The patient: examination and laboratory tests: I have social phobia for almost ten years, since childhood my personality is more introverted, do not like to talk, but with other children is not very different, but later in adolescence developed into social phobia, in front of strangers do not say a word, speak afraid to look at each other’s eyes, feel especially nervous, the heart has a sense of oppression, worry, anxiety, a sense of restraint, body muscles are particularly stiff, especially the neck. Especially the neck. This is the state of mind, every day, so far a friend is not. When facing the opposite sex, the symptoms are even worse. When I go out, facing the crowd, I feel nervous. I just graduated and joined the workforce almost half a year ago, but I do not know anything, and now I work in a company with a salary of just over a thousand, and I do not take the initiative to talk in the company, and I can’t say anything when I communicate with others, I feel uncomfortable, and my movements are very restrained. My job is mainly to use the computer in the office to deal with office documents, the supervisor explained my task, but every time there will be mistakes, sometimes the address will be written wrong, sometimes will be typed wrong documents, every time will be scolded by the supervisor, feel really useless, completely unable to integrate into the society. Now every day before going to work, I feel extremely anxious, and after I get home from work, my mind will review over and over again the footage from work, how I made a fool of myself in front of others, I know this is not right, should not pay too much attention to other people’s views of themselves, but I can not control my brain, my mind will review over and over again the footage just now. And see the leaders, but also dare not greet the leaders, words just can not say, now the day is like a year! Later to Shandong Qianfo Mountain Hospital to consult the Department of Psychology, mainly or drug therapy and compulsive therapy, fear of what to do, but half a year, or the same old. The treatment situation: now drink medicine every day, Sellett every morning and afternoon one and a half, important occasions to drink clonidine 1/4 tablets. But I feel only slightly relieved of tension, but still particularly nervous when meeting people. Medical history: I have social phobia for almost ten years have social phobia, how to do? Yang Lejin, Department of Psychology, Qilu Hospital, Shandong University
Yang Lejin, Department of Psychology, Qilu Hospital, Shandong University.
The phobia and compulsion cannot be simply distinguished from each other. Your so-called social phobia is actually an excessive worry that you will not perform well and that others will belittle you, an expression of the idea of perfection, due to excessive concern about how the outcome will be, thus making yourself worried, nervous and uneasy and even other symptoms.
Your current medication regimen is fine. How long have you been taking this regimen (Celete 60mg’ per day)?
I have already talked about similar treatment regimen in many previous cases, you can go through them and also take a closer look at the psychotherapy inside my article, it will be useful for you.
If the approach I mentioned above still does not work well for you, you can come to my clinic. ‘
I hope you get well soon.
Patient: I have been drinking Celebrex and Clonidine for three months now. But I feel that it can only slightly relieve the tension, but meeting people is still particularly tense and the body is very stiff, especially the neck, which feels unnatural. In addition, Dr. Yang, I am now using compulsive therapy, fear of what to do to increase the mental stimulation capacity, but it is too painful. Are there any other non-painful and gentle treatment options, such as hypnotherapy or something like that, that can cure my social phobia? I have heard that some psychologists with good hypnosis skills can cure in half a month, while others know a little about hypnosis, but the money is spent, but not cured. One more question is how to find you when I go to Qilu Hospital of Shandong University.
The psychological department of Shandong University Qilu Hospital Yang Lejin: I am in the psychological department of Qilu Hospital.
Patient: Dr. Yang, there is one more question that you haven’t answered yet. Dr. Yang, I am now using compulsive therapy to do whatever I am afraid of to increase my mental stimulation capacity, but it is too painful. I want to use hypnotherapy, can he cure my social phobia? I heard that some psychologists with good hypnosis skills can cure it in half a month, while some psychologists know a little about hypnosis, but the money is spent, but not cured. Dr. Yang, can you help me with hypnosis?
Yang Lejin, Department of Psychology, Qilu Hospital, Shandong University.
We have a special hypnosis technician in our clinic.
Hypnotherapy has certain indications, not that any psychological disorders can be solved by hypnosis, hypnotherapy is mainly used clinically for some mental disorders caused by trauma, such as hysteria, episodic neurotic anxiety, etc. By encouraging patients to express their traumatic experiences and repressed emotions related to the onset of the disease under hypnosis, the therapeutic purpose can also be achieved through suggestion.
The systematic treatment of compulsion I have already made clear.