Crazy Psychologist

When Muchun returned to the office, Chu Sisi's driver had already arrived. There was a lot of food neatly placed on the table, including salmon sushi, shrimp rolls, tempura, and piping hot eel rice in Japanese-style lunch boxes.

The Japanese cuisine produced by Chu Si Sijia not only has fresh ingredients, but also does a very good job of keeping fresh and warm. The color, smell and taste are almost the same as those freshly served in Japanese restaurants.

"Would you like to wait for classmate Liu Dandan to come back and eat together?" Chu Sisi asked while placing the food boxes.

"No, you can eat first. I'm not hungry. I'll eat later." Muchun replied.

"How can you not be hungry? Let's eat something first. There is a clinic in the afternoon." Chu Sisi handed a box of eel rice to Mu Chun with concern.

"Wow, Doctor Muchun, hurry up and eat it. This eel rice is even more delicious than the 188 portion. If you don't eat it while it's hot, you're just trying too hard." Liu Tiantian happily praised Chu Sisi's rice. While eating eel rice, I was enjoying the food heartlessly.

Chu Sisi was still a little worried. She always felt that Liu Dandan's character should not be so unstable. How could he cause such a big trouble today and bring the whole family to the hospital.

Mu Chun saw Chu Sisi's thoughts and comforted her: "Eat first, then think about things after eating."

After saying that, Muchun picked up the eel rice and started to eat it. Seeing that Muchun was eating deliciously, Chu Sisi also started eating.

Liu Tiantian quickly finished the meal and started to eat sushi. When she grabbed a piece of salmon sushi, she looked at Muchun, and then asked: "Didn't Dr. Muchun go to buy orange juice? Where is the orange juice?"

"Drink." Muchun replied casually.

"Drink?" Liu Tiantian repeated in surprise.

"Well, drink it." Muchun repeated.

"Wow, you are telling lies with your eyes open. Dr. Mu, you didn't buy it at all. You obviously cared about Liu Dandan and sent him to the dean's office specially. You still want to save face in front of us girls. What are you talking about? I go to a convenience store to buy orange juice, but there is no orange juice. I think Dr. Muchun has a sharp mouth and a soft heart. If not, he just has a girlish heart."

Liu Tiantian pouted and bumped Chu Sisi with his elbow, "Isn't that right, Doctor Chu?"

"Ah, I don't know, what are you talking about? What orange juice?" Chu Sisi looked at Liu Tiantian innocently and said, "It is popular nowadays to say marshmallow heart, otherwise Teacher Muchun would probably be marshmallow heart."

——————

Until the eel rice was cold enough to be the same temperature as sushi, Liu Dandan did not return to the Department of Physical Medicine.

Perhaps because it was so noisy before lunch, the Huayuanqiao Community Center seemed to become particularly quiet after lunch, and there were no patients in the mind-body department. Chu Sisi talked to Mu Chun about the patient with a collecting habit, saying that it was the second follow-up visit. The patient was still very polite. Basically, he was talking about how he secretly collected women's underwear that he could find, and how he secretly slept with his aunt's underwear when he was a child.

Chu Sisi's cheeks felt slightly hot when she said this. Muchun praised Chu Sisi for having no problems with the treatment process and techniques, and the case records were also very thorough, but Mu Chun vaguely felt that this case seemed to go a little too smoothly.

He asked Chu Sisi if she had any questions. Chu Sisi shook her head as if she had gained a lot of confidence from the two treatments, and Mu Chun was too embarrassed to say anything more.

"Do you feel it went too smoothly?" After Chu Sisi finished speaking, Muchun asked.

"It went too smoothly?" Chu Sisi didn't understand what Muchun was referring to.

Muchun said cautiously: "I mean, do you feel that this patient seems to be telling a story when he talks about these things?"

Chu Sisi blinked a few times, subconsciously flipped through a few pages of her notebook, and said hesitantly: "It seems... I don't feel anything, it's just that it went smoothly. Can we judge now that he has [Hoarding Disorder]?"

Chu Sisi was very troubled. The teacher had asked her if she had any questions during the last case discussion. This time the teacher had such a question again. What did it mean?

