Psychiatric Interviews for Teaching: Mania
Summary
TLDRIn this script, Mr. Riley meets with Dr. Beddi, a psychiatrist, after being referred by his GP. Riley, who is enthusiastic about his 'cure for cancer,' discusses his theories involving numbers and papers, which he believes are divinely guided. He expresses frustration with his GP and a mechanic friend for not understanding his work. Riley also mentions hearing from God, who he says validates his efforts. Despite Dr. Beddi's attempts to explore Riley's mental state, including sleep and energy levels, Riley insists he is fine and wants to focus on discussing his cure. The conversation ends with Riley dissatisfied, demanding to speak with a higher authority.
Takeaways
- 🤔 The patient, Mr. Riley, is referred to a psychiatrist, Dr. Beddi, by his GP due to concerns about his mental health.
- 🗣️ Mr. Riley uses the term 'trick cyclist' to refer to a psychiatrist, indicating a lack of understanding or dismissive attitude towards mental health professionals.
- 📚 Mr. Riley believes he has a cure for cancer, which he has been working on intensely, suggesting an obsession or delusion.
- 🔢 He uses numbers from various sources like newspapers and football results, adding and subtracting them to arrive at significant numbers for his 'cure'.
- 🏠 Mr. Riley mentions a chart at home that he uses to correlate the numbers he finds, indicating a complex system he has developed.
- 👷 Mr. Riley is a car mechanic by trade, and his colleagues, particularly a friend named Dave, do not take his claims seriously.
- 😇 Mr. Riley claims to receive direct communication from God, who he says validates his work on the cancer cure and encourages him.
- 👨🦳 He describes God as a 'big bloke with a big beard', personifying a divine figure in a very human-like manner.
- 📫 Mr. Riley has attempted to share his findings with high-profile figures like the Pope and the Archbishop of Canterbury, but has not received a response.
- 🤯 He exhibits signs of grandiosity and inflated self-esteem, feeling more clever than others, including his family and work colleagues.
- 💬 The conversation with Dr. Beddi becomes frustrating for Mr. Riley, as he feels his concerns are not being taken seriously, leading to him wanting to speak with someone else in charge.
Q & A
What is the reason Mr. Riley is visiting Dr. Beddi?
-Mr. Riley is visiting Dr. Beddi because his GP referred him to see a psychiatrist, as he believes Dr. Beddi has the time to listen to him.
What does Mr. Riley refer to the term 'trick cyclist'?
-Mr. Riley uses the term 'trick cyclist' as a slang term for a psychiatrist, indicating his initial lack of respect for the profession.
Why does Mr. Riley believe his GP is not very clever?
-Mr. Riley thinks his GP is not very clever because the GP does not listen to him and will not engage in a discussion about his ideas for a cancer cure.
What does Mr. Riley claim to have discovered?
-Mr. Riley claims to have discovered a cure for cancer, which he believes is revealed to him through numbers and clues.
What is Mr. Riley's profession?
-Mr. Riley is a mechanic, as indicated by his own statement during the conversation.
How does Mr. Riley describe his friend Dave's reaction to his ideas?
-Mr. Riley says that his friend Dave called him 'bonkers' and told him to 'fuck off' when he shared his ideas, showing a lack of support.
What does Mr. Riley believe about his intelligence compared to others?
-Mr. Riley believes he is more clever than the people at his workplace and even his family, as he states they are 'not really that clever'.
How does Mr. Riley describe the voice of God communicating with him?
-Mr. Riley describes the voice of God as coming out of his mouth and going into his ears, and he hears it in his ears as it would be a normal conversation.
What does Mr. Riley think about the Pope and the Archbishop of Canterbury?
-Mr. Riley has sent copies of his work to the Pope and the Archbishop of Canterbury, expecting them to respond because they are 'close to God', but he has not received any replies.
How does Mr. Riley feel about his current state of health?
-Mr. Riley feels physically fine and does not believe he needs any sleep or medication, attributing his energy to God's influence.
What is Mr. Riley's reaction to Dr. Beddi's line of questioning about his mental state?
-Mr. Riley becomes frustrated with Dr. Beddi's questions about his mental state and insists on discussing his ideas for a cancer cure instead.
