She tried to find some simple jobs, but couldn't get to work on time; She tried to find a job in the phone customer service who came to the company at 10 a.m., and at first she was convinced that she would be able to get to work at 10 o'clock, but she failed.

Then Vera changed her plan, not at ten o'clock, but definitely at one o'clock in the afternoon, Vera found a job in a nursing home, went to work at one o'clock in the afternoon, and worked until the old man had dinner.

Vera was able to get to the nursing home by 1 p.m., but then, Vera said, she failed again a week later, and she was very upset because she had lost to the voice in her head again, and she used 'them' to describe these things, 'they made me wipe all the furniture in the house before I could go out', 'they complained that the fridge wasn't cleaning in order', 'they kept changing the rules', and I sometimes felt like I could never finish wiping them.

It took two hours to wipe all the furniture.

'My time is meaningless, my time is superfluous, it only makes me miserable, I am busy all the time except when I sleep, busy with things that are meaningless and constantly tell me that they are very important'.

The last time I saw her before I went back to the sea, she was working on a very huge project, in Vera's words, 'it's really a big project'. ”

"What?" Mu Chun asked.

"She bought a hundred pounds of candy and piled it up in the kitchen, and every morning when she got up, she would sprinkle the sugar on the surface of everything in the house, and then use a small plastic plate to completely spread the candy one by one, and she would squat down to keep the line of sight and plane, and constantly correct the position of each candy until they were completely flat."

"It's really damning." Mu Chun lay on the table in pain, and then buried his head in his arm.

"Doctor Mu."

Mu Chun raised his head and motioned for Li Nan to continue.

"That's roughly the case, diagnosed with [obsessive-compulsive disorder]" After Li Nan finished speaking, he finally picked up his coffee.

"What can I do?" Mu Chun asked.

"She was on medication, but she didn't respond well." Li Nan replied.

"What about outside of medication? Behavioral therapy? Cognitive-behavioral therapy? I know that some professors in Europe are more encouraging this type of therapy to be used in conjunction with drugs to treat [OCD], or are there any new drugs that you are developing? ”

"There is no cure. There is no specific medicine for [Obsessive-Compulsive Disorder], and Vera has the problem of excess weight, she is almost 100 kilograms, she said that she doesn't want to look in the mirror at all, and she doesn't even want to see her reflected in the windows and TV at home. ”

After Li Nan finished speaking, he was full of sorrow, he went to visit Vera with his teacher, and when they were about to leave at eight o'clock in the evening, Vera said something to them, Li Nan believed that he might not forget it in his life. He told Mu Chun that Vera said, "As long as I can live again, I can die once." ”

After listening to Li Nan's narration, Mu Chun got up from his seat, walked to the windowsill, poured some water on Banxia, and then said to Li Nan: "[Obsessive-compulsive disorder] is a disabling mental illness, it is like a chronic poison, and it slowly destroys a person's life. ”

"Yes, I have found out now, many people may have this disease, but it is a matter of severity, for example, I have had it, has Hu Peng also had it?"

"Some are simply [obsessive-compulsive disorder], some are accompanied by other problems, some are manifested as [obsessive-compulsive behaviors] or [obsessive-compulsive thoughts] but not obsessive-compulsive disorder, and there are even many more difficult to distinguish between [pseudo-obsessive-compulsive schizophrenia], and [obsessive-compulsive personality disorder], substance abuse, gambling and certain addictive behaviors."

Speaking of this, Mu Chun walked to the bookshelf and took out a file bag from the drawer.

He opened the bag and took out a stack of documents nearly two centimeters thick.

"I've written about a treatment plan that doesn't necessarily work for Vera, so you can refer to it. I'm guessing that your teacher should have already made a clear diagnosis of Vera's condition, and we don't need to go any further to distinguish her compulsive behavior from other possible problems. ”

Li Nan nodded, agreeing with what Mu Chun said.

Mu Chun continued: "This program focuses on the combination of drug treatment and cognitive behavioral therapy, which is what I currently think is a more effective method, if the effect of the drug is not good, if possible, you can increase the number of treatments of cognitive behavioral therapy, my suggestion is that three to four times a week is not too much."

In addition, this information also includes some imperfect parts, I will also give you together, maybe you can also refer to it when designing a treatment plan, and you can also help improve it after practice.

Mainly about some content of family therapy, if you have time to familiarize yourself, at present, in the process of treating such patients, there are not many studies on family support, and no one has written related books, I think these are things that we need to accumulate slowly and do step by step.

I believe that you have learned a lot of professional knowledge in this area in the past six months following the teacher, so I will not repeat the nagging. ”

"Yes, I have always wanted to make a breakthrough in the issue of obsessive-compulsive disorder, I know too well the anxiety it brings, and I also understand too much the pain it causes to people, and I'm afraid it is difficult for me to agree with what Mr. Mu Chun said."

Li Nan's eyes were bright, looking determined and full of faith, and these eyes were staring at Mu Chun at the moment.

"Huh? Don't approve of my words? Why, I've said so much. ”

"I don't agree with Mr. Mu Chun saying that [obsessive-compulsive disorder] is disabling, and I think that in some patients, it may be a suicide risk."

Mu Chun nodded and said sadly: "This is the complexity of psychosomatic diseases, there are several problems at the same time, depression with obsessive-compulsive disorder, mania and depression alternately, mania with obsessive-compulsive disorder ......"

After Mu Chun finished speaking, the two fell into silence.

The day before the New Year's holiday, the matter of Sumichuan Medical College finally came to an end, and when Mu Chun saw Li Nan, his mood suddenly brightened a lot, which can be regarded as sweeping away the haze of being pulled by a past thirty years ago in the past few days.

But at this moment, Mu Chun realized that maybe there will never be a real ending moment, there are always people in a corner of the world who are choked by a pair of invisible hands from behind the throat of fate.

Of course, there will always be people like Li Nan who have come out of the hardships they have experienced, and then devote themselves to the work of protecting others.