2010年9月7日星期二

Counseling is not the main target of "sick people"

The main object of psychological counseling can be divided into three categories: first, the spirit of normal, but met with the psychological and practical problems related to the crowd to ask for help; second sound mind, but the psychological health problems of people asking for help; third special object, that is, patients clinically cured of mental illness.

Among the most common psychological counseling, the main object is to healthy people, or psychological problems of the sub-health population, rather than people often misunderstand the "sick people" sick populations such as schizophrenia, bipolar and other mental patients practitioners working object.

Chen Zhixiong said that healthy people will face a number of marriage and family, career, parent-child relationship, children's education, interpersonal relationships, learning, love, sexual psychology, self-development, anxiety, depression, stress response and other issues, they will expect to make good choices and smoothly through all stages of life, and seek inner balance, and its own ability to play and seek the greatest good quality of life. Then they can seek counseling help.

The performance of obsessive-compulsive disorder symptoms

The hearts of patients with obsessive-compulsive disorder is probably the greatest desire and hope that their minds never again to appear for him obsessions. While this idea is good, but it is also dangerous, because there is no hint of the obsession is the idea of perfectionism, it will for you from the obsessive-compulsive disorder after coming out of the vortex planted a hidden danger. In real life, each of us will encounter some setbacks are, ring true and the need to make a choice thing, and then each of us will have to worry about constantly repeated in the mind to the how to deal with these kind of things, especially when we face a major choice, may think it would be this repeatedly last longer, in fact from another point of view, this is a kind of forced to again and again, so in fact each of us have forced a person is inclined to only those healthy people after they resolve the matter, forcing an end also followed.

Therefore, patients should be forced to give up the idea of there not a trace of forced perfectionist desire, because you hold it and hold them for granted in life and you will be forced to combine add your OCD symptoms, which is why the obsessive-compulsive disorder difficult with the addition of the reason is simply because it can not be forced to completely eradicate.

Performance phobia symptoms

Phobia is under normal circumstances should not have, and an exception for a particular object a strong and unnecessary fear and avoidance will occur or (and) acts as a neurosis.

【Diagnosis】

1, before the disease more than a timid, shy, passive, dependent, easy to anxiety, obsessive tendencies and personality traits within the other.

2, full of insight, knowing that sound can not exercise restraint and prevent patient work, study and daily life.

3, ruled out anxiety disorder, obsessive-compulsive disorder, temporal lobe epilepsy, schizophrenia and normal controls fear response.


【Treatment measures】

Should control the use of drug therapy of anxiety or panic attack, and then to use behavior therapy to eliminate the avoidance behavior.

1, drug treatment: control stress, anxiety or panic attack can be used imipramine or alprazolam.

Second, behavior therapy: for all kinds of phobia can achieve good results. Treatment with exposure therapy-based, where appropriate, use systematic desensitization or shock therapy; simultaneously with the reaction to prevent the technology to reduce or eliminate the patient's avoidance behavior.

Third, other psychological therapies: such as psychoanalysis, insight therapy, hypnotherapy, and supportive psychotherapy can be for the treatment of phobia.

Symptoms of performance anxiety

Do not say anxiety, tension, panic anxiety, irritability, feel restless, are all manifestations of anxiety, long-term impact of continuing the state led a normal life, this "simple" and anxiety - often is the onset of pathological anxiety . That patients suffering anxiety attacks, relatives distressed about what causes anxiety attacks it? Let us reason to dig deep under.

Anxiety is that people adapt in the face of special cases when, in the heart stirred unpleasant emotions, it is a common, basic psychological experience. Full of contradictions of human nature, life is full of risks, the future is uncertain, it is the source of anxiety, but also the challenges of life.

Improving anxiety

1. The sun is a good friend sleep

Sunshine is the biological clock and sleep a good friend, the sun can make your body clock to adapt to the adjustment.

2. To maintain a regular sleep schedule

Insomnia anxiety patients must adjust their work schedules. The human body is a certain clock, irregular sleep habits of life and destruction of biological clock leading to sleep disorders that, so daily to maintain regular habits, keep good hours of sleep the best time of 6 hours or more.

3. Enjoy the time before bedtime to promote sleep you get rid of anxiety

Bedtime in addition to sports, can do many things to help you fall asleep as soon as possible. For example, wash a warm bubble bath, read the next book so full of relax, enjoy the time before bed can help you fall asleep as soon as possible.

