Case analysis of mental health education course 1 Patient: Wu Mou, male, 19 years old, a sophomore in a university. My family has no history of mental illness and genetic diseases, and my physical examination is normal.
He comes from a worker's family and has a younger brother. Parents are strict with him and his brother in life, but they are not strict with their children in study. Before entering high school, Wu Mou was in good physical and mental condition, cheerful and stubborn, studious and enterprising, with excellent grades and good relations with classmates. After entering high school, the head teacher suffered a long period of mental stimulation because of improper working methods.
Wu Mou said? From the third year of high school to the university, I was depressed for a long time and felt uninterested in everything. I am often upset, have difficulty in learning, and my exam results are at the lower and middle level. Now, I feel gloomy and have no confidence in the future. I don't get along well with my classmates either. I'm on tenterhooks all day and don't want to tell anyone. I often feel exhausted, sometimes I feel short of breath, palpitations, chest tightness, extreme pain and boredom, and sometimes I have suicidal thoughts. I want to restore my normal physical and mental state as soon as possible, but I can't find a correct and effective method. This state has lasted for more than three years. ?
Psychologist:? You might as well recall how you were in this state of mind. For example, recall an event that gave you great excitement. ?
Wu Mou:? What I remember most is the injustice done to me by the head teacher in high school. Once, the head teacher asked my father to do a private matter. My father is a serious man. He thought it was against the principle, so he refused the head teacher. The head teacher deliberately made things difficult for me in order to get revenge. When my academic performance is excellent, the class teacher will criticize me for arrogance in class. If I don't do well in the exam, he will criticize me by name in class, saying that my learning attitude is not correct, my learning methods are ignorant and I am willing to fall behind. What is even more unbearable is that the class teacher also instigated other teachers to provoke me and used various means to make my classmates ignore me. Whenever something is lost in class, the head teacher will ask me by name in class. Worst of all, he also made a rumor that I had a relationship with a girl, with bad style, bad thoughts, dirty hands and feet and so on. Because of what he did, I became a loner at school, and almost no classmates interacted with me. Even my neighbors are wary of me and won't let their children associate with me.
When my parents heard these rumors, they didn't discriminate and didn't listen to my excuses at all. They kept cursing, beating and cursing. My parents also ordered me not to leave home except during school hours. I struggled through my high school life in such a harsh environment. At that time, I was depressed and depressed, but I had nowhere to tell, and I was always depressed. When I was in the third year of high school, I felt extremely tired physically and mentally, and I often suffered from insomnia. Falling asleep was also a constant nightmare. All this makes me feel that life is worse than death and I want to commit suicide. But I'm not reconciled. I think, if I commit suicide, people will not sympathize with me, but will only say that I am really a worthless person. I will put all my thoughts on my study and swear that I must be admitted to the university. In my opinion, only by going to college can I win a sigh of relief for myself, leave that hellhole and leave those little people.
? However, after I was admitted to the university, my mood never improved. The study burden is heavy, and the relationship with classmates is still not good. After the next school year, the results in all subjects are not satisfactory. I think it's really an old saying: the world is as black as a crow? ! Many students have quarreled with me, and many students are unwilling to associate with me. I really feel that life now is meaningless and boring. I have a bad temper now. If someone hurts me, I won't let him feel better. My physical condition is getting worse and worse. I feel weak, palpitation, chest tightness and shortness of breath. Sometimes I feel nervous for no reason. When you are nervous, your language is not fluent and you are tongue-tied. I have never stuttered before. ?
When Wu Mou made the above statement, his expression was numb, his face was haggard, his eyes were dull, he had difficulty speaking, and his speech speed was slow, but he was conscious and could tell his medical history systematically.
Analysis and diagnosis:
Because Wu Mou has been treated unfairly for a long time, his mental trauma is serious and his mood is very low. He has formed a withdrawn and suspicious morbid personality, distorted self-consciousness and suicidal tendency. At the same time, Wu Mou has suffered from a certain degree of neurasthenia because of her long-term resistance to external pressure, great physical strength and energy to take the college entrance examination, and unbearable learning tasks in the university. All these made him encounter obstacles in the process of adapting to the collective life of the university.
