The number of words is about 4838 words
Reading time: about 5 minutes
Sections of this article:
01, I have seen many doctors, but I can't cure it
02. Why do famous experts have different reputations?
03, top experts may not be able to cure children
04, in this way, you can recover without looking for top experts
Children suffer from depression, bipolar disorder, obsessive-compulsive disorder, and even schizophrenia, and parents often become half patients, they are seriously anxious, wandering, helpless, and all the fun in life has lost color.
Many patient parents are still relatively calm at the beginning, thinking that since the child is sick, it is better to see a doctor, and many children's initial symptoms are not serious, and parents think that it is good to take some medicine and do psychological treatment.
But the opposite happened, many children do not see well in the local hospital, and the symptoms may be better after taking medicine, but repeatedly;
Some people take the medicine and the symptoms improve significantly, and the child or parent stops the drug on their own. But later, when the child encounters some negative stimuli, the condition is repeated and the drug is taken again, the effect is not obvious, and even the diagnosis becomes serious;
Some have no effect after taking the drug, and there may be various side effects.
At this time, many parents suspect that the level of local psychiatrists is not good, and they want to find better, "then take the child to the provincial capital city, go to Beijing, Shanghai, find the top hospital in China, find the top doctor, I don't believe that this disease can not be cured."
But there are also many authoritative experts in Beijing and Shanghai, and it is not easy to take a trip with their children, so many parents will check the Internet in advance and join the patient group to see which doctor has a better reputation.
But parents are confused again:
Why is it that for the same famous expert, the treatment of the same mental illness, everyone will have mixed reviews? Moreover, many people said that they went to see the top experts in China, and in the end they were not cured!
Some parents did not understand in advance, or decided to ignore what others said first, take their children to see and then say. As a result, the child looked at several top experts in Beijing and Shanghai, and took a lot of medicine, but the effect was still not ideal. The family had been out for so long, exhausted, and did not meet expectations, and the child did not want to go again.
The image comes from the Internet
So, why is this happening?
Those patients who have found a top doctor and have not been cured, in the end the problem lies in the doctor's body, the patient's body, or the patient's parent's body?
Even the top doctors in China can't see this disease well, can the child still be saved?
Today's article we will talk about these issues, answer the confusion of this part of the parents, and hope to help you understand the reasons behind it more rationally and deeply.
Because, in this way, we can find a suitable rehabilitation route for children faster, take fewer detours, and speed up rehabilitation.
First of all, why is it that for the same well-known psychiatric expert in China, the treatment is the same disease, but some patients' families say that their "magic hands rejuvenate" and "benevolent medicine and benevolence", and some patients say that "it is useless to see it" and "the more serious the treatment"?
This mainly has the following factors:
First, individual differences in patients at the biological level.
In the current psychiatric clinic, for depression, bipolar disorders and other psychosocial disorders, drug treatment is mainly taken. The reason why the top psychiatrists in China are famous, some of them are because of the experience of drug treatment is very rich and high-level.
However, each patient's sensitivity, adaptability, and side effects to psychiatric drugs are different. Some patients take effect quickly after taking the drug, and some have no obvious effect for a long time; some patients have mild side effects, some have serious side effects, and even more affect life in turn.
The body's response is different, the effect is different, and the patients' evaluation of the experts is naturally different.
Some people may ask, the drug treatment of mental and psychological disorders has a process of trial drugs, then this drug is not suitable, can't experts also adjust the drug?
This is true, but not all patients and families can rationally recognize this, and may not even realize that individual responses to drugs are different. They may have watched it 2 or 3 times, felt that the effect was not good, and their hearts were dissatisfied, so they no longer came, and the experts had not yet had time to adjust the medicine.
Second, each patient's family situation is different, the social support system is different, and the condition is different.
Some patients receive medication when their parents realize that the family atmosphere is important for their children's recovery and that there is something wrong with the past way of family education.
So they actively learned the relevant scientific spiritual psychology knowledge, began to self-reflect, change and improve, family relations and parent-child relationships have been significantly improved.
This practice will relieve the child's psychological pressure, relieve emotional symptoms, coupled with the effect of drugs, the child can recover faster.
However, some patients are not so lucky, their family relationships may be more complicated, there are many contradictions, and the parents' awareness of self-reflection, change and improvement is relatively weak. Some parents may also inadvertently continue to cause psychological harm to their children, resulting in violent fluctuations in their children's mood.
Even if the drug has a certain effect, it is also offset by this family conflict and negative stimulation, which cannot be simply attributed to the level of psychiatrists, or the child's medication is not good.
