Training Title 61

Symptom Media on The Nurse Keith Show

Training Title 72

Protected: Stephanie Arnold – Course Videos 2

There is no excerpt because this is a protected post.

Protected: Stephanie Arnold – Course Videos 1

There is no excerpt because this is a protected post.

Protected: Dave Paltin Course Videos 2

There is no excerpt because this is a protected post.

Protected: Monica Martocci Course Videos

There is no excerpt because this is a protected post.

Protected: Dave Paltin – Bipolar Videos

There is no excerpt because this is a protected post.

Sam, (Adolescent) Bipolar I Disorder, Current or Most Recent Episode Manic, Severe, Medication Compliance V2 with Poor Insight

Protected: Karen Review

There is no excerpt because this is a protected post.

Members Content

Management Team

Management Team

Andrew Rubin
President & Co-Founder

Andrew Rubin, as President and co-founder of Symptom Media, manages all aspects of Symptom Media’s marketing and content creation operations.

In addition to his role as President, Andrew lends his screenwriting, directing and editing services to Symptom Media, where he works with Subject Matter Experts (Psychiatric-Mental Health Nurses, Psychologists, Psychiatrists and Social Workers) in all aspects of film production that has resulted in over 1,000 films produced.

In addition to Symptom Media, Andrew Rubin has written numerous feature screenplays for professional production companies in Hollywood and co-directed the feature documentary, “Ride with Larry,” about the inspirational journey of Parkinson’s advocate, Larry Smith.  “Ride with Larry” screened at a number of film festivals and garnered attention from numerous international news publications for a segment examining medical marijuana and Parkinson’s, which has now been seen by over 250 million viewers online.  The film is currently streaming on Amazon.

Andrew graduated with honors and on the Dean’s List from New York University’s Tisch School for the Arts with a B.A. in Film Production and a Minor in History.

Matt Rubin
CEO & Co-Founder

Matt Rubin, as Chief Executive Officer and co-founder of Symptom Media, manages all aspects of Symptom Media’s business operations including but not limited to business development, marketing, sales, and partner relations.

In addition to his role as Chief Executive Officer, Matt oversees all aspects of the company’s film productions that has resulted in over 1,000 films produced.

Prior to Symptom Media, Matt worked at First Look Studios, an independent production and independent distribution company as Acquisitions Manager, where he aided in the acquisition of over forty films for theatrical, DVD and digital distribution.  Matt has also worked in film development for two production companies.

Matt graduated from University of California Los Angeles with a Bachelor’s Degree in Political Science.

Board of Advisors & Subject Experts

Board of Advisors & Subject Experts

Don Fidler, MD
Co-Founder & Senior Clinical Consultant

Dr. Donald Fidler’s expertise and background is the cornerstone of this unique collaboration between professional filmmakers and mental health professionals.


Dr. Donald Fidler brings over thirty years of experience as a psychiatrist, actor, educator, screenwriter, playwright and filmmaker to Symptom Media. Don built his reputation as the cutting edge leader in utilizing clinical training vignettes to teach the behavioral sciences, combining his unique skill set as a psychiatrist, playwright, screenwriter, actor, and teacher to create accurate, realistic portrayals of psychiatric symptoms and disorders. Don’s expertise and background is the cornerstone of this unique collaboration between professional filmmakers and mental health professionals.

Dr. Donald Fidler has lectured and taught throughout the United States as well as in Canada, Australia, New Zealand, Israel, and Oman. Don served as President of the Association for Academic Psychiatry, Chair of the Video Committee for the American Psychiatric Association, and was awarded the Life Time Achievement Award for the Association for Academic Psychiatry.

Dr. Donald Fidler is Professor Emeritus at West Virginia University where he served as the Farnsworth Endowed Chair of Educational Psychiatry and as the Director of the WVU Health Sciences Teaching Scholars Program. He continues to be an Adjunct Professor of Theatre at West Virginia University. He graduated from the School of Medicine and completed his Psychiatry Residency both at the University of North Carolina at Chapel Hill. He served on the Psychiatry Faculty at both the University of North Carolina at Chapel Hill and West Virginia University as well as serving as a psychiatrist in Australia and New Zealand. He is an Honorary Fellow of the Royal College of Physicians of Ireland. He teaches playwriting at MTPockets Theatre in Morgantown, West Virginia and consulted and appeared for educational programs with psychiatric content for PBS, HBO and FOX. He is the composer/author of over 50 produced educational clinical films, 12 major plays, and three musicals.

Bonnie Lipton
Clinical Consultant

Bonnie Lipton, LMFT, is a psychotherapist in private practice since 1982. She works in Palm Desert, California with clients of all ages who struggle with


anxiety, mood, or depression disorders. She runs bereavement groups, women in transition groups, and a support groups for family and friends of persons dealing with cancer. She is a past President of the Desert Chapter of CAMFT.

