Chapter 139: This is pseudo-obsessive-compulsive schizophrenia
Mu Chun took out a medical record card from the pocket of his white coat.
"Doctor Mu? Do you use your own health insurance? ”
"Ah, I've always wanted to check it, and as I said, finding a doctor like me is the healthiest and safest."
Mei Xiaonuan finally laughed, "Thank you." ”
Mu Chun hurriedly said that there is no need to thank you, as long as you can agree to see the hospital often and chat, you will be satisfied, of course, if you can date, you can't ask for it.
Mei Xiaonuan then said, "Actually, the more people who pursue people like doctors, the more I won't like them, if the doctor ignores me, I may want to associate with the doctor, which should be considered a disease." ”
"That's right." Mu Chun suddenly mysteriously approached Mei Xiaonuan, "Have you heard of the harasser recently?" A lot of women have encountered it. ”
Mei Xiaonuan nodded vigorously and made a 2 hand shape.
“2? What do you mean? ”
"I've met twice, once outside the subway station, and once near the Garden Bridge Hospital, the first time it's a little farther away, and the second time, the man hit me, and I saw the photo on the news, and it was that person."
"That's it, it's really annoying, if I get hit, I'll definitely feel super unclean, and I can't get sick or something."
Mu Chun said as he pulled up the cuffs of his white coat, for fear that his skin would be exposed.
"Sometimes, I feel unsafe in the hospital, such as being spilled with water from an infusion tube, such as a patient's cough, I wonder if those liquids will transmit the virus to me, and there are many novels in which a mother with AIDS gives birth to a child because she didn't tell the doctor, and the emergency doctor accidentally injured her finger and ended up infecting AIDS. It's just imagination, it's impossible. ”
Mei Xiaonuan felt that what Mu Chun said was wrong, because those things were not fake, they were not some wild imagination, she didn't have AIDS, it was because of luck.
After all, there is a probability.
Mei Xiaonuan remembered when she was a child and accompanied Mei Xiaoshuang to see a doctor, when Mei Xiaoshuang danced and fell, everyone surrounded her, and her mother kept saying to the doctor, "You must let her continue to dance" and something like that, the doctor repeatedly explained, only a little sprain, and the other is an epidermal injury, which will not affect dancing.
My mother was still not at ease, so she even invited orthopedic surgeons from several university affiliated hospitals for consultation, and also invited plastic surgeons, a very small wound, which used a lot of connections and spent a lot of money.
Mei Xiaonuan still remembers that she was only 8 years old at that time, and the driver who took her to and from school was waiting for her at the school gate.
Mei Xiaoshuang's ward was crowded with doctors in white coats, of all ages, male and female.
Mom didn't see her at all, she stood at the door for a while, and suddenly a man with an infusion bag passed by him, and Mei Xiaonuan felt a burning stinging pain in her arm.
When I twisted my arm, I saw a scratch with a faint blood mark.
She didn't feel anything at the time, but when she grew up, she was very afraid of fluids, especially blood and human saliva.
Maybe I was sick at that time, and such thoughts were not clear, but they could not be dissipated.
"But there are still cases of diseases due to swimming, because of unhygienic bed sheets, because of contact with the saliva of patients, and there are reports of this all the time."
"Yes, so you have to check it often, even if it's okay this time, you may not get sick in the future, not to mention that the incubation period of AIDS is very long, and if you have just been in contact with a patient recently, you may not be able to detect it for the time being."
"Ah, isn't that it?"
Mei Xiaonuan's mood was heavy again when she was half relaxed.
Isn't that the boyfriend you recently dated...... Although there was no kissing, I also ran into a little bit...... In the end, there is no ...... when it touches saliva
Mei Xiaonuan racked her brains, and her temples were swollen and painful.
"If there's no way to convince yourself that these are the result of imagination and excessive worry, then you have to take medicine."
"What medicine?"
Mu Chun couldn't tell Mei Xiaonuan what medicine could fundamentally cure her worries.
Unlike Hu Peng and Li Nan's worries, Mei Xiaonuan's worries cannot be controlled through reason.
Hu Peng was worried that the door was not locked, on the one hand, he was very worried about the thief at home, and on the other hand, he was very aware that the probability of this kind of thing happening was very small, and it was an imaginary fear. Hu Peng has a rational understanding of imaginary fear.
When the inspection is completed or someone has done the inspection for him,
Mei Xiaonuan is different, her panic attacks and worries about the disease cannot be completely alleviated by the examination, and she believes that the fact that she is sick cannot be changed because the test result is good, this kind of disease ......
It's more like [obsessive-compulsive schizophrenia].
Mei Xiaonuan's problem was that medication and psychotherapy were needed at the same time, Mu Chun found Zhang Wenwen, and Zhang Wenwen scolded him again.
"What is this, it's another illness I haven't heard of for a few days, Mu Chun, are you kidding me......"
Don't blame Zhang Wenwen for being angry, Chu Sisi is also completely unclear about this condition.
"I also finally figured out Li Nan's problem, and Hu Peng's [Forced Examination] I am almost finished, what is this [pseudo-obsessive-compulsive schizophrenia]?"
According to Mu Chun's explanation, these are two different diseases that are very prone to misdiagnosis, although there is a certain connection, some patients like Hu Peng will change from [obsessive-compulsive disorder] to [schizophrenia] for a variety of reasons that are not completely clear, but how this transformation occurs and what the influencing factors are have not yet been accurately studied.
Everything is still being studied.
Hu Peng belongs to true obsessive-compulsive thoughts, which are related to obsessive-compulsive disorder. The full term for obsessive-compulsive disorder is Obsessive-Compulsive Disorder (OCD). Mu Chun took out a stack of relevant foreign case reports and handed them to Zhang Wenwen.
Mei Xiaonuan's pseudo-obsessive thoughts are common in patients with [schizophrenia]. From the perspective of motor and obsessive thoughts, the diagnostic criteria for OCD "allow" the patient to lack self-awareness, i.e., not recognize that obsessive thoughts and impulses are excessive or irrational.
Patients with true obsessive-compulsive thinking have a state of obsessive-compulsive thoughts, which are perceived as irrational and have both intrusive and irrational obsessive thoughts and internal counter-compulsions, and their self-awareness is intact; To put it simply, Hu Peng knows that his thinking is irrational, but he can't control it, and there are intrusive thoughts and subjective efforts to suppress this invasion.
People with pseudo-obsessive-compulsive thinking have only obsessive thoughts without internal counter-compulsions, and the content is often physically distorted, sexual, or aggressive, such as fear of AIDS and the fear that others might harm them.