今日もいらっしゃいました。
つべこべ言わずに睡眠薬よこせ！とおっしやる患者さん。
そうはいきません。
初診では、精神科は、根掘り葉掘りおうかがいするのです。
もちろん守秘義務はものすごくきちんとしています。
でも、ドラッグストアでないのですから、欲しいといわれて睡眠薬をすぐお渡しするわけにはいきません。
The goal is to improve your QOL(quality of life), not just to sleep longer.
The most important for me(Dr.Hiroko) now is
how I can persuade these patients to improve their insomnia by making lifestile changes.
Mr. David Stingray 75-y-o male
Since retirement (65 Y-O) gradually he suffers from insomnia.
He has hypertention and hyperlipemia.
He has a lack of activity in the dayｔime.
His hypertention may not be being treated well.
After his retirement, the mount of alcohol drinking per day has increased.
He might feel anxiety toward ”sleep”.
Such anxiety doesn't have a relationship to whether he can sleep well or not.
Most patients with insomnia are eager to get sleeping pills and take them instantly in order to fall asleep immediately.
そうなのです。
説得、頑張ってみます。