Who would study psychology unless they had some issues?! Chapter 834 688: Step-by-Step Verification2

The "objective reality" here refers to events around the visitor that could trigger emotions in normal people; the "self-abnormal experience" is the visitor's inability to perceive emotions.

"This is clearly reflected during the consultation. The visitor proactively ntioned, 'I know this feeling is not normal, which is why I ca for a consultation.' He does not regard his current state as normal, nor does he confuse the 'observer' experience with actual behavior in reality. His reality-testing ability is completely intact."

This is the core difference between [Personality Dissociation] and [Schizophrenia] and other psychotic disorders.

"Finally, the visitor's current situation has already caused so damage to important functional areas such as social and occupational functioning."

Nan Zhubin flipped through the folder: "The visitor can complete tasks on ti and take care of family matters, but his core distress lies in the inner emptiness brought by this sense of detachnt and confusion and anxiety about 'being unable to feel emotions'—"

Nan Zhubin said, "This is a very direct subjective suffering."

"At the sa ti, he is also worried that this state will affect the subsequent progress of work, so he actively cooperated with EAP consultations. This also indicates that his symptoms have had a potential impact on his occupational functions, only temporarily compensated for by his strong willpower, which perfectly aligns with the 'functional impairnt' criteria in the diagnostic standards."

...

Several traits that et the diagnostic standards, the assessnt of [self-awareness], the duration and frequency of symptom persistence and recurrence, as well as the subjective and objective impact on the individual.

Combining these conditions, one can basically assess an individual suspected of ntal illness or even psychotic disorders.

As for diagnosis, that's the hospital's job.

Although Nan Zhubin can judge 70-80% of the situation based on his observation, that is special to his circumstances.

Without the objective scores of psychological scales and corresponding instrunt diagnosis, no conclusions should be rashly drawn.

The accuracy of personal judgnt is always questionable. anwhile, Nan Zhubin's psychological rigor always keeps him in a state of self-questioning.

If he had to confront others in reality, he would trust himself.

But in the consultation room, when facing visitors, there is never too much rigor or norm in operation.

...

Nan Zhubin thought for a mont and said to Chonghui, "Senior brother, does the teacher know a few trustworthy hospital psychiatrists who have outpatient hours on weekends?"

In the consultation room, Nan Zhubin initially thought of Li Lingling, who is one of the few connections he has in Beidu now.

Li Lingling happens to work in a hospital, so she could naturally help arrange doctors.

However, after careful consideration, Nan Zhubin decided against it. Although Li Lingling's cases have been filed away, it does not an she won't need psychological consultation in the future.

If Nan Zhubin contacts Li Lingling at this mont, it would initiate another relationship outside the consultation relationship. Then Nan Zhubin would absolutely not be able to intervene when Li Lingling needs psychological intervention in the future.

In that case, it's better to turn to Bai Qinghua.

The teacher must have connections, and the teacher's connections are his own, which is the benefit of being an Inner Sect Disciple.

When Nan Zhubin asked this question, Mo Kai just happened to turn to the end of the verbatim transcript, where the visitor's concerns about visiting a doctor were detailed.

Mo Kai curiously asked, "Senior brother, although many hospitals have rotating rest on weekends, don't they maintain basic operations? For example, ergency departnts are always staffed..."

Chonghui nodded, "So hospitals' psychology departnts may be weak and not work on weekends, but the psychiatry departnts and ntal health centers must have shifts. The teacher knows many psychologists who work on weekends."

The visitor's cognition in this regard is clearly inconsistent with reality.

After Chonghui finished speaking, he imdiately realized sothing was off: "Is this the visitor's subconscious resisting psychological treatnt?"

"Yes," Nan Zhubin nodded.

He confird Chonghui's speculation.

