过去一年，东东妈妈因为孩子的事心力交瘁。东东可能是换学校的缘故，成绩直线下降，她给孩子找了家心理咨询室，给东东做心理辅导。半年后，东东成绩不但不见好，脾气还越来越差，变得非常孤僻。

    Over the past year,Dongdong mother for children.East east is likely to be in school,Result straight line descend,She find home for children psychological consulting room,Dongdong for counseling.After half a year,Dongdong result was no good,Temper is getting worse,Become very withdrawn.

    宁波市心理咨询治疗中心主任禹海航看着母子俩离开诊室的背影，叹了口气：“孩子被误诊了，他是儿童精神分裂症，只培训了几个月的心理咨询师怎么吃得消治。”

    Ningbo yu, director of the center for psychological counseling hna watched leave office figure both mother and son,Let out a sigh:"The children were misdiagnosed,He is a child schizophrenia,Only training a few months it of psychological consultant how cure."

    禹海航表示，5月1日起，《精神卫生法》将正式实施，第23条明确规定，心理咨询人员不得从事心理治疗或者精神障碍的诊断、治疗。但现在，这样的情况非常普遍。目前的心理咨询行业，存在明显的漏洞，现状堪忧。

    Yu said hna,On May 1,,[Mental health law]Will be officially implemented,Article 23 the clear rules,Psychological counseling personnel shall not be engaged in psychological treatment or diagnosis of mental disorder/treatment.But now,The situation is very common.The current psychological consulting,Obvious loophole,Current situation is grim.

  

    越做心理咨询   Do psychological counseling

    病情越重     The heavier the illness

    东东是一名小学生，一年多前，因为搬家换了所新学校。以前，他的学习成绩很好，性格活泼开朗，转校后，他却成了班级里的差生。他经常对妈妈说，身体不舒服，不想上学。任凭妈妈怎么劝说都没用。

    Dongdong is a primary school student,More than a year ago,Because the move in the new school.before,His study result is very good,Character lively and cheerful,After the transfer.,He was in disadvantaged students in the class.He often said to mother,Body uncomfortable,Don't want to go to school.Let the mother how to persuade all useless.

    妈妈找班主任商量。班主任怀疑东东可能是对新学校不适应，建议找心理医生看看。

    Mother to find the teacher in charge to discuss.The teacher in charge doubt dongdong is probably isn't adapt to the new school,Suggest see psychological doctor about.

    妈妈觉得有道理，但碍于面子，没去精神专科医院。

    Mother think that makes sense,But because of the face,Didn't go to mental hospital.

    心理咨询师诊断东东是适应困难，稍加辅导就会好。起初，东东成绩确实有所提升，可没多久，东东开始变得冷漠，不和爸妈说话，经常自顾自地发笑，问他笑什么，却用空洞洞的眼神漠然地看着爸妈。他的成绩更是直线下滑，成了全班倒数。班主任反映，东东现在非常孤僻，基本不和同学说话。

    Psychological consultant diagnose dongdong is adapt to difficult,A little tutoring will be good.At first,,Dongdong did improve,But it didn't take long,Things started to get cold,Don't talk to my parents,Often simply laugh,Asked what he smile,But with empty eyes indifferent to see mom and dad.His grades are plummeting,Into the bottom of the class.The teacher in charge to reflect,Dongdong is now withdrawn,The basic don't talk to my classmates.

    眼见孩子脾气一天比一天差，常常无缘无故苦恼，摔东西，妈妈终于下定决心，带他来到康宁医院。

    See the children every day bad temper,Often for no apparent reason,Throwing things,Mother finally determined,Took him to corning hospital.

    禹海航接待了东东，诊断为儿童精神分裂症。他认为，孩子以前被误诊了。经过一段时间的药物治疗，禹海航说，现在东东病情基本稳定。

    Yu hna has hosted,A diagnosis of schizophrenia in children.He thinks that,Children had been misdiagnosed.After a period of medical treatment,Yu said hna,Now dongdong was basically stable.

   

    诊疗套餐  Diagnosis and treatment plan

    没做完不给退钱     Haven't finished not to give money back

    在禹海航看来，东东的遭遇并非个例。几天前，一位满面愁容的姜女士带着她17岁的孩子来找他。

    It seems to yu hna,Dongdong has not alone.A few days ago,A jiang, sadly with her 17 years old boy came to him.

    初次面询后，姜女士说，孩子之前在另一家心理咨询机构做过心理咨询。这家机构心理咨询费高昂，并以疗程套餐的方式推出。第一次上门，前台接待员就要求她购买疗程套餐，一次性预付10次心理咨询费。

    After initial surface for,Ms jiang said,Before children worked in another psychological consultancy counseling.The institution of high psychological consulting fees,And, in the form of treatment package.The first time to come,Receptionist would require her to buy course meal,One-time imprest 10 times psychological consulting fees.

    因为着急孩子的病情，姜女士立即付了钱。进行了5次咨询后，她觉得孩子的情况并未改善，要求退还剩下5次的费用。然而，心理咨询机构却以“求助者主动放弃心理咨询”为由拒绝退款。姜女士只能自认倒霉。

    Because try so hard the child's illness,Jiang, paid the money immediately.5 times after consulting,She felt that children's condition did not improve,For refund of the remaining five times.however,Psychological consultancy in"Patient voluntarily give up psychological counseling"Refuse to a refund.Jiang, can only from recognize unlucky.

