In order to engage in anxiety and can't sleep, under the epidemic, Shenzhen boss poured into the psychiatric department
Author:Daily figure Time:2022.07.11
In May of this year, the anti -epidemic light show in Shenzhen played a few words -keeping green code and making money. But for many small and medium -sized business owners, making money is becoming more and more difficult.
After the epidemic, the difficulty of this material level is transforming into spiritual difficulties. One of the significant phenomena is that the only three -tier A specialty hospital "Corning Hospital" in Shenzhen's only three -level A -class psychiatric hospital has more small and medium -sized business owners. The hospital has been established for 42 years. Under its psychological psychology department, outpatient clinics such as sleep disorders, anxiety disorders, and depression disorders are set up. It just echo the symptoms of these business owners who come to the hospital for help -anxiety, depression, and sleep.
They took the "elevator" of the time. There is nothing from rural areas, and in the past ten years of several waves of wealthy waves, they have become managers of the enterprise and entered the wealthy class. According to statistics from Shenzhen in February this year, the number of SMEs exceeds 2.5 million, accounting for more than 99%of the total number of enterprises in the city. There is no doubt that they are the capillaries of Shenzhen's economy and are the source of vitality.
In Shenzhen, mental illness has become one of its common diseases. Over the past 40 years, Shenzhen's resident population has increased from 310,000 to 13.438 million, an increase of 42 times. During the same period, the population growth of Beishangguang was only between 1.-2.5 times. In a survey of Corning Hospital, it was found that the prevalence of the lifelong prevalence of various mental illness of Shenzhen residents had reached 21.87%. The epidemic enlarged this pressure.
Wang Yongjun, currently the director of the Clinical Psychiatric Research Office of Shenzhen Corning Hospital. At the age of 50, he graduated from the Capital Medical University and was also a postdoctoral University of Tsinghua University. At the same time, he is also a new Shenzhen citizen. He not only enjoys the openness and tolerance of Shenzhen, but also feels the pressure brought by competition. Recently, he visited many anxious bosses.
The following is the narrative of Wang Yongjun, Shenzhen Corning Hospital--
Wen | Chang Fangfei
Edit | Yi Fangxing
Operation | chestnut
Poverty -stricken anxiety
In the past two years, more and more business owners who have come to see my anxiety are generally only thirty or forty years old. Among the recent patients, one is the chairman of the listed company.
He is a typical generation of Shenzhen "immigration", 40 years old, and is very introverted and concentrated. After more than ten years of struggle, I have accumulated today's wealth, and I already have a listed company.
Through further communication, he found that he was a typical anxiety, which produced some physical discomfort. When chatting with people, the voice trembled, and he couldn't help shaking; sitting down and changing his legs, he could not maintain the same posture for a long time. He also complained that he was always in worries that could not be controlled at all times.
He knew that the details of these work and life would not be too omissions, but he still couldn't control himself and worried all day. This inexplicable concern caused by inexplicable concerns and trembling muscles, which eventually affects the work and life of patients, is medical in medicine, which is one of the manifestations of extensive anxiety disorder.
The direct incident that triggered his anxiety was the sudden illness of his family and the company's long -term operating pressure.
I remember that there is also a male patient with severe anxiety, diagnosed with "double -phase emotional disorders".
He is 50 years old, in Chaoshan, the entire family is doing business and doing import and export trade. Because of the epidemic and international trade, his business plummeted. As soon as he sat down, he sighed and said to me, "The company's financial deficit is too powerful every month."
When I found me, the patient's face was embarrassed, sweaty, and the two dark circles were very obvious. As soon as he sat down, he began to pull his fingers, and his hands and legs were shaking when he spoke. He complained that he could not sleep for three or four months, and he could barely maintain sleep and control his anxiety by eating 3-4 tablets of chloroli.
