Psychological counselors often encounter such examples. A child is depressed. When it is time to get up and go to school, he doesn't want to go to school anyway. As a parent, he tries to persuade and discuss in every possible way, but the child just doesn't listen. Later, there was really no other way, so I called the psychological counselor and said, "Teacher, my child is depressed and doesn't want to go to school. What should I do?" Can you help me enlighten me on the phone?
In fact, in this case, parents do not understand depression , nor do they understand how their children feel, nor do they know how to deal with depression. Let’s not talk about whether the child will be willing to answer the phone call from the psychological counselor. Even if the child answers the phone, the psychological counselor may not be able to let the child go to school. Because, if even a child’s parents cannot do it, how can a stranger do it?
Taking a step back, even if the psychological counselor has professional communication skills, as a professional psychological counselor, he will not enlighten the child with the purpose of letting the child go to school immediately. Because this does not really help children, nor does it solve children's psychological problems.
If I were faced with such a problem, I would probably first advise parents that it is more important to respect their children's choices.
Regarding this situation, family members of depressed people need to understand some basic common sense, that is, how to treat depression? When is the appropriate time for psychotherapy?
usually occurs when the disease has just begun and is in a depressive episode. The treatment at this time is called acute phase treatment, which is mainly drug treatment. If the symptoms are severe, hospitalization or physical therapy can also be used. Of course, psychological treatment is also required. However, the psychological treatment at this time is mainly supportive psychotherapy.
What is supportive psychotherapy? It is some practices that use comfort, encouragement, companionship, listening, enlightenment, explanation, etc. to help patients relieve pain, understand the disease, and improve their confidence in fighting the disease and treatment compliance.
Through the above methods, the symptoms may begin to ease within a week or two, and slowly, all symptoms will be eliminated. This time, it is called clinical cure.
Supportive psychotherapy is different from professional psychotherapy. Professional psychotherapy refers to a series of interactions between depressed patients and psychological counselors for the purpose of solving patients' psychological problems, psychological confusion, irrational cognitions, and unreasonable behavior patterns. Note that the protagonist of psychotherapy is the depressed patient or the person seeking help. The psychological counselor is a supporting role, a helpful role, and a helper. This kind of psychological treatment can solve psychological problems, help patients improve their psychological quality, and adjust and optimize their behavioral patterns.
What we usually say is that the mainstream treatment methods for depression are: drug treatment plus psychotherapy. Psychotherapy as the main treatment method for depression here refers to professional psychotherapy. Of course, it also includes the supportive psychotherapy mentioned above, and mainly refers to professional psychotherapy.
Professional psychotherapy is generally started after the depressive symptoms are controlled or alleviated, or after clinical cure. At this time, patients with depression have alleviated their physical and mental pain, and have the energy and willingness to carry out professional psychological treatment. However, during the attack, these conditions are not met.
At this time, please note that there may be a common misunderstanding. Most people understand it based on common sense. When the symptoms are eliminated, they are basically the same as before the disease, and they can work and live normally, they think they are completely cured. In fact, this is a misunderstanding about depression treatment.
After clinical cure, although the symptoms have been eliminated, you should still insist on drug treatment for a period of time, maintain follow-up consultations, and gradually stop taking drugs under the guidance of a doctor. At the same time, you should also start professional psychological treatment according to your own situation and the cause of the disease.
The characteristic of psychological problems is that it is difficult for oneself to realize one's own problems. Therefore, it is necessary to ask others to help discover one's own psychological problems, such as irrational cognition and unreasonable behavior patterns.
What psychological counselors can do is provide professional help. Through psychological counseling, they can analyze and discover the psychological reasons for their depression, find their own irrational cognitions and unreasonable behavior patterns, and improve their psychological quality and adaptability through professional psychological methods and the help of psychological counselors.
The above is the psychological treatment of depression, which is also the treatment of the cause. To a certain extent, this is the fundamental treatment of depression.
On the basis of psychological counseling, if possible, self-treatment should be done on this basis. Conscious self-treatment is even more important than professional psychological treatment, because in essence, psychological treatment with the help of a psychological counselor is also a kind of self-treatment. Because the protagonist of so-called psychotherapy is always the patient himself, who is changing himself and treating himself.
Only true self-treatment can improve one's psychological quality. At the same time, self-treatment can better prevent the recurrence of depression.
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