Why is the time of psychiatric face-to-face consultation so short?

Why is the time of psychiatric face-to-face consultation so short? First of all, it is definitely wrong to see a psychiatric clinic. It is definitely wrong for outpatient doctors to have a short face-to-face visit, because judging whether a person is sick requires a detailed medical history and a detailed mental examination of the patient. A complete psychiatric examination may take about half an hour, but psychiatrists obviously don't have enough time, so many people stay in psychiatric clinics for 3-5 minutes, more likely 10 minutes. This really shouldn't be, but we have many objective conditions that can't be changed, so we can only dig out the patient's mental symptoms as quickly as possible when we go out of the clinic, and then quickly judge the patient's diagnosis through the patient's mental state at the time of narration and the medical history supplemented by family members.

It's not all that short. For example, when I go out to the clinic, I meet a patient with communication difficulties or a patient with great mood swings. If there are no other patients waiting for a long time, I would rather talk to her more, which will also help me to make an accurate diagnosis, because sometimes there are always many symptoms hidden under some seemingly ordinary things.

For example, I often meet patients who come to see intractable insomnia and take many drugs to help them sleep, but the treatment effect is not ideal. I came to the clinic with a sad face. After detailed mental examination and repeated medical history, I often find that the emotional symptoms hidden under the insomnia symptoms of such patients are enough to meet the diagnosis of depression. For example, the patient's social situation, interest, memory, attention, energy, affected degree of life, appetite, weight changes and so on seem to have little to do with insomnia, which may have met the diagnostic criteria of depression.

In fact, experienced psychiatrists, especially some famous experts with relatively high experience, can quickly analyze patients' symptoms and give treatment suggestions in a short time of 3-5 minutes, although they have a large number of outpatient visits. Why do many people want to see an expert even if they see a doctor for a short time, because they really benefit from it? When I was studying in Shanghai two years ago, I often followed Mr. Jiang Kaida to the specialist clinic. At that time, he was 73 years old, but every patient who came back had memorized his previous medication. Although it takes an average of 3-5 minutes for each patient to come down from the clinic in the morning, patients all over the country will regularly hang up his special needs expert number in 500 yuan, and even many times the appointment will be delayed until 1 month later.

If there is enough time, every psychologist will provide more time for face-to-face consultation and more detailed mental examination. It's not that we don't want to, but that the actual situation is often not allowed. There are more than 3w psychiatrists in China, and thousands of them are qualified to go out of the clinic to serve the mental health of 65.438+0.4 billion people nationwide. Please understand more.

The truth and solutions of all so-called mental diseases such as depression, anxiety, obsessive-compulsive disorder, bipolar disorder and schizophrenia.

Psychological and mental problems are very serious social phenomena at present, especially among children, which is really heartbreaking. Because they don't know the truth and solutions, many people fall into inner pain and despair that others can't imagine, and even want to give up their lives. It also caused the collapse of countless families. As a person who has come out of more than 20 years of psychological pain, I really want to help more friends who are as painful as me.

First of all, I want to tell you that it is an extremely wrong choice to choose to end your life. Ending life is not a painful end, but just another endless and painful beginning. Life will never end, and every life has its meaning.

Secondly, I want to tell you that all the so-called psychological and mental diseases, no matter what type they are, no matter how serious they think, no matter how complicated their physical and mental symptoms are, are just an external manifestation, that is, they are only symptoms and results, and there is no substantial pathological change. Why are these so-called psychological and mental diseases so difficult to cure? Because most of our clients don't really understand the essence, truth and root of mental illness. If we find the root of psychological and mental illness, no matter how serious the problem is, no matter how complicated and unusual the situation is, any problem will naturally be solved. All psychological and mental diseases are essentially the same, but different people have different emotional and physical symptoms. Because of the strange symptoms, everyone is different and has different names, but the process and way of recovery are exactly the same.

So, what are the root causes of mental illness and mental illness?