Karen Silva
PhD (Psychology), MFN, MSN, and RN-BC, Subject Expert

Karen Silva, PhD (Psychology), MFN, MSN, and RN-BC, has won multiple awards for Excellence in Nursing. She has taught all major nursing courses, supervised nursing staff, and coordinated educational programs.


Karen’s expertise is in Mental Health and Psychiatric Nursing and she has served in psychiatric units, as well as crisis centers. Karen is tri-lingual (English, Portugese, and Spanish) and a co-founder of SOBEF (Sociedade Brasileira de Enfermagem Forense) in Brazil. She is a much sought-after speaker at conferences, hospitals, and universities.

David Paltin
Phd, Subject Expert

Dr. David Paltin is a licensed psychologist maintains an active clinical practice, and teaches psychology courses at Chapman University, National University, and Columbia College. He has authored books and articles on behavioral health topics ranging from


ADHD to Violence Prediction and Borderline Personality Disorder.  Dr. Paltin has specialization in pediatric mental health diagnosis and treatment, sleep disorders, and has helped design systems of care delivery in pediatric, adult, and educational settings.

Stephanie Arnold
MSN, Psychiatric/Mental Health Clinical Nurse Specialist, Subject Expert

Stephanie Arnold is an Adult Psychiatric/Mental Health Clinical Nurse Specialist working as an advance practice nurse in psychiatry. She holds an undergraduate degree in Celtic Studies from UC Berkeley, an MSN from Cal State Los Angeles, and is a doctoral candidate in the University


of Alabama’s DNP program. Stephanie also teaches mental health nursing to graduate and undergraduate students. She is a member of Sigma Theta Tau and Golden Key International Honour Societies. She was inducted into a chapter of the Philanthropic Educational Organization and is an active member serving on the Ways and Means Committee.

Monica Martocci
MA, LMFT, Subject Expert

Monica L. Martocci, MA, LMFT received an M.A. in Clinical Psychology from Pepperdine University, a B.A. in Psychology from the University of Colorado, and is a licensed Marriage and Family Therapist (License #LMFT36882). Monica has over 25 years of clinical experience in diverse settings…


and has developed, implemented, and supervised several programs that are recognized locally and nationally as being exemplary. She has a broad background in program development and service delivery, clinical supervision, and training for inpatient residential treatment and outpatient day treatment programs working primarily with adolescents, adults, veterans, and their families. Monica has experience with many different client populations in a wide variety of settings, including those with severe and persistent mental illness, co-occurring disorders, addictions, homelessness, and trauma. She has worked closely with the Dept. of Mental Health, Dept. of Children and Family Services, Probation including juvenile and adult justice systems, Drug Court and Veterans Court, LAUSD and school settings, Hospitals, Regional Centers, Adoptions and Foster Family Agencies, VA, Clinical Studies/Drug Research, and has consulted on a number of television shows as an expert on families, addictions, eating disorders, and trauma. In addition, she is a seasoned presenter in nationwide conferences on the topics of trauma and recovery, and co-occurring disorders.

Monica is currently working as Chief Clinical Officer for CLARE Foundation. She also maintains a private practice in WLA and Long Beach specializing in the treatment of children, adolescents, families, active duty military/veterans, as well as individuals and couples. Focus is on addictions, co-occurring disorders, trauma, eating disorders, depression, anxiety, child/sexual abuse, domestic violence, schizophrenia, bipolar disorder, mood disorders, grief and loss, school and behavioral issues, ADHD/ADD, personality disorders, self-harm, self-esteem, and interpersonal and relationship issues.

Aaron Miller
MS, RN, PMHNP-BC, Subject Expert

Aaron Miller, MS, RN, PMHNP-BC is an ANCC Board Certified Family Psychiatric Mental Health Nurse Practitioner with over 11 years of experience working as an Advanced Practice Registered Nurse with individuals with serious mental illness including personality disorders.


Aaron has a master’s degree in science, currently works as a faculty member in a Psychiatric Mental Health Nurse Practitioner Master’s program in San Francisco, CA, and maintains a clinical practice in Oakland and Santa Rosa, CA with individuals with severe and chronic mental illness.

Roberta Freeman
RN, MSN, CS, Subject Expert

Roberta Freeman, RN, MSN, CS is a certified Psychiatric and Mental Health Nurse with over 35 years of experience as a practitioner, educator, consultant and researcher in the Adolescent Unit at UCLA Resnick Neuropsychiatric Hospital.


She has collaborated in program evaluation, assessing interventions to improve care, conducted comprehensive evaluation/assessment of adolescents who have been referred for treatment in the Eating Disorder program, established and monitored patient care standards, provided group therapy for adolescents, collaborated with interdisciplinary treatment team in evaluating, diagnosing, and coordinating patient care throughout hospitalization and disposition planning, and much more. She is an active member of the Academy for Eating Disorders and Advanced Practice Nursing Association.

