Mafunso 10 Katswiri Wanu Akufuna Kuti Mufunse Za Chithandizo cha MDD

Zamkati

• 1. N'chifukwa chiyani ndimakhumudwa?
• 2. Kodi ndimatani ndikakhala kuti mwadzidzidzi?
• 3. Kodi mankhwala ndi otani kwenikweni?
• 4. Ndiyenera kulandira chithandizo chamankhwala amisala kapena upangiri?
• 5. Kodi mumachita chithandizo chanji?
• 6. Kodi mungafikire dokotala wanga?
• 7. Kodi kuvutika maganizo kumachokera kwa makolo?
• 8. Kodi ndiyenera kunena chiyani kwa banja langa komanso wolemba ntchito?
• 9. Ndi chiyani china chomwe ndingachite kuti ndithandizire kumwa mankhwala anga?
• 10. Chifukwa chiyani sindimva bwino?
• Kutenga

Pankhani yothana ndi vuto lanu lalikulu lachisokonezo (MDD), mwina muli ndi mafunso ambiri. Koma pafunso lililonse lomwe mungafunse, pali funso lina kapena awiri omwe mwina simunaganizirepo.

Ndikofunika kukumbukira kuti kasitomala ndi wothandizira amamanga ndikuwongolera njira ya psychotherapy limodzi. Zowonadi, othandizira amakonda kugwiritsa ntchito mawu oti "kasitomala" osati "wodwala" kutsindika kufunika kwa omwe akufuna chithandizo chamankhwala nthawi yonseyi.

Izi ndi zomwe othandizira amafunira makasitomala omwe MDD adawafunsa panthawi yawo.

1. N'chifukwa chiyani ndimakhumudwa?

Njira yoyamba yopezera chithandizo cha kukhumudwa kwanu iyenera kukhala kuwunika kwathunthu. Komabe, izi sizichitika nthawi zonse.

Ngati mukumwa mankhwala a kukhumudwa, omwe akukuthandizani atsimikiza kale kuti mukwaniritse njira zodziwira kukhumudwa (ndiye kuti, Bwanjimukumva). Izi zikunenedwa, opereka chisamaliro choyambirira nthawi zambiri samakhala ndi nthawi yowunikira kwathunthu bwanji mukumva momwe mumamvera.

Kukhumudwa kumakhudza kusokonezeka kwa ma neurotransmitter muubongo wanu, makamaka ma serotonin system (chifukwa chake kugwiritsa ntchito kwa serotonin reuptake inhibitors, kapena SSRIs, ngati mankhwala). Kuphatikiza apo, pali zifukwa zina zofunika kukambirana ndipo ziyenera kukhala gawo la mankhwala. Izi zikuphatikiza:

• kalingaliridwe
• zikhulupiliro ndi zikhulupiriro
• ubale wapakati pa anthu
• makhalidwe
• zina
  opanikizika omwe atha kukhala okhudzana ndi kukhumudwa kwanu (mwachitsanzo, mankhwala
  kugwiritsa ntchito kapena zovuta zamankhwala)

2. Kodi ndimatani ndikakhala kuti mwadzidzidzi?

Kuyambira pachiyambi, ndikofunikira kukhala ndi chidziwitso cha momwe mankhwalawa adzawonekere. Kwa ambiri, izi zitanthauza magawo a m'modzi ndi m'modzi ndi othandizira kamodzi pa sabata, kuyambira mphindi 45 mpaka ola limodzi. Chiwerengero cha magawo chikhoza kukhazikika kapena kutseguka.

Kutengera zosowa zanu, njira zina zamankhwala zimaphatikizapo:

• mankhwala gulu
• chithandizo chamankhwala chamachiritso, chomwe inu
  pitani kuchipatala kangapo sabata iliyonse
• chithandizo chogona, pomwe mumakhala ku
  malo kwakanthawi

Mulimonse momwe zingakhalire, ndikofunikira kudziwa zomwe mungachite pakagwa mwadzidzidzi - makamaka, amene muyenera kulumikizana ngati muli ndi malingaliro odzivulaza kapena kudzipha kunja kwa chithandizo. Pazifukwa zachitetezo, muyenera kugwira ntchito ndi dokotala wanu kuti mukhazikitse dongosolo ladzidzidzi kuyambira pomwe mankhwala adayamba.

