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Psychiatric Interviews for Teaching: Mania
University of Nottingham · Watch on YouTube · Generated with SnapSummary · 2026-09-16

00:13 Hello there, Mr. Riley.

00:15 Hello. You all right? Yeah.

00:16 My name is Dr. Betty and I'm the

00:18 psychologist.

00:18 I'll come and see you cuz my GP sent me

00:20 to see you, didn't he? He said, "Come

00:21 and see a trick psychist cuz then you'll

00:23 be all right."

00:23 Come and see.

00:24 Trick psychist. Psychiatrist. Yeah, you

00:25 must know that one. Yeah. He said, "Come

00:27 and see cuz you have time to listen to

00:28 me." Yeah,

00:28 he's not had time to listen to me, you

00:30 see, cuz he's a GP, he's a doctor, but I

00:32 don't think he's very clever. He's not

00:34 very clever cuz he's not he's not he's

00:35 not

00:36 let get into this, you see. He won't let

00:38 me talk about this. He taught us this

00:40 sometime, but then Yeah. Sometimes he

00:42 doesn't.

00:42 Can I just clarify why why why you're

00:44 here and why I'm here? I'm I'm the

00:46 psychiatrist in the emergency clinic

00:47 today and your GP's asked me to see.

00:49 Yes, that's why I'm here. Is that right?

00:51 That's why No. Yeah, cuz you I got to

00:52 tell you about this.

00:53 Okay. Okay.

00:54 And this cuz there's important stuff in

00:55 there. Really, really important stuff.

00:56 Before we start with that, can I just

00:58 ask you what would you like me to call

00:59 you, Mr. Riley?

01:00 Well, names names are games, so I don't

01:02 bother with names. That's just stupid.

01:03 Okay.

01:04 Call me John.

01:04 John?

01:05 Yeah. Okay. What's your name?

01:06 Okay. I'm Dr. Betty.

01:07 No, your proper name.

01:08 My name is Dr. Your name's not Doctor

01:11 at work. I am Dr. Betty.

01:13 You're not doctor. Dr. Diddly Dang. Wley

01:16 Dang.

01:16 Okay. Good day. Do you watch? That's

01:18 fantastic. Okay. Now, now what? What is

01:21 Can I ask you how how old are you, John?

01:23 Oh, only as old as a woman you feel,

01:25 aren't you? Right. Okay.

01:27 You know, wake the man's artist to his

01:28 stomach. Oh, yeah. Fantastic. How old

01:30 would that make you?

01:31 To the soul. Nice bit of soul. Yeah. No.

01:33 A bit of fish. F. I'm hungry. You got

01:36 any food? Any food around here? Oh,

01:38 wait. Down there. You got any food? I'm

01:40 starving now.

01:41 They won't be able to get you any food.

01:43 Should we perhaps I'll tell you what,

01:44 let's think about this in a minute. This

01:47 is a good idea. This is important. This

01:48 is why I meant to talk to you about

01:49 this.

01:50 Tell you what's going on.

01:51 Tell me a bit about this then.

01:52 Well, this is this is the work I've been

01:53 doing. which is really important and

01:55 it's it's my cure for cancer.

01:57 That's what it is. You know, it's all

01:59 written down here. It's not written

02:00 down. It's here and it's at home in

02:02 books at home. What I get from the

02:03 papers is I get I'll get s clues as to

02:06 what you know what I'm supposed to do

02:07 and how I'm supposed to get the the

02:09 other clues to to so I can hone it down

02:11 and and come up with a final.

02:13 How long John has all of this been going

02:14 on?

02:15 It's been going for ages now. Ages now.

02:18 Well, I've been up all week most. But

02:20 this week I've been working really hard.

02:22 It's been going on longer than a week,

02:23 but I've been working out really hard

02:24 for this week.

02:25 You norally have some numbers you have

02:27 to to find out.

02:28 Am I right in thinking you normally do a

02:30 different job?

02:30 Yeah, I'm a mechanic. You're a mechanic.

02:32 Car mechanic. Yeah. Manic mechanic they

02:34 call me.

02:35 Manic mechanic.

02:36 Yeah, it was my mate. Let my mate Dave.

02:38 My mate Dave. I I bought show him this

02:41 and he told me well he told me to go

02:43 away cuz I was bonkers. He didn't say go

02:45 away. He told me to off.

02:47 My goodness. Okay. He said off.

02:49 You're bonkers. Anyway, so he did that

02:51 and so I said, well, you know, I didn't

02:53 think he was clever enough really, you

02:55 know, not because I went to see the

02:56 doctor about it because I thought, show

02:58 him because he's a doctor, you know,

03:00 he's been to university, he's done

03:01 stuff, you

03:01 Yeah.

03:02 thick as No, he really didn't. He

03:05 said didn't have time. I thought, how

03:06 can you not have time for to hear about

03:08 the cure for cancer, right? You know

03:09 what I mean? Yeah. Okay. Yeah. So,

03:11 that's why he sent me to see you because

03:12 I tell you all about it.

03:13 Okay. Well, tell tell me about it then.

