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Hello, hello, I'm Kenna. I'm Koelle and welcome back to diagnosing a killer

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mental breakdown

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There you go. There you have it ladies and gents. We are back with the other...

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ladies and joins. I hate that. Goils and joins. The girly girls. Shout out Haley and Anai and Kaelin.

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Even though they don't listen, it's okay. It's okay. Nobody ever listens. We are back with

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another mental breakdown. I actually did something different for this one, so I'm really excited

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about it. No celebrities, no killers. I am going all the way in with the diagnoses. Okay. I'm just

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going to get right into it because this is going to be a longer than usual mental breakdown. Okay.

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So I decided to research the top 10 rarest mental disorders. I had only heard of like three of these.

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Really? I swear. Okay. Okay. I'm going to kind of spurt these off. So number one, it's not in any

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particular order. So the first one that I'm going to talk about is called Kill Cap Syndrome and it's

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spelled K-H-Y-A-L. It's Cambodian. It's like where it's most prevalent. So Kill Cap, or better

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known as Wind Attacks, is a syndrome found among Cambodians in the United States and Cambodia.

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According to the DSM-5, common symptoms are similar of those apanic attacks. These include dizziness,

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palpitations, shortness of breath, and cold extremities along with the symptoms of anxiety

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and anatomic arousal such as tinnitus and nexornus. Why is it only in Cambodians? Well, you'll see.

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Not only, but most often found in Cambodians. Now these attacks are centered on kill, which is a

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wind-like substance. This is like a phenomenon. So it's rising in the body and the blood and it

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causes a range of serious effects. So like, you know when you get the wind knocked out of you?

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It's kind of like getting the wind knocked into you, right? No, it's a little bit different.

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They may occur without warning and the attacks usually meet the criteria for panic attacks.

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There's actually a study done in culture medicine and psychiatry that found that Cambodian refugees

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with PTSD often complain of these attacks. It involves a great fear that death might occur

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from bodily dysfunction. So a headache from panic attacks, shortness of breath, you think that you

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will die from those symptoms. Kill cap is an example of a cultural syndrome or a syndrome that tends

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to co-occur among individuals in specific cultural groups, communities, or contexts that explains why

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it's mostly prevalent in one area. During the Pol Pot Regimen, that was from 1975 to 1979,

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one to three million of Cambodia's population of seven million died of starvation, illness, or

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execution. It was very tragic. Major traumas, of course, followed, including slave labor,

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slave labor, starvation, disease, physical displacement, lack of shelter, physical and

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sexual violence, and the torture and killing of friends and relatives. They were pretty much

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an inconsistent threat of death, like everybody, by illness, starvation, or execution. Okay, so at

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the end of the Pol Pot, like I said in 1979, Vietnamese troops invaded the country, leaving

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civilians to be trapped. There was, of course, a lot of fighting going on, and they were exposed

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to artillery and small arms fire. But even after managing to escape from Cambodia, as many were

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able to do during this chaos, refugees still had to endure the additional hardship of long stays

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in dangerous refugee camps, of course. So it's like a combination between panic attacks and almost

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PTSD. Yeah, and maybe acute stress as well. So all in all, my point to this being that the

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factors that occurred here determined the levels of the disorder that would eventually develop

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and would be expected from the extraordinary levels of trauma, of course. So Cambodian refugees

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have high rates of psychopathology. There was a large survey that I looked up. They did research

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on it. It was a total of 586 Cambodian refugees in Long Beach, California, found that 62% of them

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had PTSD and 51% had major depression disorder. Wow. Among Cambodian refugees treated at

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psychiatric clinic in the Boston area. Another study found that 56% had PTSD with elevated

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PTSD scores on PTSD scale and another 60% rate of panic disorder, which they culturally refer to

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as kill cap. Yeah. So that's the first one. Wow. And I say, I say rarest mental disorders,

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but I'm over here 56%. Yeah. That's a lot. Of an entire culture of people. Yeah. So the second

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cultural syndrome that I want to talk about is called Cufangisia, or it's also referred to as

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thinking too much. Oh, okay. It's found among the Shona people of Zimbabwe mostly. And many cultures

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thinking too much is considered to be damaging to the mind and body, which causes specific symptoms

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like headaches and dizziness. I mean, that's really interesting. Even in our culture,

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thinking too much, stressing too much, it can be really damaging to your health.

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It elevates your blood pressure and all that stuff. Yeah. So Cufang...

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I have had such a hard time saying this word. We probably laughed about it for like five whole

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minutes just now and then I messed up again. Cufangisia involves ruminating on upsetting

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thoughts, particularly worries. And as a cultural expression, it's considered to be causative to

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anxiety, depression, and some problematic symptoms. So example, my heart is painful because I think

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too much. That's how they would interpret that in Zimbabwe. Thinking too much is a common idiom of

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distress and cultural explanation across many countries and ethnic groups, including Africa,

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the Caribbean, Latin America, and among East Asian and Native American groups. The term cultural

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concept of distress is a new addition to the DSM-5. Cultural concepts of distress refers to

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ways that cultural groups experience, understand, and communicate suffering, behavioral problems,

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or troubling thoughts and emotions. The term is a recent advance in the history of attempts to

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categorize psychological distress with demonstrable cultural influence that lacks one-to-one unity

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with biomedical psychiatric diagnoses. That's like a mouthful, but pretty much it's like

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similarities in all of these syndromes, disorders, and stuff across different cultures, but we name

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them different things. So they kind of have their own interpretation of it. I was going to say when

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you were listing off those countries like Africa, Latin America, the Caribbean, I feel like that's

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so many people. Clearly that's a very real diagnosis when you think. Yeah, definitely.