Outlines
🤔 Psychiatrist Consultation and Misunderstandings
The first paragraph introduces a dialogue between a patient, Mr. Riley, and a psychiatrist, Dr. Beddi. Mr. Riley is referred to the psychiatrist by his GP, who he dismisses as not very clever. The conversation is filled with humor and misunderstandings, as Mr. Riley seems to believe he has a cure for cancer and is receiving messages from God. He mentions a 'trick cyclist', a slang term for a psychiatrist, and discusses his frustration with not being taken seriously. The psychiatrist attempts to clarify the reason for the visit and Mr. Riley insists on discussing his 'cure', which he believes is revealed through numbers and clues from newspapers. The dialogue ends with Mr. Riley expressing his hunger and a light-hearted exchange about food.
😡 Frustration and Dismissal of Psychiatric Concerns
In the second paragraph, the conversation between Mr. Riley and Dr. Beddi continues with a focus on Mr. Riley's belief that he has been chosen by God to find a cure for cancer. He describes a voice that he attributes to God, which he says comes from inside his head and not through his ears. Mr. Riley has been sending his findings to various religious figures and political leaders, expecting validation but receiving no responses. He expresses his disdain for his colleagues, considering them less intelligent. The psychiatrist tries to assess Mr. Riley's mental state, questioning his sleep, thought patterns, and self-esteem. However, Mr. Riley dismisses these concerns, insisting that he is fine and that his energy comes from God. The conversation concludes with Mr. Riley becoming frustrated with the psychiatrist's line of questioning, feeling misunderstood and wanting to speak to someone higher in authority, expressing his desire to speak to 'the top cat'.
Mindmap
Keywords
💡Psychiatrist
💡GP
💡Cure for Cancer
💡Manic Mechanic
💡Hallucination
💡Self-esteem
💡Energy
💡Intense Thinking
💡Medications
💡Family History
💡Clever
Highlights
Patient Mr. Riley is referred to a psychiatrist by his GP due to the GP's lack of time to listen.
Mr. Riley uses the term 'trick cyclist' to refer to a psychiatrist.
Mr. Riley expresses dissatisfaction with his GP's intelligence and attentiveness.
Mr. Riley believes he has a cure for cancer and wants to discuss it with the psychiatrist.
Mr. Riley's cure for cancer involves complex calculations with numbers from newspapers.
He has been working on his 'cure' for a long time, with intensified efforts in the past week.
Mr. Riley is a car mechanic by profession, nicknamed 'Manic Mechanic'.
His friend Dave dismissed Mr. Riley's ideas as crazy and told him to 'fuck off'.
Mr. Riley feels he is more clever than his colleagues at work.
He claims to receive messages from God, who tells him he is doing a great job.
God communicates with Mr. Riley through a voice that seems to come from his mouth.
Mr. Riley has sent his findings to the Pope and the Archbishop of Canterbury with no response.
He also wrote to Tony Blair, who he describes as a 'right wanker', without receiving a reply.
Mr. Riley is very busy with his work and has not had time to sleep.
He feels full of energy and does not feel the need to sleep, attributing this to God's enthusiasm.
Mr. Riley believes he is on a mission from God to show his cancer cure to people.
He expresses frustration with the psychiatrist's line of questioning and requests to speak to a higher authority.
Mr. Riley insists he is fine and wants to focus on discussing his cancer cure rather than his mental state.
Transcripts
- Hello there Mr Riley. - Hello, you alright, yeah, yeah. - My name’s Dr. Beddi...
- Right. - and I’m the... - Right.
- ...psychiatrist.
- Right I come and see you cause my GP sent me to see you didn’t he?
– Yeah, yeah. – He said come and see a trick cyclist cos then you'll be alright.
- Come and see a…? - A trick cyclist…a psychiatrist, yeah. - Oh right, ok.
- Yeah you must know that one. - Yeah. - He said come
and see you cause you have time to listen to me. – Yeah.
– He’s not had time to listen to me you see... - Ok. - ...cause he’s a GP, he's a doctor...
- Right. - ...but I don't think he’s very clever.
- Can I just... - He’s not very clever cause he’s not, he's not, he's not...
- Ok. - ...get, get, getting to this you see, he won't let me talk about this.
– Right, ok, well... – He sort of listens to it sometime but then sometimes he doesn’t.
- Right. Can I just clarify why you are here and why I’m here, I’m the psychiatrist...
- Well I've come to see you. - ...in the emergency clinic today...
– Right okay. – ...and your GP has asked me to see you.
– Right so that’s why I’m here. – Is that right? – Yeah cos I got to tell you about this.
– Ok, ok. - And this cos there’s important stuff in there
- Ok. - really really important stuff... – Ok, well before we start with that...
- ...come to see you - ...can I just ask you what would you would...
