Crazy Psychologist

If you come to the hospital just for running, this is really an exaggeration. But that's probably the most reasonable guess.

Then why do we have to race against time to run?

The reason should be the two giant puffs.

Because he ate two puffs and was worried about sugar, he wanted to run to reduce the amount of sugar converted into fat, so this big star appeared at the Garden Bridge Community Health Center.

I am lucky enough to meet big stars thanks to this treadmill.

Thinking of this, Muchun couldn't help laughing.

"Teacher, what are you laughing at? By the way, teacher, how should we start treatment when we encounter such a patient?"

"First we have to evaluate" Muchun corrected Chu Sisi's question.

"Oh, yes, yes, I found that I can't start a treatment. How should I put it, Teacher Muchun always seems to be very organized, one step, two steps, three steps, and I often have a situation where I don't know the steps of treatment. It feels like I’m being taken away by the patient from time to time.”

"Being taken away by a patient?" Liu Tiantian didn't understand what Chu Sisi said. As a nurse, it was impossible for her to be taken away by a patient, because she was the one who took the patient away.

"Well, for example, something happened before. The patient came to my outpatient department, and then I tried to chat with the patient. As a result, the conversation turned into the patient talking. I listened completely to the patient, and even There was a situation where I couldn’t get a word in.”

This problem has been buried in Chu Sisi's mind for a while, because Muchun had been very busy before, busy cooperating with the police to handle the case. After finishing the case, he was busy with the annual mental health conference, and Chu Sisi could not find it. It was time to ask the teacher for advice. It was raining heavily today and there were no patients in the clinic. Chu Sisi finally found the opportunity to study hard with Muchun.

Seeing that she had been practicing in the hospital for more than a year, although she could already receive patients independently, Chu Sisi still hesitated every time she faced a new patient, not knowing how to start or how to proceed. He is now eager to find a scientific process to help her control the pace of treatment.

I don’t know if through my own efforts and serious study, one day I will be like Teacher Muchun, who always wants to know what to do when facing patients, is calm and calm, and is not surprised by changes.

"This is not the worst situation. It can even be said to be a better situation. It is better for the patient to speak than not to speak. If a patient comes to the hospital and sits in front of you, he does not say a word. , then the evaluation work will become extremely difficult.

Developing a treatment plan for a patient begins with a thorough understanding of the person. "

"Comprehensive understanding?" Liu Tiantian opened his eyes wide, "Wait a minute, Doctor Muchun, wait a minute, I'm looking for a piece of paper."

"What are you looking for paper for?"

Muchun said puzzledly.

"Of course I am taking notes. I have never heard that a doctor needs to have a comprehensive understanding of the patient to treat a patient. Next, Dr. Chu will definitely ask what aspects a comprehensive understanding includes, right Dr. Chu?"

"Well, I have to take notes too. Although I know the teacher is telling me to take notes in my head first and wait a few hours before trying to recall them and write them down in my notebook, I think it's easier for me to take notes on the spot. "

After Chu Sisi finished speaking, she took out a blue notebook.

“Then let’s get started. Information that needs to be assessed and mastered includes:

·Demographic characteristics

·Mental condition

·Cultural and religious background

·Physical characteristics and abilities, medical conditions

·Behavior

·Emotions and moods

·Intelligence, thinking and learning styles

·Family structure and family background

·Other relevant history and experiences

·Social behavior

·lifestyle

·Education and professional experience

·Family history of mental disorders

·Other related fields

and the patient's description of the current situation. "

"Do all these have to be collected from the meeting?" Chu Sisi had a headache, and Liu Tiantian immediately suspected that he was a scumbag.

“It seems like there are a lot of items, but these things are very important. If you think about it carefully, you will find that these are all necessary. If the data collection is not done well, the subsequent diagnosis and treatment may go in the wrong direction.

For example, a doctor who has no understanding of the patient's cultural environment believes that the patient's daily prayer for meal money is a compulsive ritual, and it is likely to be a joke to treat the patient according to the method of obsessive-compulsive disorder.

