Kusalabadira: Zikhulupiriro Zachipembedzo kapena Zamakhalidwe Zikakhala OCD
Zamkati
- Osangokhala Inu
- Njira imodzi yomwe OCD ingapangire mawonekedwe ndi kusalimba, komwe nthawi zambiri kumatchedwa 'achipembedzo OCD' kapena 'makhalidwe OCD.'
- Kuyang'anitsitsa sikumangokhala pazachipembedzo zokha: Muthanso kukhala ndi chidwi pakuwunika.
- Mwamwayi, ndi chithandizo choyenera, kusamalidwa bwino kumatha kuchiritsidwa.
- Mankhwalawa amatanthauza kuyang'ana kwambiri pochiza chisokonezo ya OCD - {textend} sizoyesa kusintha chikhulupiriro kapena zikhulupiriro zanu.
Ngati mumaganizira kwambiri zamakhalidwe anu, sizingakhale zabwino konse.
Osangokhala Inu
"Simangokhala Inu" ndi cholembedwa cholembedwa ndi mtolankhani wazamisala Sian Ferguson, wopatulira kusanthula zodziwika bwino, zomwe sizinafotokozeredwe za matenda amisala.
Kaya ndikulota nthawi zonse, kusamba kwambiri, kapena mavuto azisangalalo, Sian amadziwonera yekha mphamvu yakumva, "Hei, simuli nokha." Ngakhale mutha kudziwa zachisoni kapena nkhawa yanu yothamangira mphero, pali zina zambiri zathanzi kuposa izo - {textend} ndiye tiyeni tikambirane!
Ngati muli ndi funso la Sian, afikireni kudzera pa Twitter.
Pomwe adokotala anga adandiuza kuti ndikhoza kukhala ndi matenda osokoneza bongo (OCD), ndimamva zinthu zambiri.
Nthawi zambiri, ndimamva kupumula.
Koma inenso ndinachita mantha. Mwazomwe ndakumana nazo, OCD ndi amodzi mwamatenda omwe anthu samamvetsetsa - {textend} aliyense amaganiza kuti akudziwa, koma ndi ochepa omwe amachita.
Anthu ambiri amagwirizanitsa OCD ndi kusamba m'manja pafupipafupi komanso kuwonongeka kwambiri, koma sizomwe zili.
Anthu ena omwe ali ndi OCD amasamala kwambiri za ukhondo, koma anthu ambiri alibe. Monga ena ambiri, ndinkada nkhawa kuti ndikalankhula za OCD yanga ndikanathamangitsidwa - {textend} koma simuli okonzeka mopambanitsa! - {textend} m'malo momvetsetsa, ngakhale ndi anthu omwe zolinga zawo zinali zabwino.
Monga momwe dzinalo likusonyezera, OCD imakhudza kutengeka, komwe kumakhala kovuta, kosafunikira, kopitilira kulingalira. Zimaphatikizaponso zokakamiza, zomwe ndizo machitidwe amisala kapena mthupi omwe amagwiritsidwa ntchito pochepetsa kupsinjika kwakanthawi pamalingaliro amenewo.
Ambiri aife timakhala ndi malingaliro osokoneza, odabwitsa nthawi ndi nthawi. Titha kukafika kuntchito ndikukaganiza, "Hee, nanga ndikasiya choko cha mafuta?" Vuto limakhala pamene timapereka tanthauzo m'maganizo mwathu.
Titha kubwerera kumalingaliro mobwerezabwereza: Kodi ndingatani ndikasiya chitofu cha gasi? Kodi ndingatani ndikasiya chitofu cha gasi? Kodi ndingatani ndikasiya chitofu cha gasi?
Malingalirowo amatikhumudwitsa kwambiri, mpaka timangokakamira kapena kusintha zochita zathu za tsiku ndi tsiku kuti tipewe malingaliro amenewo.
