"Bedwetting" is a stage that small children go through, but if you wet the bed regularly after the age of 5, you may be sick. The 11-year-old wetting bed for half a year, to the hospital examination did not find any problems in the urinary system, and then in Shenzhen Longgang District Third People's Hospital (hereinafter referred to as "Longgang Third Hospital") director of the Department of Psychiatry Wang Fei found the root cause of the problem, it turned out that the family had a younger brother after the "fall out of favor" caused by psychological anxiety and depression, so that suffered from "children's enuresis".
Bedwetting for half a year, in the psychiatry department to find the cause
She hasn't wet her bed since she was 2 years old, but since half a year ago, she wet her bed almost every week, even in school. The daughter was originally more shy, coupled with the fact that this problem was ridiculed by her classmates, it made the child tired of school, and the grades plummeted. Speaking of her daughter's changes in the past six months, her mother was very worried, "At the beginning, once a week, we didn't pay attention to it, and even joked that she was the same as her 2-year-old brother." "
After going to urology and nephrology to eliminate problems in the urinary system, through the doctor's advice, the mother took her daughter to the psychiatry department of Longgang Third Hospital for treatment. After Wang Fei initially understood the situation, he arranged several psychological tests for Him in a targeted manner. Judging from the results of the questionnaire on adolescent psychological status and adolescent life events, the scores of learning pressure and interpersonal relationships increased significantly, and the anxiety and depression mood index was also more prominent.
▲ Wang Fei looked at the psychological assessment form.
After the doctor's patient inquiry, Mi Ji finally said his long-hidden inner thoughts: "Since I had my brother, I have to let him do anything." My brother was asleep and I spoke loudly and my father would scold me, and if I resisted, my father would beat me with a belt. They don't love me but only my brother, they only care about whether I study well or not. He became anxious, depressed, sensitive, and hostile, unwilling to share his things with his brother, unwilling to take his younger brother to play, and even taking advantage of his parents' lack of attention to secretly scold and tease his brother. In order to regain the attention of her family, she also learned to speak some childish language in her brother's tone, drank her brother's milk powder with a bottle, and cried like her brother when she encountered unhappy things, and many behaviors deteriorated. "Bedwetting is also a manifestation of behavioral degeneration, and if a child is over 5 years of age and has an average of two bedwettings per week for three months, it may be enuresis in children." Wang Fei said.
Listening to this, Miao's mother suddenly realized that she did ignore her: "Indeed, I was very concerned and pampered for my sister before, and after I had my brother, the whole family mainly revolved around my brother, and I always wanted my sister to let my brother, and I only paid special attention to my daughter in my studies, ignoring my psychological needs. "
Children's enuresis, scientific education from the psychological cure
Wang Fei introduced that the etiology of enuresis in children is complex, and it is related to many factors such as the central nervous system, physiological rhythms (sleep and urination), bladder dysfunction, urodynamics, delayed maturity of arginine vasopressin secretion, heredity, and various stress events and psychological trauma. Heavy maternal smoking and maternal pregnancy of less than 20 years of age also increase the risk of enuresis in children.
The pathogenesis of the disease is mainly due to the problem of sibling relations caused by a series of degenerative behaviors in children. The deterioration of a child's behavior is related to the parents' parenting style, their own personality, and insecure attachment relationships. Parents overprotect and take care of their children, it is easy to form a self-centered and wayward personality, once this attention is reduced, they will naturally blame others; introverted, unconfident children, hope that they can enjoy the love of their parents exclusively, not willing to share with their younger siblings. Children with insecure attachment do not trust the object of attachment and have higher anxiety or avoidance tendencies in their usual interactions. Just like the younger brother, once the parents' attention turns to the younger brother, they will feel neglected, thus showing more jealousy, negative emotions and degenerative behavior.
▲Dolls are placed on the bookcase of the clinic to alleviate children's psychological pressure.
For children's enuresis, Wang Fei gave advice from the aspects of parental education and diet and medication.
Parents should treat their children equally, especially in multi-child families, pay special attention to their children's psychological needs, and give equal understanding, communication and listening when children have problems with emotions and behaviors. At the same time, to give children a sense of responsibility, encourage them to learn to share, accept children's sharing and immediately praise this behavior, can strengthen the child's habit of loving to share, change the "self-centered" self-awareness.
To be the judge of the child, first be the lawyer of the child. It is inevitable that parents will compare two children, in the name of 'I am completely for your own good', like a judge to accuse and criticize the child, and even punish the child, but rarely put themselves in the child's shoes like a lawyer to think about the problem and defend the child's legitimate rights. Wang Fei specifically pointed out that "'comparative education' works when children are young, but it will make children feel anxious and depressed." When the child reaches the age of twelve or thirteen, with the improvement of self-awareness, it is easy to use this method to produce resistance, which is the arrival of the so-called rebellious period, only by readjusting the parent-child relationship with the child, starting from the child's psychological needs, can the child open his heart and become a confidant who has nothing to talk about. "
In terms of diet and medication, Wang Fei suggested that at night, drink as little soup, drink water or eat watermelon as much as possible, encourage children to carry out bladder function training, the most commonly used is to interrupt the urination method, that is, consciously interrupt in the middle of urination, and then maintain for a few seconds, and then re-urinate, repeat many times, can increase the contractile function of the urethral sphincter. If the effect of non-drug treatment is not obvious, it is possible to consider using the drug under the guidance of a doctor, but pay attention to adverse drug reactions.
In the eyes of the psychologist, although it is the child who has psychological problems, in fact, the root of the disease lies in the parents." After more than a month of bladder function training and parent-child relationship adjustment, She is no longer enuretic, and can play happily with her brother, and a cute smile appears on her face.
Shenzhen Evening News reporter Cheng Wenli correspondent Zheng Hongyan
【Source: Shenzhen Evening News】