Forcing myself gave me a painful sense of security, and I hated it but couldn't live without it.
Cha Cha, it's 8:50, will the teacher forget that I made an appointment for consultation at 9 o'clock? Visitor Xiaodeng walked anxiously around the front desk. I said, "I won't forget it, it's not time, and the teacher will come when the time comes!" "The small light is still 5 seconds to look at the mobile phone time. I was nervous when I saw it. I hurriedly ran to the office to remind Mr. Sedum: "Teacher, why don't you start early." I see that your visitors are in a hurry. ”
Teacher Sedum looked at me at the door and said, "No." She has OCD herself, and starting early won't cure her. I went past 9 o'clock. You can arrange for her to wait for me in the consultation room! ”
I scratched my head and muttered, "It's too rigid, wouldn't she be in a hurry to start early!" Teacher Sedum stopped me: ".Behind obsessive-compulsive disorder is a generalization of insecurity. A person will force himself because he is too rational. In addition, she is too distrustful of the outside world. What I needed to do was to fulfill my promise to her and show up on time, after a few times, to alleviate her distrust of me and her subconscious uneasiness. Today I started early. Next time she'll expect me to start early. If I don't live up to her expectations, his obsessive-compulsive thoughts will be more serious and ask himself, 'Does the teacher dislike me?' Am I too annoying. ’
I blinked, as if it was like this, Xiaodeng's compulsion was not only forcing herself, but also forcing others, and it was difficult for everyone around her to relax. Even if I was just a customer service provider in a psychological counseling agency, I could be affected by her anxiety and compulsion, and I wanted to satisfy her quickly.
When I returned to the front desk, I saw the small light squeezing hand sanitizer and reminded her that she could wait for the teacher in the counseling room. She asked me, "Can I bring this sanitizer to the consultation room?" I always feel like there are bacteria on my hands. I said, "Yes." By the way, she glanced at her fingers, all of which were molting.
She took off her coat, and I was about to take it and hang her up, and she immediately screamed, "Don't touch me!" "The voice was so sharp that I almost dropped my phone. She saw that I was scared by her and stumbled, and hurriedly apologized: "I'll just hold it." ”
I said, "Okay, okay, I won't touch it." The time soon came to 9 o'clock, and Mr. Sedum came over as promised. The small lamp, which was still frowning, had a slightly soothing expression at this time. Teacher Sedum stretched out his hand to shake hands with Xiao Deng. Xiao Deng's soothing expression tightened again: "I, I don't like shaking hands." Teacher Sedum did not withdraw his hand, and even added: "I haven't washed my hands all morning, shake my hand." ”
I looked at the sedum consultant dumbfounded, and even wanted to go up and pull the hem of his clothes, brother, don't mess with me, it's time to complain about us later! As expected, Xiao Deng shook his head back again and again. For a patient with severe obsessive-compulsive disorder + cleanliness, isn't this going to kill her?
Teacher Sedum slowly spoke: "Little light, if."If you want to cure your obsessive-compulsive disorder, you need to use desensitization**+exposure**+ disgust**. Can you accept the challenge of shaking hands? Xiaodeng gritted his teeth and said, "I can't, I can't accept it." I always had a voice in my head saying, 'I shouldn't shake your hand.' I understand the teacher's reasoning, but I can't do it. I really can't do it. ”
As she spoke, she squatted on the ground with her head in her hands, crying like a helpless child. Teacher Sedum gave me a look and turned back to the consultation room. I picked up the little lamp and led her into the counseling room. The next hour was extremely difficult. Because I was outside, I didn't know what was going on inside, and I even heard the sound of cups being smashed. I was mentally prepared that she might call the police.
