Kodi Kupha Kwakukulu Kwambiri Ndi Chiyani? Nkhawa kapena Mankhwala Oletsa Kuda nkhawa?

Zamkati

• Chifukwa chiyani kuda nkhawa kumatha kubweretsa moyo wosakhutira - komanso zovuta
• Zizindikiro za nkhawa zomwe zitha kuyimitsa Big O
  
• Zovuta kulowa mumalingaliro
• Catch-22: Mankhwala akuda nkhawa amapangitsanso kuti zikhale zovuta - nthawi zina zosatheka - kutulutsa ziwalo
• Momwe nkhawa zamankhwala zimapangitsa kuti zikhale zovuta kuzimitsa
  

Amayi ambiri amakhala mumtanda wosakondweretsa 22.

Liz Lazzara samadzimva kuti watayika munthawi yogonana, kuthana ndi zokonda zake.

M'malo mwake, amakakamizidwa kulowa mkati mwamsangamsanga kuti apewe kukhumudwitsa mnzake, zomwe nthawi zambiri zimamupangitsa kuti azimafika pachimake.

“Ngakhale anzanga ambiri sanakwiye kapena kusakwiya ndikamafulumira kubwera, ena atero. Ndikukumbukira zomwezo ndikuzikumbukira, ndikupangitsa kuti nkhawa zanga zitheke, "akutero.

Lazzara, yemwe ali ndi zaka 30, wakula matenda amisala (GAD) - vuto lomwe limakongoletsa zambiri pazakugonana kwake.

Akatswiri akuti omwe ali ndi GAD atha kukhala ndi vuto kuti apumule, zimawavuta kuuza anzawo zomwe amakonda, kapena kuyang'ana kwambiri pakusangalatsa wokondedwa wawo kuti asadzisangalatse.

Ngakhale moyo wogonana wa Lazzara wakhudzidwa ndi nkhawa, azimayi ambiri omwe amachiza nkhawa zawo ndi mankhwala zimawavutanso kuti azikhala ndi moyo wogonana wokhutiritsa.

Ngakhale kuthamanga malingaliro kapena kudzimva kumakhudzabe moyo wogonana wa Lazzara, akuwonanso kuti mankhwala olimbana ndi nkhawa amuchepetsa chidwi chake chogonana ndikupangitsa kuti zikhale zovuta kwambiri kuti afike pachimake.

Popeza mankhwala odana ndi nkhawa amaletsanso miyoyo ya anthu yogonana ngati zotsatira zoyipa, ndimavuto omwe angawoneke kuti alibe yankho labwino.

Ndi azimayi owirikiza kawiri kuposa amuna omwe akhudzidwa ndi nkhawa, azimayi ambiri kunja uko atha kukhala ndi vuto lomwe limangokambidwa kawirikawiri.

Chifukwa chiyani kuda nkhawa kumatha kubweretsa moyo wosakhutira - komanso zovuta

Psychiatrist Laura F. Dabney, MD akuti chifukwa chimodzi chomwe anthu omwe ali ndi nkhawa amatha kuvutika kuti akhale ndi moyo wogonana wokhutira ndi chifukwa cholumikizana ndi wokondedwa wawo.

Dabney akuti pachimake pakakhala nkhawa nthawi zambiri, kudziimba mlandu mosagwirizana ndi zomwe takumana nazo, monga mkwiyo kapena kusowa. Anthu omwe ali ndi GAD mosazindikira amamva ngati akuyenera kulangidwa chifukwa chakumva izi.

"Kudziimba mlandu kumeneku kumawapangitsa kuti asakwanitse kufotokoza zakukhosi kwawo - kapena ayi - kotero kuti nthawi zambiri samatha kuuza anzawo zomwe zimawathandiza ndi zomwe sizimagwira ntchito zomwe, mwachibadwa, sizimathandiza kukondana," Dabney akuti.

Kuphatikiza apo, akuti anthu ambiri omwe ali ndi nkhawa amayang'ana kwambiri kusangalatsa ena kotero kuti amalephera kusangalala ndi chisangalalo chawo.

"Kukhala ndi moyo wogonana woyenera, komanso ubale wanu wonse, kukutetezani chisangalalo chanu ndikuthandizira mnzanu kukhala wosangalala - ikani kansalu kanu ka oxygen koyamba," akutero Dabney.

Kuphatikiza apo, malingaliro othamanga omwe nthawi zambiri amakhala ndi nkhawa amatha kulepheretsa chisangalalo chogonana. Lazzara ali ndi nkhawa, komanso post-traumatic stress disorder (PTSD). Akuti zikhalidwe zonsezi zimamupangitsa kukhala kovuta kuti azichita chiwerewere panthawi yogonana.

