Produced by: Sohu News
Strategic Cooperation: Xi'an Mental Health Center
"I forced it!" Perhaps no name for any mental illness is so widely common in life. When "forced behavior" flies into ordinary people's lives like a cold, I believe everyone is familiar with compulsive behavior. So many people will ask, is this my obsessive-compulsive disorder? So, do I have obsessive-compulsive disorder? Even if I have obsessive-compulsive disorder, how is obsessive-compulsive disorder diagnosed?
In response to these problems, we invited Tian Yumei, director of the Psychiatric Rehabilitation Department of Xi'an Mental Health Center, to talk to you about the related issues of obsessive-compulsive disorder.
⊙ Tian Yumei｜Director of the Department of Psychological Rehabilitation of Xi'an Mental Health Center
Be careful not to let the "forced psychology" control you
In daily life, we often hear others say, "I committed obsessive-compulsive disorder", which may be a joke about certain phenomena in society. In fact, in the ICD-10 classification of mental and behavioral disorders, obsessive-compulsive disorder belongs to a category of diseases under neurotic disorders (F42), which is a group of mental and psychological diseases with obsessive thinking and compulsive behavior as the main clinical manifestations.
Director Tian Yumei introduced that the typical symptoms of obsessive-compulsive disorder are composed of obsessive-compulsive thinking and compulsive behavior. There are four main points in the typical obsessive-compulsive symptoms: First, the compulsive thinking or some concepts, appearances or impulses generated in the mind are "own", not imposed by the outside world; second, the patient spends a lot of time every day, even for several hours, and has repeated concepts or actions, which affects life or work; third, at least one thought or action is still being resisted by the patient in vain, even if the patient no longer resists other symptoms; fourth, thoughts, appearances or impulses must appear repeatedly and make the patient suffer.
According to relevant data, among psychiatric and psychological problems, the prevalence of obsessive-compulsive disorder in my country ranks fourth in the world. About 2.3% of people in the country will be troubled by obsessive-compulsive disorder at a certain period of their lives, and about 1.2% of people will experience obsessive-compulsive disorder symptoms every year.
⊙ Director Tian Yumei discussed the patient's condition with the department doctor
Obsessive-compulsive disorder, one of the ten disabling diseases in the world,
According to Director Tian Yumei, the onset of obsessive-compulsive disorder is multifactorial, which is related to various factors such as abnormal neurotransmitters, physiological states, psychological states, brain structure and function abnormalities, genetics, infections, external environments, etc. Most of the disease occurs in childhood or early adulthood, with an average age of onset around 20 years old, with an approximate prevalence of men and women, and often slowly develops without obvious causes.
If linked to life, you will find that people with obsessive-compulsive disorder may cause compulsive behavior due to professional reasons, such as doctors, teachers, finance, etc. These patients have a certain degree of compulsive character before illness, such as being cautious, paying too much attention to details, being easy to think, and being perfect, but being too rigid and lacking flexibility.
Secondly, psychological research has found that the formation of obsessive-compulsive disorder is related to the bad parenting methods when they were young, such as parents being too strict, harsh, over-control, interference, more punishment for use, and lack of warmth, support, affirmation and encouragement in the parenting process. These are potential risk factors for the development of obsessive-compulsive disorder.
Overall people think that obsessive-compulsive disorder is just a "behavior quirk". About 60% of obsessive-compulsive disorder patients are ashamed to tell their doctors about their symptoms, which causes the average age of patients to visit the doctor for 10 years, and the harm it brings to people is more serious than people think, because once the idea of compulsiveness arises, it will be like a car without brakes, wanting to stop but unable to stop. This repetitive obsessive-compulsive symptoms that will not only make you suffer, anxious, and irritable, but will also affect your work and life, but will also bring pain to those around you.
"For example, repeatedly closing the door and washing hands, the patient's painful emotions will also affect the emotions of the people around him. Because they don't understand, they will question: Is it obvious that your own thoughts still uncontrollable? This kind of incomprehension will often cause some family conflicts." Tian Yumei said. “Obsessive-compulsive disorder is also listed as one of the top ten disability diseases in the World Health Organization."
