"Have you ever had auditory hallucinations, visual hallucinations, headaches, or lost memories at a certain time?"

"Visual and auditory hallucinations have existed before, and many times I can't tell if I'm me or someone I'm imitating, and I haven't had headaches, but the first time I noticed something was wrong was in the summer of the year before, when I was on the road and I felt very sleepy, but when I woke up, I realized that there were eight minutes for which I didn't remember anything. ”

Lin Yuezhu picked up the pen and made a record in a new notebook, the content revealed by Lu Ze is actually a bit complicated, in fact, Lin Yuezhu's main concern is not Lu Ze's answer, but whether the language is fluent in the answering process.

Often people with mental illness have a disconnect in their thinking, and when they ask a question, they may focus on a paragraph in the whole sentence.

For example, can a lame pigeon fly? Normal people usually answer yes or no, while people with a broken thinking line may only focus on why the pigeon is lame.

However, Lu Ze did not show such a sense of disconnection, his answers were particularly fluent, his thinking was very quick, and his memory was very good, which did not conform to the usual clinical manifestations of patients with mental illness.

But Lu Ze has lost his memory, visual and auditory hallucinations, and even doubted his self-perception, and the cognitive impairment that has an impact on his life is already very serious.

"So, this guy, do you know him?"

Lin Yuezhu turned the monitor around and aimed it at Lu Ze, Lu Ze glanced up, but Lin Yuezhu found that Lu Ze's hands were suddenly clenched very tightly and very hard, so he turned back to the monitor and waited for Lu Ze's answer.

"Recognize. ”

"Who?"

"Me. ”

"You?"

"No, he's a character I look like, I've taken him in, I've imagined that I'm him, I know the movements, mentality, thinking, language. ”

"Then who are you modeled after him?"

"Me. ”

Headache, indeed a little headache, Lin Yuezhu is a little unclear about what the connection between "me" and "me" Lu Ze said, after all, his brain hole and work do not allow him to fantasize, let alone believe that there is a system that can create an elderly Lu Ze for Lu Ze to imitate.

"So you created him on your own initiative, and didn't you passively accept it?"

"I took the initiative to imitate...... So it should be considered an initiative. ”

The two talked a lot, Lin Yuezhu asked in an orderly manner, and occasionally answered things that Lu Ze didn't understand, chatting back and forth, nearly an hour had passed.

But the more they talked, the more Lin Yuezhu felt that Lu Ze's problem became more and more difficult, and he found that Lu Ze's situation was different from all the patients he had seen, and even quite different from normal patients.

The speed of the two chatting became slower and slower, and Lu Ze answered quite quickly, but Lin Yuezhu's speed of asking questions slowed down, until when he asked questions again, he found that Lu Ze had fallen asleep on the back of the chair.

Shen Jinghan gently stroked Lu Ze's hair, but what appeared in his eyes was distress for Lu Ze, after the divorce, her daughter was raised by the father of the child in the imperial capital, and her heart was easy to become good and soft when she was old, she naturally shared the love of the superfluous elders or the love of the mother to Lu Ze, although the time spent with each other was only three years, and the contact time during the period was very small, but this does not mean that she does not care about Lu Ze.

The conversation between the two made Shen Jinghan very worried, Lin Yuezhu slowly opened Lu Ze's heart, and showed Lu Ze's life and thoughts in front of the two, she has always liked children who work hard, yes, but Lu Ze's hard-working professional attitude can give people a kind of cold falling into the ice hole, if he doesn't say it, no one knows what he has paid behind his back.

He was carrying something on his back, which Shen Jinghan knew, this was also the reason for Lu Ze's hard work, but when he was completely able to carry the burden on his body easily, he still worked so hard, it was a kind of self-harming pressure on himself, so it was actually a matter of time before he had a problem.

"So Dr. Lin, what's going on with him?"

Hearing Shen Jinghan's question, Lin Yuezhu frowned, looked at the notes recorded in the notebook, his brain was running rapidly, sighed, and looked at Lu Ze, with the emotion of admiration for this man who was fifteen years younger than himself, no one would not have admiration for those who worked hard, and so did he.

"To be honest, Mr. Lu is the hardest working person I have ever met, but you can also see that the problem is in the effort, things are much more complicated than I thought, with my nearly 20 years of clinical experience, I can't figure it out, let me tell you slowly. ”

"At first, I thought that Mr. Lu was suffering from mental separation disorder, and in order to imitate the character, he must have invested a certain amount of time to understand, brain supplement the person's life, and after the simulation, the information was fragmented and stored in his own brain, and then in a certain period of time, he was affected by the outside world, which led to the appearance of this simulated character, causing Mr. Lu to have doubts about his own cognition, that is, he did not know who he was. ”

"The first thing that can be determined is that this person ......"

He turned the monitor again and pointed at the elderly Lu Ze, and kept drawing circles with his fingers on the old man Lu Ze so that Shen Jinghan could see it.

