There was a 26-year-old female bank employee who presented to the clinic with the following complaints: panic attacks, sweating, dizziness, headache, and insomnia. When asked about her medical history, she said that she was in good health, but in the past month, her unit had imported a new set of machinery and equipment, which meant layoffs. As a matter of fact, the unit’s general assembly and small meetings about layoffs have caused a lot of anxiety. She was also distracted, not eating well, not sleeping well. Half a month ago went to the hospital cardiology examination, the doctor said that the heart has “premature ventricular”. The doctor said that the heart had “premature ventricular ejection”. After the medication didn’t help, and the insomnia worsened, she rushed to see the neurologist again. She kept asking me, “Doctor, is this a ‘disease’? What kind of disease? Is it serious? Should I take medicine?” I gave her an electrocardiogram and found that she did have occasional “premature ventricular ejection”. I said to her, “You don’t have to worry about it. Your symptoms are a psychophysiological reaction. The more you worry, the more something will happen. This is “anticipatory anxiety”, which is a psychological problem. Anticipatory anxiety creates an acquired conditioned reflex in the body, so it affects the heart and sleep. I also explained to her that benign “premature ventricular ejection” is a physiological phenomenon that does not require any medication. Premature ventricular contractions are very common and can occur in both healthy and cardiac patients. The likelihood of premature ventricular ejection in normal people increases with age; it can be triggered by stress, alcohol, smoking, strong tea, coffee, and poor sleep. If there are no symptoms or the symptoms are mild, no special treatment is usually needed. If premature ventricular fibrillation, which causes significant symptoms, affects life and work. Anti-arrhythmic drugs can be used for a short time to improve the symptoms under the guidance of a doctor. The physiological reactions of people under tension may be persistent tachycardia, arrhythmia, or arrhythmia due to myocardial contraction, lower blood pressure, kidney dysfunction, edema, syncope and weakness, etc. Tension can cause loss of appetite, which in the long run can lead to malnutrition, asthma, diarrhea, migraine, poor concentration, poor memory, sensitivity or helplessness to external things. The physiological changes and emotional-behavioral reactions of people in a state of tension will become nervous stimulus feedback to the brain, strengthening or prolonging the body’s nervous feelings, and inappropriate reactions of the body will increase structural damage and dysfunction of organs, leading to somatic diseases. I would like to clarify that there is a “stress concept” in the psychophysiological response, which is the overall phenomenon when the individual “perceives” the environmental stimulus as overburdening the physiological, psychological and social systems, and the resulting response can be either adaptive or maladaptive. The systemic adaptation syndrome is divided into: 1) the alert phase, 2) the resistance phase, and 3) the exhaustion phase. The alert phase is: weight loss, enlarged adrenal cortex, enlarged lymph glands, increased secretion of stress hormones (adrenocorticotropic hormone, medullary hormone, pituitary pressor hormone, growth hormone), increased blood pressure, increased heart rate, shortness of breath, increased blood supply to skeletal muscles, increased blood glucose, increased metabolism, creating the possibility of preparation for conflict and exit from danger; resistance phase: normal weight, smaller adrenal cortex, lymph glands The body adapts to the stressful environment and maintains the normality and stability of physiological functions. The body’s resistance to the stressor increases; the failure period: if the body continues to be in the stressful environment or the stressful stimulus is too strong, the body can no longer adapt to the environment and its resistance to it weakens and enters this period. The adrenal glands increase in size, and then deplete and shrink, weight loss, lymph glands increase, lymphatic system dysfunction, hormones increase first and then deplete, and the symptoms of the alert period appear in the depletion period. If the source of stress is not eliminated, a fundamental transformation is not possible. Social, psychological and behavioral factors act on the human body and affect all organs of the body through the mediation of the nervous system, endocrine system and immune system. If adverse social, psychological and behavioral factors continue to act on the body excessively for a long period of time, they can cause continuous and serious disorders of physiological activities, which can eventually lead to psychosomatic disorders. The psychological reactions that occur with stress problems are emotional reactions, behavioral reactions, and self-defense reactions. The concept of “coping” is a changing cognitive and behavioral effort to deal with specific internal and external environmental demands that are beyond one’s resources. Coping resources include physical, psychological and social resources; the