⊙ Director Tian Yumei discussed the patient's condition with the department doctor
Drug treatment and psychological treatment work twice the result with half the effort
" If you have obsessive-compulsive disorder, the pain in the patient's heart is something that ordinary people cannot understand. "In our interview with Director Tian Yumei, Director Tian sighed: "And the greater difficulties faced by patients with obsessive-compulsive disorder have the same treatment."
As a mental illness with complex causes and symptoms and recurring recurring, there are many controversies in the treatment of obsessive-compulsive disorder. So should obsessive-compulsive disorder be mainly based on drug treatment or psychological treatment?
Director Tian Yumei said that at present, the treatment of obsessive-compulsive disorder mainly uses drugs and psychological treatment. As for whether drug treatment is the main method or psychological treatment is the main method. , depends on the specific condition of the patient.
If the symptoms are mild, the patient has a sufficient understanding of obsessive-compulsive disorder, or a high understanding of psychological treatment, can undergo cognitive psychological treatment intervention; if the obsessive-compulsive behavior is the main focus, the first thing is to do is to correct behavior or intervention, which is called behavioral therapy; if the patient has a very heavy degree of compulsiveness, and after reaching moderate to severe, it is accompanied by some anxiety and depression, it is necessary to take drugs to stabilize the patient's emotions and symptoms, and then combine psychological treatment with psychological treatment.
⊙ Director Tian Yumei discussed the patient's condition with the department doctor
Obsessive behavior does not necessarily mean obsessive-compulsive disorder
In daily life, many people think they suffer from obsessive-compulsive disorder when repeatedly confirming whether the doors and windows are closed, or require that various living habits should not have any deviations.
Director Tian Yumei said that this situation does not need to be particularly worried, it is the "compulsive" that requires quotes. Everyone has more or less a period of time in their life. This state lasts a few days, and when the symptoms are relatively mild, it does not require treatment; but if you think these "compulsive" behaviors with quotes last for a long time, for example, More than two weeks and has a certain impact on life and work, so you need to pay attention in time.
Because, for those patients in the early stage of symptoms, early detection and timely treatment are very critical, which directly affects the prognostic effect. In order to allow all groups with hidden dangers of obsessive-compulsive disorder to easily understand their own situation, Director Tian provided a commonly used evaluation scale in clinical practice - "Yale-Brown Obsessive-Compulsive Symptoms Scale".
"Yale-Brown Obsessive-Compulsive Symptoms Scale" is widely used in for clinical practice and research. It is currently the most commonly used obsessive-compulsive symptoms assessment tool in the world. It is mainly used to assess the severity of obsessive-compulsive symptoms, and it can also determine whether obsessive-compulsive symptoms are cured or not. Qualitative criteria. The
scale divides obsessive-compulsive disorder into three degrees: the
comprehensive score is 6 to 15 points, that is, mild. The symptoms have begun to have a certain impact on the patient's life, study or occupation. The patient's symptoms will fluctuate continuously with changes in the environment and emotions. If it cannot be resolved as soon as possible, it will easily develop and generalize to a serious degree. This is the most ideal period for treatment. It is recommended to treat it as soon as possible. The
score is 16 to 25 points, that is, moderate obsessive-compulsive symptoms. It means that the frequency or severity of the symptoms has caused obvious obstacles to life, study or occupation, causing the patient to be unable to effectively perform his original role functions, and even without effective improvement. Previously, it may lead to depression symptoms, or even suicidal thoughts, and must undergo psychological treatment or medication.
severe comprehensive score is greater than 25 points. The patient's obsessive-compulsive symptoms are already very serious, and he is completely unable to perform his original role functions, and even life functions such as food, clothing, housing and transportation cannot be performed. Usually, patients are unable to go out and imprisoned at home. They have forced thinking at all times and perform compulsive behaviors at all times. Patients with severe severe patients are very likely to develop depression symptoms and usually require compulsory treatment.
doctors will make a relatively accurate diagnosis of the disease based on the scale scores combined with the evaluation during the consultation process, so as to take corresponding treatment to help patients control symptoms and gradually reduce the impact on life and work.
⊙ Director Tian Yumei talked to the patient
Finally, Director Tian Yumei said that everyone may have a forced state at a certain stage in their life, but this stage is not insurmountable, it is just a "passerby" in your life. As long as you have a peaceful and good attitude and look at it correctly, most people can quickly get out of the "cage" of obsessive-compulsive disorder after formal treatment and professional guidance.
Review: Shi Jinjuan
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