Most people will let go of negative emotions quickly, but we can't. We must solve it, even if the larger foe breaks through, the result will be more and more serious. As everyone knows, if you don't solve the problem, you will put it down and solve it. There is nothing to solve at all, and there is no psychological or mental illness at all. These problems, which do not need management at all, produce so-called psychological and mental diseases in the process of solving them.

Emotion and body are related, and negative emotions can also cause some physiological and physical changes, which are called various test results and physical symptoms. In fact, these changes are only physiological changes caused by negative emotions, and there is no substantial pathological change. If negative emotions disappear, these physical symptoms will soon disappear.

Of course, as I said, these negative emotions and physical symptoms are only symptoms, not the root cause. In order to eradicate the so-called psychological and mental diseases and reduce the occurrence of negative emotions, we must start from the root causes. So, what is the root cause?

The root lies in our hearts, in wrong thinking patterns and concepts, and in our insistence on something. In fact, everyone and everything have two sides, but we always cling to one side and insist on getting a certain person, a certain thing, a certain result or goal, and can't accept other results. For example, some children have to get a certain score and get evaluation and recognition from others. If you can't get it, you will suffer. If you get it, you will be afraid of losing it. All kinds of worries, fears, fears.

Some people regret the past, but what's the use of regret? The past is the past.

Some people especially resent the harm that others have done to themselves in the past, but the harm has already been done. When will you retaliate? Others hurt us only for a while, and then it is themselves who have been hurting us. Why bother yourself.

Some people feel inferior. In fact, each of us is unique and has our own strengths. If everyone in the world is the same, what's the point of this world? Everyone has his own characteristics, and there is no distinction between good and bad.

Some people complain that their parents didn't bring them good conditions, but great men of humble origins abound in ancient and modern times and at home and abroad. We must learn to accept the reality.

Some people think that as long as they have money, they will be fine. However, in fact, the rich are much more depressed and the poor are also very happy. Happiness depends on yourself. People's desires are endless. If the concept remains unchanged, even with money, there will be other bigger new problems waiting for us.

Some people think it would be nice to change the environment. Perhaps, the new environment will bring temporary relief, but because the inner thoughts have not changed, new problems will also be encountered.

Some people suffer from incurable diseases. In fact, physical illness and mental illness are the same, just like fever, it is the self-protection of the human body, reminding us that the heart is connected, and they are just symptoms. If we change our hearts in the wrong way, the disease will complete its mission and leave us. Including infectious diseases, it seems random, but it doesn't make sense.

Some people attribute mental illness and mental illness to family background. What hope can we have if we believe this theory? How do you explain how many children in a family have different personalities? In fact, it is because members of a family are prone to form similar false belief systems and thinking patterns.

Some people attribute mental illness and mental illness to heredity, which is even more absurd. Who was born with mental illness and mental illness? What was it before you got sick? This theory kills people. In fact, this is also because members of a family are prone to form similar false belief systems and thinking patterns.

In short, the reasons seem to be varied, but they can all be attributed to clinging to something, and there are always things that can't be let go. So, put it down and everything will be fine.

Some people say, I don't know my reason, I am puzzled. How is that possible? If you think about it carefully, all your negative emotions must be linked to something, and that is our persistence. What we can't stop in our minds is our persistence.

Some children have psychological problems since childhood, which is also related to persistence. This persistence is probably related to the influence of parents' educational concepts or children's social relations. By listening and listening, children form some wrong ideas at an early age, which makes them feel pressured to study, or makes them feel inferior and compare with others. In fact, sometimes parents don't know what their children are thinking.

There must be a persistence or desire behind any pain, and letting go of persistence is the only way to solve any problem.

Because the wrong heart brings negative emotions, which in turn brings various physical changes. Heart is cause, body is fruit, never put the cart before the horse.

We should change our hearts, don't pursue material things excessively, don't browse bad websites, and don't just know that the meaning of life is dedication. Dedication is the road to happiness.

