A person who was originally diligent and responsible for his duties suddenly became a shrew, a snake disease . It makes you feel that the person in front of you is sometimes so strange, unlike the people you know before. Thinking wildly , talking nonsense, thinking about others harming her every day, as long as she doesn't follow her wishes, she will scold you. You are good to her, and she thinks you are harming her . When it's abnormal, you think you are plotting against him , cheating her money, and deceiving her.
Some people may think that this is because she is deliberately pretending to be crazy. In fact, this is not something she can control, but is caused by mental stimulation (such as major life events, environmental pressure, inner conflict, emotional agitation, etc.) or bad cues . Class neuropsychiatric disorder.
This is what everyone once called "madness" and "hysteria", which is now called hysteria or separation (conversion) disorder .
01.
Background introduction
Xiaoli, female, more than 20 years old, bachelor degree, engaged in financial work.
Now I really don’t know how to define myself. Most of the time I am willing to think of myself as depression , but sometimes I think it is obsessive-compulsive disorder , anxiety disorder , or simply a joke .
The missing native family,
Roots of Inferiority
When I was a child, I was a very introverted, quiet girl, a little dull and cowardly introverted . So that I have been beaten every day since kindergarten, but I have never been angry. I like to be alone , I like to paint. Every time I paint, I like to paint an isolated island. I love loneliness.
My family is broken. My parents were divorced when I was a child , so I lived with my grandparents since I was a child. But my mother took good care of me. She lived very close to her grandparents' home, and I would often go to her home.
In my childhood memory, the role of my father has always been strange and indifferent . I don't understand why he doesn't want me, is it because I am not doing well enough? If I study hard, will he not leave me. The lack of fatherly love has caused me to feel inferior in my heart .
The out-of-control student age,
Failed in the college entrance examination
My grades in elementary school were very good , and I was often concerned, praised and recognized by my classmates . After I arrived in junior high school, because my school was a relatively excellent school, the students' grades and overall quality were very good, but my grades were not satisfactory . Psychology has produced a great sense of loss , leading to a stronger inferiority complex .
But I hope to get praise from teachers and recognition from my classmates through my own efforts, so I actively participate in various activities in the class and in the school every time. I also tried my best to behave in class to attract the attention of others . I very strongly want to change the status quo.
One day in the second year of junior high school, I was doing the test paper. After a moment of trance, I suddenly realized that I couldn't understand this paper. Every word above makes me familiar and unfamiliar. Immediately afterwards, more symptoms struck. Sleeping every night, obviously sleepy disturbed my whole body wantonly. But when I closed my eyes, I began to feel intense fear and anxiety . I hit the wall desperately and couldn't get rid of my pain.
I was panicked and at a loss , I couldn't figure out why the pain that struck during the night came from. What I thought at first was that I was not solid enough in my studies , so I bought a lot of questions and went home to do them.
Gradually, it was difficult for me to concentrate , and it was easy to make a short run in class, so I often didn't understand the teacher's lecture. But I really want to make progress, so I always force myself to sit down and listen carefully, staring at the teacher and blackboard, but I still have no knowledge. Therefore , the results of each exam were not very satisfactory , and gradually the idea of reluctance to study again came into being.
I always feel that my classmates look down on me , don't want to talk to me, and laugh at meon some things. For example, they always say that I have no brains to do things, and I am always in a daze . Therefore, I don't want to stay longer in school.
Due to my poor grades, I started to ask myself to study in closed mode after I was in high school . Although I have managed to "close my ears to things outside the window", I still haven't made any progress in my studies , which is very annoying . On the one hand, I feel that I should use good grades to repay my parents. On the other hand, I am struggling to study , and my grades have not been satisfactory, which has caused great pressure to study .
For a long time, I was not interested in anything, fearing the light, fearing strangers. I shut myself in the house, closed the curtains of the whole family , and expressed my anger and fear of fate by not eating or drinking . Have you ever experienced that kind of fear, trembling all over, breathing difficulties, rapid heartbeat, and tears staying uncontrollably drop by drop .
