Who would study psychology unless they had some issues?!

Chapter 1055 - 799: End of the First Consultation (Part 2)

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"But this also shows that your inner strength is deeper than others."

"And self-protection is never something that’s inconvenient to discuss," said Nan Zhubin.

This step is to weaken the visitor’s [stigma], help the visitor restore their energy, and simultaneously encourage visitors who require long-term consultation intervention.

Jie Nianzhou’s Adam’s apple bobbed up and down.

Nan Zhubin paused to ensure that this part of the content could be absorbed by the visitor.

After two breaths, Nan Zhubin continued speaking.

"I want to ask you a question now."

Nan Zhubin’s tone didn’t change, avoiding unnecessary emotional responses from the visitor: "You mentioned earlier that some of your seniors had severe psychological issues, even suicidal thoughts, due to the previous mentor."

"What about yourself? Have you ever thought of harming yourself?"

The consultation room was silent for a few seconds.

Jie Nianzhou lowered his head.

"...Yes," his voice was somewhat hoarse, "but not often. It’s just sometimes at night when I can’t sleep, flipping back and forth listening to recordings... I feel very tired. I feel like if I could just sleep through it and never wake up, it would be better."

He quickly added: "But I know I won’t do it. I just... have those thoughts. Like those thoughts of pushing people, they just pop up, not something I’m actually planning to do."

Nan Zhubin nodded: "Comparatively speaking, do these thoughts occur more frequently than before, can you control them?"

"Rarely, only occasionally, and I can control it."

Nan Zhubin nodded.

This is [risk assessment]. For visitors like Jie Nianzhou who have experienced traumatic events and continue to suffer distress, it’s a necessary procedure.

Next comes the [summary] process.

...

Nan Zhubin first initiated the [psychological education] segment.

"Okay." Nan Zhubin leaned back, his tone returning to the prior rhythm, "Next, I want to chat with you about the nature of your current situation and what we can do moving forward."

Upon hearing this, Jie Nianzhou also leaned forward.

Nan Zhubin began organizing systematically: "Firstly, based on your description today—these repetitive, intrusive, painful thoughts, and the rigid behaviors you must perform to alleviate the anxiety brought by these thoughts—fits very well with the clinical presentation of [Obsessive Compulsive Disorder]."

"Specifically, your obsessive thoughts are about ’possibly harming others,’ while your compulsive behaviors are recording and reviewing these actions."

Nan Zhubin spoke slowly: "Currently, it seems there is a strongly associated inducing factor, which is the situation with the previous mentor. Rationally, you know it’s not your fault, yet emotionally you still feel self-blame."

"This ’inconsistency between rationality and emotions’ is very common in psychological treatment, especially after traumatic events."

However, although the visitor’s obsessive symptoms started with this traumatic event, overcoming these symptoms isn’t just about resolving the traumatic event itself.

But at least there’s a rough direction. As mentioned before—[Obsessive Compulsive Disorder] being able to identify environmental factors is extremely beneficial.

"This is information I gained from our dialogue just now."

Nan Zhubin made a gesture of clasped hands.

"So, addressing your situation, if we are to undertake long-term consultation, my suggested goals for the consultation are as follows—"

Nan Zhubin raised the first finger: "The first stage, which is what we are going to do now, is to help you reduce the frequency of [compulsive behaviors], so you can regain control of your life."

"For instance, you could try going out without recording, to re-observe your reactions. But, unlike before, this time we need to consciously document these reactions to systematically and methodically overcome them."

Nan Zhubin raised the second finger: "Upon completing the previous stage’s tasks, we will gradually explore your cognition regarding yourself and that experience, helping you handle the self-blame and guilt."

"You don’t need to forgive your former mentor—but you do need to forgive yourself."

Nan Zhubin retracted his fingers.

"After completing these two stages, we will assess the situation and set goals for subsequent stages."

Jie Nianzhou was silent for a few seconds.

"...Will that stop me from having those thoughts?" he asked.

Nan Zhubin shook his head: "I can’t guarantee you won’t have those thoughts anymore. Thoughts themselves are difficult to eliminate."

Jie Nianzhou’s eyebrows furrowed slightly.

"But what we can do," Nan Zhubin continued, "is ensure you are no longer governed by those thoughts. To have thoughts remain merely thoughts—acknowledge them, understand they’re present, then you continue with what you need to do."

"That’s our goal: not eradicating thoughts, but restoring your choice in life."

At this point, Nan Zhubin paused.

"Of course, if we fail in these stages, it indicates your situation exceeds the scope of what can be addressed through consultation."

"In such a case, if you find the present suffering unbearable, your situation must be resolved."

Nan Zhubin said: "Perhaps we can try medication intervention."

"Of course, I don’t have prescription authority. You’ll need to make a new appointment and consult your outpatient doctor."

Rarely did Nan Zhubin suggest medication treatment.

Given [Obsessive Compulsive Disorder]’s disruptive impact on life is profound, and the subjective suffering for patients is substantial.

Psychologically, engaging with consultation intervention requires a healthy environment and stable emotional foundation for the visitor.

Under these conditions, medication intervention can create very favorable conditions.

Jie Nianzhou opened his mouth but didn’t speak.

He seemed to resist medication treatment.

It’s fine, unless the risk assessment is exceptionally unfavorable, greatly threatening self or others, medication is not necessary.

Everything hinges on the visitor’s own will.

"Unfortunately, a single consultation cannot alleviate your condition solely through conversation. It might be a long-term process." Nan Zhubin said, "I’m not sure if the goals I mentioned earlier align with your expectations."

"Our consultation time is about up today. If you have the desire for next time..."

"I understand." Jie Nianzhou interrupted Nan Zhubin, "I had psychological preparation before coming, I previously consulted with my school’s counselors... the faculty arranged consultants... so I understand this problem is not easily solved."

"I roughly understand psychological consultation too. I was just thinking... is it possible I haven’t grasped consultation fully, that the consultants I’ve met aren’t skilled enough, maybe there’s a way to significantly alter things for me."

"Like... hypnosis?"

Jie Nianzhou’s eyes shone with anticipation.

"I conduct [Hypnosis Treatment]," Nan Zhubin said, "but at the current stage, it won’t influence you much; even if it does, the impact might not be as significant as you imagine."

The light in Jie Nianzhou’s eyes dimmed slightly.

"If possible... when would you be free next week for our consultation, Teacher Nan?"

After some thought, Jie Nianzhou said: "I’m truly... eager to resolve my current issues."

Nan Zhubin nodded.

He didn’t directly say "I’m free next week, you can schedule any time that doesn’t interfere with your work and study."

"My schedule next week is relatively flexible, you can first go back and coordinate, choose a time that doesn’t disrupt your work and study to come over."

"Once finalized, contact the counselor assigned to you previously."

Jie Nianzhou was relieved: "Okay, thank you."




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