Yu kin fred bak fɔ go na sɔm say dɛn? Yu tink se dis kin bi (Agoraphobia)? Lɛ wi tɔk bɔt dis ditayli!

Yu dɔn ɛva gɛt wan pan dɛn ɛkspiriɛns dɛn ya? Imajin se, we yu de na makit we bɔku pipul dɛn kin de, we yu de waka yu wan na big shopin, ɔ we yu stɔp na bɔs, wantɛm wantɛm yu kin fred ɛn fred. Yu kin fil lɛk se yu gɛt prɔblɛm fɔ blo, yu chɛst de bit, yu de swet, ɛn yu kin fil lɛk fɔ rɔnawe. If yu kin gɛt dɛn tin ya ɔltɛm, i nɔ kin bi nɔmal tin. Yu kin gɛt wan sik we dɛn kɔl agoraphobia.

Wetin na dis (Agoraphobia)?

Fɔ tɔk am simpul wan, agoraphobia na wan sik we de mek pɔsin wɔri bad bad wan, we de mek pɔsin fred bad bad wan . Yu kin fil se yu nɔr ebul fɔ du ɛnitin pan ɛnitin, yu nɔr kin ebul fɔ rɔnawe, yu nɔr kin ebul fɔ aks fɔ ɛp, ɔr yu kin shem bifo ɔda pipul dɛm bikɔs ɔf yu panik atak. Bikɔs yu de fred bad bad wan, yu kin bigin fɔ avɔyd sɔm ples ɛn tin dɛn we kin apin to yu.

Imajin, yu padi Nadeesha. I kin rili fred fɔ go na shopin mal dɛn. I se bikɔs dɛn ful-ɔp ɛn big, i kin fil lɛk se i go lɔs, in ed go tɔn, ɛn nɔbɔdi nɔ go kam ɛp am. So naw i nɔ de go bay tin wit in padi dɛn, ɛn i nɔ de go in wan nia big big stɔ dɛn. Dis na de tin wae pɔrsin wae gɛt Agoraphobia kin gɛt.

Dis na de ples ɛn situeshɔn wae pipul dɛm wae gɛt agoraphobia kin avɔyd bɔku tɛm:

• Big, opin ples (e.g., big fil, brij) ɔ kɔmplit klos, smɔl ples (e.g., fim teater, ɛlifant/lift).
• Ples dɛn we pipul dɛn kin bɔku (e.g. makit, bɔs stɔp, fɛstival).
• Ples dɛn we nɔ de na dɛn os, mɔ we dɛn de dɛn wan.
• Pɔblik transpɔt savis (e.g. bɔs, tren).

Wetin na di sayn dɛm fɔ Agoraphobia?

Na nɔmal tin fɔ mek ɔlman fil fred ɛn wɔri wan wan tɛm. Bɔt fɔ pɔsin we gɛt agoraphobia, di fred kin so pasmak dat i kin ambɔg di tin dɛn we i kin du ɛvride. If yu gɛt dis sik, yu kin gɛt sayn dɛm fɔ panik atak (lɛk panik atak) we yu go na say we de mek yu fred, ɔr we yu de tink bɔt fɔ go na da ples de.

Dɛn sayn ya kin bigin wantɛm wantɛm ɛn kin rich pasmak insay sɔm minit. Dis tɛm ya, yu kin fil se:

• Chɛst pen ɔ fil se yu at de bit kwik kwik wan (lɛk we yu de bɔn na yu chɛst).
• Fɔ fil se yu de shek shek, lɛk se yu bɔdi de shek, we yu de fred wit am.
• Fɔ gɛt fɔ blo kwik kwik wan, lɛk se yu de swɛla (`Hyperventilation`).
• Fɔ fil lɛk se yu nɔ gɛt bɛtɛ ed ɔ yu de tɔn yu ed.
• I kin kol wantɛm wantɛm ɔ i kin flash.
• Fɔ swet pasmak (Hyperhidrosis).
• Bɛlɛ we de pwɛl, we de fil lɛk se yu bɛlɛ de tɔn.
• Filin fɔ se yu nɔ gɛt kɔnekshɔn wit di rial tin, fɔ de fa frɔm yusɛf.
• Fɔ fred fɔ lɛ yu nɔ ebul fɔ kɔntrol yusɛf ɔ fɔ day.

