Not only depression, but also human beings have similar reactions to all diseases with high mortality.
For a long time, a disease has been understood as a kind of paranoia, a failure of will, or a strong emotion. However, no matter how daunting it is, it always resonates. Patients are considered to be very fragile and full of self-destructive impulses. /kloc-doctors in the 0/9th and early 20th centuries devoted themselves to restoring patients' health. Their prescriptions are: pleasant environment, away from stress and family, healthy diet, exercise and rest. Does that sound familiar? What kind of disease is this? Depression? Anxiety disorder? Anyway, it's just some mental illness! The answer may surprise you: this is tuberculosis.
In the past, including now, words such as tuberculosis and cancer were often daunting for only one reason-related to death. Nowadays, this phenomenon reappears in mental diseases such as depression, forming a kind of discrimination caused by fear.
In the long history of human civilization, there are countless attempts, successes or failures. And many attempts in human civilization, whether successful or not, mean life and death. In the subconscious, what is known is recorded success or failure, while reverse thinking points unrecorded failure to the unknown. But in fact, this is a necessary condition, but not a sufficient and necessary condition.
Human exploration of many diseases is only the tip of the iceberg, and more is unknown. In the face of diseases, medicine sometimes seems really pale and powerless. Out of fear of the unknown, human beings choose to avoid the 50% bad situation, that is, to avoid disease. Most diseases that can't be cured at present and seriously affect the quality of life are often treated differently by others.
The cause of depression is not clear so far, but it can only be affirmed that many factors such as biology, psychology and social environment are involved in the pathogenesis of depression. Depression, like many diseases, is excluded because of this unknown.
Social Darwinism is an idea that Darwinism, especially its core idea-natural elimination caused by survival competition, is also a common phenomenon in human society and plays an important role in human evolution and development. Illness means weakness and is often considered inferior. Under the guidance of the thinking of survival of the fittest, patients are often discriminated against by others because of "considering the quality of life of most human beings".
Before the establishment of the psychiatric medical system, under the feudal system in the Middle Ages, mental patients were regarded as "curses", which had a great influence on later human values. Mental illness is considered a bad thing. Under social Darwinism, this weakness is infinitely magnified, and it will never escape the reality of survival of the fittest.
China people's fear of mental illness comes from the unbearable image of homeless people in the street, as well as from the backward treatment level and neglect of psychological problems in the past. Now most mental diseases are treatable diseases.
"Psychopathy", "mental illness" and "mental illness" are often talked about by people to insult others. Such language habits virtually make neurosis, psychosis and encephalopathy derogatory terms with personal attacks. From a medical point of view, this disease is no different from other diseases. It is an adverse reaction of the body and has a pathological and anatomical basis. However, these words have been given new meanings by past language habits, and even this new meaning masks the meaning of the words themselves.
The source of stigma lies not in the words themselves, but in the polluted meaning given to the words in culture, but the preconceived effect is obvious, and the inherent cultural concepts have been difficult to change. At present, most of the measures to denominate are to start with the words themselves and replace the stigmatized words with new nouns.
In 2002, the Japanese Psychoneurology Society announced that schizophrenia was renamed as "comprehensive disorder", and South Korea also renamed it as "tuning disorder" on 20 12.
20 12, the Ministry of Health of China renamed Alzheimer's Harmo's disease as "Alzheimer's Harmo's disease";
In addition, the substitution of bipolar disorder for bipolar disorder, the change of mental illness to mental disorder, the renaming of mental hospitals around the country, and the change of psychiatric department to psychosomatic medicine are all aimed at avoiding those stigmatized words.
However, in my opinion, such an approach cannot completely change the status quo of stigma. This simple renaming is like redirection, and there is an equal sign between the two. It won't be long before these new words are labeled with stigma. The most typical example is the suggestion that "Alzheimer's disease" (Alzheimer's Harmo disease) be renamed as "Alzheimer's Harmo disease". When will such a thing end? What we really need is not to find a new noun to denominate, but to remove the cultural labels from these words and change the stereotype of the public.
The essence of tagging is classification, and its purpose is to reduce cognitive costs; The result is cognitive bias.
Some people deliberately label themselves for two purposes, either to put themselves in a certain group to gain a sense of identity and security, or to express themselves (boasting and self-deprecating). When people casually say "obsessive-compulsive disorder", "I'm going to be autistic!" "I am depressed!" Frankly speaking, these words seem to have become a joke and are used to it. When those who really need help overcome their sense of shame (this sense of shame comes from the label of the disease name and the pressure of social Darwinism, which makes them feel that getting sick is a particularly shameful thing), when they summon up the courage to reach out for help, they are covered up by the bubble that groans without illness and treated as a joke of the same quality as the bubble. But under this bubble, there are so many helpless arms. These real patients will think, "Everyone is sick, why am I different from them?" At this time, there will be a huge psychological gap, and you will doubt yourself and blame yourself. Put yourself in others' shoes. What kind of unfairness is this? What kind of irony is this?
