Lapaʻau no ke Kaumaha: No ke aha he maikaʻi kekahi mau lā a he ʻino kekahi mau lā? (Lapaʻau no ke Kaumaha)

Ke hakakā nei ʻoe me ke kaumaha? Ua hoʻomaka paha ʻoe i ka lāʻau lapaʻau. Ke loaʻa iā ʻoe kēlā ʻano lāʻau lapaʻau, i kekahi manawa manaʻo ʻoe he māmā a olakino loa. Akā, me ke kumu ʻole, ʻike hou ʻia ke kaumaha kahiko, ka hopohopo, a me ke kaumaha i loko o kou puʻuwai. Mai manaʻo ʻoe ʻo ʻoe wale nō me kēia mau piʻi a me nā iho. He mea maʻamau kēia no nā poʻe he nui e loaʻa ana ka lāʻau lapaʻau no ke kaumaha. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o kēia hana, a me nā mea hiki ke hana ʻia e pili ana i ia mea.

No ke aha i hana like ʻole ai nā antidepressants i nā manawa a pau?

Ke mālama ʻia nei ʻoe no ke kaumaha, i kekahi manawa ʻaʻole like ka lāʻau lapaʻau i hana maikaʻi i ka wā mua me he mea lā e hana maikaʻi ana e like me ka wā ma mua. Kāhea nā kauka i kēia he 'relapse', a i ʻole ka hoʻi ʻana mai o nā hōʻailona. Ua hōʻike ʻia nā noiʻi a hiki i ka 30% o ka poʻe e mālama ʻia ana e ʻike i kēia i loko o hoʻokahi makahiki.

E noʻonoʻo i ke kumu o kēia hana. Aia paha kekahi mau kumu no kēia. I ka ʻōlelo maʻalahi, hiki i kekahi mea ke hoʻopilikia nei i ke ʻano o ka hana a ka lāʻau lapaʻau āu e lawe nei.

Ke noʻonoʻo nei ʻoe e hoʻōki i kāu lāʻau lapaʻau? He aha nā pilikia o ka hana ʻana pēlā?

Luhi kekahi poʻe i ka lawe ʻana i ka lāʻau lapaʻau ma muli o nā hopena ʻaoʻao e hiki mai ana. I kēlā mau manawa, hoʻōki kekahi poʻe i ka lawe ʻana i ka lāʻau lapaʻau e like me ko lākou makemake, a lawe paha i kēlā me kēia lā ʻē aʻe.

He aha kēia mau hopena ʻaoʻao maʻamau?

• ʻO ka hana pono ʻole o ka moekolohe: ʻO nā pilikia nui ka nele o ke kūkulu ʻana i ke kino i nā kāne, ka hiki ʻole ke hoʻokō i ka orgasm i nā wahine, a me ka libido haʻahaʻa i nā hoa ʻelua.
• Loaʻa ke kaumaha: Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka makemake a me ka loaʻa ʻana o ke kaumaha.

Inā loaʻa iā ʻoe kahi hopena ʻaoʻao e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio ākea e pili ana i ia mea me kāu kauka. Hiki iā ia ke hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe i kūpono iā ʻoe.

ʻO kekahi pilikia ʻē aʻe, ʻo ia ka lawe pono ʻole ʻana i ka lāʻau lapaʻau. ʻŌlelo kekahi poʻe, "ʻAe, lawe au i kaʻu lāʻau lapaʻau i kēlā me kēia lā," i mua o ke kauka, akā ke nīnau ikaika ʻoe iā lākou, ʻōlelo lākou, "Auē... poina iaʻu ke lawe iā ia i ʻekolu a ʻehā paha lā o ka pule." Inā lawe ʻoe iā ia no hoʻokahi a ʻelua paha lā a laila ʻaʻole lawe iā ia no ʻekolu a ʻehā paha lā, ʻaʻole e kūkulu ka lāʻau lapaʻau i ka pae e pono ai e hana i loko o ke kino. No laila, ʻaʻohe ona hopena.

Ke manaʻo nei ʻoe ua "hōʻino" kou mau manaʻo ma muli o ka lāʻau lapaʻau?

He mea kēia a kekahi poʻe maʻi i lohe ai. He ʻoiaʻiʻo loa kēia no kahi poʻe liʻiliʻi e lawe ana i nā SSRI (Selective Serotonin Reuptake Inhibitors), kahi papa lāʻau lapaʻau i kuhikuhi pinepine ʻia.