Wi no se e kin bi tin wae de mek yu frayd wae yu gɛt sɔm kayn sik lɛk dis. Bɔt mɛmba se nɔto yu wangren de, ɛn ɛp de fɔ dis kayn tin.

Wetin na de kɔz ɛn risk factor dɛm fɔ agoraphobia?

Risach pipul dɛn nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt agoraphobia. Bɔt dɛn biliv se dis sik kin gɛt fɔ du wit wan sik wae dɔn de pan pɔrsin wae dɔn de fred, wae na frayd frayd wae kin kam wantɛm wantɛm fɔ natin. Na lɛk wan pat pan tri pipul dɛm wae gɛt panik disɔda kin gɛt agoraphobia bak. Bɔt sɔntɛnde, i kin apin we yu nɔr gɛt agoraphobia ɔr yu wan.

Bɔku tin dɛn de we kin mek pɔsin gɛt agoraphobia:

• Panik atak ɔltɛm, mɔ if i de kam wit frayd ɛn wɔri pasmak.
• Fɔ gɛt ɔda frayd (`phobias`) (e.g. fɔ fred fɔ ayt, fɔ fred animal).
• Fɔ gɛt tin dɛn we kin mek yu strɛs na yu layf, mɔ we yu lɔs we yu smɔl, we dɛn kin bit yu, ɔ we dɛn kin trit yu bad.
• Fɔ bi mɔr fɔ wɔri ɔr gɛt ɔda kayn wɔri prɔblɛm na di famili.
• Wan pɔsin we de nia in famili gɛt agoraphobia (i kin bi se i gɛt sɔntin fɔ du wit in jɛnɛtiks).
• Fɔ bi smɔl shem ɛn shem bay nature.

Aw yu go no if yu gɛt agoraphobia?

If yu tink se yu gɛt agoraphobia, ɛn if dis wɔri de afɛkt yu ɛvride layf, yu rilayshɔnship, ɔr yu woke, yu fɔ rili go to famili dɔktɔ (praymari kia dɔktɔ) ɔr mɛntɛl hεlth spɛshal pɔsin (e.g., saykayatrist ɔr sayɛnsman).

Sɔntɛm yu de fred fɔ go to dɔktɔ. Dat kin bi pat pan di sik. If na so, wit di teknɔlɔji we de tide, yu kin tɔk to yu dɔktɔ na fon ɔ tru vidio apɔntinmɛnt. Aks bɔt dat.

De dɔktɔ go aks yu kwɛstyɔn bɔt de sik wae de kam, de tin wae de apun na yu layf, ɛn yu famili mɛdikal histri. Fɔ ɛgzampul:

• "Yu de fil plenti preshos and frayd wen yu tink se yu go komot fo haus?"
• "Ples o situeshɔn de we yu de avɔyd bikɔs yu de fred? Wetin mek yu de fred dɛn?"
• "Yu de dipen pan oda pipul fo du di wok fo yu shop?"

Dɔktɔ kin no if yu gɛt agoraphobia bay di sayn dɛm wae yu gɛt, aw ɔltɛm dɛn kin apun, ɛn aw dɛn kin tranga. I impɔtant fɔ opin yu at ɛn ɔnɛs to yu dɔktɔ bɔt ɔltin. Bɔku krayteria dɛn de we di mɛdikal ɔganayzeshɔn dɛn we dɛn no bɔt, lɛk di American Psychiatric Association dɔn put bifo. Fɔ du dat, fɔ mek dɛn no se i gɛt agoraphobia, i fɔ gɛt bad bad fred ɔ panik pan at le tu pan dɛn tin ya:

• We yu de yuz pɔblik transpɔt (lɛk bɔs, tren).
• We yu de na opin, big ples (e.g. big fil, ples fɔ pak motoka).
• We yu de na say we dɛn lɔk ɛn we nɔ gɛt pipul dɛn (e.g. fim teater, mitin rum, smɔl shɔp).
• Ilɛksɛf yu de na kiyu ɔ yu de na krawd.
• We yu kɔmɔt na di os yu wan.

