Ke manaʻo nei hoʻi ʻoe ʻaʻole ʻoe ʻo ʻoe iho? Me he mea lā he pōuliuli ke kaiapuni? E kamaʻilio kākou e pili ana i (Depersonalization-Derealization Disorder).

Ua manaʻo anei ʻoe i kēia? Me he mea lā aia ʻoe ma waho o kou kino a ke nānā nei iā ʻoe iho. A i ʻole ʻaʻole like nā mea a puni ʻoe me he mea maoli lā, me he moeʻuhane lā. He mea ʻē iki kēia mau ʻike, a he mea weliweli paha, ʻeā? I kēia lā, ke kamaʻilio nei mākou e pili ana i ke kūlana noʻonoʻo e kū mai ana ke loaʻa iā ʻoe kēia ʻano ʻike i nā manawa he nui.

He aha kēia manaʻo o ka hoʻokaʻawale ʻana mai iā ʻoe iho a me ke kaiapuni?

I ka ʻōlelo maʻalahi, ma kēia kūlana i kapa ʻia ʻo "Depersonalization-Derealization Disorder", hiki iā ʻoe ke manaʻo ua kaʻawale ʻoe mai iā ʻoe iho (i kapa ʻia ʻo "Depersonalization") a ua kaʻawale ʻoe mai kou wahi a puni (i kapa ʻia ʻo "Derealization").

E noʻonoʻo ʻoe e hele ana ʻoe i kahi hale kūʻai e kūʻai i kahi mea. Akā manaʻo ʻoe ʻaʻole ʻo ʻoe ia, akā aia kekahi e noho ana i loko o kou kino, e paʻi ana i ke kaʻa, e koho ana i nā waiwai, e uku ana no lākou. Me he mea lā e nānā ana ʻoe mai ka ʻaoʻao. Malia paha inā ʻike ʻoe i kāu kiʻi ma ka puka makani o ka hale kūʻai, manaʻo ʻoe ua hoʻokaʻawale ʻia ʻoe a ʻaʻole hiki iā ʻoe ke ʻike. ʻO kēia ka mea a mākou e kapa nei he ``(Depersonalization)`` a i ʻole ka manaʻo ua hoʻokaʻawale ʻia mai ou iho . ʻO kēia ka manawa āu e manaʻo ai ʻaʻole nou kou mau manaʻo, kou mau manaʻo, a me kou kino.

ʻO kekahi ʻaoʻao ʻo ia ka `(Derealization)`. ʻO ia hoʻi, ʻo kou wahi e puni ana, kou wahi noho, me he mea lā ʻaʻole maoli lākou iā ʻoe . Hiki ke manaʻo e like me ʻoe e nānā ana i ke ao nei ma o ka puka makani noe, a i ʻole e like me ʻoe e nānā ana i kahi kiʻiʻoniʻoni ʻeleʻele a keʻokeʻo. I kekahi manawa hiki ke loli ke ʻano a me ka nui o nā mea. Hiki iā ʻoe ke manaʻo e like me lākou e loli ana i kou nānā ʻana iā lākou. E noʻonoʻo i kou hele ʻana ma ke alanui, ua like nā hale a me nā lāʻau a pau me he mea lā i hana ʻia me ka pepa pahu, e like me nā mea pāʻani. ʻO ia ke kūlana i kapa ʻia ʻo `(Derealization)`.

Hiki i ke kanaka me ka Depersonalization-Derealization Disorder ke loaʻa i kēia mau ʻike ʻelua, a i ʻole hoʻokahi wale nō. ʻO ka mea nui, ʻo kou ʻike ʻana ʻaʻole maoli kēia mau mea . ʻAʻole ʻoe i nalowale i kou manaʻo. Akā, ʻo ka ʻike ʻana ʻaʻole maoli kēia mau ʻike a ʻaʻole hiki ke pakele iā lākou hiki ke hoʻoulu i ka nui o ke kaumaha a me ka hopohopo.

Hoʻokaʻawale nā ​​kauka i kēia kūlana ma ke ʻano he "Dissociative Disorder" ma ka hoʻokaʻawale ʻana o nā maʻi noʻonoʻo "DSM-V". ʻO nā kūlana e like me ka "Dissociative Identity Disorder" (ʻo ia ke kūlana i loaʻa ai i ke kanaka nā ʻano pilikino he nui) a me ka "Dissociative Amnesia" (ʻo ia ke kūlana i nalowale ai ka hoʻomanaʻo) pili pū kekahi i kēia māhele.

Pehea ka maʻamau o kēia ʻano?

