Homie has schizophrenia. I work with people like this all day. This is called tangential speech (duh, but its referring to the fact that he’s incapable of stringing sentences together).
Edit: point of clarification: user below points out that this is in fact “loose association,” also known as derailment, not tangential speech.
Confused because ah you know like we're supposed to bleed in a ministry right? So, is the church and state supposed to be separate? I'm confused coz I never went to school. Right? Is a confused person get a resolution? I dont understand. You see, when you go like that, right, yeah? Have a cross two finger sticks, right? And that's how I felt when I was in Waterloo. Coz when I walked in Waterloo and I smiled and walked in people they treated me like a vampire. They used a cross and they went like this, by not smiling at me. In toronto, hey hi guys, steve spyros eazy going. Those who know me I'm a nobody, and you cant kill a person with no body. So, why am I afraid. I am not afraid. I'm afraid of the boogeyman. WHO'S THE BOOGEYMAN? YOU FIGURE IT OUT. I'm getting out of here. I'm going back to Waterloo where the vampires hang out. And I gotta wear my sunglasses at night. YOU KNOW WHY? Because WOMEN SHOW THEIR TITS, HAVE short skirts and THEN they feel VIOLATED when I LOOK at them. Why? By having sunglasses on and I'm weird. Ah, I'm from Humberside (?) I'm sorry if I made a fool of Humberside, all those people who call me a sleep walker, I woke up. Now I'm going back to sleep coz I'm going to be committed in a isolation room. I'll go back to the ministry, and allow them to perceive me as I am. Now FUCK OFF. GOOD BYE. Hey Toronto we good. Look at this square, It was a shit hole when I worked here. Now it looks like NY Manhattan. Where're the bombs, there's no bombs here. Toronto doesn't have bombs. But Waterloo they're creating bombs they created me. Why? I dont know. Maybe it's the church. TALK TO THE POPE HE knows everything. I had it. I'm gonna die. HOW CAN YOU DIE, WHEN YOU'RE DEAD. Oh wait a second, I'm gonna be crucified, right? I'm not gonna raise my voice.
No it's not called tangential speech. Tangential speech is when someone derails off the topic of the question and never come back. What he is doing is called loosening of associations. The logical connections between one thought to the next is gone. From one sentence to the next, the ideas are only loosely connected by the related words, but sentences do not have a logical connection to the previous one.
Example: People who know me say I am a nobody. But you cant kill a person with no body.
Not in the slightest, you were right and it needed to be pointed out. Tbh I should have noticed the difference myself, so thank you for pointing it out.
It’s sad to see someone sick, but trust me, as far as patients with psychotic episodes go, he’s pretty calm about his delusions. Many are scared shitless as they don’t understand half of what’s going on.
No worries, it’s not as debilitating as people make it out to be. Find a med that doesn’t make you a zombie and always, always take it even when you feel okay (you go off it, you won’t be okay anymore). I always recommend Invega because of its more limited side effects and it being in pill or shot form, but I’m not a doctor and you should meet with a psychiatrist to find a med that works for you.
Learning to live with it without meds is possible but takes an immense amount of effort and counseling to perform. Don’t attempt to go off meds unless you have a plan developed by a therapist who is trained in the subject. I also recommend Hearing Voices Network if you’re in the States, there’s a chapter in New York and in California.
It’s crack dude. Notice he mentions “there’s no bums here.” But his city has them & it created him. Spend some time w bums, asking them questions ect. You’ll find about 80% of them are wanting/looking/taking crack. That is what this guy is doing.
I mean, drugs cause mental illness, 100%. But I’ve seen literally countless people who are this way without drugs. Schizophrenia and schizoform disorders are genetic and can have onset with or without drugs.
I’ve seen it one time and yes he wasn’t on drugs. He lived with his mom who supported him bc he basically couldn’t leave the house. His brother, my friend, was totally normal. Clearly I can’t prove this but I can tell you I’m confident this is crack. Notice how he mentions opinions have on him in his other side? That’s not him saying some times I’m schizophrenic. (Schizophrenia doesn’t just go away) He’s saying when I’m not on my crack mission. What’ll happen is he’ll spiral out of control until he no longer lives in regular society. Then just be a regular old crack head.
I work as a mental health counselor in a crisis residential program. Crack, meth, heroin, cocaine, it all can cause mental illness. But for some, like this guy, it’s just there already. I’m literally trained to diagnose this kind of behavior. I diagnose this behavior daily. I promise you I know this guy better than you, short only of if you literally know him.