Board of Directors

Board of Directors

Andrew Rubin
President & Co-Founder

Andrew Rubin, as President and co-founder of Symptom Media, manages all aspects of Symptom Media’s marketing and content creation operations.

In addition to his role as President, Andrew lends his screenwriting, directing and editing services to Symptom Media, where he works with Subject Matter Experts (Psychiatric-Mental Health Nurses, Psychologists, Psychiatrists and Social Workers) in all aspects of film production that has resulted in over 1,000 films produced.

In addition to Symptom Media, Andrew Rubin has written numerous feature screenplays for professional production companies in Hollywood and co-directed the feature documentary, “Ride with Larry,” about the inspirational journey of Parkinson’s advocate, Larry Smith.  “Ride with Larry” screened at a number of film festivals and garnered attention from numerous international news publications for a segment examining medical marijuana and Parkinson’s, which has now been seen by over 250 million viewers online.  The film is currently streaming on Amazon.

Andrew graduated with honors and on the Dean’s List from New York University’s Tisch School for the Arts with a B.A. in Film Production and a Minor in History.

Matt Rubin
CEO & Co-Founder

Matt Rubin, as Chief Executive Officer and co-founder of Symptom Media, manages all aspects of Symptom Media’s business operations including but not limited to business development, marketing, sales, and partner relations.

In addition to his role as Chief Executive Officer, Matt oversees all aspects of the company’s film productions that has resulted in over 1,000 films produced.

Prior to Symptom Media, Matt worked at First Look Studios, an independent production and independent distribution company as Acquisitions Manager, where he aided in the acquisition of over forty films for theatrical, DVD and digital distribution.  Matt has also worked in film development for two production companies.

Matt graduated from University of California Los Angeles with a Bachelor’s Degree in Political Science.

FAQ

Frequently Asked Questions

Please click on the links below or scroll down for answers:

  1. What types of clinical vignettes do you produce?
  2. Do your training titles contain actual patients?
  3. Why don’t you film actual patients?
  4. Why do you have introductory training titles?
  5. Why are your patients “groomed too well?  Why are your patients too disheveled?
  6. You don’t have the training titles I’m looking for to use in my class.

Answers

1. What types of clinical vignettes do you produce?

During the past 30 years, Dr. Fidler and the professors and instructors at universities, medical schools, nursing schools, and social work programs who use his clinical training vignettes succeed in part because Dr. Fidler presented at regional and national meetings how to use the training titles as well as developing teaching guides. He developed two types of clinical vignettes:

  • Simplified vignettes to be used as building blocks for novice students to learn symptoms and diagnoses.
  • Complex vignettes which present patients as they appear in real life with confusing mixtures of symptoms from many diagnoses and often with more subtle symptoms which are not always clear to interviewers without obtaining collateral information or conducting further interviews which are more appropriate for more advanced students/programs.

We intend to expand the second type of complex interviews, moving beyond the building blocks and into the more nuanced areas reminiscent of real-life clinical scenarios.  For continuity as students advance in their skills, instructors can use the complex training titles to build upon the skills or recognition learned from the introductory clinical vignettes.  In these nuanced training titles, new sets of challenges and debates will present, including whether portrayals are accurate or realistic, what diagnoses the patient has, and the symptoms of the patient.  Just as in a clinical setting, the symptoms and diagnoses may be debated upon depending on the person interviewing the patient.

Dr. Fidler tested his early training titles upon the Video Subcommittee of the American Psychiatric Association, by showing his clinical vignettes and not telling the experts which training titles were actual-patient interviews and which were with actors. Even the members of this committee had great difficulty, and sometimes disbelief as to which were real and which were acted. It is essential to have clinical experts – psychologists, psychiatrists, social workers and/or psychiatric nurses – who are experts in diagnosing as well as experts in working with actors/directors/writers present and collaborating when producing these training titles. We are committed to achieving this.

2.    Are these actual patients?

All segments are portrayals by actors. The training titles DO NOT include actual patients.

3.    Why don’t you film actual patients?

Dr. Fidler has several reasons he moved from filming real patients to working with actors when producing training titles:

  • University lawyers and risk managers (and the IRB) noted that as with research, people with mental illnesses may lack decision-making capacity and thus there can easily be challenges to acknowledging that patients truly were capable of giving “informed consent.”
  • The former APA Video Subcommittee worked to draw up guidelines two decades ago when guidelines were less strict than they are now with HIPAA. Contracts with patients who are filmed must now have the clause that patients at any time may change their minds and transcend their permission for films to be used for any use including educational uses. Since producing high-quality films is expensive, it is too much of a risk to produce educational training title packages and suddenly have one or more patients request that their training titles be removed.
  • When the APA Video Subcommittee tried to edit training titles with real patients to demonstrate the multitude of symptoms teachers wanted to show, almost no patients truly demonstrated all of the symptoms, which were desired to show, and often even then the symptoms were not clear because patients were guarded and inhibited by cameras, lights, and microphones, hiding their symptoms.
  • By using actors, the training titles can be used in settings ranging from patient groups to other settings which are not usually covered by patient contracts and to which patients and their families and lawyers would not agree.

