After entering the middle-aged and elderly stage, many people will pay special attention to and be nervous about their physical health.
When you feel unwell or see a friend or family member pass away, you worry even more about yourself.
There are even some people who often suspect that they have physical problems, repeatedly seek medical treatment, and always feel that the doctor's diagnosis is inaccurate and their families do not understand themselves.
Why do they behave this way, and how can they improve it?
Guangzhou psychological counseling for your interpretation
"My husband is only 40 years old this year, and others say that he is upright and mature, but he always feels that others say that he is old, and saying this is comforting him."
In the past year or so, he has always felt unwell, first of all, his heart is uncomfortable, his heart is panicked, and he went to the hospital for examination, which is normal.
He also said that his right arm was weak, his vision in his right eye was reduced, and his leg was uncomfortable. Recently, it has been said that there is a bag behind the head, which must be a variety of symptoms of the right half of the body caused by the brain tumor.
Went to the hospital to see the doctor and said nothing. But he didn't believe it, he was always worried, anyway, he felt that he had a very serious illness, and even felt that his family and doctors were hiding from him.
His family couldn't convince him, and sometimes when he talked about him, he had a big temper and felt that we didn't care about him.
I think he has a serious mental illness, will he get depression if he goes on? What to do, ask for help. Thank you!"
Interpretation of Psychological Counseling in Guangzhou:
Judging from the situation described by the wife, the husband's current situation is indeed very likely to be caused by psychological factors, and there is also a certain possibility that he has a suspicious disease.
But in general, it takes great care to determine whether it is a hypochondriac condition, usually after multiple professional examinations to determine that there are no organic lesions.
Also, hypochondria usually has a condition in which he cares more about getting diagnosed than getting treated.
1. What is hypochondriasis?
"Hypochondriasis", also known as "suspected neurosis", is currently classified as somatic form disorder, which mainly refers to the patient's fear or belief in having one or more serious physical diseases, and the patient complains of somatic symptoms and repeatedly seeks medical treatment.
Although repeated medical examinations are negative and doctors give medical explanations for the absence of the corresponding disease, they do not reassure the patient, often accompanied by anxiety or depression.
The disease usually occurs before the age of 50 years, is a chronic fluctuating course, and can occur in both men and women.
2. Diagnosis of hypochondriasis
1. Meet the diagnostic criteria for neurosis.
2. Suspected symptoms as the main clinical signs, manifested as at least one of the following.
(1) Excessive concern for physical health or disease, the severity of which is obviously disproportionate to the actual situation.
(2) Make a suspicious and pathogenic explanation of the physiological phenomena and abnormal sensations that usually occur.
(3) A firm suspicion of the disease, lacking sufficient basis, but not delusional.
3. Repeated medical treatment or repeated requests for medical examinations, but the negative test results or the reasonable explanation of the doctor cannot dispel concerns.
4. Exclude obsessive-compulsive disorder, depression, paranoid psychosis and other diagnoses, suspected symptoms are not limited to panic attacks.
Third, the relevant factors that induce hypochondriasis
1. Personality trait factors
The personality characteristics of such patients are sensitive, suspicious, subjective, stubborn, cautious, excessive attention to the body, very beautiful requirements, male patients often have a compulsive personality before illness, and women are related to hysteria.
2. Psychosocial factors
Such as the change of marriage, the separation of children, the reduction of friends, loneliness, the stability of life is affected, and the lack of security can become the cause of the disease.
Some patients are worried that they will follow suit because a relative, friend, or neighbor has died of a serious illness.
When you see someone else with cancer, you will feel that you will also have cancer, and you will be suspicious through self-suggestion or association.
In addition, the doctor's inappropriate words, attitudes and behaviors cause the patient to be suspicious, or the doctor makes an inaccurate diagnosis, or is improperly treated, or is forced to undergo surgery, etc., and repeatedly asks the patient to do some examinations, which prompts the patient to suspect that he has a certain disease.
People in puberty or menopause are more likely to have autonomic instability, such as palpitations, hot flashes, etc.
Excessive sensitivity, attention to, and even misinterpretation of such physiological phenomena is one of the causes of suspected discomfort.
Fourth, the treatment of hypochondriasis
After the medical condition is ruled out and the diagnosis is confirmed, the patient should be advised to stop unnecessary tests. The treatment of hypochondriasis is generally based on psychotherapy, supplemented by drug therapy.
1. Psychotherapy
It is mainly based on supportive psychotherapy, establishing a good relationship with patients and helping them realize that the essence of their problem is not a physical disease, but a psychological problem.
According to the causes of their problems, targeted consultation programs are formulated to help them have a scientific and reasonable understanding of the nature of the disease.
Morita therapy can have a certain effect on eliminating suspected diseases; Cognitive behavioral therapy techniques can provide new information to help patients change their perception of symptoms, from enabling patients to recognize the true causes of these somatic symptoms.
2. Medication
Drug treatment is mainly for the patient's depression, anxiety and other emotional symptoms, according to the degree of anxiety and depression of the person concerned is recommended to go to the hospital for help, the use of anti-anxiety and antidepressants.
For cases that are really difficult to treat, small doses of atypical antipsychotics, such as quetiapine, risperidone, etc., can be used to improve efficacy.
Guangzhou Psychological Counseling Reminder:
If the person's behavior is determined to be a hypochondriac, the family's persuasion of the husband may make him feel that he is sick, and you not only do not believe but do not care.
In the face of such thoughts and attitudes of the husband, it is best for the family to seek the help of a professional psychological counselor or psychiatrist in time to describe and explain the husband's condition, and carry out some corresponding improvement plans in this regard.
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