"I have a stomachache, headache and insomnia for several months. I have been to many hospitals and seen gastroenterology, cardiology, surgery and Chinese medicine. I took a lot of medicine, but I can't tell why, and the treatment effect is not good. Finally, guess what, I am optimistic about the psychology department. The doctor said it was caused by depression. I have walked a lot before! "
Last Wednesday night, in the program "Online Interview with Famous Doctors", the reader Lao Zhou called and told his tortuous experience of seeing a doctor. Xie Jian, director of clinical psychology department of the First Hospital of the city, visited the studio. He introduced that it is very common for patients to be referred from other departments to the psychology department. He reminded readers that many intractable diseases are mostly caused by the heart. When the heart disease is cured, other problems will naturally be solved.
Most people with psychological disorders also have digestive system problems.
Moderator: What are the symptoms of most patients in the psychology department in recent years?
Xie Jian: People thought that only people with mental problems would come?
Psychotherapy, such as anxiety and depression. However, in the past two years, many incurable patients who can't find their way in other departments will also be referred to our department, mostly with various discomfort symptoms such as headache, foot pain, stomach pain and heartache.
Moderator: Are there many patients referred?
Xie Jian: Quite a lot. Many patients often have to go to two or three departments and run several hospitals before they come to the psychological department for treatment. I once met a female patient. She is a strong woman with outgoing personality and strong working ability. After her husband died of illness two years ago, she got a strange disease. She always has indigestion when eating, and she often has stomachache and constipation. She has been to many hospitals and had all kinds of examinations, but there is no major organic lesion. The physician said it was "menopause", and he prescribed several medicines, but it didn't have much effect. Later, she turned to Chinese medicine, and the doctor said it was "kidney deficiency" and "physical weakness". After several months of nursed back to health, it still hasn't improved. Finally, I had to transfer to the psychology department, only to find that I had depression. After half a month of antidepressant treatment, the symptoms of dyspepsia finally improved.
Moderator: Why does she have symptoms of indigestion?
Xie Jian: Actually, her indigestion was caused by depression, which only appeared after her husband died. Mental stress and negative emotions do have a negative impact on the function of the digestive system. Almost everyone has experienced this situation, such as loss of appetite, nausea, vomiting, abdominal distension and other discomfort when in a bad mood. Therefore, clinically, most patients with mental disorders will basically have digestive system problems such as stomach pain.
Depression sometimes wears a mask.
Moderator: Why are there more and more such patients now?
Xie Jian: I think there are two reasons. First of all, people are more knowledgeable now and know that many problems may be caused by psychological problems. Some can't see well in other departments, and some of these symptoms are caused by psychological problems. So this part of patients is indeed much more than in earlier years. The second reason is that the incidence of mental illness is rising gradually.
Moderator: Generally speaking, what symptoms do we have that should be considered as mental illness if the treatment has no effect for a long time?
Xie Jian: Many diseases are related to emotional abnormalities, such as stomach pain, flatulence and other digestive symptoms; Symptoms of heart disease such as palpitation and asthma; Symptoms of persistent pain in various parts of the body, such as pain in the east and pain in the west ... Most of these patients only know how to see internal medicine and Chinese medicine, and the treatment effect is often poor. This is like putting a mask on depression, so this disease is also called recessive depression. Since it is recessive, it is naturally not easy to be recognized, and doctors who access the clinic may not be able to make a correct judgment at the first time, and often treat it as a stomach disease or vascular headache. Choosing the wrong department not only wastes time and money, but also delays the treatment of the disease, which is a kind of torture to the patient's body and mind.
If you have a hard time, you should seek medical advice in time.
Compere: So we should break the old concept of "treating the headache only and treating the foot pain only"?
Xie Jian: Yes. We used to say that this disease should be treated like this, and that disease is suitable for taking that medicine, but it is not comprehensive. Everyone has different conditions. Doctors must consider in advance whether the patient's mental health is healthy except for physical diseases when carrying out treatment. Many doctors will encounter this situation and try their best. The patient can't find anything wrong, but he feels uncomfortable. What shall we do? At this time, some experienced physicians and surgeons will advise patients to transfer to psychological department for treatment, and the effect is basically good. Therefore, doctors should pay attention to the concept of "holistic medicine" when treating patients and people. The diagnostic method of giving consideration to both body and mind should be popularized in the whole hospital. Not only our psychologists, but also doctors in other departments should understand psychological knowledge and apply it to clinic.
In diagnosis and treatment.
Moderator: What should we do when we have psychological problems?
Xie Jian: First of all, it depends on whether you can solve this problem. Are the negative emotions caused by work pressure, pressure to enter a higher school, marital problems and employment problems always with you? If you can't help yourself, you can ask friends and relatives for help. If you still can't overcome these hurdles, go to the psychology department for help as soon as possible.
Reader consultation
Mr. Liu: I am 25 years old and my height is 175cm. From the first two months, I found myself walking up and down, and my legs seemed to be long and short. I went to the orthopedic examination and found that everything was normal, but I felt awkward. What happened? Is it my psychological function?
Dr. Xie: I suggest you do another head CT to check if there are any other problems in detail. If there are no other problems, I suggest you see a psychologist. Because there is a psychological problem called "body image disorder", which is the symptom you are talking about now.
Mr. Wang: I am 42 years old. I have been very busy at work in recent months. I am under a lot of pressure. I don't want to do anything. I always feel chest pain, tight back, bad appetite and anxiety every day. In fact, my anxiety began in 2007, when my physical examination found some heart problems. Since then, I have been very nervous about my body, paying too much attention to my body, and I can't let go mentally. How can I relieve this anxiety?
Dr. Xie: According to your description, a series of physical symptoms such as chest pain, back pain and loss of appetite should be psychological problems, which are caused by anxiety. I suggest you go to the psychological department of the hospital for psychological consultation and drug treatment for a period of time. Generally, the treatment effect will be better in your case.
Ms. Wang: I am 56 years old. In the past two years, I have been troubled by laryngitis. I often keep coughing, which seriously affects my sleep. Last night, I stayed up all night. I just feel the smell of smoke around and the air quality is not good. I couldn't help coughing. I went to the hospital for examination. It was nothing serious. I wonder if it's a psychological problem. Sometimes I think that if I keep coughing and the pressure is too great, I might as well die. In addition, I used to have depression, and I stopped taking medicine three years ago when my condition improved.
Dr. Xie: Your problem is probably depression. I suggest you go to the psychological department for treatment. If necessary, try taking some antidepressants again to relieve anxiety.
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