So wote nka nso sɛ wonyɛ wo ho? So ɛte sɛ nea nneɛma a atwa yɛn ho ahyia no yɛ nea wontumi nhu? Momma yɛnka (Depersonalization-Derealization Disorder) ho asɛm.

So woate nka saa pɛn? Ɛte sɛ nea wowɔ wo nipadua akyi na worehwɛ wo ho. Anaasɛ nneɛma a atwa wo ho ahyia no nte nka sɛ ɛyɛ nokware, te sɛ nea ɛyɛ dae. Saa osuahu ahorow yi yɛ nwonwa kakra, ebia ɛyɛ hu mpo, ɛnte saa? Ɛnnɛ yɛreka adwene mu tebea a ɛba bere a woanya osuahu ahorow yi mpɛn pii no ho asɛm.

Dɛn ne saa atenka a ɛma obi tew ne ho fi nneɛma a atwa ne ho ahyia ho yi?

Sɛ yɛbɛka no tiawa a, wɔ saa tebea a wɔfrɛ no ``Depersonalization-Derealization Disorder'' yi mu no, ebia wobɛte nka sɛ wo ne wo ho atew (a wɔfrɛ no ``Depersonalization'') na woatwe wo ho afi nneɛma a atwa wo ho ahyia ne nneɛma a atwa wo ho ahyia ho (a wɔfrɛ no ``Derealization'').

Fa no sɛ worekɔ sotɔɔ bi mu akɔtotɔ biribi. Nanso wote nka sɛ ɛnyɛ wo, na mmom obi foforo te wo nipadua mu, repia trolley no, repaw nneɛma no, ɔretua ho ka. Ɛte sɛ nea wufi nkyɛn rehwɛ. Ebia sɛ wuhu wo mfonini no wɔ sotɔɔ bi mfɛnsere mu a, wote nka sɛ woatwe wo ho afi afoforo ho araa ma wuntumi nhu mpo. Eyi ne nea yɛfrɛ no ``(Depersonalization)`` anaasɛ wote nka sɛ wo ho atew wo ho . Eyi ne bere a wote nka sɛ w’adwene, wo nkate, wo nipadua mpo nyɛ wo dea.

Ɔfã foforo no ne `(Derealization)`. Ɛne sɛ, nneɛma a atwa wo ho ahyia, nneɛma a atwa wo ho ahyia, te nka sɛ ɛnyɛ nokware mma wo . Ebetumi ayɛ te sɛ nea worehwɛ wiase no wɔ mfɛnsere a sum kabii wom mu, anaasɛ worehwɛ sini a ɛyɛ tuntum ne fitaa. Ɛtɔ da bi a, ɛte sɛ nea nneɛma nsɛso ne ne kɛse sesa. Wubetumi mpo ate nka sɛ wɔresakra bere a wohwɛ wɔn no. Fa no sɛ sɛ wonam abɔnten a, afie ne nnua no nyinaa te sɛ nea wɔde krataa a wɔde ayɛ, te sɛ agode. Ɛno ne tebea a wɔfrɛ no `(Derealization)`.

Obi a ɔwɔ Depersonalization-Derealization Disorder betumi anya saa osuahu abien yi nyinaa, anaasɛ biako pɛ. Nea ɛho hia ne sɛ wubehu sɛ saa nneɛma yi nyɛ nokware . Wonnyee w’adwene. Nanso nim a wunim sɛ saa osuahu ahorow yi nyɛ nokware na wontumi nkwati no betumi de adwennwen ne dadwen pii aba.

Nnuruyɛfo kyekyɛ saa tebea yi mu sɛ ``Dissociative Disorder'' wɔ ``DSM-V'' nkyekyɛmu a ɛfa adwenemyare ho no mu. Tebea ahorow te sɛ ``Dissociative Identity Disorder'' (a ɛyɛ tebea a obi wɔ nipasu ahorow pii) ne ``Dissociative Amnesia'' (a ɛyɛ tebea a ɛma nkae yera) nso ka saa kuw yi ho.

Saa tebea yi abu so dɛn?