ʻOiaʻiʻo, manaʻo mākou a pau ʻaʻole mākou i loko o kēia ao i kekahi manawa o ko mākou ola. He mea maʻamau ia. Ua kapa ʻia ʻo "transient depersonalization". ʻO ia hoʻi he manaʻo manawa pōkole . Akā ʻo ka mea a mākou e kamaʻilio nei, ʻo ia ka "Depersonalization-Derealization Disorder". ʻAʻole kēia he maʻi lōʻihi, a i ʻole he maʻi e hele mai a hele aku . Hoʻopilikia pinepine kēia maʻi i hoʻokahi a ʻelua paha o kēlā me kēia haneli (1%-2%). Akā ʻoi aku ka maʻamau i waena o ka poʻe ʻōpio a me nā keiki o ka wā ʻōpio.Hiki iā ʻoe ke ʻike hou aku i kēia.

He aha nā hōʻailona o kēia?

He paʻakikī i ka poʻe me kēia maʻi ke hoʻopuka i ko lākou mau manaʻo i nā huaʻōlelo. Loaʻa i kekahi poʻe nā huaʻōlelo e ʻōlelo ai, akā ʻaʻole paha e maopopo i kekahi a manaʻo paha ʻaʻole lākou e mālama. Eia nō naʻe, ʻo ka hōʻailona nui o ka Depersonalization-Derealization Disorder ʻo ia ka manaʻo o ka hoʻokaʻawale ʻana a me ka hoʻokaʻawale ʻana . Hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻO ka Depersonalization ka manaʻo e like me he mea lā ua hoʻokaʻawale ʻia ʻoe mai kou mau manaʻo, nā manaʻo, a me ke kino.
• ʻO Derealization ka manaʻo o ke kaʻawale ʻana mai kou wahi a me kou ʻano.
• Manaʻo e like me ka robot, a i ʻole ka poʻe a puni ʻoe e like me nā robots.
• Ke manaʻo nei ua mae kou manaʻo, me he mea lā ua pau kou mau manaʻo.
• Me he mea lā e puka ana ʻoe i waho o kou kino a nānā iā ʻoe iho.
• Me he mea lā e noho ana i loko o ka honua moeʻuhane.
• Nā manaʻo e like me ke kaumaha a me ka hopohopo.

Hiki i kēia mau hōʻailona ke hoʻoulu iā ʻoe i ka nui o ke kaumaha a me ka hopohopo. E hoʻomaka paha ʻoe e noʻonoʻo, 'Ua hana hewa anei au?' E hoʻowalewale ʻia paha ʻoe e noʻonoʻo i kēia mau hōʻailona a hoʻāʻo e kāohi iā lākou. Hiki i kēia ke hoʻonui i kou hopohopo a me ka makaʻu, a e hoʻonui i kou mau hōʻailona .

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻAʻole ʻike nā kauka i ke kumu kikoʻī o ka Depersonalization-Derealization Disorder, akā ua pili pinepine ia i ke kaumaha a i ʻole kahi hanana traumatic . Eia kekahi laʻana:

• Ka hana ʻino ʻia ʻana.
• Ka hana ʻino i ka home (i ʻike ʻia a i ʻike maka ʻia paha).
• Ke kū nei i nā ulia a i ʻole nā ​​​​pōʻino kūlohelohe.
• Nā hanana weliweli e hoʻoweliweli nei i ke ola.
• Ka make koke ʻana o kahi mea aloha.
• Ke ulu nei me kahi makua i ʻeha i kahi maʻi noʻonoʻo koʻikoʻi.

E noʻonoʻo, ua ʻike kekahi poʻe i kahi hanana ʻeha i ko lākou wā kamaliʻi. Manaʻo kekahi e hiki ke kū mai kēia manaʻo o ka hoʻokaʻawale ʻana ma ke ʻano he ala no ka noʻonoʻo e pakele ai i ke kaumaha noʻonoʻo hiki ʻole ke hoʻomanawanui ʻia e kū mai ana i kēlā manawa, e pale aku iā ia iho. ʻO ia hoʻi, hoʻāʻo ka noʻonoʻo e noho 'kaʻawale' mai kēlā ʻike ʻeha.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Aia paha kekahi poʻe i ka pilikia nui o ka loaʻa ʻana o kahi maʻi dissociative, a i ʻole kahi kūlana kaʻawale. Aia kekahi mau kumu e kōkua ai i kēia:

• Ka nele o ka ʻike i nā manaʻo ponoʻī (ʻo ia hoʻi, ka hiki ʻole ke hoʻomaopopo pono i ka mea e manaʻo nei kekahi).
• Loaʻa nā maʻi pilikino ʻē aʻe a i ʻole nā ​​​​​​pilikia olakino noʻonoʻo ʻē aʻe.
• ʻO ka loaʻa ʻana o nā maʻi kino e like me nā maʻi hopu.

