Koj puas muaj teeb meem tswj kev npau taws sai sai? Cia peb tham txog Intermittent Explosive Disorder (IED)!

Puas muaj tej lub sij hawm koj chim rau tej yam me me uas koj tsis xav txog li? Koj puas qw, pov ib yam dab tsi rau hauv av, lossis txawm ntaus ib tug neeg? Qhov no yuav yog ib yam dab tsi tob dua li "kev coj cwj pwm phem" lossis "ib tug neeg uas chim sai." Hnub no peb yuav tham txog hom kev chim siab tam sim ntawd, ib qho mob hlwb hu ua '(Intermittent Explosive Disorder - IED)'.

"Kev Mob Tawg Ib Txwm - IED" yog dab tsi?

Hais yooj yim xwb, Kev Mob Phom Sij (IED) yog ib qho mob hlwb uas muaj tus cwj pwm tam sim ntawd, tsis tuaj yeem tswj tau, ua phem lossis npau taws. Qhov tseem ceeb tshaj plaws yog tias cov neeg no teb rau qhov npau taws hauv txoj kev uas tsis sib npaug rau qhov xwm txheej. Txawm tias qee yam me me los xij nyuaj heev rau lawv tswj. Xav txog, yog tias muaj ib tug neeg dhia hla koj pem hauv ntej hauv kab, thiab koj npau taws heev uas koj tawm hauv koj lub tsheb thiab tua koj tus kheej nrog nws, qhov ntawd tsis yog kev npau taws ib txwm muaj.

Tiamsis qhov xav tsis thoob yog, thaum lawv tsis npau taws, cov neeg uas muaj "IED" coj tus cwj pwm zoo li qub. Qhov no yog ib qho mob uas koom nrog pawg "Impulse control disorders", uas yog, cov kab mob uas nyuaj rau tswj cov impulses uas tshwm sim hauv lub siab.

Kev tshawb fawb pom tau tias txog li 80% ntawm cov neeg uas muaj IED yuav muaj lwm yam mob hlwb. Cov feem ntau ntawm cov no yog kev ntxhov siab, kev puas siab puas ntsws bipolar, autism, thiab kev tsis taus ntawm lub hlwb.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej '(IED)' no?

Tus mob no tuaj yeem cuam tshuam rau cov menyuam yaus hnub nyoog li 6 xyoos lossis cov neeg laus. Txawm li cas los xij, feem ntau nws raug kuaj pom rau cov tub ntxhais hluas hnub nyoog qis dua 40 xyoo. Nws kuj tau hais tias nws feem ntau tshwm sim rau cov txiv neej .

Cov kws tshawb fawb kwv yees tias ntawm 1.4% thiab 7% ntawm cov pej xeem hauv ntiaj teb yuav muaj tus mob Intermittent Explosive Disorder. Qhov no txhais tau tias txawm hais tias nws tsis yog ib qho uas pom ntau heev los xij, muaj coob tus neeg raug tus mob no.

Cov tsos mob ntawm `(Kev Mob Tawg Tsis Tu Ncua - IED)` yog dab tsi?

Tus cwj pwm tseem ceeb ntawm tus mob no yog tias kev npau taws tshwm sim sai sai hauv txoj kev uas tsis tsim nyog kiag li, tsis txhob txwm ua, thiab tsis sib haum rau qhov xwm txheej kiag li. Cov neeg no paub tias lawv tus cwj pwm tsis yog thiab tsis tsim nyog, tab sis thaum ntawd lawv nyuaj rau tswj lawv tus kheej.

Nov yog qhov xwm txheej ntawm cov kev npau taws no:

• Nws tsis yog ib yam dab tsi uas ua los ntawm lub siab xav, nws yog ib yam dab tsi uas tshwm sim sai sai thiab tsis xav ua ntej. Nws tsis yog ib yam dab tsi uas tau npaj ua ntej.
• Qhov kev npau taws no pib li ob peb feeb tom qab muaj qee yam tshwm sim (kev ua kom neeg chim siab).
• Qhov kev npau taws no feem ntau tsis kav ntev tshaj 30 feeb.
• Qhov xwm txheej no ua rau tus neeg ntawd muaj kev ntxhov siab thiab tu siab heev.
• Tus cwj pwm no ua rau muaj teeb meem hauv tsev kawm ntawv, hauv chaw ua haujlwm, thiab hauv tsev.

