Sɔntɛnde, yu kin fil lɛk dis? I nɔ mata ɔmɔs mɛrɛsin yu tek fɔ pwɛl hat, ilɛk ɔmɔs dɔktɔ yu chenj, yu tink se da wet de, da we de fɔ de yu wan, da filin de fɔ nɔ want fɔ du ɛnitin de stɔp smɔl? "Wetin mek dis de apin to mi wan?" yu kin de aks yusɛf. Di tin we impɔtant pas ɔl fɔ mɛmba na dat nɔto yu wan de pan dis waka. Bɔku pan wi de we dɔn ɛkspiriɛns dis. Tide wi de tɔk bɔt ɛksaktɔli dis kɔndishɔn. Insay mɛrɛsin, wi kin kɔl dis ‘tritmɛnt-rɛsistant diprɛshɔn’ ɔ ‘Treatment-Resistant Depression’ (TRD) .
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Wetin TRD min ɛksaktɔli?
Fɔ tɔk am simpul wan, Treatment-Resistant Depression (TRD) na wan sik wae yu bɔdi ɛn maynd nɔr de ansa lɛk aw yu bin de ɛkspɛkt to de tritmɛnt dɛm wae dɛn kin gi fɔ pwɛl hat, mɔr lɛk mɛrɛsin.
Dis na aw dɔktɔ dɛn kin no dis sik:
- Yu dɔn yuz at le tu difrɛn kayn mɛrɛsin fɔ pwɛl hat fɔ pwɛl hat.
- Dɛn dɔn gi yu ɔl dɛn mɛrɛsin dɛn de di maksimam doz we yu go ebul fɔ tek .
- Dɛn dɔn tek ɔl dɛn mɛrɛsin dɛn de ɔltɛm fɔ at le 6 wiks .
If, pan ɔl dis, yu pwɛl hat sik nɔr dɔn bɛtɛ ɔr dɔn rili stɔp, yu dɔktɔ kin sɔprayz se yu gɛt TRD.
Di tin we impɔtant pas ɔl na dat, dis nɔto yu fɔlt. Nɔ wɔri bɔt tin dɛn lɛk, ‘A tek mi mɛrɛsin kɔrɛkt wan?’ ɔ ‘Yu tink se mi maynd nɔ strɔng?’ Dis na kɔmplit mɛdikal kɔndishɔn. Sɔm pipul dɛn bɔdi ɛn bren nɔ kin ansa to standad tritmɛnt, i kin dipen pan aw dɛn de wok.
Wetin yu kin du if yu gɛt TRD? Wan we fɔ du tin we gɛt bɔku bɔku tin dɛn fɔ du!
"So a nɔ go ɛva bɛtɛ?" yu kin tink. Bɔt nɔto so i bi. TRD nɔto sik we nɔ go mɛn. Bɔt di joyn fɔ fɛn tritmɛnt fɔ am we go wok fayn kin tranga smɔl. I at fɔ mɛn am wit jɔs wan mɛrɛsin.
So, dɔktɔ dɛn kin tek wan we we gɛt bɔku bɔku angul dɛn fɔ du dis. Dat min se, dɛn kin pe atɛnshɔn pan ɔltin we gɛt fɔ du wit yu layf ɛn wɛlbɔdi biznɛs, nɔto jɔs wan tin, ɛn dɛn kin trit dɛn ɔl wan tɛm. Tink bɔt am lɛk aw i izi fɔ opin domɔt we sɔm pipul dɛn de push pan am frɔm difrɛn angul dɛn, pas fɔ push pan wan big domɔt.
