Chapter 189: Condition analysis

"Then have you ever had auditory hallucinations, visual hallucinations and other symptoms? Have you had a headache? Or have you lost your memory at a certain time?"
"Visions and auditory hallucinations existed before. Many times I didn’t know whether I was me or someone I was imitating. I never had a headache. But the first time I found something was wrong, it was the summer of the previous year. On the road, I felt very sleepy, but when I woke up I found that I could not remember anything for eight minutes."
Lin Yuezhu picked up a pen to record in a new notebook. At present, what Lu Ze revealed was actually a bit complicated. In fact, Lin Yuezhu's main concern was not Lu Ze's answer, but whether he was fluent in the language during the answer.
Usually, patients with mental illness have discontinuous thinking. When asking questions, they may focus on a certain paragraph in the entire sentence.
For example, can pigeons with lame legs fly? Normal people usually answer yes or no, while people with faulty thinking may only pay attention to why the pigeon is lame.
But Lu Ze did not show such a sense of discontinuity. He answered very fluently, thought very quickly, and had good memory. This did not meet the usual clinical manifestations of patients with mental illness.
However, Lu Ze experienced loss of memory, vision, and auditory hallucinations, and even doubted his self-cognition. The cognitive impairment that has an impact on life has become very serious.
"So, this man, do you know him?"
Lin Yuezhu turned the monitor around and aimed at Lu Ze. Lu Ze raised his head and glanced up, but Lin Yuezhu found that Lu Ze's hands were suddenly held tightly and hard, so he turned back to the monitor and waited for Lu Ze's answer.
"understanding."
"Who?"
"I."
"you?"
"No, he is a character who looks like me. I have replaced him. I have imagined that I am him. I understand all the actions, mentality, thinking and language."
"Then who are you modeled on to imitate him?"
"I."
Headache, indeed, some headaches. Lin Yuezhu is a little confused about the connection between "me" and "me" that Lu Ze said. After all, his brain and work do not allow him to imagine, let alone believe that there is a system. Create an old Lu Ze and let Lu Ze imitate.
"So you created him actively? Not passively accepted?"
"I took the initiative to imitate, so it should be considered active."
The two talked a lot, and Lin Yuezhu asked in an orderly manner, and occasionally answered things that Lu Ze didn't understand. Nearly an hour had passed since the chat back and forth.
But the more we talked, Lin Yuezhu felt that Lu Ze’s problem became more difficult. He found that Lu Ze’s situation was different from all the patients he had seen, and it was even quite different from normal patients.
The chat speed between the two was getting slower and slower, but Lu Ze answered quite quickly, but Lin Yuezhu's rate of asking questions slowed down. When he asked questions again, he found that Lu Ze had fallen asleep on the back of his chair.
Shen Jinghan gently stroked Lu Ze’s hair, but his eyes showed his distress for Lu Ze. After the divorce, her daughter was raised by the child’s father in the Imperial Capital, and her heart would easily change when she was older. Soft, she naturally shared the extra love or maternal love of the elders with Lu Ze. Although the time spent with each other was only three years and the contact time during that period was very small, it did not mean that she did not care. Lu Ze.
The conversation between the two made Shen Jinghan extremely worried. Lin Yuezhu slowly pushed away Lu Ze’s heart and showed Lu Ze’s life and thoughts in front of them. She has always liked children who work hard, but Lu Ze worked hard to become sick. The professional attitude can give people a kind of coldness of falling into the ice hole. If he doesn't say it, no one knows what he paid behind.
He is carrying something on his body. Shen Jinghan knows that this is also the reason why Lu Ze worked hard, but when he can easily carry the burden on his body, he still works so hard. This is a self-harming squeeze. , So he had a problem, in fact, sooner or later.
"Then Doctor Lin, how is his situation?"
Hearing Shen Jinghan’s question, Lin Yuezhu frowned and looked at the notes recorded in the notebook. His brain was spinning rapidly, and he sighed. He looked at Lu Ze with emotions toward this man who was 15 years younger than himself. Admire, no one can fail to admire those who work hard, and so does he.
"To be honest, Mr. Lu is the hardest person I have ever met, but you have also seen that the problem is in hard work. Things are much more complicated than I thought. With my nearly two decades of clinical experience, If you don’t understand, let me tell you slowly."
"At first, I thought that Mr. Lu suffered from mental separation disorder. In order to imitate the role, he must devote a certain amount of time to understand. The brain supplements the life of this person. After the simulation, the information is fragmented and stored in his brain. Then in a certain period of time, it was influenced by the outside world, which led to the appearance of this simulated character, which caused Mr. Lu to have doubts about his own perception, that is, he did not know who he was."
"The first thing you can be sure of is this person"
He turned the display again and pointed at the elderly Lu Ze, and kept drawing circles on the elderly Lu Ze so that Shen Jinghan could see.
