"Uncle Song, I'll do acupuncture for you, use a little microelectricity, you are ready to do it immediately. ”

This Song Congwu didn't say a word, just nodded, and it was not strange, otherwise he would not be a depressed person.

But Nuoyan felt a little embarrassed, I glanced at Nuoyan, and the skin was so delicate under the light at night, and there was a faint smell of perfume on his body, which was very charming, wavy, and Nuoyan's dress was a normal man who should look at it twice, but it was very strange that this Song Congwu didn't bother to take a look, and the side effects of depression were so big.

I use the Four Divine Needles, and the Zhisan Needle with acupuncture, and the skin is lightly punctured, this set of acupuncture is seen from my father's notes, and it is good for headaches, dizziness, insomnia, epilepsy, nasal abyss, tears, and eye pain. This acupuncture method is very helpful in the treatment of mental disorders, especially depression, hyperactivity, and autism. During acupuncture, the patient is instructed to close his eyes and meditate, and the doctor also looks at the needle, aiming at the acupoints, concentrating on the needle, and turning the needle, so that the doctor and the patient are one, and the needle feeling is different at this time. These are the exact words from my father's notes, and I have always kept them in my heart.

After using the electroacupuncture, Song Congwu is really strange, no matter whether it hurts or not, he just doesn't speak anyway, and he doesn't know what to think.

I said to Nuoyan: "Half an hour of electroacupuncture, don't communicate with him now, in case you get emotional and the needle is broken, it is a medical accident, you have to have surgery to remove the needle, it's very troublesome, help me keep an eye on it, I'll buy three packs of coffee." ”

Nuoyan said: "Help me buy a bag of milk tea, taro-flavored, coffee will make you fat." Nuoyan smiled very sweetly, and did not affect himself because of Song Congwu's illness, which shows that Nuoyan's professionalism is very high.

"No problem, I'll come when I go!"

There is only a 24-hour convenience store outside, and there is not even a decent supermarket, and it took me a long time to find a milk tea shop, and it took more than 20 minutes for Nuoyan to drink sweet milk tea, and praised me vigorously, saying that I like it for girls, and I am too persistent.

The strange thing is that after making coffee for Song Congwu and taking the needle, I asked if my head still hurts, and opened the window, just shook my head, anyway, I just don't speak, the coffee is not harmonious, my eyes are dull, I feel that this world has nothing to do with him, there is another meaning, I am very disappointed in this world, how Nuoyan communicates is not to speak, and I am not in a hurry, indicating that the situation of this depressed patient is not ordinary, he suffers from depression in his fifties, and he is likely to have experienced some major changes, plus he suffers from diabetes, the most important thing is to open his heart knot, even Nuoyan is such an experienced psychological counselor There is nothing to do, Nuoyan is not in a hurry, and is still communicating patiently, gave all kinds of examples, but the effect is not obvious, this Song Congwu just doesn't talk much, and ordinary people would have scolded him a long time ago, and I was also thinking about how to make Song Congwu speak.

I said to Noyan, "Let me try." ”

Noyan nodded and poured himself a glass of water.

"Uncle, I don't know what you're doing here, don't say a word, since you want to treat the disease, then you have to cooperate with us, cooperate with the psychiatrist, I know you have a lot of suffering in your heart, and you are also very depressed, I know that you can't listen to so much to say, if you don't want to say it, forget it, then continue to suppress it, see if your illness will recover on its own, then I will let the psychiatrist prescribe medicine for you." After saying this, I asked Noyan to prescribe medicine.

I whispered to Nuoyan: "This uncle is very calm, there is no way to prescribe medicine, there are still many patients who need our help, and there is not much time to spend here with him, what do you say?"

"It's okay, it's up to you, Director Feng. Noyan said.

Nuoyan was about to get a pen to write a prescription, but Song Congwu spoke.

"My wife, my son, my daughter, all left me, abandoned me, it's not that they are all gone, my wife ran away with other men, now I have nothing, the time I see in my eyes is gray, no color, no inspiration, I don't know what to do, I took medicine for a month, I still can't sleep at night, I really want to forget that memory, but I can't forget it, the picture of that woman is repeatedly played in my head, I know that if I don't get treatment, I will probably commit suicide, that psychiatrist, I'm sorry, I didn't recover emotionally just now, I'm sorry。 ”

Noyan replied: "Can you confide in your heart to prove that you have not given up on yourself, how good it is to live, at least there is a chance, if you die, there is nothing, rather than die painfully, it is better to live strongly, now I ask, you answer, can you do it?"

"Yes. ”

"Okay, let's get started, review what medications you were taking, including the dose?"

Song Wuping thought for a while and said, "Venlafaxine 37.5mg/day, quetiapine 25mg/day." ”

"What do you think of the results?"

