Ke kaumaha mau nei ʻoe? E kamaʻilio kākou e pili ana i nā ʻano kaumaha.

He mea maʻamau ke kaumaha a me ka ʻeha iki i kekahi manawa o ko kākou ola. He ʻokoʻa ia no kēlā me kēia kanaka. Akā inā mau kēia kaumaha a me ka hopohopo, inā ʻoe e kaumaha no ka hapa nui o ka lā, a inā pili ia iā ʻoe a hiki i kahi hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, he mea ʻoi aku paha ia ma mua o ke kaumaha maʻamau. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he Clinical Depression. He ʻano kēia e hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau, ka psychotherapy, a me nā hoʻololi ʻana i ke ʻano o ka nohona.

Aia nā ʻano kaumaha like ʻole. Hiki ke hoʻāla ʻia kekahi e nā hanana i ko kākou ola. Hiki ke hoʻoulu ʻia kekahi e nā loli kemika i loko o ko kākou lolo. ʻOiai ke kumu, ʻo ka hana mua inā ʻoe e manaʻo nei i kēia ʻano, ʻo ia ke kamaʻilio me kāu kauka. Hiki iā ia ke kuhikuhi iā ʻoe i kahi loea olakino noʻonoʻo. He mea nui ka ʻike pono ʻana i ke ʻano o ke kaumaha āu e loaʻa nei e hoʻoholo ai i ka lāʻau lapaʻau maikaʻi loa nāu.

Kaumaha Nui

ʻO kēia ke ʻano kaumaha koʻikoʻi loa a maʻamau. Ua lohe paha ʻoe i kāu kauka e kapa ana iā ia he 'Major Depressive Disorder' a i ʻole 'Clinical Depression.' Inā ʻoe e kaumaha a hopohopo paha i ka hapa nui o ka lā, i ka hapa nui o ka manawa, i ka hapa nui o ka lā, i ka hapa nui o ka manawa, loaʻa paha iā ʻoe kēia maʻi.

ʻO kēia kekahi o nā hōʻailona maʻamau i ʻike ʻia i ka wā o ke kaumaha nui.

Inā hoʻomau ʻelima a ʻoi aku paha o kēia mau hōʻailona no ʻelua pule a ʻoi aku paha, hiki i ke kauka ke hoʻoholo he kaumaha nui kou.

Nā ʻano o ke kaumaha nui

ʻOkoʻa ke ʻano o ka ʻike ʻana o kēlā me kēia kanaka i kēia maʻi, a he nui nā ʻano like ʻole o ia mea:

• Kaumaha hopohopo: Manaʻo hoʻomaha ʻole a hopohopo i ka hapa nui o ka lā. Makaʻu i ka hiki ʻana mai o kahi mea ʻino a me ka manaʻo ua nalowale ke kaohi.
• Melancholy: He kaumaha hiki ʻole ke hoʻomanawanui, me ka manaʻo o ka makemake nui i nā mea āpau āu i aloha ai. ʻAʻole hiki iā ʻoe ke hauʻoli me nā mea maikaʻi. Manaʻo ʻoe ua kaumaha loa ʻoe, ʻoiai i ke kakahiaka. Hiki iā ʻoe ke emi ke kaumaha a nalowale kou makemake.
• Nā hiʻohiʻona hui pū ʻia: Me ke kaumaha, aia kahi pae kiʻekiʻe o ka hana. Kamaʻilio nui, neʻe a puni, a hana koke.

Hoʻohana ʻia ka Psychotherapy a me nā antidepressants ma ke ʻano he lāʻau lapaʻau. ʻO ka hoʻohui ʻana i kēia mau ʻano ʻelua hiki ke hoʻokō i nā hopena maikaʻi loa. I kekahi manawa, i nā hihia koʻikoʻi i kāohi ʻole ʻia e kēia mau ʻano, hiki i nā kauka ke ʻōlelo i nā lāʻau lapaʻau kūikawā e like me ka `Electroconvulsive therapy (ECT)` a me ka `Transcranial magnetic stimulation (TMS)`.

