Who would study psychology if they didn't have some kind of problem?

Chapter 247 It turns out the intervention was the problem!

"At week 8, maintain escitalopram 10 mg/day and vortioxetine 20 mg/day. On this basis, increase paroxetine 20 mg/day and bupropion 150 mg/day."

"At the same time, starting this week, we will provide one esketamine nasal spray inhalation per consultation to stabilize the visitor's emotions."

At this point, Nan Zhuren still used a report-style declarative tone.

But the indignation in my heart could no longer be suppressed.

This emotion spread out like a burst of mist.

[Emotional Influence] When fully activated, its effect is almost like a passive skill, constantly playing a role.

then.

"boom!"

Suddenly, one of the professors in the first row slammed his fist on the table, knocking over an open water bottle that soaked the professor next to him in the pants.

"Hey you... Lao Liu, what's wrong with you?! Why are you so angry!"

"You don't understand, you have no medical background!" The doctor who slammed his fist on the table was indeed very angry, and his words were also very aggressive. "This guy surnamed Lin is just talking nonsense!"

Such offensive words indiscriminately provoked even the counselors, who were not initially very angry, and who had no medical background.
Then, the doctor's words successfully diverted their anger from themselves to the prescription on the screen.

The doctor, his professional knowledge stirred, seemed to have his back ignited with passion. Pointing directly to the photo projected on the large screen, he said:

“I don’t know the basis for Lin Lilin’s prescriptions before, since the patient’s condition and intervention process are unclear; but I do know that no matter what kind of patient it is, they should not use the prescriptions he is now giving!”

The doctor surnamed Liu spoke with absolute certainty.

Meanwhile, the other doctors and counselors with medical backgrounds in the audience were also stirred up and couldn't help but whisper among themselves.

The chairman of the board, standing to the side, put on a stern face: "Old Liu, explain yourself?"

Dr. Liu slammed his hand on the table again: "Paroxetine and bupropion are both contraindicated drugs in the treatment of depression because their mechanism of action is to overactivate dopamine and stimulate the sympathetic nervous system, thereby giving the patient a mental excitement and freeing them from a state of low mood and endless fatigue."

Most people present couldn't understand the first half of the sentence, but they could understand the second half.

Simply put, unlike conventional medications that "make depressed patients feel nothing," these two medications are designed to "make depressed patients happy."

Just hearing about the effects of this medicine makes one involuntarily frown.

really.

"But this drug has very strong side effects. It can cause disorders in the nervous system, thereby increasing the risk of suicide!" Dr. Liu said sternly. "Even when hospitalized, this drug must be used with great caution."

"And look at what happened after Lin got these two medications: he started using esketamine nasal spray once a week!"

Several people nearby turned their gaze to Dr. Liu, signaling him to continue explaining what the spray was.

"Esketamine nasal spray is a fast-acting antidepressant. Because nasal spray formulations can quickly affect the limbic system and reach peak blood concentrations, it simply means it works quickly. Therefore, it is generally used for emergency intervention in suicidal behavior!"

Dr. Liu almost sneered: "First prescribe a drug that increases the risk of suicide, then prescribe a drug that reduces the risk of suicide. It's like taking off your pants to fart—this guy surnamed Lin really has a clever plan!"

The chairman asked in a low voice, "We can't drive like this, right?"

"Of course not!" When it comes to professional knowledge, Dr. Liu dares to yell at even the chairman of the board.

"Are there any other possibilities? A very special, unavoidable situation?"

"To be honest," Dr. Liu sneered, "these medications include both domestic and imported ones. But this Mr. Lin not only prescribed these unnecessary drugs, he also prescribed the more expensive imported versions..."

As the conversation progressed, it went beyond the scope of professional knowledge, so Dr. Liu's voice grew softer and softer.

But the implication was already quite clear.

The chairman paused, nodded to indicate that he understood, and then turned to the dean of the School of Psychology: "Can we still confirm that the handwriting in the photo on this PPT is Professor Lin's?"

Compared to Dr. Liu, the chairman's tone was more polite. But the more polite he was, the less the current dean of the psychology department dared to speak up and answer.

He turned to look at the principal, but received no visual signal.

So he could only give a vague answer: "He does look...quite similar. But I'm not very familiar with him..."

"Can you still contact Professor Lin? I'd like to discuss with him the rationale behind prescribing this medication."

……

Some things are better left unsaid.

He was brought to the forefront, surrounded by knowledgeable people, and among these knowledgeable people, there happened to be one hot-tempered individual who got provoked and started explaining things to others.

Things seem to be quite simple.

but.

It's not time for Lin Lilin to make his appearance yet.

Judging from the current results of the report, Nan Zhuren has only shown everyone "Lin Lilin's illegal drug abuse practices," which is at most slightly better than Weng Pingting's direct report, but it is definitely not worth Nan Zhuren going to such lengths to put on such a show.

The important part is yet to come.

While Dr. Liu was narrating, Nan Zhuren continued to work through the courseware on his own.

Dr. Liu and the chairman, of course, had no idea that what Nan Zhuren was about to unleash would cause a real uproar.

"After the ninth and tenth week of consultation, the client requested a one-week break. Medication was reduced during this phase..."

"The client returned in the twelfth week for the eleventh consultation, and medication dosage increased..."

"During the twelfth, thirteenth, fourteenth, and fifteenth consultations, the consultation progress stalled, and the patient remained in the self-awareness stage, while continuing to take medication during this stage..."

"In the 24th consultation, the consultation finally entered the next stage, helping to correct irrational beliefs and teaching rational beliefs."

Even if the consultations were conducted weekly, the time span would still exceed six months, or half a year.

No one in the first row spoke.

The manager from the consulting firm looked around and approached a consultant who looked to be over forty years old: "Teacher, is it normal from an academic point of view for a case of moderate depression to only enter the conversion stage after 24 consultations?"

The senior counselor, over forty years old, glanced at him and said, "Every symptom is different; perhaps this client is rather special?"

That's a rather conservative way of putting it.

So the management then consulted a doctor: "Based on the prescription given by this teacher, how much would the consultation and medication costs be each month?"

The doctor glanced at the man and said, "I don't know about the consultation fees for professors, but I'd estimate around two thousand per consultation. As for medication... it'll be about ten thousand."

Even the most conservative approach can't be that conservative.

The company manager's eyes flickered. So, they could make about 20,000 yuan a month from a single visitor?

Making that much money?!

Many company representatives who are sensitive to numbers have already made the same inquiries and probes.

Although the cases they encounter are less complex than those of counselors, they are in some ways more numerous and diverse.

They knew that very few, if any, cases of moderate depression could be documented for such a long and intensive period.

Just by looking at it, you can tell there's a problem.

Either the diagnosis is flawed, or the intervention is flawed!

(End of this chapter)