Nokwarem no, yɛn nyinaa te nka sɛ yenni wiase yi mu wɔ yɛn asetra mu bere bi. Ɛyɛ ade a ɛfata. Wɔfrɛ no ``bere tiaa mu depersonalization''. Ɛkyerɛ bere tiaa mu nkate . Nanso nea yɛreka ho asɛm ne ``Depersonalization-Derealization Disorder''. Eyi nyɛ tebea a ɛtra hɔ kyɛ, anaa tebea a ɛba na ɛkɔ . Saa tebea yi taa ka ɔha biara mu biako anaa baanu (1%-2%). Nanso ɛtaa ba mmerante ne mmabaa ne mmofra a wɔadu mpanyin afe so mu.Wubetumi ahu eyi kakra bio.

Dɛn ne eyi ho sɛnkyerɛnne?

Ɛyɛ den ma nnipa a wɔwɔ saa tebea yi sɛ wɔde wɔn nkate bɛka nsɛm mu. Nnipa binom wɔ nsɛm a wɔbɛka, nanso ebia afoforo nte ase anaasɛ wosusuw sɛ ɛnyɛ wɔn asɛm. Nanso, Depersonalization-Derealization Disorder ho sɛnkyerɛnne titiriw ne saa atenka a ɛne sɛ obi twe ne ho fi afoforo ho ne abusuabɔ a atwa mu yi . Ebia wubehyia nneɛma te sɛ:

• Depersonalization yɛ atenka a ɛte sɛ nea wo ne wo nsusuwii, wo nkate, ne wo nipadua ntam atetew.
• Derealization yɛ atenka a ɛne sɛ wobɛtwe wo ho afi nneɛma a atwa wo ho ahyia ne nneɛma a atwa wo ho ahyia ho.
• Sɛ wote nka sɛ woyɛ robɔt, anaasɛ nnipa a wɔatwa wo ho ahyia no te nka sɛ wɔyɛ robɔt.
• Nkate mu a wobɛte nka sɛ woayɛ basaa, te sɛ nea woahwere nkate nyinaa.
• Ɛte sɛ nea worefi wo nipadua mu na worehwɛ wo ho.
• Ɛte sɛ nea wote wiase a wodae mu.
• Nkate te sɛ awerɛhow ne dadwen.

Saa sɛnkyerɛnne ahorow yi betumi ama woayɛ basaa ne dadwen pii. Ebia wubefi ase asusuw ho sɛ, ‘Mayɛ bɔne bi?’ Ebia ɛbɛsɔ wo ahwɛ sɛ wubesusuw saa sɛnkyerɛnne ahorow yi ho na woabɔ mmɔden sɛ wubedi so. Eyi betumi ama wo dadwen ne ehu ayɛ kɛse, na ama wo yare no ho sɛnkyerɛnne no asɛe kɛse .

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nnuruyɛfo da so ara nnim nea ɛde Depersonalization-Derealization Disorder ba ankasa, nanso mpɛn pii no ɛne adwennwen anaa asɛm bi a ɛyɛ hu wɔ abusuabɔ . Nhwɛsoɔ:

• Honam fam ayayade a wɔbɛyɛ.
• Ofie basabasayɛ (a wɔahu anaa wɔadi ho adanse).
• Akwanhyia anaa abɔde mu asiane ahorow a wohyia.
• Nsɛm a asiane wom a ɛde nkwa to asiane mu.
• Ɔdɔfo bi wu mpofirim.
• Sɛ́ wo ne ɔwofo a ɔwɔ adwenemyare a emu yɛ den nyin.

Fa no sɛ, nnipa binom hyia asɛm bi a ɛyɛ awerɛhow wɔ wɔn mmofraase. Ebinom gye di sɛ saa ntetewmu ho adwene yi nso betumi asɔre sɛ ɔkwan a adwene no fa so aguan adwene mu nhyɛso a wontumi nnyina ano a ɛba saa bere no mu, de abɔ ne ho ban. Ɛne sɛ, adwene no bɔ mmɔden sɛ ɛbɛkɔ so ‘atew ne ho’ afi saa osuahu a ɛyɛ awerɛhow no ho.

Hena na ɔwɔ asiane kɛse mu ma tebea yi?

Ebia nnipa binom wɔ asiane kɛse mu sɛ wobenya dissociative disorder, anaasɛ tebea a ɛbɛma wɔatetew wɔn ho. Nneɛma pii na ɛma eyi ba:

• Obi ankasa nkate a onnim (i.e., ontumi nte nea ɔrete nka no ase ankasa).
• Nipasu mu haw afoforo anaa adwenemyare afoforo a obi wɔ.
• Nipadua mu tebea horow te sɛ akisikuru a obi nya.