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Well yeah, so they kind of put all of those different cultural ones under that umbrella

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of cultural concepts of distress in the DSM. I see. I feel kind of weird about that. It's a little

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like, oh that's your interpretation of what that is. Yeah, it's a little off thing. But it is.

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Again, this is number two on the most rarest disorders or symptoms.

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Or yeah, it's just rare, the sort of the general, not the top two. No, I know, but I mean like what

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I'm saying, that's like millions of people. Yeah, and I think that's maybe what we're not listening

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about this. This one specifically rare quote unquote is because it's... Cufangisia. Cufangisia

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is specifically in Zimbabwe. I think that's why it's rare. Oh, because of the word itself. I see,

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okay. Yeah, I don't think it's the whole concept. Yeah. It's called CCD, the cultural concept of

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distress. So the attempt to label CCD dates back to Pao Min Yeop's research in Hong Kong in the 1950s

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and 60s. He employed the term culture-bound depersonalization syndrome to describe Koro,

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which in their culture is a state of acute anxiety with partial depersonalization associated with

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fear of the penis retracting into the body. So this is under that same umbrella, but just in a

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different cultural... I see, okay. But it's cultural concepts of disorders. Yes, the term cultural bound

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syndrome has been used in cross-cultural psychiatry since and was included in the DSM for. So number

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three is called clinical lycanthropy. So clinical lycanthropy involves a delusion that the affected

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person can transform into an animal. It's often associated with turning into a wolf or werewolf.

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Oh, like other ken. Yes. I think that's so cool. The name of the syndrome originates from the

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mythical condition of lycanthropy or shape-shifting into wolves. People with this disorder believe

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that they can take the form of any particular animal and during this delusion or hallucination,

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affected individuals can act like the animal. For instance, people may act like wolves and be

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found in forest and wooded areas. The Journal of Neuropsychiatry and Clinical Neurosciences labels

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this disorder as a type of delusional misidentification syndrome. Since 1850, there have been 56

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original cases descriptions of people who believe they were metamorphosing into an animal. Since 1850,

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it's been almost 200 years and there's only been 56 cases. Among these 56, only 13 met the criteria

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for clinical lycanthropy, which is again the medical term for having delusions. The objective

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clinical is used to emphasize that the condition does not mean actual lycanthropy or the ability

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to metamorphose physically, of course. But only 13 out of those 56 have been actually diagnosed and

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said this is a you or you have clinical lycanthropy. And 56, I guess, are the descriptions of people.

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Yeah, reported cases. Okay. Okay. But reported is not diagnosed. You're saying 13 of them have been

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diagnosed. I think that's really interesting. Yeah. There is such thing as called other kin and

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other kin is basically that. Yeah. It's like a, I guess like a layman's term for the, for the actual

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term. Yes. Would be other kin. Yes. So number four, you might remember you being Quelle and you being

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the listeners might remember from the Josh Phillips case. It is depersonalization, derealization

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disorder. And I did briefly speculate that Josh Phillips may have been suffering from this

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disorder at the time that he killed Maddie Clifton. I don't know if that's true or not,

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but that's just something that could have been a possibility. So depersonalization,

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derealization disorder is described as the separation from oneself, one surroundings,

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or both patients who have this disorder feel as though they are observing themselves from

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outside their own body. They may also believe that things aren't real as though their surroundings

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are distorted or time is speeding up or slowing down. One or both of these tendencies can lead to

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DDD. I'm just going to call it that because it's a long title. Symptoms must be persistent to qualify

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for a diagnosis because according to psychology today, it's normal to feel this way briefly due

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to side effects of medication, recreational drugs, or some other physical or mental health condition.

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So it has to be persistent and ongoing. So something similar, but not the exact same called

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transient depersonalization, derealization is actually quite common. This situation occurs

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when you experience depersonalization from symptoms very briefly. So you have a fleeting

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feeling of being detached from yourself or the environment. You may feel like you're watching

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yourself in a movie. Like if you're at a really early meeting and you're just zoning out a little bit.

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Experts estimate it occurs in about half of the population, just the transient part of it.

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Is that also when you drive home and you forget you even drove there?

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Yeah, and you're like, was that light green or did I just go through a red light?

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So reoccurring DDD occurs in less than 2% of the population and it's very rare for

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depersonalization, derealization to actually need treatment, which I thought was interesting.

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So like your brain can typically snap you out of it at some point?

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Yeah, or maybe talk therapy or something. But I think treatment as in like recurring, you know.

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Now coming in at number five, we have Diogenes syndrome.

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Diogenes?

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Diogenes.

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Diogenes.

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Okay.

