It’s been a long time since I wrote anything on it. During the treatment, I experienced a lot of emotions and a lot of helplessness, but I didn’t have the urge to write it out, so I digested it. And write out not only a feeling, but also a movement before sending. In Monday’s class, a middle-aged female patient came to see the doctor in the morning with a depressed expression, full of suffering; symptoms included gastrointestinal discomfort, chest tightness and shortness of breath, depressed mood, and weakness, etc. There are relevant examination results of physical diseases, which can exclude the corresponding organic diseases caused by mood disorders, combined with the results of psychological tests are initially considered to be depression, according to the severity of the disease, she was prescribed the corresponding To be honest, this was a normal patient, but what happened afterwards left a deep impression on her. I was surprised because she had been a patient for a long time and hadn’t left the hospital yet. After she calmed down, I understood what happened. After reading the results, the doctor looked at the medication I prescribed for her and told her that the psychology department’s medication was too strong, and threw away the prescription for antidepressants, and she gave a new prescription, which made it impossible for the patient, who was already very fragile psychologically, to carry on. It was very difficult and painful. As a result, she returned to the waiting area of the psychology clinic and started to cry. The triage staff brought her to my office after asking about the situation. I looked at the prescription she was holding, and it turned out to be the same medication used in our department. Looking at her back, I pondered for a long time. As the old saying goes, there is a sequence of hearing and a specialization in the field. Medication for mental illness is a very complicated process, far from being as simple as people think, including how to increase and decrease the dosage, which is a very individualized process. In fact, I know that my treatment may not always be effective, but as long as we follow the right principles and give patients the right medication guidance, we and the patients are doing our best, and only then will we have the “best” results. In fact, in the face of disease, we are sometimes as helpless as the patient. On Thursday afternoon, one of my “old” patients came for a follow-up consultation, said to be an old patient because she has been treated regularly and systematically for a long time, and she comes for regular prescriptions. The patient is actually a young girl with bulimia nervosa, who has improved a lot in terms of eating problems and mood, but still has not recovered well in terms of social functioning. The biggest problem recently is that she has a lot of conflict with her family and even hates her parents a little. This time, because the mother came alone to pick up the medication, it was easier to say something, because the patient’s feelings might be taken into consideration in the presence of the patient, and the parents might have some reservations. Because the patient’s condition is now quite stable, I suggested that she receive psychotherapy at the last two follow-ups. This time, I asked the mother if the child had received psychotherapy. As a result, the mother paused for a while, and then tears came down. I could actually feel and believe that this is a strong mother, and when I asked why, she told me that she had been recommended by “others” to go to psychotherapy (not in our clinic), but what the psychotherapist said to her child was too much for her to accept. When I said how did you know, she said she hid and listened while the child talked to the psychiatrist because she was a bit “uneasy”. This is what the psychologist said to the child: “. You are so good, your problems are caused by your parents.” (Of course there are many more words. I won’t list them all here, because they are also private). The child then began to attribute her problems to her parents’ fault, ignoring their dedication and pain, which caused a mother who was already under tremendous stress to become exhausted and, in her own words, a bit broken. I was equally speechless as I heard her recount the process. The phrase “a child’s problem is also a parent’s problem” makes sense, and is also a phrase often spoken by teachers in counselor training. It is about the importance of a person’s upbringing, parental influence and family. This is a historical perspective, but another important principle of psychotherapy is the principle of reality, no matter how the problem is formed, the most important focus is on the reality of the problem. The phrase mentioned earlier can be spoken during case discussions, or even strategically with parents, but never with children. The key to successful psychotherapy is not technique, but more important than technique is the principle that one should not try to please the visitor for the sake of financial considerations, which in the long run is bad for the therapy itself, and even worse for the child to face up to his problems and cope with his responsibilities. This has been verified (and certainly is the case) by the fact that the child mentioned above, after a few sessions, never wanted to see the therapist again. The only purpose of all this “nonsense” is to hope that both doctors and patients, everyone around us, all of us, we are not easy, we are all good. There are three conclusions, one is that mental illnesses should be seen in the psychology department; two is that psychological treatment should be done in a formal way; three is that we all have defects, try to perfect, we can not do everything as we wish, only to try our best. We can’t do everything as we wish, we only seek to do our best. The patient’s tears, the patient’s mother’s tears, may such tears, less flowing.