It’s been a long time since I updated my article on it, but as usual, I only send it out when I feel something and have something to do. Yesterday, I met a patient in the outpatient clinic, which left a deep impression on me, not because of the complexity of the condition, but because of a deep helplessness that has been lingering in my heart, which I can’t get rid of without vomiting. This is a middle-aged woman, accompanied by a good friend, is a cosmetic surgeon recommended her to our department, the cause is 4 months ago, in a beauty agency to do cosmetic surgery, and always feel that the surgery is not done well, and is very remorseful regret should not have done this surgery, to our hospital cosmetic department, the doctor thought there is no problem, and suggested that she go to the psychiatric clinic. The doctor thought there was nothing wrong and suggested she go to the psychiatry department. Through the consultation, I learned that in addition to discomfort in the cosmetic area, there were also emotional problems, and at least moderate anxiety and depression were present. Together with my friend’s additions, I determined that her emotional aspects were closely related to the situation she was currently facing. Her husband’s relationship with her was not very good, and the beauty treatments were done to win her husband’s approval. Now the patient always feels that she is not doing anything right, she has no ego at all, she is extremely lacking in self-confidence, she does whatever her husband tells her to do, she is used to living in self-blame, she thinks that she has not brought up the children well, she has not fulfilled her wifely responsibilities to her husband, and the thing she fears most is the dissolution of her marriage, and now this danger is present at any time, and if Once the marriage is dissolved, then it may be the end of all her hopes. On the surface, the patient did not seem to be in a very bad mood, and she expressed her problems clearly, but she was able to read the fear in her heart between her words and demeanor. In spite of this emotional and painful disturbance, the patient did not admit that she was ill, and had been treated at another more authoritative psychiatric clinic, where she was prescribed medication that she threw away because she was afraid that her husband would dislike her even more if he saw her medical records. Because it had been a long time since her last visit, I suggested that she take a psychological test. She was reluctant to take the test for fear of spending money (she didn’t have much money with her), but later went to take the test under the persuasion of her friends. According to her condition and the test results, I suggested that she take medication, she was very hesitant and didn’t want to take it, but later agreed. I gave her a prescription for the medication, told her how to take it and the precautions to be taken, and she asked me to write down how to take the medication on a separate piece of paper that had nothing to do with medical care because the medical records and the results of the psychometric test were to be kept with her friend and the medication wouldn’t be in its original packaging, but would be packed separately in a bottle for fear that her husband would see it. By the time she left the clinic it was time for her lunch break, and I went out to eat after handling this case. In the waiting hall, I saw her and her friend sitting there again, and did not pay (to pay is also to pay for a friend) to get the medicine, or considering the question of whether to take the medicine, see me, her friend smiled bitterly. By intuition, I already know that the possibility of her taking medication (at least today) is very small, perhaps a short period of time will still be plagued by bad mood, as to how long, I do not know. The reason why I write about this case is that I am very helpless, and there are two main points of helplessness: one is that the patient’s current mood and behavior is precisely due to the disease, beauty, afraid of her husband, against the grain, afraid of losing her marriage, money, unwilling to admit that she is sick, refusing medication, and so on can be explained by the essence of the depression, and one of the ” Possibly” effective means of solving the problem is medication, if the drug is effective, perhaps the symptoms will not reach the present level, but at present the patient can not take medication, it is understood that the family (parents and relatives) can not do anything about it. Another helplessness is the husband’s attitude and behavior, which may be an important cause of the patient’s emotional problems, given the protection of privacy and out of respect for any party involved, it is impossible for me to write in too much detail, a lot of key details I have omitted in the above description, but at least in the current marriage, the husband occupies an absolute dominance and the power of life and death, but of course, perhaps the husband and wife have bad relations may also be related to the wife’s Of course, perhaps the bad relationship between husband and wife may also be related to the wife’s bad temper and bad mood, which makes the husband feel intolerable. However, what I actually want to express is that when problems arise in a marriage, it may be the business of two people. I just hope that husbands can help their wives to tide over the difficulties and give them support and understanding, which is of paramount importance. My purpose is not to interfere in the marriage, sadness and happiness, human nature, but I would like to say to the husband, you are now in her eyes is God, since God, you have to have God’s love and temperament, you are also a good medicine can not be replaced. Wrote the above, the mood is not easy, one is in this article involves some privacy (but like I said above, I have omitted a lot, if these do not write, affect the expression, I hope the patient and read the understanding of the people); on the other hand, the patient herself is not effective treatment, I talked to her and her friends, suggested that the next time they come to the husband and wife, and I sincerely hope that she can come to the follow-up, and the I sincerely hope that she will come for a follow-up appointment, and that her family (husband) will come with her. Finally, to repeat one point, write this article involves the patient’s privacy and pain, I am deeply disturbed, but still drummed up the courage to bring with all the patients and friends of the sub-participation, only hope to trigger the thinking of all patients and families with similar problems, so that patients get rid of the disease as soon as possible, and nothing else, I hope that everyone understands.