Case 1: The visitor began to receive psychological counseling in the third grade and committed suicide by self-mutilation in the sophomore year. Because of attempted suicide, he was advised by the school to go home and drop out of school for a year, and he would die if he didn't study well. His aunt met me at a charity event organized by me and then recommended her to me. In the process of receiving psychological counseling, he immediately returned to the scene of learning piano when he was 4-5 years old, and his teacher was beaten by his parents. His dislike of learning was thus buried. After a course of consultation, he offered to go back to school before school started.
Case 2: The visitor was diagnosed with severe depression in a big hospital for emotional reasons and received two courses of psychological counseling. Later a friend recommended it to me. When I first met him, he greeted me with a smile and was very talkative. I don't see any depression at all. In the process of psychological counseling, he found that his inner world was dark and full of all kinds of rubbish. This man is the most serious depressive visitor I have ever received. His mind is full of death. After a course of counseling, I rested for two months and went to work. He said that he had received psychological counseling in the hospital and exposed his scars every time. He was disgusted and did not continue to receive psychological counseling in the hospital; He used to watch the gray sun. )
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In the process of psychological counseling, we should trace back to the source. Many visitors' psychological problems are related to childhood trauma. I suggest you buy a copy of The Origin Family written by Susan Forward and Craig Barker. There are some ways to repair childhood trauma in this book.
? All psychological problems must be problems in the inner world first, and then they will show such symptoms in the real world. We must find the root cause behind the symptoms and eliminate them.
Let me talk about depression from my personal experience.
On March 7th, 20 14, I was in Guangdong, and my boyfriend was in Fujian, so I seldom contacted him actively. That day, I called my female colleague in the dormitory, and the conversation was full of enthusiasm and humor.
Although they are fellow villagers and knew each other earlier than me, I was hurt by two extremely opposing attitudes, knowing that he had been cold and violent to me for a long time.
I decided to break up now. What I said was simple, and what he promised was simpler. Since then, I have become more and more depressed.
1, self-doubt, obsessed with denying your identity.
Everyone will feel inferior, but to varying degrees. My inferiority was infinitely magnified, and finally I drowned myself, and my self-confidence completely collapsed.
Being seriously treated differently by her boyfriend, there is a plot that is ignored by the person she loves most. I wonder how bad I am to make people have the heart to do this to me.
I can't see my own advantages at all, and I can't see the worried eyes of people who love me. Even if reason tells me that I am excellent, tears will come out the next second: why can he treat me so lightly?
2, competitive, do not want people to see their vulnerability, do not want to be laughed at and looked down upon.
Obviously sad, I have to force myself to cheer up and joke as usual when I meet other people.
Obviously very tired. But in the face of the comfort of a few insiders, I had to smile and comfort each other in turn: nothing, I will find something better, and wish me a happy breakup.
Obviously, I can't lift my spirits, but I still have to cheer myself up: nothing, bear it, time will smooth everything out and get better slowly.
......
It looks calm, but in fact, the heart has withered and cracked.
I'm wasting my last healing power to show my good illusion. This illusion hurts me more when I am alone: I am not like that at all.
I am more and more unhappy, more and more unwilling to see people, and more and more depressed.
1, the color, smell and taste can't stimulate me in an instant. I don't want to eat, sleep, meet people or play. I just want to be quiet.
It is a fact that the world is gray.
Obviously, there is a colorful picture in front of me, but I can't feel the green vitality, red enthusiasm, blue melancholy and yellow brightness. These things are in your eyes, but not in your heart and mind.
When you meet someone, you can't help smiling brightly and acting positive and humorous.
4, there is no life and death, and it is more inclined to end.
I thought I could get better. After struggling for more than five months, I have reached the point of being in a daze.
One day, I was at work, staring at the computer to do process design. I inadvertently looked down and found that the desktop was wet. When I came to my senses, I realized that I was crying unconsciously when I was painting flowers.
At that moment, I admitted that I was not getting better, but getting worse when I lied to myself.
Knowing that I was sick, I handed in my resignation letter at the first time and applied to be a volunteer in a homestay in a tourist area.
Don't be busy for life, don't pretend to be excellent, strangers coming and going, the vast sea, you can be dumb for three days when you don't want to talk, there is no past and no future, just live in the present.
