The patient: a few years before the onset of the disease will occasionally say that people are talking badly about him (twice), often said that there is to follow him, said his mother in the soup laxative and other words, children sometimes do not listen to say that someone deliberately taught his children, until six months ago more serious, even the traffic lights are aimed at him, hair production expertise I always thought he was deliberately saying these complaints, until two weeks before the onset of the disease, he was crazy shopping during the day (all unnecessary) night karaoke until 2.3 pm to go home (he never tried to sleep for not home), I thought he changed his mind. unnecessary) KTV at night until 2.3 o’clock to go home, and even two nights did not go home (he never tried for not home to sleep), I thought he had changed his mind. I thought he had a change of heart. I told his mother and brother that he was abnormal, but everyone said I was the one with the problem until 3/16 when he ran to the Public Security Bureau for protection, sometimes saying he was the director, so I knew he really had a mental problem. After the electroconvulsive therapy condition improved, the 13th day of admission (3/28) has returned to the previous, the response is good and fast, talk and laugh, but also jokingly said that his wife has been good evil how to be so gentle to him today and other talk, but the next few weeks (April 4, 12, 18, 24) to see him, his response are slow, and emotional instability always ask to be discharged, said he wanted to children, said he would try to be a good husband, once said I heard that he also hit his head against the iron gate (asking to be discharged), his eyes would look around when he talked to me as if he was worried that people would find him, and when he knew that he still could not be discharged he would be angry with me, saying that I colluded with the doctor and so on. Dr. Li, I can’t figure out if this is normal or abnormal, why he returned to his former self when he was treated for 13 days, but later his reactions slowed down and he was emotionally unstable, is this the case or is he the only one who is so special? Is he serious? I’m so worried and helpless, Dr. Li. Guangzhou Brain Hospital psychiatric department Li Haiyan: Hello! Thank you for your question! Zhang Zhongming was admitted to the hospital as you described, and on the day of admission, he showed impulsive and injurious behavior. In order to control his psychiatric symptoms as soon as possible, MECT treatment was arranged for him and he was given appropriate doses of antipsychotic drugs. During the treatment process, the patient initially did not feel at ease in the hospital, found various reasons to request discharge, and tried to escape through the door. After psychotherapy and rehabilitation training, the patient’s mood gradually stabilized, and he was able to recognize the necessity of hospitalization. The purpose of this hospitalization was achieved. After a sufficient dose of medication, Zhang Zhongming did not show obvious side effects but seemed to have some slow response, please do not worry, during the acute and consolidation period, sufficient dose of medication is needed, if the side effects are not obvious, we should focus on treatment. When it comes to the maintenance period, you can consider reducing the drug dose and the patient’s response may return as usual. Please don’t worry about helplessness and believe that he will get better and better! After this period of contact with you and your couple, we understand the difficulties in your life, and feel the harmony of your family and the love of the couple. I believe that after Zhang Zhongming is discharged from the hospital, you will continue to take care of him and support him. Thank you for your support of my work, and I will treat him wholeheartedly and follow up his future rehabilitation treatment. As Zhang Zhongming gets better, I believe that your reunion is not far away! I sincerely wish you all the best! Patient: Hello, Dr. Li! Thank you so much for your help and encouragement. After your treatment, I saw that he improved week by week, and I am grateful for your help and encouragement. Thank you for your help and encouragement. He may have overreacted during the treatment and caused you some trouble. I wish you peace and happiness! Guangzhou Brain Hospital Psychiatry Department Li Haiyan: In clinical work, to get the understanding and praise of the family is a great encouragement to me! Thank you!