Of all psychological diseases, PTSD might be the one which TV has the toughest time getting proper.
The Good Doctor Season 4 Episode 6 took a stab at it with a Lim-centered story that drew a transparent parallel between Lim’s points now that essentially the most intense interval of the COVID pandemic had handed and a affected person who has extreme PTSD after getting back from Afghanistan.
If something, the comparability was a bit too on the nostril, however no less than for as soon as, we averted stereotypes.
The best way The Good Physician confirmed Lim’s battle was correct, however at occasions it was complicated.
When Lim was within the throes of traumatic reminiscence, it was arduous to inform whether or not she was having a flashback to the previous or just strolling round dissociated within the current.
There have been a number of occasions when she went right into a close to trance, strolling slowly across the hospital, and I assumed she was flashing again to the COVID pandemic, but it surely turned out she wasn’t.
The scenes had been efficient in what they got down to do, demonstrating Lim’s standpoint as an individual affected by unacknowledged and undiagnosed PTSD in a means that’s not often proven on TV. However sharing Lim’s disorientation made me uncertain of what was happening.
And what the hell was that cliffhanger?
If this had been a distinct sort of present, I might suppose this was some type of Sixth Sense send-up the place Lim had really died through the first bike trip, and the remainder was all a dream.
However Rose’s empathic qualities is about so far as The Good Physician is more likely to get with paranormal stuff, Christina Chang is not leaving, and it could suck in the event that they killed Lim off so quickly after Melendez’s loss of life.
The ultimate scene did recommend Lim was having some type of out-of-body expertise, although she additionally might need simply realized what an in depth name she simply had. However all these audio flashbacks of “time of loss of life” suggests she’s not in fine condition.
My guess is that she’ll hover between life and loss of life and, when she wakes up, lastly determine to get some assist.
Leaving that weirdness apart, I assumed this was a robust depiction of the alternative ways PTSD can manifest.
Most individuals are conscious of PTSD-related flashbacks and that victims usually dissociate, however there may be a lot extra to this dysfunction than that.
Claire: What do you consider Asher?
Lim: He is effective.
Claire: Too effective should you ask me.
Lim: I haven’t got time for too effective.
Claire: He is strolling round like he did not simply lose a affected person.
Lim: Good, smiling releases serotonin even should you really feel depressing.
Claire: Denial is not wholesome.
Lim: Neither is dwelling on issues you possibly can’t change.
Lim’s brief mood and insistence on simply “getting over it” in order that she might do her job had been basic PTSD signs that many viewers might not have related to the illness.
I additionally beloved that they addressed the truth that this problem is partially physiological. PTSD impacts an individual’s neurology, not simply their psychology. All psychological issues do — on one stage, psychotherapy and different remedies are about altering mind chemistry — but it surely’s very true for PTSD.
The traumatic incident or incidents disrupts the mind’s regular reminiscence encoding course of, which is what causes flashbacks.
Anyway, I used to be glad Claire informed Lim that this wasn’t only a psychological dysfunction, but in addition a physiological one and that PTSD was related to an overactive amygdala.
It could have been attention-grabbing had they gone the route of radical pharmacological remedies, although.
Some analysis reveals that psychedelic medication and MDMA (Ecstacy) might assist alleviate PTSD signs; nevertheless, since these are illicit medication at present categorized as having no medicinal goal, it could be arduous — and possibly unlawful — to deal with a affected person utilizing this protocol.
That might have made for some fascinating drama that may have lasted a couple of episodes reasonably than the surgical procedure being finished so shortly.
However I actually cannot complain. The Good Physician’s delicate depiction of PTSD was miles forward of most different tv collection, to allow them to’t be faulted for lacking an alternate storyline.
Andrews: Asking a resident to do a process she would not really feel comfy with is unhealthy kind.
Lim: Oh my God, is there anybody who would not have an opinion on who ought to do that abortion?
Lim’s impatience with the residents led to some significantly good drama, too.
The Jordan storyline introduced up whether or not a doctor-in-training must be compelled to do procedures that go in opposition to their non secular beliefs.
Jordan wasn’t demanding the hospital not do abortions in any respect however did not need to be concerned. Presumably, since she’s uncomfortable with the process, she will not be going into apply in an space the place she should do it.
So since that is the case, ought to Lim have allowed Olivia to do the D & C as an alternative?
It is a powerful name. The purpose of residency is to discover ways to do all kinds of procedures that the physician might by no means do as soon as they’re absolutely licensed. Many procedures make individuals uncomfortable for quite a lot of causes.
And Lim was proper that studying to place your private emotions apart to assist sufferers is significant.
But Jordan’s discomfort did no one any good, and Lim ended up doing the process herself whereas having to reassure a nervous affected person that the whole lot was okay.
So Andrews might need had some extent when he urged that forcing a resident to desert her non secular beliefs to do a process she was uncomfortable with was a foul concept.
In fact, it turned out that Jordan had had an abortion herself, which was taking part in into her discomfort. Good twist that made her extra empathetic, however the level nonetheless stands.
Lim wasn’t the one one coping with issues she would reasonably neglect. Jordan’s abortion was one instance, and Asher’s difficulties after his affected person’s loss of life was one other.
I beloved how Lim inspired Asher to attempt to transfer ahead as a health care provider regardless that her “recover from it for the sake of the job” recommendation wasn’t wholesome.
Asher: How do you get previous it?
Lim: Trigger that is the job. You’ll at all times keep in mind it, however ultimately you’ll cease reliving it.
Asher: How will you be so positive?
Lim: As a result of it’s a must to or you possibly can’t be a surgeon. And I am fairly positive that you are a surgeon. Now get again to work.
Lim is at her finest when she is mentoring the residents reasonably than snapping at them, and hopefully, she will be able to get again to that when she heals some.
If the hour had one weak point, it was that Rose’s case was a facet story.
Her claims that her signs had been all because of different individuals’s emotional states was attention-grabbing, and the story had dramatic potential since Park believed Rose and Lim thought this empath enterprise was nonsense.
I might have appreciated to have extra of a deal with making an attempt to deal with her, and the medical doctors disagreeing on learn how to proceed as a result of they did not see eye-to-eye on whether or not her signs had been bodily or psychological in origin.
As a facet notice, it was SO good to have a complete hour with none ridiculous Shaun/Lea drama. Positive, there was a throughline about how Shaun wished to purchase Lea a gift, however that was minimal, and we did not need to undergo by means of any silly arguments or misunderstandings.
And Morgan solely appeared for 2 seconds to make a drive-by criticism and disappear once more. Double superior!
Your flip, The Good Physician fanatics! What did you consider the Lim-centered episode? Hit that huge, blue SHOW COMMENTS button and tell us.
Need to refresh your reminiscence first? Simply watch The Good Doctor online proper right here on TV Fanatic.
The Good Physician airs on ABC on Mondays at 10 PM EST/PST.