Psychological counseling for teenagers is to solve their psychological problems. It often combines physiological, psychological and social factors to analyze the causes of adolescent psychological disorders. The main work is to stimulate learning interest, correct learning attitude, eliminate truancy and learning obstacles, coordinate the relationship between classmates and parents, decompress the college entrance examination, plan students' career, volunteer counseling the college entrance examination, psychological education for teenagers, correct and improve bad behavior, shape personality, and treat adolescent neurosis (autism, ADHD, TIC disorder, depressive neurosis, stuttering, test anxiety, social phobia, internet addiction).
Example: 1: female, 18 years old, senior three student.
Consultation reason: anxiety before college entrance examination affects learning efficiency.
Chief complaint of initial diagnosis: I can't get up, I can't finish my homework, I am inexplicably upset, and I don't want to go to school. Sometimes I want to talk to people, and sometimes I just want to be alone. I hate my family. I vomited for two months after dinner. I often have insomnia and many dreams. I often want to cry for no reason.
Past history: two months before seeing a doctor, I began to vomit after meals. After medical and psychiatric examination, there is nothing unusual. No family history of mental illness, no history of physical diseases such as brain injury.
The mother of the visitor said: I began to vomit after eating two months ago and didn't dare to eat. Vomiting when not eating. Talking in your sleep at night is related to the Otawa exam. Recently, facing the college entrance examination, I am particularly nervous about my study. I caught a cold a month ago and didn't do well in both subjects. I want to cry when I can't stand it. The teacher suggested taking a break, but he was afraid that he would not be admitted to the university, and his face looked pale. Both parents and teachers understood her and advised her, but she put pressure on herself. Recently, she regretted going to high school and thought it was better to go to a secondary school, so that she didn't have to go to college. I often feel inferior in junior high school, especially afraid of exams, and I thought I had a bad memory.
Example 2: Male, 18 years old, a recent college candidate.
Counseling reasons: depression, nervousness and fidgeting after the college entrance examination.
Complaint of the first visit: Although I was very nervous before the exam, I was still clear-headed and simple-minded. At that time, I just wanted to enter a key university, and I didn't consider other issues. However, these days after the exam, I was insomnia, nervous and restless.
This exam is not very successful, and it may not be admitted to a key university. If so, I will be wronged. When I was in junior high school, I always fell behind the top three. In high school, I was one of the top five students in the school. I am the 20th in the city's unified examination. They all said that I would be admitted to a key university, but I was very nervous during the exam and I didn't finish some papers. The more I think about it, the sadder it gets. In addition, if you can't get into a key university, you can only go to other places. My volunteer university in other places is a non-key university, and I am afraid to think about it. I have never left home and my parents since I was a child. I have no confidence in studying abroad. I wonder what the relationship between teachers and students and classmates is like in the university. In case there is any problem, I don't know who to consult and discuss. I feel depressed and want to shout to relax. I have several good friends in middle school. I don't know when I can see you again this time, and I'm a little lost. Now I vaguely feel that I am going to live independently in society, but I don't know what is waiting for me ahead, just like walking in the dark. I don't know if there is any road ahead, and I am afraid and worried at every step.
Example 3: Female, 2 1 year-old, senior student.
The girl wrote to tell her about her troubles in recent years. In the letter, she said: "I have been troubled by psychological obstacles for a long time and I still can't get rid of this shadow. It has caused great losses to my life and study. I sincerely hope that the psychology teacher can help me! " She also put forward the meeting time in the letter, and specifically charged: "I don't want this matter to be known by others. I don't have the courage to knock. Please open the door outside the clinic a little so that I can come in. "
At the appointed time, the psychology teacher left the door open. She came, looking flustered and shy, strode into the consulting room and quickly closed the door. The psychological teacher enthusiastically offered her her seat, while telling her the confidentiality principle of psychological consultation, showing her willingness to solve problems for her. She thinks she is a freak and has a shy quirk. For more than two years, I have never talked to many people. I dare not look directly at people and dodge my eyes, as if I had done something wrong. You have a fever as soon as you talk. Keep your head down and stand on tiptoe. My heart is pounding and I have goose bumps all over, as if I were shaking all over. She doesn't want to get in touch with her classmates. She thinks others hate her and are a freak in others' eyes. I am most afraid of contacting boys and teachers. I often don't know what the teacher is talking about, because I am very nervous. To make matters worse, it is "unnatural" to speak in front of relatives, friends and neighbors now. I seldom go to social places and have little contact with people. I have tried to overcome this strange problem and read many popular psychological books to guide myself according to social skills. Convince yourself with reason and control yourself with will, but the effect is not great. Later, she cried and said that this strange habit seriously affected her development in all aspects: her academic performance declined; Communication failed, and her classmates said she was lofty. She is trying to join the party, so she can't do without a good relationship with her classmates. I will graduate soon. How can I adapt to the society? She said eagerly, "teacher, please tell me quickly why I am like this, and how can I overcome my strange faults?"
