Chapter 292 Concurrent Anxiety Disorder

When Li Mingchen said this, he displayed the emotional peak he had reached before speaking with Nan Zhuren.

Pupils dilated, nostrils flared.

[Nod quickly.]

They stared at me, their gaze almost frozen.

Even the foot, wrapped in plaster and bandages, couldn't help but start to wobble.

This is an emotion—[frenzy].

An intense fear of obesity and a fanatical pursuit of thinness are another core symptom of anorexia nervosa.

The first half has not yet been seen, but the second half has already been revealed.

Nan Zhuren even noticed a sickly flush on Li Mingchen's face.

The young counselor paused for a moment, then softened his tone, making his voice even and gentle, like an invisible hand beginning to soothe the soul.

"Is the month you mentioned when you lost weight rapidly the month before you had this accident?"

"……Correct."

It's unclear whether it was due to the influence of Nan Zhuren's voice or because the word "accident" was mentioned again.

Li Mingchen's emotions began to stabilize.

"How did you train before this accident happened? What were your usual eating habits?"

Li Mingchen pondered for a moment.

"Teacher Nan, the questions you're asking now, Teacher Yang also asked me." Perhaps he had answered them before, because Li Mingchen thought quickly.

"I'm a basketball specialist, playing power forward," he replied. "My daily strength training, like squats, box jumps, push-ups, bench presses, etc., is considered split training, depending on the coach's arrangement."

"As for endurance, it's about daily long-distance running, and increasing and decreasing lap training, etc. This is my weakness. I'm too fat. I might be better at physical contact on the basketball court, but I'm not good at this kind of physical test."

"That's why you need to diet."

Nan Zhuren nodded, indicating that he understood.

"How much training do you need?" he asked, adding a bit more detail.

"As for eating, how exactly did you eat it?" The question was repeated.

Hearing these two questions.

Li Mingchen frowned and began to think hard.

"I have good strength, so I just follow the coach's instructions. I practice different things every day, and I can't really think of any specific routines."

"Endurance training requires at least an hour of intensive training every day. After that, I also do an extra hour of training on my own."

“When it comes to eating, I calculate the calories and set a calorie deficit.” Li Mingchen thought for a moment. “We have a formula that combines weight and height to calculate daily energy intake, and then I reduce it by about 10% on that basis.”

"At first, I cut out sugar and controlled oil intake. Later, I completely eliminated staple foods, and my weight dropped very quickly..."

Nan Zhuren nodded slightly.

Behind him, Chonghui was also taking notes.

Excessive exercise, coupled with strict, even excessive, restriction of calorie intake—another major symptom of anorexia nervosa—is now appearing quite naturally.

"Don't you think this is bad for your health?" Nan Zhuren asked.

"This is necessary, everyone does it this way!" Li Mingchen said matter-of-factly.

"If you want to improve your performance quickly, you need to lose weight quickly. Only in this way can you reach your weight goal as soon as possible and then put your energy back into formal training."

Li Mingchen argued confidently: "If it weren't for this...accident, I would have liked to lose another five pounds!"

They don't actively seek help and don't think they're abnormal. Or, to put it simply and crudely, it could be categorized as "lack of self-awareness"—yet another symptom.

……

Nan Zhuren blinked.

By now, the diagnosis of anorexia nervosa is practically a done deal.

In other words, the psychological assessment of the short teacher Yang who was previously dismissed can be said to be without any major problems.

but.

Although this is a psychological assessment.

However, due to the sensitivity of psychological counseling, Nan Zhuren still had one question unanswered.

[Anorexia nervosa] can be confirmed.

But what are the causes?
How exactly does this condition develop?
He wasn't the only physical education student, so why did this happen to him?
Is it because I'm too ambitious? Too eager to improve my grades?
Nan Zhuren thought for a moment and asked, "It sounds like your weight loss strategy is quite aggressive. For example, creating a 'calorie deficit' involves reducing energy intake by an additional 10% on top of the formula's calculations." "Is it necessary? Can't we slow it down a bit?"

His tone remained calm.

"Correct!"

Li Mingchen suddenly raised his voice as if he were under stress, and even Nan Zhuren's attempts to soothe him suddenly lost their effect.

"It has to be this way!" Li Mingchen emphasized.

Nan Zhuren deliberately said, "Is there a way to mitigate this a little? After all, judging from the results, it seems to have led to a less than ideal outcome. If..."

Li Mingchen suddenly interrupted Nan Zhuren.

This was the first of the conversations. Before this, the student had been acting weakly and was quite polite.

“It has to be this way, teacher!” he emphasized again.

Li Mingchen arched his entire upper body, his intact right hand gripping the bed sheet tightly, while his wrapped left hand trembled slightly.

He was breathing rapidly and forcefully, accompanied by occasional swallowing movements, and the masseter muscles on his cheeks were visibly bulging from clenching his teeth.

But he only emphasized that "it has to be this way," without being able to give a reason why it was "must" to be this way.

Nan Zhuren sighed inwardly.

Seeing this reaction, Nan Zhuren already knew what he wanted.

That's not a good thing.

One last question.

Is there a critical turning point in the students' lives?

some.

Nan Zhuren recalled the conversation in less than the blink of an eye.

"You just said that you started dieting for about three months, but you couldn't control your eating before that. You only started dieting completely in the last month."

Nan Zhuren repeated the other party's key points: "What made you start dieting three months ago, and what made you suddenly...determine your resolve a month ago?"

Hearing that Nan Zhuren no longer deliberately refuted.

It could also be because they need to think about it.

Li Mingchen calmed down again.

After about ten breaths.

He slowly said, "Three months ago, my physical test results weren't very good, so my coach gave me some advice."

"But I wasn't very obedient back then, so the coach kept scolding me."

"Until another physical test a month later..."

Nan Zhuren listened.

He nodded slowly, taking notes slowly.

……

There was a "click".

The bedroom door was opened.

Chang Ming, who was chatting with a student's parent, looked up.

Chang Ming's gaze was indifferent, while the parents' expectations were clearly visible.

Nan Zhuren gave the parents a gentle smile, then handed the evaluation report in her hand to Chang Ming.

Chang Ming didn't hide it from the parents. He quickly scanned the form with the evaluation report written on it until he reached the conclusion at the bottom, and then slowly read it aloud.

“【Anorexia nervosa】…”

It sounds like the same as the previous report.

Upon hearing this, the student's parent raised an eyebrow and opened their mouth to say something.

"And the accompanying... [anxiety disorder]?"

Chang Ming pronounced the last word, then looked up at Nan Zhuren.

The young consultant nodded: "Director Chang, may I speak to you in private?"

(End of this chapter)

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