A pair of shy men and women came to the studio, both in their 20s. According to the man, he accompanied his girlfriend A Hong for consultation. A Hong has a bad temper and a strange personality. Every time the two quarreled, it would escalate into an uncontrollable “big event”. No matter how others could not persuade, she would sometimes attack the persuader. Sometimes a noise is a night, and I have been complained several times because of the noise in the rental house. Sometimes on the road, the defense team on the night shift would not listen. Especially when Ahong was persuaded, he would go crazy and have self-harm and suicide. Sometimes he would jump off a building, or suddenly rush to the road to be hit by a car, and hit a wall with his head. But every time after the quarrel, A Hong immediately changed back to his usual appearance, and would very distressedly apologize and beg the man for forgiveness.
”I have discussed this issue with her several times. A Hong said that she didn’t realize that she often quarreled. After reminding me, it was indeed the case. She had talked with two boyfriends before, and she used the first one. The knife was scratched, and the second one broke up because of frequent quarrels with her.” The man introduced.
While the boy was drinking water, I asked the girl who had been silent: “Is this what your boyfriend just described?” A Hong nodded gently.
Psychoanalysis
often hear people say so and so “bad temper” so and so “bad character.” However, these people are not simply “bad temper”, they are actually “ill”. They suffer from a mood disorder called “dysthymia”.
Dysthymia first manifests as emotional problems. Although it has many atypical manifestations, most patients have its core symptom, that is, bad mood. Mainly manifested as irritability, and usually because of some small and trivial things, especially those done by people who are close to them; secondly, they are manifested as anxiety and depression. Bad emotions appear frequently or periodically, but when the patient looks back, he has forgotten the reason for the tantrum.
Patients with dysthymia have differences in their emotions. The general patient is emotionally irritable; a deeper point is to lose his temper, feel anger or even hatred against people and events; more serious is the emergence of emotional outbursts, sometimes accompanied by aggressive and destructive behaviors. A state of extreme emotional dysfunction is the so-called hysterical episode. At this time, the patient’s mood was very bad, beating his chest and feet, cursing or attacking, and even jumping off a building, suddenly rushing to the road and hitting a car and other extreme behaviors. A Hong in the case belongs to this typical symptom.
It is worth noting that the emotional response of patients with dysthymia is related to external real events. Moreover, they usually characterize the incident as “bad”, and are against it and against themselves. In other words, the reason why I lose my temper is because other people are not good, and other people have done something wrong. Some patients have inertial hatred mentality. For example, female patients suffering from emotional setbacks tend to hold rigid and generalized concepts, believing that “there is no good man in the world” and then that “there is no good man in the world”. Of course, if it is a male patient, at this time he will say “Never ask a woman to marry again” “Women are very difficult to deal with.” They attributed the cause to the outside, either white or black, in a partial generalization.
Because it is believed that external factors make them feel bad, most patients with bad mood like “blame” and “complain”, and sometimes have the impulse to destroy and hurt others. For example, if the husband did not say hello to his wife after returning home from get off work, but lay on the sofa directly, the wife felt that he had ignored him and was angry because of it. In fact, this wife suffers from a bad mood but does not know it. The husband may have been physically exhausted and depressed due to work reasons, and has no energy to say anything, but the wife thinks he is doing it for himself.
Dysthymia is called “dysthymia disorder” in the United States, and some doctors also call it “dysthymia”. Its incidence is very high, but in reality it is often overlooked. Since the patient’s emotions and behavior are related to the event, he does not feel that it is sick, but that he has a bad temper. Because patients also have anxiety and depression, they are often misdiagnosed by professionals as depression or other emotional illnesses.
Psychological prescription
dysthymia real cure is inseparable from the psychological adjustment, need medical treatment and psychological counseling both.
Drugs can gradually control the patient’s temper, and control the symptoms well, which is the key to treatment. On this basis, the correct psychological adjustment can finally cure the disease. Through psychological counseling, change the patient’s worldview, change his way of understanding people and things, and adjust the patient’s mentality. Patients should always tell themselves that many things are not aimed at me. The reason why I am upset is that my own nervous system is sick. In short, you must learn to think with your own reason, and not use emotions as the standard for dealing with problems. And learn to divide the incident and one’s own emotions into two things and deal with them separately. Of course, the best age for psychotherapy is before the age of 18. After the age of 36, the effect of psychotherapy is poorer, and you basically need to take medication for life.
Tips
dysthymia and depression are two major differences
distinguish a depression is episodic depression, rather than continuing bad mood. The depressive episode of depression is manifested as a general decline in interest and inability to feel happy. Sometimes even if it is smiling on the face, it is also reluctant to smile, which is not a deep joy. However, dysthymia is different. The patient’s temper can be very strong, but when they encounter something they like, they may instantly become elated and change their moods.
The depressive episode of the second depression can be relieved by treatment or naturally, and the length of the remission period varies. However, patients with dysthymia cannot be in a good mood for 2 months.
Because the mood of patients with dysthymia looks good and bad, many professionals will mistake it for “bipolar disorder.” It is true that dysthymia can have depression and happiness, but the patient’s own “good feeling” does not exceed 2 months, and when the patient feels well, it does not meet the criteria for a manic episode.
