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Sections of this article:
01. Two common types of patients with PTSD
02. Patients with PTSD have suffered from superimposed psychological trauma
03, the small things in the eyes of most people can also bring huge psychological impact
Previously, we analyzed in detail the mainstream treatment modalities for post-traumatic stress disorder (PTSD), including commonly used psychiatric drugs, as well as the efficacy of cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing therapy (EMDR) for PTSD.
The article also mentioned that our sunny day psychology diagnosis and treatment model is not a traditional, mainstream model of psychiatry, nor is it a traditional psychological counseling or psychotherapy, when dealing with PTSD, we mainly focus on systematic deep psychological intervention, but not the CBT and EMDR mentioned above.
Many readers wonder, so how did you intervene in PTSD? Clinically, the PTSD patients we receive can be divided into two categories.
One is that the major traumatic events suffered by patients are very clear, but also relatively single, the duration of illness is not long, the symptoms are not complicated, and the main diagnosis is PTSD.
Another type of patient is that PTSD has been suffering for a long time, the condition has been constantly developing, changing, has become chronic, and has suffered from other aspects of superimposed psychological trauma in addition to major traumatic events.
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In addition to PTSD, such patients often have symptoms of depression, bipolar disorder, obsessive-compulsive disorder, and addictive disorders, and even meet the diagnostic criteria for these diseases; some of these are secondary to PTSD, and some are related to other pathological memories.
Also, if PTSD drags on for a long time, many patients will have personality abnormalities. Juvenile patients are mostly paranoid personality changes, or even antisocial personality changes, and still have a certain ability to self-reflect. Adult patients may reach the point of paranoid personality disorder, severe lack of self-reflection, and great paranoia.
Of course, if it is a student patient, many will also have serious learning disabilities, have to take a break, and even try to return to school but fail. The student's priority is to learn, and if the learning is not possible, it will seriously hit their self-confidence and be very detrimental to recovery.
So, the first step we have to do is to analyze which type of patient they belong to, that is, to make a clear, accurate, and comprehensive diagnosis as possible. Because the severity and complexity of the two types of disease are different, the specific intervention methods will also be different.
In addition, before these patients find us, they often have seen many psychiatrists, including top psychiatrists in Beijing, Shanghai, Sichuan and other countries, and have received drug treatment.
If the patient is still taking the medication, then I would advise them to keep it, which is conducive to relative emotional stability. Wait until our psychological intervention has obvious effects, and then quickly withdraw the drug.
If the drug has been discontinued, we generally do not prescribe drugs, unless the patient's symptoms are urgent, or severe insomnia, we will appropriately use drugs to control symptoms, to ensure the patient's personal safety and the smooth development of psychological intervention.
For the first type of PTSD patients, due to the relatively simple condition, we will directly use deep hypnosis trauma repair technology (TPTIH) to repair major psychological trauma, greatly alleviating or even eliminating the corresponding symptoms.
According to our clinical psychological intervention experience, psychological trauma can be divided into at least 4 aspects: strong negative emotions, distorted cognition, trauma scenes and pictures, and uncomfortable somatic feelings.
The same trauma often brings several strong negative emotions, such as depression, anger, fear, etc. Behind each negative emotion there are different distorted cognitions, which must be dealt with one by one.
Therefore, for the same traumatic event, especially more serious, a deep hypnosis under trauma repair is often not solved, may need to be carried out several times, in order to deal with more in-depth.
After each deep hypnosis, cognitive reinforcement interventions should be carried out to guide patients to more deeply understand the impact of trauma at the level of consciousness, and to consciously replace the distorted cognition of the past with positive and rational cognition.
In addition, we will also carry out family therapy, eliminate learning barriers, and shape high inverse quotient to help patients better return to normal learning and life, and establish a more and more courageous personality.
However, in patients with the second type of PTSD, the psychological intervention process is more complicated because there are many concomitant/comorbid symptoms.
First of all, if patients have personality abnormalities, especially paranoid personality changes, or paranoid personality disorder, they will appear sensitive and suspicious, stubborn, extreme, and not easy to truly trust others. The patient's family may also have this problem, or even more severe.
Then we need to spend a long time to establish a relationship of trust with them and improve their recognition and cooperation with us. Because deep hypnosis trauma repair technology (TPTIH) also has certain limitations, patients must be highly recognized and cooperative with hypnotherapists, otherwise it is difficult to achieve good results.
Only when parents highly believe in and recognize us can we listen to our supervision and suggestions, deeply reflect, change and improve ourselves, and children can recover faster and better.
Therefore, we generally only accept patient families who trust and recognize us during the face-to-face treatment, which can save a lot of time for establishing trust in the early stage, which is beneficial to both parties and has a better effect.
After initially obtaining the high trust and recognition of patients and parents, we also need to sort out the relationship between those concomitant/comorbid symptoms and PTSD, and judge the order of treatment of different symptoms.
