A few people turned around for a while, but they didn't find anything wrong, and then went back to the third floor. Looking in through the window, Xu Yi saw that Xiao Li had already gotten off the bed, sitting on the sofa, holding his hands together and stacking them in front of his lower abdomen, looking out of the window facing the sofa, he didn't know what he was thinking.

As soon as the door opened, Xu Yi was stunned to see that Xiao Li, who was originally sitting there quietly, jumped up from the sofa like a frightened rabbit and looked towards the door with a frightened face.

Looking at Xiao Li standing on the edge of the sofa helplessly, Xu Yi suddenly felt distressed, and a slightly unfamiliar word suddenly popped out of his mind - post-traumatic stress disorder.

"Sister Liang, Sister Sha and Xiao Li, don't stand, let's sit down and rest for a while. Xu Yi smiled and beckoned a few people to sit down, but he fell into deep thought.

The definition of PTSD is defined as a relatively rare delayed stress response, which is a mental disorder that is delayed by sudden, threatening or catastrophic life events and will persist for a long time. The most typical manifestation of this mental disorder is characterized by re-experiencing trauma, accompanied by emotional irritability and avoidance behaviors, and the patient is in a state of post-traumatic psychological imbalance for a long time.

Any natural or man-made disaster is always a disaster for those who face it. However, at this stage, in addition to those patients who take the initiative to seek medical treatment, victims can often receive effective psychological intervention only when a mass disaster event occurs and a psychological intervention team goes deep into the disaster area.

In the case of mass disaster events, post-disaster intervention generally includes two types of intervention, one is material intervention to maintain the normal life of the victims. The second is to correct the psychological trauma of the victims. Psychological interventions to safeguard mental health. Relatively. The material damage of the victims can always be recovered after a period of time, but the psychological wounds may not heal over time. According to some data, only 70 percent of the victims suffered trauma, and even 30 percent of the victims developed various mental problems later in life. If they are not given psychological intervention in time, some psychological trauma will often stay with them for the rest of their lives.

With the progress of society and the improvement of the understanding of mental illness, the psychological intervention of mass disaster events in China has been explored for 20 years. The extensive disaster psychological intervention is that it should be from the outbreak of SARS to officially step on the stage of history and go to the front line of disaster relief. In recent years, when several major disasters occur, there are often a group of psychotherapists or psychiatrists working quietly behind the scenes, focusing on the psychological impact of the disaster on the affected people. Correction and psychological counseling are carried out from the physiological, cognitive, emotional, and behavioral aspects to try to smooth out the psychological impact of catastrophic events on individuals.

Although the intervention of mass catastrophic events seems to be carried out quite well now, and it is still improving, it can be said that the psychological intervention of ordinary people is still in a difficult process of exploration in China.

Limited by the lack of understanding of psychology or psychiatry in society as a whole, the lack of understanding of the importance of mental illness and mental illness, and even the discrimination and exclusion of many patients with mental illness, this undoubtedly makes it difficult to carry out the prevention of mental illness and mental illness.

The good news is that there are often some psychological counseling hotlines in larger cities in China, which can provide a certain degree of psychological intervention and guidance to medical treatment for ordinary people who have a certain understanding of mental illness and mental illness and can seek psychological counseling on their own. But also because of the lack of investment. and the lack of publicity and other reasons, so the consultation hotline in various places also has different degrees of low utilization.

Xiao Li. It should be a very typical example of being traumatized and not receiving effective psychological intervention in a timely manner.

When Xiao Li's parents had an accident, she was in the second year of high school, and her academic pressure was already relatively high. A flying disaster disintegrates a happy family, making her suddenly a lonely orphan. This kind of bereavement will inevitably have a serious impact on her spirit, and to a certain extent, her inner world is on the verge of collapse, and even her physical functions are disordered, and stress ulcers appear.

Although not all major events can lead to PTSD, there is a certain chance of PTSD in some specific situations, and unfortunately Xiao Li happens to be one of them. At that time, she was still an adult, and her psychological tolerance was already worse than that of an adult, and the simple environment made it difficult for her to cope with too complex emotional changes, so the possibility of suffering from PTSD after a major blow was already high.

Xu Yi sighed secretly, even if her parents were buried in the ground, if appropriate psychological intervention could be carried out on her, even if she would not see any effect at that time, I am afraid that it should be a different situation now. It's a pity that I have never heard of psychological intervention treatment from Liang Yayue's mouth. The following series of events eventually led Xiao Li to miss the best period of psychological intervention, and under the combined effect of psychological and physical trauma, she finally left a psychological wound that was difficult to heal.

