I was wondering, if Huchu attempted cognitive behavior therapy then how did he run those sessions in terms of what did he do to try to help the others? Considering you wrote that, in doing so he caused the others to "internalize their problem to the point they cannot be helped anymore including himself". Also, did he think he could be like a psychiatrist (or at least provide similiar service) due to the fact that psychiatrists work with medicine?
I hope my question is clear enough. If not, feel free to ask what I am trying to ask (^^)
Thank you for tuning in to my frequency! The answer contained potentially triggering contents, so I'll hide it under the cut. Please enjoy. ✨
Huchu’s Qualifications
Huchu has bachelor's degree in neuroscience, master's degree in Pharmacy. D. and is currently studying PHD on medical instrumentation engineering. Aside from taking class, he’s a neurosurgeon at marine corps hospital, take shift as a battlefield surgeon at marine camp and use the rest of his free time to operate Lubi service so he has the following active licenses, Pharmacist license and P&S license.
In Northland, here’s the requirements for attaining psychiatrist certification: Be a graduate of an accredited medical school certified by International Red cross committee, complete all trainings in a program approved by Northland mental care bureau, have an active, full, unrestricted medical license, and have satisfactorily completed the Northland mental care bureau’s specialty training requirements.
So do keep in mind that Huchu is not qualified to do psychiatrist work as he lacks item 2 and 4.
Does Huchu think he is qualified to do psychiatrist works?
Unfortunately, yes. Despite lacking all the correct trainings, he tried to be both therapist and psychiatrist for C2ISTAR as you can see Hongcha mentioning Huchu being the one who prescribed Risperidone for Angae in [🌹for Angae].
This is because Huchu think that Clinical Psychology is like Neuroscience but less scientific. Similar to our world, neuroscience is praised as the hardest medical major in the world. So naturally Huchu look down on psychology as an easier neurology mixed with social study. So, in his little head. If mental care staffs can do it, then definitely neurosurgeon can do it too.
Clinical Psychology in the world of C2ISTAR
In the world of C2ISTAR, Mental illnesses are usually deemed as invalid illness, so the mental care industry is constantly being look down upon. The discrimination also discourages many people in this world from studying clinical psychology. Even if Huchu open his mind and take studying clinical psychology seriously, it is still very unlikely that he will produce good result as study material for clinical psychology in this world is ineffective at best from the very beginning due to the lack of interest this world has toward it.
The acceptable branches of psychology are study by the industrial, intelligence and defense service for the purpose of manipulation, interrogation and indoctrination which is very different from clinical psychology in practice.
Clinical psychology is also heavily associated with the Aldehyde cult. A multi-faith cult that believes mental illness is a sign of ascension. The more soldiers lose touch with reality, the closer they are to heaven and if they are close enough to heaven. These soldiers will be able to give birth to the new Angel that will be savior to their world. They often kidnapped veteran from asylum so they can use these veterans to birth a new Angel.
Huchu's treatment on C2ISTAR
Huchu might be well intention and most faults mainly resulted from ignorance, but the damage is still there. In fact Huchu is actually skeptical that CBT would produce result, however, C2ISTAR seems to need it and Huchu is weak to that. Here are the treatments Huchu did on each C2ISTAR alongside its effects.
Orenji’s treatment
Orenji is Huchu's first patient for CBT service with his main problem being Paruresis. Huchu choose Journaling and Cognitive restructuring technique for him. However, the underlying root of Orenji's Paruresis is Urolagnia so Orenji can't quite be honest with his thought. However, the cognitive restructuring is somewhat almost effective due to the other physical treatment. Orenji had chronic UTI that connected with bladder infection, so Huchu often insert catheter for Orenji whenever he needs it. This seems to cause Orenji to associate Huchu with relieve, hence the reason why he can go when Huchu is around. But can't quite do the same with someone else. Orenji also seems to develop some form of incontinence whenever Huchu is around.
Huchu also lose his temper every time Orenji induced temporary amnesia on himself because he knows how fragile Orenji's brain is as he was the one who put Orenji's brain and sculp back together so he's constanly worries about Orenji accidentally killing himself but since Huchu always arrive with Clozapine, he had been unknowingly endorsing Orenji's behavior. Still, after Orenji is back to his sense. He would have to endure a session of outburst Huchu throwing things at him or start hitting him with a chair.
Baegcha/Hongcha’s treatment
The main method is Role playing through puppet activity; the idea was so that Beagcha could see why he need to stop pursuing his stop-list so they can start working on his fear of touch. Usually when a certain method doesn't work, therapist would move on to the next one, but Huchu let Beagcha continue with the ineffective method because this is what Beagcha prefer to do and Huchu doesn't have the heart strip this away from him. Huchu later resort to locking Beagcha in his room whenever Huchu notices things are taking a toll on him and simply use puppet therapy as a way for Baegcha to process what he went through each hunt.