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The compulsive hoarding of rubbish and seemingly random items is the main feature of this syndrome.

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Okay.

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It's found mainly in the elderly and is associated with progressive dementia as well.

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Other characteristics include extreme self-neglect, apathy, social withdrawal, and a lack of shame.

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So it's pretty much like an extreme hoarder of trash.

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Where it's like, yeah, where you watch episodes of hoarders and there's like excrement all over

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the bathroom and stuff like that.

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Exactly. Or there's like literal garbage or just like newspapers that you don't need things like that.

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I find that stuff really interesting honestly because like I don't think I'm the neatest person,

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but I certainly don't keep like food stuff in my room.

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Like usually just the occasional like empty water bottles.

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And I say water bottles.

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The occasional water bottles.

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But yeah, hardly ever food.

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But I do, you know, I think everybody's seen network television, national network television.

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I won't say the network's.

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Everyone's seen an excerpt of something similar to one.

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Yeah, of course.

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It's on TV and I think, I mean, it's like the one thing that doesn't jump out is the smell.

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You know, you can't smell it, but you can see it.

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And you're like, how are people blind to that?

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Yeah.

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I don't think it's not blindness.

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But you get used to it.

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Yeah, exactly.

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Now this syndrome is a misnomer as it is named after the Greek philosopher Diogenes of Sinep.

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Diogenes was a cynic who, according to the philosophy he helped found, rejected the desire

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for wealth, power and fame, choosing to live free from all possessions.

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He found virtue and poverty slept in a large ceramic jar and sought social interaction.

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Wow.

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I feel like that's like the ultimate camper life.

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What is that like?

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Hashtag van life.

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It's like, yeah, hashtag vase life.

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Hashtag ceramic jar life.

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So the annual incidence of this syndrome has been estimated to be around five per 10,000

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individuals age six year older and living alone.

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Those are the most common.

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There's been mixed evidence in terms of prevalence in comorbid disorders.

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A study of 30 individuals with this syndrome found that 50% had no comorbid psychiatric

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disorder.

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Another study included 72 individuals with this syndrome found that isolation, alcoholism,

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and psychotic disorder coexisted.

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Although these two studies have the largest sample sizes studied for the disorder,

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a major limitation of the studies is that they were both published before 1975,

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bringing of course into question validity and reliability.

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Well, I mean, yeah, when was the last time they studied that?

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That's just this specific study that I looked at.

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But over the years, several individual reports have been published highlighting the continued

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identification of the syndrome.

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So it is still happening.

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It didn't just stop because these articles and apps, these articles didn't have an update.

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Number six is Stendhal syndrome.

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So those with Stendhal syndrome experience physical and emotional anxiety as well as panic

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attacks to sociative experiences, confusion, and hallucinations when exposed to art.

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What?

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It's very unheard of.

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And it's really unheard of.

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Yeah.

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These symptoms are usually triggered by quote,

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art that is perceived as particularly beautiful or when the individual is exposed to large

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quantities of art that are concentrated in a single place such as a museum or gallery.

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However, individuals may experience similar reactions to beauty in nature.

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The syndrome is named after a 19th century French author who experienced symptoms during

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a trip to Florence in 1817.

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Stendhal syndrome may also be called hyperculture mania or Florence syndrome.

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There wasn't a lot of information about prevalence, but I did find that in 1989,

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an Italian psychiatrist and the Santa Maria Nuova Hospital in Florence

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wrote up observations on the 106 visitors who had been treated as emergencies and even

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hospitalized in her department in the previous decade.

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Most of them had been transported straight to the hospital from the city's art galleries

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and museums.

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Their symptoms including dizzy spells, palpitations, hallucinations,

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disorientation, loss of identity, and physical exhaustion.

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Precipitating factors, things that also could have made this happen,

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were an impressionable personality, the stress of travel, and the encounter with a city like

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Florence because it's known for being haunted by ghosts of the great death in the perspective of

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history.

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Well, it's also massive.

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Yeah.

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And it's also gorgeous.

212
00:15:35,300 --> 00:15:36,660
And it's overwhelming, I feel like.

213
00:15:36,660 --> 00:15:39,300
Yeah, I wonder if people are just going to faint when they go to Florence.

214
00:15:39,300 --> 00:15:44,740
So again, this was in 1989 and the treatment was just getting out of Italy as soon as possible.

215
00:15:46,740 --> 00:15:49,140
So there's no really known cause.

216
00:15:49,140 --> 00:15:49,700
Yeah.

217
00:15:49,700 --> 00:15:51,700
Or you know treatment.

218
00:15:53,060 --> 00:15:53,940
Number seven.

219
00:15:53,940 --> 00:15:55,780
So this is getting out of Italy.

220
00:15:57,620 --> 00:15:58,740
Everybody's like just leaving.

221
00:15:58,740 --> 00:16:01,780
I feel like they made that up just to get rid of tourists.

222
00:16:01,780 --> 00:16:02,020
Right.

223
00:16:02,900 --> 00:16:07,940
Number seven is called a Podium nophelia, also known as body integrity identity disorder.

