Psychotic disorders are my specialty. Here’s what I wish people understood before commenting online.
Being delusional is much more than a questionable Instagram post.

The speculation around Britney Spears' and other celebrities' mental health needs to stop.
Oh goodness, here we are again watching the media and "experts" speculate on the mental health of a celebrity. After nearly two decades working with a population deemed to have "severe and persistent mental illness," I'd like to weigh in a bit. The term "severe and persistent mental illness" is a catch-all for serious mental health conditions from bipolar disorder to schizophrenia and everything in between.
I've worked with a variety of clients over the years, many of whom refused medication, though their psychosis caused them to have extreme paranoia and terrifying visual hallucinations. I've also worked with several folks that have been under a guardianship, which is equivalent to a conservatorship in California.
As I watch the media, fans and professionals speculate about whether a celebrity needs to be hospitalized or placed in a conservatorship, I often wish they had a better understanding of what severe mental illnesses looked like. Not only that, but what constitutes a concern and what's just normal for that person. But let's be real for a minute. The media continuously guessing if you've rounded the bend is likely enough to be the cause of a mental breakdown, even in a mentally stable person.
So here's what I wish people understood about these severe and persistent mental illnesses. When people enter a psychiatric facility against their will, it's a trauma. The effects of that trauma can stunt brain development and create coping mechanisms that may seem a bit odd to others. This doesn't mean that they're off of their medication or need to go back. It just means they came out of it a little differently than they went in and we have to adjust.
Everything about their behavior isn't related to their mental wellness. I've seen this a lot with families after a loved one gets released from the hospital and is doing well. If the client gets upset because someone ate all of their favorite cookies, instead of looking at the cause of the person's anger, immediately the thought goes to, "They must not be taking their medicine."
The same happens when it's just plain silly behaviors, like Britney Spears getting the human equivalent to the zoomies and talking in a fake foreign accent. Suddenly it's front page news and people are concerned, but if you take away the information of her being previously hospitalized, the concern would likely be nonexistent.
There's also a misunderstanding about what can actually be done if someone is in need of acute psychiatric care. There are generally two reasons someone can be hospitalized against their will: if they're a danger to themselves or if they're a danger to others. Outside of it being the person's first psychotic break, it's extremely difficult for someone to be forced into help and there's good reason for that. No matter your mental health status, you're entitled to autonomy.
Back in the olden days (think the 19th century), husbands could commit their wives because they got too sassy or independent. Parents could drop off their children or family members with mental disabilities, just because they found them difficult to care for. Do you know what happened to those sassy independent wives? They got lobotomies to make them more docile. Others deemed mentally unfit were sterilized against their will.
This is why it's difficult to commit someone, and while it makes my job more difficult sometimes, I'm happy it's hard to do. Even when I know a client is reaching the point of danger but still doesn't meet the criteria, I'd rather make a safety plan with the family than make the committal process easier where ill-intentioned people could take advantage.

woman in white and red shirt printed with words "you matter"
Photo by Eneida Hoti on UnsplashThe public speculating on what warrants intervention or not mostly comes from a place of concern, but it's often incorrect. There are licensed therapists that struggle with identifying it as well because we have different areas of expertise. While I couldn't tell you all the ins and outs of treating an eating disorder, a therapist that specializes in eating disorders could. My area is psychosis and other severe mental illnesses, so I stick to what I know when speaking authoritatively.
Specializing in psychotic disorders has taught me more about the human condition than anything else. Getting to know the incredible people that hear voices that I cannot or believe things no one else does has been one of the most fulfilling experiences of my life.
People living with severe mental illnesses still deserve respect and basic human autonomy. They're allowed to be weird. They're allowed to be silly. They're allowed to be angry. They're allowed to be boring. They're allowed to just be and we should let them.
- Our obsession with celebrity mental health needs to be matched with equal parts compassion ›
- The new Britney Spears documentary is making people completely re-think the pop star's life ›
- Parents react to video of Britney Spears 'yelling' at her kids and it's a great teaching moment ›
- Fans applaud Amanda Bynes after learning of 72-hour hold - Upworthy ›
- How professor with schizophrenia thrives despite hospitalizations - Upworthy ›
- Neuroscientists explain a fascinating phenomenon where people see faces as dragons - Upworthy ›






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Can a warm cup of tea help you sleep better? If you believe it, then yes. Photo by 
A woman is getting angry at her coworker.via
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A husband is angry with his wife. via 
Three women sit on a blanket in the park. 
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Two men engaging in a peaceful disagreement.
Resurfaced video of French skier's groin incident has people giving the announcer a gold medal
"The boys took a beating on that one."
Downhill skiing is a sport rife with injuries, but not usually this kind.
A good commentator can make all the difference when watching sports, even when an event goes smoothly. But it's when something goes wrong that great announcers rise to the top. There's no better example of a great announcer in a surprise moment than when French skier Yannick Bertrand took a gate to the groin in a 2007 super-G race.
Competitive skiers fly down runs at incredible speeds, often exceeding 60 mph. Hitting something hard at that speed would definitely hurt, but hitting something hard with a particularly sensitive part of your body would be excruciating. So when Bertrand slammed right into a gate family-jewels-first, his high-pitched scream was unsurprising. What was surprising was the perfect commentary that immediately followed.
This is a clip you really just have to see and hear to fully appreciate:
- YouTube youtu.be
It's unclear who the announcer is, even after multiple Google inquiries, which is unfortunate because that gentleman deserves a medal. The commentary gets better with each repeated viewing, with highlights like:
"The gate the groin for Yannick Bertrand, and you could hear it. And if you're a man, you could feel it."
"Oh, the Frenchman. Oh-ho, monsieurrrrrr."
"The boys took a beating on that one."
"That guy needs a hug."
"Those are the moments that change your life if you're a man, I tell you what."
"When you crash through a gate, when you do it at high rate of speed, it's gonna hurt and it's going to leave a mark in most cases. And in this particular case, not the area where you want to leave a mark."
Imagine watching a man take a hit to the privates at 60 mph and having to make impromptu commentary straddling the line between professionalism and acknowledging the universal reality of what just happened. There are certain things you can't say on network television that you might feel compelled to say. There's a visceral element to this scenario that could easily be taken too far in the commentary, and the inherent humor element could be seen as insensitive and offensive if not handled just right.
The announcer nailed it. 10/10. No notes.
The clip frequently resurfaces during the Winter Olympic Games, though the incident didn't happen during an Olympic event. Yannick Bertrand was competing at the FIS World Cup super-G race in Kvitfjell, Norway in 2007, when the unfortunate accident occurred. Bertrand had competed at the Turin Olympics the year before, however, coming in 24th in the downhill and super-G events.
As painful as the gate to the groin clearly as, Bertrand did not appear to suffer any damage that kept him from the sport. In fact, he continued competing in international downhill and super-G races until 2014.
According to a 2018 study, Alpine skiing is a notoriously dangerous sport with a reported injury rate of 36.7 per 100 World Cup athletes per season. Of course, it's the knees and not the coin purse that are the most common casualty of ski racing, which we saw clearly in U.S. skier Lindsey Vonn's harrowing experiences at the 2026 Olympics. Vonn was competing with a torn ACL and ended up being helicoptered off of the mountain after an ugly crash that did additional damage to her legs, requiring multiple surgeries (though what caused the crash was reportedly unrelated to her ACL tear). Still, she says she has no regrets.
As Bertrand's return to the slopes shows, the risk of injury doesn't stop those who live for the thrill of victory, even when the agony of defeat hits them right in the rocks.