Are there any treatments for lack of insight in mental illness?

Are there any treatments for lack of insight in mental illness?

Hi, thanks for watching this video about are there any treatments for lack of insight in mental illness.

“Lack of insight” or “Lack of awareness” are phrases commonly used to describe when someone with mental illness is not aware of their symptoms, or does not recognize changes in mood, thought patterns, or perceptions as symptoms.

It’s probably more accurate — and certainly less blame-putting or stigmatizing — to call this anosognosia.

In this video, I answer:
❓ What is anosognosia?
❓ What causes anosognosia?
❓ What’s the latest research for treating anosognosia in mental illness?

⏳TimeStamps⏳
00:00 Introduction to vestibular stimulation as a possible treatment
01:14 Description of the vestibular system
02:05 How the vestibular system works
03:30 Vestibular output contributes to self-awareness
05:20 Right brain hemisphere links to insight and to mania
05:30 Defining anosognosia
06:04 Clinical examples of neurological anosognosia
06:35 Right hemisphere lesions, insight impairment, and mania
07:18 Activating the right hemisphere via the left vestibular system
07:52 The technique of caloric vestibular stimulation
08:54 Cases of reversing anosognosia after stroke of brain injury
10:05 A case of rapid relief from mania with vestibular stimulation
12:29 Three cases of reduced mania, psychosis, and improved insight
14:32 The slow pace of study in this area
15:06 Improved insight, mood, and psychosis is schizophrenia
17:02 Nobody has studied if repeated stimulation produces longer benefits
17:30 Risks and side effects of vestibular stimulation
18:02 Other methods of vestibular stimulation
18:23 Conclusion. What does this tell us about insight in mental illness?

🔑 Key Points 🔑
“Anosognosia” is a medical term that means “lack of disease knowledge”

Some types of stroke or brain damage can produce noticeable deficits (like not being able to see or walk), but also render the person unable to recognize that they have any symptoms → anosognosia.

Anosognosia is associated with damage to the right half of the brain, and psychiatric symptoms often arise when there is unbalanced activity between the left and right halves of the brain.

“Vestibular stimulation” (by irrigating the left ear with ice-cold water) activates the right side of the brain and might temporarily restore Left-Right activity balance.

Vestibular stimulation has been show in case reports and in one small clinical study to:
👉 Reduce mania
👉 Reduce psychosis
👉 Improve insight or awareness of symptoms

These findings suggest new ways to think about treatment (without using medications!) and suggest that “lack of insight” in people with mental illness might be more of a neurological functioning issue and not so much a psychological defense mechanism or willful denial.

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