Patient: Hello, I was injured in the tailbone of a car accident, long time to heal, stay at home for a long time, the pressure of work and family is very high, because I can not walk normally will always insomnia, so afraid to sleep, afraid of the night, sleep in bed, the head floating all kinds of things, as if worried about this and worry about that, always worried that I forget things, often repeatedly look at the bag pulled well and other things, as if there is compulsive disorder, always I am always worried about making mistakes, even if it is very simple, I have to write it down, always worried about forgetting or making mistakes, often feel nervous, when nervous, it seems like head swelling and the fact that I grew up studying to work, are very smooth, people around the evaluation are very good. I think I have a real physical reason for not being able to live and work normally, so please ask me how I should psychologically adjust. What to do when you feel nervous Thanks.
Doctor: First of all, you should rule out the possibility of excessive daytime sleep leading to sleep disorder at night.
Currently there are compulsive symptoms, anxiety symptoms, depressive symptoms, it is recommended to consult a psychiatrist and take anti-anxiety and anti-depressant drugs, as well as psychotherapy.
Patient: Thank you. I think my mental condition has a lot to do with my physical illness. If my body cannot recover, can mental and psychological treatment be effective? It is the fear on the physical disease that causes my fear of life and fate, causing me to fear everything and always worry and wonder what the future holds. Do you think there is a big problem with my spirituality?
Patient: There is another thing that makes me feel bad inside and I would like to ask you for advice. It is that during my illness, a former male college friend called me, knowing that I was sick, and talked to me on the phone a few times and online a few times, and he asked me to go out for a trip to get away and he took time to stay with me. He said he had always liked me before, and regretted not chasing me, saying that he felt too far away from me in every way to chase. In fact, I knew at that time that I had no feelings for him, and could not like him, is to talk when they bumped into each other, never dated him i also did not deliberately alone with him. When I realized he had an idea, I didn’t talk to him much because I thought he was a bad person, a little gangster, and had an ominous feeling. Later, when he graduated, he called me and cheekily said that he wanted to follow me around and so on. I was very cold and he didn’t pester me. The other day, he and I chatted online, I was very sad because of illness, he said what can give me moral support, and said to take the children, not to accompany me, so I feel very cold, very lost. I think he does not care about me, is what bad ideas, see me in this condition, and afraid of trouble. I think of him in my heart is very annoying, always think that he will not one day in my life again, he is thick-skinned, heart is also not right, cause interference to me, what should I do, should I change the phone number?
Doctor: Your current emotional state and mental state should be treated, otherwise it will affect the quality of life and life quality. Medication is also very effective.
Doctor: There is no need to be bothered by his reappearance. No matter what he thinks, you just need to keep a normal heart. He will not affect you as much as you think, but your bad suggestion to yourself is causing your current state of anxiety. The situation is created by the mind, that’s the truth.
Patient: Hello, if I get better physically, will my psychological condition get better naturally. I am worried that taking sleeping pills will affect my brain. It will affect the IQ. I am a writer inside the organization and the leader said I write well. To be honest, I have always been very smart in the eyes of my relatives and friends since I was a child, and I studied easily, as if I could do well as long as I put my mind to it, as if I was very talented. I have always lived in the envy and admiration of others, too, in terms of my looks and height and other aspects, and I feel very much that I have fallen too far when I think of my current situation, and I never thought I would have this fate.
Doctor: If you get better physically, your psychological condition will naturally get better.
People live in the present moment, don’t always look at the past glory and don’t worry about the future, the key is to enjoy the existence of life in the present moment, whether you are now sick in bed or can walk freely, because your enjoyment of the existence of life, your mental state, your state of consciousness is beyond the degree of physical defects.
Patient: Thank you for such a timely response and for your kindness and enthusiasm. Good people live in peace. I feel that I have specific problems that are not psychologically thought out. Specific problems will always affect me psychologically if they are not solved. My biggest problem now is that I cannot live and work normally. I have pain lying down, I can only sleep on my stomach, and my internal organs are not comfortable after sleeping. So every night, I read various books that
Patient: It makes my head tired and fatigued, and I can sleep four to five hours a day overall
Doctor: I don’t know how the orthopedic surgeon assessed the prognosis of your condition?
Patient: You are too kind, thank you. Many doctors say that I have a displaced tailbone, a condition that varies from person to person, some recover well, some not, but I have been good and bad, never lying flat uncomfortable, not sitting down too much. The last few days, I did acupuncture, feel a lot better meridians, and feel hopeful again.1 There is also the male classmate, I think that person is very thick-skinned, and the heart is not right, if he feels that life is boring, looking for some excitement, or feel like conquering the people who were unreachable to him before, and appeared again, saying something about old classmates, ah, dead begging, I am a little worried that I will not be kind-hearted, but instead be others as a weakness. I always can’t stand people being nice to me, people are a little nice to me, I’m easy to be sincere to others, very soft-hearted, not good at refusing people, easy to get in the way, do things they do not want to do in their hearts
Doctor: If you realize that your own kindness is easy to let other people with ulterior motives, and if you think that your male classmate is the person you think, you ignore him on the line. In time, he will also know to make fun of himself and give up his ideas, but only if your male classmate is really the kind of person you think, when I hope you should come out of the haze, believe that the world is still the majority of good people, so that you can put down your guard and make life easier and happier.
