Crazy Psychologist: Chapter 703 how to start treatment

If you came to the hospital for running, this is really an exaggeration. But that's probably the most reasonable guess.

Then why do you have to run against the clock?

The reason should be the two giant puffs.

Because I ate two puffs and worried about the sugar content, I wanted to run to reduce the conversion of sugar into fat, so this big star appeared at the Huayuan Bridge Community Health Center.

I was lucky enough to meet big stars thanks to this treadmill.

Thinking of this, Mu Chun couldn't help laughing.

"What are you laughing at, teacher? By the way, teacher, how should we start treating such a patient?"

"First of all, we still need to evaluate..." Mu Chun corrected Chu Sisi's question.

"Oh, yes, I found that I can't start a period of treatment. How should I say it? Teacher Mu Chun always seems to be very organized, one step, two steps, three steps, and I often have a feeling that I don't know the treatment steps. It feels like being carried away by a patient from time to time."

"Being taken away by the patient?" Liu Tiantian didn't understand Chu Sisi's words. As a nurse, it was impossible for her to be taken away by the patient, because she was the one who took the patient away.

"Well, for example, it happened before, the patient came to my outpatient room, and then I tried to chat with the patient, and the chatting turned into the patient talking, and I was completely listening to the patient, and it even happened The situation where you can’t get your mouth in.”

This question has been buried in Chu Sisi's mind for a while, because Mu Chun has been very busy before, busy cooperating with the police to handle the case, busy with the case and busy with the mental health annual meeting, Chu Sisi couldn't find it It was time to ask the teacher for advice. It was raining heavily today, and there were no patients in the outpatient clinic. Chu Sisi finally found a chance to study hard with Mu Chun.

Seeing that I have been an intern in the hospital for more than a year, although I can already receive patients independently, every time Chu Sisi faces a new patient, she still hesitates, does not know how to start, and does not know how to proceed correctly. Now he is eager to want a scientific process to help her control the pace of treatment.

I don't know if through my own hard work and serious study, one day I will be like Teacher Mu Chun, who will always want to know what to do when facing patients, calm and calm, and not panic.

"This is not the worst situation, it can even be said to be a better situation. It is better for a patient to speak than not to speak. If a patient comes to the hospital and sits in front of you without saying a word , then the evaluation work will become extremely difficult.

Developing a treatment plan for a patient begins with a thorough understanding of the person. "

"Comprehensive understanding?" Liu Tiantian opened his eyes wide, "Wait a minute, Doctor Mu Chun, I need a piece of paper."

"What are you looking for paper for?"

Mu Chun was puzzled.

"Of course it is to take notes. I have never heard that a doctor needs to have a comprehensive understanding of the patient to treat a patient. Next, Dr. Chu will definitely ask what aspects are included in the comprehensive understanding, right Dr. Chu?"

"Well, I'm going to take notes too. Although I know the teacher is going to tell me to take it in my head first, and then try to recall it in my notebook after a few hours, but I think it's easier for me to take notes on the spot. "

After Chu Sisi finished speaking, she took out a blue notebook.

“Then let’s get started. Materials to assess and capture include:

· Demographic characteristics

·Mental condition

· Cultural and religious background

·Physiological characteristics and abilities, medical conditions

·Behavior

· Feelings and emotions

·Intelligence, thinking and learning style

· Family structure and family background

· Other relevant history and experience

·Social behavior

·lifestyle

·Educational and professional experience

· Family history of mental disorders

·Other related fields

and the patient's description of the current situation. "

"Should all these be collected from the talks?" Chu Sisi had a headache, and Liu Tiantian immediately suspected that he was a scumbag.

"It seems that there are many items, but these things are very important. If you think about it carefully, you will find that these are all necessary. If the data collection is not done well, the subsequent diagnosis and treatment may go in the wrong direction.

For example, a doctor who is completely ignorant of the patient's cultural environment thinks that the patient's daily meal prayer is a compulsive ritual, and it may be a joke to treat it according to the method of obsessive-compulsive disorder.

