Ke noʻonoʻo nei paha ʻoe i kekahi manawa, "Ke hana maoli nei anei kēia lāʻau lapaʻau aʻu e lawe nei no ke kaumaha?" ʻAʻole paha ʻoe i ʻike i ka ʻokoʻa nui ma hope o hoʻokahi a ʻelua paha pule o ka lawe ʻana. A i ʻole ua ʻike paha ʻoe i nā mea ma ka nūpepa a i ʻole ma ka pūnaewele e ʻōlelo ana ʻaʻole maikaʻi loa kēia lāʻau lapaʻau. He mea maʻamau no nā mea e like me kēia ke kumu o nā nīnau he nui iā ʻoe. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka mea e hana nei me kēia mau antidepressants.
He aha ka ʻoiaʻiʻo o ka moʻolelo e hōʻike ana he mea ʻole kēia lāʻau lapaʻau?
Ua hōʻike kekahi mau noiʻi hou aku nei ʻaʻole nui ka hopena o nā lāʻau lapaʻau i hoʻohana pinepine ʻia, e like me Prozac lāua ʻo Paxil, i ka poʻe me ke kaumaha iki. I ka ʻōlelo maʻalahi, ma kēia mau noiʻi, ua hāʻawi ʻia kekahi poʻe i ka lāʻau maoli a ua hāʻawi ʻia kekahi i kahi placebo, kahi lāʻau hoʻopunipuni i loaʻa ʻole ka hopena. ʻO ka mea a lākou i ʻike ai, koe wale nō ka poʻe me ke kaumaha nui, ʻaʻole nui ka ʻokoʻa o kēia mau lāʻau.
Akā, aia kekahi ʻaoʻao ʻē aʻe i kēia moʻolelo.
ʻO nā hui nui o ka honua, e like me ka American Psychiatric Association, ʻaʻole hiki ke hoʻoholo ʻia e pili ana i kēia lāʻau lapaʻau ma muli o kahi noiʻi hoʻokahi e like me kēia.
E noʻonoʻo, i ka wā e loaʻa ai iā kākou ke anu, i kekahi manawa e hoʻomaikaʻi mākou ma hope o ka lawe ʻana i hoʻokahi lāʻau lapaʻau. Akā i kekahi manawa, ʻaʻole holo pono kēlā lāʻau lapaʻau, a pono mākou e lawe i kekahi. Pēlā nō ke kaumaha. ʻAʻole holo pono ka lāʻau lapaʻau hoʻokahi no nā kānaka a pau. Kuhikuhi ke kauka i kahi lāʻau lapaʻau nou ma muli o kou kūlana pololei. I kekahi manawa, pono ʻoe e hoʻāʻo i ʻelua a ʻekolu paha lāʻau lapaʻau e ʻike i ka mea e kūpono loa iā ʻoe . ʻO ia ke kumu e ʻōlelo ai nā loea he hewa ke kahakiʻi ʻana i nā hopena e pili ana i kēia ma muli o kahi noiʻi i hana ʻia ma hoʻokahi wale nō lāʻau lapaʻau.
No laila pehea e hana maoli ai kēia lāʻau lapaʻau?
Ua hōʻike ʻia nā haʻawina he nui e hāʻawi ana nā antidepressants i ka hōʻoluʻolu nui mai ke kaumaha. ʻO nā mea nui o kēia mau mea:
- Hoʻomaikaʻi i kou ʻano .
- Hoʻonui ia i ka hiki ke launa pū me nā poʻe ʻē aʻe.
- Hoʻēmi i nā ʻeha kino (ʻeha hui, insomnia, a me ka luhi) e hele mai me ke kaumaha.
ʻO ka mea nui loa, ʻaʻole hiki iā ʻoe ke manaʻo i nā hopena i loko o 24 mau hola o ka lawe ʻana i kēia lāʻau. E like me ka lōʻihi o ke kanu ʻana i kahi mea kanu, no kona ulu ʻana, lilo i lāʻau, a pua, hiki ke hala i ʻelua a ʻeono pule no kēia mau lāʻau e hoʻopilikia i nā neurotransmitters i loko o kou lolo a hāʻawi i ka hōʻoluʻolu i kou noʻonoʻo. No laila, he mea nui loa ke ahonui.
He aha nā kumu i hana ʻole ai ka lāʻau lapaʻau i kekahi manawa?
Ke noʻonoʻo nei paha ʻoe, "Ua lawe au i ka lāʻau lapaʻau no hoʻokahi mahina, akā ʻaʻohe loli." Aia paha kekahi mau kumu no kēlā. ʻAʻole kēia kou hewa. E nānā i ka papa ma lalo nei e ʻike i ke kumu o ia mea.