03:14 Okay. Well, I've got I've got me various

03:16 bits and pieces here and I find things

03:18 in the papers like, you know, the

03:19 football results, you see, they need

03:20 adding together and then I have to find

03:22 some other information on this page.

03:24 There' be some there's some majors and

03:26 page numbers, right?

03:27 Add those together and take it away from

03:28 what's on there. Yeah. So, that's I I do

03:31 that and then you find what does that

03:33 number

03:33 you find you find other things. That

03:35 number corresponds to numbers I've got

03:36 on me um on me chart. I've got a big

03:39 chart on me wall and I find that number

03:41 and then that that adds up to something

03:43 else and it say it's all there. I mean

03:45 that's that's that's really good.

03:46 I'm going to get one of those.

03:47 What's that?

03:48 That's that's really good. That's as a

03:49 phone. It does that does internet and

03:51 everything. So I'll be a find out more

03:52 stuff right

03:53 you know that way when I'm when I'm out

03:55 and about. But that's that's and there's

03:56 numbers you see. I'll use those numbers

03:58 there. You need adding up and taking

04:00 away from some.

04:00 And John, when you've done all this with

04:02 all the numbers and the chart, what will

04:03 where will that leave you? What what is

04:05 it you're headed for?

04:06 Well, it's a cure for cancer.

04:07 cure for cancer. Cure for cancer. Okay.

04:09 How how's that going to work then?

04:10 Well, how it works is God tells me, you

04:13 know, uh that, you know, I'm doing a

04:14 really good job and how great I am and

04:16 how fantastic is I'm working at this,

04:18 you know, and I just I just keep going

04:20 at it. You know, I don't stop. I don't

04:21 stop.

04:22 Okay. Can I just take you back a sec?

04:24 You said God tells you. Can you tell me

04:26 a bit more about that?

04:27 Well, well, he tells me. He just he just

04:29 talks to me,

04:30 you know. He talks

04:31 He just He talks to me. He tells me, you

04:32 know, I'm doing a really good job and

04:33 I'm fantastic, really wonderful, and I'm

04:36 great. You know, I'm doing and I have to

04:38 show this to people. That's why I'm

04:39 coming to show you.

04:39 And John, when God talks to you, can I

04:41 just clarify this with you? Does he talk

04:43 to you like I'm talking to you with the

04:46 voice coming through your ears or does

04:47 it feel more

04:48 voice doesn't come through your ears?

04:49 Comes out your mouth. The voice comes

04:50 out your mouth and goes in your ears.

04:51 That's right. Yeah. I'll get straight.

04:52 You should know that because you know

04:54 you you're a doctor as well, aren't you?

04:55 So, you should know these things.

04:56 And is is that how the voice seems to

04:58 come? hear him in my ears because that's

04:59 what I use for hearing and you know and

05:01 and he talks to me with his mouth cuz

05:03 you know

05:03 so the voice that seems to come through

05:05 your ears rather than inside your mouth

05:06 he's quite loud cuz he's a big bloke

05:08 he's a big Is he a big bloke

05:09 he's a big bloke yeah and he's got big

05:10 big beard

05:11 what's he like then

05:12 well he's big bloke big beard yeah I

05:14 called him beardy beardy once he didn't

05:15 like he got right up

05:18 call him beardy beardy

05:19 okay I can imagine

05:19 yeah what kind of just call him sir

05:23 you call him sir be called sir and what

05:25 kind of things when he's talking to you

05:27 what kind of things Does he say to you

05:28 John?

05:28 He tells me I am fantastic. You know how

05:31 great I am for doing this. You get stuck

05:33 into this and keep keeping at it and I

05:34 should show it to people,

05:35 right? And that's what I do. I'll come

05:37 out and I'll show it to people.

05:38 So, who have you been showing it to?

05:40 Well, okay. Who have I've sent copies of

05:43 stuff to the pope,

05:45 right?

05:45 And ask Bishop Canterbury. None of them

05:47 are written back. You think they would,

05:48 you know, they're close to God. They

05:50 probably know him, you know, they

05:51 probably met him and stuff, you know,

05:53 with the pope. He claims to have met

05:54 him. I mean, you don't know. I would

05:56 assume the pope knows God. He knows he's

05:58 got his address and his telephone number

06:00 and everything like that. But you know

06:01 then Archbishop I think he's just rude

06:04 cuz he's not written back at all.

06:06 And there's Tony Blair.

06:07 He written to Tony Blair as well.

06:08 Yeah. What did he say? What what did

06:11 Tony say?

06:12 Nothing. I got a letter back. Well, I

06:13 didn't even get a letter back from him.

06:14 I got it back from somebody else. Right.

06:16 Not him. It could have got lost in the

06:17 post and somebody got it by mistake. But

06:19 just hoping nobody stolen my ideas.

06:21 Really? That's what it is.

06:23 Sorry to interrupt. It sounds John as

06:25 though this has all been keeping you

06:26 really busy.

06:26 Really busy. Really busy.

06:28 Have you been sleeping at all?

06:29 No. No time to sleep. No.

06:30 No time to sleep. When was the last time

06:32 you had a good night's sleep, would you

06:33 say?