If certain symptoms are not directly related to major traumatic events, but are currently very distressing to the patient, such as severe insomnia, often inexplicable loss, and anxiety, then we may consider using deep hypnosis trauma repair technology (TPTIH) to deal with these problems first.
When these symptoms are quickly alleviated or even eliminated, patients and parents are often very happy, the trust and recognition of us will be further increased, and the patient's mood will be more stable and more confident in recovery. This will make the follow-up psychological intervention more smooth.
Even after dealing with PTSD symptoms first and repairing major psychological trauma, we still have to deal with the concomitant/comorbid symptoms of such patients, including learning, family conflicts and many other real-world problems. Because if these problems are not solved, the long-term effects of trauma repair will be significantly affected.
For example, family conflicts, if parents can not deeply self-reflect, change and improve, continue to cause psychological harm to the child, when the child's mood fluctuates violently, there is catastrophic thinking, and the effect of major trauma has been repaired is easy to be denied by the child, resulting in fluctuations in the condition.
In fact, in a strict sense, even if the first type of PTSD patients mentioned above are the ones with a relatively single condition, our clinical practice has found that the psychological trauma they suffer is not single.
Because after the occurrence of major traumatic events, patients also have to face the real pressures that come with it, such as parents do not understand when they talk to their parents, and even want to make big things small things; when they defend their rights, they are not smooth; they are pointed out and ridiculed and excluded by people around them; they cannot go to school because of the symptoms of PTSD... These follow-up events will bring new superimposed psychological trauma.
Also, many people have encountered major traumatic events, but why do some people slowly ease up and some people have PTSD? This is related to the patient's personality characteristics and ability to resist stress.
The so-called introverted timidity and weak ability to resist stress are often related to the superimposed psychological trauma of the patient's growth period. If there is enough time for psychological intervention, we will also deal with this problem, quickly help patients rebuild their positive personality, and it is no longer easy to form psychological trauma in the follow-up.
In other words, from this point of view, there is no simple, single major psychological trauma, but there are superimposed psychological traumas before and after the traumatic event. It's just that some people accumulate more and longer, and the symptoms of concomitant/comorbid disease are more; some people are less, and they mainly only manifest as PTSD.
At the same time as the above trauma repair, when the patient's condition has a significant relief, we will begin to guide the patient to quickly reduce the drug, and even finally achieve withdrawal. Patients may have mood swings during the drug reduction process, which often means that deeper trauma has emerged, and we will continue to repair and deal with it in depth.
In clinical practice, we have found that some negative injury events are not a big deal for many people, nor can they meet the standards of traditional and mainstream psychiatry for major trauma, but in terms of symptoms and psychological impact, it is to cause great psychological trauma to patients, resulting in PTSD.
For example, we have a graduate school girl who has received a very conservative sex education since she was a child, and she feels that sex is dirty and bad. After puberty, she began to develop sexual impulses, which would have been very normal, but she suppressed them all and felt disgusting.
In the four years of college, she concentrated on reading, never interacted with the opposite sex, and continued to suppress herself. In graduate school, her parents hinted that she was going to be treated, and introduced her to a boy from her hometown.
She chatted well with the boy on the phone and initially established a relationship. Later, the boy came to see her in the city where she was studying, and she was a little disappointed when she saw the real person. In the evening, the boy took her downstairs to the school dormitory and said, "Do you want to invite me to visit your dormitory?" Anyway, you also said that the roommate was not there."
This sentence made the girl very shocked, angry, and disgusted, thinking that the boy was thinking of her dormitory and having sex with her.
In the end, what is the purpose of this boy, we do not know, but even if the girl thinks, it will not cause great harm to most people, most of them are found to meet the scumbag, scold a few words, and then quickly break up.
But the girl soon developed PTSD symptoms, repeatedly remembered the scene of that night, and even lost consciousness of the surroundings when she was serious, suddenly her eyes were sluggish, she couldn't hear others talking, and she would talk to herself and lose her temper with the air, and it took a while to ease up.
Later, she developed a series of psychosocial symptoms and was unable to complete her studies. She blamed all the blame on the boy, and when she talked about it, she called him a "scumbag" and was very paranoid.
Therefore, some negative events many people feel that the harm is not big, not too concerned, but for some people "not much harm, but extremely insulting", and even lead to PTSD. Why is that? In the final analysis, it is still different from everyone's growth background and experience, and there will be a huge difference in the feeling of facing the same thing.
This actually involves the issue of the three views. There is no absolute right and wrong in the three views, but if it is very old and backward, inappropriate or extreme, it is easy to suffer psychological shocks in reality.
The three views of the individual have a lot to do with the three views of parents, family education methods, and the limitations of the times. Therefore, if parents want to reduce the risk of their children suffering from PTSD, in addition to consciously guiding their children to shape high contrarian quotient, they must also be aware of whether their three views are rational, positive, and keep pace with the times.