M'malo mongomva kuti watayika munthawiyo ndi mnzake wina wapamtima - wogonjetsedwa ndi chilakolako ndi chisangalalo pomwe akuyandikira chiwerewere - Lazzara akuyenera kulimbana ndi malingaliro olakwika, aliyense chipolopolo chopha libido.

"Ndimakonda kukhala ndi malingaliro othamangitsana ndimayesetsa kufika pachimake, zomwe zimandilepheretsa kusangalala kapena kusiya," akutero. “Malingalirowa atha kukhala okhudzana ndi zinthu za tsiku ndi tsiku, monga zinthu zomwe ndiyenera kuchita kapena nkhani zandalama. Kapenanso zitha kutichititsa chidwi kwambiri, monga zithunzi zanga zogonana zomwe ndimakhala ndi akazi omwe amakhala ndi zibwenzi zanga kapena zonyansa. ”

Zizindikiro za nkhawa zomwe zitha kuyimitsa Big O

• malingaliro othamangitsa omwe amakhala munthawi yanu yosangalatsa kwambiri
• kudziimba mlandu kuzungulira kukhala ndi malingaliro abwinobwino
• chizolowezi choyang'ana zokondweretsa ena, osati zako
• kuyankhulana molakwika ndi wokondedwa wanu pazomwe mumakonda
• osamva momwe akumvera zogonana pafupipafupi

Zovuta kulowa mumalingaliro

Sandra *, wazaka 55, walimbana ndi GAD moyo wake wonse.Akuti ngakhale anali ndi nkhawa, nthawi zonse amakhala ndi moyo wathanzi, wogonana ndi mwamuna wake wazaka 25.

Mpaka pomwe adayamba kumwa Valium zaka zisanu zapitazo.

Mankhwalawa amachititsa kuti zikhale zovuta kwambiri kuti Sandra akhale ndi vuto. Ndipo zidamusiya pafupifupi konse m'maganizo ogonana.

"Zinali ngati gawo lina la ine litasiya kulakalaka zogonana," akutero.

Nicole Prause, PhD, ndi katswiri wazamisala komanso woyambitsa Liberos Center, kafukufuku wofufuza zogonana ku Los Angeles. Anatinso anthu omwe ali ndi nkhawa nthawi zambiri amavutika kupumula koyambirira kwa kugonana, panthawi yakudzuka.

Munthawi imeneyi, kukhala wokhoza kuyang'ana zogonana ndikofunikira kuti musangalale. Koma a Prause akunena kuti anthu omwe ali ndi nkhawa yayikulu amatha kuvutika kuti atayike munthawiyo, ndipo azingoganizira.

Kulephera kumasuka kumatha kubweretsa owonerera, a Prause akuti, zomwe zimachitika anthu akamamva ngati akudziyang'ana akugonana m'malo momizidwa munthawiyo.

Sandra amayesetsa kuyesetsa kuthana ndi vuto lake lochepa, popeza amadziwa kuti kugonana ndikofunikira paumoyo wake komanso m'banja lake.

Ngakhale amavutika kuti adzuke, akunena kuti zinthu zikayamba kutentha ndi mwamuna wake pabedi, amasangalala nthawi zonse.

Ndi nkhani yodzikumbutsa kuti ngakhale samamva kutseguka tsopano, nthawi ina iye ndi mwamuna wake adzayamba kugwirana.

"Ndimakhalabe ndi moyo wogonana chifukwa ndimasankha mwanzeru," akutero Sandra. "Ndipo mukangopita, zonse ndi zabwino komanso zabwino. Kungoti sindinakopeke nazo monga momwe ndinalili. ”

Catch-22: Mankhwala akuda nkhawa amapangitsanso kuti zikhale zovuta - nthawi zina zosatheka - kutulutsa ziwalo

Amayi ambiri omwe ali ndi GAD, monga Cohen, amangika mu Catch-22. Ali ndi nkhawa, zomwe zitha kusokoneza miyoyo yawo - kuphatikiza kugonana - ndipo amapatsidwa mankhwala omwe amawathandiza.

Koma mankhwalawa amatha kutsitsa libido ndikuwapatsa anorgasmia, kulephera kufikira pamalungo.

Koma kuchoka kwa mankhwala sikuti nthawi zonse ndi njira, chifukwa maubwino ake amapitilira libido yotsika kapena anorgasmia.

Popanda mankhwala, azimayi amatha kuyamba kukhala ndi nkhawa zomwe zimawalepheretsa kuti azikhala ndi vuto poyamba.

