Who would study psychology unless they had some issues?!
Chapter 433 - 426: Problems and Intervention Plans

Chapter 433: Chapter 426: Problems and Intervention Plans

Nan Zhubin thought for a moment.

He first provided a summary: "It’s definitely an issue related to [anxiety], triggered by [social] interaction."

"Optimistically, it’s [social anxiety disorder]."

"But I suspect..." Nan Zhubin hesitated, "he’s already brushing against the edge of [social phobia]."

Bai Qinghua’s expression became slightly more serious.

What Nan Zhubin was talking about was not a minor issue.

Bai Qinghua was waiting for Nan Zhubin to lay out his reasoning.

Nan Zhubin organized his thoughts for a moment.

He first briefly recounted two stories the visitor had told him.

Including "a public argument that’s hard to forget" and "afraid of crossing boundaries so didn’t hand an umbrella to a girl."

And the corresponding feelings and reactions of the visitor.

Just from listening, Bai Qinghua’s brows were already gently furrowing.

At this point, without needing much more said, Bai Qinghua could analyze it himself.

Likewise, Chonghui and Shi Qianqian could feel it too.

But Nan Zhubin was much more systematic than them—at least more than his senior brother and sister.

Nan Zhubin listed one by one: "At first glance, the visitor’s attire already revealed many problems."

"Out-of-season long sleeves, a mask and hat covering the face, this is a physical level of ’concealment’ and it’s ’full-body concealment.’"

"He repeatedly recalls past events in his spare time, which is clearly a [post-event rumination]—with this phenomenon present, he can’t easily escape from past situations."

Nan Zhubin sighed.

"When I summed up these two characteristics, the alarm in my mind was already ringing, indicating that the visitor’s problem starts within the scope of [mental disorders]."

"And it’s a mental disorder in the direction of [anxiety]."

Definitely a high-level, case-class situation, not ordinary consulting.

"Next is to determine what the specific problem is."

Nan Zhubin said: "After the conflict where he argued with someone, I specifically asked whether the scenes he recalled were of the ’dispute opponent’ or the ’onlooking crowd.’"

"The answer was ’onlooking crowd’—this is a fear of other people’s eyes, fear of being judged."

"Even though those onlookers didn’t say anything to him at the scene, he made negative assumptions himself, thinking that it would make others consider him as not a good person."

Nan Zhubin sighed: "By this point, it’s basically confirmed as [social anxiety]."

"Later, he didn’t hand an umbrella to a girl on a rainy day due to concerns about gender differences, fearing being seen as lacking in ’boundary sense.’"

"Similar to the above, this is also a fear of others’ gaze and judgment, even to the point where he avoided the social action of ’handing an umbrella’ due to this fear." Nan Zhubin concluded, "Behavioral inhibition induced by [anticipatory anxiety]."

This series of listings also clarified the thoughts of Chonghui and Shi Qianqian.

At the same time, it made their brows furrow more deeply.

It’s precisely because the structure was clear that they could realize the seriousness of the matter.

But the most serious part wasn’t spoken yet.

"What truly made me alert is that he also experiences [memory flashbacks]." Nan Zhubin said with concern, "According to him, he should have a destructive life event. It was because this destructive life event occurred that he changed."

"And certain scenes of that destructive event would suddenly appear when he had nothing to do."

"These intrusive flashbacks virtually nullify his possibility of self-healing in a short time."

"And when talking about having [memory flashbacks], even though he tried his best to suppress it, there were large patches of [fear]-related micro expressions—not [anxiety], but fear!"

Bai Qinghua’s expression was also serious at this moment, nodding slightly.

This teacher said the first sentence since Nan Zhubin shared the case: "So you think he might have more severe [social phobia], not just [social anxiety]?"

This is much more serious than [social anxiety].

Nan Zhubin nodded.

"How long have these symptoms been persisting?"

"Five months." Nan Zhubin replied, "According to diagnostic criteria, symptoms must persist for over six months to categorize as [social phobia], but I think it’s already very close."

Bai Qinghua showed agreement.

Standards are standards, but implementing them in practice requires specific analysis for each situation.

"The only issue now is that I still don’t know the visitor’s specific destructive event—I even suspect it’s a [traumatic event]."

Nan Zhubin showed a regretful expression: "Unfortunately, consulting time is limited, so I can only try to achieve some comprehensive effect based on this consultation."

"Actually, I really wanted to guide him to continue talking, after all, establishing this consulting relationship was not easy."

"But if, before the consultation ends, he’s still stuck in his memories, then after returning he will undoubtedly have excessive emotional involvement, potentially leading to emotional outbursts, which would be worse than when he first came to the consultation, at least at that time he could still control himself to a certain extent."

"So I used a rather stern summary at the end, stating his current cognitive issues in hopes of pulling him out of the emotions, and then firmly ending the consultation."

At this point, Nan Zhubin looked melancholic.

"Even if he doesn’t come back for consultation with me afterwards, I hope he can consciously seek other help and have fewer defenses and resistance compared to this time."

Nan Zhubin said: "His initiative in seeking consultation this time was already very good, but during the process, he was still too [avoidant]."

Bai Qinghua comforted, "Perhaps he’ll come back to find you after all."

Chonghui and Shi Qianqian nodded even more, acknowledging that they couldn’t have conducted the consultation as systematically as Nan Zhubin did.

Bai Qinghua thought for a moment and said: "If this visitor comes back to find you, how do you plan to intervene?"

Chonghui and Shi Qianqian perked their ears, staring at Nan Zhubin, thinking that Nan Zhubin’s meticulous consultation could surely provide a specific plan.

However, after deep contemplation, Nan Zhubin shook his head.

"I’m not sure."

"The core of the visitor’s problem is a triple intertwining. His own avoidant personality psychological background, the traumatic event five months ago, and now not knowing whether it’s considered [social phobia] or an anxiety disorder."

"Right now, the issues are all vague, the severity is unclear. I don’t know the cause of his avoidant attachment, I don’t know his other social states in life, nor do I know what the traumatic event truly is."

"Only after deeply understanding can I sort out the priorities and then draft an intervention plan."

Faced with this answer full of uncertainties.

Bai Qinghua smiled with satisfaction.