18-24 years old, what are you doing at this age, or what are you going to do? Some people are in school, some people are living the free life they have dreamed of for a long time in college, and some people have integrated into society and become migrant workers.
But if you mention the 18-24 years old of mental patients, the first thing that many people think of should be crazy, stupid, aggressive, and evil can drop out of school, be closed at home, or even be locked up in a psychiatric hospital, separated from society, no socialization, no friends, only endless medicine, and a dark future...
But today I want to break the traditional impression of mental patients through a case, I want you to know that mental patients are not as negative as you think, they are struggling desperately in the cracks, just to be able to live a life that seems ordinary in your eyes.
The patient I want to talk about today can be said to be one of my longest cycles, from the time she came to us at the age of 18 to the time when she is now completely cured at the age of 28, I have witnessed her growth and improvement every step of the way.
Patient Xiaoli, who came to my clinic ten years ago under the leadership of my father, was still a little girl with pigtails and round eyes when I first met, but if you look closely, you can find that her eyes are straight, dull, and her expression is very unnatural, and even a little crazy that does not match her age.
Xiaoli's spirit** is inherited from her mother, and the heavy study pressure of the third year of high school made Xiaoli feel very anxious and nervous, until in a class, because of the teacher's on-the-spot criticism and smashed people and destroyed things, she was taken to the hospital and was diagnosed with hereditary spirit**.
The school temporarily suspended Xiaoli for the safety of her classmates, and I still remember itThe first thing she said to me while crying: I don't know what's wrong with me, I didn't mean to, I don't want to hurt them.
I explained to Xiaoli at the time: I understand, you are sick, your body and behavior cannot be controlled by yourself, just like a person with a cold can't control his runny nose, as long as we cure the disease, everything will be fine.
Considering that Xiaoli is 18 years old and has normal menstruation, I first gave her risperidone for a short time, and after observing Xiaoli's symptoms after half a month with olanzapine, I replaced risperidone. Because risperidone can cause too much prolactin, which leads to menopause, which is very unfavorable for Xiaoli, who is still a young girl.
After risperidone slowly stopped, I gave Xiaoli aripiprazole, which was still taken with olanzapine. and told Xiaoli that after the adjustment of the drug, Xiaoying's condition has improved significantly, the delusions have disappeared, there is still a little auditory hallucination, and the anxiety and depression have gradually improved, but the obsessive-compulsive symptoms have not improved significantly. So I replaced escitalopram with fluvoxamine (the drug of choice for obsessive-compulsive symptoms).
And tell Xiaoying: to learn to live with auditory hallucinations, when there are auditory hallucinations, you tell yourself that "this voice is fake, just like I heard a sound in a dream, this sound is heard in my dream, don't care". He also told Xiaoli to learn to live peacefully with auditory hallucinations. When auditory hallucinations appear, tell yourself that "it's fake, it's like a dream sound, it's just a dream sound, don't pay too much attention to it".
After Xiaoli came home with the medicine, I kept in touch with her father to ask how she was doing at home. Her father told me that he could often hear her say to herself: This is fake, it's fake. We all understand that this is Xiaoli trying her best to fight against her fantasies and auditory hallucinations, so that she can stay awake and stabilize her situation as soon as possible.
After that, Xiaoli had fewer and fewer seizures, from once a day to once a month, and the longest was not a seizure for half a year. Only occasionally when there are bad lifestyle habits will there be mild residual symptoms.
After that, Xiaoli asked me for a certificate, saying that she wanted to go back to school and continue her education. I didn't say that you are a mentally ill person and try not to go out in public, but repeatedly emphasized to Xiaoli that if you hear any bad sounds, you must remember that it is fake, and you must divert your attention and stabilize your emotions.
In this way, Xiaoying re-read the third year of high school with residual verbal auditory hallucinations. At first, because of taking medicine for a long time, I always couldn't concentrate, and I was still a little struggling in my studies. After that, I added vinblastamine to Xiaoli, and at the same time told her that her blood pressure can be slowed down, that she can take the college entrance examination many times, and that she must not stay up late because she can't keep up with the progress of others. Xiaoli's father also explained the situation to the school teacher, so that Xiaoli could combine work and rest.
Because Xiaoli strictly followed the diet and work and rest methods I prescribed for her during the period of taking medicine, and she has been insisting on taking medicine, her condition is getting better and better, and she was admitted to the university in the third year.
In the four years of college, the residual auditory hallucinations have always accompanied Xiaoying's study and life, but Xiaoli has been able to process these sounds proficiently, ignoring and ignoring auditory hallucinations, regularly reviewing, and finally successfully completed her studies and participated in the work.
So you see, as long as it is discovered in time, in time, and strictly in accordance with the doctor's instructions, the spirit may be a terrible enemy, but as long as we deal with it scientifically, we can also defeat it, rather than let it develop.