It's quite interesting to chat with Ye Xuan, Jin Wenhui hurriedly came to my office and said: "Wind chime, you are here, there is an anxiety patient who refuses to cooperate, doctors and nurses can't help it, I want to trouble you." ”

"Good. Ye Xuan also followed me, and Jin Wenhui quickly brought me into the doctor's office, a relatively fat middle-aged woman, about fifty years old.

I said to Jin Wenhui, "I'll try it." ”

Jin Wenhui greeted the doctor, nodded to me and left, Ye Xuan and I took the patient downstairs to a quieter place to sit down, Ye Xuan communicated with the patient, I took the physical examination list to see that alanine aminotransferase and aspartate aminotransferase were high, and this value was ...... I said a few words to Ye Xuan in Ye Xuan's ear, and Ye Xuan whispered to me, "It's okay. ”

I said no more, this patient has high albumin, globulin, and creatinine...... Kidney failure, erosive gastritis, and intestinal tract are not good, looking at her face is yellow, no wonder there are anxiety disorders, and it is estimated that the family happiness is not high.

I said to the patient, "Ms. Tao, I am a psychological counselor, now I ask a question and you answer, open your heart, and speak freely, can you do it?"

Tao Xianglian glanced at me and nodded, her whole look was very dull, this kind of look made me feel that she was disappointed in herself, her family, and this society.

"Do you know anything about your body?" I said lightly.

"Yes, I know I won't live for a few days, and the most reassuring thing for me is my little grandson. ”

"What's wrong with your grandson?" I said directly, and Ye Xuan also listened very carefully.

"A few years ago, my wife died, my grandson is called Tong Tong, only a five-year-old child, his father was killed because of the wage problem working on the construction site, his mother remarried while he was young, Tong Tong's life fell on our old couple, the old man died and felt that he was missing an arm, Tong Tong was very sensible, washed my feet every day, and occasionally gave me a massage, I was so sensible since I was a child, I couldn't live long with this illness, I must have thought that my grandson was going to enter the orphanage, I was psychologically ......" Tao Xianglian's voice was choked, the tears couldn't stop flowing down, Ye Xuan's tears were spinning, because I was beside her, she couldn't bear it and didn't show it.

Ye Xuan handed the tissue, and Tao Xianglian continued: " This child is very pitiful, there is an irresponsible mother who ran away, my father is also dead, our family is almost gone, only this little grandson is all my sustenance, not that I don't cooperate with your doctors, give me sertraline, paroxetine makes my stomach very uncomfortable, my stomach always hurts and can't stand it, I can't sleep at night, we are old, I don't know much about young people now, I won't take a vaccination, Tong Tong was frail and sick when he was a child, I am really worried about whether he will fall into any disease when he grows up, I don't know what I should do, sometimes I really want to take Tong Tong to die together, sometimes I am soft-hearted and can't do it, alas, when is this day a head!"

Ye Xuan comforted: "Don't worry, Auntie, Tong Tong will not enter the orphanage, we will help you and Tong Tong, rest assured of treatment, I will give you your medical expenses, and when Tong Tong grows up and is sensible, he can make money, pay me back." ”

Tao Xianglian murmured: "It's true...... Really, the conditions of our family are not good, only the old bungalow is the savings of our old couple for so many years, and the medical expenses are too much, I am afraid that I will not be there if I can't afford it. ”

Ye Xuan held Tao Xianglian's hand and said, "Treat it with peace of mind, with us, bring Tong Tong over another day, I really want to meet this little guy." ”

I continued: " Your worries have been solved, now let's talk about your condition, your anxiety is caused by some objective factors, I sympathize with your living situation, but I think you have not yet come out of the shadow of the death of your husband and son, plus your daughter-in-law remarried, it is even worse for you, just now when I called you, your eyes have said everything, you are eager for your daughter-in-law to come home, you don't want your little grandson Tong Tong to lose his mother's love, because Tong Tong has lost his father's love, in fact, many times no matter how difficult life, I say a few principles, you go to real practice, maybe the effect will not be bad, you because of family reasons,Not only anxiety and depression,Just now you said that sometimes I don't know what to do.,I want to take Tong Tong to die together.,Fortunately, the subconscious from the depths of my heart has prevented you from doing this.,I'm going to criticize you.,You may want to go away.,But why bring your grandson?,It's an irresponsible behavior.,Tong Tong's mother I will talk to her later.,Although I know you're difficult.,But the current situation is that you're Tong Tong's only relative.,He takes you as a sustenance.,If you're gone, do you think Tong Tong will be happy. Without parents, without grandfather, if there is no grandmother, his heart will be hit since childhood, which is very difficult for Tong Tong's future road, not only to bear the blow brought by family changes, but also to bear the pressure of society, under double pressure not everyone can stand, maybe one day there will be such an idea of you, do you think Tong Tong will be happy?