4. Campaign to promote physical and mental health

Exercise 30 minutes a day can help you improve your metabolism, blood circulation, and promote the health of your sleep, get rid of anxiety. Note, however, to avoid exercise before bed, bedtime games interfere with your sleep, exercise time is best carried out in about 6 hours before bedtime.

The symptoms of depression

Depression is "a haze-like low mood that now prevails in the mental illness, like weaving a camel hard to shake off, rather than a short-term low mood can disappear."

People are emotional animals, mood rolling their own, so inevitably low, depressed, frustrated, when; in everyone's life more or less comes across great frustration and stress, or interpersonal factors (especially emotional events ), family factors, economic factors, work or school troubles, and many other stressful events, emotions can not be effective relieving, the cumulative cycle time and again, will soon have a "depressed" mood, most people depressed for a while , you can then brightened, but the small number of people because of genetic factors or personality (including the inappropriate thoughts) dictates, together with the cumulative stress (daily chores of the pressure or the aftermath of particularly large accumulation of stressful events), while The mood then Quefa appropriate social adjustment and well-Zhi Chi, will be a kind of pathological emotional Zhuangtaiyanshen Wei, resulting in mood and behavior Yu are affected, is a cause Wufatuoli of low mood; Yanzhong have even to suicide precious life. Depression were also often thought dead, suicidal ideation, or suicide attempts. The scope of these ideas will die from the others believe is better, to brief but repeated suicidal ideation emerged, so that the actual and specific suicide plans.

Suicide motives may include: face consciously insurmountable obstacle to the intention to give up everything in life, or the strong wish of the termination from that never-ending pain. People who want to commit suicide usually send out a distress signal, based on clinical experience, suicide attempts were weak, issued a distress call and easier to identify more strongly and less likely to attempt or commit suicide more difficult to succeed; and suicide attempts is very strong person, usually a distress call by the very weak, it is difficult to identify, and even the emergence of suicidal ideation and suicide operation is the time interval will shorten.

For the latter, identification and treatment of suicide risk is more difficult and to be careful, it is best to turn to professionals. Suicide rescued, often regret suicide, because suicide is very painful, and suicide was not successful, there may be consequences. And suicide is often a fleeting impulse to stop and think about a little, why should commit suicide, perhaps to dispel the idea. Through careful observation, usually can be performance by the symptoms is not possible to determine depression. Once the suspect such a possibility, you need to seek professional diagnosis and treatment.

About Counseling

In scientific fields, to define certain things, by the rules, should be the most general language to say that the essence of things. Therefore, to define psychological counseling, and only one sentence: "psychological counseling (psychological consultations) is a psychologist seeking help solve various psychological problems to help the process."

If the more complete that the concept of counseling: "psychologists use psychological principles and methods to help callers find their own problems and root causes so as to uncover their own potential capacity seeking help to change the existing cognitive structure and behavior to improve the adaptability of life and ability to regulate the environment. "

The concept of psychological counseling in a broad sense and narrow sense, broad concept that covers a variety of clinical intervention methods or means; narrow concept mainly refers to non-standardization of clinical interventions. In other words, the generalized "psychological counseling," the concept, including a "narrow psychological counseling" and "psychological treatment" these two types of clinical techniques.

Counseling through language and text media object to the consultation to help, inspiration, hints and education process. Psychological counseling can enable the Advisory object in awareness, feelings and attitudes have changed Shang, Jie Jue Qi in Xuexi, work, Sheng Huo, disease and rehabilitation psychological problems / Zhang Ai to promote the object of self-adjustment of consultation, which allows for better adapt to the environment, maintain physical and mental health. In order to achieve interactive timeliness, authenticity, often require workers to seek consultation and advice with each other. Consulting workers are those who seek a friend and psychological consultation, then the listener, but a visitor who seek consultation. If possible, consult workers to help with scenario construction.

Operational definition of psychological counseling, all times of the different scholars have different view. Humanistic psychologists believe Rogers, and individual counseling through the continuous, direct contact, to provide psychological help and trying to promote its behavior and attitude change process. China's Ma Jianqing in its "life guidance - counseling study" in that counseling is defined as the application of relevant theories and methods of psychological science, by addressing the advice object (ie visitors) the psychological problems (including the development of psychological problems and obstacles of psychological problems), to maintain and promote physical and mental health, personality development and the potential for the development process. We believe that to attract a variety of different views of the rational core, according to a high degree of abstraction and generality to the next definition: Psychological Consultation, counselors to help callers address the process of psychological problems.