| Nā kumu e hana ʻole ai ka lāʻau lapaʻau | He wehewehe maʻalahi |
|---|---|
| ʻOiai he lāʻau lapaʻau kūpono ʻole | ʻAʻole paha kūpono ka lāʻau lapaʻau a ke kauka i kuhikuhi mua ai no kou kino. He mea maʻamau kēlā. |
| ʻAʻole lawa ka lāʻau | Malia paha ʻaʻole lawa ka nui o ka lāʻau i kuhikuhi ʻia iā ʻoe. Hiki iā ʻoe ke kamaʻilio me kāu kauka a hoʻololi iā ia. |
| ʻAʻole lawa ka manawa | He 4-6 pule ka liʻiliʻi e ʻike ʻia ai ka hopena piha o ka lāʻau lapaʻau. Mai hoʻōki i ka lawe ʻana ma mua o kēlā manawa. |
| He mau nīnau ʻē aʻe kāu | Inā ʻoe e hoʻohana i ka waiʻona a i ʻole nā lāʻau lapaʻau ʻē aʻe, ʻaʻole paha e hana maikaʻi kāu lāʻau antidepressant. Hiki iā ia ke hana i nā pilikia me nā lāʻau lapaʻau āu e lawe ai no nā kūlana ʻē aʻe. |
Aia kekahi mau lāʻau lapaʻau ʻē aʻe ma waho aʻe o ka lāʻau lapaʻau?
ʻAe, ʻoiaʻiʻo nō. ʻO ka lāʻau lapaʻau hoʻokahi wale nō ʻāpana o kēia huakaʻi.
- No ke kaumaha iki (`Dysthymia`): Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu nui mai nā mea e like me ka hoʻoikaika kino mau, ka hōʻemi ʻana i ke kaumaha, a me ka hiamoe maikaʻi.
- No ka maʻi kaumaha nui: He mea nui ka lāʻau lapaʻau i kēia kūlana. Eia nō naʻe, hiki ke lilo i mea kūpono loa ka hoʻohui ʻana i ke aʻo ʻana, a i ʻole ka hoʻōla kamaʻilio ʻana . Ua like ia me ka hoʻōla ʻana i kou noʻonoʻo me ke aʻo ʻana aʻo ʻana i kou kino me ka lāʻau lapaʻau.
Ua ʻike ʻia, ʻoi aku hoʻi no nā keiki ʻōpio, ʻoi aku ka maikaʻi o nā hopena o ka hui pū ʻana o ka "Talk Therapy" me ka lāʻau lapaʻau ma mua o ka hoʻololi ʻana i nā lāʻau lapaʻau.
He aha nā hōʻailona maʻamau o ke kaumaha?
ʻAʻole wale ke kaumaha he manaʻo kaumaha. He ʻoi aku ka paʻakikī ma mua o kēlā. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona.
- Ke hopohopo nei i ka hapa nui o ka lā, ʻoiai i ke kakahiaka.
- Ka nalowale o ka hoihoi i nā mea āu i hauʻoli ai.
- Ka piʻi koke ʻana a i ʻole ka emi ʻana o ke kaumaha o ke kino.
- ʻAʻohe hiamoe a hiamoe nui paha.
- Luhi mau a me ka manaʻo o ka nāwaliwali.
- ʻAʻole hiki ke ʻaelike i kekahi mea.
- Ka manaʻo maikaʻi ʻole ʻana iā ʻoe iho, ka manaʻo kūpono ʻole.
Hiki ke ʻokoʻa iki kēia mau ʻano i nā keiki ʻōpio. Hiki iā lākou ke haʻalele i ke kaiāulu, hoʻowahāwahā i nā hana kula, hōʻemi i ke kaumaha, a huli pū i nā lāʻau lapaʻau.
He aha kaʻu e hana ai inā ʻaʻole like ka hana a kaʻu lāʻau lapaʻau?
ʻO ka mea maikaʻi loa a ʻo ka mea wale nō e hana ai, ʻo ia ke kamaʻilio me kāu kauka.
E haʻi i kāu kauka e pili ana i kou manaʻo, inā ʻaʻole hana ka lāʻau lapaʻau, a i ʻole nā hopena ʻaoʻao āu e loaʻa nei. Hiki iā ia ke hoʻololi i kāu lāʻau lapaʻau, a hoʻololi paha i ka nui. A i ʻole e kuhikuhi iā ʻoe i kahi lāʻau ʻē aʻe, e like me ka "Talk Therapy".
E hoʻomanaʻo, ʻo ka mālama ʻana i ke kaumaha ua like ia me ka mālama ʻana i kahi maʻi mau e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. Pono ke ahonui a me ka hoʻolaʻa. ʻAʻole ia he mea e hoʻomaikaʻi koke ʻia. Akā me ka mālama kūpono a me ke kākoʻo, hiki iā ʻoe ke hoʻomaikaʻi.
Leka Lawe-Home
- Hiki i nā antidepressants ke lilo i mea maikaʻi loa, akā hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau kūpono nou.
- Ma kahi o 4-6 mau pule e ʻike ai i ka hopena piha o ka lāʻau lapaʻau. No laila e hoʻomanawanui a lawe i ka lāʻau lapaʻau.
- Ma waho aʻe o ka lāʻau lapaʻau, he mea nui loa ke aʻo ʻana (talk therapy), ka hoʻoikaika kino, a me ka mālama ʻana i kahi nohona olakino.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Inā manaʻo ʻoe ʻaʻole e holo pono ana kāu lāʻau lapaʻau, ʻaʻole ia he hāʻule ʻana. He hōʻailona ia ua hiki i ka manawa e kamaʻilio ai me kāu kauka e pili ana i ka loaʻa ʻana o kahi hopena ʻoi aku ka maikaʻi.
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