Patient: Thank you, I recently had acupuncture treatment in the past few days, feel much better, there is hope in the heart, not as cold as the original, but still feel nervous, as if the head is always turning something, turn to what is worried about what, mainly or have pressure, such as the deputy director of our office is very dissatisfied with me, a business trip, I said I can not sit still and a lot of walking, I really can not go, he was very He was not good enough to say, go, will not die? I immediately said, will, is going to die, and many similar cases, just not so hard to hear. In fact, my writing skills are so good that he himself said I could be perfect, it’s just that I can’t work properly now, making him feel as if I’m a non-functional tool. However, my director is very nice to me, saying that although I studied science, I am very perceptive and smart about literature and spirituality, but she is also hospitalized and is retiring. The hand of our unit also treated me well, saying that I was excellent and that the main task now, was to get well. However, I now open a leave note, each time only seven days, and the Director of hospitalization, can only find the heart of the ruthless Deputy Director to sign, the thought of it, the heart is so annoying, I do not know what will happen. The thought of working under such a person, even if he is well, and being called by him, is so uncomfortable and stressful. In fact, his level of understanding is not very high, far worse than the Director. Director and I are spiritual friends, but unfortunately hospitalized, and to retire, I want to get well and change careers. I was a civil servant after graduating from college, undergraduate degree in metallurgy, began to make a cashier in the agency, relatively idle, then read the accounting graduate, and then I did not expect to actually do the writing, and at the beginning of the writing is very good, each write, are of quality. I do not want to write articles, to do financial work, do not want to work in such an environment, but I can really write articles, as if born to write with emotion, vivid and delicate, there are several related publications of the editor said like the study of Chinese writing. I used to science is also good understanding and comprehension, do not do the problem, but the humanities are more spiritual some, I also have confusion in my heart, plus this deputy director, but also the future director, let me very annoyed. If I change my career, and lack of practical experience, I do not know what my future will be? I always have some tension and compulsive symptoms that affect my sleep, and I am afraid to take medicine to break my head, and I want to rest better, will be physically well soon, what to do ah, is my fate will appear so troubling things
Patient: Can you teach me some ways to eliminate tension and obsessive-compulsive symptoms? Will taking Valium affect my IQ, will it damage my brain? Do you think I am too fragile?
Patient: I seem to think of something and worry about it. I have to write down very small things for fear of forgetting them, and I don’t know what to do. Is my illness very serious, but I feel that these difficulties do exist, and I am really in a difficult and stressful situation. I feel that unless the difficulties are resolved, it will be difficult for me to rely on regulation, please tension and compulsive symptoms, do you think
Doctor: Later things may not be as you think, the deputy director may not be what you think, you are now mainly a kind of worry and anxiety about the unpredictable future, your deputy director may have a more characteristic character, but not necessarily against you bad, if you think so, the reality will be prejudiced against him, it will think that his words and actions to you are unfavorable and targeted, maybe he This is how it works, so relax your mind and do not let his words and actions affect your emotions and confidence.
It is recommended that you visit your local psychiatry department, not necessarily to take Valium, there are many anti-anxiety medications available.
Patient: In fact, I know he is not against me, if it were anyone else in this situation, he would be like this, but after all, he increased my suffering at the most painful time of my life, unlike working under such a low personal quality, no compassionate people, like selling his life to him, his level is not very high, sitting on his laurels. Very unconvincing, do not want to suffer this kind of aggression
Patient: I feel that as my body gets better, I have energy in my heart, not as if I had no energy, can you give me some self-regulation methods? For example, if I have compulsive thoughts and actions, what should I do?
Patient: Thank you, for your patience in guiding me. I wish you a good weekend and a good life1
Doctor: It is recommended that you visit the psychology department or psychiatry department and take antidepressant and anti-anxiety drugs under the guidance of your doctor.
Patient: Thank you!
Patient: Hello, I have a good pain where the needles have been stuck for the past few days? Is that what’s going on? Is it a bad sign? Is it because the needle is not in the right place?
Patient: Hello, I’m sorry to bother you. My health has improved, and I have written a work manuscript at home, which is also being published in a national publication, so I should say that the pressure at work has been reduced. However, I still have anxiety and obsessive-compulsive symptoms, for example, I always worry about forgetting what I should do, and I write it down on a piece of paper and look at it again and again. Sometimes, before I go to bed, I suddenly remember something and fear that I have forgotten it, so I get up to see if I have written it down on a piece of paper. What should I do if I write it in a book and worry that I have forgotten to read it?
Doctor: You can take anti-anxiety and antidepressant medication under the guidance of a doctor.
Patient: Will the brain be affected if I take these medications? Thank you.
Doctor: It won’t affect the brain function. Many antidepressants are among the top 20 in sales worldwide, so don’t worry, but take them under the guidance of your doctor.
Patient: Thank you
Patient: Is my condition serious? Can it be completely cured?
