Abnormal Diagnostic Manual

OCD 03

When He Quan came out of Qi Yu's studio, the corridor was already much quieter. A woman was holding a child and sobbing softly. She probably was the one who was making trouble just now.Seeing that the girl she was pulling had bald eyebrows that were almost invisible, He Quan shivered, tightened his clothes and walked out quickly.A place like a psychological consultation room is just like a hospital, and the people who come here are not normal people, which is really unfavorable.

Qi Yu put He Quan's information into the folder.

Obsessions are often obsessive, recurring intrusions into a person's mind that are unpleasant, and the thought to be carried out is itself unpleasant to the sufferer, but if not carried out, creates greater anxiety.The patient wants to resist but to no avail.

Common obsessive thoughts include forced associations, forced memories, forced doubts, forced thoughts, and forced oppositional thinking.He Quan's obsessive thinking comes from his inner anxiety about real life. Maybe he also realized that he had invested too much in the extramarital affair with the boy, and worried that this extramarital affair would be exposed to others and affect his future and family.He Quan's obsessive thinking is a manifestation of inner anxiety projected outward.

Obsessive thinking is accompanied by irritability and anxiety, and there are self-compulsion and anti-compulsion.He Quan was forcing himself to keep thinking about various ways to murder dogs, but at the same time he realized that this kind of forced thinking was wrong, so he was still forcing himself to stop thinking like that.Severe self-seeking not only interferes with the normal work and life of the patient, but also leads to the impairment of the patient's social function.

To be diagnosed with OCD, a person must have obsessions or compulsions, or both, on most days in a two-week period.

He Quan's obsessive thinking is to constantly think about the way to kill the dog. It is painful but difficult to stop, and then he produces compulsive behaviors in order to calm down the anxiety - the speed of the car does not exceed 40, and the parking distance is repeatedly verified.

The etiology of obsessive-compulsive disorder is complex and inconclusive. At present, it is believed that it is mainly related to psychosocial, personality, genetic and neuro-endocrine factors.

People with OCD tend to be smarter, come from higher socioeconomic classes, and are characterized by a pursuit of perfection.People with obsessive-compulsive disorder usually experience some setbacks or unpleasant events when they first develop the disorder.

He Quan is cautious and cautious, step by step, because of the pressure of the closet and the pressure of his career, and he has a ghost in his heart to raise a boyfriend outside behind his wife's back. The long-term anxiety piled up, and finally broke out under the stimulation of the dog.

OCD and OCD are somewhat similar.The latter hope that everything can be perfect, and they will use strict standards to measure the surrounding things in life, causing themselves and the people around them to fall into an atmosphere of tension and anxiety, mainly manifested as workaholics, focusing on work efficiency and procedures far more than in emotional expression and interpersonal communication.

Statistics show that about one-third of obsessive-compulsive disorder patients have obsessive-compulsive personality disorder.Patients with obsessive-compulsive personality disorder will show symptoms similar to obsessive-compulsive disorder under pressure, but these symptoms will basically disappear after the stress is relieved, and a few will develop obsessive-compulsive disorder.

OCD can be treated with medication, but medication is ineffective for OCD.

Once diagnosed with obsessive-compulsive disorder, drug therapy and psychotherapy should be considered in the treatment. Although the cause of obsessive-compulsive disorder is still unclear, some studies have shown that the imbalance of neurotransmitters in the brain of patients is an important cause of its onset. anti-compulsive drugs are antidepressants.

Commonly used methods of psychotherapy include psychodynamic therapy, cognitive behavioral therapy, supportive psychotherapy, and Morita therapy.

Cognitive behavioral therapy mainly includes thought blocking method and exposure reaction prevention.

Thought blocking method is to divert attention or exert external control when patients repeatedly have obsessive thoughts.

Exposure reaction prevention is under the guidance of the therapist, encouraging patients to gradually face various situations that may cause obsessive thinking without compulsive behavior. For example, patients are always worried about not locking doors and windows, and worrying about theft. After several treatments, the door is locked without repeated confirmation, and even if you are worried, you can’t go home to check whether the doors and windows are locked. Because the theft that the patient is worried about will not actually happen, the anxiety accompanied by obsessive-compulsive symptoms will disappear after multiple treatments. Relieve until it subsides, so as to achieve the effect of controlling obsessive-compulsive symptoms.

Morita Therapy is a psychotherapy method of letting nature take its course and doing what should be done.Mainly applicable to the treatment of neurosis, autonomic disorders and other physical and mental diseases.

The treatment principle of "following nature" requires patients to first admit the reality of symptoms, not to force changes, but to let nature take its course, to understand the laws of emotional activities, to accept emotions, not to suppress and reject them, to let them fend for themselves, and to let them survive by themselves. Continuous efforts to cultivate a positive and healthy emotional experience.

Through treatment, patients learn to adapt to the natural attitude, not to control those uncontrollable things, and to give up the idea of ​​perfectionism.But at the same time, pay attention to "doing the right thing", that is, controlling those things that can be controlled.On the one hand, accept the symptoms and regard them as a natural situation, on the other hand, with the symptoms, focus on the real situation and engage in normal work and study activities.

In fact, the greatest pain that obsessive-compulsive disorder brings to people is not the obsessive concepts or behaviors, but the anxiety, tension and uneasiness that accompany these concepts and behaviors.If your emotions are calm, even happy, then even the compulsive rumination symptoms are still there, but not as painful as they used to be.Therefore, if you want to treat compulsion, you should not regard symptoms as the enemy, but accept the symptoms. Only in this way, you will not take the symptoms so important. When the symptoms are not important, the mood will be calm, and only when the emotions are calm will the opposite be true. Symptoms are relieved and disappear.

Qi Yu felt that the Morita Therapy was too ideal for He Quan. This kind of Buddhist concept could not be counted on for a person like He Quan who had ghosts in his heart and was totally untenable morally. He wanted to establish a It is too shameless to have the supreme notion that cheating on marriage and derailment is correct.