Wobɛyɛ dɛn ahu eyi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, woyɛ adwenemyare ho ɔfotufo., a ɛkyerɛ sɛ eye sɛ wobɛkɔ adwenemyare ho oduruyɛfo anaa ɔfotufo nkyɛn. Obebisa wo nsɛm kakraa bi afa wo sɛnkyerɛnne ahorow ho. Wɔbɛhwehwɛ adwenemyare afoforo a ebetumi ama woanya yare no ho sɛnkyerɛnne nso. Nhwɛsoɔ:

• Hahaahayɔ
• Brɛ
• Ɔyare a ɛma obi yɛ ade tra so (OCD) .
• Adwennwen a Ɛba Akyi (PTSD) .
• Nipasu mu Nsɛnnennen

Sɛ wunni aduruyɛ mu tebea foforo biara te sɛ eyi, sɛ saa sɛnkyerɛnne ahorow yi ankyerɛ bere a woagyae nnuru biara nom akyi, na sɛ ɛnyɛ nnubɔne anaa nsa a wonom na ɛde saa nneɛma yi ba a, ebia wo duruyɛfo behu sɛ wowɔ Depersonalization-Derealization Disorder.

Sɛ wubisa nhwehwɛmu ahorow a wɔreyɛ de ahu eyi a, wo duruyɛfo no bebisa wo nsɛm de ahu nea wo sɛnkyerɛnne ahorow te, mpɛn dodow a ɛba, ne sɛnea ɛka wo da biara da asetra. Wobetumi nso ama wo nhwehwɛmu ahorow bi a wobɛkyerɛw anaa woayɛ wɔ kɔmputa so. Ebetumi ayɛ den sɛ wobɛka sɛnea wote nka no ho asɛm wɔ nsɛm mu, nanso ɛho hia sɛ woma wo suahu no mu da hɔ sɛnea wubetumi . Eyi bɛma ayɛ mmerɛw ama wo duruyɛfo sɛ ɔbɛboa wo.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Nokwarem no, nhwehwɛmufo da so ara rebɔ mmɔden sɛ wobehu Depersonalization-Derealization Disorder ayaresa a eye sen biara. Ansa na wubefi ayaresa ase no, wo duruyɛfo no bɛka w’ayaresa ho abakɔsɛm, yare no ho sɛnkyerɛnne, ne nea wohwɛ kwan sɛ wobenya afi ayaresa mu ho asɛm akyerɛ wo. Mpɛn pii no, wobetumi akamfo nnuru ne adwene mu ayaresa a wɔaka abom akyerɛ. Ebia eyinom bi ne adwene mu nneyɛe ho ayaresa (CBT) anaasɛ aniwa a ɛkeka ne ho a wɔmma ɛnte nka na wɔsan yɛ ho adwuma (EMDR).

Susuw ho hwɛ, `(CBT)` ayaresa kyerɛkyerɛ wo sɛnea wubedi wo nsusuwii ne wo nkate horow a ɛyɛ nwonwa yi ho dwuma, sɛnea wubegyina ano. Sɛ wote nka sɛ ``ɛnyɛ me'' a, wɔkyerɛkyerɛ wo sɛ twa saa adwene no mpoa, sɛ wubehu no ɔkwan foforo so. `(EMDR)` ayaresa betumi ayɛ nea mfaso wɔ so kɛse, titiriw sɛ saa tebea yi fa nsɛm a ɛyɛ hu ho a.

Nnuru a wɔde di dwuma

Wobu ɔkasa mu ayaresa sɛ ɛyɛ aduru a eye sen biara a wɔde sa eyi. Nanso, wo adwenemyare ho oduruyɛfo nso betumi akamfo aduru biako anaa nea ɛboro saa akyerɛ wo sɛ w’ayaresa no fã. Nhwɛsoɔ:

• `(Selective Serotonin Reuptake Inhibitors - SSRIs)` (Eyinom yɛ nnuru bi a wɔde ma adwenemhaw ne dadwen).
• Nnuru a wɔde ko tia dadwen.
• Nnuru a ɛma obi adwene tu fra.
• Nnuru a wɔde kum adwenemhaw yɛ nnuru a wɔde ma adwenemyare ahorow bi.