Forget it is a joke, if the treatment is completely contrary to the condition, the patient will be delayed. "

"But it's really difficult to collect so much information just through talking. It might be better if you meet the kind of patients who talk endlessly as soon as they come to the hospital, as Dr. Chu said. But if you meet some patients, you'll have to ask three questions. If you shake your head and don't answer any more questions, wouldn't it mean that you are completely unable to grasp useful information during the conversation? If this is the case, wouldn't it mean that we have no clue and no way to start with the patient's treatment plan?"

"Yes, generally speaking, patients come to the hospital hoping to get help, except for some special cases.

Let us first say that in most cases, after a patient has experienced a long period of pain and suffering, when the condition reaches its most serious stage, it is also the best time for treatment. At that time, the patient will think of seeking help and completely get rid of the torture. My long-term psychological disorder. "

"Do all unions have such a point in time?" Liu Tiantian asked.

"It depends on a lot of factors. First, the patient needs to know there is a place to seek help. Second, he needs to no longer be afraid to tell others that he is a weirdo and has some hidden problems."

"The main reason is that many people still don't understand the mental and physical sciences. Even if some people do understand, they still have many misunderstandings. For example, Fang Jia's mother had a very cruel family. She knew her child had problems, but she still said The doctor was wrong, and Xie Xiaofei's mother also said the doctor was wrong." Liu Tiantian pouted unhappily, feeling a little unfair.

"It doesn't matter if there are misunderstandings. Misunderstandings will always exist in this world and will never completely disappear. Not to mention the mutual differences between individuals. No one can truly understand what the other person is thinking. The differences in professional fields are even more important. It is impossible for everyone to understand what the mind-body department is about, or what a person's mental health is about.

Closer to home, most of the time, patients will need help. This is the time for treatment. Generally speaking, patients will take the initiative to inform some basic information, including a description of the current situation, their career, family, etc.

Many of people's troubles come from conflicts between people and between people and the environment. When patients describe their depression, they will most likely mention, for example - I feel very uncomfortable every time I get home, or, I feel depressed at home. When I was fine, I was very depressed when I was at work. There is usually a specific environment that helps us fully understand our patients.

In addition, some evaluation scales can be used to make it easier for us to collect data. "

"It turns out there is a tool like a scale. Dr. Muchun is really good at hiding it, and he didn't tell us until now."

"There must be a reason why the teacher mentioned the scale at the end, right teacher."

"Dr. Chu is really good at thinking about things from other people's perspective. This is great! You will learn these in graduate courses. Take your time and don't rush."

"But what should we do if we encounter a patient who is particularly uncooperative and refuses to explain clearly?" Liu Tiantian has many questions.

Chu Sisi also wanted to know, "What if the patient can't explain it at all?"

"So when our Department of Psychosomatics collects information about a patient's condition, the information provided by people close to the patient is also very important. Another point is - generally speaking, I refuse to go to the clinic. If the patient is not willing to receive treatment from the Department of Psychosomatics, our job is It is very difficult to carry out, and formulating a treatment plan is almost equivalent to trying to find the moon in the water or scratching the itch?"

"I see. No wonder the teacher decisively rejected Assistant Xiaoying's request for a medical visit last time."

“Yes, patients’ trust in doctors and patients’ expectations to improve their condition are of great significance to psychosomatic treatment, sometimes more useful than medicine.

It is critical for clinicians to help patients raise their hopes and expectations for a positive treatment outcome early in treatment, and there is a correlation between the patient's personal characteristics and treatment outcomes.

In treatment, individuals who are friendly, open, emotionally accessible, and able to express their thoughts and feelings are more likely to form positive treatment expectations; patients who actively participate in treatment are more likely to improve regardless of which treatment intervention is used. .

Patients who have good object relations, demonstrate strong ego strength, and take responsibility for their problems are more likely to have positive outcomes than patients who view these problems as external difficulties because they are motivated to change.

For example, Xiaoying herself does not have a strong desire for treatment, and she does not pay much attention to headaches and whether she has other psychological disorders. In this case, even if the assistant is anxious, the treatment may not be able to achieve the goal. Development in a positive direction. "

After all, the patient's own willingness for treatment is still very important.

Liu Tiantian quietly concluded in his heart.

On the other side, as soon as they arrived at the radio station, the staff ran over, walked through the long aisle, ran to Xiaoying and bent down to salute, with a very polite attitude.