Example 4: Male, 18 years old, a senior three student.
Visitor's main complaint: Recently, my brain is very confused, I can't concentrate, I can't stop thinking about a problem, I can't stop thinking. Sometimes I get annoyed by asking the same question all the time in my mind.
Past history: visitors are very smart, and they like to delve into problems in junior high school, and they must be clear about the lessons they have learned, otherwise they will not stop; When I was in high school, I began to investigate life. I feel that life is unreal and doubt the truth of existence. When I see something, I will think about it and try my best to investigate the root of it. When you can't think clearly at that time, write them down in your notebook, and then try to think about them later. Some questions are trivial and I haven't let them go. Even think of some meaningless questions, such as "why can the key open the door?" Wait a minute.
Example 5: Female, 19 years old, senior three.
Past medical history: healthy, without any physical discomfort. No family history of mental illness.
Consultation reason: I want to overcome my revenge.
The chief complaint of the first interview: in junior high school, everything is strong, I don't admit defeat, I love to argue with others and I have to win. Once, a female classmate scolded me for having big eyes and small eyes. I was very angry and thought, "I must find a chance to teach her a lesson." After entering high school, that classmate entered another middle school. I will never see her again, but my revenge is still there. So I found her and slapped her twice, and I felt angry at that time. But when she was beaten, several male students were present, and they beat me up again. Later, my revenge became stronger, but I was very upset because I couldn't find a good opportunity.
Example 6: Male, 20 years old, freshman.
Chief complaint: flustered before the college entrance examination, and frequently flustered after the college entrance examination. After the second semester of freshman, I feel dull, have a headache, lose concentration and be agitated. I can't control myself, and my interest in all kinds of things drops. Every time I take an exam, my symptoms will get worse. I'm afraid of exams. The second day, a mid-term exam, the time is up, but there is still a question that has not been answered. The nervous heart leads to nocturnal emission. Later, in the second year of high school, a similar situation appeared. After that, I was very nervous about the exam.
Example 7: Female, 19 years old.
Consultation reason: I am nervous when walking in the street, afraid of being seen.
Visitor: I think my walking posture is too ugly, so I get nervous when I go to the street, and I hardly dare to step on crowded places.
Consultant: When did this feeling begin?
Visitor: More than three years ago, it was not so heavy at first, but I dare not wear high heels. Then I didn't want to walk in front of my aunt. One Sunday, my aunt and uncle came to my house, and I bought a pair of high heels to try on. I can't walk steadily after wearing it, because I haven't worn it. Aunt said a particularly ugly sentence after reading it. I don't want to repeat it. I was very sad after listening to it. I cried all afternoon. I never dared to wear high heels again. A few days later, I still can't forget that sentence. I want to cry when I think about it. I really want to scold my aunt to vent my anger, but I dare not. I won't swear. Psychologically wronged. From then on, I felt that I couldn't walk well in flat shoes and my posture was ugly. My aunt often comes to my house. I ran out as soon as she came. When she can't run away, she doesn't even stand up in the chair, let alone walk in front of her. Later, in the street, I also felt that my walking posture was ugly and I was afraid of being laughed at. I want to get rid of this idea, but the more I want to get rid of it, the more I can't get rid of it.
Example 8: Male, 2 1 year old, sophomore.
