Case Interpretation: Heart Diseases of Patients with Sexually Transmitted Diseases

　　Mr. Yang, 41 years old, travels on business all year round and once had an intimate relationship with a "young lady". After that, he felt discomfort at the urethral opening and went to the market sexually transmitted diseases The prevention and treatment center sought medical treatment, and upon examination, everything was normal, but his own uncomfortable symptoms did not disappear. So he changed homes Hospital He registered at the specialist clinic and another examination proved that he was indeed fine. However, Mr. Yang's "heart disease" has not been eliminated. He always feels that he has an unclean sexually transmitted disease. He is uneasy all day long, feels that he cannot see people, and increasingly neglects his wife. Even if Yang's wife made the request, he himself could not have a normal sex life. As a result, when he came to the hospital again, he was introduced to the sexual psychology clinic. After examination, it was found that Mr. Yang had not a sexually transmitted disease, but a phobia of sexually transmitted diseases.

　　Sexually transmitted disease phobia is a psychological disorder. Most patients suffering from this disease have a history of unclean sexual intercourse. When they experience uncomfortable symptoms in the urinary tract, they think they have sexually transmitted diseases, so they live in panic. Although some people have no history of unclean sexual intercourse, they believe in the misinformation about STDs in the society, or they "match up" some of their uncomfortable symptoms with the symptoms of STDs introduced in books, magazines, and thus believe that they have STDs. These patients had more or less genitourinary tract symptoms or discomfort in the lower abdomen. Although all tests were negative, they could not be relieved.

　　Patients with STD phobia usually have this mentality: they are afraid of STDs and are afraid that they will get STDs, so they do everything possible to check them disease I hope to confirm that I do not have an STD through a doctor's examination, but I am not at ease with the doctor's diagnosis, and I am afraid that the doctor will misdiagnose or miss the diagnosis, so I go to experts and famous doctors again and again, and I am unable to extricate myself from the ambivalence of anxiety, fear, hypochondriasis and pain.

　　Sexually transmitted disease phobia is divided into three types: fear of not having the disease, fear of the disease and fear of recovery. To be afraid of contracting a sexually transmitted disease even if you don’t have one is to be fearful even if you don’t have a disease. Mr. Yang is an example. Disease fear is a psychological disorder that occurs during the progression of the disease. Post-healing fear refers to the fact that people with STDs have recovered from the disease after treatment, but the fear still exists, just like the aftershocks after an earthquake. There is no difference in the performance of these three types of psychological disorders. The only difference is the time when the psychological disorders occur.

　　In terms of treatment, it is very important for doctors to gain the trust of patients, which is the key to successful psychotherapy. Denying that the patient has a sexually transmitted disease and repeatedly admonishing the patient not to think wildly will only make the patient lose trust in the medical measures taken. To questions raised by patients, doctors do not need to give a positive answer: "You do not have STDs at all." They can tactfully say: "Even if you have STDs, they can be cured." ”Let the patient believe that his disease has been diagnosed and thereby develop trust in the doctor. This allows future treatments to be as effective as they should be. Then there is psychotherapy, drug treatment, and if necessary, hypnotherapy can be used to correct the patient's psychological disorders and restore balance to the patient's unbalanced mind.

　　To prevent STD phobia, you must take good care of yourself and read more excellent journals about STD knowledge. If you feel unwell, you should seek medical treatment in time and trust the doctor. Do not take the initiative to "check in" and seek trouble. In addition, we must disperse our energy and devote ourselves to a variety of learning, work and entertainment, and free ourselves from the mentality of being afraid of illness.