Chapter 434: The Eye Edge Is Good
In the process of recovering from the disease, most patients have mental symptoms disappearing before and self-consciousness recovering later, and some patients do not admit that their previous bizarre thoughts are pathological for a long time, and do not think that the disappearance of those thoughts is the result of medication. At this time, the patient's mind is clear, the logic of thinking is rigorous, for such a patient, while continuing the drug treatment, it is necessary to talk to the patient more, help him analyze the symptoms, and promote the recovery of his self-awareness.
This kind of conversation requires a certain amount of skill. First of all, it is necessary to actively involve the symptoms and not be afraid to irritate the patient. Although the patient does not mention his previous thoughts, if he does not have a correct understanding of this and lacks the ability to discriminate, it will become a hidden danger for him to relapse. Avoidance can only be paralyzed for a while, and many patients who relapse have the same symptoms as they thought when they had a previous illness, and the main reason is that their self-awareness has not fully recovered.
Second, be egalitarian in your conversation. It is necessary to exchange views with patients in the form of consultation and discussion, and avoid preaching. It is necessary to make the patient feel that the family members are genuinely helping the patient from the patient's point of view, rather than forcing him to admit that he is mentally ill. When talking, use more "I think ......" and less "you should ......". After the family members have expressed their opinions, they should try to end with a question, such as "What do you think?" or "Is what I said reasonable?" This way of talking is tactful and can lead the patient to express his or her own opinions.
Third, the conversation should be natural and use real-life examples as the feedstock. For example, for patients who have delusions of victimization and always feel that other people's words and deeds are hurting them, family members can tell the patient about the plot in the TV series or what happened in their work, and discuss with the patient how to view others' attitudes towards themselves and how to deal with interpersonal relationships. Mentally ill patients have different degrees of personality defects, and the process of helping patients understand their diseases is actually a process of promoting the maturity of their personalities.
Fourth, grasp the proportions of the conversation. When family members analyze the symptoms with the patient, they should always pay attention to the patient's reaction, and if the patient is willing to listen, then speak; When the patient is impatient, he will not talk about it, or he will talk about it again at another time, and he should stop in moderation. It is better not to have a relationship that is alienated or even antagonistic because of such conversations, and it is better not to talk about it at all. If the patient resolutely resists the persuasion of his family, it means that his condition is still relatively serious, and he has to continue to wait for the efficacy of the drug. If the relationship between the patient and the family is stiffened because of a conversation, it will not only be difficult to recover for a long time, but also affect the patient's compliance with medication, then the gains outweigh the losses.
Fifth, each symptom should be fully analyzed. The recovery of self-knowledge must be comprehensive and thorough, which requires family members to accurately grasp all the symptoms of the patient, inquire one by one, and help the patient analyze one by one. This is indeed a difficult and complex task, but it must be completed. Do you want your patients to be healed? Be patient, and you'll be rewarded in the long run.
How to prevent risky behaviors in people with schizophrenia
It is well known that patients with schizophrenia can experience risky behaviors at any time, which mainly refers to injuring people and destroying property, self-harming suicide and sudden departure. These risky behaviors are governed by specific psychiatric symptoms, including:
Imperative auditory hallucinations: These hallucinations are vivid, concrete, come and go suddenly, and are often threatening, and the patient is difficult to distinguish between truth and falsehood, and absolutely obeys.
For example, auditory hallucinations lead to death, and patients do not hesitate to commit suicide by jumping off a building, hanging themselves, or banging their heads against a wall. This kind of suicide often occurs suddenly, and the family does not see any warning, and it is only after the fact (if the suicide is unsuccessful) that the patient is willing to say that it is a "voice" that makes him die. Therefore, this type of suicide is extremely dangerous.
Another example is when a patient hears a voice out of thin air complimenting him on his ability to get him to a place by midnight the next day to receive an important "appointment." So, without any preparation, the patient walked out of the house and boarded the train to another country.
In short, due to the danger of command auditory hallucinations in terms of content and the unpredictability of time, family members must pay great attention to this. If the patient is found to have this symptom, family members should be by the patient's side at all times. To be on the safe side, it is best to send the patient to the hospital.
Delusion of victimization: This is one of the most common symptoms of all mentally ill patients, most of them adopt an attitude of patience and evasion, and a small number of patients will also "strike first" and take the initiative to attack his "imaginary enemy". In this regard, the most important thing is to find out who the patient is delusional, that is, who the patient thinks is the one who wants to harm him. If the patient's delusional object is a family member, the family member should be kept away from the patient as much as possible, or at least not alone.