In addition, for the same type of disease, such as two patients with depression, but the superimposed psychological trauma they have suffered is different, the degree is different, and the number is different. In addition, whether the two people have comorbid addiction, obsessive-compulsive disorder and other mental and psychological disorders are also different, and more importantly, the degree of "personality abnormalities" is often quite different.
Some patients are just "paranoid personality changes", and some patients have reached the level of "paranoid personality disorder", and the rehabilitation in this area is difficult to solve through drug treatment, common psychological counseling/psychotherapy, not to mention that many psychiatrists are not aware of the problem of "personality abnormalities".
Third, patients and parents have irrational views on relapse.
Many patients have recovered from their daily lives and studies after taking the drug and gradually stabilizing their condition, and their children and parents are very happy.
But life has never been smooth, not to mention that many children get sick and have learning disabilities. Even if his mood is stable, his learning efficiency is still lacking, and he is prone to some blows in learning.
That is to say, many patients will encounter negative stimulus events during the recovery process, which may come from learning, interpersonal relationships, the Internet, or unexpected events, and then have certain emotional fluctuations.
In fact, during the recovery process, this fluctuation is normal. Some parents know how to treat it rationally and scientifically, and soon appease their children and guide their children to actively solve them. They will have certain concerns, but will not think that it is a recurrence.
However, some parents are very anxious, and even the parents themselves are mentally impaired, and immediately begin to think disastrously, thinking that the child has relapsed, and then questioning the level of the psychiatrists they have seen before. They do not understand the scientific response, but may further stimulate the child, the child is more and more serious, and finally the mental collapse again, really relapse, parents naturally more deny the previous psychiatric experts.
That is to say, when patients fluctuate during the recovery period, there are often psychosocial factors behind them, and it is likely that superimposed psychological trauma is activated, which cannot be blindly attributed to experts and drug treatment.
In addition, whether the patient takes the drug in accordance with the doctor's instructions (no unauthorized drug suspension, drug reduction, etc.), whether there is psychological, sports, nutritional support and other supplementary treatment at the same time, whether the psychological treatment received is professional, and many practical factors will affect the rehabilitation effect.
Therefore, if the child receives medication from a top psychiatrist, if the condition improves significantly, we cannot think that this is all the credit of the drug treatment and experts; and if the condition does not improve significantly, or even worsens, it cannot simply be considered that "the level of experts is vain" or "the drug treatment is ineffective".
Parents should rationally analyze on the basis of in-depth knowledge of scientific spiritual psychology, and overly simple attribution will lead children and parents to ignore the deep-level problems behind mental and psychological disorders, such as the repair of superimposed psychological trauma.
Once the treatment is not smooth, it is easy to bring secondary harm to the child, and the child will instinctively resent it as soon as he hears "expert" or "high level", and finally rejects all drug treatment and psychotherapy, completely self-enclosed.
The second question is whether parents with their children to find the top psychiatric experts in China can cure their children's depression, bipolar disorder, obsessive-compulsive disorder, etc.?
Or if the parents have the resources and conditions and can't figure it out in the country, then take the child abroad and find the best psychiatric experts in western developed countries such as the United States and the United Kingdom.
The answer is clear: not necessarily.
And in addition to the economic cost, this process also takes a lot of time, and the child's condition may continue to deteriorate and develop, but delay the timing of treatment.
Parents need to understand the difference between clinical cure and complete recovery.
In medicine, clinical cure means that after a patient has a disease, after a series of clinical treatments, the symptoms can disappear.
For mental and psychological disorders, it means that after the patient is treated, his symptoms basically disappear and his basic social functions are restored, which means that he is clinically cured. However, it does not necessarily mean that the withdrawal of drugs has been achieved and the social function has been fully restored to the pre-illness period.
Moreover, mainstream psychiatry believes that depression and bipolar disorder are "chronic diseases", although I do not agree, but psychiatry at home and abroad believes that even if the patient reaches a clinical cure at a certain stage, there is a certain risk of recurrence in the follow-up.
This is very different from the "complete recovery" that parents understand and hope for.
Parents hope that their children can have all their symptoms gone, remove their medications, live, study, work normally, maintain a good relationship with their families, and be positive. In short, parents want their children not only to change back to the good they were before, but also to be better.
This expectation is difficult to achieve for current psychiatry, both at home and abroad. If we go a little deeper, this is determined by the limitations of the current discipline of psychiatry.
Many disciplines in clinical medicine have developed very quickly and the research is very in-depth, such as the most common "internal and external women and children" department, the causes of many common diseases have been very clear, the treatment methods are also very targeted, and even developed to the "precision medicine" stage, medicine to the disease.
But in contrast, psychiatry is still very "backward". Depression, for example, is already the most common mental illness, with a growing incidence. However, mainstream psychiatry still does not understand the exact cause and pathogenesis, and can only use drug treatment and physical therapy to treat the symptoms, rather than the root cause.
