Due to changes in social conditions and changes in ideological concepts, sexually transmitted diseases (STDs), which have been extinct for decades, have resurfaced in our country and are spreading rapidly. Sexually transmitted diseases have become a common disease in dermatology, gynecology and urology. STD patients as a special group of sick people, not only has the physical aspects of the disease, due to social, economic, cultural and many other factors, also produced a series of special psychological problems. In order to make every STD patient in an optimal psychological state to receive treatment, to help patients to solve the many different psychological disorders caused by STDs, medical personnel must have a full understanding of the patient’s psychological response. Therefore, in addition to the treatment of sexually transmitted diseases for patients, dermatologists are also essential to psychological treatment. Different therapeutic measures are applied to various psychological states. 1, clinical information 1.1 August 1, 2006 to July 31, 2007 on our department to treat a total of 122 cases of STD diagnosed cases. Among them, 78 cases were male and 44 cases were female; age was 20-55 years old, average age was 25.5 years old; duration of the disease was 15 days to 6 months; occupation: 38 cases were self-employed businessmen, 16 cases were unemployed, 11 cases were laborers, 11 cases were cadres, 12 cases were civilian workers, 19 cases were drivers, 15 cases were purchasers; culture was different from that of the other cases. Purchaser 15 cases; literacy: 39 cases above junior college, 38 cases in high school, 45 cases in junior high school; disease: 48 cases of gonorrhea, 24 cases of nongonococcal urethritis, 28 cases of condyloma acuminatum, 15 cases of syphilis, 4 cases of pubic lice, 3 cases of Candida glans dulcis. All had a history of non-marital sexual contact. 1.2 Methods Investigate the psychological problems of 122 cases of sexually transmitted diseases patients, in addition to symptomatic treatment of genital venereal inflammation, using personalized psychological guidance and the introduction of knowledge of sexually transmitted diseases, if necessary, with the implied therapy of drugs. In order not to increase the patient’s rebellious and inferiority complex, better with the treatment, we use to patients in the process of diagnosis and treatment of psychological problems survey. 2, the results of the survey results show that: venereal disease patients as a group of special sick people, not only has the physical aspects of the disease, due to social, economic, cultural and many other factors, also produced a series of special psychological problems. 3 Psychological state analysis 3.1 Shame The degree of shame is inversely proportional to the degree of openness of the region. The sense of shame of STD patients in coastal open cities is lighter, while the sense of shame of rural patients is heavier. In terms of gender, female patients are more likely to feel shame. As a result of this psychological impact, the patient most hope in the case of unknown, as soon as possible to cure the STD. When they have no choice but to go to the hospital, they are too shy to speak out, avoiding the importance of the matter, refusing to give a detailed medical history, or making up a medical history. 3.2 Guilt Currently, STDs are mostly caused by unclean sexual intercourse, patients are responsible for being trapped in the disease state, some people therefore produce a sense of guilt, coupled with STDs not only physical discomfort, but also anomalous pain in the inner experience, so that the patient produced a psychological regret. This psychological both positive and negative side, the positive side is to make the patient from now on clean, no longer involved in unclean sex, is conducive to the prevention and treatment of sexually transmitted diseases, the negative side is that if this psychological development to the extreme can lead to the patient to the end of the road. 3.3 Fear, fear arises from the following aspects: (1) the fear of sexually transmitted diseases itself: from the wrong understanding of sexually transmitted diseases, in terms of the current level of medical care, in addition to AIDS, most of the sexually transmitted diseases after standardized treatment, can be completely cured and does not leave sequelae. However, due to some social propaganda overstated the harm of sexually transmitted diseases, so that some patients with sexually transmitted diseases as a terminal disease, worrying that sexually transmitted diseases are difficult to cure, causing serious and permanent damage to themselves. The infertile people are worried about infertility or offspring deformity, and some patients are worried about the impact of sexual function. (2) worried about STDs infected family members, some patients do not understand the transmission of STDs, worried about general daily contact will be STDs infected family members, and even after the cure also do not dare to cohabit with their spouses, the whole day worried, constantly wash their hands, wash the vulva every day. In serious cases, psychological disorders such as forced hand washing may occur. (3) Worry about the unit leaders, colleagues, relatives, neighbors and so on know their own disease and reputation. 