First-time complaints: inattention in class, low mood, unwillingness to attend classes with classmates, withdrawn personality, no appetite, deep sleep, easy to wake up, afraid of exams, unable to sleep well when hearing exams, unable to eat, sweating and flustered when entering the examination room. At the age of five, I went to primary school. I was gifted and had excellent academic performance. Later, I went to middle school in a key school, ranking first in six years, and was praised and praised by teachers and parents. Walk to a key university. In the first semester of freshman year, the patient had a bad cold and fainted in the examination room. After the make-up exam, the exam results were not ideal, which was a great blow. Since then, everyone doesn't like to talk. He always sits in the last row in class, and he doesn't want to be active in the library with his classmates every day.
Example 9: Male, 13 years old, a junior two student.
Teacher's description: The student is withdrawn and unsociable, and has a bad relationship with classmates and teachers. If you claim that you want to do it, there is nothing you can't do. You don't study hard and you're still self-righteous Feel superior in manners, manners, etc. Others are not used to it. Defiant, disobedient, smoking, playing truant, fighting, running away from home.
Mother's description: the child is very excited in infancy, and wakes up as soon as he falls asleep, which is very annoying. I left it at my grandmother's house before I was five years old. I have a big temper. My father has played for some things, but he is still willful and unruly. I never let adults worry. Grandma brought it in the second grade of primary school. My mother couldn't control him since childhood, my grandmother looked after him, and my father suppressed him. Mothers mainly take care of their lives. Children are weak, thin, partial eclipse, always sick and young. In the third and fourth grades, I read a lot in the summer vacation, and science fiction books are very smart.
Example: 10: male, 14, junior high school.
The mother visited the doctor for the first time and complained that the child had a headache since the first day of junior high school. At first, she thought she had a cold or didn't sleep well, so she didn't take it seriously. Until one time, the child fainted at school, which frightened us and quickly took him to the hospital for examination. The doctor suspected that he had a tumor in his head, and gave him EEG, ECG and brain CT. No organic problems were found, only that it was a special physiological reaction and would grow up without treatment. The diagnosis in other hospitals is similar. Since the doctor didn't say anything, we left it alone. In the future, every time a child complains of a headache, we and the teacher will make him endure it for a period of time so as not to affect his study. After a while, my headache didn't get better, and I began to feel heartache again, often sweating profusely. We didn't dare to be careless, so we took him for an examination. The doctor made a comprehensive examination and found nothing wrong, so he told him to rest more. From then on, we found that children often have headaches and heartburn, all of which happened at school and rolled on the ground in pain at school. As soon as I get home, I seldom get sick on weekends and holidays. We wonder if he pretended to be ill and didn't go to school. The teacher said that he was sweating and his face was blue. No way, we will ask for leave from him, study and exercise at home, take exams at school, and go to school when he is better. Unexpectedly, I have fewer headaches at home and am addicted to playing computer games. I simply don't want to go to school! We couldn't help asking around. As soon as we heard that it might be a psychological problem, we took him to see a psychological teacher.
Example: 1 1: female, 18, a senior two student in a key middle school.
Chief complaint: depression and insomnia for nearly a year, not interested in anything, sensitive and suspicious, no appetite, feeling numb, and difficult to concentrate on study. Symptoms often take about half a month as a cycle. The summer vacation is over, school starts, and the problem of self-feeling is aggravated and painful.
Example: 12: male, 18 years old, senior two student.
Chief complaint of the first interview: I always feel very lost, depressed and empty, in short, depressed. I am sensitive, fragile, detail-oriented and inferior. My mood has been fluctuating, I am not interested in anything, I am always distracted in class, and I am often immersed in my own fantasies. Poor sleep quality at night, unable to sleep, headache, tired during the day, poor appetite. I used to wonder if I had a nervous breakdown. My dad and I don't communicate very often. He is busy and serious. Not to mention my mother, I don't even talk to her. I tried not to pick her up, went back to my room for dinner and locked the door. This situation lasted for almost a year because she was too nosy. In the third grade, she peeked at my diary and copied it down for a psychiatrist. Fortunately, I found that I never kept a diary again. I burned all my diaries in front of her. I'm writing a blog now, and she doesn't understand and thinks I'm ready. Last week, an old classmate of mine called me' fragile and distressing' in QQ chat, saying that I might commit suicide in the future. Actually, I thought about suicide before, but now I don't. What worries me most is that I don't know what I want to do. I don't know what else to miss. I am not interested in anything. I don't even know what to do.
