPTOMS.

WE LOOK AT THEIR PAST TREATMENT HISTORY VERY CAREFULLY.

WHAT MEDICATIONS WORKED, WHAT DIDN'T WORK.

WE LOOK AT THE FAMILY HISTORY RESPONSES.

IF WE KNOW THEM TIED YOUR FAMILY DO WITH SIMILAR SYMPTOMS ON VARIOUS MEDICATIONS.

WE LOOK AT THEIR OTHER MEDICATIONS, THEY MIGHT BE TAKING CONSIDERING THERE MIGHT BE INTERACTIONS WITH WHAT WE USE.

WE LOOK AT MEDICAL CONDITIONS THEY MIGHT HAVE.

WE LOOK THEIR HOUSE, THEIR USE OF ALCOHOL, THE USE OF MARIJUANA MARIJUANA ITSELF.

IF YOU SMOKE, IT CAN CERTAINLY AFFECT VARIOUS MEDICATIONS.

WE PUT ALL THESE FACTORS IN TOGETHER.

AND THEN ON TOP OF THAT WE HAD THE GENETIC TESTING SURGE IN A TEXAS TESTING JUST GIVES US ANOTHER DIMENSION IN OUR DECISION-MAKING.

I SAW A MAN JUST A FEW HOURS AGO WHO HAD PREVIOUSLY BEEN TREATED.

WITH A MEDICATION CALLED ZOLOFT AND HE GOT VERY TIRED WITH IT FEEL LIKE IS ACTUALLY MORE DEPRESSED.

WE DIDN'T A TEST ON HIM FINDING THAT ON GENETIC TESTING.

ONE OF HIS JEANS DID KIND OF PREDICT HE WOULDN'T WELL ON ZOLOFT.

HE HAD A SARATOGA TRANSPORTER.

GENE MUTATION THAT PREDICTED THAT HE WOULD DO POORLY ON ZOLOFT AND HE NEEDED.

HE HAD ALSO PREVIOUSLY BEEN ON A MEDICATION CALLED ANTI OR ADHD MEDICATION.

IT'S A STIMULANT MEDICATION THAT SPECIFICALLY INCREASES DOPAMINE IN HIS GENETIC TESTING CONVEYED APP.

HE ADDED HAD A GENE THE CODE FOR AN ENZYME CALLED SUING T AND HIS PARTICULAR GENE, THAT COULD FORCE YOU WANT.

HE SHOWED THAT HE WOULD BREAK DOWN ON DOPING, MEAN AT ROUGHLY ONE-FOURTH THE RATE OF SOMEBODY NORMALLY IF THEY DIDN'T HAVE THE PETE PARTICULAR MUTATIONS.

THE BOTTOM LINE IS FINANCE AS A STIMULANT INCREASED OPEN MEAN FOR HIM.

SO WE HAVE THIS HUGE AMOUNT OF GUILT MEAN THE FRONT PART OF THE BRAIN, PRESUMABLY THAT CAUSED HIM TO BE MORE AGITATED PSYCHOTIC.

BUT ON TOP OF THAT, HE HAD ANOTHER GENE THAT SHOWED THAT HE BROKE DOWN BY THE ANSA VERY SLOWLY.

SO NOT ONLY WAS VI VANCE FROM A MECHANISM VACTION STANDPOINT, AN UNFAVORABLE MEDICATION FOR HIM.

HE BROKE IT DOWN VERY SLOWLY.

SO HIS BLOOD LEVELS OF IDEAS WERE.

POTENTIALLY 4 TO 5 TIMES HIGHER THAN IT WOULD BE FOR SOMEBODY NORMALLY.

SO HE'S GETTING THIS HUGE DOSE OF IDEAS IN THE SYSTEM AND ON TOP OF THAT, HE HAD A NEGATIVE REACTION THAT COULD POTENTIALLY MAKE IT MUCH WORSE BY GETTING HIM EXCESSIVE DON'T MEAN THAT IN THE FRONT PART OF THE BRAIN AND WHAT HAPPENED.

HE GOT PSYCHOTIC AND HE GOT VERY AGITATED LAST.

THAT'S THE REALITY HAD A LOT OF DIFFICULTIES.

SO WITH THAT, WE GOT HIM OFF OF IDEAS.

OBVIOUSLY CHANGES MEDICATION AROUND A BIT TO TRY TO GETTING STABILIZATION THAT'S IN TO HELP OUT.

SO GENETIC TESTING IS NOT DEFINITIVE.

IT'S NOT DIAGNOSTIC, BUT IT HELPS INCREASE THE PROBABILITY THAT WE'RE GOING TO GET SOME ON THE RIGHT TRACK WITH MEDICATION.

SO, YOU KNOW, IT WAS FREE.

I WOULD RECOMMEND IT FOR EVERY SINGLE PERSON.

SOME PEOPLE GOT TO BE ABLE TO AFFORD IT MORE THAN OTHERS OF PEOPLE.

WE'LL FIND THEIR INSURANCE WILL COVER TO OTHER PEOPLE WON'T.

SO ALL TELL PEOPLE IT'S ALWAYS THEIR DECISION.

THEY SHOULD CONTACT A GENETIC TESTING COMPANY TO SEE WHAT THE COST OBLIGATION WOULD BE FOR THEM.

BUT IT'S SOMETHING THAT WE DON'T INSIST WITH EVERY PATIENT.

WE STILL TREAT PEOPLE LIKE WE DID IN THE OLD DAYS WHERE WE CAN STILL USE OF INTUITION AND TRY TO GUESS AT WHAT TYPE OF MEDICATION TREATMENT MIGHT BE BEST FOR THEM BASED ON PAST EFFECTS.

WITH THE WE HAVE THE GENETIC TESTING.

IT KIND OF GETS US WHERE WE WANT TO GO A LITTLE BIT FASTER.

AND I REALLY LIKE TO SEE GENETIC TESTING ON YOUNGER PEOPLE, ESPECIALLY WHO HAVE NOT BEEN ON A MEDICATION SO WE REALLY HAVE ACCUSED TO GUIDE US.

SO IT'S REALLY NICE FOR ADOLESCENTS AND YOUNG ADULTS TO HAVE GENETIC TESTING RIGHT UP FRONT.

THANK YOU FOR YOUR EMAIL ON FORCED THEM AT A TIME FOR THIS EVENING.

FEEL ANY QUESTIONS I CAN ANSWER ON THE EURO CONCERNING MENTAL HEALTH ISSUES.

YOU CAN CONTACT ME BY EMAIL VIA THE ADDRESS MATTERS.

THE ONE WORD AT W S W A DOCK WORKER I'M PSYCHIATRY IS JAY FALL OVER.

>> AND YOU'VE BEEN WATCHING MATTERS THE MY GOD WILLING AND PBS WILLING ON BACK AGAIN NEXT WEEK.

THANKS FOR WATCHING.

HAVE.

GOOD EVENING.

TONIGHT.