Many parents not only have their own misconceptions, but also impose them on their children, blaming others for hurting their children and themselves.

All desires and negative emotions are negative energy, which will be constantly entangled and amplified, and a vicious circle. In the end, positive energy will be less and less, and finally it will even develop to be proud of negative energy and ashamed of positive energy without knowing it. Can this not bring pain? Isn't this a common phenomenon in modern society? Why do most people live in pain? This is the general source. It's just that everyone behaves differently. Some people are physically ill, some people are mentally ill, some people encounter setbacks or disasters, and so on.

Once you get the so-called mental illness, you start to blame others, think that you are unlucky, think that heaven is unfair, and don't think it is your own reason, but blame the reasons on heredity, family, environment, poverty, disease and so on. And let mental illness and mental illness take responsibility for ourselves. I don't know how to correct my mistakes, but how can I get better? Of course, it was not intentional, but I didn't realize it. We unconsciously put the shackles of mental illness on ourselves and get deeper and deeper in pain.

In fact, God is the fairest. Everyone has to bear his own mistakes. If you don't want to bear it, you must always bear it. Many of us choose to avoid responsibility, but how can we avoid it?

Someone went to talk to the counselor. Talking itself is releasing negative energy, which will not only solve the problem, but also cause more pain in the end. Because it doesn't change the heart, how can it be useful?

Some people hope to solve it through drugs. Obviously, it is an internal problem. How to solve the drug? Isn't that ridiculous? Others want someone to help them. How do others in their own hearts work hard? You can only change your heart by yourself! Under negative emotions, there will be all kinds of whimsy that others can't understand anyway, including our parents.

Get to the point, understand the essence and truth of these so-called psychological and mental problems, and all the so-called psychological and mental problems will naturally be solved. Because it doesn't exist, of course, there is nothing to solve. Solving it is a problem in itself, and it will continue in a vicious circle until physical and mental weakness and despair.

How to solve it? First of all, don't worry about all the symptoms of physical and mental pain, no matter how serious and unbearable it seems, find the wrong persistence behind them and try to let go, so that all the physical and mental pain will disappear, people will be reborn, the gloomy sky will be bright again, and life will be full of hope, happiness and joy!

Some people say, how can mental illness and mental illness not exist? The problems we face in reality are as real as the pain we bear in our hearts. We just can't sleep, our symptoms and diseases are real, I just can't see any hope of life, and so on. These pains obviously exist. Isn't it self-deception to say that it doesn't exist?

Yes, everything is so real to us. What I want to say is that these so-called real situations are only results, not causes, but also superficial phenomena, not essence. They are not static. To solve all these problems, we must start from the root causes. Whether through psychological counseling or drug therapy, everyone is using phenomena to solve phenomena and problems to solve problems. Instead of solving the problem, it will continue to worsen.

All psychological and mental problems, no matter what kind of negative emotions, will be manifested as uncontrollable thoughts, constant thinking, unable to eat, unable to sleep, physical and mental fatigue. They just want to understand that the more they think about it, the more uncontrollable the vicious circle will be until it collapses. This is because in this process, our energy will gradually run out, and we will lose control of our thinking more and more. In the end, even our own lives will be given up. It is an illusion that both physical and mental pain and external obstacles are in a state of low energy. In that energy state, even a sesame seed will become a mountain and crush itself.

In this case, only by increasing energy can it be changed. This energy is not only eating and resting, but more importantly, it is to stop the erosion of negative energy (negative thinking) and constantly improve positive energy. That is, we must break the vicious circle, stop thinking (we will never think about it, and we will never figure out the result), turn to positive thinking and accumulate positive energy. With positive energy, you have the power to control everything in your mind and life. With positive energy, the problem that plagued us in the past has changed from watermelon to sesame.

So how do you stop thinking? Some people say that we just can't help thinking! In fact, we can't control our thoughts because negative energy (all negative emotions) is so powerful that we are controlled by negative energy. Because different people have different negative emotions, physical symptoms are more strange, and there are all kinds of so-called psychological and mental problems, in fact, the essence is the same.