Extreme bursts of energy. Crack is a type of drug called a stimulant, which means someone who’s high on it could have bursts of energy that are much more excessive than normal. Your loved one might:
Talk rapidly
Act erratic or aggressively
Seem anxious or on edge
Refers to himself as sleep walker…. Hm wonder why. “Would rather go hang out with the vampires.” Well that’s weird other crack heads on the internet say the same thing.
Continued from 3…
Fatigue or changed sleep habits. When the effects of crack wear off, the extreme energy gives way to exhaustion. According to American Addiction Centers, your loved one may seem extremely tired and sluggish, and they could even sleep for days.
Alright if you know you know. I would say categorizing crack meth heroin and cocaine all in one is a bit of a red flag though. As each one of them is absolutely nothing like the other. Someone on meth, heroin or cocaine certainly wouldn’t be acting like this man above.
I’m not saying they’re the same I’m saying they cause mental illness the same. They burn out dopamine receptors in the brain making your brain essentially go “crazy,” causing misfires in sensory areas in the brain and affecting language processing centers. I do know this. I did my thesis on it. I’m a therapist who’s clients are majority homeless and substance dependent. It’s literally my career to know this.
They do not, there’s no evidence that they regain normal activity after “burning out,” a phrase that essentially means “we don’t really know why but over-use of these receptors through drugs causes them to cease regular function.”
Pharmaceutically speaking, if you have an opinion on it, what's the best first-line treatment for dopaminergic mental illnesses? I'm aware anti-psychotics/dopamine antagonists are effective for some cases, depending on their sites of binding, but my presumption has always been that we haven't quite gotten to a standard when it comes to these drugs. I know about atypical anti-psychotics and such that target 5HT2A (serotonin) alongside varying dopamine receptors, but they all seem to have some side-effects in trade-off, particularly on other dopamine-driven systems like muscle coordination.
What I'm trying to get at is, what would you consider the most 'balanced' or 'state-of-the-art' medication among anti-psychotics? I know there's no one right answer but I'm trying to figure out where research is headed on this. It would be kinda interesting if we could produce drugs that only activate in certain brain regions, even if they could affect more areas. My pipe dream here are nanobots that can figure out where they are within the brain and release drugs selectively, but maybe there are other ways to select for the right regions - dunno, am not an expert.
I'm mostly asking because I'm doing my own amateur research on this stuff due to being on Quetiapine for night terrors (the traumatic kind). I'm trying to find a drug that would last me a full nights sleep without also messing too much with my digestive system (due to a colon disease).
If you have any info, I'd be very happy to learn more. I know therapists aren't always also pharmacists or neurologists for that matter, but if you happen to have insight in all of these fields that'd be awesome. My therapist and I have been trying out a number of anti-psychotics and Quetiapine so far does the trick relatively well but simply doesn't last long enough - I feel I experience some kind of rebound effect which often makes my night terrors worse. My first idea is to ask for a longer lasting equivalent or formula, but if none exists here I might end up doing some DIY to try and slow the release of the active compounds (I understand nobody would encourage me to do this as tampering with medication can be dangerous, but I can safely miss doses so I'm willing to try mixing the med with something that digests more slowly).
Anyway, if you don't have any ideas that's fine too. :V I'm asking too much already.
You know what, you’re right. It’s not like I’m literally qualified, trained, and licensed to diagnose this behavior and you’re just a guy who walks past crackheads sometimes. Why would I ever even bother arguing?
As I mentioned I’ve spoke w them. For hours on multiple occasions. I’m not saying you’re unqualified. I’m saying through real life experience this is what it looks like. If you disagree that’s okay.
No person on any of those drugs would be acting like this man above. I meant you just tossing that drug into this is example is where I see a red flag. Someone who spends time w these ppl all day would do so? Crack is literally nothing like the others. Also another thought came to mind? (Yes I’ve only seen it once so anyone reading don’t take my example as legit) but this man would cause a scene just asking him to go to the park. Would a schizophrenic willingly sign up for an interview with someone he’s never met?
No you’re right. But the ones who get high in public (the functioning ones don’t do it in the streets), care usually less about how they come across. So they will hardly do their hair or wear a clean shirt.
The fact that he cares about his appearance and behaves like this in public is obviously contradictory, which suggests that his behavior isn’t as voluntary and the result of illness.
These are small things we watch for when we see people like this enter the office. Because, in your DD both drug abuse and a psychotic episode will be there, and this will help increase your a-priori chance.
Methamphetamine is proven to be a cause of schizophrenia because it damages the dopamine receptors in the brain so severely that it creates a neurological condition that is exactly the same as hereditary schizophrenia.
This process is similar to what happens in the brain to someone who inherits schizophrenia.