Depressive mood: Patients with schizophrenia may experience depressed mood and even pessimism and misanthropy at different stages of the disease. In particular, it is important to note that a significant proportion of patients who successfully commit suicide do so during the recovery period of the disease. After the symptoms of mental illness were eliminated, the patient was burdened with a heavy mental burden due to his illness, and could not correctly deal with practical problems such as further education, employment, and marriage, and felt desperate, so he chose to commit suicide. In this regard, family members must take precautions, detect the patient's psychological distress as soon as possible, and provide timely counseling.
For patients who have clearly expressed their suicidal thoughts, family members should neither panic nor dodge, but should take the initiative to discuss the pros and cons of suicide with the patient, and help the patient comprehensively and objectively assess the various difficulties encountered in reality and find practical solutions.
In addition, before committing suicide, such patients have been carefully considered and fully prepared, such as writing a suicide note, packing up old things, saying goodbye to their families, choosing a suicide time, preparing suicide tools, etc. The suicide method of such patients is also relatively mild, and most of them commit suicide by taking medication. Therefore, he needs a certain amount of time to accumulate a sufficient amount of medicine, and this is when the importance of keeping the medicine in the care of the family can be seen. As long as the family closely observes the patient's emotional changes, it is not difficult to detect the patient's suicide attempt at an early stage.
Drug-induced anxiety: One of the side effects of antipsychotics is that it may cause patients to be inexplicably restless, at a loss, accompanied by palpitation, sweating, fear, etc. Most of these manifestations are episodic, most of them occur in the afternoon to evening, and some patients have the above manifestations within 2~3 days after receiving long-acting injections. This regularity in time helps the family determine whether the patient's anxiety is due to medication. Anxious to get rid of this intense pain, the patient will experience the urge to hurt others or self-harm, these actions are only for venting and relief, and do not end in death. Family members can give the patient a small dose of diazepam drugs when he has a seizure, or adjust the dose or variety of antipsychotics under the guidance of a doctor, so that the patient's anxiety attacks can be effectively controlled.
Extreme euphoria: Mental symptoms are severe disorganized thinking, disorganized speech, and purposeless behavior, and such patients may also injure themselves or destroy others. Because the patient's agitation and agitation are persistent, it is generally easier for family members to be mentally prepared and to prevent it. Family members should take care of dangerous items such as knives, scissors, fires, and gas, but the most fundamental way is to use large doses of drugs with strong sedative effects to control the patient's agitation. If it is difficult to care for the patient at home, the patient may be forced to be hospitalized.
To sum up, there is indeed a certain danger of living with a mentally ill person. However, as long as the family has a deep understanding of the patient's mental symptoms and observes and cares for the patient, it is entirely possible to reduce or even eliminate the patient's risky behavior. (To be continued)
Brain waves (ghosts) are a magnetic field that frictions the senses we produce with our brains. It's mainly about controlling the human brain, feelings, emotions, and so on.
It is because we have been ignorant since we were young and know the god in our hearts, and it is so powerful. (It may be that it is afraid that others will find out its identity, and it has set up a bureau very early) can be so that people dare not trace.
In this way, it can do whatever it wants in our heads. It thinks that it is high up in our brains, and therefore human beings have become its slaves.
Don't say you're not victims, humans may be inseparable from brain waves. Can you see it?
Do you know what it does in our heads? The laws of humanity are meant to be played with before its eyes.
They like to have fun with their whole people. The difference between a psychopath and a victim of brain control: A victim of brain control can feel its presence.
Seeing it speak in your head gives you some unwanted sensations in front of your eyes. Anyway, let you see that it exists.
Psychopath: Controlled like a robot, you don't know it exists. When you're angry. When listening to someone else. Give you some shadows in your eyes. Gives you some feeling like you want to laugh and so on... More than 10,000 people have died in the war between countries.
For what? It's not about making life better. Isn't it not deceiving? Don't we have enemies now?
Why is no one standing up now. The building of the current psychiatric hospital. How tall. Does taking medicine help?
Looking for money, right? Isn't it a palliative but not a cure? (It may also be rectified by brain waves, and tens of millions of buildings have been used) in the face of brain waves.
The lies of the old dead scientists are still circulating, saying that there are no ghosts in the world. I think it's time to start anew. You see the world is in chaos.
。。 Psychiatric hospital. Science. Ghosts.....