06:34 Don't need it.

06:35 Don't need it. I got all this enthusiasm

06:36 from God. Do you know it's there? So

06:38 energy inside me.

06:39 So you feel as though you've got a lot

06:40 of energy.

06:41 Yeah. Yeah. And how are your thoughts?

06:43 Are they are they are they are they

06:44 going fast? Are they are you thinking of

06:48 ideas?

06:48 I think very intensely. I mean you look

06:50 at stuff down here. I mean, you know,

06:51 there's there's not I got that in the

06:52 door the other day, you know, and

06:53 there's lots of numbers on there that

06:55 need adding up and taking away.

06:56 How are you feeling about yourself, you

06:58 know, your self-esteem? How do you feel

07:00 about yourself as a person at the

07:01 moment?

07:01 Fantastic.

07:01 You feel fantastic.

07:02 I feel fantastic because, you know,

07:03 God's telling me I am. Yeah. I'm doing a

07:05 really, really good job and it's all

07:07 there and it's all happening.

07:08 And tell me this, John, cuz I I couldn't

07:09 get it from your GP letter. Have you

07:11 ever had anything like this before in

07:13 your life where you felt full of energy

07:15 and lots of bright ideas?

07:16 No. No. But this has been going on for

07:18 so long that I can't really remember

07:19 anything else, you know.

07:20 And and have there ever been any times

07:21 in your life when you've kind of been

07:22 the opposite, John,

07:24 where you've been a bit down in the

07:25 dumps, not like nothing like that. No.

07:28 Okay. And what about any family history?

07:31 Does anyone in your family have things

07:32 like that?

07:33 No, it's just me. I was just just me.

07:34 It's really Well, they're not that

07:36 clever.

07:37 Who's not that clever?

07:38 Me family.

07:39 Your family.

07:40 You know, that's why I have to come and

07:41 see doctors and place hospitals and

07:43 things like that because you're clever

07:45 person. Do you feel as though you're

07:46 more clever than perhaps other other

07:47 people?

07:48 Well, yeah. Well, yeah. I'd certainly

07:50 clever those people at work, you know,

07:51 cuz they're a bit thick.

07:52 And John, I guess I'm just wondering

07:54 what might have happened to start all

07:56 this off for you. Have you any thoughts

07:57 yourself this on?

07:59 Well, God. Yeah.

08:00 God.

08:00 Yeah. Okay.

08:01 Yeah. And yeah, it did just came to me

08:03 one day. One day just came to me. Yeah.

08:05 I started noticing connections with

08:06 numbers and things

08:08 and it's it's it's all there. You've

08:09 just got to find it. You got to dig deep

08:11 and look for it. You know what I mean?

08:13 Okay. How have you been feeling

08:14 physically in your physical health? Any

08:16 problems there?

08:17 Fine. Fine. I'm I'm fine. Yeah.

08:18 And have you been taking any prescribed

08:20 medication or even

08:21 No, nothing drugs that aren't

08:23 prescribed. Any substances?

08:25 I just need everything in within me now.

08:27 I don't need anything else.

08:31 And and you know how you were saying

08:33 that your your mate at work said that

08:35 you were you were

08:36 Dave?

08:36 Yeah.

08:37 Yeah. He said rude things. He said rude

08:38 things. I don't like repeat.

08:39 He kind of suggested that you told him

08:41 what he said, didn't I? Yeah, you did. F

08:43 word. I don't like that.

08:44 No. No.

08:45 But it sounded like he thought you

08:46 weren't very well at the moment.

08:48 No, I'm fine.

08:49 What do you think to that? Do you think

08:50 Can we Can we Can we look at this now?

08:52 Cuz this is what I want to talk about.

08:53 This is I've come here to talk about and

08:54 you see me going off on on something

08:56 else you're not paying really paying

08:57 attention to.

08:58 Yeah. I I guess

08:59 Can I do that now? Can we can we talk a

09:00 bit more of this now?

09:01 Well, I guess before we get back into

09:03 that, I guess

09:03 Well, no, I don't want to get back. I

09:04 want to talk to you about now. Can we

09:06 talk about it now, please? I I guess

09:08 John, what I'm wondering is whether this

09:11 might be a sign that you're not very

09:12 well at the moment.

09:13 No, I'm fine. I want to talk about this.

09:14 You seem to want to change the subject.

09:15 I don't want to talk to you anymore.

09:16 I've had enough of you and I've had

09:18 enough of being here. I want to talk to

09:19 somebody else. I want to talk to the

09:21 boss. I want to talk to your boss.

09:22 Where's your boss,

09:23 John? I am the boss.

09:24 Well, you're a boss and I want to

09:25 talk to somebody else. There must be

09:26 somebody else I can talk to. I want to

09:28 talk to dead man. I'm fed up with

09:29 talking to rag. I want to talk to the

09:31 engineer. No more monkeys. The organ

09:33 grinder for me. I want to talk to the

09:35 top man. Top boss. Top cat. That's what

09:37 I talk to. Top cat. Top cat. Top cat.

09:39 Yeah.

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