- Yeah, yeah. - ...like me to call you Mr Riley? – What names?
- Yeah. - Name names a game, I don’t bother with
names that’s just too good... - Right, ok. - ...call me John.
– John. - Yeah ok, what’s your name?
- I’m Dr Beddi John. – No you’re proper name? – My name is Dr...
– No you’re proper name, your proper name is not doctor.
– At work I am Dr Beddi... – You’re not doctor, Doctor Who, Doctor
Who, diddly dang, woddly dang.
- [Laughter from John] It's good that innit, do you watch that it’s fantastic that programme?
- Ok. - Now what is... – John...can I ask you how old are you John?
- How old, I, oh don't, you’re only as old as the woman you feel aren’t you aye?
[Laughter from John] – Right ok.
– You know the way to a man’s heart is through is stomach ooh yeah fantastic.
- Right ok, so how old would that make you John?
- Food for the soul, a nice bit of sole, yeah, aye...
- Right. - a bit of fish, ah fantast, I aint half hungry. - Right.
- You got any food? Any food round here? Oi down, there you got any food, I’m starving nah?
– They won’t be able to get you any food, lets… - Nah, oh, aww.
- Shall we perhaps, I tell you what... - Ok, now let’s get back to this, this is
important. – Yes that’s a good idea, yep ok.
- This is why I’m here to talk to you about this...
– Right ok. - ...to tell you what's going on.
- Ok tell me a bit about this then. – Well this is, this is the work I’ve been doing...
- Right. - ...and it’s really important and it’s my cure for cancer.
– Ok. – That's what it is you know, it’s all written down here...
- Right. - ...well it’s not written down it's here
and it’s at home, in my books at home. - Right.
- What I get from the papers I get is, I get sort of clues...
- Right. - ...as to what I’m supposed to do and how
I’m supposed to get the other clues to hone it down...
- Ok. - ...and come up with a final thing.
- And how long has all of this been going on would you say?
– It’s been for ages now. – How long would you say?
– Absolutely ages now.
– Well I’ve been up all week mostly. – About a week?
– Well this week I’ve been working really hard at it.
- Because before... - It’s been going on longer than a week... - Right.
- ...but I’ve been working really hard on it for this week...
- Because you normally have another... - ...it’s the numbers you see...
- Right. - It’s the numbers you have to find out.
- Am I right in thinking you normally do a different job?
– Yeah I’m a mechanic. - You're a mechanic. - a car mechanic yeah.
- Ok. - Manic, Manic Mechanic they call me.
– Manic Mechanic? - Yeah it was my mate... - Who calls you that?
– My mate Dave, I bought, I show him this and he told me to go away cos I was bonkers...
- He said you were bonkers? - ...in fact he didn’t say go away he told me to fuck off. [John laughs]
– My goodness ok, ok. - He did, he said "Fuck off, you're bonkers." - Did he?
– Anyway... - Ok. - ...so he did that. And er, so I said yeah
I didn’t think he was clever enough really. - Right.
- You know not..and well I went to see the doctor about it.
- Ok. - Cos I thought I'd show him cos he’s a
Doctor, you know he’s been to University,
he’s done stuff... - Yeah.
- ...nah thick as shit. He didn’t, he said he didn't have time...
- Right. - ...I thought how can you not have time to
hear about the cure for cancer... - Right.
- ...y'know what I mean, yeah, yeah? - Ok.
- So that’s why he sent me here to see you to tell you all about it.
- Right, ok, tell me about it, tell me what’s going on.
- Ok, right well it's, I’ve got my various bits and pieces here I find in the papers
like y'know the football results... - Right.
- ...they need adding together.... - Ok.
- ...and then I have to find some other information on this page. There’s some pages and page
numbers there... - Right. - ...add those together and take it away from
what’s on there. - Right.
- So, so, I do that and you find you find other things.
– And then what does that number do then? - That number corresponds to numbers I’ve
got on my, on my chart at home. I’ve got a big chart on my wall...
- Right. - ...and I find that number - Ok.
- ...and that adds up to something else. - Uhuh.
- It’s, it's, it's all there, I mean that’s, that's, that's really good, I’m gonna get one of those.
– What’s that? – That’s, that's really good, that’s,
that's a phone, it does the internet... - Right.
- ...and everything... - Ok. - ...so I’ll be able to find out more stuff...
- Right. - ...you know, that way, when I’m out and about. - And, and...
- So there’s numbers you see, I’ll use those numbers there...
