Medical Records –

Name: Yin Shiguang

Gender: Male

Age: 19

Culture: University students

……

Date of Admission: June 23, 9012 (1st)

Chief complaint: game addiction, uncontrollable, extreme addiction, lasting more than two months

History of present illness: The patient is a sophomore at a university with excellent grades, no abnormalities in getting along with others, good interpersonal relationships, and no bad habits.

About three months ago, I started to contact a mobile game, and I was extremely addicted to the game, and I had the experience of not sleeping, eating, drinking, or indulging in the game for more than 24 consecutive hours.

During the game, he completely ignores the external environment and the advice of his relatives, and is very irritable and irritable.

When detached from the game, it will return to normal, compared with the past state, there is no obvious change, and the patient has a clear memory of the game situation and emotions at that time, at this time, the patient said that he did not have any interest in the game, and did not know why he was addicted.

They will have feelings of regret, anxiety, and resistance for their addiction to games, but they will still intermittently have strong impulses and desires to play games, and have autonomous psychology and behaviors that they try to control, and they cannot control them every time, and then continue to be addicted to games and repeat themselves.

After a month, the patient's symptoms worsen, he was unable to play games for a long time, he would have symptoms such as anxiety, mania, tremors of his hands and feet, and a slight urge to destroy.

The parents sent him to the psychological counseling clinic of the center.

The psychological counselor's observation impression is that the patient is in good health, has high intelligence, has a clear voice, has a cheerful personality, has normal emotions, has clear consciousness, has contact and conversation cooperation, speaks fluently, has no hallucinations or delusions, has no intellectual disability, has complete self-awareness, and has clear requirements for help. There is no physical discomfort, but because of lack of sleep at night, the face is pale, and I am slightly tired.

He was admitted to our center for further treatment.

At the time of hospitalization, the patient eats and goes on to go about his or her daily life as usual. At the onset of the disease, it is forbidden to contact the game, and there will be irritability, emotional mania, impulsive destruction of objects, injury, self-harm and other intense situations.

Past history: in good health, no history of infectious diseases, no history of food and drug allergies, no history of poisoning of various substances, no history of surgery and blood transfusion, no history of head trauma and fractures, no history of major physical diseases such as heart, lung, kidney, brain, etc......

Personal History: ...... No anomalies

Family History: ...... No anomalies

Physical Examination: ...... No anomalies

Psychiatric Examination: ...... No anomalies

Initial diagnosis: ...... The relevant psychological score is normal, the IQ is high, the willpower is strong, the personality is cheerful and sunny, the interpersonal relationship is normal, the academic performance is excellent, and there is no history of illness or family mental illness. Combined with the state at onset, mild schizophrenia is suspected.

Treat:......

……

Chen Yi held a copy of the case in his hand, read it at a glance, and raised his eyelids to look at a boy sitting across from him.

The boy wears a pair of glasses, neatly dressed, and looks sven, and the corners of his mouth are unconsciously slightly hooked, looking very sunny.

He is Yin Shiguang in the case, the nephew of Aunt Yin who met in the supermarket.

Regarding the unreliable impression of the aunt, Chen Yi originally thought that it was just some modern and common psychological problems such as psychological anxiety and depression caused by the pressure of work and study, but the aunt was making a big fuss.

Unexpectedly, this case is very strange.

recalled the situation when Yin Shiguang arrived......

He came by himself, and when he saw him, he was a little surprised.

After entering the house, his expression looked a little strange, but he still said what he meant as usual, and then cooperated with Chen Yi's request.

Behave normally.

A person who came to him according to an address proves that his thinking and judgment are still normal.

Seeing that the psychological counselor he was looking for turned out to be a bald monk, it was normal to show surprise.

Chen Yi's home has just been renovated.

There is a small signboard hanging outside, with four big characters written "If I smell it".

Then in the corner, there are a few small words that are difficult to notice.

The first floor was intended to be used as a counseling room.

The big hole on the second floor was not filled, and it was directly connected to the first floor.

Chen Yi also simply asked the man in the suit to tear down the stairs, anyway, now he can go upstairs with a slight float, and it is still cumbersome to have stairs.

