女性,52岁,高中文化,已婚,退休工人。 主诉:失眠,情绪低落2个月,伴有轻生念头两周。(由丈夫和弟弟陪来。) 自述:我退休快一年了,开始感觉还好。后来就觉得无聊,烦躁。总想打电话给丈夫又怕影响他工作,儿子在大学读研究生也很忙。晚上睡不着,经常早醒。白天心情也越来越差,对什么事都没兴趣。记性也越来越差,连做饭都会忘放调料。我越想越觉得自己没用,再这样下去会害了丈夫和儿子的,所以,我就想死了算了(哭泣)。 丈夫反应:妻子工作认真,是厂里的劳动模范。9个月前退休后在家,开始时情况是很好的,很愿意做家务。可是,2个月前我发现她好像有心事,整天闷闷不乐的,做事没有精神,说话反应慢。晚上睡觉时老翻来覆去睡不好,早上早早就醒。曾去医院就诊,做相关检查都正常,医生说她是“失眠症”,与更年期有关,配了些安定,吃了药后睡眠好了些,看上去精神也好了一点。但近1个月来我看她越来越瘦,吃饭没胃口,说胸口被东西堵牢了,人也瘦了好几斤。每天除了做饭就在床上躺着,电视也不看。这两周来,特别厉害,连饭也不做了,还说生活没意思。今天早上我回来拿忘了带的东西,发现她正在系绳子要上吊……我就带她来了。 其他资料:求助者病前工作认真,做事力求完美,能力好,是劳动模范。性格偏内向,人际关系好。 关于求助者的自知力判断正确的是( )。
A. 完整
B. 不完整
C. 丧失
D. 无法判断
男性,18岁,高二学生。自幼活泼、开朗、聪明而有灵气,小学和初中时几乎每年都被评为“三好学生”,初中毕业后,以优异的成绩考入重点高中,高二时又被选上团支部副书记、学习委员。可是,在一次班会上,他为了一件小事与同学争执起来,同学当面说他“高傲”、“自大”等。按他以往的经验和性格,对这小小的打击是不会在意的。而这次却不然,他感到经受不住,无法看书,夜里睡不好,常常早早醒来,脑子里反复出现同学们评论他的情景。 他开始以为是学习紧张,精神上压力大,几次看内科医生,都说是患了“神经衰弱”,服用安眠药、健脑药两个多月,仍不见好转。相反,他的情绪越来越差,总感到委屈,不愿与人交往,甚至不想上学,一点小事他都要想很长时间,思维、记忆明显不如以前,感到自己无能而出现悲观厌世的念头。他想既然按照神经衰弱治疗无效,那么,一定是“思想问题”,于是他主动找老师、班长和好朋友谈心,经过别人多次开导、鼓励都无济于事。在老师的建议下找心理医生,可是家长认为是“闹情绪”或是有“思想问题”,不同意看“医生”。两个月后在老师的再三建议下来咨询。 该求助者最可能的诊断是( )。
A. 一般心理问题——“闹情绪”
B. 严重心理问题——“思想问题”
C. 神经症——强迫症(反复出现同学评价自己的情景)
D. 心境障碍——抑郁反应
Food is one of the most pleasurable things in life, but may he the most terrible thing when you’re traveling with kids. When kids get hungry, they get noisy, and no matter where you are, it’s no fun. Food is also a big part of travel expenses for a family. Eating out in restaurants all the time can cost a lot of money and no kids want to wait for a long time to eat a meal. Here are some tips to help you to have fun and save money. Start the day right. Breakfast can be a simple matter. To save money, if you’re traveling by car, bring breakfast with you, or shop in a supermarket after you check into your hotel. Many hotels have fridges, so all you need is milk, juice, fruit, bread, cups and plastic containers. After eating in your room, breakfast is out of the way. When you leave your hotel, you’re ready to start sightseeing. Have picnics. Picnics are fun for everyone in the family. You don’t need to wait for a long time for food to be served, or keep telling your kids to behave. Whatever you’re eating, it tastes delicious. Afterwards you can relax while the kids run around. You can have a picnic anywhere-in a grassy city park, at the seaside, sitting next to a stream. And picnics aren’t for lunch only-bring a picnic to the beach at sunset. You can have a picnic wherever you are, even in a big city, and picnics don’t cost much! Buying your picnic is part of the fun and you can shop to please everyone’s tastes in your family. Supermarkets are open day and night, and usually have a deli(熟食店) where you can have everything you need for a picnic. Compared with eating out, bringing your own breakfast ______.
A. is a little more expensive
B. is much easier when traveling
C. allows you to eat when you go sightseeing
D. takes you much longer time