Hey, those days are really...I don't know how to describe it. Later, finally coming to the college entrance examination knot beam, I was admitted to a province of the specialist colleges. After three years of junior college , I worked hard to pass the college entrance examination, and went to undergraduate for two years.
Since I was a child , I have a cold personality, not good at interacting with people , and I have always paid too much attention to my own performance and don't care much about interpersonal communication, which leads to very few friends in normal times . Half a year after graduating from undergraduate, I broke contact with my university classmates.
Unfamiliar interpersonal communication,
Outbreak
After graduating in 2016, I was introduced to the bank to do report work by my family . Because I often make mistakes , the tasks assigned to me by the leaders are getting easier and simpler , but I still can't do the job well , so I was fired by the unit .
Later, I went to a cram school as a teacher . Because the students asked many questions and couldn't answer them, I once said to the students in person, "I can't do this topic" , which caused the work to be unable to continue.
I do all this work is not happy , and I think my colleagues on purpose for me, I always say bad things behind ; deliberately isolated I often go out to play do not call me ; deliberately pretended not to know me, I never saw greeting , and they Always " look at yourself with strange eyes ."
The leader didn't pay much attention to me, a small mistake, always clinging to criticize and slander me. I also exaggeration to say that a similar mistake made six times, the last boss fired me, I'm not at all do not feel sorry .
Later, I changed to a job as a cyber security officer . I was fired by the company after asking for leave after meeting with my boyfriend . No work at home for these 3 months .
A failed love experience,
Hit hard
In the past few months , my mother has introduced a boyfriend to me after I have been in school . The boyfriend treated me very well at first, liked me very much, and coaxed me every day. He also promised to give me a bright future, so we flashed marriage . Knowing each other for half a month, I got the certificate.
After receiving a license did not take long, he was a personality change, often accused me , I say stupid and stupid, Rory it repetitious every day, little things always grabbing hold, but also angry. He felt that I was too controlling and emotional, so he divorced me.
My heart hurts , I can't stand such a blow . I am very poor and can't compare to others. During this period of time, my mood was so bad that I couldn't sleep in the middle of the night and could only call home. I ca n't help crying, I'm very emotionally unstable, and sometimes I lose my temper with my family.
After returning home, because of the incomprehension of the family, I always could n't help quarreling with them, losing my temper, throwing things, or even scratching them. My parents don't want to care about me now, because I cut my stepmother's quilt and my own underwear, dropped two mobile phones, and dumped all the food my grandfather brought , so they began to give up on me.
I can only continue to make a lot of noise at home. When I ca n't control my emotions, I will hit people, even my grandparents who have cared about me since I was young . Mom and Dad couldn't stand me, so they sent me to you for treatment.
I don't know what's wrong with me. I often worry about many things and think a lot . In fact, I know it shouldn’t be like this, but I just can’t control myself . Besides, I was sick again, and I often felt tight in my chest and felt nauseous and nauseous.
I don’t want to accept breaking up with my boyfriend. Why does he block me on WeChat! It makes me very angry, but I still hope to complex . I ca n't help quarreling with my parents because they stopped me from seeing my boyfriend. Seriously, why do they control my freedom!
02.
Medical evaluation and diagnosis
In view of Xiaoli's severe symptoms , the psychological counselor made an appointment with a psychiatrist. The doctor had a medical interview with Xiaoli and found that she mainly had these symptoms:
1. Psychological symptoms
- There are psychosocial factors as incentives , such as " very high pressure to study since childhood, strong inferiority complex and vanity, isolation and helplessness, and hatred of learning" ;
- And there are dissociative forgetting ( suddenly unable to recall important personal experiences ), emotional outbursts ( laughing when crying, noisy, irritable, occasionally negative world-weary thoughts, impulsive behaviors of hurting people and objects ), pseudo dementia ( for giving People feel dull and naive ) and other separation symptoms ;
- There are also conversion symptoms such as movement disorders ( silence, reduced movement ), sensory disorders ( excessive sensitivity to touch ), and autonomic dysfunction ( fainting or shaking limbs when emotionally excited ) .