Qhov kev chim no tawm los li cas?

Qhov kev chim siab no tuaj yeem tshwm sim ntau txoj hauv kev. Nov yog ob peb yam piv txwv:

• Kev chim siab: Kev coj cwj pwm zoo li dov rau hauv pem teb, quaj, thiab qw zoo li menyuam yaus.
• Kev hem thawj los ntawm kev hais lus: qw, hem lwm tus, hais lus phem.
• Tawm tsam tib neeg lossis tsiaj txhu: thawb, ntaus, ntaus nrig, thiab qee zaum txawm siv riam phom los ua kom mob.
• Kev puas tsuaj rau khoom vaj khoom tsev: pov khoom raws li xav tau, ncaws, tsoo rooj tog, kaw qhov rooj.
• Kev Tsim Txom Hauv Tsev Neeg: Kev tsim txom cov tswv cuab hauv tsev neeg.
• Kev npau taws ntawm txoj kev: Xav txog seb koj npau taws heev uas koj xav tua ib tug neeg vim lawv nyuam qhuav dhau koj hauv tsheb.

Cov xwm txheej npau taws no qee zaum yuav me me, thiab qee zaum lawv tuaj yeem hnyav heev uas ib tus neeg tuaj yeem raug mob hnyav, lossis txawm tias tuag.

Ua ntej koj npau taws, koj yuav muaj tej yam dab tsi uas koj xav tias zoo?

Ua ntej muaj kev tawg ua tej daim loj loj zoo li no tshwm sim, tej zaum koj yuav muaj qee cov tsos mob no:

• Kev npau taws, ib qho kev xav ntawm kev npau taws uas tsis tuaj yeem tswj tau hauv lub siab.
• Kev chim siab.
• Kuv hnov ​​​​​​ntau qhov kev nyuaj siab thiab kev ntxhov siab hauv kuv lub siab.
• Zoo li cov kev xav hauv koj lub taub hau yeej ib txwm khiav ceev heev.
• Kuv tsis tuaj yeem tham nrog lwm tus neeg kom zoo.
• Zoo li kuv lub cev tam sim ntawd muaj zog dua.
• Kev tshee hnyo.
• Lub plawv dhia sai sai nce siab (palpitations).
• Lub hauv siab nruj.

Tom qab qhov kev chim siab no raug tso tawm, muaj kev xav tias zoo siab ib pliag, tab sis tom qab ntawd kev tu siab, kev khuv xim, thiab kev txaj muag tshwm sim. Koj xav tias, "Kuv tau ua dab tsi?"

Vim li cas thiaj muaj qhov teeb meem tawg tsis tu ncua (IED)?

Cov kws tshawb nrhiav tseem tab tom sim nrhiav seb yog dab tsi ua rau qhov no, tab sis lawv xav tias nws yog vim peb yam tseem ceeb:

1. Cov yam ntxwv ntawm caj ces: Qhov no tuaj yeem tshwm sim hauv tsev neeg. Qhov no txhais tau tias yog tias ib tug neeg hauv koj tsev neeg muaj tus mob no, koj yuav muaj feem yuav mob nws thiab. Cov kev tshawb fawb tau qhia tias muaj 44% txog 72% kev cuam tshuam ntawm caj ces rau kev loj hlob ntawm cov cwj pwm tsis xav ua, kev ua phem.

2. Tej yam uas cuam tshuam txog peb lub cev: Kev hloov pauv ntawm cov qauv thiab kev ua haujlwm ntawm peb lub hlwb tuaj yeem ua rau qhov no. Piv txwv li, MRI (Magnetic Resonance Imaging) scans tau pom tias qhov ntawm lub hlwb hu ua amygdala, uas tswj peb txoj kev xav, raug cuam tshuam. Lawv kuj pom tias cov theem ntawm cov neurotransmitter serotonin (ib yam tshuaj uas nqa cov lus ntawm cov hlab ntsha thiab kuj ua haujlwm ua ib yam tshuaj hormones) qis dua li qub rau cov neeg uas muaj IED.