Mo Kai glanced at his younger senior brother and then at his older senior brother, imdiately coming to a realization: "Does this an that 'it's hard to schedule a psychologist' might just be an excuse the visitor's subconscious is making for himself? He rationally knows sothing is wrong and might need help, but inside, he actually resists 'going to psychiatry,' right? So, he subconsciously uses reasons like 'can't get an appointnt on the weekend' to delay."

Mo Kai continued, "So the reason, senior brother, you proactively suggested arranging a doctor is actually to cooperate with the visitor, because refuting might trigger the visitor's [defense]."

The sparks of thought finally kindled a serious light, starting to burn.

Nan Zhubin nodded, "That's right."

With this ntal imprint left from this encounter, when Mo Kai encounters similar situations in future consultations, he will be able to use Nan Zhubin's response template to make more reasonable decisions.

Even if Mo Kai only rembers this point, today's teaching session was not in vain, and the energy expended by Nan Zhubin was worthwhile.

Chonghui agreed, "Next, we should fully cooperate with the visitor's subconscious and really help him contact a doctor. No need to ask the teacher; I know a few reliable ones myself. I'll confirm the ti with them, free up a slot, and directly have Mo Kai send it to the visitor."

Nan Zhubin and Mo Kai thanked Chonghui together.

Mo Kai also took out a smaller notebook from the inner pocket of his jacket and wrote down the work to be done later.

The young man's learning and work attitudes have always been excellent.

He cos from a good family, has normal intelligence, and maintains a proper attitude. This young man will achieve sothing in the future.

For so reason, Chonghui and Nan Zhubin both looked at Mo Kai with a sense of expectation mixed with comfort.

...

Today's teaching session was not over yet.

From the perspective of case study, there were two more issues at hand.

Mo Kai quickly raised the first question, "Senior brother, if this visitor's problem is indeed [Personality Dissociation]—"

Actually, the conclusion of the visitor having [Personality Dissociation] is almost certain, even without the "if" modifier.

It's just the psychological professional's rigor at play.

"—how did his [Personality Dissociation] form?"

Mo Kai flipped open his notebook again: "Aside from the 'wife's death' as an acute stress event, there should be other factors, right?"

It was a very comprehensive consideration, and the kid was already growing up.

For the answer to this question, with Nan Zhubin's conclusion of [Personality Dissociation], the reverse deduction process was almost there.

However, since today was Nan Zhubin's teaching session, Chonghui didn't overstep but simply looked at Nan Zhubin.

"Concerning the cause of the visitor's issue, analyzing it directly now would be sowhat presumptuous. With only one consultation, many deep-seated pieces of information are still challenging to unearth," Nan Zhubin answered Mo Kai, first calming things down.

Always uphold the rigor of psychological professionals.

"But based on the current information, if we were to speculate to a certain extent—"

Nan Zhubin shifted his tone: "Yes. Combining the information from the consultation, the cause of his personality dissociation is not singular. It is the result of long-term accumulated susceptible factors, chronic stress, compounded by the acute stress event."

He affird Mo Kai's speculation.

In fact, any psychological issue or ntal disorder is not caused by a "sudden event."

The causes behind all phenona are complex.

"Let's dissect it from the root, starting with 'susceptible factors.'"

"Firstly, it's the cognitive patterns shaped by the personality foundation and early experiences."

Nan Zhubin slid the verbatim dialogue transcript file: "Here, the visitor himself said, 'My emotions used to be flat, and I felt indifferent to everything.' He even thought it symbolized a 'stable' talent."

Mo Kai focused intently and nodded continuously.

Subsequently, Nan Zhubin took the personal file of Chen Lizhou, which Shi Chuxin gave him.

"Look here, in the [Personal Experience] section of the visitor—who is Chen Lizhou—there is his educational and work experience."

"These are parts not thoroughly explored in this consultation, planned to be delved into in subsequent consultations."

Chonghui and Mo Kai both looked over together.

Then, they revealed a look of admiration: "From this perspective... this visitor achieving his current position wasn't easy at all."