2. Physiological symptoms
I often feel chest tightness and air blockage , and I feel nauseous and nauseous .
3. Affect social function
Work pressure , interpersonal disharmony, was educated at home for three months.
4. Course of disease
There is a clear relationship between the onset of the illness and the breakup of her boyfriend . The course of the illness is long (7 years) and repeated .
5. Exclude
Physical examination and laboratory examination found no abnormalities, and organic diseases and other mental illnesses were ruled out.
Combined with psychological tests , the final diagnosis was dissociative disorder (hysteria) .
The doctor then formulated a drug treatment plan for him, and recommended psychological counseling and physical therapy.
03.
Cause analysis of BPS
(1) Biological factors
Xiaoli's mother was suspected of being hysteria when she was young , and divorced her father because of her temperament change and hysterics . Studies have shown that 1/2 and 1/3 of the parents and siblings of hysteria patients have one or another personality disorder.
(2) Psychological factors
1. Lack of parental care, leading to precocious puberty
Mother likes to complain , and she often tells Xiaoli about the difficulty of making money and the economic situation of the family , so that her thoughts are more mature . Xiaoli understands her mother's hard work and realizes the difficulty of making money. But because of the child's playful nature , sometimes the mother is asked to take her out to play, and the mother will always reject her for reasons such as busy work or lack of money, so Xiaoli will always fall into an ambivalent struggle.
2. The large gap leads to a strong sense of inferiority and promotes vanity
Xiaoli's different learning and living environments and conditions in elementary school and middle and high school have caused her to have a strong sense of inferiority . At the same time, she hopes to change the status quo through her own efforts, and her vanity becomes stronger.
Xiaoli has put a lot of effort into her studies, which can be said to be a waste of sleep and food . It was said that she was hiding under the bed at two o'clock in the middle of the night to read , but her college entrance examination results were still not satisfactory, which caused her psychological gap to be very large.
(3) Social environmental factors
1. The impact of the social environment and lack of confidence in the future
Nowadays, the society's emphasis on academic and work performance makes them care too much about their own grades and feel that they must have excellent grades and must have the best performance.
2. The occurrence of stress events
The boyfriend who had already talked to Xiaoli about the marriage certificate suddenly blocked her on WeChat and declared that he didn't want to see Xiaoli again. This was a big blow to her.
Improper family education, poor interpersonal relationships, and pressure from the social environment have caused Xiaoli's mentality to become seriously unbalanced, resulting in psychological deviations such as inferiority, vanity, sensitivity, and vulnerability . In the end, he suffered from hysteria because he did not receive timely treatment. After finding Anken, how did we help her treat? Please see below.
04.
DPP treatment process
As Xiaoli's condition is more complicated, we have given her a comprehensive treatment of " drug-psycho-physical ". The focus of drug therapy is stage assessment and the right medicine ; the focus of psychotherapy is to guide Xiaoli to lead a normal life and increase her ability to cope with life events ; physical therapy plays a role in consolidating curative effects.
(1) Medication
It has been found clinically that Xiaoli often has symptoms such as anxiety, depression, insomnia, and pain . Drug therapy treats these symptoms, so as to improve Xiaoli's mood and reduce Xiaoli's physical discomfort . Choose antidepressants to improve mood, anti-anxiety drugs to reduce anxiety and improve sleep .
(2) Psychotherapy
1. Supportive psychotherapy
On the basis of establishing a good doctor-patient relationship , understand and understand Xiaoli’s personal growth history, family relationships, personality characteristics, etc., empathize with Xiaoli’s emotions, provide certain support , and explore the causes and reasons of her illness with Xiaoli Process .
Don't dig out Xiaoli's childhood trauma one-by-one , without giving corresponding empathy and support, so as to cause secondary harm to Xiaoli.