Chu Si thought that he didn't understand, but the treatment this time was obviously very smooth, and the patient also told a lot about himself little by little. Isn't this a good confession?

At the end of the treatment, the patient also said that it was indeed much easier to talk about it and he could sleep well at night.

What's wrong with these parts?

Chu Sisi shook her head and repeated, "I don't think there is anything special about it, teacher, so if he comes again next time, how should I provide treatment advice?"

"Well, judging from the amount and duration of his hoarding of underwear, it is indeed possible to consider [hoarding disorder]. From your description, it seems that this patient collects these items purposefully, and will feel very painful when he thinks about losing these underwear. Anxiety, even insomnia, headaches, etc., right?”

Muchun asked.

"Yes, he said that he has been in this kind of pain and torture for a long time, and from time to time he feels that it is not an option to continue like this, because his entire room is filled with these things. He said that the number of these underwear has almost exceeded his normal The amount of clothing needed is all in the wardrobe," Chu Sisi said.

Muchun nodded reluctantly, and then said: "It sounds like he feels pain about collecting women's underwear, and this pain has affected his life to some extent, such as whether it has affected his social life or communication. girlfriend?"

"One thing seems to be that he said that he felt that he might be a little perverted. He was worried about whether he was perverted or abnormal. It was precisely because of this that he came to the mind-body department for treatment." Chu Sisi said thoughtfully.

"Then how do you judge his [knowledge] about collecting underwear? Intact, damaged, or not?" Mu Chun asked.

After hearing this question, Chu Sisi immediately opened her notebook and jotted it down.

"Well, this issue must be clarified during diagnosis. The doctor needs to clearly judge whether the patient has insight or not. He also needs to judge and record the level of insight, [intact], [damaged], [ None] or [delusion], [insight] is very important in differential diagnosis.

Many problems in the psychosomatic department will have similar symptoms, so they must be judged carefully. This is a case record template. Take a look at it. Today you can focus on learning the judgment of [insight]. "

After speaking, Muchun opened the drawer and took out a well-printed case report and placed it in front of Chu Sisi.

After taking it, Chu Sisi flipped through it and exclaimed: "So many notes?"

Didn’t you expect that Teacher Muchun is as serious now as before?

Chu Sisi looked at Muchun and couldn't help but think, it should be said that the teacher was more serious than before.

Just when I was a little touched and felt that I would make rapid progress following Teacher Mu Chun, I heard Mu Chun say: "Notes? They are all written casually. Don't take it too seriously. Everything should be based on your observations. Don't follow the script and make the mistake of a Zheng man buying a shoe."

what? What?

The emotion and warmth that had just risen in Chu Sisi were like bubbles chasing the sun, po! Broken.

"The patient's [self-awareness] should be intact. He understands his behavior very clearly and expresses it very clearly. It can be said that it is very clear." Chu Sisi raised her chin and said confidently.

——————————————

Mu Chun saw Chu Sisi's confident expression and didn't say much. He just reminded Chu Sisi to go back and look at more cases and carefully read several textbooks written by Professor Chu. "Try to master all those textbooks within half a year. Go through it again. If you don’t understand something, you can ask me. If you think I can’t explain it clearly, you can go to Zhinan Affiliated School and ask Senior Sister Xiao. Senior Sister Xiao has always been a master at answering questions.”

Chu Sisi was extremely happy when she heard that she could study with Senior Sister Xiao, "Really? I also think that sometimes it might be better to have a female teacher teach."

Muchun nodded. He had thought about this a long time ago. Indeed, as Chu Sisi said, female teachers have more advantages than men in many professional understandings of mind and body science. Female students can also learn more from female teachers. , less impedance.

For example, in this case of collecting underwear, Muchun suspected that the patient had no defect in insight, but he could not be diagnosed with [Hoarding Disorder] because his story seemed to be told too smoothly, and the follow-up visit went too smoothly. So suspicious.

This suspicion may be excessive or appropriate. After all, he is not his patient. Mu Chun cannot help Chu Sisi analyze all the points. If he tells Chu Sisi his suspicion too early, not only will he It had an impact on her judgment during the treatment process and may also have dampened Chu Sisi’s enthusiasm. In short, supervising teaching is not easy.