It's okay to make a joke, if the treatment is completely different from the condition, the patient will be delayed. "

"But it's really difficult to collect so much information just through talking. It may be better if you encounter the kind of patients that Dr. Chu said will talk endlessly as soon as they come to the hospital. But if you encounter some patients, ask three If you shake your head and don't answer any more questions, isn't it that during the conversation stage, you can't grasp useful information at all? If this is the case, wouldn't we have no clue about the patient's treatment plan?"

"Yes, generally speaking, patients come to the hospital hoping to get help, except for some special cases.

Let us first say that in most cases, after the patient has experienced a long period of pain and suffering, when the condition develops to the most serious stage, it is also the best time for treatment. At that time, the patient will think of seeking help and get rid of the torture completely. own long-term psychological barriers. "

"Will there be such a time point for all unions?" Liu Tiantian asked.

"It depends on a lot of factors. First, the patient needs to know that there is a place to go for help. Second, he is no longer afraid to tell people that he is a weird person and has some hidden problems."

"The main reason is that many people still don't know much about physical and mental science. Even if some people do understand, there are still many misunderstandings. For example, Fang Jia's mother before, that family was very fierce. She clearly said that her child had problems. The doctor was wrong, and Xie Xiaofei's mother also said that the doctor was wrong." Liu Tiantian pouted unhappily, feeling a little bit injustice.

"It doesn't matter if there are misunderstandings. Misunderstandings will always exist in this world, and there will be no day when they will disappear completely. Not to mention that individuals are separated from each other, and no one can really understand what the other is thinking. The difference in professional fields is even more important. It is impossible for everyone to understand what is going on with psychosomatics, or what is going on with a person's mental health.

Closer to home, most of the time patients will need help, and this is the time for treatment. Generally speaking, patients will take the initiative to inform some basic information, including a description of the current situation, their occupation, family and so on.

Many of people's troubles come from the conflicts between people and between people and the environment. When patients describe their depression, they will mostly mention, for example, that I feel very uncomfortable every time I get home, or that my depression at home When it's good, I'm very depressed when I'm at work. There is usually a specific context that helps us understand our patients holistically.

In addition, some evaluation scales can be used, which will make it easier for us to collect data. "

"It turns out that there is such a tool as a scale. Dr. Mu Chun is really good at hiding it. He didn't tell us until now."

"The teacher finally said that there must be a reason for the scale, right teacher."

"Doctor Chu is really good at thinking from the perspective of others. This is very good! You will learn these in graduate courses, take your time, don't worry."

"But what should I do if the patient is particularly uncooperative and doesn't explain clearly?" Liu Tiantian has many questions.

Chu Sisi also wanted to know, "What if the patient can't explain clearly?"

"So when our physical and mental department collects information about the patient's situation, the information provided by the close people around the patient is also very important. Another point is-generally, I refuse to visit the doctor. If the patient is not willing to accept the treatment of the physical and mental department, our work is very important Difficult to carry out, formulating a treatment plan is almost like fishing for moons in water or just scratching the surface?"

"So that's the case. No wonder the teacher decisively rejected Assistant Xiaoying's request to visit the doctor last time."

"Yes, the patient's trust in the doctor and the patient's expectation to improve their own conditions are of great significance to the treatment of psychosomatics, sometimes even more useful than medicine.

It is critical for clinicians to be able to help patients raise their hopes and expectations for positive treatment outcomes early in treatment, and individual patient characteristics also correlate with treatment outcomes.

In therapy, individuals who are friendly, open, emotionally accessible, and able to express thoughts and emotions are more likely to develop positive therapeutic expectations; patients who actively participate in therapy are more likely to improve regardless of the therapeutic intervention used .

Patients who have good object relations, demonstrate strong ego strength, and take responsibility for their problems are more likely to have positive outcomes than patients who see these problems as external difficulties because they are motivated to change.

For example, Xiaoying herself does not have a strong willingness for treatment, and she does not pay much attention to headaches and whether she has other psychological disorders. In this case, no matter how anxious the assistant is, the treatment may not be able to move towards development in a positive direction. "

After all, the patient's own willingness to treat is still very important.

Liu Tiantian concluded quietly in his heart.

On the other side, as soon as they arrived at the radio station, the staff ran over, walked through the long aisle, and bent down in front of Xiaoying to salute, with a very polite attitude.