Pali mitundu iwiri yoyambirira ya mankhwala omwe adalangizidwa kuti athetse GAD. Yoyamba ndi benzodiazepines monga Xanax kapena Valium, omwe ndi mankhwala omwe amamwa moyenera kuti athetse nkhawa.

Ndiye pali SSRIs (serotonin reuptake inhibitors) ndi SNRIs (serotonin-norepinephrine reuptake inhibitors), magulu a mankhwala omwe nthawi zina amatchedwa antidepressants - monga Prozac ndi Effexor - omwe amaperekedwanso kuti athetse nkhawa nthawi yayitali.

"Palibe mankhwala omwe ali bwino omwe amachotsa ziwombankhanga," a Prause akunena za SSRIs.

M'malo mwake, tapeza kuti ma SSRIs atatu omwe amadziwika kuti ndi "omwe adachepetsa kwambiri,"

Sandra adayamba kumwa mankhwala opanikizika masabata atatu apitawa chifukwa madokotala samalangiza kutenga Valium nthawi yayitali. Koma mankhwala akhala othandiza kwambiri pakuwongolera nkhawa za Sandra kotero kuti akuganiza kuti zidzakhala zovuta kuzimitsa.

"Ndikuganiza kuti ndiyenera kumwa mankhwala," akutero. "Sindingakhale nawo, koma ndine munthu wosiyana popanda iwo. Ndine munthu wachisoni. Ndiye ndiyenera kupitako. ”

Kwa anthu omwe sangakhale osagwirizana ndi mankhwalawa, Prause akuti chokhacho ndicho kusintha mankhwala kapena kusiya mankhwalawo ndikuyesa mankhwala.

Palibe mankhwala omwe mungamwe, kuwonjezera pa kupsinjika, komwe kumapangitsa kukhala kosavuta kumva, akutero.

Momwe nkhawa zamankhwala zimapangitsa kuti zikhale zovuta kuzimitsa

• Kafukufuku akuwonetsa ma SSRIs ochepetsa kugonana komanso nthawi yayitali komanso kukula kwa ziphuphu
• Ma anti-nkhawa amathandizanso kuti zikhale zovuta, kapena zosatheka, kuti anthu ena athe pachimake
• Akatswiri amakhulupirira izi chifukwa ma SSRIs amasokoneza dongosolo lamanjenje lomvera
• Anthu ambiri amapezabe kuti chithandizo chamankhwala chimaposa zotsatira zake, chifukwa chake lankhulani ndi dokotala wanu pazizindikiro zanu

Lazzara adamva zovuta zakuchepetsa libido chifukwa cha Effexor, wopanikizika yemwe amatenga. "Kuchita bwino kumapangitsa kuti zikhale zovuta kwambiri kuti ndikhale wosangalala, kuyambira kukondoweza komanso kulowa, ndipo zimachepetsa chikhumbo changa chogonana," akutero.

Akuti SSRI yomwe anali nayo poyamba idakumana ndi zovuta zomwezo.

Koma monga Cohen, mankhwala akhala ofunikira pakuwongolera kwa Lazzara nkhawa zake.

Lazzara adaphunzira kuthana ndi mavuto omwe amakumana nawo m'moyo wake wogonana chifukwa chokhala ndi GAD. Mwachitsanzo, wapeza kuti kukondoweza kwa mawere, ma vibrator, komanso nthawi zina kuonera zolaula ndi mnzake kumamuthandiza kuti athe kufikira pachimake. Ndipo amadzikumbutsa kuti nkhawa siyovuta kuthana nayo - koma gawo la moyo wake wogonana momwemonso zingwe, zoseweretsa, kapena maudindo omwe angawakonde atha kukhala gawo la moyo wa kugonana wa munthu wina.

"Ngati mukukhala ndi nkhawa, kudalira, kutonthozedwa, ndikulimbikitsidwa ndizofunikira pankhani yakugonana," akutero Lazzara. "Muyenera kusiya kupita ndi mnzanu kuti muchepetse kukangana, kusakhazikika, komanso kusokonezeka kwamaganizidwe omwe angabwere chifukwa chogonana."

Mayina asinthidwa

Jamie Friedlander ndi wolemba pawokha komanso mkonzi wokonda thanzi. Ntchito yake idawonekera mu The Cut, Chicago Tribune, Racked, Business Insider, ndi Success Magazine. Pamene sakulemba, amatha kupezeka akuyenda, kumamwa tiyi wobiriwira, kapena kusefukira kwa Etsy. Mutha kuwona zitsanzo zambiri za ntchito zake patsamba lake. Tsatirani iye pa Twitter.