Muchun thought about the time when he had doubts and rejections about Professor Chu's supervision, and several complicated emotions were often intertwined between students and supervisors.

On the one hand, there is trust in the teacher's authority, and on the other hand, there is trust in one's own growth. There should be no contradiction between these two kinds of trust, but in fact they are contradictory. This contradiction will cause many other problems, such as: Students have doubts about their own abilities. Once the teacher always makes the students in internship feel that they have made mistakes in judgment, made wrong treatment plans, etc., students may have low self-esteem and doubt, so that they shrink from treatment, as if every treatment is a mistake. It's like facing an exam from a teacher. At this time, there are always three people in the treatment room instead of two.

Furthermore, if students always feel that they are wrong, they will have a mentality of "but want to be good". When facing patients, they don't want to solve the problem but want to make no mistakes. If there is no progress in the treatment, it means that the treatment time is insufficient. In other words, the best treatment method has not been found, but the general direction is correct.

If this continues, it will not only be detrimental to students' growth, but will also cause students to go astray.

Another situation is more common, especially among female students. Compared with male students, female students are more likely to have stronger empathy or psychological dependence on their instructors. They always subconsciously rely on the teacher’s guidance at work. For example, if the teacher When supervision comes up [whether the patient's narrative is credible], the student is likely to suspect that what the patient says is not credible.

Supervision is sometimes more difficult than self-treatment.

Therefore, it is especially important to choose a good supervisor. Muchun hopes that she can become a good supervisor, and she also hopes that Chu Sisi can grow up as soon as she wishes.

Thinking of this, Muchun made a note in the little notebook in his heart that he needed to think about and improve the supervision system.

"By the way, what happened to the Bai Lu incident? I heard from Yi Ming that He Ping will be sent to the detention center on Monday, and He Ping has no plans to hire a lawyer yet. Does the teacher know what happened?" Chu Sisi was puzzled. asked.

Mu Chun shook his head. Since Bai Lu left last time, he had not heard from Bai Lu in the past two days. Speaking of which, Mu Chun was also very worried.

Regarding He Ping's case, the popularity on Weibo has gradually subsided. Mu Chun also read several reports that seemed to be insider information, but in fact there was no updated information. They just re-explained the previous articles with a few changes in layout. one time.

Without news about Bai Lu, Mu Chun could only follow the development of things through these articles. Chu Sisi's words reminded Mu Chun whether he should take the initiative to ask about Bai Lu's situation.

When he got off work, Mu Chun deliberately walked to the internal medicine clinic on the second floor and saw that Director Qi Rong was off work. Since he met him, he could only say hello. Director Qi said with an expressionless face: "Doctor Mu is off work. "

Bland but not impolite.

Muchun peeked in secretly, but Director Qi ignored him and just packed his things and got ready to get off work.

"Well, Director Qi is off work too." Muchun responded.

Qi Rong locked the door and glanced at Mu Chun, "Doctor Mu has become more and more popular recently. The retired aunties in our community all ask me if there is a neurologist in your Huayuanqiao Hospital."

"Ah?" Muchun looked at Qi Rong with a blank expression.

Qi Rong couldn't help but laugh. He was obviously smiling, but his face still looked expressionless.

Muchun thought that such a doctor was not bad. No matter whether the patient's condition was serious or not, the doctor always had the same expression - neither serious nor serious.

"I explained to them that he is a psychosomatic doctor, not a psychiatrist. As for whether they can understand, I can't guarantee it." Qi Rong seemed to struggle to smile after finishing speaking.

Muchun also learned to smile back.

The two of them left the hospital one after another and waved when they reached the entrance of the hospital.

There was no wind on the streets in the evening. Although the air was full of unfriendly coolness, because there was no north wind, the whole air smelled fresh and comfortable.

Muchun planned to walk home. If the walking speed was not fast, it would take about forty minutes from the hospital to Muchun's residence. Muchun planned to take a walk while thinking about some recent events.

First of all, Liu Dandan's sudden situation today, and then his disappearance, was really uneasy.

He is a child after all!

A sudden worry flashed through Muchun's heart.