224
00:16:07,940 --> 00:16:12,900
A Podium nophelia is characterized by the overwhelming desire to amputate healthy parts of the body.

225
00:16:13,700 --> 00:16:15,620
Oh my God, that's awful.

226
00:16:15,620 --> 00:16:19,380
Though not much is known about it, this disorder is believed to be neurological.

227
00:16:19,380 --> 00:16:24,020
Those affected may amputate or attempt to amputate their own limbs or damage the limbs so that

228
00:16:24,020 --> 00:16:25,620
surgical amputation is necessary.

229
00:16:25,620 --> 00:16:27,300
That's so scary.

230
00:16:27,300 --> 00:16:30,740
A Podium nophelia may be related to damage to the right lobe in the brain.

231
00:16:31,460 --> 00:16:35,540
The condition is challenging to treat because people experiencing it often do not seek treatment.

232
00:16:35,540 --> 00:16:36,260
Yeah.

233
00:16:36,260 --> 00:16:40,100
However, both cognitive behavioral therapy and aversion therapies can be attempted in order

234
00:16:40,100 --> 00:16:41,860
to treat it once treatment is sought.

235
00:16:41,860 --> 00:16:46,260
So the incidence of this disorder is estimated to be several thousand people worldwide.

236
00:16:46,980 --> 00:16:52,340
This is partially based on the number of affected participants in relevant internet forums that

237
00:16:52,340 --> 00:16:55,300
people confide in, but it's not a set number.

238
00:16:55,300 --> 00:16:59,460
Is it not a part of what would be considered a self-harm thing?

239
00:17:00,260 --> 00:17:00,900
I don't think so.

240
00:17:00,900 --> 00:17:02,260
It's incredible.

241
00:17:02,260 --> 00:17:04,580
It says it's assumed to be neurological.

242
00:17:04,580 --> 00:17:04,900
Yeah.

243
00:17:04,900 --> 00:17:05,620
Yeah.

244
00:17:05,620 --> 00:17:08,980
Fewer people are affected by the desire to be blind.

245
00:17:08,980 --> 00:17:13,460
Official estimations of its frequency are not currently available, but this part of a similar

246
00:17:13,460 --> 00:17:18,900
disorder is that people want to be blind so they induce blindness on themselves.

247
00:17:20,100 --> 00:17:22,100
Okay, so Andre Thomas pulled out his own eyes.

248
00:17:22,100 --> 00:17:24,900
Is that something that he suffered from?

249
00:17:24,900 --> 00:17:25,940
Hear what I'm going to say next.

250
00:17:25,940 --> 00:17:30,020
The exclusion criteria for this includes psychotic disorders such as schizophrenia or

251
00:17:30,020 --> 00:17:30,980
delusional disorders.

252
00:17:30,980 --> 00:17:35,940
So if you are diagnosed with schizophrenia, you cannot in turn be diagnosed with this.

253
00:17:35,940 --> 00:17:42,900
Yeah, it would be a main contributor for actions like that instead of this.

254
00:17:44,020 --> 00:17:47,780
Number eight I have for you is called Alien Hand Syndrome.

255
00:17:48,500 --> 00:17:49,780
Alien Hand.

256
00:17:49,780 --> 00:17:54,500
This syndrome is characterized by the belief that one's hand has its own life and doesn't

257
00:17:54,500 --> 00:17:55,620
belong to itself.

258
00:17:56,260 --> 00:17:59,620
Individuals experiencing Alien Hand Syndrome have normal sensation,

259
00:17:59,620 --> 00:18:01,460
but feel that their hand is autonomous.

260
00:18:01,460 --> 00:18:05,460
Those with Alien Hand Syndrome may personify the limb as a separate entity.

261
00:18:05,460 --> 00:18:09,220
The unaffected hand is under the individual's control while the affected hand has its own

262
00:18:09,220 --> 00:18:09,700
agenda.

263
00:18:09,700 --> 00:18:10,580
It's like idle hands.

264
00:18:10,580 --> 00:18:11,620
Do you ever see idle hands?

265
00:18:11,620 --> 00:18:11,940
No.

266
00:18:11,940 --> 00:18:12,820
Idle hands?

267
00:18:12,820 --> 00:18:15,860
No, from a 90s movie with Devonsawa.

268
00:18:17,460 --> 00:18:20,100
I think it's one of Jessica Alba's first movies ever.

269
00:18:20,100 --> 00:18:21,540
And again, it's in the 90s.

270
00:18:21,540 --> 00:18:24,980
And it's like Bay Devonsawa and Bay's Seth Green.

271
00:18:24,980 --> 00:18:26,180
Sorry, sorry, buddy.

272
00:18:26,180 --> 00:18:26,980
I love Seth Green.

273
00:18:26,980 --> 00:18:28,020
I love Seth Green.

274
00:18:28,020 --> 00:18:32,820
But yeah, he's in it and then, but it's about Devonsawa's hand is like possessed by a devil

275
00:18:32,820 --> 00:18:33,940
and it kills people.

276
00:18:36,340 --> 00:18:37,940
That's exactly what that sounds like.

277
00:18:37,940 --> 00:18:38,420
Yeah.