3.Tej yam nyob ib puag ncig: Kev raug tsim txom los ntawm kev hais lus lossis lub cev thaum nws tseem yog menyuam yaus, lossis pom kev tsim txom hauv tsev, tuaj yeem ua lub luag haujlwm hauv kev loj hlob ntawm tus mob no. Tsis tas li ntawd, ib lossis ntau qhov xwm txheej raug mob thaum nws tseem yog menyuam yaus tuaj yeem yog qhov ua rau.

Yuav kuaj mob Intermittent Explosive Disorder (IED) li cas?

Yog koj xav tias koj lossis ib tus neeg koj paub, tshwj xeeb tshaj yog koj tus menyuam, tej zaum yuav muaj cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob uas tsim nyog ua ntej . Lawv yuav xa koj mus rau tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb uas tshwj xeeb hauv kev kuaj mob thiab kho cov mob no. Qhov no yuav yog tus kws kho mob hlwb, tus kws kho mob hlwb, lossis tus neeg ua haujlwm pabcuam hauv zej zog.

Lawv kuaj mob IED siv cov qauv tshwj xeeb los ntawm American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). Lawv yuav nrog koj tham kom zoo zoo thiab nug koj cov lus nug tob txog koj cov tsos mob thiab tus cwj pwm. Lawv yuav nug cov lus nug txog tej yam xws li:

• Koj thiab koj tsev neeg keeb kwm kho mob, tshwj xeeb tshaj yog hais txog cov teeb meem kev noj qab haus huv ntawm lub hlwb.
• Txog koj txoj kev sib raug zoo ntawm tus kheej (keeb kwm kev sib raug zoo).
• Cov ntsiab lus ntawm tsev kawm ntawv thiab chaw ua haujlwm.
• Txog koj lub peev xwm los tswj koj cov kev xav.

Tej zaum koj yuav tau txais cov ntaub ntawv hais txog koj tus cwj pwm thiab keeb kwm los ntawm koj tsev neeg thiab cov phooj ywg zoo.

Yuav kom paub tseeb tias koj muaj "(IED)", koj yuav tsum ua pov thawj tias koj tsis muaj peev xwm tswj tau lub siab xav ua phem, xws li:

• Los yog, ntau zaus dua, tab sis tsis ua rau puas tsuaj ntau: uas yog, kev hais lus phem (qw nrov, hem, sib cav) lossis kev ua phem rau khoom, tsiaj txhu, lossis tib neeg (tab sis tsis muaj kev raug mob hnyav lossis kev puas tsuaj rau khoom) tshwm sim tsawg kawg ob zaug hauv ib lub lim tiam rau peb lub hlis .
• Los yog, tej xwm txheej tsis tshua muaj tab sis loj heev: Peb qhov xwm txheej ntawm kev puas tsuaj rau khoom vaj khoom tsev thiab/lossis kev tawm tsam rau tsiaj lossis tib neeg uas ua rau raug mob, hauv 12 lub hlis (ib xyoos) .

Qhov tseem ceeb tshaj plaws yog tias qib kev npau taws tsis sib npaug rau qhov xwm txheej thiab hnyav heev. Thiab cov no tsis yog kev ua ua ntej. Lawv tshwm sim sai sai, tawm ntawm kev npau taws lossis kev xav tsis thoob. Tsis tas li ntawd, tus kws kho mob yuav xyuas kom meej tias cov tsos mob no tsis yog los ntawm lwm yam kab mob hlwb, lwm yam kab mob lub cev, lossis kev siv tshuaj.

Tus neeg mob yuav tsum muaj hnub nyoog tsawg kawg yog 6 xyoo thiaj li kuaj pom tias muaj tus mob no, tab sis feem ntau nws tshwm sim thawj zaug thaum nws tseem yog menyuam yaus lossis thaum nws tseem hluas.

Cov kev kho mob rau "Intermittent Explosive Disorder - IED" yog dab tsi?

Kev kho mob rau tus mob no feem ntau yog kev kho mob hlwb (kev kho mob tham) thiab qee zaum siv tshuaj. Koj tus kws kho mob yuav txiav txim siab raws li koj lub hnub nyoog, qhov xwm txheej thiab qhov hnyav ntawm koj cov tsos mob.

Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom ua tiav kev zam txim tag nrho cov tsos mob, lossis tsawg kawg yog kom txo qhov hnyav ntawm ib lossis ob qho tsos mob. Txawm hais tias qee tus neeg yuav tsis tuaj yeem rov zoo tag nrho, lub hom phiaj yog tsawg kawg yog kom tus neeg thiab lwm tus muaj kev nyab xeeb thiab txo qhov zaus, qhov hnyav, thiab zaus ntawm kev rov tshwm sim.

`(Kev kho mob puas siab puas ntsws)` rau `(IED)`

Kev kho mob hlwb yog qhov kev kho mob tseem ceeb thiab tseem ceeb tshaj plaws rau qhov no. Tshwj xeeb , Kev Kho Mob Kev Paub Txog Tus Kheej (CBT) siv tau zoo heev rau lub hom phiaj no.

>`(CBT)` yog ib txoj kev kho mob uas muaj cov qauv thiab tsom mus rau lub hom phiaj. Hauv qhov no, tus kws kho mob yuav pab koj saib tob rau hauv koj txoj kev xav thiab kev xav. Koj tuaj yeem nkag siab tias koj txoj kev xav cuam tshuam li cas rau koj cov kev ua. `(CBT)`, koj tuaj yeem tshem tawm cov kev xav tsis raug, kev xav tsis zoo thiab cov qauv kev coj cwj pwm tsis zoo hauv koj lub taub hau thiab kawm xav thiab coj tus cwj pwm zoo dua. `(IED)` tuaj yeem pab cov neeg uas muaj `(CBT)` tswj cov xwm txheej nyuaj hauv lub neej txhua hnub thiab tswj cov kev xav uas ua rau npau taws.

Qee txoj kev tshwj xeeb siv rau IED hauv CBT yog:

• Kev hloov kho dua tshiab ntawm kev xav: Qhov no suav nrog kev txheeb xyuas thiab hloov pauv qhov kev nkag siab yuam kev thiab kev xav tsis zoo uas koj muaj txog cov xwm txheej uas ua rau npau taws lossis tej yam uas koj pom tias yog kev hem thawj.
• Kev cob qhia kom so: Ua pa tob tob thiab so cov leeg nqaij kom so (ib txoj kev uas koj ua kom cov leeg nqaij hauv koj lub cev nruj thiab maj mam so thaum xav txog tej xwm txheej uas ua rau koj chim) tuaj yeem pab koj txo koj txoj kev npau taws.
• Kev cob qhia txog kev daws teeb meem: Ua si nrog tus kws kho mob, cov xwm txheej uas kev npau taws tuaj yeem tshwm sim, thiab xyaum cov lus teb zoo, xws li tawm hauv qhov chaw.
• Kev tiv thaiv kev rov qab ua phem dua: Cov neeg uas muaj IED raug qhia tias nws yog ib qho ib txwm muaj rau lawv rov qab ua phem dua, thiab tias nws yuav tsum tsis txhob pom tias yog qhov ua tsis tiav, tab sis ua ib qho 'yuam kev' lossis 'kev poob qis' me me.

Cov tshuaj rau '(IED)'

Qee cov tshuaj tuaj yeem ua rau koj "qhov txwv" ua rau koj chim siab, uas txhais tau tias koj tuaj yeem tsis chim siab txawm tias yog tej yam me me xwb los xij.

Fluoxetine (ib yam tshuaj Selective Serotonin Reuptake Inhibitor - SSRI) yog cov tshuaj uas tau kawm ntau tshaj plaws rau kev kho IED. Lwm cov tshuaj uas tau kawm rau IED suav nrog Phenytoin, Lithium, Oxcarbazepine, thiab Carbamazepine.

Cov kws kho mob feem ntau yuav sau cov tshuaj no rau IED:

• `(Cov tshuaj tiv thaiv kev nyuaj siab)`
• `(Tshuaj kho mob puas hlwb)` (tshuaj kho mob puas hlwb)
• `(Cov tshuaj tiv thaiv qaug dab peg)` (cov tshuaj uas muab rau cov mob xws li qaug dab peg)
• `(Cov tshuaj tiv thaiv kev ntxhov siab)` (Cov tshuaj tiv thaiv kev ntxhov siab)
• `(Cov tshuaj tswj kev xav)` (cov tshuaj uas tswj kev xav)

Tseem Ceeb: Cov tshuaj no tsuas yog yuav tsum tau noj nyob rau hauv kev saib xyuas ntawm tus kws kho mob, raws li qhov ntau npaum li cas, thiab rau lub sijhawm uas tau teem tseg. Kev noj lossis tsum tsis txhob noj tshuaj raws li qhov xav tau tuaj yeem ua rau muaj kev phiv loj heev.

