A few questions commonly asked by psychiatric patients

  1. “Am I a neurological disease?” There is a big difference in the medical classification between neurological diseases and psychiatric diseases. Those that can be clearly related to neuroanatomy or can be clearly located are generally called “neurological diseases”, such as cerebral congestion, cerebral hemorrhage, epilepsy, Alzheimer’s disease, etc., but those that cannot be located at present and appear to be related to the higher activities of people are called “psychiatric diseases”. Psychiatric diseases are called “mental illnesses”, such as nonsense, disorderly behavior, running around, cursing, or depression, overexcitement, etc. But usually patients with neurological disorders can also appear psychiatric manifestations, long-term patients with mental illness also have the phenomenon of neurological structural changes, perhaps many years later, technology has developed, it will gradually locate mental illness to the structure of the brain, mental and neurological is a thing.  2. “Can I be cured?”  The clinical treatment of mental illness is still very good, most patients with mental illness can be cured, but the clinical cure refers to the ability to return to the pre-morbid state, not to say that you can not take drugs, to be precise, the current medical treatment of internal diseases are still in the symptomatic stage, such as diabetes and hypertension are to take long-term drugs, 90% of patients with mental illness to take long-term drugs.  3, “Mental illness is the kind of street running around, the whole body scruffy?”  The scope of mental illness is very broad, including various psychological problems, mood disorders, social maladjustment, alcohol detoxification, etc., of which schizophrenia only accounts for a very small part, the kind of running around unkempt patients in schizophrenia also accounts for a very small part, mostly patients who have not been treated for many years and no one to take care of them will reach that level, that is, in the late stages of schizophrenia.  4, “Depression is no big deal, it’s okay when you’re in a good mood” Depression is the second of the top 10 diseases in the world and causes a lot of social harm every year, but in China because of the lack of attention to personal emotions, we can rarely pay attention to depressed patients for two reasons, one, Chinese people are generally introverted, we are not used to expressing our One, Chinese people are generally introverted, we are not used to express our emotions, some people joke that foreigners look at Chinese people as depressed, Chinese people look at foreigners as manic, it is the culture that makes it difficult for us to identify depression. Second, we do not know the difference between normal bad mood and depression. Maybe a person has a good family, good life, good work, but his mood is bad, people will think he is depressed, but when a person has a little bad, people will think it is normal. In fact, it is really difficult to distinguish between normal bad mood and depression in medical science, generally speaking, it is thought that from the severity and duration to distinguish, that is to say, no matter what the reason for more than 1 month of bad mood, serious inability to live or repeated suicide can be considered as depression.  The biggest danger of depression is suicide, about 70% of suicides have a history of depression.