Empty your mind, many things can be straightened out, and your collapsed self-confidence is slowly rebuilt, and you can slowly see the worry and tolerance of your family and know that the most important things have been done by yourself.
Finally, after more than three months of willful exile, I let go of myself and came out little by little.
Now that I think about it, I am still rational.
When eating, I feel like chewing wax, forcing myself to eat at least half a bowl of rice, which makes my body have to bear.
No matter how uncomfortable you feel at night, you are not allowed to drink to eliminate your worries. You lie down at the appointed time and allow yourself to cry sadly, and the result is crying until you fall asleep.
No insomnia is the greatest luck.
Depression is the most common mental disorder and a disease characterized by depression. There are many reasons for depression. Depression is not a "terminal disease", and it can be recovered as long as it is treated regularly.
There are many reasons for depression, and none of them is the decisive factor at present. But to sum up, it can be divided into four types.
The answer is definitely yes. Depression belongs to mental illness. Although there is no clear reason, many antidepressants, such as citalopram, duloxetine and sertraline, have significant effects on depression. As long as you receive treatment, people with depression can get better, but in order to prevent recurrence, you must listen to your doctor and take medicine all the time.
The cause of depression is complex, and it is found that it has a great relationship with genetic factors, neurobiochemical factors, social environmental factors and psychological factors. It is precisely because of the interaction of these factors that depression is produced.
The onset of depression may not be accidental. Many patients have a history of depressive episodes in the past, which may not be obvious, but with the continuous aggravation of their illness, they have exposed serious depressive symptoms; Depression among family members is also a problem that can not be ignored, and genetic tendency has a high risk of mental illness; If you encounter unexpected events or stress events in your life, it will also lead to obvious depression disorder in patients; For patients who lack social support, have a history of anxiety attacks in the past and are currently in postpartum, there is the possibility of depression; In addition, patients who have been exposed to psychoactive substances such as alcohol, drugs and drugs with addiction risk for a long time, or patients with chronic physical diseases themselves, are all potential depression patients.
In fact, many people suffer from depression, but less than 10% of them have received full-time treatment, which is one of the reasons why many depressed patients have not recovered. So, besides not having enough full-time treatment, what other factors are there? As far as the current medical level is concerned, there are less than 40 thousand psychiatrists with the ability to practice, which can not meet the huge demand for diagnosis and treatment of mental patients in China; In particular, there are no professional mental medical institutions in cities below the county level, which leads to doctors' missed diagnosis of depressive symptoms and depression; However, there is a certain distance between some doctors' beliefs and their own prescription practice, and doctors tend to choose the latter in psycho-social therapy and physical therapy; Patients' refusal to treat or low compliance with treatment, fear of adverse reactions, other contraindications and drug overdose poisoning are also common clinical phenomena. Another factor is the patient's inferiority complex (from pathology and society). Many patients feel ashamed after getting sick and feel that they can't face the people around them because of mental illness, which makes them deliberately hide their illness, especially worried that they will be discriminated against by society, and even make patients refuse to face the disease for treatment. China has a large population, a large base of poor people and backward medical conditions in many remote areas. Patients can't enjoy medical assistance for mental illness. Patients have been ill for many years and are basically in a hopeless situation.
The answer is yes, depression can be recovered through systematic symptomatic treatment. According to the research of neurobiochemical mechanism, it is found that patients' depression and physical manifestations are directly related to the secretion of neurotransmitters in the brain. Therefore, the concentration of neurotransmitters can be changed by choosing appropriate neurotransmitter receptor modulators, and then the symptoms of emotional disorders can be improved. Good results have been achieved after clinical application of antidepressants. As long as the patients with depression take medicine according to the doctor's advice in the order of acute stage, consolidation stage and treatment stage under the scientific treatment scheme, depression can be obviously relieved, and then the drugs can be adjusted under the guidance of doctors, and the changes of the condition can be closely observed, so as to further obtain positive and effective rehabilitation effects.
Recently, there has been a lot of discussion about depression. I have talked about the causes of depression and whether it can be cured. I also introduced my experience in detail. I don't want to be a cliche. I read many articles edited by editors and expounded my own experience and understanding.