Another situation is that patients themselves are labeled by others, treated with colored glasses, and discriminated and ignored everywhere. This is probably the most common situation for everyone. In sharp contrast to the high incidence rate, the rate of seeing a doctor is less than 10%, and more than 90% patients have not received professional treatment. A large part of the reason is that patients do not have the courage to accept such a stigmatized disease. But to make matters worse, the patient has accepted his own disease, while others try to forcibly tear off the label on him, just using "affectation" to perfunctory. This is a strong sense of disapproval, but his pain is described as melodramatic and the victim is beaten.
Osamu Dazai's famous saying, "I pretend to be old, and everyone will say that I am old. I pretended to be a slacker, and everyone rumored that I was a slacker. I pretend to be a liar and people call me a liar. I am rich, and everyone thinks I am a rich man. I pretend to be cold, and everyone says I'm a heartless guy. However, when I really couldn't help moaning in pain, everyone thought I was moaning. " It just perfectly illustrates this situation.
Mental illness is influenced by too many subjective factors, and the cost of pretending to be sick is low. For many people who follow the trend, it is because they are decent, do not have surgery, are not ugly and do not hurt. They only see romance, mystery, decadence and handsomeness.
Popular science here, the current diagnostic methods mainly rely on clinical manifestations, ICD- 10 description of depression is:
A) depressed
B) guilt or sense of value.
C) suicidal thoughts.
D) lose interest in everything (lose interest)
E) attention deficit.
F) loss of energy (others may think it is laziness) (loss of energy)
G) changes in appetite/weight.
H) sleep disorder
I) cognitive impairment or anxiety (mental retardation or anxiety)
Diagnostic criteria: more than 5 of 9 items, lasting for more than two weeks.
But that doesn't mean it's depression. It just means you have a depressive episode. The real diagnosis is two or more depressive episodes with an interval of more than 2 months, which means that a definite diagnosis requires at least 3 months of medical history.
In addition, I need to remind you that the ICD- 10 standard and SDS scale are for your own reference only and cannot be used as the basis for diagnosis. If diagnosis is needed, it is recommended to go to the psychosomatic medicine department or psychiatric clinic of the 3A hospital.
At present, many people don't understand mental illness, or their understanding of mental illness still stays in the images of "madman", "fool" and "tramp" in film and television works.
Mental illness, also known as mental illness, refers to the clinical manifestations of mental activities in different degrees, such as cognition, emotion, will and behavior, caused by brain dysfunction under the influence of various biological, psychological and social environmental factors. According to the statistics of the World Health Organization, mental illness accounts for about 17% of China's population, which has surpassed heart disease and cancer and become the biggest burden of China's medical system. In China, there are more than 65.438+0.6 billion people suffering from different degrees of mental illness, including more than 6.5438+0.6 million people with severe illness, which is equivalent to an average of 654.38+0 people in every 8 people suffering from mental illness. Mental illness covers a wide range, far from the severe patients in the old concept. In fact, from the most serious mental illness such as schizophrenia to the lightest sleep disorder, they all belong to the category of mental illness.
Professor Shi, Chairman of Psychiatry Branch of Chinese Medical Association and Director of Psychiatry Department of Huashan Hospital affiliated to Fudan University, once pointed out at the 20 17 International Neuropsychiatric Summit Forum: "Among all mental diseases, depression is the most widely known, but it is also the most easily misunderstood."
Some people dabble in mental diseases such as depression, so they treat mental patients with their own subjective and one-sided ideas. This kind of "semi-popular science" has brought many troubles to patients, and also left great risks such as social contradictions.
Depression and depression are different in duration and degree. Normal depression often has reasons to follow, such as the loss of relatives, money, love failure, and unsatisfactory work. Under normal circumstances, times have changed and you can get rid of depression. Depression, on the other hand, is not the case. There is usually no reason to follow. Depression will happen for no reason and last for a long time. Normal depression is mild, and there is no other accompanying symptoms of depression and the rhythm change characteristics of emphasizing early and neglecting late. However, patients with depression are more depressed, and they also have mental retardation, reduced movements, loss of appetite, sleep disorders, sexual dysfunction and so on. , affecting their normal study, work and life, and in severe cases, they will commit suicide passively.
Mental illness and neurosis are different in nature. Neurosis includes many different diseases, such as depression, obsessive-compulsive disorder, insomnia and mania. Is a general term for a class of diseases. Mental illness is a serious mental illness, which happens to a few people.
Patients have different insight into their own diseases. Neurotic patients generally know their pathological behavior and live in the pain of regret and contradiction. Psychopathic people, however, know nothing about their pathological behavior, and firmly believe that there is no problem with their behavior and that their illusions exist in the world. I have no self-knowledge and self-control about my illness.
