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Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Four-year-olds lie without blinking, can you believe it?

When my child was four years old, playing in my office, the daughter of another teacher was the same age as my child. One day, she went to pull the jump rope on the big hanger, and the hanger was in the office door, and she pulled the hanger to the ground and ran to the side to jump the rope. The two of us teachers were on the innermost part of the desk, just got up to pick up the hanger, when another teacher came into the office and asked who had knocked the hanger down, and the girl didn't blink, pointed at my child and said: It's her. Both of our teachers were stunned! Four-year-old, can you believe what she says?

Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Teacher Yun Er

Some children go to the hospital for diagnostic tests and the results are major depressive disorder, severe anxiety disorder, and even schizophrenia. Some of them often cut their wrists and are covered in blood, but parents and teachers do not think that their children are not so serious mentally ill. This is where the difficulty of diagnosing mental illness comes in. Some of the children were admitted to the hospital, where they performed very well, and the doctors thought there was no problem and successfully went through the discharge procedures. However, as soon as these children arrived home, their original form was revealed. What's going on here?

There are two kinds of psychological problems called "cheating disease" and "artificial disorder", which I mentioned earlier.

The so-called fraudulent disease is very understandable, there is no illness to pretend to be sick, no disease to moan. Artificial disorder, but also easy to understand, like some people are bitten by mosquitoes, the pain is so painful that they want the whole world to know.

Malfunction and artificial disorders are headaches for doctors. Generally speaking, no doctor has the energy and experience to diagnose this problem at the risk of misdiagnosis, so it is enough to diagnose it according to the scale.

Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Teacher Yun Er

The National Health Commission's "2020 Edition of the Code for the Diagnosis and Treatment of Mental Disorders" classifies artificial disorders as somatic symptoms and related disorders. There is no definition of the fraudulent disease, but the description given is that the fraudulent patient often exaggerates the problem and lies.

How to judge the fraud? The Following conditions are given in the American Psychiatric Society's Diagnostic and Statistical Manual of Mental Disorders DSM-5 for physicians to refer to when making clinical diagnoses.

1. Symptoms are false or highly exaggerated. Second, the above behavior must be the subjective will of the patient. There is a clear extrinsic motive, such as evading work, military service or charges of crime, or obtaining financial compensation or medicines. It also provides the following 4 kinds of fraudulent diseases that require high vigilance: First, it is currently in the background of forensic medicine, such as medical identification. Second, there is a discrepancy between the individual's self-reporting of symptoms and medical findings. Third, the patient does not cooperate with the medical treatment. 4. Antisocial personality disorder. Some scammers are quite obedient to the diagnosis and treatment, because they think that doing so will make the doctor believe in their symptoms and thus confirm the diagnosis of the real disease.

The basic feature of masculine disorder is to disguise physical or psychological symptoms/signs or injuries to oneself or others. Deliberately disguising the disease is not intended to benefit in reality, such as obtaining money, which may include falsification, exaggeration, imitation and inducement, such as falsification of medical records or laboratory test results, self-inflicted injury, and exposure to infectious or toxic substances. Although there may be a previous illness or disorder, the condition is exaggerated or distorted, or new symptoms are falsified, or injuries are induced, often misleading medical personnel to believe that the disease or damage of the patient or others is more serious, leading to excessive clinical intervention.

Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Teacher Yun Er

Fraudulent diseases and impaired disorders are often due to the benefits of benefiting from the disease. Being tough on yourself can win sympathy and compassion or the care and help of parents, teachers, and classmates. Therefore, they often cut their wrists, self-harm, and also send these bloody photos to their classmates and circles of friends.

The so-called lie is said a hundred times and believed by oneself, and the rumor is said a hundred times and becomes the truth.

People with fraudulent and pretentious disorders are influenced by self-suggestion and often use childhood abuse to explain current misfortunes or life difficulties. So often blame parents, hate parents. As self-suggestion continues to intensify, either deny yourself a problem and accuse your parents of having a problem. Either you think you have problems, and these problems are all caused by your parents, or by your teachers, or by your classmates. Coupled with the impetus of some so-called psychological counselors: the children's problems are caused by the parents, and the harm of the original family to the child leads to the child's problems today. Such guidance can only exacerbate the tension of parent-child feelings, and has no improvement effect on the child's psychological problems.

Speaking of fraudulent diseases, we will mention an extreme case: a 35-year-old girl in Hebei has been bedridden and paralyzed for 20 years, her sister's family has been caring for 20 years, and the monitoring has punctured the scam for many years. After 20 years of lying in bed and pretending to be sick, even I believed it.

In the cases I've guided, there are a lot of similar situations. I still use a case to illustrate this problem, in order to avoid leaking personal privacy, the characters and events involved are all adapted by me. If you feel the same as your child, it's pure coincidence.

