Medical records

Name: Yin Shiguang

Sex: Male

Age:19

Culture: currently studying in university

…

Date of admission: June 23, 2012 (first time)

Main complaint: Game addiction, uncontrollable, extreme addiction, lasting for more than two months

History of current illness: The patient is a sophomore at a certain university, with excellent grades, no abnormality in getting along with others, good interpersonal relationships, and no bad habits.

I started playing a certain mobile game about three months ago and became extremely addicted to the game. I had the experience of staying awake for more than 24 hours without eating or drinking and was addicted to the game.

During the game, he completely ignored the external environment and the advice of his relatives, and was very irritable and irritable.

When he quits the game, he will return to normal. Compared with the previous state, there is no obvious change. He has a clear memory of the game situation and emotions at that time. At this time, the patient said that he had no interest in the game and did not know why he was addicted.

They may feel regret, anxiety, resistance and other emotions about being addicted to games, but they will still have strong impulses and desires to play games intermittently, and have independent psychology and behavior that they try to control. They cannot control it every time, and then continue to be addicted to games.

Repeatedly.

One month later, the patient's symptoms worsened and he was unable to play games for a long time. He would have symptoms such as anxiety, mania, trembling hands and feet, and a slight urge to destroy.

His parents sent him to the psychological counseling clinic of our center for treatment.

The psychological counselor’s observation impression: The patient is in good health, has relatively high intelligence, speaks clearly, has a cheerful personality, has normal emotions, has clear consciousness, can communicate and cooperate with others, has fluent speech, has no hallucinations, delusions, has no mental retardation, has complete insight, and has clear consciousness.

Request for help. I don’t feel any physical discomfort, but my face is pale and slightly tired due to lack of sleep at night.

He was admitted to our center for further diagnosis and treatment.

When hospitalized, the patient eats and drinks as usual and conducts daily life as usual. During the onset of the disease, the patient is prohibited from playing games, as there may be agitation, manic mood, impulsive destruction of objects, injury to others, self-mutilation and other violent situations.

Past history: Good health, no history of infectious diseases, no history of food or drug allergies, no history of poisoning by various substances, no history of surgery or blood transfusion, no history of head trauma or fractures, no history of major physical diseases such as heart, lung, kidney, brain etc.

…

Personal history: ...no abnormalities

Family history: ...no abnormalities

Physical examination: ...no abnormality

Mental examination: ...no abnormality

Preliminary diagnosis: ...Related psychological scores are normal, IQ is relatively high, willpower is strong, cheerful and sunny personality, normal interpersonal relationships, excellent academic performance, no history of disease, family history of mental illness. Combined with the state at the time of onset, mild schizophrenia is suspected.

treat:……

…

Chen Yi held a medical case in his hand and read it at a glance. He raised his eyelids and glanced at a boy sitting opposite him.

The boy wears a pair of glasses and is neatly dressed. He looks polite and polite, with the corners of his mouth slightly upwards in an unconscious way, making him look very sunny.

He is the Yin Shiguang in the case, the nephew of Aunt Yin whom we met in the supermarket.

Chen Yi originally thought that the aunt's unreliable impression was just psychological anxiety and depression caused by the pressure of work and study, which are very common modern psychological problems, but that the aunt was making a fuss out of a molehill.

Unexpectedly, this case is very strange.

Recalling the situation when Yin Shiguang arrived...

He came alone according to the address. When I saw him, I was a little surprised.

After entering the room, he looked a little weird, but he still expressed his intention as usual, and then cooperated with Chen Yi's request.

Acting very normal.

Finding a person at an address proves that his thinking and judgment are still normal.

When he saw that the psychological counselor he was looking for turned out to be a bald monk, he was surprised, which is normal.

Chen Yi's home has just been renovated.

A small signboard was hung outside with the four characters "This is what I hear" written on it.

Then there are a few small words "Psychological Counseling Room" in the corner that are hard to notice.

The first floor is what he plans to use as a psychological consultation room.

The big hole on the second floor was not filled up and was directly connected to the first floor.

Chen Yi simply asked the man in a suit to remove the stairs. Anyway, now he can go upstairs easily, and the stairs are still a burden.

As for the first floor, it is more believable that it is a yoga room or a monk's meditation room than a psychological consultation room.

It's a bit dark in tone, and the wooden floor is original. It's empty everywhere except for a few low tables, a few cushions, and a big heart written on the wall behind it.

A place like this, plus a monk, and you call it a psychological consultation room, and people who don't doubt it at all are abnormal.

If you are a little more irritable, you may be considered a liar.

Chen Yi put down the medical records, picked up a notebook and a pen, and casually said as if chatting about daily life: "Do you know what month and day today is?"

"9012, August 29."

"Do you know where this place is?"

Yin Shiguang glanced around a bit strangely, as well as the big word "heart" on the wall behind him, and nodded: "Psychological consultation room."

Chen Yi ignored his look and wrote casually in the notebook: "Who sent you here?"

"My aunt."

Chen Yi nodded: "Don't you think I'm weird here? Do you believe I'm a psychiatrist?"

Yin Shiguang hesitated for a moment, then said: "It's very strange, a little suspicious."

Chen Yi smiled and said: "Then you are still so cooperative?"

Yin Shiguang smiled helplessly: "I've been watching for so long, and I've been to the hospital a lot, and I haven't even been able to get a specific diagnosis... Forget it, I just want to make my aunt feel at ease anyway, and..."

He paused and said doubtfully: "I feel very comfortable here."

Chen Yi smiled and continued noncommittally: "Your family and friends are all very kind and caring to you, right?"

Yin Shiguang smiled from the bottom of his heart and said, "Well, yes."

Chen Yi suddenly changed the question: "Do you usually see people and objects deformed?"

"No."

"Have you seen anything strange?"

"Something strange?" Yin Shiguang wondered.

"It's just...something that doesn't make sense."

Yin Shiguang shook his head blankly: "No."

"When you are alone, are there any sounds in your ears? Have you noticed any strange smell in the food you have eaten?"

"nothing."

Chen Yi nodded and asked many questions in succession, and Yin Shiguang was very cooperative.

After nearly an hour, Chen Yi stopped and looked at the book in his hand...

General situation: No obvious abnormalities were found, and no delusions, hallucinations or comprehensive sensory disturbances were caused.

Thinking activities: coherent thinking, more agile than ordinary people.

Intelligence: Excellent

Judgment skills: good

Emotional response: Cheerful, sunny, actively cooperate with treatment

Volitional behavior: strong, non-impulsive, negative behavior

Insight: normal

…

After a slight hesitation, Chen Yi added another word: innocent and abnormal violation.

Then it was his turn to be confused...

Is this person really sick?

Gaming addiction has indeed been classified as a mental illness.

It is not just a man-made disease. When this disease occurs, the brain's reaction is indeed very abnormal, which is very similar to that of smoking a bottle.

But the possibility of this kind of disease appearing in people like Yin Shiguang is very low.

Moreover, except for a slight lack of sleep, he has no other symptoms of game addiction.
To be continued...