Long-term drug and psychotherapy are not effective？ Come to this precise psychological clinic!
Text/Yangcheng Evening News All-Media Reporter Zhang Hua
Intern Yang Chuying
Correspondent Wu Xiaodan Han Yurou
Recently, zhujiang hospital, Southern Medical University, opened the first accurate psychological diagnosis and treatment clinic in Guangdong Province, providing multidisciplinary comprehensive evaluation, personalized treatment plan and full course follow-up management for patients with poor long-term drug and psychotherapy effects.
Zhang Xiaoyuan, director of the Department of Psychiatry in zhujiang hospital, said that the precision psychotherapy clinic will match the patients with different schools and different treatment styles, so as to achieve the purpose of precise treatment.
Professor Zhang Xiaoyuan, Director of Psychopsychology Department of zhujiang hospital Figure/Zhang Hua
Mental health service needs to be scientific and standardized.
In recent years, psychological counseling and psychotherapy have become more common. Many citizens have known that there is something wrong with their mental or psychological health, that is, they need to see a doctor. However, at present, the effective rate of mental disorders treatment is still low, which has a lot to do with the lack of scientific and standardized mental health services.
According to the reporter’s understanding, in terms of diagnosis, the current mental health service has the problem of insufficient identification of mental system diseases. For example, doctors diagnosed mental symptoms, but lacked psychological diagnosis. In terms of treatment, the mismatch between patients and psychotherapists often occurs, which is easy to delay the treatment opportunity. In terms of management, there is no objective evaluation of psychotherapy effect and no follow-up management in the treatment process, which makes it easy for patients to interrupt treatment.
Recently, zhujiang hospital of Southern Medical University opened the first precision psychological diagnosis and treatment clinic in Guangdong Province, which will run the precision psychological diagnosis and treatment model built by Professor Zhang Xiaoyuan’s team, which is a new attempt to promote the scientific and standardized mental health service.
Mental health service needs specification map/vision china
Multi-disciplinary joint diagnosis and common customized treatment plan
"The first consultation team of the precision psychological clinic is composed of experts from clinical psychology, psychiatry and neurology to comprehensively evaluate the physical and psychological status of patients." Zhang Xiaoyuan introduced, "Tripartite consultation will jointly customize the treatment plan for patients."
Specifically, neurologists exclude organic diseases of the nervous system; Psychiatrists decide whether to use drugs or not depending on the severity of patients’ mental condition; Clinical psychologists make multidimensional psychological evaluation of patients, make psychological diagnosis, and then evaluate the suitability of psychotherapy.
Mr. Wang, who is in his fifties, came to zhujiang hospital Precision Psychotherapy Clinic. It turned out that in the past six months, due to repeated headaches, he repeatedly went to see a doctor, had a check-up and took painkillers, but he never solved the problem. In the joint evaluation and diagnosis of neurology, psychiatry and psychology, neurology experts ruled out organic diseases of the nervous system after examination. Psychiatry and psychology experts made detailed inquiries and examinations and found that the psychological trauma that had been forgotten many years ago was the cause of Lao Wang. After a course of psychotherapy, Lao Wang has not had a headache recently.
"The first thing is to make a diagnosis, and experts from three disciplines will make an accurate diagnosis together. After the diagnosis, we will formulate a treatment plan to see if the patient needs medication, psychotherapy or combination therapy to avoid the symptoms of drugs. " Zhang Xiaoyuan explained that if patients need psychotherapy, they should further evaluate the suitability of psychotherapy and conduct precise psychotherapy.
Match the appropriate psychotherapist for patients.
According to a large-scale survey, 5%-15% of visitors will have adverse reactions after receiving psychotherapy, and the mismatch between visitors and therapists is an important reason.
Zhang Xiaoyuan explained: "There are schools of psychological counseling and therapy, such as psychoanalysis and humanism, and different schools have differences in the formation of psychological problems and the principles of treatment. When the therapist’s genre orientation, treatment methods and personality characteristics do not match the patient, the patient will have risks such as increased negative emotions and behaviors, tense interpersonal relationships, physical discomfort, and even aggravated symptoms. "
Ms. Zheng once turned to a psychological counselor who was not suitable for her, which led to the problem not being solved for a long time. In recent years, Ms. Zheng has changed jobs frequently, and almost no job can last for three months. She always thinks that after a period of time in her new job, her energy will soon be exhausted, and she will not be able to hold on until she resigns.
For fear of suffering from "depression", Ms. Zheng turned to a humanistic psychological counselor, who gave her positive attention and emotional support, but failed to solve her problem. Zhang Xiaoyuan’s team evaluation found that Ms. Zheng was more suitable for new behavioral therapy than humanism. After matching a behavioral therapist, Ms. Zheng’s psychological troubles were largely solved.
Zhang Xiaoyuan said that by using six self-developed scales and other evaluation tools, the precision psychotherapy clinic matched patients with different genres and different treatment styles to improve the effect of psychotherapy.
Follow-up management in the whole process and dynamically evaluate the treatment effect.
"At present, the psychological counseling and therapy industry lacks objective evaluation indicators of therapeutic effect. We hope to explore a relatively objective standard to evaluate the treatment effect, and then adjust the treatment plan. This is very important for precise treatment, and we are trying to follow up the whole process. " Zhang Xiaoyuan said that throughout the diagnosis and treatment process, the precision psychological diagnosis and treatment clinic will conduct follow-up management, dynamically evaluate the treatment effect, and adjust the treatment plan and therapist in time.
Ms. Fan, a full-time wife, has the habit of taking sleeping pills for a long time because of insomnia. What makes her anxious is that sleeping pills seem to be ineffective. After comprehensive examination of nerves, spirits and psychology, Ms. Fan was diagnosed as chronic insomnia.
In view of the high suitability of Ms. Fan’s psychotherapy and the decline in the therapeutic effect of sleeping pills, doctors combined cognitive behavioral therapy while adjusting drugs. Ms. Fan reported that she had a good sleep on the night of the visit and the quality of her sleep had improved significantly. In the later follow-up, Ms. Fan has gradually reduced her medication under the guidance of a doctor and maintained a good sleep.
"We should choose the time node of drug therapy and psychotherapy according to the specific situation of patients." Zhang Xiaoyuan said that drug treatment can quickly control symptoms and help psychotherapy develop smoothly; Through psychotherapy, we can improve the compliance of patients with drug treatment, improve the effect of drug treatment, and "cover" the withdrawal of drug treatment in time.
In addition, for patients with poor long-term drug treatment effect and obvious adverse reactions, the clinic will also understand the relationship between drug metabolism, drug transport and gene polymorphism of drug target molecules and drug effects and adverse reactions through drug gene testing, and solve important problems such as drug treatment scheme selection and safety early warning.
It is reported that the clinic is mainly suitable for patients with long-term medication, poor psychotherapy effect and long-term unexplained headache. Accurate psychological diagnosis and treatment will provide patients with multidisciplinary comprehensive evaluation, personalized treatment plan and full course follow-up management.
Source | Yangcheng Evening News Yangcheng School
Editor | Wang Min
Shen Qian | Liang Zeming
Intern | Li Zimei
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