Jersey just entered the first year of junior high school, because now he is enrolled in a slice, many classmates have been assigned to a class with him. Jersey Elementary School has good grades and is still the class leader, so some students told the class teacher, Teacher Li, that they want Jersey to still be their class leader, and Teacher Li announced that Jersey would be the class leader in the first semester. Everything seemed to be going well.

Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Teacher Yun Er

Jersey's class is made up of students from four elementary schools. After the final exam of the first semester of the first semester of junior high school, several students from other primary schools came to the class teacher and said that Wang Jia should be the class leader, on the grounds that Jersey was unfair in handling class affairs and favored his old classmates. There is also Jersey who is the tenth in this exam, and Zhang Jia is the first. Teacher Li felt that what they said was also reasonable, but Jersey could not be dismissed from the position of class leader because of the statements of those few classmates.

After the Spring Festival, the class teacher talked to Jersey, meaning that this semester there will be a class leader election, hoping that he can correctly treat the results of this election. Jersey had already heard What Teacher Li meant, and he was sure that he would lose the election this time, because in the last semester, he met several classmates who expressed disapproval of him. However, Jersey still participated in the election, and in the end, he had 10 fewer votes than Zhang Jia. When Teacher Li announced that Zhang Jia had been elected as the class president for this semester, Jersey felt that the sky was spinning, and the applause of the whole class behind him was as painful as slapping his face. Teacher Li saw that Zhang Jia's face was embarrassed and his expression was very painful, and after class, he called him to the office to do ideological work for him.

The next day, Jersey did not get up, told his mother that he had a headache, and asked his mother to ask him to take time off. Mom didn't care too much, thinking that Maybe Jersey had a little cold, so she gave Jersey cold medicine.

On the third day, Jersey still did not get out of bed. Mom didn't understand a bit, he had neither a fever nor a cough, not like a cold. Mom urged Jersey to go to the hospital for a check-up. When I arrived at the hospital's internal medicine clinic, the doctor did not find any problems. What the hell is going on? Mom called Dad and said that jersey was nothing wrong, that it was a rock on the ground. But Jersey was still sullen and depressed.

On the fourth day, Jersey still did not get out of bed. Mom is a little anxious, what the hell is going on? Mom called Teacher Li and asked Teacher Li if Jersey had encountered any problems at school. Teacher Li explained in detail about the change of class leader, and also did ideological work for him, and at that time, he did not see too much problem. In this way, the class teacher, Mr. Li, made a special visit to his home. Jersey said he would go to school tomorrow.

On the fifth day, Jersey got up early and went to school excitedly after breakfast. Mom and Dad finally breathed a sigh of relief. However, just after nine o'clock, my mother received a call from Jersey from her teacher's mobile phone, asking her to pick him up and take him home. When my mother heard these words, her heart trembled violently.

When Jersey came home, he shut himself in his room and didn't go out, and he didn't eat lunch. No matter what his mother said, he just didn't come out to eat. Mom and Dad's faces are full of sadness, what is going on?

Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Teacher Yun Er

Finally, Dad couldn't bear it any longer and said out loud to Jersey: What the hell is going on with you? Are we going to learn this or not? Jersey covered his head with a quilt on the bed and said nothing. Dad went to lift the quilt, and the two men tore the quilt. Jersey rolled around on the bed, and Dad grabbed the quilt and circled around the bed. Mom was in a hurry on the side. Jersey began to make no sound, and Dad kept saying: Don't say it clearly today. As a result, the father and son tossed around for more than half an hour, ending in the father's failure. Jersey roared: Get out, get out.

Jersey's parents never imagined that the child who once made themselves proud would now have this kind of problem. Jersey's later changes refreshed their cognition again and again: first they stopped eating normally, did not talk to their parents, or occasionally said a few words in a good mood, and as soon as their parents corrected his problems, he would be furious and even drop things. Either it is to find death and life, the days of good end are gone, and the family is a hot war except for the Cold War.

One day, Jersey told his mother that he was going to use a mobile phone and asked her to buy a mobile phone for herself. Mom just wanted to say you don't go to school at home and don't buy it, hesitated, Jersey said, you bought me a mobile phone and I will go to school. As soon as my mother and father discussed, he did not go to school when he bought a mobile phone, and resolutely refused to buy him a mobile phone.

The next day, Jersey asked her mother when she was going to buy a mobile phone, and her mother said, you don't go to school, you buy it for you when you go to school. As a result, Jersey was furious, picked up the cup and smashed it directly into the TV set in the living room, and the TV screen was sunken into a pit. Mom was too frightened to speak. At noon, when Dad came home and saw that the house was in a mess, he kicked The door of Jersey's room open in anger and found that Jersey was waiting for him angrily with a chair.

On the third day, Jersey asked his mother whether he would buy a mobile phone for him, and his mother could only promise to buy a mobile phone immediately.

The mobile phone is the beginning of the nightmare of Jersey's parents.