Pehea ʻoe e ʻike ai i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he kākā'ōlelo olakino noʻonoʻo ʻoe., ʻo ia hoʻi, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka noʻonoʻo a i ʻole he kākāʻōlelo. E nīnau ʻo ia iā ʻoe i kekahi mau nīnau e pili ana i kāu mau hōʻailona. E ʻimi pū lākou i nā kūlana olakino noʻonoʻo ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona. Eia kekahi laʻana:

• Kaumaha
• Hopohopo
• Ka maʻi hoʻopilikia-koʻikoʻi (OCD)
• Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
• Nā Maʻi Pilikino

Inā ʻaʻohe ou maʻi olakino ʻē aʻe e like me kēia, inā ʻaʻole ʻike ʻia kēia mau hōʻailona ma hope o kou hoʻōki ʻana i ka lawe ʻana i kekahi lāʻau lapaʻau, a inā ʻaʻole i hana ʻia kēia mau mea e ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona, hiki i kāu kauka ke hōʻoia iā ʻoe he maʻi Depersonalization-Derealization Disorder.

Inā ʻoe e nīnau i nā hoʻokolohua e hana ʻia nei e ʻike i kēia, e nīnau kāu kauka iā ʻoe i nā nīnau e ʻike ai i kāu mau hōʻailona, ​​​​​​ka pinepine o lākou e kū mai ai, a me ka nui o ko lākou hopena i kou ola o kēlā me kēia lā. Hiki ke hāʻawi ʻia iā ʻoe kekahi mau loiloi e kākau i lalo a hana paha ma kahi kamepiula. Hiki ke paʻakikī ke hōʻike i kou manaʻo, akā he mea nui e maopopo e like me ka hiki e pili ana i kāu ʻike . E maʻalahi kēia i kāu kauka ke kōkua iā ʻoe.

He aha nā lāʻau lapaʻau no kēia?

ʻOiaʻiʻo, ke hoʻāʻo nei nā kānaka noiʻi e noʻonoʻo i ka lāʻau lapaʻau maikaʻi loa no ka Depersonalization-Derealization Disorder. Ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau, e kamaʻilio kāu kauka me ʻoe e pili ana i kou mōʻaukala olakino, nā hōʻailona, ​​a me nā mea āu e manaʻo ai mai ka lāʻau lapaʻau. I ka manawa pinepine, hiki ke ʻōlelo ʻia ka hui pū ʻana o nā lāʻau lapaʻau a me ka psychotherapy . Hiki i kēia ke komo pū me ka cognitive behavioral therapy (CBT) a i ʻole ka eye movement desensitization and reprocessing (EMDR).

E noʻonoʻo e pili ana i ia mea, aʻo ka lāʻau lapaʻau `(CBT)` iā ʻoe pehea e hana ai me kēia mau manaʻo a me nā manaʻo ʻē o ʻoe, pehea e kū ai iā lākou. Ke manaʻo ʻoe ʻaʻole wau ʻo wau'', ua aʻo ʻia ʻoe e hoʻokūkū i kēlā manaʻo, e ʻike iā ia ma ke ʻano ʻē aʻe. Hiki i ka lāʻau lapaʻau `(EMDR)` ke lilo i mea pono loa, ʻoiai inā pili kēia kūlana i nā hanana traumatic.

Nā lāʻau lapaʻau

ʻO ka therapy kamaʻilio ka lāʻau lapaʻau maikaʻi loa no kēia. Eia nō naʻe, hiki i kāu kauka lapaʻau ke ʻōlelo aku i hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau ma ke ʻano he ʻāpana o kāu lāʻau lapaʻau. Eia kekahi laʻana:

• `(Nā mea pale i ka hoʻihoʻi hou ʻana o ka serotonin koho - SSRIs)` (He ʻano lāʻau lapaʻau kēia i hāʻawi ʻia no ke kaumaha a me ka hopohopo).
• Nā lāʻau lapaʻau hoʻēmi i ka hopohopo.
• Nā lāʻau lapaʻau e hoʻopaʻa ana i ka naʻau.
• ʻO nā lāʻau antipsychotic nā lāʻau i hāʻawi ʻia no kekahi mau maʻi noʻonoʻo.