As long as the essence is grasped, all the so-called psychological and spiritual problems naturally do not exist and do not need to be solved at all, because there is nothing to solve. No matter what our situation is, no matter how serious it is, no matter how real it is, no matter how difficult it is to solve real problems, no matter how serious it is physically, even if we are terminally ill, there is only one root cause and one solution. Find the root cause, all the problems in life are soap bubbles.

We live in a dream and only wake up. Who can interpret dreams? Wake up. What's the problem?

To solve this problem, we must first understand where we are wrong and understand that no one is punishing us. It is all our own fault. The universe is the fairest. If we are happy when we are wrong, it is really unreasonable. Actually, it's all our own fault. Don't complain, just reflect on yourself. The theory of pedigree and heredity does not exist at all. Are all harmful theories. You decide your own destiny, so don't give yourself any reasons or excuses. Don't think that it is caused by all practical problems such as family environment, being bullied, tense interpersonal relationship, lack of money, great pressure and physical illness. Wrong, these problems are also phenomena, the result of wrong inner thoughts, the result of the same root as our psychological and spiritual problems, all appearances, and all have the same wrong root. Even if these problems are solved, our psychological and spiritual problems still exist, and there will be bigger problems to remind us. We are all wrong in our hearts, too persistent and too unwilling to let go, which firmly binds our hearts. Let go of this obsession and free your heart. If the cause must be attributed to the so-called mental illness or family, heredity, environment and other aspects. How can there be hope?

In fact, every pain reminds us that we are wrong, so hurry back. Once you look back, pain loses its value of existence. As long as we don't look back, the pain will follow us. Behind every pain, there must be a persistence or a desire. Only by letting go of persistence and desire can we get rid of pain.

The past has passed, and accepting the present is the fruit of the past, which cannot be changed. The future does not exist. If you don't insist on getting a good result and are not afraid of losing anything, there will be no worries and fears. Whether we are happy or not depends on ourselves. No one can hurt us as long as we don't want to. The only thing we can do now is to change the wrong attachment, keep positive thoughts, words and behaviors from now on, and stop spreading and releasing negative energy, including at home and online, starting from the side, starting from small things, starting from housework, helping others, dedicating ourselves, letting go of selfishness, letting go of desire and material attachment. These are the essence of our life and the source of happiness. Release negative energy now, and the bitter fruit will naturally bear fruit later. Now sow the seeds of positive energy, our future will naturally change, and happiness will be on the way. Where will there be any psychological and mental problems? Where are the life problems to be solved? Where does it hurt? What's unfair?

Some people say, what if I can't let go? In fact, no matter how hard it is, there is nothing to let go. Think about it, when we leave this world, we can't take anything with us. If you don't put it down, you have to put it down. Is there anything we can't let go of? If you don't put it down, you have to carry it on your back and continue to suffer. We have no choice, and no one can help us put it down. The best way to let go is to accept what others and yourself have experienced, and accept all possible results in the future, good and bad. Why are you so serious? Why do you have a hard time with yourself or let yourself go? In reality, there are many people who are worse off than us. Most people didn't take it seriously and didn't answer it. We not only picked it up, but also refused to put it down, which made us very painful. As long as you put it down, there will be no pain. I can't let it go. If the pain is enough, I will let it go.

My friends, if you are desperate and miserable at this time, it is useless for you to shout, and others can't help you. You have to turn your head when you bite your teeth. Once on the road, you must stick to it. Never forget the pain and never look back. As long as you persist in your actions and let go of any persistence, all negative emotions will soon disappear and your physical symptoms will disappear. No matter how miserable and desperate you are now, no matter how real you feel, how unbreakable, how unchangeable and how unique the road is, even if you really have a so-called terminal illness, it is not true, it does not exist in reality, it is all fantasy. Wake up, the sun is shining, and everything is so beautiful. You must believe that no matter how cloudy it is, it will clear up one day. Nothing in the world is static, and so is your mood. Normal people also have good or bad moods, so just treat them with a normal heart.