"Because of Mr. Lu's occupation, he has a positive role in promoting Mr. Lu. This is clearly different from the multiple personality of schizophrenia. Why is disease a disease? Illness can only make people develop in a bad direction. If Mr. Lu has multiple personalities, then the personality must be negative and it will not be good for Mr. Lu in any aspect, but this old man, he is at least helpful to Lu Ze’s career."
"And let me explain the performance of separation disorder. For example, in childhood, we all imagined that we had a brother, or sister, or a playmate. When the demand reaches the peak, some children will really think I have a person who I need. As the old saying goes, it is hysteria, or evil. The separation barrier is to project the needs on oneself and express it in the way of performance. The problem with Mr. Lu also lies in deduction, but he Different from the normal separation barrier, he himself does not have a big need for this personality. It is only the needs of the script, or the needs of the audience, that he will further demand it."
"So Dr. Lin, what do you mean, if you want to treat, you have to need him not to have a demand for these personalities, that is, to stop acting?"
Shen Jinghan's understanding was actually a bit right. Lin Yuezhu took a drink of his teacup, stretched out his right hand with a ballpoint pen between his index finger and thumb, waved his hand, let out a sigh, and went on.
"No, listen to me first. The difference between multiple personality and dissociation disorder lies in the subject’s recognition of the secondary personality. The dissociation disorder will be proactive and inclusive because of the need. Just like acting, he needs to act. What, the personality will come out to help him perform something, so that Mr. Lu will still hate his acting skills? But the problem is that his attitude towards sub-personality is disgusting and fearful, which is close to multiple personalities, only to himself Harmful things arouse the subject’s instinctive disgust, and this old man, Mr. Lu, showed considerable hatred."
"There is also the connection between the primary and secondary personality. Usually, the onset of separation disorder is smooth and seamless. Just like acting, you need to cry, cry, cry, take it and use it. This is tolerance. The effect of sex, and multiple personalities are malignant and the subject is not tolerant, so there is usually a fault at the time of the onset. Usually, when the sub-personality dominates the body, the subject needs to go to sleep. When the sub-personality performance is tired, it will sleep Way to leave"
Lin Yuezhu also glanced at Lu Ze who was sleeping, and saw that his breathing was steady and strong, and he relaxed to talk to Shen Jinghan again.
"Then is he a separation barrier or multiple personalities?"
If Lu Ze is sick, he must be sick. Now that Shen Jinghan has heard Lin Yuezhu say so much, he knows that Lu Ze has that kind of disease.
There was a lot of words, Lin Yuezhu didn't answer Shen Jinghan's question first, took a sip of tea, smiled bitterly and shook his head.
"This is the complicated place. Because Mr. Lu’s performance is similar to the clinical manifestations of the two diseases, I am not sure now, and Mr. Lu repeatedly mentioned "me", but the two symptoms Personality will not be called "me" by the subject, but "he", because people only live a lifetime and only experience one kind of life. This is the first time I have seen this situation. It is impossible that these personalities are Mr. Lu Reincarnation, right?"
Shen Jinghan became more and more confused as she listened. She is undoubtedly an authority on issues in her own field, but in matters of psychological consultation, she is the same as listening to the heavenly book no matter how many artists she accompanies.
"Mr. Lin, how exactly should Lu Ze treat now?"
"Now because there is no way to make a conclusion about the condition, I can only treat it conservatively. We don't have prescription drugs here. You need to go to the hospital to buy them. First, take the dose I gave you. Observe for a few weeks. If it gets better , Just wait a few weeks before coming to my place. If you still have the disease, and the disease lasts for such a long time, and it will not end until dawn, then you must come to me immediately. I will continue to follow up on Mr. Lu’s condition and continue to confront Lu To conduct research on Mr.’s condition"
"No need to study, you don't understand it."
Hearing the sound, the two suddenly turned their heads and found that Lu Ze was already awake. He pressed his forehead with his hands and smoothed the scattered hair behind his head, showing a gentle smile, regardless of their stiff bodies, and took them from the table. Lin Yuezhu prescribed the medicine list for herself, then picked up the water-based pen and turned it around in his hand.
"Is only risperidone prescribed for a single drug test? Yes, but I think the dose is a bit small, or the combination of aripiprazole drug structure, rest assured, I have no drug eruption and adverse reactions with these two drugs~www .EbookFREE.me~ Lin Yuezhu was taken aback just now, but after all he has seen many patients with multiple personality, he instantly reacted, relaxed his body, leaned on the back of the chair, and expressed his undefense against Lu Ze.
"Excuse me, are you"
"Me? Of course it is Lu Ze, otherwise?"
Lu Ze leaned back in the chair, also quite relaxed, picked up the teacup and took a sip. The sweet taste of black tea bloomed on the tip of his tongue, and he nodded in satisfaction.
"But I remember that Mr. Lu doesn't have medical knowledge, and he is still an unpopular subject such as psychology and psychiatry."
"Actually, I am not a professional psychiatrist. I have just taught myself psychology research. Naturally, my professional level is not as good as yours, but I am really Lu Ze, um, or you can call me."
"Doctor Lu."
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