Perhaps it was Xu Jianan's psychological counseling that played a slight role, Zhou Chen was silent for a moment, then nodded and said, "Doctor Xu...... You prescribe medicine for me. I've been taking those drugs for a long time. I don't know if they're really useful, or if I'm going to live on psychotropic drugs for the rest of my life, but ...... I'm willing to listen to you, try again. ”

Such a Zhou Chen made Xu Jiannan feel a kind of sadness. For people with mental illness, delirium may be the best peace. Because of a completely sober person like Zhou Chen who wants to self-destruct, you can imagine how painful he will be.

According to this conversation, combined with Zhou Chenxin's condition, Xu Jiannan prescribed him several medicines, and arranged for him to receive psychological treatment once a week. After that, he also asked to have a separate conversation with Zhou Chen's mother. Because no matter whether it is medication or psychotherapy, it cannot completely stop Zhou Chen's consciousness of "not wanting to live". The real medicine helps him, and he still needs to prevent suicide in his life.

So not long after Zhou Chen left, Zhou Chen's mother walked into Xu Jianan's office.

Xu Jianan raised his head to look at the mother, and his first reaction was that she was actually very necessary to do psychotherapy.

This vicissitudes of life looks a little older than her actual age, but she pays great attention to maintenance and figure. With a height of about 165, the body shape is already very well-proportioned for a woman of this age. Although her face was full of vicissitudes and tiredness, she still wore some rough makeup and lipstick that didn't suit her. The temperature in late autumn was obviously a little low, but she was still wearing stockings, a short skirt, a small cape, and a pair of badly worn white high heels. He wears an old gold ring on his left hand and a cheap ring with a large gem on his right hand. The rough hands and wide bones all reveal the bitterness and fatigue of half of her life. A permed curly hair, even after her son's repeated suicides, is still meticulously cared for, only the sideburns and the top of the head faintly reveal the gray hair that is not dyed, mercilessly exposing her true condition.

A single mother who lives in poverty and works hard for half her life wants to create the image of a down-and-out lady. This is no longer just as simple as Zhou Chen said "to save face". But in the case that the other party does not have any desire to consult psychological problems, it is inconvenient for Xu Jiannan to say anything.

Zhou Chen's mother pulled the hair on her sideburns, hiding her tiredness and sadness as much as possible, and asked Xu Jianan: "Doctor Xu, do you want to talk to me alone, is it because of Zhou Chen's ......condition?"

"Oh no, don't get me wrong. The conversation was quite successful, Zhou Chen's mood was quite stable, and he also accepted my advice and treatment. I was prescribed some medication, which was similar to the original, but there were differences. Xu Jianan explained.

Zhou Chen's mother took a long breath: "That's good, that's good." ”

Xu Jiannan hesitated for a moment and said: "I specially talked to you to tell you that generally speaking, it is impossible to change the personality structure with medication, and it can only be abnormal stress and emotion."

Help when you react. Zhou Chen's behavior comes from his personality disorder, so medicine alone cannot completely solve his problem. I've used some mood stabilizers as appropriate, and I've also been given some benzodiazepine anxiolytic medications. However, I do not advocate long-term and routine use of these drugs, because the side effects and long-term effects are difficult to determine. I think it's time to encourage him to change his behavior patterns and build better habits so that he can stop his impulsive behavior. ”

Zhou Chen's mother looked even more anxious than Zhou Chen, she looked around uneasily, and kept rubbing her hands and said, "What can I do, what can I do...... I can't be with him 24 hours a day, in that case, he's going to be very angry! Suicide like that...... He is bent on dying, who can stop him? It is impossible to prevent it. Maybe one day, without warning, he will really leave me when I cook a meal...... And I now doubt that if he does this behavior too much, it will become a habit, and he will commit suicide again and again, because he has already done this, and he is no longer afraid......" Zhou Chen's mother was a little incoherent, her wrinkled eyes and bright eyeshadow were full of panic and panic. There were tears in his eyes, but he stubbornly refused to fall.

