Health Worlds

Business Description:
Chen Hao Shijiazhuang Counseling Center Counseling Center's Services:
1, depression, anxiety disorders, phobias, obsessive-compulsive disorder, hysteria, somatoform disorders, hypochondriasis, neurasthenia, adjustment disorder, stress disorder and other psychological diseases.
2, psychosomatic diseases: pathogenesis, disease course, treatment and prognosis with the psychological and social factors closely related to physical disease. Such as: functional dyspepsia, gastric ulcer, cardiac neurosis, hypertension, nervous cough, hyperventilation syndrome, menopausal syndrome.
3, sleep disturbance: difficulty falling asleep, more than a dream, waking, light sleep, sleep cycle disorder.
4, brain organic diseases (such as stroke, traumatic brain injury, encephalitis, brain surgery), physical illness (such as internal organs, disease, infection), etc. due to delirium, dementia, amnesia and other mental disorders.
5, mania, cardiac disorder, schizophrenia, schizophreniform disorder and other mental disorders.
6, eating disorders include: obesity caused by overeating, diet-induced anorexia and bulimia and Recurrent vomiting.
7, mental disorders associated with alcoholism, alcohol withdrawal syndrome and drug induced mental disorder.
8, chronic fatigue syndrome, chronic pain.
9, unexplained pain, vomiting, hiccups and so on.
10, menopause psychological disorders: anxiety, depression, mental abnormal behavior, general malaise, au


tonomic dysfunction.
11, Learning Disabilities: "Succeed, women look into the phoenix" human nature, children, young people ing difficulties, decreased performance, lack of concentration, hyperactivity, conduct and other misconduct, often the parents a headache.
12 Suicide Prevention and Crisis Intervention: One life, one need not end their lives themselves. Suicide prevention, counseling workers save lives but the important responsibilities and obligations. Tel: 80803120 8,080,300,718,931,117,120
Small *** month to the field every day on the University of insomnia, anxiety, insomnia, how to treat
1 #, and his exchange
Illnesses:
To the field on the freshman, sleep every day for a month
To the field on the freshman, a month every day, insomnia, late morning to the 3,4 point is also called home, crying his painful headaches, for help.
Patients from the primary grade 5,6 condition often difficult to fall asleep, house guests, or go to the field. After junior high school military training or social practice to the field a few days is very difficult to sleep, often did not sleep a few days away, go home just fine.
Points to the field to college in September, can not sleep every day, and sometimes did not sleep a whole. In the field also see a psychiatrist, the effect is not good to eat medicine.
Go to your hospital for three years, as "adjustment disorder"Posted at Zheng Jianmin doctor replies: one month to the field every day on the University of insomnia, anxiety, insomnia, how to treat
# 2 First Affiliated Hospital of Fujian Medical University, director of MD, associate professor of psychological counselingAdaptation disorder, also known as adjustment disorder is a mental quality as defects, which can not face the pressure of life in general, repeated psychological and social function to adapt to the crisis stage.
With PTSD is different from the psychosocial adjustment disorder intensity of the stimulus is within the normal range; and PTSD stimulus event is unusually strong, with the incident intensity of the assessment criteria. Both personality factors, but to adapt to the personality disorder is the main cause of defects.
ICD-10 will be classified as adjustment disorder neurosis stress disorder; the United States will meet the DSM- disorder classified as a separate category.
Without this category of Chinese CCMD, 1994 DDMD-2 for the first time classified as adjustment disorder neurosis, and ICD-10 close. Domestic psychological understanding of a variety of adjustment disorder, an emphasis on external causes adjustment disorders, life events and emotional problems that the linear causal relationship, which tend to be very popular theory is actually equivalent to the adjustment disorders of all heart result reflects; the other is the emphasis on internal factors, that is equivalent to adjustment disorders personality disorders, I would rather agree with this concept; There is also a barrier to understanding the psychological function to adapt to the loss of state, and psychiatric assessment of the severity of the disease Similar standards, is a symptom syndrome; There is also a disorder of adaptation is equivalent to the growth of normal adjustment problems: such as exam anxiety, wedding adaptation, adaptation remarriage, career adaptation, adaptation and other issues of laid-off. There is also a "monistic" point of , will be understood as ideological obstacles to adapt to disease, disease of thinking is all psychological reasons, because the will of the swelling problem of weak or ideas so there are psychological barriers.
