In the daily work of psychiatrists, it takes 5-7 days of contact and observation to confirm the diagnosis of inpatients. Because the same mental disorder patient may have intermittent mental symptoms, he is very disordered in the morning, shouting, and may suddenly wake up in the afternoon; I am pessimistic in the morning and don't want to live. In the afternoon, I suddenly felt good and talked to Kan Kan about it. I was still talking nonsense when I came, and it was quiet the next day.
This situation is very common, because in the final analysis, the symptoms of mental illness are characterized by diversity and complexity, and medicine is an empirical science. If we lack the necessary clinical experience and judge only by the standards in books, it is difficult to get the correct diagnosis name and correct treatment plan.
In fact, even a few words from a psychiatrist in the outpatient clinic reveal the experience of pointing to the essence of mental illness everywhere. Although it is just a few words, it can help doctors judge the mental symptoms and severity of patients. In this way, the patient's impression diagnosis and simple judgment whether he needs to be hospitalized, of course, whether the resident just gives advice or not, the decision is still in the hands of the patient's family.
Generally, a routine psychiatric examination takes 40-60 minutes or even more. In addition, it takes more than 1 hour for doctors to give advice to patients, which is totally unsuitable for outpatient work. Moreover, the outpatient doctors who come to the clinic often don't understand that it is impossible to determine whether the patient has the possibility of sudden impulse without long-term observation, so many patients are not suitable for individual psychiatric examination alone.
In fact, doctors in China have a common problem, that is, there is no limit on the number, especially non-expert general outpatient doctors. When they come to see it, how many patients have to see it. For example, when I go out to the clinic, sometimes 1 day depends on more than 100 numbers, including outpatients and prescription patients, the registration fee is only 3 yuan, and the registration fee for general outpatient clinics is 3 yuan, without exception.
Therefore, many formal examinations and treatments are impossible to be carried out in outpatient clinics, and I believe you can understand.
A professional psychologist must go through several steps to make a definite diagnosis!
First, observe the patient's emotional reaction, understand the patient's symptoms through conversation, and try to find a breakthrough to make a preliminary diagnosis of the condition.
Second, listen to the detailed history of mental illness provided by the patient's family (including understanding the onset time, disease characteristics, accompanying symptoms, physical condition, education level, personality characteristics, family history, etc.). ), and then the overall analysis.
Third, think about what other possibilities there are for this disease, do relevant tests and rule them out one by one.
Usually, this procedure takes at least 20 minutes, and for some difficult cases, it may take more than a week to be hospitalized for diagnosis. What's more, the consultation needs more than one doctor.
So professional psychologists should have such a set of steps. Of course, it is not excluded that some doctors judge by experience. On the one hand, diseases may be typical, such as depression. On the other hand, doctors may treat you according to the direction of depression without making a definite diagnosis.
I hope my answer is helpful to you!
If you say Lin Daiyu, you can think of depression, which means you are getting started. In fact, many people think that Lin Daiyu is depressed. In my opinion, she is a little. First of all, her personality is too frank and simple to cope with Jia's complicated interpersonal relationships. Secondly, she has been in poor health and is a chronic wasting disease. She is always worried that she will not live long and her tears will not be enough to repay Baoyu's kindness. Thirdly, she is emotional, too sensitive, and often touches the scene. These are typical features of depression. But depression is not a mental illness. Mental illness is an organic disease, which generally has brain damage, irreversible and theoretically incurable. The patient was unaware of his abnormality when he was ill. Depression, on the other hand, belongs to "neurosis", which is a temporary social dysfunction, such as the decrease of self-evaluation, the inadaptability of interpersonal relationship, and the inability to communicate with others. It is reversible and curable. Patients usually have a strong ability to reflect and have a deep understanding of their "symptoms". Mild depression can be relieved or even cured to a great extent through its own reasonable adjustment. You don't even have to go to a mental hospital. Depression does have something to do with personality. The key point is that Lin Daiyu has never been able to change her personality (which is also her personality), and the social environment at that time was doomed to tragedy.
This is the confusion of many people who go to the hospital psychiatric department at present.
First of all, all psychological or mental problems need a lot of measurement, evaluation and clinical experience judgment to be diagnosed. Even if it is diagnosed, it needs to be carefully observed and verified in the process. We must never judge anything by just a few indicators.
