Start as an Emergency Physician
Chapter 323
Moreover, Zhou Yuan himself is studying mental illness, and depression is one of them.
Depression is a disease that varies greatly from person to person, and in modern society, basically everyone is more or less depressed, but most people can regulate it by themselves and will not be affected too much.
After all, depression has become the third most common disease in the world, and it is estimated that it will become the second most common disease by next year. The base is still quite impressive.
Hey... Wait a minute.
Mental illness is also a disease.
Is it a kind of therapy to talk to people with depression, unblock their knots, and use language affinity to talk to them about life?
With so many depressed patients, if they gather together to hold a treatment conference, wouldn't it be possible to go crazy and brush up on tasks?
Zhou Yuan smiled.
It's certainly a dream.
If depression is so easy to treat, how can it be terrifying? If you can increase your language affinity by 100%, maybe you can?
Zhou Yuan walked in front of Qian Wei, "Hi." "
Although Qian Wei's appearance should have been suffering from depression not long ago, it should be moderate at most, but it must not be ignored.
Big data shows that 25 percent of patients with depression commit suicide. Of course, the depression mentioned here is in a narrow sense, and the kind that can be regulated by itself does not count.
And one third of those who commit suicide suffer from depression...
Prompt and aggressive treatment is also crucial for people with depression.
Qian Wei finally sensed Zhou Yuan's arrival, glanced at it lightly, and then turned his head again and looked out the window.
"I'll put you to the test. "
Zhou Yuan didn't care about Qian Wei's ignorance. Depressed patients don't even care about their own lives, and if they have the heart to be polite to you, they can definitely issue a small pacesetter of etiquette.
He ran back to the office and took out a depression test form from Lin Mingde's pile of materials.
Zhou Yuan didn't choose the depression test questions on the Internet, which were very different from the doctor's tests, and many of them were purely for entertainment purposes, and it was impossible to make an accurate judgment based on that.
Moreover, even if it is Zhou Yuan, it is just a simple test. The diagnosis of depression requires years of clinical experience and judgment before it can be diagnosed.
The results of the test are only one aspect of the doctor's judgment of depression, some people may be disguised, some people may be in a period of depression, which will aggravate the degree of depression, and the doctor must take into account the patient's personal circumstances during the conversation.
"Please choose one based on your emotions. "
"I've never felt disappointed. "
"I sometimes feel like myself"
"I was disgusted with myself. "
"I resented myself. "
The questions of the test are often one question with four options.
It involves mood, judgment, Sikang degree, appetite, physical condition, sexual desire and so on.
The final result came out, and Zhou Yuan judged it to be moderately depressed.
This is already the extent to which psychological intervention and medication are necessary.
"Qian Wei, we may have to see a psychiatrist... You're an adult, I don't have to hide anything from you, can you feel like you're depressed?"
Qian Wei's eyes were blank, he glanced at Zhou Yuan, and said weakly: "I know." I didn't want to tell my wife about them, so I simply didn't speak. "
This is the sentence that Qian Wei said the most, and Zhou Yuan hurriedly took advantage of the situation and asked, "How did you sleep?"
Sleep can often be an important diagnostic basis.
"Can't sleep. Every time I wake up at two or three o'clock in the middle of the night, I feel... It takes courage to survive. It's harder to live than to die. "
Hearing Qian Wei say this, Zhou Yuan breathed a sigh of relief.
There are several types of depressed patients, and some people are very miserable and collapsed on the surface, like Qian Wei.
The most terrible thing is the kind that seems to feel happy and cheerful, but the heart is extremely painful and tormented. To put it simply, when they laugh, they are still thinking about suicide. This kind of talent is the most serious, and he has basically given up on himself.
Qian Wei didn't speak, and he also knew that his current psychological state was a little abnormal.
Want to live?
Don't want to.
After working hard in this city with hope for so many years, getting up early and being greedy for darkness, and quietly speaking, I finally bought a house, and I was a little hopeful, but I came to a serious illness and suddenly returned to the original point.
Who can stand it?
But Qian Wei can't just abandon his wife and leave his children. He is a husband, a father, and a son.
"If you can cure it, let's try it, we don't have much money... If you can't cure it, that's it. After a long time, Qian Wei sighed and said.
Zhou Yuan did not continue to comfort or enlighten, which made little sense.
No one needs to be enlightened, everyone living in this world has their own worldview and values, enlightenment means that others have to follow your value orientation, but in fact this is very difficult.
Everyone's life experience and growth background are different, and everyone's experience of the pain caused by depression is also different, and there is no empathy in this world at all, and someone or something that makes you miserable looks like a joke in the eyes of others.
Everyone understands the great principles of enlightenment that are not itchy or painful, and they can't move people's hearts, and the other party may thank you for your enlightenment out of politeness, and when you want to further enlighten them, the other party will show an obvious sense of distance.
Zhou Yuan talked to Qian Wei about some other things, and Qian Wei seemed to feel better in the end, at least he didn't put death on his lips.
After the psychiatrist came, he also examined Qian Wei.
The psychiatrist was obviously much more specialized, and in addition to asking questions for testing, he also performed a comprehensive physical examination and a neurological examination.
In addition, a series of auxiliary tests and laboratory tests were also done.
To date, though, there is no specific test for depressive disorders. However, current laboratory tests can rule out depression due to substance and medical disorders. These include a dexamethasone suppression test and a thyrotropin-releasing hormone suppression test.
Moreover, the psychiatrist's depression detection method is also much more foreign, and it is better than Zhou Yuan when he hears the name... What is CD-10 called.
At present, ICD-10 and DSM-IV are commonly used in the international diagnostic criteria, and ICD-10 is mainly used in China for the diagnosis of depression.
The final result was the same as Zhou Yuan's, moderate depression.
The detailed diagnosis given by the psychiatrist is also very detailed.
Patient Qian Wei, age... Main symptoms: depressed mood, loss of interest and pleasure, loss of energy, or fatigue. At the same time, the ability to concentrate is reduced, self-evaluation is reduced, self-guilt and feelings of worthlessness, pessimism about the future, self-harm or suicidal thoughts, sleep disturbances, decreased appetite...
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