Chlorolisa has a certain sedative effect. When he finished eating at night, he went to sleep intermittently. By the time of the day, I will be mentally burnout, I can't afford to do things, and I am weak. Looking at me, because I was plagued by anxiety, my mood was low, and pessimistic despair. He basically could not deal with work normally. The business things could only be handed over to others.
He was extremely unstable and irritable. When the state is in good condition, he is vigorous, social, and spoken, and has a lot of ideas and plans for business and life. In addition to these, patients will become irritable. Use violence. When the state is poor, the mood becomes extremely depressed for a while, and nothing is done. All ideas and plans cannot be implemented and are unwilling to do it.
Determine whether a patient is at least four requirements for anxiety. First of all, it depends on whether he is related to physical diseases. Many physical diseases can be anxiety in the early stage. Secondly, there are specific life stress incidents. And personality foundation, fourth determination the impact of anxiety on its social functions.
Under normal circumstances, anxiety patients do not need to be hospitalized, just take the medicine on time. However, if it is a patient with obvious personality and severe anxiety, the social function is seriously damaged.
The larger and larger outpatient diagnosis
Since the start of the epidemic in 2020, I clearly feel that the outpatient volume of Corning Hospital has become increasing.
Even if it is very expensive, it is still in short supply. Every Tuesday afternoon, under normal circumstances, there are 5 patients. After the epidemic, I basically add a number each time. At most, I added five or six patients in the afternoon.
The number of outpatients in the entire hospital exceeds 2000 per day. The expert accounts of the three departments of sleep, anxiety, and depression are difficult to hang up. The survey showed that in a few years, the outpatient volume of Corning Hospital doubled. Large and small business owners and entrepreneurs are generally anxious. Many bosses are accompanied by secretaries when they are clinic. Not only did they have the pressure to make money, they also had the livelihood of many families.
However, they do not shy away from Corning to see a doctor. On the one hand, these business owners are relatively good in economic foundation and see a lot in the world. Work and life have had a great impact, and it has to be treated.
At the same time, there are more patients with serious illnesses. Since this year, the number of hospitalization patients has not been less than 1,600. In fact, under normal circumstances, there are only 1,330 beds in Pingshan District and Luohu District.
My department can theoretically receive 55 patients at the same time, but at most, I lived at 71. Corning, as the only specialist hospital in Shenzhen, is the only three -level section -level spiritual hospital, cannot refuse to accept patients who need to be hospitalized. You can only add bed in the ward and bonuse the three rooms and three rooms. In the case of bed, the average number of patients in Corning Hospital was only 28 days, and similar hospitals in Beijing for more than 30 days, and other inland provinces exceeded 50 days.
Even so, the medical resources in the field of spiritual health in Shenzhen are still scarce, and the beds of spiritual specialty are not enough.
The prevalence of mental illness in Shenzhen was 21.87%. From 1982 to the present 40 years, the lifelong prevalence of national mental illness continued to increase. In 1982, the prevalence of the end of the body was 1.3%, 13.2%in 2002, 16.6%in 2015, and more than 21%at the end of 2020. According to the existing data, the prevalence of Shenzhen mental illness is higher in the country.
The prevention and control of Shenzhen's mental disorders is also the best in the country. If we judge that patients have a tendency to hurt people and self -injury, and their families do not agree to be admitted to the hospital for treatment, we will marked the patient in the medical record system as high -risk individuals, then the police and social workers of the police station where the patients live in the community will be synchronized. After receiving the information, they regularly make phone calls to the patients.
▲ In the past 40 years, Shenzhen's resident population has increased 42 times. Photo /Visual China
Why is it Shenzhen?
Beijing's population aging is relatively high. I usually go out and see the elderly walking in the park, working in the community, and dancing with a few friends, making people feel comfortable. I have never seen such a picture in Shenzhen.
There were no Shenzhen in the world, and they came to Shenzhen. There are only 300,000 locals in Shenzhen. This is an out -of -the -box immigration city, and they are all young people. "The Seventh National Census Bulletin of Shenzhen", the average age of Shenzhen's permanent population is only 32.5 years, and is the youngest city.
