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抑郁症的心理治疗案例-给力心理
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抑郁症的心理治疗案例

抑郁症的心理治疗案例
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发表时间:2015-02-06 13:52:51 271 0 0

案例背景:

 

  张总今年40岁出头,从20多岁开始自主创业,如今已经是一个拥有20多名员工的广告公司的老总。但鲜为人知的是,张先生从三年前就开始饱受抑郁症的折磨。

 

  刚开始的时候的时候,老张只是觉得自己总是莫名其妙地紧张,工作就得笔直地坐着,休息必须直挺挺地躺着,结果经常把自己弄得身心疲惫。渐渐地,老张会不断地对别人说自己的眼球掉下来了,说自己不会走路了,但实际上他的身体没有任何异常。周围人都用异样的眼光看他,有些朋友试图跟他解释他也不听,老张坚信自己的脑子已经不能支配自己的身体。

 

  现在,这些不存在的自我意识已经严重影响到老张的决策能力,公司的业务陷入险境。为了健康,老张只好四处求医。先看脑系科,很快就被转到心理科,经过检查才发现,原来因为工作强度大,老张的压力很大,很长时间没有任何事情能提起他的兴趣,而且,老张经常失眠,这也直接导致他精神较差。

 

  病情分析:

 

  从目前来看,大多数人对于心理疾病相关知识的了解有限,不太关心自己的情绪,不会去主动调整,老张就是这样一种情况。老张实际上就处在抑郁状态之中。他所出现的睡眠紊乱、幻觉、焦虑等其他问题,都是与抑郁症相关的具体症状。抑郁症的典型症状包括心境或者情绪低落,兴趣缺乏、乐趣丧失和精力不足或过度疲劳。因此,在治疗上肯定要从抑郁症的方向入手,进行药物和心理的协同治疗。

 

  治疗方案:

 

  药物治疗:服用抗抑郁药物,对于较严重的抑郁症患者的治疗是必须的。老张是个小心翼翼、敏感的人,对于药物的不信任感也就比别人更强。从第一次就诊之后,每天老张都要给医生打五六遍电话,继续不断重复自己的病情,并且告诉医生自己还是有疼痛感,换言之,不相信医生的判断,不想服药。但在服药一周后,老张的状况有了明显的改观,医生说,抑郁症治疗需要有一定的耐心,遵医嘱的病人,通常1——2周症状会减轻,最长3个月就可以正常上班。

 

  心理疏导:对于抑郁症的治疗,单纯服药是不够的,因为心理疾病不像其他疾病那样看得见摸得着,患者应该按时和医生沟通,积极配合医生的心理疏导,尤其是在情绪不稳定的时候。有的时候,心理医生会使用一些特殊手段来帮助患者建立自信,走出疑神疑鬼的状态。

 

  家庭配合:抑郁症并不为大众所了解,当患者的家人看到患者的表现异于常人,只会说“不要想了,你这是没病找病”之类的话,其实是没能真正关心患者,对患者的打击更大。老张不断给医生打电话,也说明他和家人的沟通甚少,或者家人对他这种絮絮叨叨的行为很厌烦,老张的情绪没有宣泄的渠道。家人认为老张外界干扰多,不愿意回家,实际上老张回到家得不到家人的理解和帮助。因此,抑郁症治疗期间家人的配合至关重要,如果病人家属不了解自己该如何做,应该及时向心理医生咨询。

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本文作者

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长程个案

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续单率

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