278
00:18:38,420 --> 00:18:43,860
So this syndrome is thought to occur in individuals who have damage to the corpus callusum,

279
00:18:43,860 --> 00:18:46,340
which connects the two cerebral hemispheres of the brain.

280
00:18:46,900 --> 00:18:50,020
Other causes include stroke and damage to the parietal lobe.

281
00:18:50,020 --> 00:18:54,980
The hands then appear to be in an intermanual conflict or meaning they act in opposition

282
00:18:54,980 --> 00:18:55,780
to one another.

283
00:18:55,780 --> 00:18:56,180
Wow.

284
00:18:56,180 --> 00:18:59,780
A remarkable form of hemian attention occurs in the alien hand syndrome.

285
00:19:00,500 --> 00:19:05,620
In this disorder, a patient's left hand retains at least rudimentary motor and sensory functions,

286
00:19:05,620 --> 00:19:09,380
but the patient cannot control its movements or appreciate its sensations.

287
00:19:09,940 --> 00:19:14,740
Without the patient awareness, the hand moves semi-purposefully independently making

288
00:19:14,740 --> 00:19:19,140
autonomous explorations and performing simple tasks such as scratching or moving like moving

289
00:19:19,140 --> 00:19:20,580
clothes around on the body.

290
00:19:20,580 --> 00:19:25,620
In an often quoted example, a patient reported that her hand intermittently attempted to choke her.

291
00:19:25,620 --> 00:19:29,780
Patients may treat the hand as though it were an errant child, sometimes rebunking, slapping,

292
00:19:29,780 --> 00:19:31,220
or chastising it.

293
00:19:31,220 --> 00:19:36,420
The alien hand syndrome definition technically requires that the patient reveals two misperceptions.

294
00:19:36,420 --> 00:19:40,340
One, the patient does not possess the hand and two, because the hand's movement takes place

295
00:19:40,340 --> 00:19:45,220
without the patient's knowledge and control, another person, aka the alien, governs it.

296
00:19:45,780 --> 00:19:51,060
Most patients simply feel estranged from the hand or only accept a tenuous relationship with it.

297
00:19:51,060 --> 00:19:55,300
Non-dominant lobe injury underlies most cases, but some have occurred in the context of corpus

298
00:19:55,300 --> 00:19:56,500
callosome injury.

299
00:19:56,500 --> 00:20:00,420
Alien hand syndrome is present in approximately 60% of affected individuals.

300
00:20:01,460 --> 00:20:02,500
That's incredible.

301
00:20:02,500 --> 00:20:03,620
What an incredible syndrome.

302
00:20:05,140 --> 00:20:08,660
It's very different than what we're used to seeing when we talk about mental disorders.

303
00:20:08,660 --> 00:20:10,980
So number nine is called capgrass syndrome.

304
00:20:10,980 --> 00:20:15,140
This syndrome is named for Joseph Capgrass, a French psychiatrist who explored the illusion

305
00:20:15,140 --> 00:20:15,940
of doubles.

306
00:20:15,940 --> 00:20:17,860
This one I was blown away with reading about.

307
00:20:18,420 --> 00:20:22,340
Those with capgrass syndrome hold the delusion of belief that someone in their life,

308
00:20:22,340 --> 00:20:26,980
usually a spouse, close friend, or family member, has been replaced by an imposter.

309
00:20:26,980 --> 00:20:27,540
Yes.

310
00:20:27,540 --> 00:20:32,100
It can occur in patients with schizophrenia, dementia, or epilepsy and after a traumatic

311
00:20:32,100 --> 00:20:33,140
brain injury.

312
00:20:33,140 --> 00:20:36,420
Treatment approaches mirror those utilized for the underlying disorders and can often

313
00:20:36,420 --> 00:20:40,500
include antipsychotic medications, the retrospective evaluation of patient files,

314
00:20:40,500 --> 00:20:46,100
and 920 cases admitted to the psychiatric inpatient unit on this article that I read.

315
00:20:46,100 --> 00:20:50,580
Over five years revealed that 12 patients fulfilled the criteria for capgrass syndrome.

316
00:20:50,580 --> 00:20:54,260
The crude prevalence of capgrass syndrome in this population during the five-year period

317
00:20:54,260 --> 00:20:55,540
was 1.3%.

318
00:20:56,180 --> 00:21:00,740
Schizophrenia, with being 50%, was the most common psychiatric diagnosis in these patients,

319
00:21:00,740 --> 00:21:05,300
and only two patients presented with an organic etiology underlying capgrass syndrome.

320
00:21:05,300 --> 00:21:08,100
So only two patients had this with no other underlying epilepsy.

321
00:21:08,100 --> 00:21:08,500
Really?

322
00:21:08,500 --> 00:21:09,060
Yeah.

323
00:21:09,700 --> 00:21:15,060
I think I've heard of that in certain cases where people have shot people that they know.

324
00:21:15,060 --> 00:21:15,460
Yeah.

325
00:21:15,460 --> 00:21:19,940
Especially like, I remember one case, I'm pretty sure I'm not mistaken about this,

326
00:21:19,940 --> 00:21:24,180
because there was an elderly guy who had been diagnosed schizophrenic and he ended up shooting,

327
00:21:24,180 --> 00:21:27,300
I think it was his son, because he thought he was an imposter.

