I often hear the patient’s family say helplessly, “He/she just listens to the doctor.” Every time I hear such an expression I feel the deep pain in the heart of the family, which is actually no less than the patient. I’m not very good at writing, so I can only reproduce some good articles for you. I hope that with my own modest efforts, I can bring the light of treatment to more patients and families. A, from the discovery of abnormalities to the diagnosis 1, signs of adolescent academic performance decline, unhygienic, conflicts between classmates gnawing, these may not be the disease, the key is the speed of decline in academic performance, a large drop, and they do not care much, especially to parents and teachers are indifferent to punishment, you may want to ask a psychiatrist to see if the disease; unhygienic to a year without haircut, six months without bathing, you can no longer just say that he is a disease. You can no longer just say that he is bad hygiene habits, you have to ask a psychiatrist to identify whether there is a disease; conflicts between classmates, resulting in his classmates feel that as long as the class is scolding him, someone is following him after school, his home is equipped with cameras or bugs, such mysterious, similar to the contents of detective novels, you must ask a psychiatrist to identify whether there is a disease. 2, refused to seek medical treatment found that the patient is sick, should immediately seek medical attention, this is common sense, but the operation of four problems. First, these abnormalities are not considered a disease, or just a personality problem, rebellious psychology? Therefore, the psychological uncertainty arises; second, is to see a doctor, the patient does not admit to have a disease, but also can not bring the psychiatric hospital; third, even if the patient is willing to obey the family arrangements to see a doctor, will not originally no disease, eat psychiatric drugs, but eat out of disease? Fourth, the family to the psychiatric hospital, which does not ruin his reputation, how to find a job, find a date in the future? 3, indirect medical treatment In view of the above four reasons, the family to take three responses, one is to wait and see, and then observe for a period of time; second, through acquaintances, tossed to ask the local psychiatrist to see the family, or the family to the hospital, privately ask the doctor to see the family, and pay a high visit fee; third, the family does not bring the patient (because the patient refused to come), their own hospital to consult the psychiatrist. We believe that to wait is to delay, if it is not a disease, of course, there is no loss, if it is a disease, wait for the chance of early treatment, reducing the possibility of cure, and whether it is a disease, psychiatrists always determine more accurate than the family, so the disadvantages of delay outweigh the benefits; ask the doctor to see the patient at home, usually when the symptoms are not yet typical, the family has not yet made up its mind to let the patient go to the hospital to see a doctor, so hidden from the patient The efficiency of the psychiatric examination is greatly reduced because the symptoms are not typical and the psychiatric examination is not thorough, so the accuracy of the diagnosis is greatly reduced, plus the patient refuses to take medication, and there are only a few kinds of dark medication, so the treatment effect is not guaranteed; the family members themselves come to the hospital for consultation, although because of the lack of psychiatric examination, the doctor If the family does not believe, one can not, but also can consult two, if the impression of the diagnosis is consistent, this can promote the family to resolve to bring the patient to the clinic. If the patient really refuses to come to the clinic, experienced doctors may prescribe safer medications to treat the patient, sometimes the condition is in complete remission and the doctor has not even seen the patient. Of course, most doctors will not see the patient can not prescribe drugs and avoid the risk, the family can not do anything about them. 4, direct consultation For the first time, the family should directly choose a psychiatrist, not to go around to the neurologist, the first consultation should be at no cost to choose a specialist (although experts are also mixed), the first time to make a correct diagnosis, can be for the future direction of treatment, do not choose Chinese medicine, because the effectiveness of Chinese medicine for schizophrenia is not good, usually into the Western medicine treatment; do not choose unqualified individual doctors, who often put out big words about package treatment and never relapsing in order to recruit patients, which no senior doctor in the world can do; choose carefully famous doctors thousands of miles away, because the farther away the place is, the easier it is for the information to be transmitted; choose private psychiatric hospitals especially carefully, as good results in a few cases do not mean that they beat public hospitals by a mile. Second, dark medication Third, choose a doctor 1, not necessarily long-term stare at a doctor We have a habit, that is, once used to see a doctor in the hands of which doctor, you have been staring at this doctor, the reason is that this doctor is familiar with my condition, the intrinsic factor is to find a familiar doctor good communication some, if the disease recovery is smooth, there is certainly nothing wrong with doing so; if the disease has not improved, it is recommended that you find other The reason is that each doctor’s perspective, way of thinking, and medication habits are relatively fixed, and there are inevitably blind spots, even for senior doctors. Dr. A has had anecdotal experience with drug A with poor efficacy or large adverse reactions, and has stereotypes about drug A. In the future, he will not choose drug A in any occasion, while Dr. B has no such anecdotal experience with drug A, and is not repulsed by the drug, so he may choose the drug, and you will not have the opportunity to try drug A for a long time with Dr. A, but you will have the opportunity to try drug A with Dr. B. If you are effective with just drug A, you will be delayed with Dr. A. If you are effective on exactly A drug, you will be delayed at doctor A, but cured at doctor B. 2. Don’t tell the doctor that you don’t think about money Everyone has probably heard the term schizophrenia, but the disease of schizophrenia that comes to one’s family is usually initially difficult to bear, and families at the beginning want to throw heavy money at once to extinguish the disease completely. Families in better financial situations will say to the doctor, “Don’t think about money for your treatment, money is not a problem “. This time the family ignores the general rule that medical treatment has been marketed, and this statement may inspire some doctors — certainly not all doctors — to use drugs more recklessly, so the family should have moderation when communicating with the doctor about their financial situation: “As long as it is effective and the adverse effects can be tolerated, try to use some cheaper drugs, really need, then use more expensive drugs “. This has the tendency of low consumption without sealing off the possibility of using expensive drugs. At least it will not support the idea of doctors using drugs indiscriminately. 3, once do not hang two experts at the same time Some patients’ families because of the high importance of family illness, and from overseas to see the doctor, hang a specialist number and uneasy, so they hang two experts at the same time, this expert just finished, the drug has not taken, and come to get the medical records to another expert to see, which will inevitably cause the doctor’s displeasure, and is both cause the first doctor’s displeasure, and cause the second doctor’s displeasure. The reasons for this are: (1) distrust of the doctor; (2) waste of resources. Cunningly, the patient’s family members register two numbers, use two medical records, let the two doctors see each other without knowing each other’s opinions, and then compare their own conclusions about the two doctors. A patient, two doctors to see, the opinion is completely consistent, of course, the family is the most satisfied, but often the opinion is not completely consistent, even if the diagnosis is the same, the choice of drugs may be different, then which prescription to use, the family to decide, and the family is completely ignorant of this, the choice can only be based on the feeling of which doctor said “more reasonable The family can only choose based on the feeling of which doctor says “more reasonable”, which prescription to use. And this choice is actually completely blind. Spend more money not to mention, but to increase the patient’s distrust of doctors, increase non-compliance with medical advice, artificially alienated the doctor-patient relationship. 4, the use of people do not doubt too much baby their children’s families, psychotropic drugs, especially the old generation, cheap psychotropic drugs lack of security, but the new generation, the price of drugs instead assured to spend money, in fact, expensive drugs may not be suitable for your family’s patients, from a specific adverse reactions, expensive drugs may not be adverse reactions light, families should admit to being amateurs, otherwise do not see a doctor, since the choice of a specific If you feel that what the doctor says is not right, or the efficacy is not satisfactory, you can change the doctor, not to do repeated and excessive questioning on the doctor’s decision, which is not as painful as changing a doctor.