Brief introduction of medical psychological consultation clinic in Shanghai Zhongshan Hospital
"Health is not only physical disability or disease, but also psychological, physical and good social adaptability" (WHO)
Zhongshan Hospital is the first comprehensive hospital in Shanghai to offer medical psychological consultation, starting with 1987. In recent years, the average annual consultation volume has reached 10000. It takes the lead in developing and introducing the clinical application of various psychotherapy techniques in China, and is an important teaching and training base for psychotherapy and consultation, medical psychology and mental health in general hospitals across the country. Psychological counseling is not only to provide psychological help and guidance, but also to comprehensively use intervention techniques such as drugs, behavior and cognition to deal with patients. Because many patients with mental disorders are not necessarily manifested as mental or psychological symptoms, but as discomfort or pain of various physical symptoms, they are repeatedly treated in internal and external departments and cannot be treated promptly and effectively. For example, the most common symptoms of depression are insomnia, early awakening, fatigue, loss of appetite and decreased libido; The most common symptoms of anxiety disorder are palpitation, dyspnea, fear of going out and loneliness; The most common symptoms of obsessive-compulsive disorder are excessive love of cleanliness, careful verification and fear of making mistakes; The most common symptoms of hypochondria are repeated visits to doctors, various examinations and various physical discomfort, but no evidence of serious physical illness has been found.
The medical psychological consultation clinic is set up to help these patients with psychological disorders who seem to be physical diseases (note that it is not mental illness! ), let them recover as soon as possible, find the joy of life and get rid of psychological shadows.
Psychological counseling is like a crutch, which helps you and supports you through psychological difficulties, rather than accompanying you all your life!
Service scope of medical psychological consultation clinic:
1) Depression: Depression and unhappiness are the main symptoms, which may be accompanied by insomnia, decreased interest, slow thinking, pessimism, weight loss, etc.
2) Anxiety: The main symptoms are emotional tension, anxiety, fear and fear, which may be accompanied by palpitation, shortness of breath, irritability and avoidance.
3) Sleep disorder: Insomnia, shallow sleep and dreaminess, and sleep cycle disorder are the main symptoms, which will seriously affect work efficiency and quality of life.
4) Psychosomatic disorders: somatic diseases are the main diseases, but the changes and prognosis of diseases are closely related to psychological and behavioral factors. Such as "type A behavior" of patients with coronary heart disease, psychological rehabilitation of patients with cancer rehabilitation, and changes in lifestyle and dietary behavior of patients with chronic internal medicine such as ulcers, diabetes, rheumatism and hypertension.
5) Eating disorders: including obesity caused by overeating, anorexia caused by dietary restrictions, and recurrent overeating and vomiting.
6) Obsessive-compulsive disorder: mainly manifested as repeated and careful examination, whitewashing, exhausting thinking and trying to get to the bottom of the problem.
7) Fear of communicating with people, darkness, crowded people, taking elevators and cars, climbing mountains, animals and animals. ...
8) Sexual psychological disorder: Sexual dysfunction includes male erectile dysfunction, premature ejaculation, female frigidity and lack of orgasm. Sexual perversions include homosexuality, voyeurism, cross-dressing (gender) and fetishism.
9) Adaptation obstacles: young people's social adaptation, interpersonal adaptation, lovelorn adaptation, marriage adaptation, old-age retirement adaptation, widowed and separated adaptation, etc.
10) Learning disabilities: It is human nature for children and adolescents to have reading difficulties, poor grades, inattention, hyperactivity and misconduct, which often gives parents a headache.
1 1) Early psychological disorder: Young students' academic performance for unknown reasons has obviously decreased, and their behavior has retreated and become abnormal, which are often manifestations of early psychological diseases, and should be diagnosed and treated in time.
12) Suicide prevention and crisis intervention: You only have one life, so there is no need to end it yourself. Preventing suicide and saving lives are the important responsibilities and obligations of psychological counselors.
Heart disease still needs a "heart medicine" doctor, and smiling will make you happy.
Consultation is a process of education, guidance and help. There are mainly two commonly used psychological counseling techniques:
1. Testing, evaluation and inspection (computer psychological evaluation)
Including anxiety, depression and other symptoms of scale evaluation, personality psychological test, personality psychological state test, such as SAS, SDS, HAMD, HAMA, HAD, EPQ, MMPI, 6-PF, STAI…… ... ...
2. Psychotherapy techniques (with the help of doctors)
1) Talk: The highest goal of consultation is "talking with your husband is better than studying for ten years" and "turning an enemy into jade". The patient listening, popular explanation and professional guidance of consulting doctors are the basis of consultation.
2) Cognitive behavioral therapy: inappropriate opinions and attitudes (cognition) will change people's emotions and physiology. Learn to look at the problem from another angle and adjust the psychological balance. As the poem says, "Qian Fan is on the side of the sinking boat, and Wan Muchun is before the sick tree", that is, "a blessing in disguise is a blessing in disguise".
3) Psychodynamic therapy: Many psychological or mental and physical problems are just symptoms, which may be caused by children's early traumatic experiences and many life adversities during their later growth, especially repressed and unconscious sexual conflicts. Through consultation and the appearance of symptoms, we can uncover the coat of life experience and find out the crux of potential psychological pain.
4) Family, marriage and interpersonal therapy: People are social and deal with people every day. "Relationships" will affect people's work, life and health and need to appear in different social roles on different occasions. Skills can't be learned from books, but accumulated from practice. It may be of great benefit to learn to "think highly of children", "praise more and blame less", "get along with others" and "a rising tide lifts all boats".
Outpatient service time:
Senior Expert Consultation Center: Appointment (021-64041990-2008)
General specialist clinic: Monday/Thursday afternoon
General consultation clinic: Monday to Saturday all day.
In addition, I will send you a psychological counseling website.
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