Cause of adjustment disorder - fragile personality disorder
Childhood experience simple, independent living and suffer little temper, the transition from parents 'education crisis warning' and protection, so he is attached to the wayward, weak-minded, self-care is poor, timid and squeamish crying, he was seek care, hope that will never grow up good. At home he is a dragon, out is a worm, can not afford and face the pressures and frustrations of life must always be taken to avoid the defensive response, working and just social distancing, careful, honest it is not high, serious , informal words laugh.
Performance and adjustment disorder type:
Changes in the environment generally (such as immigrants), status changes (new jobs), emergency (illness, divorce, widowed), and other cases, the individual can not adapt to new circumstances arising from the psychological barriers, barriers to emotional expression Lord, work, learning ability to adapt to highlight the obstacles: the original work were a good learning ability, but the ability to work down there, learning difficulties. Also may be associated with behavioral disorders or physical dysfunction. Generally more common in adults with mood disorders, and adolescent conduct disorder Zeyi common. Children degradation in performance, such as bedwetting, infantile form of speech or suck your thumb. Symptoms usually stressful event or life change within the month after. Patients generally have personality defects, mental disorder duration less than six months automatically relief, but will relapse.
Prevalence is unknown, we psychologist more than 4,000 cases, 104 were diagnosed adjustment disorder, accounting for 0.25%. Most of exam anxiety to open Huankao drop out to prove, and rarely take the initiative to seek medical attention medical purposes. Abroad accounted for psychiatric reports 5%.
Anxiety type: nervous, distracted, distraction, distracted, can not, and personality characteristics of the collapse.
Depressive: the performance of depression, frustration, disappointment helplessness, loss of interest of all.
Body: the patient can pain (head, back or other parts), gastrointestinal symptoms (nausea, vomiting, constipation, diarrhea), or heart palpitations, shortness of breath and other discomfort, and body checking is not yet found a specific disease, symptoms last less than six months.
Social deterioration: patients were mainly social withdrawal, such as do not want to participate in social activities, do not want to go to school or work, often behind closed doors at home, but not with depression or anxiety.
Abnormal behavior: more common in young people, showing the power of infringement or violation of ethical norms of society behavior, such as truancy, fighting, vandalism, lying, drug abuse, alcoholism, drug abuse, running away from home, early initiation of sexual activity.
Mixed: the mixture of several types, commonly combined anxiety + depressive illness. Emotional + conduct disorder.
Undifferentiated: the symptoms are not typical.
DSM- description of adjustment disorders:
A subjective state of pain and emotional disorders, often impede the social function and operation, seen in the apparent changes or stressful life events (including suffering or likely to suffer serious physical illness) to adapt to the consequences of the period. Stressors may affect the integrity of the individual social networks (through bereavement or separation experiences) or affect the broader social support systems and value systems (immigration or refugee status). Stressors may relate only to the individual himself, can also be affected in their respective groups or communities.
And F33. Compared to other barriers in the individual's susceptibility to the incidence of adjustment disorders in the form and performance play a greater role. However, we still assume, without stress , it will not happen. Variety of clinical manifestations, including depression, anxiety, worry (or mixture of the above symptoms), was unable to cope with the current situation, no plan, it is difficult to continue, in addition, there is a certain degree of functional impairment in daily affairs. Patients may feel easy to make a surprise move, or sudden violence, but this rarely actually occurs. However, conduct disorder (such as attacks or non-social behavior) can be associated with characteristic, especially in adolescents. Any symptoms itself and highlight the degree of severity are insufficient to meet the more specific diagnosis. In children, bed-wetting may be the re-emergence, juvenile childish corpse to speak, sucking fingers, these degenerative phenomena are usually part of the symptoms. If the advantage of these features should be used F43.2
Onset usually in stressful life events or changes occurring within 1 month after, in addition to the long-term depressive reaction (F43.21) outside the duration of symptoms not more than 6 months. If the symptoms persist longer than this period, the clinical diagnosis should be based on performance relative to corresponding changes, any continuing stress can be used ICD-10 Z codes in Chapter XXI record.