They came to Shenzhen to struggle and make money, so Shenzhen could increase 300 times per capita GDP per capita in such a short time. Behind this means that the pace of life of Shenzhen people is very fast. Take our medical care as an example. If you live in Nanshan District, you can commute time to Pingshan, and it is the same as a person who lives in Tongzhou District, Beijing to work in the city. This rhythm of life is a great test for young people's physical fitness and mental condition.
And anxiety is often due to comparison. The gap between the ideal and reality, the omnipresent competition between peers is one of the roots of young people's anxiety. In the first quarter of this year, the average monthly income of Shenzhen was 9,000 yuan, and young people who earned 56,000 yuan per month would feel a lot of pressure.
For example, at the beginning of the 2020 epidemic, I have been diagnosed with a young man. The young man in Shaanxi was only twenty years old. Because he had a physical conflict with his colleagues, he was sent to Corning after the other party called the police.
At a glance, I knew that he must have severe anxiety, and his mood was very unstable. He didn't trust me during the conversation with me, and always looked up at the monitor, thinking that I and the police were a group, and he would definitely not towards him. And I felt that many people around me were about to hurt him, and their boss also looked down on him.
After careful inquiries, he knew that his hometown was in the countryside, and 5 people in the family made money by himself. His salary was four or five thousand yuan a month. He had to live himself and had to send money to his parents. At the same time, he lacked the care of his loved ones from an early age, and he could not contact his parents when he was hospitalized. He has never knew how to resolve his emotions. When he encounters setbacks, he will think of others and the worst -the worst -everyone will harm him, and finally form a vicious circle, and everyone is isolated by everyone.
Even the pressure of adults' own competition will be passed on to minors. Recently, my mother often brought her child to the clinic to find me. I feel that the child's mental state is not good and emotionally unstable: when you go to the night to play mobile phones and play games all day, you are not studying well; There are strong confrontation. Many parents and children have problems with communication. The degree of anxiety is more serious than the children. Parents' anxiety cannot be relieved, and children's problems are difficult to solve.
Many parents who control the desire to be too strong, like to count the children -you think wrong or do that, there is nothing to satisfy them. Parents do not know at all that these accusations will be internalized into the way of minors thinking about problems.
A girl was diagnosed by other doctors as schizophrenia because of hallucinations during high school. When I was in front of me, wearing a huge black peaked cap, constantly devaleted, thinking that his cheekbones were very tall and ugly. He usually walked on the street. Many people always talk about her looks, pointing to her, and the monitor is to monitor her settings. After careful consultation, I found that she was a perfectionist who did not allow me to make mistakes and cannot have any flaws. She had a good academic performance before she became sick, and she had the habit of repeated inspections and self -reflection. Combined with family education for comprehensive assessment, I was sure that the girl had mental illness obsessive -compulsive disorder.
Shenzhen immigration
I am also a "immigration" in Shenzhen myself, and I came to Corning Hospital in 2018.
There is a sense of mystery of mental psychology. If you invest in it, you will find that the mental and psychological conditions of a person are very complicated. It needs comprehensive judgment. The latest research needs to be continuously applied to clinical practice. Secondly, spiritual majors need doctors to have knowledge in other fields. Experience and professional knowledge are integrated into patients' diagnosis and treatment. So I feel that I really prefer spiritual majors.
At present, the doctors in my team are all post -90s, and their mental appearance is very good. My postdoctoral post -doctoral is desperate than me. Sometimes I send him WeChat at 2 am, and he returns to the second, indicating that he is also studying and working. Of course, Dr. Corning's income is definitely the highest in the national spiritual specialist hospital. The performance assessment is scientific and reasonable. The monthly income of a graduate student is 10,000 yuan, which is much more than Beijing and Shanghai.
