A case of psychological counseling with saliva forced

1. Basic information of the seeker

Wu Jun (pseudonym), male, 23 years old, graduated from university for more than a year. He has suffered from obsessive-compulsive drool since his first year in high school. He studied very well in junior high school. Because of the interference of saliva obsessive-compulsive disorder, I cannot study with my heart, and the learning efficiency is extremely low. After taking medicine for nearly a year, my mental symptoms have not changed. I no longer take medicine. My grades in the third year of high school have dropped a lot. During the university period, the symptoms were relieved because of the relaxed environment. As graduation approached, the psychological pressure increased and the symptoms became severe again. Although I found a job after graduating from college, I couldn't hold on to it for half a year. I had to quit my job. I went to the hospital to see a psychologist. The patient reported the following symptoms:

1. Always swallow saliva uncontrollably, and the throat is uncomfortable when swallowing. The more you control your saliva, the more saliva, the more uncomfortable you feel inside, but you can't always control it.

2. Feeling that your swallowing saliva will have adverse effects on others. When you swallow your saliva, if you are close to others, others will be affected by you, and you will feel that others are not comfortable;

3. Seriously affects interpersonal communication, always pay attention to the oral cavity, cannot communicate with people, and dare not go to places with many people, especially by car. always alone;

4. I often suffer from insomnia. I can still fall asleep in my own home, but I will have insomnia in unfamiliar places. I often suffered from insomnia when I was in college, and the insomnia was not relieved until I got acquainted with my classmates. After graduating from the university, I lived in a collective dormitory, and the insomnia became serious again.

It has been more than seven years since the first year of high school. During this period, I went to the hospital for drug treatment twice. When I was in the third year of high school, I took the medicine prescribed by the hospital for nearly a year, but the symptoms did not change. , and then stopped taking medicine. After graduating from college, I took drugs for more than half a year, and I have not done psychological counseling before.

2. The family situation and personal growth history of the seeker

There are three people in the family of the seeker. There are father, mother, and Junjun, the only child in the family. His parents love him very much. Junjun lives up to his parents' expectations. As soon as there is a psychological problem, his academic performance has always been among the best in the school. Later, due to psychological problems, Junjun's academic performance dropped a lot, resulting in failure in the college entrance examination. Although the family is not rich, parents always put their energy on Junjun and give the best to Junjun. Junjun feels that the most sorry for himself now is his parents.

3. Analysis of the causes of psychological problems

Junjun, as the only son in the family, did not become arrogant because of his parents' favor. On the contrary, he always wanted to be a good child. For this reason, he has been studying hard and wanted to repay his parents. Elementary and junior high school courses are relatively simple, and Junjun learns them with ease. High school learning is more difficult and the learning tasks are too heavy. Junjun will have some problems in learning. These problems are generally encountered by high school students, but when he encounters problems, he always thinks that it is his fault, that he is not good enough or that he has done something wrong. The wrong attribution made him feel that he was no longer a good child in the eyes of his parents, his self-confidence was hit, and his heart was more vulnerable. When she encountered setbacks again, she thought it was her own problem, and thus fell into a vicious circle. In this circle of bad behavior, Junjun can't extricate himself. She couldn't see outside the circle and only saw herself, so he paid more attention to himself and was extra sensitive. When she develops anxiety or restlessness, it manifests itself through physical discomfort. Occasionally focusing on one's own saliva causes symptoms to stick to swallowing saliva. Over time, because the problem is not resolved in time, the symptoms then generalize to other areas of life.

The process of psychological counseling

When Ms. Meiling gave Junjun her first psychological consultation, Junjun could hardly focus on solving the problem. Her attention was always on herself and she was forced to swallow.

During the fifth psychological consultation, Junjun had a significant improvement. During the consultation, she hardly had any swallowing behavior, and even had the idea of ​​going out. Whether it's a game of finding a stranger's autograph while out and about or playing a game of pushing people with a psychologist's assistant, she excels. She even offered to sing a song to the other clients at the end of the session.

After the sixth psychological consultation, Junjun took the initiative to propose that he wanted to find a job. His parents had supported him for so many years, and he felt very guilty about his parents. Mr. Meiling supported his idea and said that his problem would be solved more thoroughly.

In the subsequent consolidation of psychological counseling, I witnessed Junjun's transformation. He no longer paid attention to his own saliva, nor did he pay attention to other people's opinions of him. In his own words, the reason why he was troubled by saliva obsessive-compulsive disorder in the past was because his heart was too weak and his vision was too narrow, because he had never found the crux of the problem, but just blindly focused his attention. In terms of symptoms, it has caused himself to have not grown up. He said that it is different now, and now that Teacher Meiling has opened my eyes, my heart has become really strong.

5. My psychological perception

(1) During this period of studying with Teacher Meiling, I have seen many real cases. I have seen counselors recovering after the teacher's adjustment, and I have also seen many counselors who have been adjusted by the teacher before psychological counseling. When I came to see Mr. Han and Mr. Dai, I felt that a psychologist is a great profession. A good psychologist can not only help a person get out of psychological troubles, but also help reshape a person's soul and make the No matter what he encounters on the road of future life development, he can face it calmly. At the same time, I am also more aware that to grow into an excellent psychological counselor, it is not about studying psychology for four years in college and then getting a certificate of psychological counseling. Three, five years, but I'm willing to work on it.

(2) In this case and many other cases that I have seen with the teacher, I found that the serious psychological problems in the end were often caused by the difficulties they encountered in the growth process (such as gender problems, Learning problems, personality problems, etc.) and not resolved in time, resulting in long-term accumulation. Our parents love their children so much that they give them all the material care they can, but they also give them layers of spiritual shackles. Just tell the child that this road cannot be walked, that there are obstacles in that road, and some parents even pave a road for their children, thinking that this way the children will have less setbacks and less harm. But he forgot to teach children how to face setbacks and how to teach them how to choose and take responsibility for themselves, and became a glass boy. How can such children grow up to face this increasingly cruel society?