2. Cognitive behavioral therapy
a
The use of cognitive therapy in physical therapy situation , help identify their irrational beliefs Mary, and questioning and challenging irrational beliefs, thereby reducing inferiority complex, build self-confidence .
b
On this basis, conduct behavioral therapy , master some methods of regulating emotions, and gradually get rid of anxiety ; master some practical and specific learning methods to adapt to stress conditions and reduce life pressure ; use relaxation techniques to gradually relieve Xiaoli from stress and Anxious emotions.
3. Suggest treatment
After explaining the examination results to Xiaoli, the consultant explained to Xiaoli that her disease is a short-term neurological dysfunction in short and clear language, which can be gradually recovered through treatment until she is cured, which inspires her to have expectations and confidence in the results of the treatment.
Then when Xiaoli was awakened , she was given intravenous injection of 10% calcium gluconate and treated with verbal cues . Sometimes hypnotherapy is used to make Xiaoli enter a hypnotic state, combined with verbal cues to achieve the purpose of eliminating symptoms .
4. System desensitization treatment
Let Xiaoli talk about the mental factors related to the disease first, and then perform relaxation training on Xiaoli , and gradually expose Xiaoli to the mental factors that induce symptoms. As the treatment progressed, Xiaoli gradually experienced that she could bear the nervousness and anxiety brought about by these mental factors without getting sick, and then gradually increased the exposure dose.
5. Family therapy
The medical staff strengthened communication with Xiaoli's family members , formed a medical alliance , reached a consensus, and helped Xiaoli grow up during the treatment process .
(3) Physiotherapy
- Music relax 12 times
- EEG biofeedback training 12 times
Help Xiaoli reduce her inferiority complex and anxiety , eliminate distracting thoughts, eliminate automatic negative thinking , increase mental flexibility, restore social function , and prevent recurrence of illness.
05.
Reflection and thinking
Lucky people have been healed by childhood all their lives
The unfortunate people heal their childhood all their lives
Satya , the famous American "family therapy master", believes that
Everyone has inextricable connections with his native family, and this connection will affect his life.
For example, the lack of love in Xiaoli's childhood indirectly caused her " hysteria" and "hysteria" as an adult .
But whenever we talk about the concept of "childhood lack of love" or "childhood trauma" and its impact, some readers will always question:
In our social culture, it is not normal for parents or teachers to only care about their children's performance and not very much about their children's emotional health? Is the impact of "lack of love" you said on people a bit too exaggerated?
There are psychological studies show that:
When a person fails to establish a relatively strong attachment relationship with his parents, his inner security vacancy cannot be automatically eliminated with age.
Because I didn't get enough care from my parents when I was young , and I didn't see enough love from my parents. So these people will have a big gap in their hearts that needs to be filled with a lot of love.
Therefore, the pursuit of love has become the ultimate goal of children who lack love in their lives.
In the pursuit of love, this kind of person, in addition to demeaning and aversion to self , is to regard their spouse as the savior . Because there is no sense of security , they always unconditionally ask the other party to love and satisfy themselves . They are also overly sensitive and can hardly control themselves if they feel unsatisfactory . Even depression, self-harm, or hurting others .
Note: In order to protect personal privacy and identity, we will modify and process the patient's name and some personal information to a certain extent. In addition, the painful experiences of most patients are very similar. If some of the scenes in this case are similar to yours, please do not check in. Be sure to find professionals to diagnose the condition and actively cooperate with the treatment.
Reference
[1] Lin Changyue. Dissociative disorder and its detection method. "Shanghai Psychiatry", 1996
[2] Chen Jing, Shi Qijia. Clinical related issues of dissociative and dissociative disorders. 2006
[3] Wang Yanqiu, Wu Lili, etc. Analysis of the status quo and influencing factors of dissociative conversion disorder Xiaoli's need for cognitive closure. "Vip", 2016
[4] Xie En, Hao Dingjun, Lu Xiangwei, Wu Qining. A case report of conversion disorder after lumbar spinal stenosis. "WanFang", 2012
[6] Liang Lingjuan, Xu Lingyan, Chen Xiaoxiao. A study on the influencing factors of alexithymia in dissociative conversion disorder Xiaoli in a hospital in Taizhou. "Cnki", 2015
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