Tao Xianglian was a little silent by my words, it seems that she is indeed reflecting on her behavior, and Ye Xuan is also comforting her.

I continued: "You are right to reflect on yourself, what I want to tell you is that depression and anxiety are mood disorders, not real physical diseases, people with this mood disorder have sub-health of one kind or another, such as: cervical spondylosis, lumbar spine problems, gastritis you have just said, enteritis you have also said, premature beats, irregular heartbeat, high blood pressure, low blood pressure, fatty liver and so on. When a person is depressed and anxious, the body's pain nerves will be activated, and these sub-health will become more obvious when depression and anxiety come. For example, when people are depressed, there will be some physiological reactions, such as: dizziness, pain in the joints of the body, shoulder and waist discomfort, and diarrhea, etc., some people say that depression is much more terrible than physical diseases, and it is true. Because when depression comes, the physical symptoms listed above are also torturous enough, and because of this, countless depressed patients think that they have a major disease, causing fear of disease, thus aggravating the mood of anxiety and depression. In fact, when you go to the hospital for examination, there is no major problem, but there are a lot of small problems, it is worth mentioning that often at this time to check the physiological problems, it is still a little inaccurate, because you are in a state of depression to check, it is inevitable that some indicators are not accurate enough, and in the state of depression, it will aggravate the activity of these physiological sub-health. Let's take an example, maybe you will understand better: a patient with severe anxiety disorder, go to do an electrocardiogram, the electrocardiogram will definitely show: irregular heartbeat or rapid heartbeat, early repolarization, etc., another example: a patient with intestinal anxiety, when he is not anxious, the stomach and intestines are normal, once the anxiety is serious, the stomach and intestines will have uncomfortable symptoms, abdominal pain, Diarrhea and so on, these are physiological reactions caused by the mental nervous system, we can't say that there is no problem physiologically, we can only use sub-health to describe it more accurately. Aunt Tao, not always think that you are sick, with a negative emotion to affect yourself, not only is not good for your health, this emotion will also be contagious, your little grandchildren will also feel your emotions, what you need to do is to actively tell yourself that you do not have major physical diseases, and sub-health can be through good living habits and correct treatment to get a good prognosis, so there is no need to worry too much about your physiological problems, as long as you cure depression, or as long as you alleviate your depression, the symptoms of anxiety disorder, then the physiological problems will be alleviated, even without warning, after all, just now your worries have been solved for you, you can rest assured, since we say what we say, it will be counted, will not break the word. ”

Tao Xianglian said slowly: "How do I know that my own depression and anxiety are coming?"

"Depression is coming, all the symptoms are an illusion, the pain is not the real you, holding on is the best gift to yourself. The most difficult stage of standing up is to usher in the release of a good mood to be alive, and your state of mind will also rise to a certain height, provided that scientific prevention, unknown, uncertain, and things that you can't control often bring us worry, fear, and fear. A large part of the reason why people call anxiety is the "black box effect" in the heart. ”

Ye Xuan was puzzled: "What is the black box effect?"

"To put it simply, if human beings are concerned with uncertain things, if they are related to their own safety and even life, such as: fear of disease, worry about family accidents, anxiety that they can't marry a wife or marry, or their own future, etc., these can be boiled down to an uncertain and unknown world. People will have a psychology of exaggerating to think about the bad, and this psychology is a "black box", and the psychology of thinking about the bad is a process when you pass through this black box, so you are panicked, anxious, and your spirit is in an uncalm state of high pressure and low pressure back and forth, but most of the time it is in a state of high pressure. The black box effect is like a bottomless black hole, how worried you are, how bottomless it is, how fearful you are, how uneasy your anxiety will be. After simply recognizing our psychological black box effect, we can intervene and correct our unreasonable worries and excessive fears and anxieties to a certain extent, because many things are because we are overly worried, and we often go to the bad to think and think, which will inevitably bring a lot of troubles to ourselves, but when you calm down, look at your emotions, "Well, you will fall into the black box effect again." "Then you can soothe your anxious mind to a certain extent, calm yourself a little, in fact, how much of what you are worried about has happened?

Tao Xianglian felt better, I asked her job to help with odd jobs in an inconspicuous breakfast restaurant, earning a meager salary to raise this child abandoned by her mother, maybe Tong Tong didn't feel what it means to be only a mother in the world since she was a child, and when she went to kindergarten and watched other children have their parents to pick them up, and then look at herself, what will he think in his heart, and he will also ask why his parents don't come to pick him up? Some children will even laugh at him for not having parents, these truths Tao Xianglian is not not not understood, is powerless, despite his illness, but also do his best to give this little grandson the greatest love, this spirit is not everyone who is an elderly person, just this point, I still sincerely admire this patient.