Secondly, the randomness of drug use is also very worrying. Most psychotropic drugs have certain negative effects. I asked several of my case owners, and almost all of them went to the hospital to listen to a few descriptions before prescribing drugs. There are not many auxiliary tools such as interviews and psychological measurement. Although some doctors may feel that they are experienced and don't need much other reference, it is related to people's physical and mental health, even lifelong problems. I hope they are more experienced and more cautious!
Thirdly, no matter what field, medicine or psychology, there is a phenomenon of uneven experience and accomplishment, which requires more consultation and judgment, rational analysis and screening, and more questions from relevant people. Now that information is developed, I believe there are many such channels.
Finally, if you and other family members have doubts about this diagnosis, it is recommended to consult more professionals related to psychology and psychiatry, and go to several hospitals or psychological institutions for confirmation before making a decision.
Generally, regular Anding hospitals will have post-examination and questionnaire survey, but because it is a mental illness, it is either heartbreak or broken leg. Take an x-ray or something, and the machine can check it out. It's a definite disease. So mental illness may also be misdiagnosed. The metaphor is that two-way is misdiagnosed as one-way depression, and depression is not only found when manic. There are also nuances that are sometimes misdiagnosed, and even the drugs taken by patients may take months or even years to determine the best plan. Therefore, the examination of mental illness itself is not perfect. Treatment is also, with high probability, the experience of seeing a doctor. But doctors should know all the symptoms of depression. It's the obvious emotional ups and downs, the strength of action. Although the doctor doesn't know why the child is depressed, it is generally no problem to judge according to the symptoms. In fact, the psychological test is not necessarily accurate, but also depends on the child's current state. It's no use hiding it. So find an expert in a professional hospital. It's quite important. But it still needs to be constantly adjusted according to the child's treatment process. Sometimes if you don't trust doctors at all, you can't be cured.
So the conclusion is to ask the child's opinion. Does he trust doctors? Then determine the treatment plan with the doctor, severe, mild or moderate. Don't get an electric shock easily unless it is acute. Taking medicine also depends on the child's reaction and communicate with the doctor more.
Apart from the experience of doctors, nothing is more accurate than checking machinery. But it makes people make mistakes. And mental illness is divided into many stages.
Text/I am stubborn
When a cold patient comes to the pharmacy, the Chinese pharmacist will ask: Do you have a headache and a fever? Do you have a sore throat? The patient may answer yes or no, or sneeze, have a runny nose and so on.
In a few words, Chinese pharmacists can basically judge the type of cold of customers.
Depression is similar.
Are you depressed and pessimistic for a long time? Do you feel that your brain is getting slower and slower? Do you often have suicidal thoughts? etc
With the above symptoms, at least it has begun to be related to depression.
Depression, patients themselves have a deep understanding, whether it is depression, patients themselves should feel.
Regrettably, many patients with depression were not alert at first, and did not take precautions, let alone completely reverse them.
Sadly, when a person is depressed and wandering on the edge of depression, he is likely to be dragged, pulled and entangled by depression, and it is difficult to extricate himself at this time. Even with the help of family, relatives, friends and doctors, sometimes there is nothing he can do.
Go to the doctor for treatment. Hidden dangers are more dangerous than open flames. Prevention is more important than Mount Tai.
When children themselves or their families find themselves beginning to have thoughts and signs of depression, the sooner they take scientific and targeted treatment measures, the faster and easier it will be to save children from the mud pit of depression.
Depression is not mysterious, depression is not terrible, early detection, early prevention, early treatment, depression will also become a tame little donkey.
Looking, listening, asking and cutting, why is the diagnosis ranked first? Because most diseases can be seen by visiting doctors. You can tell at a glance what disease the patient has and how many years he can live!
This is still a good judgment. After all, pre-depression is not a serious illness. The problem is that once depression is severe, the medicine stone will fail, and the cure rate is even worse than that of cancer. Moreover, many drugs themselves will aggravate suicidal tendencies, which is also a great burden for family members. You must accompany them 24 hours a day. Once out of your sight, you may disappear.
You can become a doctor after a long illness, let alone a professional!
Because doctors need to make money from patients. Treatment of depression is also very expensive, especially psychological counseling and treatment.