As for the first floor, it is more credible than a psychological counseling room, but a yoga room or a monk's meditation room.

It's a bit of a dark tone, the wooden floor is original, it's empty, only a few low tables, a few cushions, and a big heart written on the wall behind it.

In such a place, plus a monk, you tell people that it is a psychological counseling room, and people who do not suspect it at all are abnormal.

Grumpy point is directly when you are a liar are possible.

Chen Yi put down the case, picked up a notebook and a pen, and said casually as if chatting about family life: "Do you know what month and day today is?" ”

"9012, August 29."

"Do you know what this place is?"

Yin Shiguang glanced around a little strangely, as well as the big word "heart" on the wall behind him, and nodded: "Psychological counseling room." ”

Chen Yi ignored his eyes and wrote casually on the notebook: "Who sent you here?" ”

"My aunt."

Chen Yi nodded: "Don't you think I'm weird here?" Do you believe I'm a psychiatrist? ”

Yin Shiguang hesitated slightly, but still said: "It's very strange, a little suspicious." ”

Chen Yi smiled: "Then you are still so cooperative?" ”

Yin Shiguang smiled helplessly: "I've been watching it for so long, and I haven't been to the hospital less, and I haven't even been able to get a specific diagnosis...... Forget it, anyway, it's to put my aunt at ease, and ......"

He paused for a moment and said suspiciously, "I feel very comfortable here." ”

Chen Yi smiled and continued noncommittally: "Your family and friends are very kind and caring about you? ”

Yin Shiguang smiled from the bottom of his heart: "Well, yes." ”

Chen Yi suddenly changed the question again: "Do you usually look at people and things and appear deformed?" ”

"Nope."

"Have you ever seen anything strange?"

"Strange stuff?" Yin Shiguang was puzzled.

"That's it...... Something that doesn't make sense. ”

Yin Shiguang shook his head blankly: "No." ”

"When you're alone, do you have a voice in your ears? Have you ever found any strange taste in anything you have eaten? ”

"None of them."

Chen Yi nodded and asked many questions in a row, but Yin Shiguang was very cooperative.

After nearly an hour, Chen Yi stopped and looked at the notebook in his hand......

In general, no obvious abnormalities were found, and no delusions, hallucinations, or perceptual impairment were elicitous.

Thinking activities: coherent thinking, more agile than ordinary people.

Intelligent: Excellent

Judgment: Good

Emotional response: cheerful, sunny, and actively cooperate with treatment

Volitional behavior: strong, non-impulsive, negative behavior

Self-awareness: normal

……

After hesitating slightly, Chen Yi added another stroke: no evil and strange infringement.

Then it was his turn to be at a loss......

Is this person really sick?

Gaming addiction, which has indeed been classified as a mental illness these days.

It's not just a man-made disease, the brain reacts very abnormally when this disease occurs, similar to when you smoke a bottle.

But the possibility of this disease appearing in people like Yin Shiguang is very low.

And in addition to a slight lack of sleep, he has no other symptoms of game addiction.

As for the diagnosis written in the medical record, schizophrenia, Chen also has his own judgment, which is unlikely.

Yin Shiguang is indeed very agile, Chen Yi was silent for a moment, he guessed the result, and his eyes showed such disappointment.

Chen Yi put down the notebook and said with a smile: "Don't worry, let's talk about it later." You say, you're only going to be addicted to this one game? ”

Yin Shiguang said indifferently: "Yes." ”

"Do you like this game very much?"

"I don't like it." Yin Shiguang showed a look of disgust in his eyes.

"And how did you get started playing this game?"

"It was recommended by a friend, I wasn't interested, but he recommended it a few times, and once I was bored, thinking that it would be okay anyway, so I would try it, to be honest, I see so many celebrity endorsements every day, and I'm also quite curious."

"So you got hooked on the game as soon as you started playing it?"

"Not really, I don't remember much, anyway, just like that."

"Can you show me the game, then? I'm quite interested in games. ”

Yin Shiguang hesitated slightly, but still took out his mobile phone......