Record Time: 2025-09-08 12:12
Diagnosis:
- Mood disorder (depression) and Asperger’s Syndrome caused by Tourette Syndrome.
Specific conditions:
- Moderate anxiety, moderate depression, moderate obsessive-compulsive symptoms, moderate somatoform disorder.
- Emotional dysregulation, high life stress, fatigue, impaired social skills, narrow range of interests.
- Intense emotional fluctuations occur when life stability is impaired.
Remarks:
- The patient is under extreme mental stress. The total score on the Life Event Scale (LES) is 121; 95% of normal individuals have a total score not exceeding 20, and 99% not exceeding 32.
- Mental examination: Clear consciousness, accurate orientation, fair rapport, poor eye contact, coherent thinking, presence of obsessive thoughts, fatigued expression, emotional lability, inappropriate emotional responses, slightly stereotyped tone and intonation, average willpower, insight present.
- Regular follow-up visits are required.
- The medication may have adverse reactions.
- The medication is cheap, common, and available overseas.
I think that I need to explain something at first. The reason why Tourette syndrome and Asperger syndrome are called as syndromes is that there are a lot of atypical symptoms. The essence is the deviation of brain development from the normal state.
Symptoms which can not be suppressed by medicine:
- The parts of Asperger syndrome: (My obvious symptoms)
- Impaired Theory of Mind：I can’t understand that others have different minds, thoughts, intentions and emotions. Always take things literally and can’t realize my words may hurt others or make them feel embarrassed, bored. Most of time I am not able to sense whether the other person is interested in the topic, wants to change the subject or wants to end the conversation or not.
- Narrow interests: The patient always have very intense and concentrated interests.
- Lack of the ability to share interests: The patient always strongly hopes to talk about what he is interested in and cannot change to a topic that interests others. It makes conversations unidirectional and unbalanced.
- Atypical Sensory Processing (Sensory Overload)：I would feel obvious dizzy in places which are loud, crowded, and visually overwhelming place etc.. Such as game centers, music festivals etc..
- The way of thinking brought about by moderate anxiety: The patient always think of everything in the worst possible way. They are always normal even positive and having a wide range of characteristics, including a message, an email, even a detail of one sentence or a passing fire fighting truck.
- 强迫思维带来的社交障碍和负面体验：脑子里会非自愿的、入侵性的出现造成负面体验的、损害社交关系的想法。负面体验的想法会造成显著的心理上的不舒服，生理上的不舒服可以通过药物压制。但损害社交关系的想法往往是，不自觉的、无感的、容易自认为是自己的想法的。
- 情感障碍（抑郁症）带来的精神上的苦难：不好解释，抑郁症作为常见精神问题中他人甚至自己最难察觉的一种疾病，很难解释到底是一种怎样的感觉。
- 极大的生活压力：我的LES生活事件量表分数反应出我的精神压力显著地、极大地高出绝大多数人。
- 兴趣丢失：属于抑郁症的典型症状之一，阿斯伯格综合征患者本身就只有那么一两个兴趣，再遇上兴趣丢失……真怕哪天我忙完学习和工作回家往位置上那么一坐，感觉天都要塌了。
- 强迫思维：非自愿的、入侵性的思维，带来的显著的痛苦和急躁。
可以通过药物压制的症状：
- 情绪失控：包括自觉的和不自觉的，不自觉的失控会导致不自觉的发火、生气、吼人；自觉的失控会导致不受控制的摔东西、砸东西。
- 生活稳定性受损时产生的强烈的情绪波动：包括显著的痛苦和暴躁，从而引发情绪失控。
- 焦虑：带来的生理上的感受和对部分功能造成的损失。没吃药的情况下，很多事情会产生很莫名其妙的焦虑，这种焦虑的程度甚至会超过事情本身。会出现肌肉紧张、坐立不安、注意力无法集中等症状。
- Somatization results in significant, persistent, and diverse—at times intense—symptoms including dizziness, headaches, muscle aches, chest tightness, depression, abdominal pain, stomach pain, nausea, and profound fatigue.
一息不存，道将来契 