    禹海航说，目前各种心理咨询机构越开越多，但据他观察，其中不少心理咨询人员仅接受过为期不长的心理咨询培训，他们可以开展心理咨询辅导，但没有足够的精神病学知识对精神疾病患者进行诊疗。

    Yu said hna,At present all kinds of psychological consultancy to open more and more,But according to his observation,Among them不少心理咨询人员仅接受过为期不长的心理咨询培训,They can carry out psychological counseling,But don't have enough knowledge of psychiatry for diagnosis and treatment in patients with mental illness.

    禹海航说，在东东的案例中，心理咨询师超出自己能力范围，对他进行心理咨询，导致情况变得更为糟糕，且不说家长浪费了大量时间、金钱，重要的是，耽误了孩子最佳的治疗时机，最终疗效也大打折扣。目前的心理咨询行业，存在明显乱象。

    Yu said hna,In the case of east east,Psychological consultant beyond their ability range,For psychological counseling,Lead to the situation has become worse,Apart from parents to waste a lot of time/money,It is important to,The children the best treatment time to delay,Final effect also sell at a discount greatly.The current psychological consulting,Obvious chaos.

  

    心理咨询师越俎代庖   Psychological consultant intrusion

    在做治疗师的活     Doing a therapist

    就禹海航反映的情况，昨天，记者联系了宁波市心理卫生协会，协会负责人表示，确有这种现象存在。

    Yu hna reflects the situation,yesterday,Reporter contacted ningbo mental health association,Association, officials said,Does this kind of phenomenon exists.

    宁波市心理卫生协会负责人说，市民需要明白心理咨询和心理治疗是两个不同的概念。心理咨询的对象主要是正常人。而心理治疗的对象则主要是有心理障碍的人。前者着重处理的是正常人所遇到的各种问题；后者治疗范围则主要为某些神经症、心理障碍、行为障碍、身心疾病、康复中的精神病人等。

    Ningbo mental health association, said,People need to understand the psychological consultation and psychotherapy are two different concepts.The main targets of psychological counseling is normal.While the object of psychological treatment is mainly people with psychological disorders.The former focuses on dealing with normal people have encountered various problems;The latter treatment scope is mainly for some neurosis/Psychological barriers/Behavior disorders/Disease of body and mind/Rehabilitation of mental patients, etc.

    “二级心理咨询师资格证书经过半年的业余时间培训就可以获得的，但心理治疗师除了有系统的心理学学习经历、心理咨询师二级资格证书外，还须进行更加专业的培训并通过卫生部的统一考试。”负责人说，现在，不少心理咨询机构的心理咨询师其实拥有的是心理咨询师的资质，却在做心理治疗的活。

    "Psychological consultant qualification certificate after half a year of training in my spare time is available,But therapists in addition to the psychology of learning experience of the system/Psychological consultant level 2 qualification certificate,Still need more professional training and through the ministry of health of unified exam."Official said,now,Many psychological consultants have psychological consultancy is the psychological consultant qualification,But in do psychological treatment work.

    为此，作为政协委员，这位负责人还曾向两会提交过一份提案，她认为心理咨询行业的服务水平参差不齐，一些从业人员对某些心理问题的处理不够妥当，缺乏专业水准，已经对咨询方造成伤害，一定程度上也损害了行业声誉。

    To do this,As a CPPCC member,The director had a proposal submitted to two sessions,She thinks that the psychological consulting service level is uneven,Some of the employees for some psychological problems properly,The lack of professional standards,Have hurt consulting party,To some extent also damaged the reputation of the industry.

 

    建议明确    Suggest clear

    行业监管部门     Industry regulators

    5月1日，《精神卫生法》正式实施，第23条明确规定，心理咨询人员不得从事心理治疗或者精神障碍的诊断、治疗。但记者随后又咨询了几名业内人士，普遍表示，很难遏制上述现象发展。

    On May 1,[Mental health law]The formal implementation,Article 23 the clear rules,Psychological counseling personnel shall not be engaged in psychological treatment or diagnosis of mental disorder/treatment.But the reporter then consulted a few in the industry,General said,It is difficult to curb the phenomenon.

    一名心理治疗师告诉记者，《精神卫生法》中虽然指出了心理咨询师的执业范围，但并未明确监管机构。造成的局面是，现在没有相应的部门评估心理咨询效果，没有相应部门对心理咨询从业人员进行资格、水平审查；没有统一机构组织心理咨询师的继续教育。没有相应的部门进行职业道德、伦理的规范，也没有明确的部门对开设心理治疗机构进行相应的审批。

    A therapist told reporters,[Mental health law]When I pointed out in the scope of practice of psychological consultant,But not clear regulators.The situation is,There is no relevant departments to assess psychological counseling effect,No corresponding departments to do psychological counseling practitioners qualification/Level of review;No unified organization continue to education of psychological consultant.No relevant department of professional ethics/Ethical norms,No specific department to open a psychological treatment agency approval accordingly.

    对此，有专家建议，心理咨询行业需明确监督管理部门，设立心理咨询机构的，须监管部门登记备案。卫生部门要负责监管心理咨询机构的业务活动，审批和监督心理咨询门诊部和诊所。通讯员 曾蔚 本报记者 周皓亮

    For this,Some experts suggest,Psychological counseling industry needs clear supervision and regulation department,Set up psychological counseling agencies,Should regulators register put on record.Health authorities are responsible for supervision of psychological consultancy business activities,Approval and supervision of the psychological consultation clinic and clinics.The correspondent Zhou Haoliang Ceng Wei our newspaper reporter