ʻŌlelo kekahi poʻe, "ʻAʻole au e kaumaha e like me ka wā ma mua, akā, ʻaʻole hiki iaʻu ke hauʻoli e like me ka wā ma mua. Ua like nā mea a pau."

Malia paha kēia no ka mea e hoʻopilikia kēia mau lāʻau i kahi kemika i loko o ka lolo i kapa ʻia ʻo dopamine , kahi e pili ana me nā manaʻo o ka leʻaleʻa a me ke olakino. I ia mau hihia, hiki i kāu kauka ke hoʻoholo e hoʻohui i kahi lāʻau ʻē aʻe (e like me Bupropion) i kāu lāʻau a hoʻololi paha iā ʻoe i kahi lāʻau ʻē aʻe.

He mea kēia e nalo pinepine loa ana ke hoʻololi ʻoe i nā lāʻau lapaʻau, no laila ʻaʻohe pono e hopohopo.

He aha ka mea e hana ai inā e ʻike hou ʻia nā hōʻailona kahiko (relapse)?

ʻO ka mea nui loa, ʻaʻole ia e hopohopo. Inā manaʻo ʻoe e hoʻi mai ana kou mau hōʻailona kaumaha, ʻo ka mea mua e hana ai, ʻo iaKe kamaʻilio nei me kāu kauka.

A laila e hāʻawi ʻo ia iā ʻoe i ka hopena kūpono loa. He mea like paha ia me kēia:

• Ke hoʻonui nei i ka nui o ka lāʻau lapaʻau āu e lawe nei.
• Ke hoʻololi nei i kahi lāʻau lapaʻau ʻē aʻe.
• Ke hoʻohui nei i kahi lāʻau hou i ka lāʻau o kēia manawa.
• Ke hoʻomaka nei i ka psychotherapy, ʻo ia hoʻi, ka talk therapy, me ka lāʻau lapaʻau.

Inā koʻikoʻi loa ke kūlana, hiki i nā kauka ke ʻōlelo aku i nā lāʻau lapaʻau kūikawā e like me ke 'shock therapy' (ECT). Eia nō naʻe, ʻo ka mea nui loa, ʻo ia ka hana ʻana i nā hana e lawe i ka lāʻau lapaʻau i kahi pae kiʻekiʻe aʻe.

He mea nui anei ka hoʻoponopono kamaʻilio me ka lāʻau lapaʻau?

ʻAe loa. ʻOiai e hana ana ka lāʻau lapaʻau e hoʻoponopono i ke kaulike ʻole o ka kemika i loko o kou lolo, kōkua ka psychotherapy iā ʻoe e kamaʻilio e pili ana i kou mau pilikia a me nā hanana i kou ola i hoʻokumu i kou kaumaha.

I kēia manawa, aia nā lāʻau lapaʻau pōkole no kēia.

• ʻO ka Psychotherapy Interpersonal (IPT): Pili kēia i ke kamaʻilio ʻana e pili ana i nā hanana ola i alakaʻi i kou kaumaha (e laʻa, ka make ʻana o kahi mea aloha, ka uhaki ʻana i kahi pilina) a me ke aʻo ʻana iā ʻoe pehea e kū ai iā lākou.
• Lapaʻau Noʻonoʻo: Pili kēia i ka ʻike ʻana i nā manaʻo maikaʻi ʻole a me nā ʻano hewa i kou manaʻo a kōkua iā ʻoe e hoʻololi iā lākou.

He mea nui loa kēia lāʻau lapaʻau inā kaumaha nā mākua. Ua hōʻike ʻia e ka noiʻi ke mālama ʻia ke kaumaha o nā mākua, ʻoi aku ka hauʻoli o kā lākou mau keiki a emi iki ka loaʻa ʻana o nā maʻi noʻonoʻo e like me ke kaumaha i ka wā e hiki mai ana. Ua like ia me ka pepehi ʻana i ʻelua manu me hoʻokahi pōhaku!

Ua hōʻike maopopo ʻia nā noiʻi he ʻelua a ʻekolu paha ka nui o ka pilikia o ka hoʻi hou ʻana o ka poʻe e lawe ana i nā antidepressants inā e hoʻōki koke lākou i ka lawe ʻana iā lākou. No laila, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hana pū me kāu kauka a hoʻomau i ka lāʻau lapaʻau.