Huchu also deemed Hongcha to be something he need to get rid of because Huchu see Hongcha as the evil alter that endorse Baegcha to pursue the stop-list. The thing is that, neither Baegcha nor Hongcha are the host. Both Baegcha and Hongcha are alters pretending to be the host. Usually alters are protective of each other and take responsibility as a system. However, Huchu intervention had created a dynamic where both alters cannot get along. And because Beagcha trusted Huchu, he begun to think he needs to repress Hongcha to be better and Hongcha became bitter toward the situation, he blamed Huchu for his sour relationship with his alter.
When Hongcha appear mid-session, Huchu would either shock him with electricity or shove him into a small box to chase him away. Huchu did made many attempts to get rid of Hongcha ranging from submerging him in extremely cold water to purposely staving him and since Hongcha is unaware that it is impossible to get rid of an alter. Hongcha see Huchu’s attempts as life threatening situation and in retaliation, he believes that he must kill Huchu which make Baegcha agreed with Huchu even more.
Seoltang’s treatment
After discovered that sedative doesn't work on Seoltang. Huchu would mainly use Imagery and Relaxation training. However, the underlying cause for Seoltang's insomnia is cumulative anxiety of being in disguise. Something Seoltang cannot tell anyone due his true identity. Huchu had no idea about Seoltang's anxiety, so he had no idea why Seoltang sleep schedule doesn't improve not to mention that imagery make him feel worse as it worsens his longing for the place that no longer exist.
Out of concern as Seoltang already show all signs of developing Alzheimer, Huchu decided that any methods that give Seoltang shut eyes will suffice and purposed the hypoxia idea. So instead of having his anxiety treated and get an actual sleep, Seoltang ended up inventing so many self-choking methods that even people with choking fetish would think that this man is a freak. Thus, Seoltang's anxiety was never addresses not to mention that one of hypoxia common symptoms is also anxiety which contribute to his mood swing getting worse as well.
Noeu’s treatment
Noeu is way too shy to address that his overworking tendency came from his constant fear of unexpected death, so Huchu assumed that Noeu is obsessed with conquest and taking control. This led to Moral reconation therapy. However, Moral reconation therapy required to be practiced in groups as one on one session can reinforces narcissistic behavior. Somethings that should not be mixed with Noeu’s competitiveness and ambition.
The therapy also required the therapist to be well versed in the subject of morality to work which Huchu’s morality is ambiguous at best so he can’t always keep up with Noeu’s questions or leaps of logic. This unintentionally validated Noeu’s thought derailment and prompted him to go from weakening other nations then have Northland invade them to the exact same thing but also profiting from them and take advantage of their resources because he’s more confident in his ideal than ever and he now genuinely think he’s doing this world a favor.
Angae’s treatment
Usually, therapist would approach patient with hallucination with Reframing technique. Something that Angae had already accomplish on his own. This is because managing a psychosis episode with medication was proven less effective as medication came with side effect. However, due to Huchu being a neurosurgeon with neurology logic. He goes straight to prescribing Risperidone and focus more on helping Angae with anxiety using Stress inoculation training. However, Angae didn't stress out because he's worrying about having an episode. He has an episode because he's stressed out, so Angae made no progress and Huchu had been accidentally gaslighting Angae into thinking that he had an illness he didn't have.
Angae already questioned reality around him, so he is unsure how valid his opinion is about the topic. This led to Angae letting Huchu continue with the treatment that make no sense to him even though this fueled the thought that he's being held back to fit into a certain explanation.
Yuseong’s treatment
A lot of people with Hyperthemesia has tendency to be obsessed over things easily as well as having trouble moving on from the past because they had trouble forgetting things. So Huchu choose Metacognitive therapy and Distraction technique. Due to the confusion that came with partial amnesia combined with the fact that Yuseong never experience forgetting stuffs before, Yuseong is desperate to seek for things he can identify himself with. This led to his obsession to connecting his identity with the unhealthy diary, something Huchu sees as a form of delusion.
Usually, the first rule of dealing with delusional patient is to validate their experience. Although what happen isn't real to us, it's real to the patient. However, due to Huchu's concern of Yuseong recreating situation in the diary. Huchu usually react very sternly and outright dismissed Yuseong’s belief in the session. Since Yuseong can control his expression well, Huchu had no idea that he is invalidating Yuseong. Although Yuseong still likes Huchu, he began to pay less attention to the session and draw or play with his alphabet book whenever Huchu is holding a session for him. He also hold on to the diary even tighter than before.
Effect of failed treatment on Huchu
Therapy is a stressful and draining job, both therapist and psychiatrist in real life are trained and educated on how they can handle their job without intaking their patient's baggage.
But since Huchu never went through these training, all the negativity goes straight to him and since he is at the end of the line for mental comfort. Combine that with his habit of caring too much, he got stuck in a position where he himself has no one to go to for all the problems above he involves himself in. This of course fueled his urge to go through with unethical method to get what he wants for instead, considering amputating Noeu so he never has to worry about him arriving at ER with seizure again.
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Clinical psychology is one of my weaker subjects, so the treatment descriptions are simplified at best and none of my statements should be considered scientifically accurate.
Still, I hope this information suffice you. \(^^ )✨
