Psychogenic diseases

Often, people who are almost always unwell, both physically and mentally, turn to a counselor-psychologist for a sonnet. They are afraid to consult a doctor, as they are not helped by the advice of doctors. In this case, people usually conclude that their problems are not medical, but rather psychological, and they prefer to seek help from a psychologist in the future.

Indeed, when a person first feels not completely healthy, he comes out of habit to see a doctor. He listens attentively to the patient and directs him to a medical examination. Such examination detects or does not reveal any serious deviations in the body's work. In the first case, the doctor tells the patient that he is sick and, accordingly, prescribes medication or some other physical (physiological) treatment to him. In the second case, the doctor most often states to the patient that he is physically healthy and, without prescribing anything, if the client continues to insist on his illness, sends him to a psychoneurologist or to a psychiatrist.

However, in the minds of many people - and not without reason - the work of a psychiatrist or psychoneurologist is associated with serious nervous or mental illnesses. Therefore, many people are very wary of the doctor's offer to visit a psychiatrist, since they do not want to admit that they are mentally ill. Often, unfortunately, the psychiatrist himself approaches the solution of problems of a physical or psychological ailment of the client from his own narrowly professional habitual positions, considering that all diseases are caused by organic factors or by any serious disturbances in the work of the organism. Investigating the state of the body of the visitor, offering him their advice, which, as a rule, are associated only with the treatment of the body, the psychiatrist does little to help the patient in getting rid of his psychogenic diseases. All this ultimately leads such a patient to a psychologist, where he turns from a patient into a physically and psychologically healthy client. This position from a psychological and social point of view is much more acceptable for most people than the prospect of becoming a visitor to a psychiatric clinic.

Psychogenic heart disease

The first thing that should be done to a counselor psychologist, if he was approached by a client with complaints about heart pain or other ailments, subjectively and objectively expressed in various violations in the work of the cardiovascular system (rapid or irregular pulse, strong or, conversely , too weak heartbeats, etc.) - this is a detailed questioning of the client about what the background of his illness and whether he turned to a doctor - a therapist or a neurologist. This must be done at the very beginning of communication with the client for two reasons. First, because the client can be really physically sick, and then he will first need to put an accurate medical diagnosis and prescribe an effective treatment. Secondly, in order for psychotherapy (which is prescribed, as a rule, after or together with medical treatment) was successful, the client should be sure that he really is not physically ill. Otherwise, all of his attention and consciousness will be focused on the sensations associated with the states of the body, and they will constantly generate fear and anxiety in the client, preventing psychotherapeutic treatment. Thirdly, the client must first of all make sure that the doctors' advice related to taking medications is of little help to him. Fourth, such knowledge of the client's history of ailment will help the counselor psychologist not to repeat the mistakes of the past and not recommend the client what has already been tried, but did not give the proper result. Finally, fifthly, having listened to a detailed story of the client about the history of his illness, the counselor-psychologist will be able to evaluate the client as a person, gain a deeper understanding of his psychology and, taking this into account, choose the right method of psychotherapeutic influence on him.

After the client's malaise has been elucidated and information is received about how the client tried to solve his problem in the past, the counselor can proceed to the next stage of working with the client. This stage is to accurately establish what, in what sensations the patient's malaise manifests, when and under what conditions the corresponding sensations arise. Having thoroughly studied this from the client, the psychologist can begin to work out and discuss with the client practical recommendations on how to prevent the occurrence of such ailments in the future and to eliminate them in the present.

In the course of consulting on the topic under discussion, situations may arise that require some general, typical practical solutions. We will highlight and discuss these situations so that the counselor can use appropriate advice and recommendations if he has to deal with such cases in his professional work.

Case 1. During a conversation with a client, the consultant finds out that he most often experiences unpleasant, painful sensations in the heart area when he is physically tired, psychologically stressed, or when the habitual mode of life is disturbed for a long time. In this case, the client should be recommended to learn to relax, rest, quickly rebuild from work to at least a short rest.

To prevent such ailments, the client can also be advised to learn some methods of effective artificial, physical or psychological relaxation, used, for example, in auto-training, as well as in the practice of physical therapy. Regular walks in the open air, showering, self-massage and self-hypnosis can also be useful.

Case 2. Pain and other unpleasant sensations associated with the functioning of the cardiovascular system arise from anxiety, frequent heavy emotional experiences of the client. Here there can be two typical situations: a) the client himself does not understand very well why he has such feelings; b) the client knows from his own experience that unpleasant sensations arise from severe experiences, but are not able to control their emotions, especially under stressful conditions.

In the first situation, the client will need to clarify, convince him that the real cause of his ailment is negative emotions. In the second situation, the main task of the counselor psychologist is to teach the client to cope with his emotions. Most often, however, the client has to educate and teach practical actions.

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