But don't worry too much, it's not too serious. The more you worry, the more serious your illness will be.
Don't force yourself to make changes, just let nature take its course and concentrate on your work, study and life.
Too much pressure is counterproductive. You should have had a similar experience before.
Morita therapy is an effective therapy for such symptoms at present, which can be referred to.
Morita therapy
Moritatherapy was founded by Professor Morita Shoma of Japanese Cihui Medical University on 1920, which is a kind of therapy that lets nature take its course and does whatever it wants.
Psychotherapy methods. For decades, with the continuous development and perfection of Morita's successors, it has become an oriental color and has been internationalized.
It is recognized as an effective and practical psychotherapy. People with neurotic tendencies have a strong desire for survival and strong introspection, and draw attention to their own lives.
Safety, when attention is too focused on some internal discomfort, these discomforts will intensify and form a vicious circle. Morita therapy is to break this point.
This spiritual interaction, at the same time, coordinates the antagonistic relationship between desire and repression, and advocates conforming to nature and doing whatever you want.
Morita therapy is mainly used to treat psychosomatic diseases such as neurosis and autonomic nervous disorder. Morita has a unique view on the pathogenesis of neurosis. male
It is believed that the basis of neurosis is neuroticism, which is characterized by introversion, strong inner province, hypochondriasis tendency and different mental and physical activities.
They are often very sensitive, overly concerned and worried about their physical and mental health. Strong desire for survival and perfection. They often adopt the normal physiology that people are used to.
Reaction or mild discomfort is considered pathological, and mental stress and anxiety lead to a vicious circle of illness and body and mind over time.
Make the condition worse. Morita Shoma believes that "neuroticism" is purely a subjective problem, not an objective product. It is caused by the patient's hypochondriasis.
Caused by psychological interaction in the process of psychological activities. In other words, hypochondriasis is neurasthenia, obsessive-compulsive disorder, anxiety attack and various phobias.
The basis of neurosis such as phobia. People with hypochondriacs have a strong desire from the bottom up, hoping for health, happiness and hard work, but they also have a strong inner effort.
I often worry about my health and my life safety. They often put the feelings that ordinary people may have on certain occasions, such as overusing their brains.
Dizziness, palpitation when nervous, etc. Be mistaken for illness, fear and tension. The more you pay attention to these "symptoms", the stronger this feeling and "symptoms" will be.
The more serious it is, the vicious circle is formed, which Morita calls spiritual interaction. Under its influence, patients fall into a state of inner conflict and form nerves.
Weakness and neurosis. Morita himself was sickly since childhood and had obvious neurosis symptoms. /kloc-still urinates when he is 0/2 years old./kloc-still has headaches and heartbeats after he is 0/6 years old.
Fastness, fatigue and other neurasthenia symptoms. I thought of typhoid fever in middle school. Although I seek medical treatment in many ways and insist on treatment, it has little effect and is always right.
One's own health concerns; Until the first year of college, he was troubled by his symptoms, his studies were difficult to persist, and the exam was coming, which made him feel difficult to deal with.
Depressed and angry, he had suicidal thoughts, so he gave up all treatment and studied hard all night. The result was unexpected: the exam results were very good,
And the symptoms that have been entangled for many years have not healed themselves. From this, he realized that the previous diseases were all imaginary and there was no disease at all. So Morita Shoma.
It is believed that neurosis caused by neuroticism can cut off the vicious circle between body and mind by "letting nature take its course" and guide patients to overtreatment of diseases.
When the anxious attitude that attaches importance to it changes to the neglect attitude of "letting nature take its course", the mood will naturally relax, so that all kinds of bad emotions will disappear on their own until they recover.
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Morita also believes that people's psychological activities also have antagonistic effects similar to the mutual adjustment of flexors and extensors. Give birth under certain circumstances
An idea, emotion and life intention will also produce the opposite idea, emotion and intention to regulate people's behavior. Morita called it spiritual confrontation.
Resist. For example, don't be afraid when fear often appears; Feeling guilty when praised; At the same time, have disrespectful thoughts about sb.
If you think this idea is wrong and deny it, it will bring misfortune and stop thinking about it. The existence of this opposition can protect
The witness's mental stability and continuous sense of security. Therefore, any normal person will have ideas that are inconsistent with his own rationality, but he will pass without leaving a trace.
Track. And those hypochondriacs have a strong antagonistic effect. Once they appear, they will stubbornly repeat these concepts and control them repeatedly at the same time, forming antagonistic opposition.