Psychologists tested him with 16PF. The results showed that among the secondary personality factors, his mental health level was low and his anxiety level was high. Among the sixteen personality factors, the scores of stability, bullying and excitability are low, while the scores of intelligence, neuroticism and sophistication are high. In this state of mind, Wu Mou presents melancholy symptoms such as bad mood, low mood, no interest in life, depression and sadness, feeling that life is meaningless and the future is hopeless. The above symptoms obviously reduced their learning efficiency and quality of life, and lasted for more than three years. Because there are no brain organic diseases and other physical diseases in Wu Mou, it should be diagnosed as depression.
Treatment plan:
Supportive psychotherapy is mainly used. First, let Wu Mou pour out all the depressed feelings that have been suppressed for many years from his heart, and then explain the causes of these symptoms, so that he can correctly understand his current psychological problems and their nature, correct his one-sided understanding of society and interpersonal relationships, and thus objectively treat others and the real life problems he encounters. Secondly, it analyzes the advantages of Wu Mou, and gives specific guidance on the methods of interpersonal communication.
Case analysis of mental health education II. Analysis of children's situation: Shi Bo, female, four years old, introverted, quiet, with balanced development of various abilities, can take care of herself in daily life such as eating and dressing, but her children are slow to integrate into the new environment and lack self-confidence and security. Mainly manifested in; 1. There are very few partners since the beginning of school, and they are basically the partners of the original small class; I didn't want to communicate with the teacher at first. Under the guidance of my teacher, I spent nearly half a month just asking without answering, never asking, and never saying superfluous words to my teacher. 2. Sign in for work: When children sign in every day, after answering the teacher's questions, they must first look at the teacher and get the teacher's affirmation before they dare to operate, as long as it is about a single operation? Asking questions needs the encouragement and affirmation of the teacher. In fact, her answers and choices are all right. 3. Children will be upset by parents' seemingly ordinary joke.
Two. Observation example:
On this day, she entered the park as usual and completed the sign-in work under the guidance and encouragement of the teacher. The difference is that she was extremely reluctant to stay for the first time. The child was lying on the guardrail, looking at the eyes of the cloth downstairs and playing games with the child, crying and refusing to stay because his mother was leaving. Finally, mom? Cruel? The moment she left her, she was desperate? Wow? I cried out. With the teacher's appeasement, time passed and the game began, she stopped crying and still showed a very unhappy look. She didn't want to take part in the game and sat alone in the hut. No matter how wonderful the game was, no matter how much the teacher advised her, she didn't say a word and kept choking.
3. Communication with parents:
When we reflected this situation to my mother, my mother said a seemingly ordinary sentence:? Maybe it's because the child's father joked with her again in the morning, saying that you will go to kindergarten today, and we will all go to relatives' houses to drink, so you can't go. She is still thinking about it, so she is in a bad mood. ? After the phone call, I asked about the child, and the child nodded while crying, fearing that mom and dad would leave her. When I used the school shuttle time to communicate with my mother about my child's recent situation, my mother said: The child is timid. Go out to play with other children. Some children fight for toys or bully her. The children just cry and don't say anything when they ask. Just shake your head and nod; Sometimes when I go home and ask her what she learned in kindergarten or ask some children's songs, I don't say anything, but when I accidentally find her performing alone, she stops as soon as she sees us; When you arrive at a strange place, or meet a stranger, you hold on to your clothes tightly, indicating that you don't want to get close. The mystery of unwilling to go to school has been solved, and new questions have emerged. Why do children care so much about this sentence and show such a strong reaction to this sentence? From the perspective of infant psychology, children are insecure.
Four. Advice to parents:
Because children are introverted and lack self-confidence and security, parents need to do the following when encountering new environments and new things:
1. Encourage and affirm in time, and criticize less. In daily life, when doing homework or trivial things, we should pick out good places to encourage and praise her, give her affirmation in time, guide her slowly and help her to be confident as much as possible.
2. Children experience many things every day. Happy and unhappy people are reluctant to express. They hide in their hearts, accumulate over a long period of time, and virtually produce pressure. We should help children release stress in different ways. For example, draw a picture, give the child a piece of paper, let the child draw casually, draw whatever he wants, learn about the child from the child's painting, slowly guide the child to say what he thinks, and encourage the child to share. This will not only help children release pressure, but also cultivate their communication skills, imagination and painting creation ability.
3. Take children to the children's playground to meet their peers, guide and encourage children to meet new friends and help them establish good interpersonal relationships.
Pay special attention to the way of communication with children, which means: mom loves you and won't leave you, you are our darling, etc. And some words that are close to feelings and build a sense of security. On the basis of children feeling completely safe, give them appropriate jokes, so that not only life is full of joy, but also the parent-child relationship will be closer.
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