Hāʻawi ʻia kēia mau lāʻau lapaʻau e kōkua i ka kaohi ʻana i nā hōʻailona, ​​​​akā he mea nui e hoʻomanaʻo ʻaʻole hiki i kēia mau lāʻau lapaʻau wale nō ke ho'ōla loa i ke kūlana.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

Ma muli o ka hoʻohana ʻia ʻana o nā lāʻau lapaʻau like ʻole no ka Depersonalization-Derealization Disorder, hiki ke ʻokoʻa nā hopena ʻaoʻao. Eia nō naʻe, eia kekahi o nā hopena ʻaoʻao maʻamau:

• Ka paʻa ʻana o ka ʻōpū.
• Pōʻaiʻī.
• Hiamoe.
• Waha maloʻo.
• Hoʻonui ʻia ka makemake.
• ʻO ka hiki ke loaʻa nā hopena maikaʻi ʻole me nā lāʻau lapaʻau ʻē aʻe, nā lāʻau lapaʻau, a i ʻole ka waiʻona āu e lawe nei.
• Paʻakikī i ka mimi ʻana (paʻa ʻana o ka mimi).
• Piʻi ke kaumaha.

No laila, he mea nui loa ia e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao . A laila hiki i ke kauka ke hoʻololi i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻē aʻe inā pono.

Pehea ka lōʻihi o kēia kūlana?

ʻAʻole nui ka ʻikepili noiʻi e pili ana i kēia. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka Depersonalization-Derealization Disorder ke mau no nā makahiki . I kekahi manawa hiki ke nalo wale aku. Eia nō naʻe, hiki nō iā ia ke loaʻa ka hopena maikaʻi ʻole i kāu mau pilina a me ka hana hana. ʻO ka mea maikaʻi loa, me ka mālama ʻana, hoʻomaka pinepine nā hōʻailona e hoʻomaikaʻi i loko o kekahi mau mahina .

Pehea ʻoe e mālama ai iā ʻoe iho?

Inā hoʻomau ʻoe i nā hōʻailona o ka Depersonalization-Derealization Disorder, ʻo kāu mea mua e pono ai ke ʻimi i ka lāʻau lapaʻau mai kahi kākāʻōlelo olakino noʻonoʻo . Pono paha ʻoe e ʻike i kekahi mau kānaka i ka wā mua, a laila e loaʻa nā hālāwai maʻamau me kahi psychologist a me nā hālāwai manawa me kahi psychiatrist. Hiki i ke psychologist ke kōkua iā ʻoe e ʻike i ka lāʻau kūpono nou a kōkua iā ʻoe e hoʻokele i nā hopena ʻaoʻao o ka lāʻau lapaʻau. Hiki i ke kākāʻōlelo ke aʻo iā ʻoe pehea e hana ai me kāu mau hōʻailona ma o ka talk therapy a ʻike i nā mea hoʻonāukiuki.

I kēia manawa, e lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia i ka manawa kūpono . E lokomaikaʻi iā ʻoe iho. ʻAʻole pilikia inā ʻaʻole hiki iā ʻoe ke haʻi pololei i kou manaʻo. He mea maʻamau ka hopohopo e pili ana i kou olakino, akā, mai noho ma luna o ia mea. Hiki iā ʻoe ke hoʻēmi i kou hopohopo ma ka hana ʻana i nā mea e like me ka hanu wikiwiki a i ʻole ka noʻonoʻo ʻana .

Aia kekahi mau mea ʻino e pono ʻole ke ʻai a inu paha?

Inā loaʻa iā ʻoe ka maʻi Depersonalization-Derealization, ʻoi aku ka maikaʻi o ka pale ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka waiʻona . Hiki i nā lāʻau lapaʻau a me ka waiʻona ke hana i nā hōʻailona o ka depersonalization a me ka derealization. Hiki iā lākou ke launa pū me nā lāʻau lapaʻau āu e lawe nei. Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau a i ʻole ka waiʻona,E ʻoiaʻiʻo me kāu hui olakino noʻonoʻo e pili ana i ia mea i hiki iā lākou ke hāʻawi iā ʻoe i ke kākoʻo āu e pono ai e lanakila ai me ka palekana.

Āhea ʻoe e pono ai e ʻike i ke kauka?