Therefore, the disciplinary limitations of psychiatry determine the "ceiling" of the diagnosis and treatment level of mainstream psychiatrists, which is a fact that is difficult to change in the short term.
Our sunny day psychology is not a mainstream psychiatric department, and we have long adhered to the multidisciplinary diagnosis and treatment model (MDT), mainly through systematic and in-depth psychological intervention to solve the disease.
Through clinical psychological intervention, the true causes of most mental and psychological disorders such as depression, bipolar disorder, and obsessive-compulsive disorder are related to psychosocial factors, and are pathological memories based on superimposed psychological trauma and supplemented by pathological positive emotional experience.
Of course, this finding is still not recognized by mainstream psychiatry. However, many patients' parents recognize this, they try drug therapy, physical therapy have found that it does not work, that "heart disease must also be heart medicine", should be psychologically solved deep-seated problems, children can really recover.
If that's the case, isn't it possible to find a top psychotherapist to cure the child?
On the whole, professional psychotherapy can alleviate mental and psychological disorders. But this is the same as "on the whole, psychiatric drug treatment is effective", effective does not mean that complete recovery can be achieved.
At present, the mainstream psychological counseling/psychotherapy school mainly stays at the level of people's explicit memory, and fails to penetrate into the level of implicit memory. Even cognitive behavioral therapy (CBT), the most recognized psychotherapy method in modern medicine, and even mindfulness therapy and dialectical behavior therapy have been developed.
That is, most counselors/psychotherapists can only deal with events and feelings that patients and parents can remember and realize. This makes it difficult to deal with pathological memories that children suffer early on, have been forgotten but stored at the level of implicit memory.
But this part of the pathological memory is the psychological root of the mental and psychological disorder. Therefore, at present, mainstream psychological counseling/psychotherapy is difficult to effectively solve mental and psychological disorders. Patients can try if they want, but parents should guide their children in advance to reduce their expectations appropriately and treat them rationally, otherwise they are prone to secondary injuries.
In addition, a well-known psychiatrist does not mean that his clinical diagnosis and treatment level is high and his clinical practice experience is rich. It's like a lot of well-known surgeons who focus on scientific research, but have little real clinical practice experience and poor surgery techniques. In many hospitals, the level of surgery of a surgical expert is not high, the anesthesiologist is the most clear, and the doctors in other departments often do not understand, only know that this expert is very famous.
The same is true of psychiatric experts, many well-known experts are good at doing scientific research, published a number of academic papers with gold content, and often attend academic seminars and seminars. However, his clinical experience is not necessarily better than that of lesser-known psychiatrists.
For this, parents should know more about their resumes and experiences before looking for a specialist, which will help them to make better judgments.
The above analysis of the limitations of mainstream psychiatry and psychotherapy, I don't know if parents will be very pessimistic after reading it: Since finding top experts can't cure it, is this the case for children in this life?
Of course not!
Finding top experts may not necessarily cure children; but conversely, not finding top experts does not mean that children cannot be cured.
Here are a few important tips that children are more likely to speed up their recovery if they can actively do it:
First, it is more important to find a psychiatrist that your child trusts than to find a top psychiatrist.
When many parents seek medical resources, they always search and make decisions on the Internet, and never think of asking their children for advice.
In fact, now is the Internet age, children are "the natives of the digital planet", they will also check the Internet after they get sick, and may check more deeply and carefully than their parents.
Parents are best to ask their children for advice, and if the child approves of certain psychiatrists and the actual conditions allow, it is best for parents to take their children to the doctor.
This tends to have a better effect, because the child's trust in the doctor can have a placebo effect. Even if the effect is not as good as the child thinks, the understanding, respect and support of the parents can also give the child psychological comfort and improve the parent-child relationship to a certain extent.
Second, parents deeply reflect, change and improve themselves, sincerely apologize for the harm caused to their children in the past, and consciously improve the parent-child relationship and family atmosphere, which is equivalent to an effective self-family therapy.
Third, parents actively learn scientific spiritual and psychological knowledge, try to analyze what superimposed psychological trauma is behind their children's depression, bipolar disorder, and obsessive-compulsive disorder, and then consciously repair it.
The improvement of family relations and parent-child relations is a kind of repair. In addition, children may have suffered from superimposed psychological trauma from school, society, and the Internet, and parents can use the trilogy of benign communication - empathy, listening and positive guidance to communicate with their children in depth and understand their children's ideas.
I hope that parents will not pin their children's hopes for recovery on psychiatrists, and do not think that as long as they find top experts, their children's illness will be better. Parents realize this in time, deeply self-reflect, change and improve, and children still have the opportunity to survive the ordeal and return on a sunny day!