328
00:21:27,300 --> 00:21:30,100
It sounds like dementia or Alzheimer's.

329
00:21:30,100 --> 00:21:32,100
It's scary.

330
00:21:32,100 --> 00:21:36,420
The tenth and final one that I have for you today is called Alice in Wonderland Syndrome.

331
00:21:36,420 --> 00:21:41,380
It's also known as Todd syndrome, but Alice in Wonderland Syndrome is a neurological condition

332
00:21:41,380 --> 00:21:46,260
in which one's perception of their body image, time, or space is distorted, just like the movie.

333
00:21:46,260 --> 00:21:46,820
Interesting.

334
00:21:46,820 --> 00:21:53,300
Those experiences syndrome may have hallucinations, sensory distortion, and an altered sense of velocity.

335
00:21:53,300 --> 00:21:56,500
Though there are many symptoms, the most prevalent one is altered body image.

336
00:21:56,500 --> 00:21:59,620
Patients are confused about the size and shape and parts of their bodies,

337
00:21:59,620 --> 00:22:01,700
which Alice in Wonderland when she eats the...

338
00:22:01,700 --> 00:22:02,180
The mushrooms.

339
00:22:02,180 --> 00:22:03,860
The mushrooms, she gets bigger or smaller.

340
00:22:04,820 --> 00:22:07,860
These symptoms can trigger panic and fear responses, of course.

341
00:22:08,500 --> 00:22:11,780
Alice in Wonderland Syndrome is often associated with frequent migraines,

342
00:22:11,780 --> 00:22:15,620
brain tumors, or drug use, and can affect children between the ages of five and 10.

343
00:22:15,620 --> 00:22:18,100
It's actually relatively common in children.

344
00:22:18,100 --> 00:22:19,060
Wow.

345
00:22:19,060 --> 00:22:21,860
Alice in Wonderland Syndrome has no proven effective treatment,

346
00:22:21,860 --> 00:22:26,260
but treatment programs for the probable causes of the condition are employed to bring about relief.

347
00:22:27,140 --> 00:22:27,940
So that's all I have.

348
00:22:27,940 --> 00:22:32,660
That was a lot of disorders really quickly, but I just thought it was super interesting to do the

349
00:22:32,660 --> 00:22:37,540
rarest ones because you don't hear about those, especially in cases with criminal activity.

350
00:22:37,540 --> 00:22:41,700
You don't really hear about those ones because these other symptoms that usually outshine or outweigh

351
00:22:41,700 --> 00:22:43,300
those other ones.

352
00:22:43,300 --> 00:22:46,660
It was really interesting, like the cultural aspect when you talked about the people of Cambodia

353
00:22:46,660 --> 00:22:48,260
or the Khufang Yixia.

354
00:22:48,260 --> 00:22:49,700
Yeah, that was in Bobway.

355
00:22:49,700 --> 00:22:51,700
Yeah, that was really interesting.

356
00:22:53,300 --> 00:22:53,780
I don't know.

357
00:22:53,780 --> 00:22:57,780
Like I feel a little weird about the fact that it's under a cultural blanket.

358
00:22:57,780 --> 00:22:59,540
We all mean the same thing, right?

359
00:22:59,540 --> 00:23:04,260
But just because it's not in the DSM-5, we call it something else.

360
00:23:04,260 --> 00:23:06,580
And I guess it's just like maybe an American thing.

361
00:23:07,620 --> 00:23:12,180
But yeah, I think it's really interesting, like cultural, like the thought of thinking too much.

362
00:23:12,180 --> 00:23:12,740
Yeah.

363
00:23:12,740 --> 00:23:18,740
The thought of thinking too much is detrimental to you and how, you know, and again, like we talked

364
00:23:18,740 --> 00:23:22,260
about it relating to anxiety disorders or stress disorders.

365
00:23:22,260 --> 00:23:23,140
It's really interesting for those people.

366
00:23:23,140 --> 00:23:27,700
It really does kind of shed light on, you know, like you said, the different cultural aspects.

367
00:23:27,700 --> 00:23:34,180
I feel like I learned a lot, but it also shows how similar we are to people on the other side

368
00:23:34,180 --> 00:23:34,740
of the world.

369
00:23:34,740 --> 00:23:38,500
You know, we might believe different things when it comes down to it, but things like that

370
00:23:38,500 --> 00:23:40,340
resonate with each other and they're really similar.

371
00:23:40,340 --> 00:23:41,540
I just think that's super interesting.

372
00:23:41,540 --> 00:23:42,420
Mm-hmm.

373
00:23:42,420 --> 00:23:47,620
If you guys have any out there disorders that you want us to talk about that are rare or, you

374
00:23:47,620 --> 00:23:50,900
know, not only talked about very often or not really heard of, please let us know.

375
00:23:50,900 --> 00:23:52,100
We will talk about it for sure.

376
00:23:52,740 --> 00:23:53,700
Thanks for being the topic.

377
00:23:53,700 --> 00:23:54,500
That was really cool.

