Why can you have a headache when it is not diagnosed? Does stress really aggravate the disease? A psychiatrist teaches you how to get through the "stress period" of public health events.

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You will brush all kinds of information about the epidemic to stabilize your anxiety, some citizens have panic, and public anxiety and fear is a natural psychological phenomenon. We all want to find a psychological sense of control, appropriate anxiety will play a protective role, but it is not necessary to over-expand this anxiety. Even because of excessive anxiety into the epidemic, "avoid the spread of anxiety, divert energy to some meaningful things in life" affect self-efficacy, increase anxiety, you can try to carry out self-psychological adjustment. Moderate, short-term anxiety will not affect our health. In this way, it will be more leisurely in the real face of disease. At this time, it is inevitable to feel anxious about the susceptible people at home, the elderly and children, because the elderly and children are unable to screen as rationally as young people in receiving the information of the epidemic, "because anxiety will be transmitted." when you feel very anxious "will pass this emotion on to the family.

Do you have the feeling that when someone around you is diagnosed, you start to panic, constantly testing your antigens, washing your hands, or even staying at home and afraid to go out? You will brush all kinds of information about the epidemic to calm your anxiety, but you will find that the more you brush, the more anxious you get, and you even have COVID-19 's symptoms such as sore throat, dizziness and headache.

What's going on? And out of what kind of psychology? How should ordinary people alleviate it? How do you take care of your family when they are diagnosed? In this regard, the Red Star News reporter interviewed Dr. he Zongling, director of the comprehensive department and psychotherapist of the Jiujiang Hospital of the fourth people's Hospital of Chengdu (Chengdu Mental Health Center) to answer.

He Zongling

Q: at present, some citizens are in a state of panic. Once they find that there is a diagnosis around them, they begin to fall into panic and even dare not go out. What kind of psychology is this out of? How should the public face it correctly?

A:In the face of public health emergencies, it is a natural psychological phenomenon that the public have anxiety and fear. In the face of panic in the face of the unknown, we all want to find a psychological sense of control, so as to increase sense of security.

Therefore, proper anxiety can protect you. "because you are nervous about something, you will try to deal with it and solve it." However, it is not necessary to expand this anxiety excessively, and it may even fall into the epidemic "trap" because of excessive anxiety, affecting normal life and work.

We can try from these aspects to avoid the spread of anxiety.First of all, try to build yourself psychologically."No one can reduce the risk to zero.".In addition to reasonably paying attention to the information related to the epidemic, learn to focus on the present, divert your energy to some meaningful things in life, and cultivate your sense of efficacy in life.

Secondly, in the face of "explosive" epidemic information, if it is not screened, when the information is too much and contradictory, it will lead to confusion, affect self-efficacy and increase anxiety. We advise the publicTry to understand the latest information through official channels, treat unconfirmed self-media information cautiously, and learn to screen information.

Q: what should we do when we have anxiety?

A:You can try to adjust yourself psychologically.Moderate, short-term anxiety will not affect our health, we can tolerate and accept its existence psychologically. Since you can't change the status quo, you might as well adjust your state, so that you will be more at ease in the real face of disease.You can also make lifestyle adjustments.Ensure regular, adequate sleep, proper physical exercise, insist on doing meaningful things in life, and improve your control over life.You can also learn muscle breathing training and relaxation.To help yourself relax physically and mentally.

Q: as the "backbone" of the family, young people will inevitably feel anxious about the elderly and children who are susceptible to the family at this time. How should they make self-regulation at this time?.

A:Because the elderly and children are unable to screen as rationally as young people in receiving epidemic information, especially the elderly, they may be more nervous when they receive asymmetric information. At this time, young people, as the "backbone" of the family, can try to help in two ways.

First of all, young people must stabilize their emotions.Because anxiety spreads. When you feel very anxious, your words and behavior will unconsciously show, will pass on this emotion to the family, increasing their anxiety.

Why can you have a headache when it is not diagnosed? Does stress really aggravate the disease? A psychiatrist teaches you how to get through the

At this time, we should play the role of "stable companion"-although we attach great importance to it in our hearts, we should be more emotionally stable and make them feel confident to deal with the current situation. "Trust is a force that can be passed on to family members to help them reduce anxiety."

Secondly, in the face of the information lag and asymmetry of the elderlyYoung people can also sort out some scientific and reliable information and give them popular science.Guide them to do a good job of self-protection, so that they have a clear idea, but also more secure.

Q: under the current epidemic situation, what should be done for the elderly with underlying diseases?

A:People with underlying diseases have an increased risk of susceptibility. Therefore, first of all, it is recommended to do a good job of personal protection to reduce the risk of susceptibility.