Throwing glasses, screaming, crying mixed with a vague "I can't do it". I had a feeling of seeing death at home. I'm ready to write a resignation letter. Just when I was worried about the future, the alarm went off. I knocked on the door nervously. When I opened the door, the small lamp nestled like a potato on the couch in the consultation room. I remind you that the time has come. She said in a daze: "Thank you, teacher, I'll come back tomorrow." ”
I looked so surprised that I thought she would say, "I'm going to call the police!" Teacher Sedum once again stretched out his hand to shake hands with her, still seeing that she was still hesitant, but also plucked up the courage to reach out and shake hands with the teacher, although it was quickly withdrawn, but compared with the resistance when he first came in, there was obvious improvement.
After sending away the small lamp, I asked Sedum, "Teacher, what did you do?" The teacher smiled mysteriously: "I did what she was afraid of, forced her to expose herself to the environment she was afraid of, and found that nothing bad happened as she imagined, and slowly trained her in desensitization." ”
Teacher, you're amazing! What's going on with this obsessive-compulsive disorder? I saw that her hands were molting, was it caused by repeated hand washing? ”
"Yes. People with OCD cognitively understand that their actions are meaningless, but they still can't control doing the same thing over and over again, such as washing their hands, so that they can feel safe. Because the brain function of the OCD patient is at work. Those memories that are engraved on the instinctive level are not governed by cognitive thinking. The brain will judge that it is doing what is necessary for survival. Such instinctive trauma repair must establish a safe and inclusive environment for him for a long time. It makes the brain feel safe. Don't be scared anymore. Slowly weakens the compulsion of survival defenses.
People store relational experiences not only on a cognitive level, but also on a physical level of feelings. This kind of bodily sensory memory is very primitive and powerful, and it will cross the human cognitive system and logical system, so that people can directly generate strong feelings and act quickly. This is obsessive-compulsive disorder.
I blinked and said apologetically, "I don't understand." ”
Teacher Sedum did not give up and explained to me:"Obsessive-compulsive disorder is a neurotic disorder, and obsessive-compulsive disorder is the fourth most common mental illness in the world (the first three are depression, substance addiction and anxiety), so it certainly can't be as simple as loving to wash your hands.
Obsessive-compulsive disorder includes obsessive-compulsive thoughts and compulsive behaviors. Obsessive-compulsive thinking does not accept rational explanations. I understand the truth, but it can't do it. Most people with OCD have compulsive behaviors that are actually aimed at driving away the obsessive thoughts that have invaded their brains.
For example, if you always think that you may not have locked the door, then in order to dispel the thought, you need to actually check whether the door is locked. Another example is a girl whose obsessive thoughts are that worms will get out of her mouth and into her brain, and in order to drive away this thought, she refuses to speak for 10 months to put an end to this danger.
Then checking the door lock and not speaking is compulsion. The actions of the vast majority of people with mental illness,It's not about getting pleasure, it's about trying to get rid of pain.
For example, Xiaolan loves to wash his hands very much: he washed his hands desperately, and he couldn't stop washing his skin and bleeding. He's not afraid of germs, that's not why she's washing her hands, or for the pleasure of cleanliness. The reason why I wash my hands is because I can't find any other way to make those weird feelings of anxiety and pain disappear in my heart. ”
It dawned on me! Continue to ask: "Teacher, you just said that it can be cured by desensitization**, exposure**, and disgust**?" What's the cure?
Teacher Sedum said: "You may still not understand what I said, try to understand." All right?
Systematic desensitization**, also known as the interaction inhibition method, was founded by the American scholar Volpa. This method is mainly to induce the client to slowly expose the situation that causes anxiety and fear, and to combat this anxiety through a state of psychological relaxation, so as to achieve the purpose of eliminating anxiety or fear. In short, if the anxiety or fear caused by a stimulus is within the range that the patient can tolerate, after repeated presentations, the intensity of the stimulus will change from weak to strong, and gradually train the psychological endurance and endurance of the patient, and finally make the patient no longer feel anxious and afraid of the stimulus. I'll tell you about the last two** next time. ”
I nodded and said happily: "Enough, enough, today's article has material again!" Thank you, Mr. Sedum".
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