378
00:23:54,500 --> 00:23:54,740
Yeah.

379
00:23:54,740 --> 00:23:55,380
It's something different.

380
00:23:55,380 --> 00:23:58,100
I popped into my head last night and I was like, oh my god, I have to do this.

381
00:23:58,100 --> 00:23:58,260
Yeah.

382
00:23:58,260 --> 00:24:00,420
Like I started researching and I was like, I have to.

383
00:24:00,420 --> 00:24:02,420
And, you know, there's many more than just those 10.

384
00:24:02,420 --> 00:24:04,820
I just wanted to make it not a three hour episode.

385
00:24:04,820 --> 00:24:05,700
Yeah.

386
00:24:05,700 --> 00:24:06,980
But anyways, yeah, thanks for it.

387
00:24:06,980 --> 00:24:07,700
Thanks for coming.

388
00:24:07,700 --> 00:24:08,100
Awesome.

389
00:24:08,100 --> 00:24:09,300
Like you have a choice.

390
00:24:09,300 --> 00:24:10,260
Thanks for being here.

391
00:24:10,260 --> 00:24:12,180
Thanks for listening.

392
00:24:12,180 --> 00:24:14,580
You guys can follow us on Instagram at Diagnosing a Killer.

393
00:24:14,580 --> 00:24:16,820
We also have Twitter at Killer Diagnosis,

394
00:24:16,820 --> 00:24:21,140
diagnosing a killer at gmail.com, patreon.com slash diagnosing a killer.

395
00:24:21,140 --> 00:24:23,060
And if you didn't, he listened to our last episode.

396
00:24:23,060 --> 00:24:24,660
We were on Great Day S.A.

397
00:24:24,660 --> 00:24:26,980
You can find that by googling Great Day S.A.

398
00:24:27,620 --> 00:24:31,540
That is S.A. as in San Antonio 1217, 2021.

399
00:24:31,540 --> 00:24:33,300
And our article, okay.

400
00:24:33,300 --> 00:24:33,940
Love you guys.

401
00:24:33,940 --> 00:24:34,420
Love you.

402
00:24:34,420 --> 00:24:59,700
Bye.

403
00:24:59,700 --> 00:25:02,580
So number two coming in at number two.

404
00:25:02,580 --> 00:25:02,740
Number two.

405
00:25:02,740 --> 00:25:04,740
It is called...

406
00:25:06,740 --> 00:25:07,140
Good luck.

407
00:25:07,780 --> 00:25:08,980
Coo-fung-giz-ee-ah.

408
00:25:08,980 --> 00:25:10,020
I said this.

409
00:25:10,020 --> 00:25:10,420
Giz-ee-ah.

410
00:25:10,420 --> 00:25:11,300
I think it's giz-ee-ah.

411
00:25:12,020 --> 00:25:12,340
Giz-ee-ah.

412
00:25:12,340 --> 00:25:14,340
I'd put it in there phonetically, but I think it's...

413
00:25:14,980 --> 00:25:16,260
Giz-ee-ah.

414
00:25:16,260 --> 00:25:17,060
Giz-ee-ah.

415
00:25:17,060 --> 00:25:18,500
I don't say giz-ee-ah.

416
00:25:18,500 --> 00:25:19,060
Giz-ee-ah.

417
00:25:19,060 --> 00:25:19,620
Okay, no.

418
00:25:19,620 --> 00:25:21,060
It's full scale giz-ee-ah.

419
00:25:21,700 --> 00:25:22,420
Is that what you said?

420
00:25:22,420 --> 00:25:24,180
Coo-fung-giz-ee-ah.

421
00:25:24,180 --> 00:25:24,420
Okay.

422
00:25:25,460 --> 00:25:27,380
Coo-fung-giz-ee-ah.

423
00:25:27,380 --> 00:25:28,580
Coo-fung-giz-ee-ah.

424
00:25:28,580 --> 00:25:30,100
I'm gonna say giz-ee-ah.

425
00:25:30,100 --> 00:25:32,420
So, coming in at number two, we have...

426
00:25:32,420 --> 00:25:34,820
Well, I said coming in at number two like it's an order.

427
00:25:34,820 --> 00:25:35,700
I said no for two...

428
00:25:35,700 --> 00:25:37,860
Coming in at number two, it's giz.

429
00:25:39,860 --> 00:25:40,340
I didn't...

430
00:25:40,340 --> 00:25:40,980
I'm gonna come in.

431
00:25:40,980 --> 00:25:41,540
I'm gonna come in.

432
00:25:41,540 --> 00:25:42,580
I was like, coming in.

433
00:25:43,380 --> 00:25:44,820
The second disorder...

434
00:25:44,820 --> 00:25:47,380
The second center I'm going to stop it.

435
00:25:48,340 --> 00:25:51,220
Coming in at number two like it's the hot 100.

436
00:25:52,500 --> 00:25:54,020
Number two for this week.

437
00:25:54,020 --> 00:25:54,740
So for this week.

438
00:25:54,740 --> 00:25:55,860
On Kung Fu Giz-ee-ah.

439
00:25:55,860 --> 00:25:56,980
Kung Fu Giz-ee-ah.

