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发表时间:2015-02-12 15:15:31 281 0 0

 

 最近,因为我的几位来访者,因为他们若干年之内遭遇的坎坎坷坷,我想要对那些想要寻求心理帮助的人们说几句贴心窝子的心里话。 

     如果您有什么心理方面的问题,比如青春期的种种困惑和烦恼,有点悲观、消极,为着什么事情而过度焦虑,有特别恐惧和担心的事情,婚姻状况不是太好,和您的孩子交流出现了不如意的情况,恋爱中出现了烦恼等等等等。这时,您已经尝试过进行自我调节和把握,但是,您发现依靠你身边的现有支持和资源,你不能顺利解决你自己的问题,那么,这时,您可能想要寻求专业的心理帮助。这很好,说明您想要改变自己的现状,并意识到需要借助专业人员的帮助。这是您改变现状的第一步。接下来怎么做特别重要,我想以我现在对于心理咨询和治疗这个行业的了解,以及我自己独特的体验给您我自己的真诚建议。

     我想,您第一时间想到要咨询的对象最好是心理咨询师。说到这里,有很多人把心理咨询师当做心理医生,但是其实不是这样的。心理咨询师面对的是心理健康的人群,也就是说他们可以协助当事人解决的是心理问题,和心理疾病没有关系。比如亲子沟通、人际辅导、婚恋指导、学习压力调节、个人成长、自我认识、青春期问题等等,这些是几乎每个人都会遇到的问题。也是最正常的心理咨询问题。甚至我可以夸张的说,每个人人无时无刻不处于各种各样的心理问题当中。只是这些心理问题有些自己能应付自如,但是有些依靠自己的力量暂时有些困难而已。

     作为一名咨询师,我想以我个人经验来谈论这个问题。当您找到我的时候,如果您的问题是正常的心理咨询范围之内,而且我恰恰具备这方面的知识、技能和经验,那么,只要您愿意,我们会考虑正式建立咨询关系,由我来协助您来一起面对这些问题。

     任何一名咨询师,这时要评估您的问题是否处于心理咨询范围之内,这是每个咨询师第一要做的事情。只要是在自己工作范围内,我想他们会根据您的情况,直接给您意见和建议,或者提出正式建立咨询关系的建议。这时,其实,您要恭喜您自己。首先,您是个心理健康和正常的人。您遇到的是一般性心理">性心理问题或稍严重点的心理问题。您的问题和那些心理疾病没有任何关系。

     当然,有种情况,那就是咨询师提出建议,建议您去医院看心理门诊。这给您提供了一个信息,我的心理问题比较严重或者可能是心理疾病。这时,其实也没什么可怕的,只是您的心理问题严重程度更高了一些。就像身体会生病一样,心理有时候可能也会生病。不过,这和不治之症没有任何关系。这时,其实,您最好接受心理咨询师的建议,去看心理医生。因为心理咨询师没有医师资格,他们是没有资格去做医学诊断,需要心理医生根据自己的专业背景,做出一种较为科学的鉴别诊断。这时,您可能会遇到3种情况:

     1、您的问题确实是比较严重的心理障碍或心理疾病。那么,这时,如果那位心理医生的技术和经验够水平,建议您寻求相应的心理医生的帮助。

     2、经过心理医生的评估诊断,您的问题不是什么严重的心理障碍或者心理疾病,那么,带着这样的鉴别诊断,您可以有两种选择。(1)寻求您喜欢的感觉匹配的心理咨询师的帮助。(2)寻求心理医生的帮助。其实,在这个领域,心理咨询师和心理医生的工作范围可以有些交叉,比如心理医生也可以解决一些心理问题,如婚恋指导、学习压力调节等;心理咨询师有时也可以配合心理医生做些心理治疗工作。比如,当心理医生觉得您服用药物,再配合心理咨询与治疗会比较好的时候,您可以选择心理医生也可以匹配的的心理咨询师来接受心理治疗。

     3、心理医生建议您去看精神科。这可能是您遇到的最严重的一种情况。那说明,您可能是有些精神病倾向的,被评估诊断为疑似精神疾病,需要精神科医生做出进一步专业诊断。不过,据我了解,凡是自己能正常觉知自己心理出现问题并主动求助的,和精神疾病没有太大关系。因为,您具有基本的现实自知力。

     这里,特别要注意的是,如果您没有和任何一位咨询师聊过沟通过,就直接去看心理门诊。而您不知道在医院里,看心理问题要去心理科,那您有可能误入了精神科。这是最要命的,也是最可怕的一件事情。

     精神科医生不等于心理医生。精神科医生虽然有精神科医生资格,但是他们却没有心理医生资格。因此,他们可能对于心理咨询和治疗一窍不通。而且,就我了解,目前国内各医院的精神科很多都是纯粹依靠药物来进行治疗,只有极少数资质极高的精神科医生能够很好的运用心理治疗来帮助您解除疾患。精神科医生要做心理治疗,要在自己的工作中运用心理治疗的方式方法,他们一样要重新学习,重新实践,因为心理咨询与治疗对于他们来说同样也是一种新的职业和专业。如果,在您心里觉得精神科医生的诊断很权威,他们可能大笔一挥,为了开药方便,给你定性为精神分裂的可能性都有。当然,不全是这样的精神科医生,但是确确实实有很多精神科医生除了开药之外,不会做其他的医学处理。

     我觉得鉴别心理医生或者精神科医生是不是能帮到您的很重要的因素其实很简单。我记得我前面已经说过,心病还需心药医。如果心理医生或者精神科医生,他们除了开药之外,不做任何其他的处理,那么这样的医生就是庸医。而且是害人治病的庸医。你不要继续信赖他们。还有些心理医生或者精神科医生,用20-30分钟来对待你,给你提出那么一二三四条建议,然后就结束治疗。这也不是一个合格的医生,依旧是害人治病的庸医。当然相比较而言,比只开药的心理医生或精神科医生略微进化了些。

 

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本文作者

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公益助人

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收费助人

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长程个案

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续单率

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咨询时
0 性价比

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