4.    Why do you have introductory training titles?

The introductory training titles are all intentional as they are meant to create building block training.  We are the first to admit these symptoms and patient presentations would never or rarely be found in actual clinical scenarios.  We believe and have demonstrated that novice students learn better by simplifying symptoms. Rarely do patients present with all of the symptoms listed for pure DSM diagnoses, and certainly not without having confounding and comorbid symptoms from other diagnoses. In fact, the DSM often states a patient must have 4 of 7, or 6 of 10 symptoms, where as we write scripts for our simulated patients to have all of the symptoms listed for any diagnosis. The intention is to create hyperbole to develop memorable visual/auditory representations of diagnoses. Symptom Media’s introductory training titles demonstrate all of the classic symptoms of many clinical diagnoses.

5. Why are your patients “groomed too well?  Why are your patients too disheveled?

Another set of challenges that the training titles have presented is regarding the nature of our patients being “dressed and groomed too well” or “too disheveled.”  Part of the benefits to these training titles is that these vignettes help reduce stigmas associated with mental illness.

Many people in the public inaccurately assume that people with marked mental illnesses only live under bridges or live in poverty. Even students if they are only assigned to work at the poorer public clinics come away thinking that people with mental illnesses must be living in poverty. Downward socio-economic drift certainly occurs, but thinking this applies to all people with mental illnesses fosters students into distancing themselves from psychiatric patients and often missing diagnoses in wealthier, more educated patients. We wish to dispel such stigmatizing notions.

For example, the Post Traumatic Stress Disorder Combat Veteran training title actually based on a patient who also now teaches about PTSD at a university. This former combat veteran most often appears as a well put together, attractive, calm, high functioning individual unless he is in a situation which cues his memories of traumas.  When first interviewed, he was twenty-five suffering from Post-Traumatic Stress Disorder, having returned from overseas combat and also having been stabbed by his girlfriend.  Even though he appeared to be relatively normal and well put together, fireworks at a festival indeed sent him running and the police chased and tackled him, thinking he had stolen something.  Only when he yelled that he was a combat veteran did the police help him to his feet and got him a glass of water.  These same symptoms may exist in a CEO, a university teacher, an actor, or a homeless person.

6.    You don’t have the training titles I’m looking for to use in my class.

We would be honored to collaborate with you, welcoming any and all suggestions for expanding the Symptom Media training title library.

Thankyou

Thanks for contacting Symptom Media. We will get back to you soon.

Thankyou!

Thankyou for your purchase! You will receive a confirmation email confirming your order.

Comments?

If you have any questions, comments or concerns, please use the form below or simply Contact Us.

Film Library

Film Library

Scroll down or click the quick links below to search library.

Volume 3

DSM 5 & ICD 10 Guided Case Studies and Assessment Tools

Amy, Premenstrual Depressive Disorder Series

DSM 5 Guided Case Study

ICD 10 Guided Case Study

Chad, Gambling Disorder Series

DSM 5 Guided Case Study

ICD 10 Guided Case Study

Cynthia, Opioid Use Disorder, Moderate; Alcohol Use Disorder, Mild; Amphetamine-Type Substance Use Disorder, Mild; Cannabis Use Disorder, Mild; Sedative, Hypnotic, Anxiolytic Use Disorder, Mild

DSM 5 Guided Case Study

ICD 10 Guided Case Study

Assessment Tools

Mr. Smith, Schizophrenia Spectrum

DSM 5 Guided Case Study

Mr. Smith, Schizophrenia Spectrum

ICD 10 Guided Case Study

Mrs. Warren, Schizophrenia Spectrum

DSM 5 Guided Case Study

Mrs. Warren, Schizophrenia Spectrum

ICD 10 Guided Case Study

Nathan, Major Depressive Disorder, Recurrent Episode, Severe

DSM 5 Guided Case Study

ICD 10 Guided Case Study

Assessment Tools

Volume 2

Assessment Tools

DSM 5

ICD 10

Volume 1

DSM 5 Military Series

DSM 5

ICD 10

Assessment Tools

Alcohol Assessment Tool

Mental Status Exam

Suicide Assessment Tools

Coping Mechanisms & Defenses

Human Development Stages

Erik Erikson

Kohlberg Moral Developmental Stages

Mental Disorder / Illness Symptoms