I always told students that being a psychiatrist must be patient and love. This is not a high -profile singing. This is the basic requirement. Many people think that patients with mental illnesses cannot be converted to normal people, which is wrong. People with mental illness also know who cares about them and who is good to them.
▲ Figure / Vision China
On one occasion, a 40 -year -old male patient was onset, and he listened delusions. He felt that the people upstairs were monitoring themselves and deliberately scolding themselves. He lived on the 7th floor, rushed out of the house when he was sick, and opened the window of the corridor and sat on it to jump down. The patient's parents were 80 years old at the time, and the police persuaded for 30 minutes, and the patient was still unwilling to come down.
In the most desperate time, the patient's mother thought of me and opened the phone to avoid mentioning. The patient heard my voice, and the emotions quickly calmed down. I said that you hurried to get a car to the hospital to find me. I talked to you. He heard me calling his name, and immediately came down and took a taxi to the hospital for me to be hospitalized.
I have been working in 1998 to the present, and I have never been hit by patients for 24 years. Once, a patient who was just hospitalized wanted to attack me, but after seeing the patient next to him, he hugged the patient as soon as possible. Two times were my patient rushed up to protect me. Why do I like this major because of my dedication, the patient can feel that the family members can feel that my doctors can feel it. Many patients who are sensitive and suspicious because of illness are willing to talk to me even when they are onset.
It turns out that my choice to come to Shenzhen is right. At that time, I felt that I still had some ideals that did not realize it. I wanted to concentrate on the study of elderly mental illness, and I also wanted to make my team a first -class domestic team. My four years in Shenzhen's scientific research achievements far exceed the sum of the previous 10 years.
Healing and recovery
Whether in the face of physical diseases or mental illness, doctors must bear a lot of pressure. Every patient is frowning, and no one will come to the hospital happily. However, these negative things will not affect me. I will enjoy the joy of solving the problem for the patient and the success of my new life to the patient. My way of adjusting myself is a regular exercise and flexible role change.
My advice on patients is the same, try to find my spiritual support point, and not to chew myself repeatedly.
Mental illness can also be treated.
For example, the chairman of the listed company with "typical anxiety" is currently recovering.
He had seen a few doctors before and gave him Lauraci. This fast -acting central system inhibitor can temporarily suppress anxiety, but the problem is also obvious -patients are prone to form drug dependence and can easily produce drug resistance. In the end, the dose of drugs taking drugs will become larger and larger.
So I chose an antidepressant that is not easy to dependent. He has recovered much better than my expectations. Now his diet and work have remained normal.
Another young man with severe anxiety and emotional unstable symptoms are also alleviated. He finally adjusted for more than a month in Corning. The girl who wearing a huge black peaked cap and constantly derogating himself was also relieved after using antidepressant drug treatment. In my opinion, this is also related to parent education methods.
Why are anyone addicted to video games and like mobile phones? Because they get happiness and briefly find themselves in a game space. At this time, what parents have to do is not to blame, but to reflect on why the family has not become a harbor where children rest in reality.
▲ Figure / Vision China
Of course, there are also cases of bad prognosis. A 52 -year -old female patient had a good relationship with a family of three. She spoke and answered, and she looked at me. She also looked at me. She had been treated as psychiatric treatment in other hospitals before.
After examination, my diagnosis was a temporal lobe dementia.The prognosis of this disease was very bad. Although the patient's onset time was short and we intervened in time, after half a year of hospitalization, she did not know her daughter, and she was paralyzed in bed one year later.In the end, it can only be discharged for maintenance.Finally, people need to remind people of one -if they have been self -debugging, insomnia, anxiety, and emotional depression, etc., they still have not improved for a week, and they should consider going to the hospital for treatment.Doctors will help patients to judge quickly, and decide to conduct psychological counseling at this stage, go home for medication or hospitalization.
Keep in mind that admitting that your emotions and mental states are the most important step to defeat it.
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