Why do family members of patients with mental illnesses think that it is because the patient can’t think straight that he or she has the illness? Many family members of patients, think so because they equate ordinary psychological problems with mental illness. They think that mental illness is the result of certain psychological factors, just like psychological problems. In fact, it is not. A psychological problem is a conflict, confusion and adverse experience of the psyche caused by specific and definite factors such as interpersonal relationships, marriage and emotion, or study and work. For example, lost love, divorce, unemployment and other psychological difficulties caused by the psychological problems belong to the scope of psychological problems. The parties involved are often distressed and most of them will actively seek help if they can change, or at least passively seek help, such as solving the problem with the help of others. At this time, psychological factors are the cause of psychological problems, there is a direct causal relationship. And the occurrence of mental illnesses can have predisposing factors or not. That is, some mental illnesses can occur with no triggers at all. For example, schizophrenia, or depression. An elderly depressed patient once said, “I have no burdens now, my children are working and are filial, and I have a lot of retirement salary, so how can I be depressed? In fact, depression as a mental illness can be completely endogenous and has nothing to do with the external environment. It is in the internal body, specifically in the brain, certain chemicals, such as pentothal, whose concentration is reduced in a certain part of the body, and the person’s internal experience and external manifestation is depression. As to how this decrease in concentration occurs, the mechanism is not fully understood. It may be related to certain endocrine changes in the brain, or it may be related to the seasonal climate, or it may be related to the expression of certain genes. But in any case, it is just not possible to find a cause that can explain mental illness in the present life environment. Sometimes, it is possible to find some factors that are related to the occurrence of mental illness, but not enough to explain why they lead to mental illness. For example, this factor would not lead to mental illness if it were placed in many people; or it would not lead to mental illness if it were placed in the past, for the person in question. However, here and now, it induces mental illness. At this point, the psychological factor is no longer the cause of mental illness, but the causative factor. There is no causal relationship with mental illness. Its effect is equivalent to a lit fuse, or a pulled trigger. It just triggers mental illness. But many people do not understand the causal relationship, even if the family suffers from mental illness, but also reluctant to go to the doctor, but always fantasize that through “a change of environment”, or let the patient “the words held in the heart to say”, and other non-drug methods to solve mental illness. In fact, this will be a delay in treatment. Do counseling and psychotherapy work for mental illness? Yes! However, there are conditions. For example, if medication is chosen first, psychotherapy is best when the condition is in partial or basic remission. Other time periods are not impossible, but the effect is short and superficial. Some conventional psychological support, psychological suggestion, will basically meet the needs of treatment. Of course, if the patient is able to enjoy and adhere to a long course of psychoanalytic treatment, it is also possible.