Also, parents with children's problems, please let their children go, let them go, don't care too much, and don't instill wrong ideas in their children, which will harm their children for life. Give children freedom and don't put too much pressure on them. Internet generation, less contact with all addictive things such as video games and all bad websites, stop using psychotropic drugs to kill children! ! !

Finally, I can tell you that I used to be a so-called serious mental patient for more than twenty years, no matter how desperate and helpless I was. Now, I have been born again. I hope to share my experience gained with blood and tears with you, and I hope to help more people who are still trapped in the bottomless abyss of pain come out. I hope to save more families and children on the verge of collapse.

To sum up, thinking that you have so-called psychological and spiritual problems and trying to solve them is the real cause and beginning of all the pain. With the process of solving, the pain is getting bigger and bigger. This is the fundamental difference between normal people and so-called mental patients. Normal people don't think that negative emotions and mild symptoms will pass quickly. And we have to solve it, and the result is getting worse and worse. In fact, it is not only a psychological problem, but all the so-called real problems in our lives are the same. If we don't solve them, that is the best solution, and we won't do anything. Because most people have done it backwards, which is very painful.

Of course, I also know that what I said is difficult for friends who are in negative emotions to understand, but I hope that everyone will calm down and read it again and again, which will certainly inspire. When we are in negative emotions, we will have all kinds of negative thoughts, and they will become more and more serious. It is unimaginable for ordinary people. It is inconceivable that this kind of pain and despair does not exist. But, my friends, I tell you, all this is just fantasy. Don't believe those fantasies. Go back quickly and follow the direction I pointed, or you will get deeper and deeper.

No matter how desperate we are, no matter how serious and unsolvable the problem is, no matter how special we feel. Friend, I tell you, it's just a soap bubble. Don't be afraid.

As long as we make up our minds, let go of persistence and turn to positive energy. With this idea, we will be fine. Everything is difficult at the beginning, and it will become easier and easier to stick to it for a while. Once you gradually realize what I said, you will wake up and master an extremely sharp sword, so no matter what happens again, you can easily deal with it. You know, in any case, this is the only way out. You can only stick to it. You have no choice but to get out soon.

To sum up, we suffer because we have to cling to what we call mental illness and mental illness. It doesn't exist in itself, but it really exists because of our persistence. We must solve a problem that does not exist. As a result, the more problems we solve, the bigger the problem, and the vicious circle. We got caught up in it and didn't realize it until we were cornered. In fact, as long as we let go of our obsession with mental illness, it will soon disappear, as simple as that. The difficulties in the past were due to the opposite direction. The whole process is like waking up in a dream, and you will find that there is nothing really, just looking for trouble. Once you wake up, you won't sleep again. Solve the problem completely!

In other words, the psychological problem lies in solving some normal things that don't exist as problems, which leads to deeper and deeper problems, all kinds of physical and mental pain, and thus more firmly believe in the existence of their psychological and mental problems. Only by jumping out of this strange circle can we get rid of the pain fundamentally.

Some people don't believe what I said, and some people think it is difficult. You can do a little experiment to find out. When thinking about things, find some specific little things to do, such as housework, don't stop, stick to it for two to three hours and feel the change of mood by yourself. I realized that whenever the pain comes, I should stick to it until it clears up. Once you master it, you will be afraid of nothing in the future!

It's a bit heavy and wordy. I have repeatedly stressed that I hope I can really help everyone and arouse everyone's vigilance. Please forgive me if there is anything wrong!

Friends with feelings want to forward more, and helping others means helping themselves.