3. Kodi mankhwala ndi otani kwenikweni?

Ngati mukuganiza za psychotherapy, yomwe nthawi zambiri imangotchulidwa ngati chithandizo chamankhwala, mwina mukugwira ntchito ndi katswiri wazamisala (PhD, PsyD), wogwira nawo ntchito (MSW), kapena wothandizira mabanja ndi mabanja (MFT).

Madokotala ena amachita psychotherapy, nthawi zambiri psychiatrists (MD).

American Psychological Association imatanthauzira kuti psychotherapy ndi njira yothandizirana yomwe imayang'ana paubwenzi wapakati pa kasitomala ndi wothandizira. Psychotherapy ndi njira yokhazikitsidwa ndi umboni yomwe "imakhala yolumikizana" ndipo "imapereka malo othandizira omwe amakulolani kuti muzilankhula momasuka ndi munthu yemwe amakhala wopanda nkhawa, wosalowerera ndale, komanso wosaweruza." Sizofanana ndi upangiri kapena upangiri wa moyo. Ndiye kuti, psychotherapy yathandizidwa kwambiri ndi asayansi.

4. Ndiyenera kulandira chithandizo chamankhwala amisala kapena upangiri?

Masiku ano, mawu oti "upangiri" ndi "psychotherapy" amagwiritsidwa ntchito mosinthana. Mumva anthu ena akunena kuti upangiri ndi njira yachidule komanso yothanirana ndi mayankho, pomwe psychotherapy ndiyotenga nthawi yayitali komanso imakhala yovuta kwambiri. Kusiyanasiyana kumachokera pachiyambi cha upangiri pantchito zantchito ndi psychotherapy m'malo azaumoyo.

Mulimonsemo, monga kasitomala, nthawi zonse muyenera kufunsa omwe amakuthandizani za maphunziro awo ndi komwe adachokera, malingaliro awo, komanso chiphaso. Ndikofunikira kuti wothandizira yemwe mukumuwona ndi katswiri wazachipatala. Izi zikutanthauza kuti amalamulidwa ndi boma ndipo amayankha mlandu mwalamulo, monga momwe dokotala aliyense angakhalire.

5. Kodi mumachita chithandizo chanji?

Madokotala amakonda funso ili. Pali umboni wasayansi wokhudza njira zingapo zochiritsira. Othandizira ambiri ali ndi njira imodzi kapena ziwiri zomwe amagwiritsa ntchito kwambiri ndipo amakhala ndi mitundu ingapo.

Njira zodziwika bwino ndi izi:

• chithandizo chazidziwitso, chomwe chimayang'ana kwambiri
  malingaliro ndi zikhulupiriro zosathandiza
• chithandizo chamunthu, chomwe chimayang'ana kwambiri
  machitidwe osathandiza
• psychodynamic psychotherapy, yomwe imayang'ana kwambiri
  njira zopanda chidziwitso komanso kusamvana kwamkati kosathetsedwa

Anthu ena amatha kuchita jibe zambiri ndi njira inayake, ndipo ndizothandiza kukambirana zomwe mukufuna kuchipatala koyambirira ndi othandizira. Mulimonse momwe zingakhalire, ndikofunikira kuti makasitomala azimva kulumikizana kwamphamvu kapena mgwirizano ndi othandizira kuti apindule kwambiri ndi mankhwala.

6. Kodi mungafikire dokotala wanga?

Wothandizira anu ayenera kulankhulana ndi dokotala wanu ngati mwamwa kapena mukumwa mankhwala ovutika maganizo. Njira zamankhwala ndi psychotherapeutic sizogwirizana. M'malo mwake, zikuyenera kuwonetsa kuti kuphatikiza kwa mankhwala ndi psychotherapy kumafanana ndikusintha kwakanthawi kwamankhwala kuposa mankhwala okha.

Kaya mumasankha mankhwala, psychotherapy, kapena zonse ziwiri, ndikofunikira kuti omwe amakupatsani chithandizo, akale komanso apano, azilumikizana kuti ntchito zonse zomwe mumalandira zigwire ntchito limodzi. Madokotala ayeneranso kuphatikizidwa kuchipatala ngati pali zina zamankhwala zomwe mukufuna (mwachitsanzo, muli ndi pakati kapena mukukonzekera kutenga pakati, kapena muli ndi matenda ena).