Ka Maʻi Kaumaha Mau Loa (PDD)

Inā loaʻa iā ʻoe nā hōʻailona kaumaha mau no ʻelua mau makahiki a ʻoi aku paha, kapa mākou ia he PDD. I ka ʻōlelo maʻalahi, ua like ia me ke kaumaha mau loa. Ua kapa ʻia ma mua ʻo 'dysthymia.' ʻOiai ʻaʻole ia he koʻikoʻi e like me ke kaumaha nui, hiki iā ia ke mau no ka manawa lōʻihi a hiki ke lawe i kou hauʻoli i ke ola.

Hiki i kekahi kanaka me PDD ke ʻike i nā hōʻailona e like me:

• Nā loli i ka makemake (ʻai liʻiliʻi a ʻoi aku paha)
• Nā loli hiamoe (hiamoe nui a liʻiliʻi paha)
• Ka nele o ka ikaika, ka luhi mau
• Ka haʻahaʻa o ka manaʻo ponoʻī
• Paʻakikī i ka noʻonoʻo ʻana, ka hoʻoholo ʻana i nā hoʻoholo
• He manaʻo o ka manaʻolana ʻole e pili ana i ka wā e hiki mai ana

Hoʻomaʻamaʻa ʻia kēia me ka psychotherapy a me ka lāʻau lapaʻau, ma ke ʻano hui pū a kaʻawale paha.

Maʻi Bipolar

Ua kapa pū kekahi poʻe i kēia he 'Manic Depression'. Loaʻa i ke kanaka me kēia ʻano ke loli o ka naʻau ma waena o ʻelua mau ʻaoʻao ʻē aʻe. ʻO ia hoʻi, i kekahi manawa aia lākou i loko o kahi kūlana kiʻekiʻe o ka mania me ka ikaika nui a me ka hauʻoli, a i ka manawa aʻe hāʻule koke lākou i loko o kahi kūlana kaumaha nui.

I ka wā o ke kaumaha, ʻo ia hoʻi, i ka wā o ke kaumaha nui, loaʻa iā lākou nā hōʻailona like o ke kaumaha nui a mākou i kūkākūkā ai ma mua.

No ke kāohi ʻana i kēia kūlana noʻonoʻo, hāʻawi ʻia nā lāʻau lapaʻau i kapa ʻia ʻo 'mood stabilizers'. Aia kekahi mau lāʻau lapaʻau kikoʻī e mālama ai i nā hanana kaumaha. I kēia kūlana, hoʻohana ʻia nā antidepressants maʻamau me ke akahele nui, no ka mea i kekahi manawa hiki iā lākou ke hoʻonui i ka pae 'kiʻekiʻe' o ka noʻonoʻo (mania).

ʻO ka Disruptive Mood Dysregulation Disorder (DMDD) i ka wā kamaliʻi a me ka wā ʻōpio

He maʻi kaumaha kēia e kū mai ana i ka wā kamaliʻi (makahiki 6-18). Loaʻa i kēia mau keiki ka huhū pinepine a hiki ʻole ke kāohi ʻia. He huhū loa lākou a hoʻomaha ʻole i nā manawa ʻē aʻe. He ʻino loa kēia ʻano a he hopena nui ia i ka home, ke kula, a me nā pilina me nā hoaaloha. Hoʻomaopopo ʻia ka DMDD ke loaʻa kēia mau hōʻailona no 12 mau mahina a ʻoi aku paha. ʻO ka mālama ʻana no kēia me ka psychotherapy a, inā pono, ka lāʻau lapaʻau.

Ka Maʻi Hoʻopilikia Kau (SAD)

He ʻano kaumaha nui nō hoʻi kēia. Hana ʻia me nā loli o ke aniau. Hana pinepine ʻia i ka hoʻoilo, i ka wā e pōkole ai nā lā a emi mai ka lā. Nalo aku ia i ka wā e hiki hou mai ai ke kauwela, i ka wā e ʻoi aku ka mālamalama o ka lā.

Ua manaʻoʻiʻo ʻia kēia ma muli o nā loli o nā hormones ʻSerotonin a me Melatonin, nā mea e kaohi ana i ko kākou hiamoe a me ke ʻano. Ke emi ka lā, hana hou ko kākou kino i ka ʻMelatonin a hoʻemi i ka ʻSerotonin. ʻO kēia loli ke kumu o ke kaumaha, ka hiamoe, a me nā loli o ke ʻano. Hoʻohana ʻia nā antidepressants, psychotherapy, a me ka light therapy ma ke ʻano he lāʻau lapaʻau no kēia.