Doctor: It is recommended to visit the hospital for an interview to determine the severity of the disease. If you cooperate with the treatment, most of them can get better.
Patient: Thank you
Patient: Hello, I am much better now, and also published two articles in the newspaper, the first leaders of the unit also said that I should get well, but my own office, let me very cold, we have a publication, they did not work when I did not remove my editor’s name, another person with early cancer, no symptoms, are not removed his name, at that time, the leaders of the unit is to defend me, I did not open a leave note, is not to go to work, job promotion are not affected, either clearly to the unit leaders, to the leadership of a kind of pressure, I did not come, and did not do any work, if it has not been, it will affect the year-end evaluation, or even remove the name. This also forget, at the time I was not able to come, a person got married, notify everyone to put together two hundred yuan, since this to me, but also notify me what to do. I did not know at the time, but also let my father send the money, people are also at peace with it. While I was away, the unit began to pay for transportation, and no one notified me, and no one notified me when I went to work. What’s even more annoying is that I asked the person who gave me the wedding gift, and he said that he didn’t help me to collect it, so I can collect it together next month, but as a result, when I collected it, I didn’t even tell him, and after I collected it, I didn’t say anything. You say, I can not feel bad? Should I change my environment?
Patient: I don’t know why this is happening. What can I do about my health problems, which are beyond my control?
Doctor.
About things outside your body such as fame, money, other people’s opinions, etc., don’t care, you can’t influence what other people think, because people have a selfish side, including each of us, if we care too much, we will fall into the trap of anxiety and depression, the key is that you yourself should be optimistic about your own life, your own life.
Patient: I am not caring about others, I am feeling as if I am in isolation, what about my future? I feel like there’s already a substantial rift, and even if I can pretend it didn’t happen, people will be wary of me, and it’s hard to feel that way
DOCTOR.
If you take down the fence and don’t think you are isolated, you will be enlightened. Sometimes things are not what you think they are, but if you imagine that, the appearance of relationships will be what you think they are, so to speak.
When you think you are isolated, your performance will be hostile and guarded, others will think you first appear antagonistic, so they may show isolation, if you remain enthusiastic, others will treat you with the same enthusiasm, believe in yourself, believe in others.
The wind has not moved, the flag has not moved, it is your heart that is moving.
Patient: I do think that many times, people are too kind, they will be taken as honest, and be bullied
Doctor.
I wonder if you are indignant or show antagonism or hostility because of this?
This makes it difficult for others to get close and you feel isolated.
Goodness is not being bullied by others, but your selfish motivation is less than altruistic motivation, “bullied” and then indignant, is more selfish than altruistic psychology, resulting in psychological conflict, if you think you are good, then you think more good things, do not ask for returns, if you want people to return, it is not good.
Patient: Hello, I still have a problem in my heart. I like a person in my heart, this person is too good, I do not know what he feels for me, always give there is a seemingly unrealistic feeling. It is likely that I have a one-sided fantasy. Yesterday, just at a table for dinner, I was very nervous and realized that I am indeed deeply attracted to him, and I do not know what to do? Do you think it is necessary to find a way to figure out I sat there first, and I don’t know if he came because of me, or because he took the seat first, it’s really sad
Patient: If there is someone who will hold your heart, and seems to be there, and can not reach, really painful ah
Patient: I would rather he was cold to me, so as not to fantasize again
Patient: It’s really troublesome for you
Doctor.
If he is single, you can appropriately increase contact and create opportunities for him to understand you and properly put forward your ideas.
Love to say, whether he has a good feeling for you or not, to accept his choice.
Patient: He is too good, do you think he should actively look for opportunities to approach if he has the same idea as me? He is an entrepreneur I have interviewed, he seems to be very nice to others, he seemed indifferent to me before, but yesterday he was suddenly very enthusiastic again, and I wonder if it is just because I have interviewed him? At the beginning, he did not say thank you to me and so on, and did not talk to me, only later when we drink with each other to talk. If he wanted to thank me for interviewing him, he should have talked to me right from the beginning, don’t you think? We rarely see each other, maybe once or twice a year, and it’s really annoying!
Patient: Do you think that if he has feelings for me, he should take the initiative to approach me and suffer the same as me? Should I wait, or take the initiative to find opportunities?
Patient: He is very charming, the average person can not impress him, he is also single, I feel the gap is large, the heart suffering, is this normal? Thank you for your kindness!
Doctor: Or your “heart is moving”, maybe because he is too “excellent”, so you are a kind of admiration for him, the halo effect is too obvious, only see his merits, and what you see is only the surface, I think his attitude to you may be his attitude to everyone attitude, that’s why he is excellent and affectionate, and that’s one of the reasons for his success, so I suggest you don’t get too hopeful about only seeing 1-2 times a year to get a good feeling, you interview him is just your job.
Patient: Thank you for being right
Patient: Hello, thank you for your long time, to my enlightenment, due to my own experience, I am very interested in psychology, because I am a master’s degree, to go to the psychology doctorate, but no medical background, it is possible
Doctor: Yes, you can apply for applied psychology in many comprehensive institutions.
Patient: Thank you.