In terms of psychology, excessive anxiety, tension and insomnia will also affect individual immunity and are more likely to be invaded by viruses, so it is recommended that we should adjust our mentality and maintain a relaxed state of mind to ensure adequate sleep. This can improve the body's immunity, "even if you encounter infection, the damage to the body will be relatively reduced."

Q: if a family member is diagnosed, in addition to giving them the care they deserve, how can they psychologically ease their discomfort? Especially when they do not have close contact with their families and do not get face-to-face love.

A:Not only COVID-19, when people are physically ill, they will experience psychological shock, become vulnerable and sensitive over a period of time, need more emotional support, and rely more on their family members. They go through a period of psychological anxiety, which is a natural reaction after illness.

At this time, in addition to giving due physical care, but also to give enough psychological comfort, the family should be more of a "psychological companion" role, "more patient and tolerant than before." Let them feel safe, feel cared for, understood, and help them through the period of psychological trauma. If the diagnosed person lives alone, he can give encouragement and support through Wechat, video, telephone and so on.

Q: does stress really aggravate the illness? If diagnosed, how to make your state of mind more relaxed?

A:A lot of stress does affect the disease. The impact of the disease on people depends on several aspects, one is the source of infection, "have we been exposed to the virus?" Second, we fight against the virus "immunity", if you are in a state of excessive tension, anxiety, insomnia, immunity will decline, the power to fight the virus will also be weakened. But if you live a regular life, maintain peace of mind, have a good quality of sleep, and your immunity is normal, you may be able to get through it faster even if you are infected.

How to improve "immunity" psychologically? First of all, infected people should maintain adequate sleep during this period of time, regular schedule, avoid staying up late at night, make up sleep during the day, so that their biological clock is disturbed. Secondly, to do a good job in psychological construction, you can try to take breathing training, appropriate exercise and so on to relax.

If you already have serious anxiety and cannot regulate it by yourself, or even if the anxiety has turned into physical symptoms such as flutter, chest tightness, restlessness, and restlessness, you can also seek help from a professional doctor.

Q: recently, some citizens always feel sore throat, dizziness and headache, but they have tested negative for antigens many times. Is this affected by anxiety?

A:This phenomenon is more common, we call it "psychosomatic reaction", that is, the psychological process will be reflected in the physical experience. When a person is too nervous and does not have a good rest for a long time, psychological stress will be expressed in the form of somatic symptoms, which is called "somatic anxiety" reaction.

If the examination does not find a problem, you need to consider whether there is "physical anxiety". This situation we do not need to be too nervous, it is recommended to do some self-psychological adjustment, to ensure that enough sleep can be alleviated. If it is more serious, you can seek the help of a professional psychiatrist for psychological counseling and psychotherapy.

Q: the diagnosed patient has physical pain, increased anxiety and sleeplessness at night. What should I do?

A:Fever, pain and other symptoms caused by viral infection will affect our rest and increase our sense of anxiety and fear. However, anxiety and insomnia will in turn affect the recovery and relief of the disease. Like a "snowball effect", dealing with this problem requires a two-pronged approach: receiving scientific treatment on the one hand, and psychologically trying to accept the current situation on the other, lightening the psychological burden, and creating a psychological basis for rehabilitation, including a relaxed state of mind, adequate sleep, and support from family and friends. If the secondary occurrence of serious insomnia, anxiety, do not be shy about medical treatment, you can promptly seek help from a professional psychiatrist.

Q: what psychological processes do the public generally go through in the face of public health emergencies?

A:In the face of public health emergencies, the public usually goes through three stages.

The first is the "psychological stress period".When we are faced with uncertainty, fear of the unknown can lead to tension, fear, excessive anxiety, and even "psychosomatic reactions". And after a while,Will gradually enter"psychological adjustment period"As we get more information and have a more comprehensive understanding of things than before, individuals will try to adopt their own methods to deal with them. At this stage, we may still have feelings of anxiety and tension, but we will have more coping methods. Inner sense of security, sense of efficacy will also be stronger.The third is the period of psychological recovery.People will gradually return to a stable state of life, and psychologically begin to accept it, "even though it may not be over yet." But because we already have a sense of security psychologically, you will gradually calm down and treat it with a normal heart.

There are individual differences in the stages that everyone goes through, and if your reaction to some information is still intense, repeated examination, confirmation, and inner unease, then you may still be in a "psychological adjustment period." And more people may have gradually viewed the present with a more scientific and rational perspective. They will do a good job of self-protection, follow the official rational and scientific advice, and will not affect their normal work and life because of the epidemic. This basically enters a period of psychological recovery.

Q: what should citizens do if they have psychological problems with the epidemic?

A:Citizens can call the 96008 Chengdu Free Psychological Assistance Hotline to get help from professional psychologists.

Red Star journalist Zhang Ling

Editor Tan Wangyu

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