Kaumaha Noʻonoʻo

Hōʻike pū ka poʻe me kēia ʻano i nā "hōʻailona psychotic" me ka hoʻohui ʻana i nā hōʻailona o ke kaumaha nui.

• Hallucinations: Ke ʻike ʻana a lohe ʻana paha i nā mea i ʻike ʻole ʻia ma laila.
• Nā Manaʻoʻiʻo: Nā manaʻoʻiʻo ikaika e pili ana i nā mea ʻoiaʻiʻo ʻole.
• Paranoia: Ka manaʻo kuhihewa e hoʻāʻo nei kekahi poʻe e hana ʻino iā ʻoe.

He kūlana koʻikoʻi loa kēia. No kēia, hoʻohana pū ʻia nā lāʻau antidepressants a me nā antipsychotics.

Kaumaha Prenatal a me Postpartum

Kaumaha ma mua o ka hānau ʻana

Hiki i nā loli hormonal i ka wā hāpai ke hoʻoulu i kekahi mau wahine e ʻike i ke kaumaha nui a me ka hopohopo e mau ana no nā lā he nui. ʻAʻole kēia he mea maʻamau a pono e mālama ʻia. Kiʻekiʻe loa kēia pilikia i nā wahine i loaʻa ka mōʻaukala o ka maʻi noʻonoʻo, ka poʻe i ʻike i nā hanana kaumaha i ka wā hāpai, a ʻaʻohe kākoʻo mai kā lākou hoa a ʻohana paha.

Kaumaha ma hope o ka hānau ʻana (PPD)

ʻO kēia ka mea a ka poʻe he nui e kapa nei he "kaumaha postpartum." He mea maʻamau ka manaʻo kaumaha iki no kekahi mau lā ma hope o ka hānau ʻana o kahi pēpē (ka baby blues). Akā inā loaʻa iā ʻoe ke kaumaha nui, ka manaʻolana ʻole, a me ka hopohopo e mau ana no ʻelua pule a ʻoi aku paha, hiki ke lilo i PPD. Hiki i kēia mau manaʻo ke ikaika loa a hiki ke paʻakikī i ka makuahine ke hoʻopili me kāna pēpē a i ʻole ka hana ʻana i kona ola o kēlā me kēia lā.

ʻO ke kūlana koʻikoʻi loa a kakaʻikahi hoʻi ʻo ia ka 'Postpartum Psychosis'. I kēia hihia, hiki i ka makuahine ke loaʻa nā hallucinations a me nā manaʻo e hōʻeha iā ia iho a i ʻole i ka pēpē. He pilikia olakino kēia. Pono e ʻimi koke i ke kōkua lapaʻau ma ka Emergency Treatment Unit (ETU) o ka haukapila.

Nā kūlana kaumaha ʻē aʻe

• ʻO ka maʻi Premenstrual Dysphoric Disorder (PMDD): He kūlana kēia e ʻike ai nā wahine i nā hōʻailona kaumaha koʻikoʻi a me nā hōʻailona ʻē aʻe (e like me ka huhū nui a me ka hopohopo) i loko o ka pule a ʻelua paha ma mua o ko lākou wā menstrual. ʻOi aku ka ʻino ma mua o ka PMS maʻamau.
• Kaumaha 'Kūlana': ʻAʻole kēia he huaʻōlelo lapaʻau kūhelu. Eia nō naʻe, hoʻohana ʻia kēia huaʻōlelo e wehewehe i kahi kūlana kaumaha e kū mai ana ma muli o kahi hanana kaumaha i ko mākou ola (e.g., make i loko o ka ʻohana, nalowale o kahi hana, hemo male, hāʻule ʻole i nā hoʻokolohua). Hiki i ke aʻo ʻana ke lilo i ala maikaʻi loa e kōkua iā mākou e hoʻōla mai kēia kūlana.
• Kaumaha Kūʻē i ka Lāʻau Lapaʻau: Loaʻa i kekahi poʻe ka pilikia o ka hoʻokele ʻana i ko lākou kaumaha ma hope o ka hoʻāʻo ʻana i kekahi mau lāʻau lapaʻau. ʻAʻole kēia manaʻo ʻaʻole hiki ke ho'ōla ʻia ʻoe. ʻO ia hoʻi, pono ʻoe e hana ikaika iki me kāu kauka e ʻike i ka lāʻau lapaʻau e kūpono loa iā ʻoe.