Crazy Psychologist

She tried to find some simple jobs, but she couldn't get to work on time; she tried to find a customer service job that would arrive at the company at ten in the morning. At first, she firmly believed that she would be able to get to work at ten, but she failed. .

Then Vera changed her plan. If it didn't work at ten o'clock, it would definitely work at one o'clock in the afternoon. Vera found a job in a nursing home and went to work at one o'clock in the afternoon. She would work until the elderly had dinner.

Vera persisted in this job at the beginning, and she was able to arrive at the nursing home at 1 p.m., but later, Vera said that she failed again a week later, and she was very upset because she once again lost to her brain. The voices in the room, she used 'they' to describe these things, 'They make me wipe all the furniture in the house before going out', 'They complain that the refrigerator is not cleaned in order', 'They keep changing the rules', I have Sometimes I feel like I can never finish it.

It took two hours to wipe down all the furniture.

'My time has no meaning at all. My time is all redundant and will only make me feel miserable. Except when I am sleeping, I am busy all the time, doing things that are meaningless and keep telling me that they are very important. Things are busy'.

The last time I saw her before I returned to the sea, she was working on a very huge project. In Vera's words, 'This is really a big project'. "

"What?" Muchun asked.

“She bought a hundred kilograms of sugar and piled them in the kitchen. When she got up every morning, she would sprinkle the sugar on the surfaces of all the objects in the house, and then use a small plastic plate to completely spread the candies. She would squat down and let them spread. Keeping your gaze in line with the plane, keep correcting the position of each candy until they are perfectly flat."

"This is really fatal." Muchun lay on the table in pain, and then buried his head in his arms.

"Doctor Mu."

Muchun raised his head and motioned for Li Nan to continue.

"That's roughly the situation. The diagnosis is [obsessive-compulsive disorder]" After Li Nan finished speaking, he finally picked up the coffee.

"What can I do?" Muchun asked.

"She has received drug treatment, but did not respond well." Li Nan answered.

"In addition to drug treatment? Behavioral therapy? Cognitive behavioral therapy? I know that some professors in Europe encourage this type of therapy to be used together with drugs to treat [obsessive-compulsive disorder]. Or are you developing some new drugs?"

"There is no specific medicine. [Obsessive-compulsive disorder] There is no specific medicine. Moreover, Vera has a problem of being overweight. She is almost 100 kilograms. She said that she does not want to look in the mirror at all. Even the windows and TVs at home reflect her. She doesn’t want to see that.”

After Li Nan finished speaking, he was full of sadness. He and his teacher went to visit Vera. When they were leaving at eight o'clock in the evening, Vera said something to them that Li Nan believed he might never forget in his life. He told Muchun that Vera said, "I can die once as long as it allows me to live again."

After listening to Li Nan's narration, Muchun stood up from his seat. He walked to the window sill, poured some water on Banxia, ​​and then said to Li Nan: "[Obsessive-compulsive disorder] is a disabling mental disorder. Disease is like a slow poison that slowly destroys a person's life."

"Yes, I have discovered it now. Many people may have this disease. It's just a matter of severity. For example, I have had it before. Did Hu Peng also have it?"

“Some are simply [obsessive-compulsive disorder], some are accompanied by other problems, and some are manifested as [obsessive-compulsive behavior] or [obsessive-compulsive thinking] but are not obsessive-compulsive disorder. There are even many more difficult-to-distinguish conditions, such as [obsessive-compulsive disorder]. Pseudo-obsessive-compulsive schizophrenia], [obsessive-compulsive personality disorder], substance abuse, gambling and certain addictive behaviors.”

Having said this, Muchun walked to the bookshelf and took out a document bag from the drawer.

He opened the document bag and took out a stack of information nearly two centimeters thick.

"The treatment plan I have written may not be useful for Vera. You can use it for reference. I speculate that your teacher should have made a clear diagnosis of Vera's situation, and there is no need for us to further compare her obsessive behavior with Identify other possible problems.”

Li Nan nodded, agreeing with what Muchun said.

Muchun continued: "This plan focuses on the combination of drug treatment and cognitive behavioral therapy. It is a method that I currently think is more effective. If the effect of the drug is not good, the number of cognitive behavioral therapy treatments can be increased if conditions permit. , my suggestion is, three to four times a week is not too much.

In addition, this information also includes some imperfect parts, which I will share with you. Maybe it can be a reference for you when designing a treatment plan, and it can also help you improve it after practice.

Mainly about family therapy. If you have time, you can familiarize yourself with it. Currently, in the process of treating this type of patients, there are not many studies on family support, and no one has written relevant books. I think these are all We need to accumulate slowly and do things step by step.

I believe that you should have learned a lot of professional knowledge in this area from following the teacher in the past six months, so I won’t repeat it again. "

"Yes, I have always wanted to make a breakthrough on the issue of obsessive-compulsive disorder. I understand too well the anxiety it brings and the pain it causes people. And I'm afraid I can't agree with Teacher Muchun. That’s what I said.”

Li Nan's eyes were bright, looking determined and full of faith. These eyes were staring at Muchun at the moment.

"Huh? You don't agree with a word of mine? Which sentence? I've said so much."

"I don't agree with Teacher Muchun's statement that [obsessive-compulsive disorder] is disabling. I think that in some patients, it may be a risk of suicide."

Muchun nodded and said sadly: "This is the complexity of psychosomatic diseases. Several problems exist at the same time, depression with obsessive-compulsive disorder, mania and depression alternating, and mania with obsessive-compulsive disorder."

After Muchun finished speaking, the two fell into silence.

The day before the New Year's holiday, the affairs of Sumikawa Medical College finally came to an end. When Mu Chun saw Li Nan, his mood suddenly became much brighter, which cleared away the haze caused by a past event thirty years ago in the past few days.

But at this moment, Muchun realized that maybe there would never be a real ending, there would always be someone in a certain corner of the world whose destiny was pinched from behind by a pair of invisible hands.

Of course, there will always be people like Li Nan who have emerged from the suffering they have experienced and then devoted themselves to the work of protecting others.