Chapter 193 Without Lin Shi
She glanced at the question and asked, "Have you already seen my medical report?"

Lin Jianwei answered yes.

Qin Zhao: "Based on that data, can you determine my score range for these questions?"

"I must be honest, there will be a general assessment."

"Then why do it?" Qin Zhao asked, looking at her.

"To put it another way, most people will exhibit similar characteristics when they have similar experiences. But this does not mean that these characteristics can define and generalize about everyone; the degree to which these characteristics are expressed varies among individuals."

"You are the only person I'm responsible for right now."

Lin Jianwei gently coaxed, "You actually want to know your true situation, don't you?"

"I will have three files here. One is your actual situation, which is only open to you. One is for your parents, and you will have to give them your consent to see some of it. The other is for the public, if you need it."

Qin Zhao pursed his lips and suddenly asked, "Was my reaction also part of what you were observing?"

Lin Jianwei paused for a moment, slightly surprised: "Yes."

Qin Zhao finished the questions she had given him.

创伤后应激检查量表,得分48/80(临床分界值31);汉密尔顿焦虑量表18/56。

Mild.

Lin Jianwei was not surprised to receive the result.

Qin Zhao: "So, what's my current situation?"

“You have strong mental resilience and high cognitive function. But sometimes our bodies and brains protect us by pretending that nothing is wrong, which may cause the test results to not fully reflect the true load state.”

Qin Zhao: "I wasn't lying."

“I believe you’re not lying,” Lin Jianwei said. “But your body doesn’t lie either. Test data shows that your nervous system is in a state of constant readiness, like a sports car that’s been floored but can’t be turned off.”

The speedometer showed a speed of only 60 km/h, but the engine had actually overheated to a dangerous level.

Qin Zhao lowered his eyelashes: "So it's very serious for me? I don't think so."

"The high-functioning representations you have developed are a brilliant survival strategy for the brain in extreme environments, but this system is consuming your neural resource reserves."

“You are still young and have strong mental resilience, which are advantages of treatment and can repair these damages to the greatest extent possible.”

Qin Zhao remained expressionless. Lin Jianwei said, "These stress responses aren't a bad thing; they're your survival skills."

"But now these so-called survival wisdoms are considered sick, aren't they?"

Lin Jianwei: "It's not an illness, it's just that your current condition is different from before. Those conditioned reflexes from years ago can no longer effectively protect you. So we need to control these reflexes and establish new protective mechanisms."

"You're not feeling well either, are you?"

Qin Zhao cracked his knuckles and asked softly, "How long?"

"The acute stabilization period lasts about six months. After six months, your sleep efficiency will improve significantly. However, you will need to undergo full-time treatment."

Trauma treatment lasts for six months to two years, with the goal of gender identity acceptance and reintegration into social life.

Functional reconstruction, in years 2-5, aims to restore the prefrontal-limbic system connectivity strength to greater than 0.35, restore social function to 85% of the level of peers, and establish at least one stable close relationship.

Qin Zhao twitched the corner of his mouth: "You said I'm not sick, but now you're telling me it will take me 5 years to be like my peers, and still only 85% of their age."

“The treatment is lifelong,” Lin Jianwei said gently. “Even after these are over, a neuropsychological evaluation will be needed every six months to establish a mechanism to prevent recurrence of trauma.”

She paused for a moment, then said, “Perhaps your actual progress will be faster than my plan.” “Psychological resilience is a double-edged sword. You have a high score on the Post-Traumatic Growth Scale and your personal strength factor is above the 75th percentile. Brain imaging shows that your ventral striatum responds more strongly to reward stimuli. All of these indicate that you have intrinsic motivation to support your recovery.”

Lin Jianwei's expression turned slightly serious: "But you have a high pain tolerance threshold, and this illusion will delay your medical attention. You also have an emotional disorder, so chest tightness is actually a way of expressing pain."

She paused for a moment: "Did you wear a corset today?"

Qin Zhao shook his head.

“You’re not feeling well,” Lin Jianwei pointed out incisively. “Isn’t it strange that you suddenly stopped wearing a bra binder?”

Qin Zhao lowered his eyelashes and hummed in agreement.

Lin Jianwei: "What does it feel like?"

Qin Zhao clenched his fingers.

"We need to trust each other, right? What if I can help you improve this situation?"

"It's very stuffy. I break out in a cold sweat when I'm outside, and sometimes my heart beats very fast."

She had no expression, and her tone was flat, as if she were talking about someone else's affairs.

Lin Jianwei suddenly felt a pang of sympathy for her, and her voice softened even more: "You don't need to force yourself to adapt to your current gender identity so quickly. You can take it slowly; going too fast will only backfire."

"If you're worried about your parents, I can speak to them on your behalf."

Qin Zhao was silent for two seconds: "I have problems with my spine and breathing."

Qin Qiong's condition these past few days has been much worse than before, and she didn't want to worry her anymore.

She looked at Lin Jianwei: "Could you just tell them the results of my questionnaire?"

"Given your current situation, our agreement is valid. All information will be known only to the two of us. You decide what information to share," Lin Jianwei smiled slightly.
"However, the family is also a part of the treatment process. I will prepare a 'Customized Family Communication Report' which only includes non-sensitive content about the need for adjustments to the family environment to improve autonomic nervous function. With you present and in complete control of the meeting, you will explain the treatment framework to them, without including a diagnosis."

Lin Jianwei prescribed her medication: sertraline and sleep-regulating drugs.

Qin Zhao: "Mild cases don't require medication, right?"

Lin Jianwei: "I will handle it according to the actual situation."

Qin Zhao: "Can I not eat?"

"You have the right to decide whether or not to use medication. But the role of triserine is not only to relieve anxiety, but also to block the neuroinflammation caused by trauma and prevent further atrophy of the hippocampus."

Lin Jianwei put down her pen. "Psychotherapy alone will slow down the recovery of the hippocampus. If you are worried about the side effects of the medication, you can start with 1/4 of the dose and monitor for adverse reactions 24 hours a day."

……

As soon as Qin Zhao stepped out, Qin Qiong and Lin Zheng went to greet him.

Qin Qiong's eyes shone with caution and concern: "How is Zhaozhao feeling?"

"Much better. Dr. Lin is very professional." Qin Zhao glanced at them. "You don't need to worry. I did a scale test, and it's mild."

Qin Qiong and Lin Zheng exchanged a glance, clearly feeling that there was something wrong with the result.

Lin Zheng smiled and said, "Zhao Zhao, you've worked hard today. Is there anything you'd like to eat? It's on me."

He lowered his voice mysteriously: "Without Lin Shi."

I don't want you to have a high pain tolerance, I want you to be happy~ Wishing all my babies happiness is the norm~
P.S.: Chapter 188 needs to be revised, or may be deleted. You don't need to reread it after the update (I was asked to do so...).
Thank you to reader 20240810795_eA for the generous donation!
谢谢小火炖慢粥_Aa、Lars_aB、书友202504064508、池恩、书友20230701733_AC、书友 202502222959、书友2021030176452746792、蛮昏昏、鸭鸭不知怎么押、书友2021030175252507870、恋时与T、书友20250417173059117、快乐小狗oi、无关善良、艺果果心、书友20240818877298、小维尼宝宝们的月票!



(End of this chapter)

Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like