One day, Jersey told his mother that he wanted money to recharge, not to recharge, the game could not be upgraded, and it was not interesting to play. Mom said that this month has not yet opened the salary, Jersey said, do not use your money, with their own New Year's pressure money has more than 20,000, must be given to him, let him use it himself, this is his own money. Mom said that all the money you had saved was for you on a regular basis for three years. Jersey said, no, he had to give it to himself. Mom had no choice but to give him all the money. This 20,000 yuan, it took two weeks to recharge all to the game.

In this way, Jersey will have to recharge the game every few days, as long as his parents do not give, he will die or live, cut his wrists, swallow medicine, hunger strike, jump off the building, and do whatever it takes. He also often sent bloody photos of wrist cuts to the circle of friends.

Someone told Jersey's parents that Jersey should have a psychological problem and must be forcibly hospitalized.

Jersey's parents found Jersey's uncles, uncles, and cousins. In the face of a strong lineup, Jersey obediently went to the local mental health center for hospitalization. The diagnosis of Jingwei Center was moderate depression, moderate anxiety, Jersey was in the hospital for a month, performed very well, when the doctor asked him, he answered like a stream, no problems, did a scale, and was also normal. And just like that, Jersey was discharged.

However, after being discharged from the hospital, Jersey was even more fearless, and what he often hung on his lips was: You sent me to a mental hospital, you have to compensate me, you are sick, you are mentally ill.

Once, Jersey asked his mother for money to recharge the game, the mother said nothing this time, did not expect Jersey to pick up a glass directly smashed at the mother, the mother screamed and fell to the ground and passed out, blood DIRECT. The downstairs neighbor heard the noise upstairs was not right, and after 110 minutes of fighting, the police broke through the door and found their mother lying in the living room, with a large pool of blood on the ground. The police quickly dialed 120 and took mom to the hospital. In the process, Jersey watched it all coldly as if nothing had happened. The police asked him to talk, and he didn't respond at all, like he wasn't talking to him.

Dad came home and saw all this, rushed up and tried to hit Jersey, but was stopped by the police. The police conducted ideological education for the father, saying that the child was in a rebellious period, and parents could not educate the child in this way, and so on.

It seemed to be over, and Jersey was quiet. Mom had a few stitches on her head and stayed in the hospital for a few days. Jersey did not ask about his mother's injury, nor did he go to the hospital to take care of his mother. The surprising silence of the home heralded an even bigger storm.

Thankfully, Jersey's dad was upset by the quietness Jersey had been acting during this time, and he finally found me. According to my analysis, Jersey has a 90% chance of being a cheating and pretentious disorder. This psychological problem cannot be treated with drugs.

In my experience, Jersey will soon have a big emotional outburst and we have to be prepared to deal with it. This big outbreak will definitely make the neighbors upstairs and downstairs reluctant to be peaceful. I said to my father, you need to communicate with the neighbors in advance, one is that the bad impact on the family needs you to take a stand and get the forgiveness of the family. Second, if there is serious noise, please ask the neighbors to call the police in time. After the police arrive, the neighbor must explain to the police and let the police take the father away, because it affects the neighbor's rest, and must go to the police station or the public security bureau to be dealt with. At this time, the police need to forcibly send Jersey to the mental health center to confirm whether there is serious mental problems to ensure that Jersey cannot cause serious personal harm to others. Once the Center determines that Jersey has a serious antisocial personality disorder or other serious mental illness, it will take coercive measures against Jersey.

At this time, when the police were not paying attention, my mother took Jersey out of the house and took Jersey to her uncle's house. Jersey's uncle is in a remote rural area, the network and mobile phone signal is not too good, playing games is basically stuck. On the way to escape with the mother and Jersey, they received a call from the police with a neighbor's mobile phone: in order to avoid personal injury, the child must be sent to the Jingwei Center for psychiatric identification, as long as the child returns home, it must be reported to the community and the police station, and we establish a file for the child's mental illness and focus on monitoring. This phone call mom deliberately answered with an external voice, just so that Jersey could hear it.

Things basically follow the script above. Jersey later attended a local junior high school at his uncle's house, where he still is. Uncle was not used to his stinky disease. Jersey also asked about Dad from time to time, and Mom said, Dad is still in the detention center, when will you go back, when will the police release people. He doesn't say anything about going home now.

The Case of Jersey is not a special case, and this is a certain percentage of the cases I have guided. Of course, your children don't necessarily look exactly like Jersey.

Case sharing: If the child does not go to school, does he really have depression? No, it's cheating and pretentious disorder

Teacher Yun Er

Again, Mr. Yun Er does not belong to any consulting organization, does not cooperate with anyone, has no assistant, does not take the initiative to add anyone's friends, and does not take the initiative to leave contact information for anyone. Before you consult me, please be sure to video confirm that it is not me.

Because there are too many people who privately message me every day, I can't make everyone reply in detail. You must learn to write to me privately.

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Well, that's it for today. I am Yun'er, welcome to continue to watch "Everyone must understand a little psychology", thank you for your trust and support to Yun'er teacher, don't forget to point a thumbs up! Good bye.

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