1. Causes of depression:
A. The personality related to heredity-introversion or rough outside and fine inside-belongs to the kind of thinking, suspicious, worrying and defensive psychology. Particularly sensitive. Self-confidence and self-distrust often conflict. Unwilling to accept failure will make you feel guilty and blame yourself. Pursuit of perfection but poor psychological ability to resist setbacks. The mood fluctuates greatly. Afraid of setbacks and injuries, easy to accept bad hints (such as reading the side effects of drug instructions). Timid and cautious. Damn lazy.
B. Before the onset, I encountered an unpleasant social and psychological factor-heavy work pressure. Relationships or treatment that you think are unfair. Huge economic losses. Husband and wife's love life, frustration in love, extramarital entanglements, divorce attacks, widowhood, etc. Conflict or injury in the extended family. A person's health and life are seriously lacking in protection. Teenagers are under the greatest pressure to study (want to be excellent but can't keep up). My childhood was spent in endless quarrels about my parents' feelings and personality. There is an overly strong mother, who is unfairly suffered or hurt inside and outside the school, and so on.
2. The occurrence of depression has a material basis: the low level of neurotransmitters serotonin and norepinephrine in the synaptic space of brain neurons can directly cause depression, but we must pay attention to the important role of dopamine in the pathogenesis of depression and anxiety. People with the above personality can't get rid of the unpleasant social and psychological factors mentioned above, and the absorption of three neurotransmitters by the brain accelerates in vain, resulting in a serious shortage, so depression comes. At present, there is a popular misunderstanding widely circulated: dopamine is a pleasant substance, and Kay did not know that peripheral dopamine is an injection used to rescue shock and raise blood pressure (which cannot be absorbed by oral administration). There are many subtypes of dopamine, and the lack of different subtypes in the brain can lead to schizophrenia and Parkinson's disease respectively. There is no mention of dopamine in the pathogenesis of depression. It is said that the substance in the brain that can make people happy is endorphin, not dopamine.
3. Can depression be cured?
Absolutely, as long as the so-called antidepressants that inhibit serotonin, norepinephrine and dopamine reabsorption are used (the name makes many people reluctant to take these drugs), normal people's mood and sleep can be restored within the following 3-5 days, or even better, because they are in a mental sub-health state for a long time, because the levels of the three neurotransmitters are very low. At 6-8 pm on the first night, taking olanzapine, an atypical anti-sperm drug, can sleep well or poorly. Taking 1.25mg is very poor. Even sleeping pills can only sleep for a few hours. Taking 2.5mg is a minimal dose to inhibit dopamine reabsorption. The therapeutic sperm is 15-30mg. Even a small dose can pay off, such as drowsiness the next day. If you don't sleep for something, it will hit people who don't sleep well that night. Secondly, after 1-2 weeks, most people will feel hungry because of its effect on the appetite center of hypothalamus, so if you don't eat fat or fat, you can't have diabetes. If you are hungry from the beginning, you must not eat, so as not to expand your stomach capacity, otherwise you will eat quickly and gain weight. As long as the stomach capacity does not expand for half a month, you will not be hungry. Take two tablets of SSRI after breakfast the next day: fluoxetine, paroxetine, triamcinolone acetonide, citalopram or levorotatory, so that the gastrointestinal side effects and short-term anxiety reaction of SSRI will not happen again, and will be completely improved within a few days. Because no one can change your personality, you usually think that you are just changing your different social roles, and the instability of the three neurotransmitters will persist after stopping taking drugs. So you should treat depression as a chronic disease like hypertension and take medicine for a long time. Some people will relapse once they stop taking drugs, unless they are suddenly depressed after several special mental trauma attacks and try to stop taking drugs after half a year.
4. Can depression be cured through psychological counseling, sports activities, travel, yoga and religious belief? It can only be temporarily relieved, and it will be the same tomorrow. It can't be like this! Therefore, it is necessary to take drugs that inhibit the three neurotransmitters in time, get rid of the shadow of depression quickly, and can't treat mistakes. Because people with depression know what they should do in their hearts, but they just can't. Clinically, it has been proved that it is the material basis of neurotransmitter deficiency and cannot be promoted or supplemented by exogenous substances or methods. Some people struggle for five years, and some people recover in a shorter time, because most diseases are self-limited, and after a period of time, they are relieved or even fully recovered. However, the high recurrence rate of depression is related to the easy fluctuation of neurotransmitters caused by personality. Therefore, after the illness is controlled, it is very important to improve their psychological anti-frustration ability through various channels, including psychological counseling, and then psychological counseling is no longer needed.