Cov yam ua rau muaj kev pheej hmoo ntawm kev muaj teeb meem tawg tsis tu ncua (IED) yog dab tsi?

Cov kws tshawb nrhiav tau txheeb xyuas ntau yam uas ua rau muaj tus mob no:

• Ua ib tug tub hluas.
• Kev Tsis Muaj Haujlwm Ua.
• Ua ib leeg xwb (tsis tau sib yuav).
• Qib kev kawm qis dua.
• Raug kev tsim txom lub cev lossis kev sib deev, tshwj xeeb tshaj yog thaum yau.
• Muaj ib tug neeg hauv tsev neeg uas muaj teeb meem tawg ib ntus.

Yog koj muaj kev ntshai lossis kev tsis ntseeg tias koj tus menyuam yuav muaj tus mob no, qhov zoo tshaj plaws yog nrog kws kho mob tham txog qhov no.

Yuav ua li cas thiaj paub tias tus neeg uas muaj teeb meem Intermittent Explosive Disorder (IED) yuav muaj mob dab tsi?

Cov kev tshawb fawb qhia tau tias cov neeg uas muaj IED muaj kev txaus siab rau lub neej tsawg thiab lub neej tsis zoo. Qhov no tuaj yeem muaj kev cuam tshuam tsis zoo rau koj txoj kev noj qab haus huv tag nrho, nrog rau ua rau muaj teeb meem loj hauv koj lub neej tus kheej, tsev neeg, chaw ua haujlwm, thiab kev sib raug zoo hauv zej zog.

Qhov xov xwm zoo yog tias IED tuaj yeem tswj tau zoo nrog Kev Kho Mob Hlwb (CBT) thiab, yog tias tsim nyog, tshuaj. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev tshawb fawb qhia tau tias IED feem ntau yog ib qho mob ntev, kav ntev li 12-20 xyoo, lossis txawm tias ib sim neej.

Tsis tas li ntawd xwb, cov neeg uas muaj IED feem ntau yuav muaj cov mob hauv qab no:

• `(Kev Nyuaj Siab)` (Kev Nyuaj Siab)
• `(Kev Ntxhov Siab)` (Kev Ntxhov Siab)
• `(Kev siv dej cawv tsis zoo)` (Kev quav dej cawv)
• `(Kev siv tshuaj yeeb tsis zoo)` (Kev quav yeeb quav tshuaj lwm yam)

Tseem ceeb heev: Cov neeg uas muaj IED muaj feem yuav raug mob rau lawv tus kheej (piv txwv li, txiav, hlawv) thiab tua tus kheej. Yog li ntawd, yog tias koj xav tias koj lossis ib tus neeg hauv koj tsev neeg muaj Intermittent Explosive Disorder, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau.

Kuv yuav saib xyuas kuv tus kheej li cas yog tias kuv muaj Intermittent Explosive Disorder (IED)?

Yog tias koj tau kuaj pom tias muaj tus kab mob Intermittent Explosive Disorder, muaj qee yam tseem ceeb uas koj tuaj yeem ua tau los saib xyuas koj tus kheej. Qhov tseem ceeb tshaj plaws ntawm cov no yog nrhiav kev kho mob thiab kev kho mob thiab ua raws li nws. Hauv kev kho mob, koj tuaj yeem kawm ntau yam uas tuaj yeem pab koj tiv thaiv kev npau taws thiab, yog tias nws tshwm sim, tswj nws:

• Cov txheej txheem so kom txaus: Tej yam xws li kev ua pa tob tob thiab kev xav.
• Hloov koj txoj kev xav (Kev hloov kho kev paub): Txheeb xyuas thiab hloov cov kev xav uas ua rau npau taws.
• Kev txawj sib txuas lus: Kawm qhia koj txoj kev xav thiab kev xav tau kom meej rau lwm tus yam tsis muaj kev npau taws.
• Hloov koj ib puag ncig, thiab kawm kom deb ntawm cov chaw ntxhov siab yog tias ua tau: Qee zaum, tsuas yog nyob deb ntawm ib qho chaw lossis ib tus neeg ib ntus tuaj yeem ua qhov sib txawv loj.