"I ate it for a while before, and the effect was okay, but I couldn't sleep at night. ”

Noyan continued: "My suggestion is to reduce venlafaxine to 37.5 mg orally once every other day and continue quetiapine to 25 mg/night. Have you read a book on regulating your emotions lately?"

"No, I have a bad headache in the morning, so I go to walk around the community, too strong exercise is not suitable for me. ”

"Okay, I'm prescribing you a little fluoxetine, paroxetine, and a little bupropion, take it in small doses, only take one pill of each at a time, go back and sleep well, feel that you have slept well, and then come to me, adjust your mood, the world has not given up on you, don't give up on yourself." ”

Sent Song Congwu away, I don't understand Nuoyan a little, this is completely out of common sense, just a few sentences and sent away.

"Noyan, is this the end?" I wondered.

"Of course not, he will come again tomorrow, as long as he dares to speak, there is hope for recovery, sometimes the treatment environment is also a university question, what he thinks happens in that place, this is very important, so there is not much point in staying here, it is better to let him go back and rest. ”

"Makes sense, I'd like to ask what are the symptoms of this major depressive disorder in general?"

"At first, the patient's sleep consciousness pulls the patient back from deep sleep, and the patient wants to sleep but can't. Nearly half of patients with general depression have intractable sleep disorders, and the main symptoms are difficulty falling asleep, early sleep, sleep rhythm disorder, light sleep and other symptoms, and even self-harm in severe patients. And most importantly, here's why. Adverse reactions occur in the mental world of depressed patients, and many depressed patients say that they are very uncomfortable and painful, just like Song Congwu just now, but the specific place is uncomfortable and which part is uncomfortable, and the patient can't say it. This phenomenon may seem like a pretense to outsiders, but people with depression can really feel the pain. The body has more sense of touch than the mind, so when a part of the body is injured by the outside world, the speed is transmitted to the brain, and then the brain responds, but the same is true when the mind is harmed, but the psychology of touch is missing, and it is impossible to perceive the specific pain area of oneself, and when the body and spirit are destroyed, everything becomes extremely difficult. The work at work is delayed, the diet and daily life of taking care of the children are frequently wrong, the favorite clothes have lost their attractiveness, and the small things of daily life, such as eating, bathing, sleeping, etc., are also very difficult, and after a long time, life loses its attractiveness, and gradually pushes the depressed patient to a desperate situation, leading to the self-harm, suicidal thoughts and behaviors of the depressed patient. ”

"Thank you, do you have any precursors for whether you have depression, and how can you tell if you have depression?"

"Low mood, showing a relatively low mood, not being happy, showing a loss of interest and pleasure, the main manifestation is a feeling of no interest in anything, or a loss of feeling of pleasure. An increase in tiredness or a decrease in activity is a decrease in energy, which is manifested by a significant sense of fatigue and weakness when doing something slightly. Difficulty concentrating, reduced concentration, decreased confidence in self-evaluation, and belief that they are incapable and incapable. People who have self-guilty or a sense of worthlessness may experience even mild episodes of depression who feel that they have no value in existing. When such patients have suicidal or self-injurious thoughts or behaviors, special attention should be paid to preventing accidents, malignant and incidents. Sleep disturbances may manifest as increased or decreased sleep, and changes in appetite, such as weight loss due to decreased appetite or weight gain due to increased appetite, often around 5% of body weight. And the most special thing is the eyes of a depressed patient, the eyes of people are different from other ordinary people, because he often feels depressed, anxious and interested, and does not like others to find out, he pays attention to himself, so he often appears to dodge when looking at people, and the symptoms of depression I know are so many for the time being. ”

"Thank you, there are too many people with this disease now, when I was doing couriers, I had a low mood, I felt that I was very unperforming, that time was my darkest time, fortunately with the help of so many people, maybe I would ...... if I didn't make it" I explained to Nuoyan the most fragile side of my heart.

"Director Feng, it's not just you, if we can't change the society, then it's better to change ourselves more, we can't have the idea of dependence in our hearts, I always feel that this society is unfair, why do I send couriers, others drive BMWs, and there is no casual success, at least in my opinion. ”

"You're right, I admire Cao Cao very much, his indomitable character, he is a tough guy, the battle of Chibi was defeated, don't be negative because of this, strategize, the strongest in the Three Kingdoms, modern society needs this kind of person too much, it's a pity that it's difficult, Nuoyan, now it's 3:15 in the morning, you go to rest, come late tomorrow morning, get a good night's sleep, staying up late is not good for you girls, I, as the person in charge, can't get by, I don't want to go back to rest in my office for a while?"

"I'm driving, Director Feng, then I'll go back first, I'm sorry for you, and I'm bothering you to run in the middle of the night. ”

"Yes, the patient is the most important. ”