Most common psychological problems will gradually improve and disappear with the passage of time and the individual's own resistance and self-healing ability, and will not have a lasting impact on the individual's quality of life. Mental illness and neurosis are often accompanied by organic pathological changes or changes in hormone levels. They have a certain pathological basis, which may be persistent or intermittent, but they must have seriously affected a person's quality of life for a long time.
Laziness is having the ability to do something, but not trying to finish it. This is a variable state. You can feel lazy, but you can still feel happy, depressed, angry and happy. You are very healthy and energetic. You just like doing interesting things, not doing your job. You just don't want to do your job. Laziness is just a choice.
Depression is a real disease. It is a disease similar to hypertension, stomach disease and skin disease. It shows symptoms such as persistent depression, lack of motivation, no longer feeling happy about things I liked in the past, inferiority complex and fear.
If the common laziness is "I want to stay in bed all day." Then depression is "all I can do is lie in bed because I hate my life." I'm sad, and I'm sad. I hope things will change, or if I die, will anyone miss me? "
Depression is a disease that consumes your life. It erases everything else and masks happiness, reason, motivation, the ability to sleep or eat, and even the will to survive. If compared, a lazy person just can't clean the room; A depressed person can't clean, go shopping, go to parties, go to parks, play with friends and so on.
Laziness is often the satisfaction of life, and laziness is the fundamental driving force. The loss of vitality in depression is only a symptom: people suffering from depression are suffering from inner pain. When you see him lying in bed lazily, it seems nothing, but in fact, he has already set off stormy waves in his heart and slapped his fragile heart over and over again. The lack of "mobility" caused by depression is only one of the reasons for "laziness"; The lack of happiness, constant rumination, inferiority and other negative emotions will cause procrastination and fatigue caused by depression, making them more "lazy".
If we simply distinguish between laziness and loss of vitality, laziness = unwillingness to do anything; Lose vitality = can't do anything. Subjectively, the ability to "unwilling" to do and the inability to "unable" to do are important criteria to distinguish laziness from depression.
On April 27th, 20 18, he was diagnosed as bipolar disorder II in the First Hospital (a private hospital) and received treatment (medication and rTMS physiotherapy). Later, it was discovered that this day happened to be the first day of the implementation of the Mental Health Law of People's Republic of China (PRC) (revised 20 18).
On May 8th, 2065438+08, I was suspended from school because I couldn't study normally. What a coincidence. This day is World Smile Day, which is really ironic.
On May 28th, 20 18, he was diagnosed as anxiety and depression (Grade III B) in the Department of Neurology, Dujiangyan Medical Center. ) and take venlafaxine instead.
On August 2nd, 20 18, he was diagnosed as (severe) depression, (severe) anxiety, severe sleep disorder and post-traumatic stress disorder (Grade III A) in the Department of Psychosomatic Medicine of Sichuan Provincial People's Hospital. He did not report the bipolar disorder to the doctor at the time of seeing a doctor, and took Zoloft (sertraline preparation), Yishu (buspirone preparation) and hypnotic sedative instead.
20 18 10 9 is close to the end of the semester, so you have to go through the formalities of resuming your studies and study at the next level.
20 19 1 14 had severe PTSD symptoms during the final exam, so he applied for missing the exam and went home early.
On the afternoon of February 2019 13, my mental state collapsed and I had an argument with my father. Later, I went to the bookstore and started writing this paragraph before closing the door.
2065438+February 2009 65438+April 2009 Self-judgment Yesterday should be a stage of depression and mild mania. I finished writing overnight, and I was awake.
It was said before that I often mentioned my illness to others and once questioned my illness. Now I will reveal my whole medical experience and shut TA up. I don't think it's shameful. My goal is to purify this name. Of course, I have to face it frankly first. The prerequisite for a disease to be cured is that you treat it as a disease and dare to face it. )
I have a hobby, that is, looking at the daily historical events or anniversaries. I don't know why, but I'm interested.
Once I happened to find that my birthday was the same day as Kimi's depression suicide. What a coincidence!
I grew up estranged from my parents, and I have been subjected to verbal violence and cold violence from my parents for a long time (verbal violence also belongs to the category of domestic violence).
In 2008, I experienced the "5. 12" Wenchuan earthquake (which may have some influence on me).
When I was in junior high school and after I resumed school, I met school bullying and my classmates with cyber violence.
Some time ago, Sina Weibo platform targeted some cyber violence against me.
Forgive me for not describing my experience in detail this time. There are too many past events and limited space to recall. I'm afraid of another post-traumatic stress disorder. Excuse me! )
week
20 19 February 13 night
20 19 February 14 am
Yu Chengdu Wenxuan Missionary Society