Wɔde nnuru yi ma na aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so, nanso ɛho hia sɛ yɛkae sɛ nnuru yi nkutoo ntumi nsa tebea no koraa.

So aduru no ho nsunsuanso bɔne bi wɔ hɔ?

Esiane sɛ wɔde nnuru ahorow di dwuma ma Depersonalization-Derealization Disorder nti, nea efi mu ba no betumi ayɛ soronko. Nanso, nneɛma bɔne a ɛtaa ba no bi ni:

• Ayamtim.
• Adwene a ɛyɛ basaa.
• Dae a ɛma obi da.
• Ano a ɛyɛ nwunu.
• Aduan ho akɔnnɔ a ɛkɔ soro.
• Nnuru afoforo, nnubɔne, anaa nsa afoforo a worenom no ho nkɛntɛnso bɔne a ebetumi aba.
• Ɛyɛ den sɛ wobɛtow nsu (Urinary retention).
• Mu duru a ɛkɔ soro.

Enti, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ sɛ wunya ɔhaw bi a ɛde ba a . Afei oduruyɛfo no betumi asesa dodow a wɔde ma no anaasɛ sɛ ɛho hia a, ɔbɛkyerɛw aduru foforo ama no.

Tebea yi bɛkɔ so akosi bere bɛn?

Nhwehwɛmu ho nsɛm pii nni eyi ho nso. Nanso, sɛ wɔansa a, Depersonalization-Derealization Disorder betumi atra hɔ mfe pii . Ɛtɔ da mpo a, ɛno ara tumi kɔ. Nanso, ɛda so ara betumi anya mo abusuabɔ ne mo adwumayɛ so nkɛntɛnso bɔne. Nea eye sen biara ne sɛ, sɛ wɔsa yare no a, mpɛn pii no, yare no ho sɛnkyerɛnne fi ase tu mpɔn wɔ asram kakraa bi mu .

Wobɛyɛ dɛn ahwɛ wo ho?

Sɛ wokɔ so nya Depersonalization-Derealization Disorder ho sɛnkyerɛnne a, ɛsɛ sɛ nea edi kan koraa ne sɛ wobɛhwehwɛ ayaresa afi adwenemyare ho ɔfotufo hɔ . Ebia ɛho behia sɛ wuhu nnipa kakraa bi mfiase no, afei wo ne adwene ho ɔbenfo yɛ nhyiam daa na wo ne adwenemyare ho oduruyɛfo hyia bere ne bere mu. Adwene ne nneyɛe ho ɔbenfo no betumi aboa wo ma woanya ayaresa a ɛfata ama wo na waboa wo ma woadi nnuru a ɛde ba no ho dwuma. Ɔfotufo no betumi akyerɛ wo sɛnea wubedi wo sɛnkyerɛnne ahorow no ho dwuma denam ɔkasa ayaresa so na wahu nea ɛkanyan wo.

Saa bere yi de, nom nnuru a wɔakyerɛw ama wo no bere ano . Da ayamye adi kyerɛ wo ho. Sɛ wuntumi mfa nsɛm nkyerɛ sɛnea wote nka no pɛpɛɛpɛ a, ɛnyɛ hwee. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho yeraw wo wɔ w’akwahosan ho, nanso ntra so. Wubetumi atew wo dadwen so denam nneɛma te sɛ ahome a wobɛhome ntɛmntɛm anaa adwennwen a wobɛyɛ so .

So nneɛma bi wɔ hɔ a ɛnyɛ papa sɛ wobedi anaa wɔbɛnom?