"Because of Mr. Lu's profession, he has a positive role in promoting Mr. Lu, which is obviously different from the multiple personality of schizophrenia, why is disease a disease? Disease can only make people develop in a bad direction, if Mr. Lu is a multiple personality, then the personality must be negative, and it is not good for Mr. Lu in any aspect, but this old man, he is at least helpful to Lu Ze's career. ”

"And the manifestation of dissociative disorder I will explain to you, for example, in childhood, we all fantasized that we have an older brother, or sister, or playmate, when the demand reaches its peak, some children will really think that they have a person they need, as the old saying goes, hysteria, or evil, and dissociative disorder is to project the needs on themselves, in the form of performance, and Mr. Lu's problem is also in the interpretation, but he is different from the normal separation disorder, he himself does not have a big need for this personality, but only the needs of the script, or the needs of the audience, he will then demand。 ”

"So Dr. Lin, do you mean that if you want to treat, you have to stop having a need for these personalities, that is, stop acting?"

Shen Jinghan's understanding is actually a bit right, Lin Yuezhu picked up the teacup and drank saliva, stretched out his index finger and thumb and his right hand holding a ballpoint pen, waved his hand, let out a sigh, and then continued.

"No, you listen to me first, the difference between multiple personality and dissociative disorder is the subject's recognition of the subpersonality, dissociative disorder will be active and inclusive because of demand, just like acting, what he needs to play, the personality will come out to help him play, so will Mr. Lu still hate his acting skills? But the problem is that his attitude towards the sub-personality is disgusting and fearful, which is close to multiple personalities, and only what is harmful to itself will cause the subject's instinctive disgust, and this old man, Mr. Lu, shows considerable hatred. ”

"There is also the connection of the main and auxiliary personalities, usually the onset of separation disorder is smooth and seamless, just like acting, you need to cry, cry when you say it, and use it when you take it, this is the effect of inclusiveness, and multiple personalities are malignant and the subject is not tolerant, so there is usually a fault line at the onset of the disease, usually when the parapersonality dominates the body, the subject needs to go to sleep, and when the parapersonality performance is tired, it will leave the ...... in the way of sleep"

Saying this, Lin Yuezhu also glanced at Lu Ze, who was sleeping, and saw that his breathing was steady and powerful, and he relaxed and talked to Shen Jinghan again.

"So is he a dissociative disorder or multiple personalities?"

If Lu Ze is sick, he must be sick, and Shen Jinghan now listens to Lin Yuezhu say so much, just like knowing that Lu Ze has that kind of disease.

There were a lot of words, Lin Yuezhu didn't answer Shen Jinghan's question first, took a sip of tea, smiled bitterly and shook his head.

"This is where the complication lies, because Mr. Lu's performance has something in common with the clinical manifestations of the two diseases, so I don't dare to conclude now, and Mr. Lu repeatedly mentioned "I", but the personality of the two pathologies will not be called "me" by the subject, they are both "he", because people only live for one life, and will only experience one life, this is the first time I have seen this situation, it is impossible that these personalities are the reincarnation of Mr. Lu, right?"

Shen Jinghan is more and more confused the more she listens, she is undoubtedly an authority on the problems in her field, but for such a thing as psychological counseling, no matter how many artists she accompanies to see a doctor, it is the same as listening to heavenly books.

"Mr. Lin, how should Lu Ze be treated now?"

"Now...... Because there is no way to make a conclusion about the condition, so we can only conservatively carry out drug treatment, we do not have prescription drugs here, you also need to go to the hospital to buy, first take it according to the dose I give you, observe it for a few weeks, if it improves, just wait a few weeks and come to me, if there is still an illness, and the illness is so long, it will not end until dawn, then you have to come to me immediately, I will continue to follow up on Mr. Lu's condition, continue to study Mr. Lu's condition......"

"You don't need to research, you don't understand what you research. ”

Hearing the voice, the two turned their heads sharply and found that Lu Ze had woken up, he pressed his forehead with both hands, smoothed the loose hair to the back of his head, showed a gentle smile, regardless of the stiff bodies of the two, took the medicine list prescribed by Lin Yuezhu from the table, and then picked up the water-based pen and turned a pen flower in his hand.

"Only risperidone was prescribed...... Yes, yes, but I think the dose is a bit small, or the combination of aripiprazole drug structure, rest assured, I have no drug rash and adverse reactions with both drugs. ”

Lin Yuezhu was taken aback just now, but after all, he had seen many patients with multiple personalities, so he reacted instantly, relaxed his body, leaned on the back of the chair, and expressed his unguardedness against Lu Ze.

"Excuse me, ...... you are?"

"Of course it's Lu Ze, otherwise?"

Lu Ze leaned back in the chair, also quite relaxed, picked up the teacup and took a sip gently, the sweet taste of black tea bloomed on the tip of his tongue, and he nodded with satisfaction.

"But I remember that Mr. Lu didn't know how to know medicine, and he was still an unpopular subject such as psychology and psychiatry. ”

"Actually, I'm not a professional psychiatrist, I just studied psychological research on my own, so my professionalism naturally can't catch up with you, but I'm indeed Lu Ze, huh..... Or you can call me ....."

"Dr. Lu. ”

“......”

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