If the response to treatment due to normal bereavement in the medical or psychiatric institution, where there's culture in the individual response is appropriate, and it lasts no more than 6 months, do not use these codes in the ICD-10 Chapter XI in the first H in the code, such as 263. 4 (family members missing or dead), plus 271.9 (advisory) or 273.3 (not classified elsewhere in its stress.) The sorrow of any response as abnormal, regardless of their length, should be coded as F43.22, F43.23, F43.24, or F43.25. More intense and lasted more than 6 months of grief reactions attributed F43.21 (long-term depressive reaction).
Diagnosis of adjustment disorder
1, followed by some emotional problems, the pressure is generated within three months, subjective worry.
2, the efficiency of social function and obvious damage, loss of this function is still not commensurate with the pressure.
3, the pressure disappears automatically relieve the symptoms within six months after a similar attack a history of more than 2-3 times.
4, no psychiatric symptoms, rule out the normal cardiac response.
F43.2 Adjustment disorders of the diagnostic points
a) symptoms in the form, content, severity; b) past history and personality; c) stressful events, situations or life crisis.
Must clearly identify the existence of the third factor, and should have strong evidence as it may be somewhat speculative) that should be done not without obstacles. If the stressor is weak, or not confirm the time of (less than 2 months), should be based on the characteristics presented in its classified elsewhere.Free: children separation anxiety disorder (F93.O)
Symptoms related to several types of emotions such as anxiety, depression, worry, tension, anger. Anxiety and depression can be found mixed anxiety depressive disorder (F41.2) or other mixed anxiety disorder (F41.3) criteria, but their prominence is not enough for the more specific diagnosis of depression or anxiety disorders. In children, while there is bed-wetting, thumb sucking behavior of such degenerative reaction, but also use this category.Acute stress disorder: is the trauma occur within hours to days after recalling the tragic response to the strong anxiety symptoms for 3 months, fully recovered. Obstacle is the continuing pressure to adapt to the time or before the beginning of functional reduction, anxiety and more gentle, stress symptoms resolved after.
Post-traumatic stress reaction: a Chujingshengqing of escape and spontaneous "flash back" association, refused to help social withdrawal are common.
Excited type of depression: spontaneous restlessness, irritability sad, lamenting the call, and even crying in the corner, head on the wall, desperate night of anguish morning light weight change, many of the characteristics of a manic + anxiety.
Anxiety disorders: paroxysmal unnamed fear, no corresponding environmental pressures, accompanied by physical stress (autonomic nerve disorder), or panic burst.
Neurosis: Neurosis is very similar symptoms and adjustment disorder, depression and anxiety neurosis are almost continuous presence of long-term, intermittent fluctuations, if it is only related to symptoms and to stimulate the patient's subjective attribution or projection, not a causal relationship between objective , the body is not parallel with the stimulus events, higher expectations for health, more unrealistic expectations of the social motivation, moral got a little older and more prominent; such as neurasthenia: Good service is far higher, unrealistic expectations Elegant and endurance stamina is poor, After the general malaise, fatigue, irritability, and so upset. Adapt premorbid personality and neurosis are quite different. Obviously with the situation on anxiety and depression, he is good at evading difficult to find an excuse to lie to his buck, he is worry about the outcome and just people.
Nervous depression (dysthymia): Long-term illness can be repeated spontaneous, it can be stress induced, accompanied by more obvious symptoms of depression, anxiety worry, do not completely alleviate the symptoms. The symptoms and premorbid personality and adjustment disorder most similar.
Secondary to physical illness: body and disease will be a lot of secondary anxiety and depression, but most are the result of a long illness, is not recurrent.
Hysteria-like reaction: adjustment disorder may be a collective attack, much like the hysteria-like reaction. But hysteria is a blessing because of illness, and the corresponding anxiety and less desire to correct treatment of the symptoms are not urgent, dramatic change in the symptoms quickly, always in some occasions attack.
Personality disorders: social behavior and emotional disorders from childhood to the beginning, and life stability, the patient is their self-adaptation behavior problems, lack of emotion and motivation of rejection, may be a temporary adjustment disorder, two common diseases can be done at this time diagnosis, such as paranoid personality depressive adjustment disorder.1. Drug treatment, a simple cost-effective, but maintenance treatment to more than 2 years is appropriate.
2. Psychological treatment, at least 2 years, effective results suspicious slow, time-consuming and costly. Parents must also participate in treatment.First Affiliated Hospital of Fujian Medical University, Zheng Jianmin counseling roomZheng Jianmin Posted at my doctor


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