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Through spiritual interaction, obsessive-compulsive disorder is produced. In addition, Morita believes that people with hypochondriac characteristics are "perfectionists", and they often
There are "ideological contradictions" between desire and reality, and between "it should be like this" and "it has always been like this". We try to solve some contradictions that reality cannot solve.
Taking a subjective attitude towards objective reality makes the symptoms more and more serious.
(1) General nervousness: neurasthenia, including insomnia, headache, heavy head, unconsciousness, abnormal sensation, excitability, fatigue and mental retardation.
Retreat, fatigue, gastrointestinal neurosis, inferiority, unnecessary anxiety, sexual dysfunction, dizziness, writing spasm, tinnitus, tremor, and memory loss.
, inattention, etc. ; (2) Obsessive-compulsive disorder (including phobia): including social phobia (red face phobia, gaze phobia, self-expression phobia, etc. ), no.
Clean terror, disease terror, incomplete terror, school terror, sharp terror, excited terror, distracted terror, etc. (3) Paroxysmal neuroticism: palpitation attack
, anxiety attacks, dyspnea, etc.
Morita therapy expert Gao Liangwujiu believes that Morita therapy cannot cure all neurosis, and only nervousness is the real indication of Morita therapy.
Therefore, the formation mechanism of Morita therapy on neurosis symptoms can be summarized as follows: due to the existence of hypochondriac substance, under the influence of accidental events,
Neurotic symptoms are formed through mental interaction. The root of neurosis symptoms lies in the desire to control objective facts with subjective desire.
The strengthening of psychological confrontation.
According to the above theory, Morita put forward the principles and methods of targeted treatment, and the focus of treatment is to cultivate the quality of hypochondriacs and break the psychological interaction.
Use, eliminate ideological contradictions. The treatment principle can be summarized as two points:
1. The therapeutic principle of "conforming to nature". Morita believes that to achieve the purpose of treatment, reasoning is futile. Just as we know from the fact that there are no ghosts,
But when you walk through the cemetery at night, you will still feel scared. It is impossible to rely only on rational understanding, and it can only be changed if it is actually experienced emotionally.
However, people's emotional changes have their own laws. The more they pay attention to, the stronger their emotions will be. Leave it alone, but gradually fade away; Learn with the same feeling.
Accustomed to it, the mood becomes dull; If you don't comfort the patient's depression and worry and let it develop to its peak, you will no longer feel depressed and worried. because
Therefore, patients are required to admit the reality of symptoms first, not to change them forcibly, and let nature take its course.
What does it mean to let nature take its course? Morita regards it as an "epiphany" state of Buddhism. The so-called "epiphany" is to let patients know and experience.
In my own position in nature, I have experienced common things that I can't control, and I attach great importance to them, which leads to my resistance. And I fell in.
Neurotic vortex. This is consistent with the fourth and fifth articles of the above law, that is, because of focusing on the feeling of disgust, and constantly
Suppress this emotion and strengthen it, and cultivate his experience of extreme fear of people after repeated times, and this process violates the above first,
Two laws. Therefore, to change this situation, it is necessary for patients to understand the law of emotional activities, accept their fears, and not suppress and reject them.
Let it die, and cultivate a positive and healthy emotional experience through your own continuous efforts.
(2) We should recognize the laws of spiritual activities and accept all kinds of ideas that may appear. Neurotic patients often subjectively think that they are interested in something.
Things can only have one idea but not another. It is abnormal or immoral to have this idea, that is, extreme perfectionism has caused a strong sense of inferiority.
Same meaning. To change this, we must accept the fact that people are not saints, and each of us may have evil thoughts, jealousy and narrowness.
Reality, realize that this is an inevitable thing in people's spiritual activities, and it is not transferred and decided by reason and will; But whether to do it or not.
Wisdom is something that a person can completely decide. So, you don't have to fight with your own ideas, but you need to pay attention to your actions. At the same time, you also
We should realize the antagonistic effect of spirit, give up the resistance to opposing ideas psychologically, and realize that people have two opposites: the desire for life and the fear of death.
Psychological phenomenon, and accept this psychological phenomenon, without fear for the horror of death, and without spelling out these frightening thoughts, so that
I was caught in a violent mental conflict.
(3) To understand the law of the formation and development of symptoms and accept symptoms. The neurotic patient didn't have any physical or mental abnormalities originally, just because he was hypochondriac.