Sɛ wowɔ Depersonalization-Derealization Disorder a, ɛbɛyɛ papa sɛ wobɛkwati nnubɔne ne nsa a wode bedi dwuma . Nnubɔne ne nsa betumi ama wɔanya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi gyae ne nipasu na ɔyɛ obi a ɔmfa ne ho nhyɛ mu. Wobetumi ne nnuru a wonom nso adi nkitaho wɔ ɔkwan a enye so. Sɛ wode nnubɔne anaa nsa redi dwuma a, .Di nokware kyerɛ w’adwene mu akwahosan kuw no wɔ ho sɛnea ɛbɛyɛ a wobetumi ama wo mmoa a wuhia na woafa mu dwoodwoo.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Wo nnuruyɛfo bɛyɛ nhyehyɛe akɔhwɛ wo daa de ahwɛ wo yiyedi, wo yare no ho sɛnkyerɛnne, ne nea efi w’ayaresa no mu ba. Nanso, ɛtɔ da bi a, ebia wubehyia ɔhaw bi anaasɛ wubehia mmoa, nanso ebia wobɛpa bere a woahyɛ da ayɛ. Sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn . Sɛ wote nka sɛ wobɛpira wo ho anaa obi foforo a, nya mmoa ntɛm ara . Wɔ Sri Lanka no, kɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu, anaa frɛ nɔma te sɛ 1926 (Ɔman Adwene ne Nkate Ho Mmoa Dwumadibea). (Wɔ Us.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Nsuro anaasɛ nnyɛ basaa sɛ wubebisa wo duruyɛfo nsɛm. Ɛyɛ wo hokwan. Ɛtɔ da bi a sɛ oduruyɛfo no bisa sɛ, "So wowɔ nsɛmmisa bi?", yentumi nsusuw biribiara ho ntɛm ara. Enti, ɛbɛyɛ papa sɛ wobɛkyerɛw nsɛmmisa a ɛsɛ sɛ wubisa no din . Wubetumi abisa nsɛm te sɛ eyinom:

• Bere tenten ahe na ebegye ansa na matumi ate nka sɛ me ho bio?
• Nsunsuanso bɔne bɛn na ɛsɛ sɛ mehwɛ kwan fi ayaresa no mu?
• Bere tenten ahe na ɛsɛ sɛ menom nnuru ne/anaasɛ mekɔ kasa ayaresa?
• Sɛ mewɔ nsɛmmisa anaa biribi a ɛhaw me a, ɔkwan bɛn so na ɛsɛ sɛ me ne wo di nkitaho?
• Sɛ me yare no ho sɛnkyerɛnne no mu yɛ den a, dɛn na ɛsɛ sɛ meyɛ? Na sɛ wɔn ho tɔ wɔn wɔ adwuma akyi anaa dapɛn awiei nso ɛ?

Ɛnyɛ den sɛ wobɛte nka sɛ woatew wo ho bere a wowɔ Depersonalization-Derealization Disorder no. Ebia wobɛte nka sɛ woatwe wo ho afi wo ho anaa wiase a atwa wo ho ahyia no ho. Anaasɛ ebia wobɛte nka sɛ wote dae mu, anaasɛ wobɛte nka sɛ worehwɛ asetra wɔ ahwehwɛ a ɛyɛ den a sum kabii wom mu. Saa nkate horow yi betumi ama woate nka sɛ wɔatew wo ho. Nanso kae sɛ w’adwenemyare kuw no wɔ hɔ sɛ wɔbɛboa wo . Na w’abusua, wo nnamfo... ɛwom sɛ ebia ɛbɛyɛ den ama wɔn sɛ wɔbɛte wo nokwasɛm ase de, nanso wɔdɔ wo. Wɔrennyae wo mmoa efisɛ wontumi nte wo ase. Ka nea wuhia fi wɔn hɔ kyerɛ wɔn . Afei wobehu sɛnea wɔbɛboa wo.

Awiei koraa no, ade a ɛho hia sen biara

Enti, sɛ yɛbɛka no tiawa a, Depersonalization-Derealization Disorder yɛ adwene mu tebea bi a ɛma wunya nkate a ɛyɛ nwonwa a ɛnyɛ nokware wɔ wo ho ne nneɛma a atwa wo ho ahyia ho. Eyi nyɛ wo mfomso, na ɛnyɛ mmerɛwyɛ . Eyi yɛ tebea a wotumi sa. Ɛnyɛ wo nkutoo na wowɔ hɔ . Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, yɛsrɛ wo hwehwɛ aduruyɛfo afotu. Sɛ wosa wo yare yiye a, wubetumi atra ase sɛnea ɛsɛ bio.Da wo ho adi ayamye, nya abotare, na nsuro sɛ wobɛsrɛ mmoa.

` Twe a wɔtwe wɔn ho fi wɔn ho, twe a wɔtwe wɔn ho fi nneɛma a atwa yɛn ho ahyia ho, Depersonalization-Derealization Disorder, adwenemyare, dissociative disorder, dadwen, adwennwen