Xu Jianan explained to the mother very professionally and seriously: "That's why I want to talk to you, because ordinary people have too deep a misunderstanding of suicide. You believe that suicidal behavior is unpreventable and without warning. In reality, however, most suicides are preventable, and suicide victims show quite a few signs before committing suicide. You may think that people who try to commit suicide really want to die, and no one can stop them. However, most of the suicidal people are very conflicted, they have expressed their intention to commit suicide in their own way, in fact, this is a kind of cry for help. I suggest that in everyday life, it is not necessary to completely shy away from the problem of his behavior and suicide. Most people will feel that talking about suicide in front of someone who is trying to commit suicide is simply encouraging them. But in fact, if we face this problem calmly, it will make the problem more flat, and we can detect their suicide attempt in time, not only to assess their risk, but also to reduce the risk of suicide by showing them love, support, and understanding. Blindly evading it, avoiding it, or treating it as a great shame will make them feel insulted and discriminated against, which often becomes the reason for their re-behavior. Also, you just said, will this kind of thing become a habit, I can tell you responsibly that Zhou Chen does not belong to that kind of person, he is trying to survive. Things have gotten better, haven't they? It's just another irritation...... That's what happened this time. ”

Zhou Chen's mother listened very carefully, and then suddenly asked: "Then if we move away and leave here far away, he will not encounter that kind of stimulation again, and when your treatment is over this time, the crisis will pass, will it be safe?" It is not difficult to see how eager this mother is to save her son's life.

But Xu Jiannan is a psychiatrist, not a confidant sister, she can't just say comforting words. So she could only say responsibly: "Unfortunately, I also want to tell you, that's it."

The bottom is safe. However, things are not so rosy, and although the suicidal person can be relieved in crisis intervention, as long as the desperate will remains, it can still make them take suicidal action again. What can really be regarded as a safer stage should be that his despair will decrease, or even disappear. There is a new hope, a new thought, or something that interests you more and is more able to devote yourself to. ”

After listening to Xu Jianan's words, Zhou Chen's mother covered her face with some irritability and pain.

Xu Jianan had no choice but to persuade: "This road is destined to be hard. Whether it's for Zhou Chen, or for his family. However, if there is a more positive environment, maybe his mentality will be more cheerful. Sometimes, the behavior and emotions of the people around them affect them more. ”

Zhou Chen's mother sensitively took her hand away and looked at Xu Jiannan and asked, "What do you mean, he is like this, he has a relationship with me?"

Xu Jiannan did not shy away from telling him frankly: "I have to say, there is." I think there may be some things that you should consider more carefully in dealing with Zhou Chen's affairs. Also, motherly love and doting are not the same thing, you may not believe it, but most of the children in doting will be more vulnerable and desperate after encountering setbacks. His personality disorder cannot be changed overnight, and his mood needs to be improved day after day. That's what I'm going to tell you, the details of life, that are the key to treating him. ”

Zhou Chen's mother sighed, looked at the time and said, "Okay, Doctor Xu, you have also worked hard, I won't bother you." Wish...... He can get better. ”

"Everything will be fine. Xu Jiannan showed a warm smile.

Finally ended the case, Xu Jiannan lay on the sofa and rested. It turned out that after every treatment for a patient, she was in a state of emptiness when she was resting. But today, Xu Jiannan closed his eyes, but in front of him was Lu Yan's face.

The corners of his mouth unconsciously flashed a faint smile, this kind of longing...... Probably love. In the past, Xu Jiannan would feel tired after every treatment, and it was inevitable that some of his mood would be affected by the patient's experience and pain. But now, she didn't feel that empty feeling at all. She misses Lu Yan very much, and she is also grateful for everything she has now. From now on, she is a little eager to get off work, and when she gets off work, she can see the people she misses.

Just as she was thinking about it, the vibration of her phone interrupted her. Xu Jiannan still closed his eyes and took out his mobile phone to answer: "Hey, which one." ”

"You sir. ”

Xu Jiannan opened his eyes in surprise, and subconsciously revealed an incomparable surprise: "Lu Yan?"

Lu Yan smiled: "Why is it still a question sentence? Mr. You, can it still be someone else?"

Xu Jiannan also smiled: "I didn't mean that...... I just finished being busy, I didn't expect you to call at this time......" There was shyness and joy in her voice that could not be concealed, and the voice was sweet to each other's hearts, but she herself didn't know it.