"It's raining so heavily, thank you so much, Xiaoying. This season is really annoying." Xiaofang, the receptionist, smiled in a flattering manner.

Yes, it rained all day today. It also rained for a while in the early morning, and then I thought it had cleared up. Unexpectedly, it was still raining even after lunch time after I came out of the set.

After arriving in the lounge, Xiaoying said hello to the radio host. The host said he would go first and was going to let Xiaoying rest for a while. Xiaoying said politely: "It's okay Baiyun, we have known each other for such a long time. Please do your best." Just ask my colleagues to call me."

Bai Yun smiled, patted Xiaoying's shoulder, and leaned into Xiaoying's ear, "She's really getting more and more beautiful."

The two have a good personal relationship. When Xiaoying first debuted, Baiyun was already a well-known radio host. Several big stars have been guests on the radio station. Baiyun helped Xiaoying to participate in the program. Baiyun hosted this celebrity talk show It has always been a gold medal program from 2 to 5 pm on Fridays, and the listening rate has always been very high.

Nowadays, Internet radio stations are becoming more and more popular, and they have overtaken traditional radio stations. Just like the ratings of Internet celebrity live broadcasts exceed those of many variety shows, the audience ratings of Baiyun's program are still very high, also because Baiyun himself is Bring your own traffic.

This show is also full of big names. As soon as Xiaoying walked into the lounge, she saw two artists with similar status to herself. After seeing Xiaoying come in, the artists who arrived first took the initiative to say hello to Xiaoying.

"Xiaoying, come and sit here. It's raining so hard and we're not even late. We are indeed the conscience of the industry."

The person who speaks with humor is Wang Tao. He made his debut with a talk show and is now a hot star in various variety shows. As long as Wang Tao is on the show, the ratings can often bring surprises.

Wang Tao himself is also cheerful, with a pair of slender eyes that really look like the curved moon in a literary novel when he smiles. He is full of witty remarks when telling jokes. It seems that he also knows how to control the interaction during the interaction, and rarely steals the limelight from other guests.

Artists don’t like to be robbed of the limelight. Those who know how to behave can usually go more smoothly and further. Among the younger generation of male artists, Wang Tao is considered a newcomer that everyone likes, so he has not been able to make a lot of money these years. With few good resources, I can now participate in radio programs with Xiaoying.

Suddenly, Xiaoying secretly sighed, she didn't know whether it was me who took advantage of Wang Tao's popularity or Wang Tao who took advantage of me in today's show.

Am I as hot as Wang Tao now?

This question suddenly seemed like a piece of chewing gum stuck to the wall. Xiaoying tried to ignore this idea, but she couldn't ignore it anyway, as if she was being targeted.

She felt that her heart was beating very fast and her head seemed to be starting to hurt.

Oops, it's good that I stayed in the hospital for two more minutes just now. Doctor Muchun also asked me to prepare some painkillers. Based on experience, I believe that I won't have a headache when I work. What should I do if I have a headache now?

"Sister Xiaoying, are you okay?" Wang Tao thought quickly and noticed something was wrong with Xiaoying, so he immediately asked with concern.

"I...it's okay." After Xiaoying said that, she took off her sunglasses and smiled brightly. Her smile was a bit exaggerated, but it was beautiful.

It must be beautiful.

Sure enough, Wang Tao was immediately convinced by her smile, "Sister Xiaoying really looks better than a girl. Speaking of which, this is our first time working together. I'm so lucky to see Xiaoying at such a close distance." Sister, she really looks like a girl from the second dimension."

"The second dimension is too exaggerated. I don't want to be the wife of an otaku."

Xiaoying replied humorously, the temperature was neither cold nor hot, which was just right for her temperament.

After Wang Tao said hello, Luo Shanshan, who was making preparations on the side, also took the initiative to wave to Xiaoying.

Luo Shanshan has suddenly become famous recently. She is so popular that no one in the industry knows what her backstage is. This is the first time Xiaoying has seen Luo Shanshan in real life. She is over 170 centimeters tall and paired with a picture. With a face the size of a palm, Wang Tao's two-dimensional compliment just now was just right for her.