23: Chapter 23 PTSD (Please Follow) 23: Chapter 23 PTSD (Please Follow) “You should also be able to see that these two visitors are for you to practice on.”
Nan Zhubin politely thanked upon hearing this, “It’s indeed very effective for training.”
“Afterwards, more visitors will be arranged for you; I still need to discover some things from your work.”
Nan Zhubin thanked in advance, “Much obliged.”
Completing tasks in the Dream World requires accumulating consultation hours.
And Nan Zhubin’s current living situation happens to need consultation fees, so he also desires it.
On the surface, assigning more visitors to consultants by the supervisor seems like overtime and adding burdens, but as long as the pay corresponds to the work, everyone has no objections.
Weng Pinting continued, “And the purpose of letting you ‘practice’ is naturally to have you properly complete a case.”
Nan Zhubin kept nodding, “As it should be.”
“Then your first visitor, the one most likely to become a case— I remember her name is Chen Ting, right?”
“How is she now?” Weng Pinting paused, “She was transferred over with a diagnosis of ‘depression’, but I’d like to hear your judgment.”
As a supervisory consultant, this was an inspection of Nan Zhubin’s consulting status.
Nan Zhubin took a deep breath, “My judgment…”
“She actually exhibits some signs of ‘stress disorder’.”
Weng Pinting already knew in advance that Chen Ting was a disguised ‘depressive’.
But Nan Zhubin still judged that Chen Ting “needs continued consultation”, which aroused Weng Pinting’s curiosity.
It also gave her the thought of delving deeper.
Upon hearing Nan Zhubin’s words, Weng Pinting instinctively raised her eyebrows and uttered a word, “PTSD?”
PTSD (post-traumatic stress disorder), refers to the delayed onset or long-term persistence of a mental disorder caused by experiencing an unusually threatening or catastrophic stress event or situation, usually manifesting after a latent period with no obvious symptoms following the traumatic event.
Major symptoms include: “repeated recall of traumatic experiences”, “avoidance of stimuli associated with traumatic events”, “emotional numbness”, “increased vigilance”, etc.
Severe cases require medication assistance in treatment.
High-risk groups include victims of natural disasters, veterans, crime victims, and others.
Weng Pinting frowned, trying to recall the last time she saw Chen Ting.
Nan Zhubin quickly waved his hand, “Not PTSD, at least not to that severe a degree.”
Psychological consultation and therapy have very precise classifications for the severity of visitors’ conditions.
Different questionnaires, manuals, and textbooks might have differing levels of detail, but generally, they can be divided into the following levels:
“Psychological Health”, “Psychological Abnormality”, “Psychological Disorder”, “Psychosis”.
In Nan Zhubin’s judgment, Chen Ting only had some symptoms similar to PTSD, but it didn’t mean she actually had such a level of problem.
“To be honest, at most, she is at the level of ‘Psychological Abnormality’, not a ‘disorder’, certainly not an ‘illness.'” Nan Zhubin added.
Weng Pinting nodded thoughtfully, then asked, “Then, what do you think are her ‘abnormal’ issues concerning stress?”
Nan Zhubin recalled for a moment and then slowly said, “When she first met me, she showed some repulsion.
Initially, I thought she was repulsed by ‘psychological consultation’, but later I discovered that the object of her repulsion was my ‘male’ identity.”
Weng Pinting examined Nan Zhubin’s facial features and contours, “That is indeed somewhat unusual.”
“Later, through some data collection, I found out she might have experienced a trauma event centered around a male, which then caused a ‘generalization’, starting to dislike people, things, or scenarios that shared certain traits with the other party.”
“Like my identity trait of being ‘male’.” Nan Zhubin added, “Besides that, she is also very repulsed by ‘school’, I don’t know if it’s related to this.”
Weng Pinting raised an eyebrow, “You don’t know?”
Nan Zhubin shrugged, “In my first consultation, I focused on building a consulting relationship; gaining her trust and distinguishing her real issues was already a success.
The other information collection has to wait for later.”
Weng Pinting nodded, accepting Nan Zhubin’s explanation.
“Of course, if all these are merely considered my guesses.”
Nan Zhubin suddenly made a gesture of recalling, with a solemn look.
“What really confirmed for me that Chen Ting indeed needed continued consultation was her subsequent reaction…”
“When I expressed my assumptions to her, she quickly exhibited clear memory behavior.
At that time, on her face, there appeared an obvious— Fear!”
Upon hearing this, Weng Pinting couldn’t help but sharpen her gaze, “Fear?”
Nan Zhubin nodded affirmatively, “Fear.”
“Can you tell just from facial expressions that she is remembering and also fearful?”
Nan Zhubin said, “Yes.”
Weng Pinting continued to ask, “What kind of expression was it?”
Nan Zhubin recalled, “Her eyes were very large, very bright, but at that moment suddenly lost focus, no longer responding to some of my actions and words.”
“Then her entire face started to move, her eyebrow inner corners tightened, obvious creases appeared above her nose, pupils enlarged and trembled, and her lower eyelids contracted.”
“Simultaneously, her body leaned back into the sofa’s backrest to be enveloped by it; her thighs and arms also showed obvious contraction, making a defensive posture.”
Nan Zhubin described in such detail that a picture of a frightened girl instantly appeared in Weng Pinting’s mind.
Her expression became solemn, not just because of the potential severity represented by this case, but also because of Nan Zhubin, who made this series of judgments.
Weng Pinting didn’t expect that this wasn’t all it involved.
“Moreover.” Nan Zhubin added, “Her memory and fear weren’t the crux of the problem.”
“The crux lies in the fact that she recalled too quickly, as if that memory directly invaded her mind through the trigger of a certain keyword.”
“And the ensuing fear, it came too fast, as if it had undergone training, so fast it was integrated into instinct!”