Quality, regard a normal feeling as abnormal, reject and control this feeling, fix attention on this feeling, and attract attention and feeling.
The mutual reinforcement of consciousness is to form spiritual interaction. This is a vicious circle, which is the main reason for the formation and persistence of symptoms. Recognize this.
On the one hand, it will not strengthen the subjective feeling of symptoms; On the other hand, because this feeling is no longer ruled out, and
Gradually let your attention no longer be fixed on the symptoms, and break the psychological interaction in this way to alleviate the symptoms until the symptoms are eliminated. For example: right
When people who are afraid of blushing see people blushing, the more they pay attention to their expressions, the more they pay attention and the more nervous they are, which makes the feeling of blushing last.
On the contrary, accepting the symptoms of blushing and interacting with people with a "blushing" attitude will make you no longer pay attention to this feeling, thus making
The reaction of blushing slowly subsided.
(4) Understand the relationship between subjective and objective, and accept the objective laws of things. People suffer from neuroticism because hypochondriasis is the basis of symptoms.
Spiritual interaction is the cause of symptoms, which is rooted in people's ideological contradictions. This ideological contradiction is characterized by subjective imagination replacing objectivity.
In fact, limit your thoughts, feelings and behaviors by "it should be". Morita pointed out: "How can people get rid of ideological contradictions? to sum up in a word
We should give up the futile man-made strategy and obey nature. Trying to control your emotions at will by artificial means is like trying to make chicken feathers fly to the sky.
Without water, you can't do what you want, but it will only increase your troubles. This is beyond our power, and it is of course painful to do. However, what is self?
However? Hot summer and cold winter are natural laws. It is a clumsy strategy to make summer not hot and winter not cold, and do the opposite. Obey and endure according to the laws of nature.
Is to conform to nature. In view of the ideological contradiction, Morita put forward the view that "fact is true", which means "fact is truth" and took it as a seat.
You know. He said: "We should not mistake emotions or imagination for facts to deceive ourselves. Because whether you agree or not, the facts are unshakable.
Facts are facts, so people must admit facts. Recognizing one's spiritual essence is self-awareness; Confirming the truth to the outside world is the truth. "only
Only by making people's subjective thoughts conform to the laws of objective things can we jump out of the strange circle of ideological contradictions.
2. The treatment principle of "follow one's inclinations". Morita therapy divides things related to people into two categories: controllable things and uncontrollable things.
. The so-called controllable things refer to things that individuals can adjust and change through their own subjective will; And uncontrollable things refer to personal subjective will.
Ambition decides nothing.
Morita therapy requires neurotic patients to learn to adapt to nature and not to control uncontrollable things, such as people's emotions. but
Or focus on what you do, that is, control what you can control, such as people's actions. That is, "follow one's inclinations" is under the guidance of a natural attitude.
Action is the enrichment of conforming to the principles of natural therapy.
Endure the pain and do what you want. Morita therapy believes that to change the symptoms of patients, on the one hand, we should take a natural attitude towards symptoms, on the other hand,
We should also do what we should do with the initial desire to live. Usually, symptoms do not disappear immediately. When the symptoms still exist, despite the pain,
We should also accept it, devote our attention and energy to meaningful and effective things in life, and strive to do what we should do; Focus your attention.
In action, regardless of the ups and downs of symptoms, it will help to break the psychological interaction and gradually build confidence in getting rid of symptoms. For example: to people
Horrible people are afraid of meeting people, and they feel extremely scared when they meet people. Morita therapy requires him to live with symptoms, and it doesn't matter if he is afraid of meeting people, but the people he should meet are still.
It is to see, communicate with people with fear and pay attention to what you want to do. As a result, patients themselves will find that they have tried their best to eliminate it.
Symptoms, there is no need to contact people before the symptoms disappear. I was worried before and thought I couldn't do it, because I kept thinking about it in my head.
Don't do this. And "follow one's inclinations" requires patients to do what they should do immediately, regardless of the pain, so as to break the spiritual bondage of the past.
Mode of action.
Face reality and cultivate character. Morita therapist Gao Wu pointed out long ago: "People's behavior generally affects their personality, which is undeniable and certain."
Personality will lead him to do some things, but only see that this aspect is one-sided understanding. We can't forget our route.
Exercise will make our character an objective fact. It is this that is the fundamental reason for the cultivation of neuroticism. "
The mental conflict of neurosis patients often stays in the patient's subjective world. They think and think about things that cause their fear and anxiety.