Ib qho tseem ceeb heev yog kom tsis txhob haus dej cawv thiab siv yeeb tshuaj. Tej no yuav ua rau koj tsis tswj tau koj lub siab xav ua phem thiab ua rau koj muaj feem ua phem ntau dua.

Thaum twg kuv yuav tsum mus ntsib kws kho mob txog `(Intermittent Explosive Disorder - IED)`?

Yog tias koj lossis koj tus menyuam tau raug kuaj pom tias muaj Intermittent Explosive Disorder, koj yuav tsum ntsib nrog koj pab neeg kho mob (kws kho mob, kws kho mob hlwb) tsis tu ncua kom pom tias koj txoj kev kho mob (kev kho mob hlwb thiab/lossis tshuaj) puas ua haujlwm thiab yog tias yuav tsum tau hloov pauv dab tsi.

Yog tias koj lossis koj tus menyuam tus cwj pwm ua rau lwm tus raug mob lossis txaus ntshai (lwm tus neeg, tsiaj txhu), nrhiav kev pab kho mob tam sim ntawd. Tsis tas li ntawd, yog tias ib tus neeg uas muaj '(IED)' xav txog kev ua phem rau lawv tus kheej lossis sim tua tus kheej, xav tau kev pab tam sim ntawd. Thov qhia rau tus kws kho mob lossis tus neeg ntseeg siab tam sim ntawd, lossis xa mus rau qhov chaw pabcuam kev noj qab haus huv ntawm lub hlwb ze tshaj plaws (piv txwv li, chav kho mob hlwb ntawm tsev kho mob pej xeem).

Nco ntsoov tias, Kev Mob Phom Sij (IED) yog ib qho mob hlwb. Nws tsis yog ib qho kev coj cwj pwm phem lossis ib qho kev coj cwj pwm phem. Ib yam li lwm yam kev mob hlwb, kev nrhiav kev pab sai li sai tau thaum koj pom cov tsos mob tuaj yeem pab txo qhov kev cuam tshuam thiab teeb meem hauv koj lub neej. Cov kws tshaj lij kev noj qab haus huv ntawm lub hlwb tuaj yeem muab txoj kev npaj kho mob rau koj thiab pab koj tswj koj txoj kev xav thiab tus cwj pwm.

Tsev neeg thiab cov neeg hlub ntawm cov neeg uas muaj IED feem ntau yuav xav tias ntxhov siab heev, nyuaj siab, thiab kho siab. Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj tus kheej txoj kev noj qab haus huv ntawm lub hlwb thiab nrhiav kev pab yog tias koj muaj cov tsos mob no. Yog tias koj muaj kev sib raug zoo nrog ib tus neeg uas muaj IED, xav txog kev ua cov kauj ruam los tiv thaiv koj tus kheej thiab koj cov menyuam.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb sau qee yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog.

• Kev Mob Phom Sij (IED) yog ib qho mob hlwb tiag tiag. Nws tsis yog tsuas yog "kev chim siab" lossis "kev chim siab phem xwb."
• Tus mob no tuaj yeem tswj tau zoo nrog kev kho mob hlwb thiab, yog tias tsim nyog, tshuaj.
• Zoo tshaj plaws kom nrhiav kev pab thiab kev kho mob sai li sai tau kom cov teeb meem daws tau ua ntej lawv loj hlob tuaj.
• Tsis txhob txaj muag thov kev pab thaum muaj teeb meem zoo li no. Koj tsis yog tib tug xwb.
• Ib yam li tus neeg uas muaj IED, lawv tsev neeg xav tau kev txhawb nqa thiab kev pab. Lawv kuj tuaj yeem raug kev txom nyem los ntawm qhov no.

Yog koj muaj lus nug ntxiv txog qhov no, thov nrog kws kho mob lossis tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb tham.

Kev Mob Hlwb Tawg Tsis Tu Ncua, IED, kev tswj kev npau taws, kev coj cwj pwm tsis xav ua, kev noj qab haus huv ntawm lub hlwb, CBT, kev kho mob