Xu Yi asked Liang Yayue about Xiao Li's state before, but she didn't say that Xiao Li had any very mental problems. Obviously, this shows that Xiao Li's mental symptoms are relatively insidious, or the condition is relatively mild, and under her deliberate cover-up, she can not be noticed by others in a familiar environment.

Xiao Li was unwell today, and several people, especially Liang Yayue, went downstairs, and she was the only one left in the empty room. Being in a completely unfamiliar environment can easily lead to a strong sense of loneliness, which induces her to show pathological nervousness and even excessive alertness.

Xu Yi deliberated repeatedly, and related to Xiao Li's personality change from being lively and cheerful to being unwilling to interact with others, and even becoming cold to his relatives, he finally made such a diagnosis helplessly - Xiao Li still has signs of mental illness.

As for Xiao Liwei's very stubborn refusal to seek medical treatment, Xu Yi also found a reasonable explanation - her parents died in the hospital. All hospitals have many similarities, even identical places, which makes it easy for her to think of the scene when her parents died every time she visits the hospital. Every time she goes to the doctor, she may be stabbed in the heart again, making her re-experience the life and death she once had. Out of the psychology of protective evasion, it is not surprising that Xiao Li stubbornly refused to seek medical treatment, and even secretly ran away from the hospital.

On the other hand, analyzing her stomach disease, Xu Yi also felt that because she was in such a psychological state, it would inevitably lead to some autonomic nerve dysfunction, which undoubtedly made the ulcer recurring and difficult to heal to a certain extent. Even if it weren't for the mental illness, it is even possible that her ulcer would have healed long ago.

After ruling out other mental illnesses with similar symptoms such as depression and obsessive-compulsive disorder one by one, Xu Yi was finally 100% sure that Xiao Li suffered from post-traumatic stress disorder!

Xu Yi sighed to herself, when the tragedy in her family happened, there could have been timely psychological intervention, or not only would she not have a stress ulcer at that time, but even this post-traumatic stress disorder should not appear now.

Xu Yi is not very worried about post-traumatic stress disorder, a mental illness that can be cured as long as the cause is found, targeted psychological counseling, and certain drug-assisted treatment.

However, thinking that in order to solve this psychological disorder, in addition to psychological counseling, it is inevitable that she will have to take some psychotropic drugs, Xu Yi still inevitably has some headaches.

The state has quite strict regulations on the management of narcotic drugs and psychotropic substances.

Even non-pharmaceutical manufacturers such as food, food additives, cosmetics, paints and other non-pharmaceutical manufacturers who need to use caffeine, a secondary psychotropic drug raw material, must be approved by the drug regulatory department to purchase from designated wholesale enterprises or designated production enterprises.

Personal use of psychotropic drugs is more restrictive and requires a dedicated visit to the hospital and a prescription from a designated doctor. Not only that, the number of psychotropic drugs that patients and their families can purchase at a time is also limited according to the condition and the type of drugs prescribed.

It can be said that the regulations are very effective in reducing the abuse and even addiction of psychotropic drugs, and they have undoubtedly added a lot of difficulty to Xu Yi's treatment of Xiao Li.

In response to Xiao Li's condition, Xu Yi was ready to let her take some Prozac, although this is a second-class psychotropic drug among psychotropic drugs, which is the same as the level of Shulepazem, but it is not something that can be bought at a pharmacy casually.

If you are at home, there are many ways to solve this problem, but you are in a provincial capital, and under the premise of relatively strict drug management, there is basically no way to buy it from a pharmacy.

In the early years, if you saw this situation, you could call back and ask Director Lin to help find someone to open some and send them to you.

However, with strict supervision, individuals are no longer allowed to receive and send narcotics and psychotropic drugs, so unless you go back to pick them up, there is no way to get them.

Xu Yi's heart moved, and he remembered that he could go to Lang Qingwen to try it and ask him to help him find a doctor with the right to prescribe psychotropic drugs in the attached hospital to prescribe some of this medicine. After all, Prozac doesn't have much euphoria, and it's not addictive, so if you make the situation clear, it shouldn't be a problem. Of course, if the management of the attached hospital is too strict and this way does not work, I have to think of other ways.

Waiting for him to think about this clearly, he remembered that he still had guests here, and it was a little rude to sneak away for a few minutes, so he hurriedly smiled and said, "You guys sit, I'll go get some food!"

Xiao Li came to his senses at this moment, and also stood up and whispered, "I'll help." ”

Xu Yi smiled at her and nodded, and went directly into the kitchen. (To be continued......)