He struggled, but in real life, he took an evasive and perfunctory attitude towards things that caused him pain. In fact, he only relied on his own subjective will.
Our efforts can't get rid of the anxiety of neurotic symptoms. Only through practical actions can we make our thinking more practical and profound. The actual action is
The most direct catalyst to improve the adaptability to real life. In this regard, Gao Wu said for a long time that if he wants to learn to swim, he will never learn unless he jumps into the water.
If you can't swim, even if you can't swim at all, it's entirely possible to jump into the water and gradually learn the necessary skills. Similarly,
No matter how painful neurosis patients are, they will do it under the guidance of others, so that they can gain a confident experience unconsciously. Do you want to meet anyone?
If you feel fear again, you can only keep in touch with people and adopt a natural attitude in actual contact, so that your fear will decrease and you will gradually gain self-confidence. The front has been
It is said that "follow one's inclinations" can help to improve symptoms, and one of the most important points is to lead mental energy to the outside world in real life.
Pay attention to what you do, which will reduce the mental energy directed at your body and mind. And the actual contact with the outside world is helpful for patients' cognition.
A subjective fiction of knowing one's symptoms. This process is actually a process of making some changes in introverted personality.
"Do whatever you want" under the guidance of the attitude of conforming to nature is helpful to cultivate neurotic character. This kind of cultivation is not a complete change, but an essential change.
Different parts of the lattice have been discarded. That is, carry forward the advantages of neurotic personality; Seriously and diligently. Have a sense of responsibility, etc. And abandon the disease in neurotic personality.
Location: neurotic extreme introspection and desire for perfection.
It can be seen that conforming to nature is neither passive tolerance and inaction for symptoms, nor laissez-faire for symptoms, but practical.
Things act according to the original laws, exist with symptoms, do not resist rejection, and live actively with symptoms. The key points of the principle of conforming to nature and acting according to one's abilities are
Break spiritual interaction, eliminate ideological contradictions and cultivate character. This principle of active therapy also reflects the influence of Morita therapy on will, sexiness, action and emotion.
The view of relationship holds that will can't change people's mood, but will can change people's behavior; Change one's behavior into another's behavior.
Emotion cultivates a person's character.
Morita therapy can be divided into inpatient treatment and outpatient treatment. Whether in hospital or outpatient treatment, we should pay attention to those neurotic people.
In addition to symptoms, some patients have a certain degree of introspection, and they are actively working hard and have a strong desire to get rid of symptoms.
Morita therapy is not suitable if there are only some symptoms and there is no strong motivation to seek medical treatment.
1. Hospitalization. After determining the dependence and indications, the patient should explain the nature of the disease and introduce the relevant neuropathological theories to him.
Children, tell them that there is no serious illness and eliminate their unnecessary worries. The hospitalization process is divided into four stages:
(1) Absolute bed rest period. Usually 4-7 days. Patients live in a room alone, and they are not allowed to get out of bed and visit except for eating and going to the toilet.
Talking, smoking, reading, writing and so on. During this period, patients will naturally have all kinds of thoughts, especially all kinds of troubles and anguish about the disease, so they can
It can temporarily aggravate the pain, make it unbearable, doubt treatment, and a few patients even ask to stop treatment and leave the hospital. When the patient puts all his troubles,
When all the feelings are thought over, there is nothing to think about, and you will feel bored. So the first issue is also called boring period. After that, the patient naturally asked.
When the bed does something, it enters the second stage.
(2) light working period. 4-7 days. Reading and communication are still prohibited. Stay in bed for 7-8 hours every day, and you can go outdoors during the day. Ruzaishi
Outside, you can do simple and monotonous work such as sweeping the yard and cleaning the glass, and indoors, you can do activities such as calligraphy, painting and sticking paper bags. Generally from the third day.
At first, we can gradually relax the restrictions on patients' workload and ask patients to keep a diary, not to write about diseases, but to write about what they did in one day.
What experience do you have? The healer checks the diary and comments every day, guiding patients to avoid paying attention to their illness and care about outside activities.
(3) emphasize the working period. Usually 4-7 days. It is forbidden to receive visitors and entertain, and to take part in heavy physical labor, such as weeding, helping the kitchen and cleaning the environment.
Do housework, carpentry, manual labor, etc. At this stage, patients can read books, mainly books on neurosis written by Morita, or they can read them.