Kwa munthu yemwe ali ndi OCD, kuyang'ana mbaula yamafuta maulendo 10 m'mawa uliwonse kungakhale kukakamizidwa kuti muchepetse malingaliro opanikizika, pomwe ena atha kukhala ndi pemphero lomwe amalankhula mobwerezabwereza kuti athane ndi nkhawa.
Pamtima pa OCD pali mantha kapena kusatsimikizika, komabe, sizingokhala ndi majeremusi kapena kuwotcha nyumba yanu.
Njira imodzi yomwe OCD ingapangire mawonekedwe ndi kusalimba, komwe nthawi zambiri kumatchedwa 'achipembedzo OCD' kapena 'makhalidwe OCD.'
"Kuchenjera ndi mutu wa OCD pomwe munthu amakhala ndi nkhawa kwambiri chifukwa choopa kuti akuchita zomwe zikutsutsana ndi zikhulupiriro zawo kapena zachiwerewere," akutero a Stephanie Woodrow, mlangizi yemwe amachita bwino zochizira OCD.
Tinene kuti mwakhala mu tchalitchi ndipo lingaliro lamwano limadutsa m'mutu mwanu. Anthu achipembedzo ambiri amamva chisoni, kenako nkusunthira ku malingaliro awo.
Anthu omwe ali osamala kwambiri, komabe, amavutika kuti aganizirepo.
Adzadzimva kuti ndi olakwa chifukwa malingaliro awo adutsa m'maganizo awo, ndipo atha kuda nkhawa zakukhumudwitsa Mulungu. Amathera maola ambiri akuyesera 'kubweza' izi povomereza, kupemphera, ndikuwerenga zolemba zachipembedzo. Zokakamiza izi kapena miyambo ndikuti achepetse mavuto awo.
Izi zikutanthauza kuti chipembedzo chimadzaza ndi nkhawa, ndipo azivutika kuti azisangalala ndi ntchito kapena machitidwe azipembedzo.
Zoyipa (kapena zolimbikira, malingaliro olowerera) zikafika pakuwunika kungaphatikizepo kuda nkhawa za:
- kukhumudwitsa Mulungu
- kuchita tchimo
- kupemphera molakwika
- kutanthauzira molakwika ziphunzitso zachipembedzo
- kupita kumalo olambirira "olakwika"
- kutenga nawo mbali pazochitika zina zachipembedzo "molakwika" (mwachitsanzo, Mkatolika akhoza kuda nkhawa kuti sawoloka molondola, kapena Myuda akhoza kuda nkhawa kuti sangavale Tefillin pakati pamphumi pake)
Zokakamiza (kapena miyambo) zitha kuphatikizira:
- kupemphera kwambiri
- kubvomereza pafupipafupi
- kufunafuna kulimbikitsidwa ndi atsogoleri achipembedzo
- kupewa zinthu zomwe zingawonongeke
Inde, anthu achipembedzo ambiri amakhala ndi nkhawa pazinthu zina pamwambapa mpaka pang'ono. Mwachitsanzo, ngati mumakhulupirira kuti kuli gehena, mwina mukuda nkhawa kuti mukapitako kamodzi.
Chifukwa chake, ndidafunsa Woodrow, pali kusiyana kotani pakati pazovuta zachipembedzo zosakhala zamatenda ndi OCD yeniyeni?
"Chinsinsi ndichakuti anthu omwe ali [mosamalitsa] sasangalala ndi chilichonse pachikhulupiriro chawo / chipembedzo chifukwa amakhala amantha nthawi zonse," akufotokoza. "Ngati wina wakwiyitsidwa ndi kanthu kena kapena akuda nkhawa kuti adzavutika chifukwa chosiya kuchita nawo kanthu kena, sangakonde miyambo yake yachipembedzo, koma saopa kuti angachite cholakwacho."
Kuyang'anitsitsa sikumangokhala pazachipembedzo zokha: Muthanso kukhala ndi chidwi pakuwunika.