Psychiatrists don't communicate with patients! They all talk to their families about the patient's condition. Burn it and open the hospital bill! Then! The patient is in the isolation cage! And only family members can go home and be free! Of course, family members will also have many handprints! Alas! A mental hospital is no place for people to stay! Staying in that place for a long time will make people's activities rigid! Anyway, it looks uncomfortable! I take medicine in that place once a month. Then take medicine at home, which is better than staying in that place! Chima has a better living environment! Most villagers are normal people! Chat with normal people! Or go to the fields and do some simple farm work! I will be in a good mood! There is no cure for mental illness. Need to take medicine in time! Don't ask why. I tried to stop taking medicine once! When the tragedy happened, my illness recurred! I live in a mental hospital! Treatment in it, I'm a psychopath! Seek a partner who can communicate! Let yourself live there faster! Wait for my husband to pick me up at the hospital! Day by day, I can't see the sun! I don't know the date! The terrible thing is that there is no calendar! All I know is that it is dark and dawn! Doctors wake people up every year! Eat! Take the medicine! Sleep! Alas! After a long time, it will be out of touch with society! Then I was discharged from the hospital!

Who said that psychiatric face-to-face consultation time is short! In fact, the face-to-face consultation time is quite long! Ask about the medical history. Ask the patient personally first, then ask the family members together, and ask the family members separately. The particularity of the disease requires more careful consultation and details! The particularity of mental illness also requires special and careful consultation. In order to prescribe the right medicine! Let the patient recover soon!

There are many reasons:

1. Psychiatrists attach importance to symptoms, unlike counselors who attach importance to the people behind symptoms. Prescribe the medicine after the symptoms are confirmed, ranging from three to five minutes to ten minutes.

2. The number of the psychologist has been hung up by many people, and it is really busy; Objective conditions, no way.

3. The hospital will also ask psychiatrists not to spend too much time on consultation, improve efficiency and increase the number of consultations, which is from the perspective of economic benefits.

Many psychiatrists are very experienced. Ask a few questions, know the general condition, and let them take medicine. There is no need to care about how long, why, and what it has to do with your own environment or personal stories. Same disease, same medicine, wrong medicine, change medicine, adjust medicine, increase quantity, add medicine. The medicine is not accurate, sometimes the problem is not big and the side effects are not big. Many diseases really need to try different drugs many times before they can be cured; Many diseases have been asked for a long time, and he is not sure what they are.

I don't know whether you saw it in a public hospital or a private hospital. The hospital is very important.

A few years ago, when I was chatting with a depressed patient in Fuzhou, Jiangxi Province, I learned that the outpatient doctors in some hospitals gave me medicine only five minutes after asking questions, and even more ridiculous was that they had to go to the psychological counseling clinic. After talking for about ten minutes, I was directly blown out, and the consulting fee of 100 yuan was accepted. These unprofessional phenomena will basically appear in private hospitals, and public hospitals will go directly to the health authorities to complain about him.

Mental illness still needs to go to specialized hospitals, such as Shanghai Mental Health Center (Lingling Road), which is still an authoritative hospital in China.

Psychiatrists can diagnose patients according to their behavior, external manifestations, logical thinking language expression divorced from reality, auditory hallucinations and hallucinations, and mental behavior state inconsistent with reality.

To put it bluntly, mental patients are not valued anywhere and are not welcome anywhere.

In society, even many people avoid mental patients, even if they are much better and can do some social work, they are unpopular and unpopular. Some people have to hide their illness even if they are healthy. The cured mental patients even struggle to find a job, and may even be fired at any time.

In a mental hospital, nurses have no affection for mental patients, and there is no necessary communication. Mental patients are mechanical to them.

In general, almost all doctors don't give patients too much time. Many doctors ask a few questions and then ask patients to take various films. This is the most popular way to see a doctor at present.

As for psychiatrists, the time to see patients is generally less than five minutes, because of habit and because there are many psychiatric patients. In addition, psychiatrists and psychologists are basically the same. If they need to communicate for a long time, they need to pay. Therefore, ordinary psychiatrists only have a few minutes to see the time, and they need to pay if they exceed the time.