News history, biography, popular science books, etc. Patients are required to keep a treatment diary every night. Patients work with other patients in the hospital and don't talk about their own.
Gross. The purpose of this stage is to let patients experience the joy after completing their work and cultivate their endurance through hard work. Learn to set symptoms in the process.
Ignore it and further transfer the energy of mental activity to the outside world.
(4) The tempering period of life is also called the preparation period for returning to society. General 1-2 weeks.
During this period, it is necessary to prepare patients for discharge, guide them to return to their original social environment and restore their original social roles. This period is allowed according to the patient's specific situation.
Return to the original unit during the day, or participate in some complicated social activities such as hospital management. No matter what kind of activities you participate in, you are required to return every night.
Ward, and keep a diary. Its purpose is to make patients further experience the principle of conforming to nature in their work, interpersonal communication and social practice, so as to return to society.
It will be ready.
The above periods are descriptions of general treatment. For each specific patient, the treatment process should be decided according to his situation.
Therefore, the length of the treatment cycle will be different. The short time is about three weeks, and the long time may take 60-70 days, with an average period of 40-50 days.
The purpose of hospitalization is to let patients have a practical experience of the natural flow and evolution of the spirit, eliminate previous assumptions and misunderstandings about the disease, and achieve
Psychologically, the state of "letting nature take its course and having no place to live". Therefore, the psychological state that may be exposed during bed rest cannot be explained to the patient in advance, which
Point is very important. Because if patients know in advance that they will feel bored and pessimistic during this period, they will adopt the expected attitude and produce natural psychological flow.
The sports meeting was distorted. Of course, before using hospitalization, the therapist should first let the patient have a general understanding of Morita's hospitalization process, and the patient.
You can decide for yourself whether to be hospitalized or not. The stronger the patient's desire for treatment, the better the treatment.
2. Outpatient treatment. Outpatient treatment must still follow the basic principles of Morita therapy. However, because outpatient treatment does not have a specific environment for hospitalization,
Can't stay in bed, can't arrange treatment, so it has different characteristics from hospitalization.
Outpatient treatment is mainly carried out through one-on-one conversation between doctors and patients, usually once or twice a week. The healer should pay attention to the patient's * * *
Affection, establish a good therapeutic relationship, the therapist should know the reality of the patient as much as possible on the basis of mastering the patient's life history, not based on symptoms.
The main content of the discussion is to encourage patients to face real life, give up the position of neurosis resistance symptoms, and realize that things are not based on their own subjective wishes.
Transfer, recognize the true nature of symptoms, and don't try to control them, and the symptoms will change. Finally, encourage patients to take responsibility in their own lives.
Responsibility. In the treatment, the therapist should stimulate the patient's understanding of the problem by asking questions, rather than using persuasion too much. treat cordially
The key is to help patients understand the principle of adapting to nature.
The key points of outpatient treatment are:
(1) Carry out detailed physical examination to eliminate the possibility of serious physical illness and eliminate the worries of patients;
(2) instruct patients to accept symptoms, and don't try to reject them;
(3) Tell patients not to talk about symptoms to relatives and friends, and also tell relatives and friends not to listen or answer their complaints;
Chinese scholars treated 16 patients with neuropathy by outpatient treatment, and achieved good results. Its specific practice is the first diagnosis 30.
To 60 minutes, the follow-up visit is 15 to 30 minutes, once a week in the first month of treatment, and then 2 weeks 1 to 1 time. The main treatment methods are oral instruction and daily treatment.
Take notes. First of all, guide patients to understand the relationship between their symptoms and personality characteristics, tell them the factors that form symptoms, and ask patients to put their own knowledge and body
The examination is written in a daily diary, and patients are required to use two diaries. The healer commented on the problems exposed in the patient's last diary during the follow-up visit.
On this basis, we give them oral guidance and put forward the next requirements. At the same time, patients are required to read the relevant materials of Morita theory. Experts realize that
Because in outpatient treatment, the cured person can't personally observe the patient's daily life and behavior, so let the patient keep a diary and make comments.
Guiding patients is the central link of treatment. Therapists should pay special attention to: first, treatment should always be aimed at the patient's personality.
Problems should not be entangled with their symptoms, but should be ignored and let them be indifferent naturally; Second, in the case that patients understand the main points of treatment, we should pay attention to
Require conscious experience in life practice.
indicate
Neuroticism, obsessive-compulsive disorder, hypochondria, anxiety, depressive neurosis.