440
00:25:56,980 --> 00:25:58,980
Kung Fu Giz-ee-ah.

441
00:25:58,980 --> 00:26:02,260
It's not Kung Fu, it's Coo-fung-giz-ee-ah.

442
00:26:06,020 --> 00:26:07,620
Kung Fu Giz-ee-ah.

443
00:26:11,540 --> 00:26:15,140
Coming in at number two, it's Kung Fu Giz-ee-ah.

444
00:26:17,540 --> 00:26:19,220
So it's called...

445
00:26:19,220 --> 00:26:20,020
All the...

446
00:26:22,020 --> 00:26:22,260
Giz.

447
00:26:23,300 --> 00:26:24,500
I think it's giz-ee-ah.

448
00:26:24,500 --> 00:26:26,100
Actually, yeah, that's what it is.

449
00:26:26,100 --> 00:26:26,980
Probably giz-ee-ah.

450
00:26:26,980 --> 00:26:28,260
No, it's Kung...

451
00:26:28,260 --> 00:26:29,460
Coo-fung-giz-ee-ah.

452
00:26:29,460 --> 00:26:30,420
That's what it is.

453
00:26:30,420 --> 00:26:31,460
Coo-fung-giz-ee-ah.

454
00:26:31,460 --> 00:26:32,500
Coo-fung-giz-ee-ah.

455
00:26:32,500 --> 00:26:32,820
Okay.

456
00:26:33,540 --> 00:26:34,420
Like fungi.

457
00:26:34,420 --> 00:26:35,140
Yes, fungi.

458
00:26:35,140 --> 00:26:36,500
Okay, Coo-fung-giz-ee-ah.

459
00:26:40,660 --> 00:26:41,300
Okay.

460
00:26:41,300 --> 00:26:41,860
God damn it.

461
00:26:41,860 --> 00:26:42,100
Okay.

462
00:26:43,860 --> 00:26:44,820
Drink some alwido.

463
00:26:48,340 --> 00:26:48,660
Okay.

464
00:26:49,220 --> 00:26:49,540
Ready?

465
00:26:50,740 --> 00:26:51,060
Ready.

466
00:26:51,060 --> 00:26:57,060
So the second syndrome I'm going to talk about today is called...

467
00:26:59,700 --> 00:27:00,340
Coo-fung-giz-ee-ah.

468
00:27:00,340 --> 00:27:01,380
Coo-fung...

469
00:27:01,380 --> 00:27:02,420
Coo-fung-giz-ee-ah.

470
00:27:02,420 --> 00:27:02,740
Okay.

471
00:27:02,740 --> 00:27:03,540
Coo-fung...

472
00:27:04,580 --> 00:27:08,100
So the second syndrome that I want to talk about is called Coo-fung...

473
00:27:08,980 --> 00:27:09,540
F-fuck-in-a.

474
00:27:10,340 --> 00:27:11,300
How is it spelled?

475
00:27:14,100 --> 00:27:16,420
No, I looked up how to pronounce it.

476
00:27:16,420 --> 00:27:18,020
I looked up this pronunciation.

477
00:27:18,020 --> 00:27:18,820
I put it phonetically.

478
00:27:18,820 --> 00:27:19,860
I know that I'm saying it right.

479
00:27:19,860 --> 00:27:21,060
I just can't say it.

480
00:27:22,740 --> 00:27:25,940
So the second syndrome that I want to talk about is called Coo-fung-giz-ee-ah.

481
00:27:30,500 --> 00:27:32,500
I was so confident.

482
00:27:32,500 --> 00:27:34,500
I was so confident.

483
00:27:34,500 --> 00:27:36,260
I was so confident.

484
00:27:36,260 --> 00:27:36,980
I was so confident.

485
00:27:40,420 --> 00:27:41,060
Like I got this.

486
00:27:41,060 --> 00:27:42,020
I got this.

487
00:27:42,020 --> 00:27:42,260
Shit.

488
00:27:46,740 --> 00:27:47,780
Coo-fung-giz-ee-ah.

489
00:27:47,780 --> 00:27:50,020
Coo-fung-giz-ee-ah.

490
00:27:50,020 --> 00:27:50,820
I'll just take this one out.

491
00:27:50,820 --> 00:27:52,020
Can we just take this?

492
00:27:52,020 --> 00:27:53,380
We're only out of her two.

493
00:27:53,380 --> 00:27:53,780
Okay.

494
00:27:54,740 --> 00:27:56,820
How many other funny words do you have on there?

495
00:27:57,700 --> 00:27:59,380
Like this is the hardest one to pronounce.

496
00:28:00,260 --> 00:28:00,580
Okay.

497
00:28:05,300 --> 00:28:07,140
I'm gonna remember it later and just reply.

498
00:28:09,300 --> 00:28:13,300
So the second cultural syndrome that I want to talk about is called Coo-fung-giz-ee-ah.

499
00:28:13,300 --> 00:28:13,940
Okay.

500
00:28:13,940 --> 00:28:14,420
You did it.

501
00:28:14,420 --> 00:28:15,220
I did it right.

502
00:28:15,220 --> 00:28:19,220
Yeah.