- Right. - ...y'know they’ll need adding up...
- Ok. - ...and taking away from something else.
- And John, when you’ve done all this with all the numbers...
- Yeah. - ...and the chart... - Yeah.
- ...where will that leave you? What is it you're headed for?
– Well, it’s the cure for cancer innit, that's what it is.
– The cure for cancer?
- The cure for cancer, yeah. - Ok, so how’s that going to work then?
– Well, how it works is God tells me you know, that er, I’m doing a really good job...
- Right. - ...and how great I am and how fantastic
it is I’m working at this you know... - Ok.
- ...and I just keep going at it... - Ok.
- ...you know I don’t stop, I don;t stop.
- Ok, can I just take you back a step... - Yeah sure.
- ...because you said God tells you...
- God tells me, go on. - ...can you tell me a bit more about that?
– Well he, he, he tells me, he just talks to me, yeah.
– He talks to you? – Yes, he talks to me...
- Ok, alright. - ...and tells me - Right.
- I’m doing a really good job... - Ok. - ...and I’m fantastic...
- So God talks... - ...and I'm really wonderful... - Uhuh.
- ...and I’m great, you know I'm doing...
– Ok, and when God talks... – ...and I have to show this to people... - Right.
- And that's why I've come here to show you. - And John, when God talks to you... - Yeah.
- ...can I just clarify this with you. - What?
- Does he talk to you like I’m talking to you, with the voice coming through your ears
or does it feel more like...
– Voice doesn’t come through your ears it comes out of your mouth, voice comes out
of your mouth and goes in your ears. – That’s right.
– Yeah I get...you should know that cos you know you’re a doctor as well aren't you.
- Yeah. - So you should know these things, yeah.
- And is that how the voice seems to you John?
– I hear him in my ears... - You hear him in your ears?
- ...because that's what I'm used to hearing...
- Right, Ok. - ...and he talks to me with his mouth cos
he's, he's... – So the voice that seems to come through your ears
rather than from inside your head? – It’s quite loud cause he’s a big bloke...
- He's a big, is he a big bloke?
- ...he’s a big bloke yeah, yeah and he’s got a big beard.
- What’s he like then? – Well he's a big bloke with a big beard, yeah.
- Right. - I called him? Beardy Beardy once he didn’t
like that he got a right hump... - Right, ok.
- ...Christ he, I called him Beardy Beardy. – Yeah I can imagine.
– Yeah cos I just... - And what kind of... - ...so I, I, I just call him Sir.
- You call him Sir? - He likes to be called Sir yeah.
- Ok, and what kind of things, when he’s talking to you, what kind of things does he
say to you John? – He tells me I’m fantastic... - Right, ok.
- ...you know, how great I am for doing this... - Uhuh.
- ...and getting stuck into this and keeping at it and that I should show it to people.
- Right, ok. - And that's what, that’s what I do, I come
out and I show it to people. There's some stuff...
- So who have you been showing it to?
– Well, ok, who have I been showing? I’ve erm, I've sent copies of stuff to the Pope...
- Right. - ...and the Archbishop of Canterbury, none
of them have written back, you’d think they would you know...
- So no replies yet? - ...cos they’re close to God, they probably know him.
- Right, ok. - They probably met him and stuff. - Yeah.
- Well I mean the Pope, he claims to have met him...
- Right. - ...I mean you don't know...- Yeah.
- ...I would assume the Pope knows God... - Right.
- ...he knows, he's got his address, his telephone number, everything like that.
- Right. - But then you know, er, see the Archbishop
of Canterbury, I think he’s just rude, cos he’s not written back at all.
– Right.
- And there’s Tony Blair. – So you’ve written to Tony Blair as well?
– Yeah, yeah, he’s a right wanker,you see he didn't...
– Ok and what did he say? - What? - What did Tony say?
– Nothing, nothing, I got a letter back, well I didn’t even get a letter back from
him, I got it back from somebody else. - Right.
- Not him...
- Ok. - ...could’ve got lost in the post and somebody
could have got it by mistake but... - Ok, so...
- ...just hoping nobody has stolen my ideas really...
- Ok, it sounds John as though... - ...cos that's what it is.
- Sorry to interrupt. - It's ok.
- It sounds John as though this has all been keeping you really busy.
– Really busy, really busy – Have you been sleeping at all?
– No I aint had time to sleep nah...
- No time to sleep? - ...nah, nah, nah
– When was the last time you had a good night’s sleep would you say?