7. Kodi kuvutika maganizo kumachokera kwa makolo?

Pali umboni wamphamvu wosonyeza kuti kupsinjika maganizo kumakhala ndi chibadwa. Chigawo ichi chimakhala cholimba mwa akazi kuposa amuna. Ambiri atha kukhala ndi chiwopsezo chowonjezeka cha kukhumudwa, komanso. Izi zikunenedwa, palibe majini kapena majini "omwe amakupangitsani kukhala okhumudwa."

Madokotala ndi othandizira nthawi zambiri amafunsa mbiri ya banja kuti adziwe za chiopsezo cha majini, koma ndi gawo limodzi chabe la chithunzicho. N'zosadabwitsa kuti zochitika pamoyo wopanikizika komanso zokumana nazo zoyipa zimathandizanso mu MDD.

8. Kodi ndiyenera kunena chiyani kwa banja langa komanso wolemba ntchito?

Matenda okhumudwa amatha kukhudza omwe atizungulira m'njira zingapo. Ngati pakhala kusintha kwakukulu pamalingaliro anu, mutha kukwiya ndi ena. Muthanso kusintha momwe mumakhalira tsiku ndi tsiku. Mwina zimakuvutani kusangalala ndi nthawi yocheza ndi banja lanu komanso kukhala ndi zosokoneza pantchito. Ngati ndi choncho, ndikofunikira kuti banja lanu lidziwe momwe mukumvera komanso kuti mukufuna thandizo.

Achibale athu akhoza kutithandiza kwambiri. Ngati zinthu zasokonekera kunyumba kapena mukamakondana, chithandizo chamabanja kapena cha mabanja chitha kukhala chopindulitsa.

Ngati mwakhala mukusowa ntchito kapena ntchito yanu yatsika, kungakhale bwino kudziwitsa abwana anu zomwe zikuchitika komanso ngati mukufuna kutenga tchuthi chodwala.

9. Ndi chiyani china chomwe ndingachite kuti ndithandizire kumwa mankhwala anga?

Psychotherapy ndiye maziko omwe kusintha kumachitikira. Komabe, kubwerera ku chisangalalo, thanzi, ndi thanzi kumachitika kunja chipinda chothandizira.

M'malo mwake, kafukufuku akuwonetsa kuti zomwe zimachitika mu "dziko lenileni" ndizofunikira kwambiri pachipatala. Kusamalira kadyedwe kabwino, magonedwe, ndi machitidwe ena (mwachitsanzo, kuchita masewera olimbitsa thupi kapena kupewa mowa) kuyenera kukhala kofunikira pamalingaliro anu.

Momwemonso, zokambirana za zokumana nazo zomvetsa chisoni, zopanikiza kapena zochitika zosayembekezereka m'moyo, komanso kuthandizidwa ndi anzawo kuyenera kuchitika pothandizira.

10. Chifukwa chiyani sindimva bwino?

Ngati psychotherapy ikuwoneka kuti ikugwira ntchito, ndikofunikira kugawana izi ndi wothandizira. Kusiya koyambirira kwa psychotherapy kumalumikizidwa ndi zotsatira zoyipa zamankhwala. Malinga ndi kafukufuku wina, pafupifupi munthu m'modzi mwa anthu asanu amasiya mankhwala asanamalize.

Ndikofunika kutanthauzira momwe mankhwala anu adzakhalire kuyambira pomwe mankhwala amayamba. Panthawi iliyonse yamankhwala, katswiri wama psychotherapist angafune kudziwa ngati zinthu sizikuwoneka ngati zikuyenda. M'malo mwake, kuwunika momwe zinthu zikuyendera nthawi zonse kuyenera kukhala gawo lofunikira pakuthandizira.

Kutenga

Kufunsa mafunso awa koyambirira kwamankhwala kungakhale kothandiza kuti mankhwala azisunthira m'njira yoyenera. Koma kumbukirani, chofunikira kwambiri kuposa funso lirilonse lomwe mungafunse wothandizira anu ndikukhazikitsa ubale wotseguka, womasuka, komanso wogwirizana ndi othandizira.