Supervisor: Xu Kaiwen (former psychiatrist)
Harvest after watching:
1. This is a case from a different place, with 50+ consultation for 6 years. The counselor was born twice, but the visitor still didn't change the counselor, so the relationship between the counselor and the visitor was good. Counselors reflect on why visitors don't change counselors. Maybe when visitors question the counselor, the counselor can accept it. The supervisor also believes that the counselor has shut all the visitors out because he has two children, so that the visitors can see the truth of the counselor's love for the children when he is a mother.
Visitors have a lot of anger towards their mother, but they can't express it. They are always belittled and scolded by their mothers, and they can't get their mother's affirmation and recognition. But from consultants, wives, former leaders, and still looking for the "ultimate savior." Look at the mother of the visitor. She was adopted and rejected. Mother's dissatisfaction with family of origin is projected on the visitors, and we can see the intergenerational continuation of the family relationship model. As one of the objects that visitors can rely on, the counselor showed them that he can change himself (he can't change his parents, but he can change himself through marriage and raising children).
3. The more visitors avoid what they don't want to talk about, the more critical it is to continue to explore this impedance. Consultants should not skip it just because visitors don't want to talk about it. For example, in this case, when the visitor mentioned his mother, he said that he had a headache and didn't want to talk about it, but his mother influenced him, which is worth discussing.
4. Sometimes childhood trauma, such as being abandoned and belittled, is also a kind of wealth, which will cultivate the power to pursue perfection and the creativity to fight against it, such as Jobs, or this high IQ visitor who has more than a dozen personal patents, graduated from a famous university, and took the calculus test 100. Because this visitor has been belittled by his mother for a long time, he has formed a kind of self-denial divorced from reality and a desire for affirmation. The psychological counselor should give him more positive affirmation.
The visitor had suicidal thoughts six years ago, but recently he appeared again and was diagnosed with depression. Generally speaking, patients with depression are more likely to become manic after taking drugs for a long time, which makes it easier to diagnose bipolar disorder (bipolar: depression and mania).
6. Bipolar disorder is a serious mental illness. Now the diagnostic criteria in this area have been relaxed, so some patients with depression will also be diagnosed as bipolar disorder.
7. Bipolar disorder, psychological counselors and psychiatrists look at different points. Psychiatrists pay attention to symptoms, diagnose them through symptoms and treat them through drugs; Psychological counselors are not concerned with the symptoms themselves, but with the people behind them.
8. The law forbids counselors to do psychotherapy for mental patients. Psychological counselors can provide psychological counseling for patients with bipolar disorder as an aid. (Distinguish between psychological counseling and psychotherapy)