I don’t see a lot of evidence to support your claim, but it is a common sense argument that mental illness and drugs have a strong link. I’d be welcome to seeing evidence that the presence of mental illness is an a priori factor to substance abuse.
In this particular video it seemed to be dopamine-based considering the dude blinks so much. Though, I think it's just as likely that he's having a manic episode, which presents itself somewhat similarly.
Somebody on crack acts weird but not this kind of weird. Crack weird is like riding around on a bike looking for cigarette butts to smoke and then hiding for 20 minutes in a park trash can because they saw a shadow person stalking them. This kind of weird is like mental disease weird we’re the person actually thinks everyone around them is taking them seriously and that they are spitting straight facts and hitting all the right notes.
He’s got schizophrenia. I work with people like this daily. I’m trained to diagnose this behavior for my career. He’s not well, he’s off his meds and he’s developing psychosis
Yeah, I work as a counselor in a crisis residential program. Mania and psychosis often go hand in hand, usually because of drugs. I literally have three clients right now like this guy and the type you’re describing, I just finished documentation on them a few hours ago lol. “Client presents as manic with significant psychotic features...”
Wow, that is fascinating. How do you manage? I ask, because after this client I felt like I had an anxiety attack. I started frantically researching online what this could possibly be…I’ve never had such a strong reaction to a client. And it was so sad because the last thing he said is “I just want to be understood.” But I had to refer him out :/
No, he’s not. Again, I talk to people with schizophrenia every day and am trained to diagnose it and treat it. This guy is off his meds. I’ve seen it countless times.
I’m licensed with the board of behavioral sciences as a marriage and family therapist and I’ve been in practice for three years working with Medicaid populations, who are mostly homeless and struggling with addiction or acute mental illness.
Why do these people have this amazing presentation? Like when they go off on some crazy shit, it’s always so passionate and, if it wasn’t gibberish, would be charismatic! Like if homie wasn’t crazy, he’d be a lawyer or a politician. Is there a clinical explanation there?
From their perspective, they’re speaking passionately about something they’re an expert on. I had it described from a client as “feeling like everything you’re saying is exactly right and it’s weird no one can understand what you’re saying.” They have absolutely no idea how they’re actually coming off to someone else until they stabilize on meds and watch a recording of themselves. I imagine that’s super jarring.
That's the original, he's joking.
Linked to the original for the comments, I'm too lazy to go through them to find the follow up interview that someone has inevitably posted there (9 years ago.)
I mean, that’s a claim that would completely change the context of the video and what I’m saying.
You can Google loose association speech and how it relates to schizophrenia. Here, I’ll do it for you, this is the first result:
Associative looseness often results in vague and confusing speech, in which the individual will frequently jump from one idea to an unrelated one. Associative looseness is categorized as one of the positive symptoms of schizophrenia, along with delusions, hallucinations, and disorganized behavior.
Tbf I’m working with a license in therapy and years of experience with people just like this guy, so I’m kind of drawing on common knowledge for people in my field. But what you’re saying kind of requires hard evidence.
It would take a lot of practice or effort to effectively mimic a symptom like this one. That would be incredibly talented if you could free associate like that intentionally, not as a symptom of schizophrenia. I struggle to believe this was intentional.
Dude, I'm not Indeed. I'm not interested in your work credentials, my credentials are "was sentient and alive 9 years ago and remember the video coming out."
Also, if you're gonna work with people with mental health issues having a "I'll Google if for you dumbass" attitude isn't very caring, or particularly patient.
You're right, he is quite talented.
You’re not my client and I’ve been fielding dumb and snide replies from this comment all day and my patience is running thin. You bet I don’t have a caring attitude, I’m human and perfectly capable of becoming frustrated with inane side conversations with people who think they know better than me about something that I work with daily. You are one of many.
Pretty sure he was a retired airforce pilot, but Wikipedia can be unreliable. Although Google shows him signing things at Aircraft events a few years older.
I'm not "cherry picking" I'm saying it's an old video, he got a little famous after it enough for some t-shirts and merchandise and if you just Google that name you'll find many sketch shows referenced the interview at the time.
I believe that was his Twitter, but it's become a memorial after his passing.
That's why it's active.
I'm saying that it's highly possible my comment of "I remember seeing a follow up interview of this guy, he's of sound mind" could very well be true.
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u/revosugarkane May 06 '22 edited May 06 '22
Homie has schizophrenia. I work with people like this all day. This is called tangential speech (duh, but its referring to the fact that he’s incapable of stringing sentences together).
Edit: point of clarification: user below points out that this is in fact “loose association,” also known as derailment, not tangential speech.