Dis multifaceted aprɔch kin inklud:
| Sɛkshɔn fɔ akses | Tɔk bɔt |
|---|---|
| Di chenj dɛn we de apin na di it we dɛn de it | Fɔ yus to it we gɛt fayn fayn tin dɛn fɔ it ɛn we nɔ fayn fɔ yu maynd. |
| Ɛksasayz | Fɔ mek di bren kemistri bɛtɛ bay we yu de mek di bɔdi wok fayn. |
| Kɔmplit di mɛdikal ɛgzamɛn dɛn | Fɔ du tin lɛk blɔd wok fɔ chɛk fɔ ɔda bɔdi prɔblɛm dɛn we kin de mek pɔsin gɛt pwɛl hat (e.g. tayroyd prɔblɛm, vaytamɛn we nɔ de). |
| Mɛrɛsin we dɛn kin gi | Fɔ gi difrɛn kayn drɔgs togɛda (kɔmbayn) ɔ ad ɔda kayn drɔgs (augmenting agents). |
| Saykotɛrapi | Tɔk tɛrapi. Dis kin ɛp mɔ fɔ mek yu nɔ ebul fɔ tɔk bad bɔt yusɛf. |
| Nyuromoduleshɔn | fכ mek di nεv sεl dεm na di bren wok wit ilektrikal כ magnεtik mεtכd dεm, fכ mek dεn wok mכr wan. Dis na nyu tritmɛnt dɛn we dɔn go bifo. |
| Naf slip | Fɔ du di tin dɛn we yu nid fɔ slip fayn na nɛt we de mek yu bɔdi ɛn maynd rilaks. |
| Nutritional supliment dɛn we dɛn kin gi | If di mɛdikal tɛst dɛn sho se wan patikyula vaytamɛn nɔ de, fɔ ad pan am. Fɔ ɛgzampul, tin dɛn lɛk Vitamin D ɔ Omega-3s kin ɛp fɔ mek yu fil fayn. |
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We yu de mek wan tritmɛnt plan fɔ TRD, fɔ tɔk ɔnɛs ɛn opin wan bitwin yu ɛn yu dɔktɔ rili impɔtant . Yu dɔktɔ go aks yu bɔt di tritmɛnt dɛn we yu bin dɔn gɛt trade. I impɔtant fɔ tɔk klia wan as yu ebul da tɛm de.
Tin dɛn we di dɔktɔ kin aks:
- Us mɛrɛsin yu dɔn yuz trade? (If yu nɔ mɛmba di nem dɛn, kam wit mɛrɛsin kad if yu gɛt am.)
- Wetin doz yu tek dem in? (Dɔz) .
- Aw lɔng yu dɔn de tek da mɛrɛsin de?
- Yu tink se dɛn mɛrɛsin dɛn de bin mek ɛni bad bad tin apin to am? If na so i bi, wetin na bin dɛn?
- Yu bin fil ɛni fridɔm frɔm ɛni mɛrɛsin?
Wae di dɔktɔ no dis infɔmeshɔn, i kin disayd se, "Okay, dɛn mɛrɛsin ya nɔr dɔn woke, lɛ wi tray difrɛn kayn mɛrɛsin ɔ tritmɛnt nɛks."
Dɔn, di dɔktɔ go luk yu ɔl di we aw yu de liv yu layf. Aw yu slip de? Aw yu de it? Yu kin du ɛksɛsayz? Ɔl dɛn tin ya kin afɛkt pwɛl hat, so e kin pe atɛnshɔn pan ɛni wan pan dɛn tin ya ɛn mek wan tritmɛnt plan we go fayn fɔ yu.
Saykothεrapi kin εp bak fכ mεnεj nεgεtiv sεlf tכk wae kin kam wit pwεl hat, lεk "A nɔr kin du natin" εn "A nɔr gɛt wan valyu." Dis na bak wan rili impɔtant pat pan TRD tritmɛnt.
Fɔ dɔn, mɛmba se, TRD nɔto di ɛnd fɔ wan joyn, bɔt na jɔs di biginin fɔ wan difrɛn rod. If yu gɛt di rayt sɔpɔt, di rayt tritmɛnt plan, ɛn yu kɔmitmɛnt, yu go mɔs ebul fɔ win dis prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Treatment-Resistant Depression (TRD) na rial mεdikal kכndyushכn wae di tכpik antidipreshכn mεdikeshכn dεm nכ de prodyuz di risכlt we dεn want.
- Nɔto yu fɔlt ɔr nɔr gɛt wil pawa fɔ mek di mɛrɛsin nɔr de woke. Na sɔntin we gɛt fɔ du wit di bayolojikal prɔses dɛm na yu bɔdi ɛn bren.
- Dɛn kin trit TRD fayn fayn wan, bɔt i nid fɔ gɛt bɔku difrɛn we dɛn we gɛt fɔ du wit it, ɛksesaiz, saykotɛrapi, ɛn di mɔdan tritmɛnt dɛn apat frɔm di mɛrɛsin dɛn.
- Bi rili opin ɛn ɔnɛs wit yu dɔktɔ. Tɛl dɛn ɔltin bɔt di tritmɛnt dɛn we yu bin dɔn gɛt trade ɛn aw yu de fil. Dat na di ki fɔ mek yu gɛt di bɛst tritmɛnt plan.
- Nɔ ɛva giv ɔp op. Wit di rait sopot, yu kin definitely get tru dis.
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