"Such a heavy rain, it's really hard for Xiaoying, this season is really annoying." Xiaofang, the staff in charge of the reception, smiled flatteringly.

Yes, it rained all day today, and it rained for a while in the morning, and then I thought it was sunny, but I didn't expect that it was still raining after lunch time after I came out of the studio.

After arriving at the waiting room, Xiaoying greeted the host of the radio station. The host said he would go first and was going to let Xiaoying rest for a while. Xiaoying said politely: "It's okay, Baiyun, we've known each other for so long, you should be busy." Just ask my colleagues to call me."

Bai Yun patted Xiaoying's shoulder with a smile, and leaned into Xiaoying's ear, "It's really getting more and more beautiful."

The two have a good personal relationship. When Xiaoying first debuted, Baiyun was already a well-known radio host. Several times, big stars visited the radio station. Baiyun helped Xiaoying to participate in the program together. This celebrity talk show hosted by Baiyun It has always been the gold medal program from 2:00 to 5:00 on Friday afternoon, and the audience rate has always been high.

Now Internet radio stations are becoming more and more popular, and have overshadowed traditional radio stations. It seems that the ratings of Internet celebrity live broadcasts have surpassed many variety shows, but the ratings of Baiyun's program are still very high, and it is also because Baiyun himself Comes with traffic.

This episode of the show is also full of big names. As soon as Xiaoying walked into the lounge, she saw two artists who were similar to her. After seeing Xiaoying coming in, the artists who came first took the initiative to say hello to Xiaoying.

"Xiaoying, come and sit here. It's raining so hard and we're not late. It really is the conscience of the industry."

It is Wang Tao who speaks with humor. He made his debut with talk shows and is now a hot star in various variety shows. As long as Wang Tao is on the show, the ratings often bring surprises.

Wang Tao himself is also very happy, with a pair of slender eyes that really look like the crooked moon in a literati's pen when he smiles. When he tells jokes, he is witty.

Artists don't like being robbed of the limelight. People who know how to measure usually can go smoothly and go far. Among the younger generation of male artists, Wang Tao is a newcomer that everyone likes more, so he has made a lot of money these years. With few good resources, I can now participate in radio programs with Xiaoying.

Suddenly, Xiaoying secretly felt emotional, and she didn't know whether I was taking advantage of Wang Tao's enthusiasm or Wang Tao was taking my enthusiasm for today's show.

Am I as popular as Wang Tao now?

This question suddenly seemed like a piece of chewing gum stuck to the wall. Xiaoying tried to ignore this thought, but she couldn't ignore it anyway, as if she was being targeted.

She felt her heart was beating fast, and her head seemed to be starting to hurt.

Oh no, it’s good that I stayed in the hospital for two more minutes just now, and the doctor Mu Chun also asked if I should prepare some painkillers. I believe that I will not have a headache when I work based on my experience. What should I do if I have a headache now?

"Miss Xiaoying, are you okay?" Wang Tao was quick-witted, and seeing that something was wrong with Xiaoying, he immediately asked with concern.

"I'm... fine." After Xiaoying finished speaking, she took off her sunglasses and forced a bright smile. Her smile was exaggerated, but beautiful.

It must be very beautiful~www.mtlnovel.com~ Sure enough, Wang Tao was immediately convinced by her smile, "Miss Xiaoying really looks better than a girl. Speaking of which, this is the first time we have cooperated. I am really lucky." Great, seeing Miss Xiaoying at such a close distance, she really looks like a girl from the second dimension."

"The second dimension is too exaggerated, I don't want to be the wife of otaku."

Xiaoying replied humorously that the temperature was neither hot nor cold, which was just right for her temperament.

After Wang Tao said hello, Luo Shanshan, who was preparing at the side, also took the initiative to find time with Xiaoying.

Luo Shanshan has suddenly become popular recently. The popularity is inexplicable. People in the circle don't know what her backstage is. This is the first time Xiaoying has seen Luo Shanshan in real life. She is more than 170 centimeters tall, with a With a palm-sized face, Wang Tao's two-dimensional praise just now is just right for her.

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