coping strategy is to change the problem itself. But this she cannot change; she cannot keep the unit from introducing equipment or laying off employees. But she can change the way she perceives the problem: nowadays, young people’s jobs can never be as static as before, holding a permanent iron rice bowl. People will certainly face many choices in their lives. I told her: you are so young, there are great advantages, with work experience is not worried to seek employment in other units. What are you worried about? Coping methods are: emotional focused response, problem-focused response, to learn relaxation techniques, self-defense. Be ready for two things: one is to continue to do, and one is to seek employment again. In this way she can transform the emotional crisis caused by the problem. Physiologically speaking, of course, the process of coping involves the sympathetic-adrenomedullary system, the hypothalamic-pituitary-target gland (adrenal, gonadal, endocrine gland) axis in the brain, and the immune system. The female employee was enlightened: “Oh, so I can go without medication?” ”Of course you can, you just have to approach this with a normal mind and go with the flow. Sleep and wake up on time, and keep a happy mood in the period before going to bed. As long as you are well rested, you can completely self-adjust your mind and the symptoms will disappear quickly. If this does not work, then consider taking anti-anxiety sleep medication.” The female employee listened to me, and indeed she got through the so-called “crisis” in the unit. A couple from out of town brought their child to Beijing to see a doctor. The child was 16 years old, a middle school student, and was diagnosed with “obsessive-compulsive disorder” at a local hospital because he had trouble concentrating and his academic performance was declining. After taking medication for more than a month, he did not get better. I listened to the couple’s story: The child is now in his first year of high school. In the past two months, he has been thinking about a problem when doing homework, and he can’t get rid of it. When taking exams, he is also in a similar situation and is nervous, always worried about doing it wrong. This situation is better when you do well in school, and the problem is especially acute when you do not do well. He often loses his temper with his mother at home over trivial matters. However, in front of outsiders, he behaves in a well-mannered and polite manner. This child behaved naturally and volunteered to describe his inner experience – for about six months, when doing math problems, he was always worried about not getting it right; or when thinking about a problem, he had to think about it for a day or two after he had obviously got it right; sometimes he was so distracted by thinking about it. Recently, the adjustment has been alleviated, and he himself feels some problems and wants to get help. He admitted that he was currently nervous and stressed about his studies and worried about his future. I had a conversation with the child, “Talk to yourself about what’s on your mind?” ”There are 41 students in our class. There are only two or three who are doing better than myself. I watch TV with the word “success” in mind, and I want to get into a prestigious university, just like my sister.” –His sister is studying at a prestigious university. ”What are your usual habits?” ”Well, I don’t like to organize my school bag, I don’t like to clean the house, I like basketball, I forget things. But the important ones don’t forget, and the unimportant ones love to forget.” ”So, you don’t pay attention to the little things, do you?” ”I pay attention to manners, like how to talk to others; I pay attention to my image, to whether I behave properly or not, but I don’t care how well things are packed.” ”Like school discipline, social morals, paying attention?” ”Try to pay attention. Obey the law, school discipline, and don’t throw things around. I resent other students not paying attention, but they blame me and I’m quite angry, but I let my own things be used freely by my classmates.” ”Do you have insecurities? Do you think you’re open-minded, or narrow-minded?” ”My classmates say I’m half of each. Some of my classmates go to restaurants and drink, and I don’t like that. But I have a good relationship with them, but I don’t do things I shouldn’t do, and they think I go to extremes.” ”Do you mind a lot about your test scores?” ”Quite mindful! Didn’t pay much attention in elementary school. It started in middle school. Because people say that going to college starts from middle school.” ”You have high expectations for the future, right? Studying very hard?” ”Yes! At least stay in the top two or three in the class. I don’t have a plan for my studies. I used to have some plans myself, and they were disrupted by the school schedule. I was reluctant. I want to follow my own and still be able to improvise. I studied hard enough. But when my mom saw me watching TV, she said, ‘Why are you watching TV again?’ I feel like taking a break when I should. My mom is strict. My dad has a method.” ”What do you think is bothering you mentally?” ”I think too much about problems. I have to do the same problems when I get them right. There are too many to do. I have a friend who doesn’t care about anything during the exam. But I can’t. When I finish a question, I still think about it. I think about it all the time like this, and it is troubling. A lot of people have the opinion that you don’t see a doctor if you have a problem. When I found out I had a problem three weeks ago, I thought about it for a while, but then I kept thinking about it. So this time in Beijing, my purpose: first, why is this happening? Second, what causes this to happen? Third, how to get rid of this?” After the conversation with him, I told him: You have very lovely qualities, and you have been struggling hard for a good future since you were 16 years old. There are limits to what each of us can experience. For example: K is a fixed amount, it’s a constant. That’s all the energy you have for your activities, and it’s a key question to arrange it wisely and use your energy. Everyone reacts differently to this, which is determined by a person’s personality. Some people are careless, some are meticulous. Do I see that you have been very meticulous since you were a child? It’s not that you are careful about everything, but you care about your expectations and set your goals high, like having to be in the top three. People do not have a goal to strive for, there is no direction. But a person should have coarse and fine, not fine in coarse, but coarse in fine. Small things are confused, big things are grasped. That friend of yours has a point, in fact, study, exams do not have to think so much, just plow, do not ask the harvest, like a farmer’s uncle well planted, will not not hit the grain. What is done is done. Expectations are too high and will increase insecurity. As a result, everything is treated without regard to importance or size, which is not right. For example, like when you do a problem, there are 3 questions that you are allowed to take your time on, and 30 questions that you are not allowed to take your time on, time does not allow. Expectations should be just right, for example, to take the university, not necessarily the key universities in Beijing. It will be easy to have the psychological problem of insecurity. The mindset should be in line with the age. Study well, play well when you play, 16 is still the age of boys naughty, do not force everything seriously …… This conversation after a week, he came again, this time he took the initiative to tell me: “better than before, but sometimes still repeatedly think. Will this situation get better? How long will it take to get better?” I said, “As I said last time, you should study and play. Just plow, not harvest. Let nature take its course, don’t pull up the seedlings.” ”A friend of mine on the phone said, “There is a road before the car.” ”Right! You also know the story of Yugong Yishan, right? Grandfather and grandson move a big mountain, children and grandchildren, endless, to have this kind of perseverance.” After two contacts, this child’s baggage gradually came off. There was no medication used, and the same desired effect was obtained. This is where the verbal therapy comes into play. My intention is for the parents to understand that for their child to succeed, on the one hand, the parents guide them to determine the direction of their efforts and encourage them to strive; on the other hand, they also need to see the gaps and put their feet on the ground. Some parents don’t care whether their children are happy or not, they only care about what kind of academic achievement they have? Or whether they have certain strengths? The child may feel that the parent’s love for him or her is not unconditional, but depends on his or her grades and performance. Children who are under pressure often act in fear of failure and are in pain if they do not get what their parents want. As a result, many children often put their true desires and needs on hold to please their parents, focusing only on their studies and on accomplishing the goals set for them by their parents, neglecting themselves and even compromising their friendships with others. Some parents may have failed in life because they themselves have failed. The hope is that their wishes will be realized through their children. The practice of expert pressure reduces the child’s self-confidence and creates concern that the child will not be able to meet the parent’s wishes, which can lead to rebellion. In a way, the child’s performance becomes a leverage for the parent to seek social recognition. I quote from UNICEF child sociologist Soledad Laraine Larraín says: “Parents feel the honor of being recognized for their children’s performance and wonder why there is constant pressure on them to do better. This can become a vicious cycle that can be harmful to the child’s health. A child excelling in certain areas actually fulfills parental expectations and makes up for what they lack in life, rather than what is needed for future development.” I would like to invite you to contemplate this. The situation presented by this 16 year old is a common psychological problem in the division, not a disease. In response to this claim, the application of treatment is required to be accomplished through the support of doctors’ words and thoughts, family and society.