Example: 13: female, 15 years old, student.
My first complaint: I have been suffering from unspeakable depression for the past two years. I always feel that my future is bleak and I am not satisfied with anything. I always want to cry, but I can't. Even if I meet a happy event, I have no joy. I used to be interested in shopping, watching movies and listening to music, but later I became bored. Visitors know that long-term depression will hurt their health, but they can't get rid of it, which gradually leads to poor sleep, dreaminess, loss of appetite, and sometimes even pessimism and even death, but they are nostalgic for life and can't make up their minds, so they decide to ask for help.
Example 14: male, age 17, technical secondary school student.
The chief complaint of the first visit: I studied hard in junior high school, reduced my communication with my classmates and felt lonely; My academic performance is average, and I feel uncomfortable every time I meet an exam. Re-reading after failing in the senior high school entrance examination, feeling sorry for my parents; Getting along with classmates means inferiority, poor eloquence, poor communication, being quiet and stupid. For this reason, I have a guilty conscience, chest tightness, headache, distress and discomfort all day, and I don't want to live. Going home depends on the care of parents, and returning to school is repeated. After attending technical secondary school, I often see my classmates laughing and playing happily. Although I really want to participate, I can't. Because consciously there is no * * * with the same language, it is difficult to integrate. Looking at the test paper will soon be exhausted, dizzy and disgusting; So far, the same is true of studying, so it is difficult to continue studying and prepare to drop out of school. Sleep for 5 to 7 hours every day. Poor appetite and constipation. I have taken doxepin, diazepam, and some traditional Chinese medicines to soothe the nerves and nourish the brain intermittently, but some teachers enlighten me and my classmates persuade me, but the effect is not good.
Example 15: Male, age 19, senior high school student.
Chief complaint of initial diagnosis: From the second day of junior high school, I dare not face women, blush when I see women, and can't help thinking about women's private parts, just can't help thinking like that. The most embarrassing thing is that I think of my mother and sister. I feel that I am an extremely dirty and morally corrupt person, and I am simply worse than an animal. But when I see a woman, I still think like that. Later, when I mentioned women, I thought so. I can't help thinking about reading, eating and writing homework. I think about it when I sleep every day. I have a strong sexual impulse and often can't help sneaking around. Later, I felt dirty and shameless, and I felt that others would be able to see my actions and thoughts. I was afraid of women at first, but later even men were afraid to see them. But I know very well that I didn't do anything. I forced myself to study hard. I was admitted to junior high school successfully, and I feel very lucky. Entering high school, the study pressure is great, and the results in the first semester are not ideal. Later, no matter how hard you study, your grades just won't go up. At this time, I thought that my psychological problems affected my study efficiency, which was extremely painful and I couldn't tell anyone. I feel lonely and depressed. Many times I think of death, afraid of others gossiping, afraid of being sorry for my parents. I had a headache again in my sophomore year. I know it's in my mind. After a while, my stomach hurts and I wonder if I have stomach cancer. At the thought of gastric cancer, I am sometimes happy and sometimes sad. Fortunately, if stomach cancer dies, others will not say that I am a dirty bad person, so I will not be ashamed. Sadly, I am still young and haven't done anything yet. At this time, my temper somehow turned bad and I often got angry at home. I don't talk much. When I get angry, I want to smash things. My family took me to the hospital and did a lot of tests. The doctor said I was not ill. Later, I went to a mental hospital, and the doctor said that I was mentally ill and had to be hospitalized. I was scared and angry, so I didn't go to the hospital or take medicine. I said I'm not sick. In order not to go to a mental hospital, I was honest and tried not to lose my temper. But I have a headache and a stomachache, so I wonder if I'm going to die. The thought of death is terrible. My parents have only one son, and all their hopes are pinned on me. I died before I did anything, and I didn't really repay them and show my filial piety to them. I feel very sorry for my parents. I thought, how could I get sick and die? God is so unfair, so I hate fate and God. God should not do this to me.
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