E hoʻonohonoho kāu mau kauka i nā manawa hoʻopaʻa maʻamau e nānā i kou olakino, nā hōʻailona, ​​a me nā hopena ʻaoʻao o kāu lāʻau lapaʻau. Eia nō naʻe, i kekahi manawa he pilikia paha kāu a pono paha ke kākoʻo, akā hiki iā ʻoe ke hala i kahi manawa. Inā ʻoi aku ka ʻino o kāu mau hōʻailona, ​​​​mai kānalua e hoʻokaʻaʻike aku i kāu kauka . Inā manaʻo ʻoe e hōʻeha ʻoe iā ʻoe iho a i ʻole kekahi, e kiʻi koke i ke kōkua . Ma Sri Lanka, e hele i ka lumi pilikia o ka haukapila kokoke loa iā ʻoe, a i ʻole e kelepona i kahi helu e like me 1926 (ka National Mental Health Helpline). (Ma ʻAmelika Hui Pū ʻIa, hiki iā ʻoe ke kelepona i ka 988 no ke kōkua pepehi kanaka a me ka pilikia a i ʻole 911 no ke kōkua pilikia, akā ma Sri Lanka, hoʻohana mākou i nā lawelawe i loaʻa ma ko mākou ʻāina.)

He aha nā nīnau āu e nīnau ai i kāu kauka?

Mai makaʻu a hopohopo paha e nīnau i kāu kauka. ʻO kou kuleana ia. I kekahi manawa ke nīnau mai ke kauka, "He mau nīnau kāu?", ʻaʻole hiki iā mākou ke noʻonoʻo koke i kekahi mea. No laila, he manaʻo maikaʻi ke kākau i lalo i kahi papa inoa o nā nīnau āu e nīnau ai . Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pehea ka lōʻihi e hiki ai iaʻu ke manaʻo hou e like me aʻu iho?
• He aha nā hopena ʻaoʻao e pono iaʻu e manaʻo mai ka lāʻau lapaʻau?
• Pehea ka lōʻihi e pono ai iaʻu e lawe i ka lāʻau lapaʻau a/a i ʻole e hele i ka talk therapy?
• Inā he mau nīnau a hopohopo paha kaʻu, pehea lā wau e hoʻokaʻaʻike aku ai iā ʻoe?
• He aha kaʻu e hana ai inā e ʻoi aku ka ʻino o koʻu mau hōʻailona? He aha inā e hoʻomaikaʻi lākou ma hope o ka hana a i ʻole ma ka hopena pule?

He mea maʻalahi ke manaʻo hoʻokaʻawale ʻia ke loaʻa iā ʻoe ka maʻi Depersonalization-Derealization. Manaʻo paha ʻoe ua kaʻawale ʻoe mai ou iho a i ʻole ke ao a puni ʻoe. A i ʻole manaʻo paha ʻoe e like me ʻoe e noho nei i loko o ka moeʻuhane, a i ʻole manaʻo paha ʻoe e like me ʻoe e nānā ana i ke ola ma o ke aniani mānoanoa a noe. Hiki i kēia mau manaʻo ke hoʻokaʻawale iā ʻoe. Akā e hoʻomanaʻo, aia kāu hui olakino noʻonoʻo ma laila e kōkua iā ʻoe . A me kou ʻohana, kou mau hoaaloha... ʻoiai paha he paʻakikī iā lākou ke hoʻomaopopo i kou ʻoiaʻiʻo, aloha lākou iā ʻoe. ʻAʻole lākou e hoʻōki i ke kōkua ʻana iā ʻoe no ka mea ʻaʻole hiki iā lākou ke hoʻomaopopo iā ʻoe. E haʻi iā lākou i kāu mea e pono ai mai iā lākou . A laila e ʻike lākou pehea e kōkua ai iā ʻoe.

ʻO ka mea hope loa, ʻo ka mea nui loa

No laila, i ka ʻōlelo maʻalahi, ʻo ka Depersonalization-Derealization Disorder kahi maʻi noʻonoʻo e hoʻoulu ai iā ʻoe i nā manaʻo ʻē a ʻaʻole maoli e pili ana iā ʻoe iho a me kou wahi e noho nei. ʻAʻole kēia kou hewa, ʻaʻole hoʻi he nāwaliwali . He kūlana hiki ke mālama ʻia kēia. ʻAʻole ʻoe hoʻokahi . Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻoluʻolu e ʻimi i ke aʻo lapaʻau. Me ka mālama kūpono, hiki iā ʻoe ke ola hou i kou ola ma ke ʻano maʻamau.E lokomaikaʻi iā ʻoe iho, e ahonui, a mai makaʻu e noi i ke kōkua.

Ka hoʻokaʻawale ʻana mai iā ʻoe iho, ka hoʻokaʻawale ʻana mai ke kaiapuni, ka maʻi Depersonalization-Derealization, olakino noʻonoʻo, ka maʻi dissociative, hopohopo, kaumaha