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Adult ADHD from the board-certified PMHNP behind the YouTube channel Focus Path and the book The Process. Clinical perspective on medication, frameworks, and the conversations the internet hasn't been having.
This is Actually ADHD.
My name is Jonathan Murphy,
psychiatric nurse practitioner.
Welcome back
This podcast is sponsored by
the Focus Path YouTube channel.
You can check that out on
YouTube at Focus Path Systems
I've been using this podcast as a
way to provide a more unfiltered
place to just talk about whatever
comes up, and I do talk about trauma,
personality disorders, and other
aspects of mental health on my channel.
So, the Lindsay Clancy
case came up last time.
I'm gonna talk about it again ' cause
a lot of people listened to it, so I'm
gonna strike the iron while it's hot.
It's also hitting close to home
'cause I grew up in that hometown.
Last time I talked about that
element, that the geographical,
cultural phenomena that I believe is
a subtext that is never talked about.
But that aside, I just wanted to talk
about my experience in psychiatry,
because many people have a huge
misunderstanding of psychiatry and
how it works and how people are.
Being in the service of helping people
for twenty years with mental health
issues, I was thrown onto the adult
psychiatry unit, acute, twenty-seven
beds at Pembroke Hospital, put on a
one-to-one with psychotic adult, and
you just sort of learn from there.
And going all that way from opening
bathrooms to prescribing medication, I can
tell you that the system isn't perfect,
but the Lindsay Clancy case is not
about Lindsay Clancy versus the system.
It's about did she mean or knowingly kill
her children, or was she out of her mind?
And as the filing on her civil suit
said in the defense that she heard a
voice and she lost control her body
took over, something to that effect.
In terms of psychosis, how does it work?
What does it look like?
I think the meaning has been stretched
quite a bit However, we have to
look at personality disorders.
But what the tribal mentality of
this thing, as I mentioned last time,
the tribal mentality did get more
unhinged to the point where, you know,
there's a lot of, um, stretching the
truth, a stretching of the narrative,
making her more and more the victim.
And I see these people on the bench,
the psychiatry experts, this really
intense elderly man that works with
criminals, mobsters, This is the thing
about mental health professionals.
They are not great in these
situations and settings.
That doesn't mean they're
not great at their job.
They're usually very, very smart people.
Most people don't wanna
work in psychiatry.
It's 'cause you understand
mental health issues.
You grew up in similar situations.
, There's autism spectrum disorder that
can affect the way people behave.
And this media case, this media circus,
has created this sort of voyeuristic
narrative in and all of this stuff.
It's just abhorrent.
I think that regardless of what
happens, the loudest portion of the
media is framing her as a victim.
She went for help.
She asked for help.
And people need to engage in treatment.
She wanted to start therapy,
was what she said in one of the
appointments, but she never did.
And we're all adults.
So if you go to a mental health
professional, it's not our job to
think that you have an ulterior motive
and get inside your head and be like,
Oh, I don't know if you're safe."
Like, people need to
take care of themselves.
We're responsible to take care
of our-ourselves, and she's a
nurse, so she knows full well.
And I believe there was
also a timeline issue.
I didn't realize that she was out of work,
and she was gonna be going back to work,
so there's a very long paternity leave.
And when she started seeking treatment, it
was prior to her returning for, to work.
And while I've filled out many
leave of work absences, they're for
people that are presenting in care,
and I understand their treatment.
They're in therapy with me.
I, I think it is unfortunate when
psychiatrists or practitioners
only prescribe medicine.
I think you gotta have both.
You gotta have meds, and you have
to understand the person's life and
engage them in therapy therapy to see
if they understand what the medicine's
doing because, the medicine is just
a part of it, part of the puzzle.
But this person, , she's showing up, but
what is she doing at the end of the day?
Is she saying, " This is what I'm gonna
do," you know, um, " I'm having thoughts
of hurting my children," or, or whatever.
If she says that, and as it's,
you know, as it, it popped up here
and there, and even members of the
family, you know, no one's saying
anything, no one's doing anything.
Well If someone says that and then they
don't say anything, and then they do it
That doesn't mean it's a big failure.
it Means that, someone decided to do
something really horrible, which is
something that happens one every three
days, a parent kills their child.
A Brown University longitudinal
study I brought up last time.
So it's not uncommon.
So the right thing to do would be allow
the justice system to do what it's
supposed to do and prove the facts of
the case, which is, has to do with the
law, but it feels like the narrative
is spun and everyone's lost the plot.
But there's a couple creators
out there that I've seen that
understand - personality disorders.
To me, the, um, benzodiazepine
prescriptions, seeking
out those medications.
But what would cause someone to do this?
Getting inside someone's head.
It's not necessary to do that.
We can just understand that for people
that have narcissistic personality
disorder and then they realize suddenly
that all the things they wanted
wasn't what it cracked up to be,
that's a humongous injury to the ego.
Narcissistic injury can and does kill.
It's just really narcissism makes the most
sense because it's the supplies gained
through reinforcement of these things.
If I am this person, then I'll this.
If I have this, then I'll feel this way.
But the reality hits pretty fast
when , you realize you're actually
taking care of other people.
Because for a narcissistic
personality disorder, they
can't really understand fully.
There's differentiation, mentalization,
which is the idea that you can actually
conceptualize that there's people
with other emotions and thoughts.
Narcissistic personality disorder doesn't
have the same concept of self and others.
So people walking around the world, we
can have to understand that it is normal
for people to have poor boundaries, poor
sense of self, and they're still logical,
they're still able to communicate,
they carried out intentional actions.
So people do have their mind and
their motivations arranged in
a way that is pathological, and
it's always going to be that way.
We're never gonna erase that.
So we need to understand that
if you're a golden rule person,
as I am, that not everybody is.
This is a great example of how
it can look so monstrous, and you
start to identify with this person.
But I wonder if she does receive a not
guilty verdict, I wonder how much of that
will be due to the influence of media and
the mob, which is a scary thing indeed to
have the mob rule over the rule of law.
But that's just me, and I just want, as
a nurse, what's best for everyone in the
individual sense out there as adults.
I guess that's the Florence
Nightingale framing.
But anyway, I'm looking forward
to talking more actually ADHD.
Next time I'm going to talk about Reddit.
That was the other big, hot topic
I've discussed on this podcast
so far, and I got some good
stuff to talk about on Reddit.
I got some more tea to spill.
So until next time, my name is Jonathan
Murphy, psychiatric nurse practitioner.
Talk to you later.