Woodrow akufotokoza kuti: "Wina akamayang'anitsitsa pamakhalidwe, akhoza kuda nkhawa kuti sangasamalire anthu mofanana, kunama, kapena kukhala ndi zolinga zoyipa.
Zizindikiro zina zakusamalidwa bwino zimaphatikizapo kuda nkhawa za:
- kunama, ngakhale mosadziwa (zomwe zingaphatikizepo kuopa kunama posasiya kapena kusocheretsa anthu mwangozi)
- kusankhana mosazindikira anthu
- kuchita zinthu mokomera zofuna zawo, m'malo molimbikitsidwa ndi kuthandiza ena
- ngati kusankha kwamakhalidwe abwino komwe mukupanga kungakhale kopindulitsa
- ngati mulidi munthu "wabwino" kapena ayi
Miyambo yokhudzana ndi kuwunika kwamakhalidwe imatha kuwoneka ngati:
- kuchita zinthu zosafunikira kuti "mutsimikizire" kuti ndinu munthu wabwino
- kubisa kapena kubwereza zambiri kuti musanamize anthu mwangozi
- malingaliro okangana kwa maola ambiri mumutu mwanu
- kukana kupanga zisankho chifukwa sungadziwe chisankho "chabwino kwambiri"
- kuyesera kuchita zinthu "zabwino" kuti mumalize zinthu "zoyipa" zomwe mwachita
Ngati mumadziwa Chidi wochokera ku "Malo Abwino," mudzadziwa zomwe ndikutanthauza.
Chidi, pulofesa wa zamakhalidwe, amatengeka ndi kuyeza kakhalidwe ka zinthu - {textend} kotero kuti amalimbana kuti agwire bwino ntchito, awononga ubale wake ndi ena, ndipo amadwala m'mimba pafupipafupi (chizindikiro chodziwika cha nkhawa!).
Ngakhale sindingathe kuzindikira kuti ndi munthu wongopeka, Chidi ndiwofanana kwambiri ndi momwe OCD amakhalira.
Zachidziwikire, vuto lolimbana ndi kusalabadira ndikuti ndi ochepa omwe amadziwa kuti lilipo.
Kukhala ndi nkhawa pankhani zamakhalidwe abwino kapena zachipembedzo sikumveka koyipa kwa aliyense. Izi, kuphatikiza kuti OCD nthawi zambiri amanamiziridwa komanso kusamvetsetsedwa, zikutanthauza kuti anthu samadziwa nthawi zonse zizindikilo zomwe ayenera kuyang'ana kapena komwe angapeze thandizo.
"Pazochitika zanga, zimatenga kanthawi kuti azindikire kuti zomwe akukumana nazo ndizochulukirapo komanso zosafunikira," a Michael Twohig, pulofesa wama psychology ku Utah State University, akuuza Healthline.
"Ndizofala kwa iwo kuganiza kuti ichi ndi gawo la kukhala okhulupirika," akutero. “Wina wakunja nthawi zambiri amalowerera ndikunena kuti zachuluka. Zingathandize kwambiri ngati munthu ameneyo ndi wodalirika kapena mtsogoleri wachipembedzo. ”
Mwamwayi, ndi chithandizo choyenera, kusamalidwa bwino kumatha kuchiritsidwa.
Nthawi zambiri, OCD imathandizidwa ndi chidziwitso cha machitidwe amisala (CBT), makamaka kuwonetsetsa komanso kupewa mayankho (ERP).
ERP nthawi zambiri imaphatikizapo kuthana ndi malingaliro anu mopambanitsa popanda kuchita kapena kukakamira. Chifukwa chake, ngati mukukhulupirira kuti Mulungu adzakudani ngati simupemphera usiku uliwonse, mutha kudumpha mapemphero usiku umodzi ndikuwongolera momwe mumamvera pozungulira.
