Fred dosn't want to take his pills tonight!
All the light you see is from an iphone 4.
During the 6sec I lit him handheld mainly from above, slightly goining around his viewable side and ending pointing back to the camera, to mimic a table light. It took about 12 shots to get three one to choose of.
So you don't allways need strobes if you can turn off the ambient light.
Light: Of camera iphone 4 light (App myLite)