– Pfft. Don’t need it. - Don't need it?
- Don’t need it, I got all this enthusiasm from God...
- Right... - .. you know... - ...so what's your...
- ...it's there it’s the energy inside me, it's there to make me do work.
– So you feel as if you’ve got a lot of energy?
– Yeah, tons of it, tons of it. - And how are your thoughts, are they going
fast? Are they, are you thinking lots? Lots of ideas?
– Well yeah you have to think very intensely, you look at stuff down here, there's, there's,
I got that in the door the other day, you know...
- Ok. - ...there's lots of numbers on there that need adding up and taking away.
– And John how are you feeling about yourself? Your self-esteem, how do you feel about yourself
as a person at the moment?
– Fantastic. - You feel fantastic?
- I feel fantastic, you know cos God’s telling me...
- Right. - ...I am yeah... - Ok.
- ...and that I’m doing a really really good job...
- Yeah. - ...and it’s all there and it’s all happening.
- And tell me this John, because I couldn’t get it from your GP letter, have you ever
had anything like this before in your life? Where you have felt full of energy and lots
of bright ideas? – No, nah. - It's not happened before...
- Nah, but this has been going on for so long that I can’t really remember anything else you know.
– And have there ever been any times in your life where you've kinda been the opposite John?
- Where you’ve been a bit down in the dumps, not much energy?
– No, nah, nothing like that. - Nothing like that?
- No, nothing like that no.
- Ok, and what about any family history, does anyone in your family have things like this?
– No, no it's just me its really, well they’re not really that clever you know.
– Who’s not that clever? – My family.
- Your family? - You know, that’s why I have to come see
doctors, places, hospitals and things like that because they have clever people, you're a clever person...
– Right, so do you feel as if you’re more clever than perhaps other people?
– Well, well, well yeah. - Right.
- You know I’m certainly more clever than those people at work...
- Ok. - ...you know cos they’re a bit thick.
– And John, I guess I’m wondering what might have happened to start all this off
for you, have you any thoughts yourself what’s brought this on?
– Well, well God. Yeah. - God, yeah, yeah.
- Ok. - And he just came to me one day... - Right.
- ...one day he just came to me you know... - Ok.
- ...and I started noticing connections with numbers and things.
- Right, yeah, I wonder... - It’s, it's, it's all there you’ve just
got to find it. - Ok, I wonder John...
- You’ve got to dig deep and look for it you know what I mean, yeah yeah?
- Right, ok. How have you been feeling physically in your physical health? Any problems there?
– Physically, fine, I’m, I'm, I'm fine yeah, absolutely.
– And have you been taking any prescribed medication...
- No, no, no, nothing like that...
- ...any drugs that aren’t prescribed, any substances.
– I just need everything that's within me now, I don’t need anything else.
- And you know how you were saying that your mate at work...
- Yeah. - ...said that you were... – Who Dave?
- Yeah. - Yeah he said rude things... – He said rude things...
- ...and I don't like repeating it... - ...he kind of suggested you might be... – I told you what he said didn't I...
– Yeah you did, you did. - ...he used the F word and I don't like that. - No, no.
- No. – It sounded like he thought you weren’t very well at the moment.
– No I’m fine. - What do you think to that because? – Now look can we look at this now, cause
this is what I want to talk about? - Right.
- It's just that I’ve come here to talk about this and you seem to be going off on one for some reason...
- Yeah. - ...and you’re not really paying attention to me.
– Yeah I guess what it... – Do you want to do that now, can we talk a bit more about this now?
– Well I guess before we get back into that I guess what...
– Well no I don’t want to get back in, I want to talk about it now, can we talk about it now please?
– I guess John what I’m wondering is whether
t his might be a sign that you’re not very well at the moment?
- No I’m fine I want to talk about this, you seem to want to change the subject...
- Yeah.
- ...so I don’t want to talk to you anymore. I’ve had enough of you and I’ve had enough
of being here. I want to talk to somebody else, I want to talk to the boss. I want to
talk to your boss... - Right.
- ...where’s your boss? – John, I am the boss, I'm a consultant...
– Well you’re a shit boss and I want to talk to somebody else, there must be somebody
else I can talk to? – There isn’t John. - I want to talk to the headman, I’m fed up
with talking to the oily rag, I want to talk to the engineer, no more monkeys. The organ
grinder for me, I want to talk to the top man, top boss, top cat, that’s who I want
to talk to. Top cat, top cat, top
cat, yeah, ohh, ee, doo, lup, dup, ah.
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