5. It should be reminded that many self-cited, elite and senior cadres can become talents because of their personality, and the above three neurotransmitters are very unstable or excited: active thinking, agility, vitality, many ideas, high work efficiency, especially dissatisfied with their own and their predecessors' experience, creativity and super confidence. If you really fall into depression without any warning, you are a completely different person, sometimes every day, sometimes days, weeks or even years. Only when you are depressed and can't climb out will you see a doctor. Unfortunately, 40-50% of the depression diagnosed now is called mild bipolar disorder, and some people think it is bipolar depression, but I don't advocate this formulation. The treatment method is the same as explained above. In a few days, you will become a person who is as emotionally stable as ordinary people, but smarter, more decisive, not hesitant and more calm.
20 19. 1.26
Depression. Whether it is cheerful or not. Introverts are prone to depression. The biggest shortcoming of this kind of person is persistence. If you want to do something, you still have to think about it. Sometimes for a year or two. Sometimes I think about ten years. Like shopping. I want to buy a brand I like. Several people joined a company and bought another brand. Always want to see the brand. The same is true of love. The woman he likes will never break up. Broke up, I can't let go for a lifetime. It is easy to suffer from depression. People nowadays are more prone to depression than before. The living space is relatively small now. If you suffer from depression. Take him to travel outside if you can at home. Don't let him have too much room for personal thinking. Breathe in more fresh air. Let him do some concentrated work. Like playing darts. Depression is not that terrible. My depression is better, and so is Teacher Cui. Depression can be completely cured by treatment. Some healed themselves. I hope that patients with depression will recover soon.
Depression is that human nature is strangled by other people's thoughts. This is a society where thoughts are raped, and we always live in other people's thoughts. This man said that building a wall can keep out the wind, that man said that building a high wall can keep out the rain, and finally, he built himself a prison. This is your world. The world is small and narrow. You feel bored, lonely and slowly depressed.
Many people think, Oh, Ah Q is not good, why? Lu Xun said so. Everyone thinks that they should not be Ah Q, because you live in Lu Xun's thoughts. Ah Q is a social product. If you say yes, it won't exist. If you say no, it won't exist. It's your turn to be Ah Q, and you can't escape. It's no use being unhappy or unwilling! There is no need to give up on yourself and deny yourself. I don't want to be the next Zhou Shuren, finding fault all over the world, looking for someone to fight, vomiting blood, and finally. My brain bled to death.
Therefore, to get rid of depression, we must first jump out of the existing thinking and smash the wall, oh! The outside world is really big, and that kind of curiosity and desire has sprung up again. Secondly, we should jump out of the existing social relations and circle of friends. These people are responsible for your depression. To learn, understand people at different levels, in different fields, in different industries, and even meet people with different conduct. Wow, the world is really strange and ubiquitous. ...
Some people say that I can't do this and that. That's why your world is so small.
Depression is a common psychological disorder. Most of these people are what we often call blx. It breaks at the touch. When they are hit, they will be depressed, depressed and even pessimistic, and try to commit suicide. The heart still needs a cardiologist Most people will have mild depression, and people will also have depression at different times, such as prenatal and postnatal depression, menopausal depression, love depression and so on.
People's cognitive level of things is different, which is closely related to everyone's life experience. Some people are open-minded and can take trouble lightly. Some people will only be persistent, just like flies hitting the glass, and they don't know how to turn a corner.
Depression can be cured. With the help of people around them, some patients with depression have changed their ideas, found the motivation of life again, and worked hard for it, and their lives have been treated. They only temporarily diverted their attention, but once something around them aroused their inner depression, the problem appeared again.
In fact, each of us is a potential depressive patient. In life, when we encounter difficulties, we often say: depressed! Maybe you will say that you are optimistic and fearless. When you encounter great difficulties in life, you may be depressed and depressed. Be prepared for danger in times of peace, always keep a sense of prevention and control, enrich your life, exercise yourself and relax your mind, so that you can do your best when you encounter difficulties.