Time：2023-03-28 00:10:27 source：psychiatricethics.com author：Emergency treatment Read：402次

How to help a depressed elderly person smile again?

After entering middle-aged and old age, if you are troubled by depression, how can you help? If you want to enlighten or persuade them to seek medical treatment, what communication principles should you master? Depression has gradually attracted social attention and de-stigmatization in the past ten years, but now the impression of "depression" by grandparents over 60 years old is still mostly "neuropathy" and "senile dementia"; In addition, the elderly have a narrower social circle, more illnesses, and a heightened sense of loss in life... All kinds of factors make the elderly "sleepy at home" and unable to enjoy the joy of life. In fact, there are patient groups that can communicate and heal physical and mental trauma, and there are support groups that can provide assistance in life difficulties. As long as children are more caring, use some skills to help elders get out of the house, communicate with people of similar age, and seek medical treatment in time, there is still more life in old age. Colorful! An uncle in his 60s called Professor Rong's assistant, Teacher Xie. He said that he was about to have his limb amputated due to diabetes. Because he had no family and lived alone, he was afraid that he would "become useless" after the amputation. He was also worried about the future. It is difficult to live, and all kinds of worries make him "want to die." Teacher Xie was judging that the situation and symptoms he described were prone to depression; the main reason was the small social circle, the difficulty in obtaining social resources, and the anxiety about life after the amputation. Later, after hypnosis consultation once a week for 3 to 4 months, the uncle finally opened up and accepted the current situation and life positively. How can a depressed elderly person get better? New concept psychology expert Professor Rong Xinqi, assistant teacher Xie, shared the following 4 points. 1. It is very important to build a foundation of mutual trust "how to talk"! When caring for the family members of the elderly with depression, remember to "change the angle" to get along with them and empathize with their emotions. For example, when the old man is asked "How are you feeling? Are you sleeping well?", etc., he often says "it's okay", but the person listening should not be fine, but continue to chat with him about events in life, when they When they talk about something that is particularly touching, they will express their emotions all at once, and only then can they hear their hidden thoughts. In the process of talking with elders, even Mr. Xie, who has received professional training, will encounter "emotional resistance" from patients just like general caregivers. Like the uncle at the beginning, he will question "I have eaten more salt than you have eaten rice, why should I listen to you!" The caregiver can respond like this: "Although I am relatively young, I have received training, If we know more about this, maybe we can discuss and learn from each other, and if we encounter problems, we can try to solve them...". The key is to use the attitude of "communicating with each other and learning from each other" to soften the patient's defenses, first establish the foundation of mutual trust, and then enter the level of problem solving. 2. Don’t blindly persuade to seek medical treatment. Persuading “encouraging medical treatment” with empathy may encounter another wave of resistance. Because the elderly generally suffer from many illnesses, they may be more repulsive to seek medical treatment. Teacher Xie taught caregivers to say: “You are not in a good mood. Well, it has been several weeks, maybe there are some conditions. I have read in books or on the Internet that when the secretion of neurotransmitters in the human brain is less, the mood will become worse. At present, medical treatment is very advanced, and there are methods to treat... ”, persuading patients to seek medical treatment in this rational way is much more effective than directly saying: “Do you want to see a doctor?” Or, start with the "uncomfortable symptoms" of the elderly and tell the elderly that this can be solved. For example, if you don't sleep well, you can go to the sleep clinic. If you have trouble defecation, you can go to the gastroenterology department. Maybe trying to ask for help will improve the symptoms, and wait until the doctor is accepted. If the depressive symptoms are not relieved in the end, the acceptance of visiting a psychiatrist will also increase. 3. Don't ask directly, use the atmosphere of playing games to guide medical treatment. A 60-year-old mother Li (pseudonym) was diagnosed with depression when she was young. The whole family came to Professor Rong's psychology studio more than 3 years ago. When she first arrived, Li's mother's expression was tense and stiff, and her stiff eyes were always looking straight ahead. The more relaxed I become, the more I am willing to share some things in my life with those around me after the circle of trust is established. After giving birth to 3 daughters in a row when she was young, Li's mother did not want to get pregnant again, but was troubled by the social concept of "prioritizing sons over daughters" and "unfilial piety is three, and no descendants are the greatest", she still reluctantly conceived a fourth child. , gave birth to 1 son. Although she gave birth to a boy successfully, she developed symptoms of depression immediately after giving birth, so she had to ask a nanny to take care of the child. Although she also wanted to take care of the child herself, as long as she was close to the baby, it would evoke emotionally tangled trauma, so she struggled back and forth between family affection and guilt. Although the boy was born, she was still trapped in emotional traps and was diagnosed with depression a few years later. Referring to her illness process, she said: "I used to use all kinds of knowledge to analyze or rationalize emotions. This may divert attention for a while, but in fact negative emotions still exist. Emotions need to be exported, Resolving is not just analysis or rationalization; through support and acceptance, emotions are slowly resolved in relaxation, and after the mind is at ease, healing will gradually occur.” 4. Sharing and communication can reduce vigilance Generally speaking, the elderly because of low social interaction , or changes in the relationship such as the death of a partner can easily lead to depression. Establishing a listening and accompanying group can avoid the habitual emotional closure of the elders and prevent the depression from getting deeper and deeper. Teacher Xie said that "sharing and communication" is one of the ways to loosen tense emotions. The internal emotional conflicts of patients are like the state of stalemate when people fight. If the entangled energy can be slowly relaxed in the process of emotional communication , you won't be stuck in numbness all the time. This kind of communication can be a patient group or a morning exercise club in a general park, or a family holding hands warmly, a caring look, or even just doing an activity that you like. Like hypnotic self-healing, or meditation, meditation and other courses. Teacher Xie emphasized that there are many ways to carry out the course, but everyone must experience it in person before they can find the most suitable activity for adjusting their emotions. The original text is from Professor Rong Xinqi's Hypnotic Psychology Studio. If you need to reprint, please obtain permission and indicate the source. If you have any questions, you can click on the avatar to send a private message.

(责任编辑：Anxiety disorder)

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