Njira ina yothandizira OCD ndi kulandira ndi kudzipereka (ACT), mtundu wa CBT womwe umakhudza kuvomereza ndi kulingalira.
Twohig, yemwe ali ndi ukadaulo wambiri pa ACT pochizira OCD, posachedwapa adagwira ntchito yomwe idawonetsa kuti ACT ndiyothandiza ngati chikhalidwe cha CBT pochiza OCD.
Vuto lina kwa anthu omwe ali ndi OCD ndikuti nthawi zambiri amawopa kuti chithandizo chamankhwala chingawakokere kutali ndi chikhulupiriro chawo, malinga ndi a Twohig. Wina angawope kuti owathandiza angawalepheretse kupemphera, kupita kumisonkhano yachipembedzo, kapena kukhulupirira Mulungu.
Koma sizili choncho.
Mankhwalawa amatanthauza kuyang'ana kwambiri pochiza chisokonezo ya OCD - {textend} sizoyesa kusintha chikhulupiriro kapena zikhulupiriro zanu.
Mutha kusunga chipembedzo kapena zikhulupiriro zanu pochiza OCD yanu.
M'malo mwake, chithandizo chitha kukuthandizani kuti musangalale ndi chipembedzo chanu. "Kafukufuku wasonyeza kuti atamaliza kulandira chithandizo, anthu omwe amapembedza mosamala kwambiri amasangalala ndi chikhulupiriro chawo kuposa chithandizo chamankhwala," akutero a Woodrow.
Twohig akuvomereza. Adagwira ntchito yoyang'ana zikhulupiriro zachipembedzo za anthu omwe amathandizidwa mosamala. Atalandira chithandizo, adapeza kuti kusalabadira kumachepa koma zipembedzo sizidatero - {textend} mwanjira ina, adatha kukhalabe ndi chikhulupiriro.
"Nthawi zambiri ndimanena kuti cholinga chathu monga othandizira ndikuthandiza kasitomala kuchita zomwe zili zofunika kwambiri kwa iwo," a Twohig akutero. "Ngati chipembedzo chili chofunikira kwa iwo, tikufuna kuthandiza wothandizirayo kuti akhale ndi tanthauzo lachipembedzo."
Njira yanu yothandizirayi ingaphatikizepo kuyankhula ndi atsogoleri achipembedzo, omwe angakuthandizeni kuti mukhale ndi ubale wabwino ndi chikhulupiriro chanu.
"Pali mamembala ochepa azipembedzo omwe alinso OCD othandizira ndipo akhala akuwonetsa pafupipafupi pakati pa kuchita zomwe ayenera" kuchita "chifukwa chachipembedzo motsutsana ndi zomwe OCD akuti munthu ayenera kuchita," akutero Woodrow. "Onse akugwirizana kuti palibe mtsogoleri wachipembedzo amene angawone miyambo [yopanda pake] kukhala yabwino kapena yothandiza."
Nkhani yabwino ndiyakuti chithandizo cha mitundu yonse ya OCD ndichotheka. Nkhani zoipa? Ndizovuta kuchiza china pokhapokha titazindikira kuti chilipo.
Zizindikiro za matenda amisala zitha kuwonekera m'njira zambiri zosayembekezereka komanso zodabwitsa, kotero kuti titha kukumana ndi mavuto ambiri tisanalumikizane ndi thanzi lathu.
Ichi ndi chimodzi mwazifukwa zambiri zomwe tiyenera kupitilirabe kulankhula zaumoyo wamaganizidwe, zisonyezo zathu, ndi chithandizo chake - {textend} ngakhale makamaka ngati zovuta zathu zisokoneza kuthekera kwathu kuchita zomwe zili zofunika kwambiri kwa ife.
Sian Ferguson ndi wolemba pawokha komanso wolemba nkhani ku Grahamstown, South Africa. Zolemba zake zimafotokoza zaumoyo wachikhalidwe ndi thanzi. Mutha kumufikira pa Twitter.