Principles of treatment for neurasthenia

  The principles of treatment vary according to the point of view. Both points of view recognize that psychotherapy is the mainstay, but the emphasis is different.  In addition to explaining and explaining the nature of the disease to alleviate and relieve the patient’s doubts and fears about the symptoms, the debilitation theorists emphasize meditation and recuperation, “strengthening” therapy.  Morita therapy advocates “listening to the symptoms” and not resisting them.  Those who see the disease as an emotional reaction ask patients to look for their own repressed emotional factors, identify its causal relationship with the symptoms, and try to resolve and adapt to them themselves. Many patients initially deny the existence of psychological difficulties and conflicts, but as long as the doctor is sympathetic and a good relationship is established between the patient and the doctor, they will gradually talk about their inner worries, conflicts and contradictions. However, the causes of worries and conflicts often exist objectively and are not easy to change, and the patient has difficulty changing his attitude to adapt to the environment.  Most doctors advocate symptomatic treatment for the main symptoms. Anti-anxiety and anti-depressants can improve the patient’s anxiety and depression, as well as relax the muscles and eliminate some somatic discomfort. Other treatments including physical exercise, travel retreats, adjusting unreasonable study and work styles are also some good ways to get rid of troublesome situations, improve tension and relieve mental stress. However, too much examination and too much somatic therapy can meet the patient’s suspicion requirements, but it is easy to direct the patient’s attention to excessive attention to the symptoms and not actively face the psychological difficulties, but is not conducive to treatment.