3.4 Pessimistic and despairing psychology Some patients with venereal diseases are not cured due to untimely treatment and inappropriate medication. Some patients may relapse after cure. To the patient caused heavy psychological pressure and economic burden, so that some patients have a pessimistic and desperate psychology, 3.5 Psychology of suspicion Some people due to an accidental extramarital sex life suspect that they have sexually transmitted diseases, self-check the external genitalia repeatedly, the previously unnoticed signs mistaken for sexually transmitted diseases. Although after many checks to rule out STDs, still believe it. Some patients with STDs have been cured, but some symptoms not related to STDs are regarded as symptoms of STDs and considered STDs have not been cured. Some doctors, due to knowledge limitations or for the purpose of making money, describe some non-STD symptoms as STDs, which further aggravates the patients’ suspicion of STDs. 3.6 Hedonistic mentality is seen in some repeat offenders and prostitutes, who are influenced by the corrupt lifestyle of the West and regard traditional sexual morality as a shackle, and are not scrupulous in their behavior. They may pursue sexual pleasure or money, and they may regard sexually transmitted diseases (STDs) as colds, and they may still visit prostitutes or engage in prostitution even though they have been infected with STDs many times. 3.7 Social Abandonment Psychology Some people with STDs have been involved in extramarital sexual behavior and feel degraded and shameless, resulting in low self-esteem, and regard themselves as “bad people”. Coupled with the prevalence of social discrimination against STD patients, STD patients are considered to be morally corrupt, indecent and shameless, not only the leadership, colleagues look the other way, family members dislike, and even some doctors are also cynical about it, so that patients feel abandoned by society. 4, treatment At present, STD diagnosis and treatment work in the prevalence of “medical not medical” wrong tendency, that is, the doctor only focuses on the patient’s physical disease, but ignored its psychological factors and related social factors. This tendency can not be adapted to the modern medical model, that is, “biological – psychological – social medical model”, the prevention and treatment of STDs is very unfavorable. Modern medical model that the disease not only occurs in the organs, cells, can also cause changes in the psychological state; in turn, psychological and social factors on the occurrence of disease, development, regression also has an important impact. In terms of patients with sexually transmitted diseases, the sense of shame, guilt can make the patient to change their bad sexual behavior, is conducive to the control of sexually transmitted diseases. Excessive fear, pessimism, despair, suspicion of disease, social abandonment can make patients produce heavy psychological pressure, and even lead to psychological disorders. The hedonistic mentality can make patients indulge in dangerous sexual behaviors, which can lead to recurrence of STDs and spread of STDs in the society. The famous medical historian Sigris said, “The aim of medicine is social; its purpose is not only to cure disease and to rehabilitate a particular organism, its purpose is to enable man to adjust to his environment and to act as a useful member of society.” A venereal disease patient who is cured of his physical disease without addressing his psychological abnormalities will still not be well adapted to society. This requires doctors not only to have a high level of medical skills, but also to master the relevant knowledge of psychology, not only to treat their physical diseases, but also to study their psychological characteristics, to understand these psychological characteristics of the treatment, prognosis may have an impact on, and to help them change their bad state of mind, and at the same time, according to the person to person, for the different psychological state of the appropriate psychological counseling, so as to receive twice the result with half the effort, so that patients with venereal disease This is the only way to get twice the result with half the effort, so that patients with STDs can be completely recovered. In addition to the symptomatic treatment of patients with genital inflammation, we have done the following psychological treatment in our treatment. First of all, we strive to gain the trust of patients. We take the initiative to introduce the knowledge of STDs to the patients, explain to the patients objectively and correctly the situation and prognosis of STDs, and do not discriminate or intimidate the patients, so as to relieve the patients from unnecessary doubts and fears, which is conducive to the cooperation of the patients with the treatment. Secondly, our medical personnel are required to perform their duties conscientiously and responsibly, and to carry out regular treatment strictly according to the regular treatment program. Doctors should set the relationship between social and economic benefits right, always put social benefits in the first place, and cannot over-treat with the purpose of increasing economic benefits, which will increase the occurrence of complications and also increase the economic burden and psychological pressure of patients. Third, patients who overuse drugs should not be accommodated, and drug abuse should be stopped immediately. For the symptoms of non-STDs appearing after drug abuse should be given timely symptomatic treatment, and tell patients the harm of drug abuse, let patients know that the symptoms appearing due to drug abuse are not symptoms of STDs, to prevent patients from mistakenly believing that STDs are aggravated or recurring, and to reduce the psychological burden of patients. Finally, for patients whose thoughts and lives are still unstable, we supplemented the implied therapy with drugs such as doxepin, ghrelin and vitamin B1 as appropriate. 5.Results Through the above methods, after 1~3 months of psychological guidance, all cases have resumed normal work and life, and the undesirable symptoms and behaviors have disappeared.