Dɔn bak, if yu avɔyd dɛn ples dɛn de bikɔs ɔf dis fred, ɔ if yu jɔs go na dɛn ples dɛn de wit pɔsin, dat kin bi bak wan sayn fɔ agoraphobia.

Wetin na di tritmɛnt fɔ agoraphobia?

Di gud nyus na dat agoraphobia na wan sik wae dɛn kin mɛn fayn fayn wan wit tritmɛnt. Bɔku tɛm, dɛn kin yuz wan kɔmbayn tritmɛnt dɛn:

• Saykotɛrapi - dat na, tritmɛnt tru tɔk.
• Mɛrɛsin we dɛn kin gi.
• Di we aw pipul dɛn de liv dɛn layf kin chenj.

Aw saykotɛrapi kin ɛp?

Dis na di men ɛn di bɛst tritmɛnt fɔ agoraphobia. Insay dis, pɔsin we tren fɔ mɛn pipul dɛn kin ɛp yu fɔ lɛf fɔ fred ɛn fɔ bia wit am.

Wan kayn tritmɛnt de we dɛn kɔl Kɔgnitiv Biɛvhɔral Tɛrapi (CBT), mɔ. I de ɛp yu fɔ no di bad tin dɛn we yu de tink bɔt we nɔ gɛt sɛns we de mek yu wɔri. Dɔn, yu kin lan fɔ chenj dɛn tin dɛn de wit tin dɛn we rili rial, we gɛt gud tin ɛn chenj di we aw yu de dil wit dɛn tin dɛn de we yu de fred.

Rilaks tεknik ( lεk dip brith εksεsayz) εn εkspכzכn tεrapi (כ desensitization tεknik) dεn de yuz bak. Insay dis, di dɔktɔ kin aks yu fɔs fɔ imajin wan tin we de mek yu fred ɛn ɛp yu fɔ kɔntrol aw yu de fil. Dɔn, smɔl smɔl ɛn tek tɛm, dɛn kin ɛnkɔrej yu fɔ go na say dɛn we yu rili de fred (fɔs wit di pɔsin we de mɛn yu, dɔn yu wan). As yu de kam nia di tin dɛn we yu de fred smɔl smɔl, yu bren de kam fɔ no se dɛn ples dɛn de nɔ denja. As tɛm de go, dɛn tritmɛnt ya kin tich yu bren fɔ tink ɛn du difrɛn we.

Ɛp frɔm Mɛrɛsin

Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin wit di saykotɛrapi. Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di sayn dɛm fɔ wɔri.

• Bɔku tɛm dɛn kin gi di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad lɛk Sɛlɛktiv Sɛrotonin Riuptek Inhibitɔ (SSRI) ɔ Serotonin-Nɔrepinefrin Riuptek Inhibitɔ (SNRI). Dis na mεdikeshכn dεm we de εp fכ bεlε di lεvεl dεm fכ sכm nεchכral kεmikכl dεm na di bren (dεn kכl dεm bak nyurotransmitta, we de afekt wi mכd εn filin dεm). Dɛn mɛrɛsin ya kin trit pɔrsin wae gɛt pwɛl hat ɛn wɔri hat. Yu nɔ go si di rizɔlt wantɛm wantɛm we yu bigin fɔ tek dɛn, ɛn i kin tek sɔm wiks fɔ fil di ifɛkt.
• Sɔmtɛm, dɛn kin gi mɛrɛsin lɛk ``Benzodiazepines'' fɔ shɔt tɛm fɔ ridyus di wɔri kwik kwik wan. Bɔt dɛn nɔ kin fayn fɔ yuz dɛn tin ya fɔ lɔng tɛm bikɔs ɔf di risk fɔ gɛt adikshɔn.

Impɔtant: Dɛn fɔ yuz ɔl dɛn mɛrɛsin ya ɔnda dɔktɔ in sɔpɔtishɔn nɔmɔ. I nɔ go ɛva fayn fɔ bigin, stɔp, ɔ chenj di doz fɔ ɛni mɛrɛsin fɔ yusɛf.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Apat frɔm tritmɛnt, fɔ mek sɔm chenj dɛn na yu layf kin ɛp yu bak fɔ kɔntrol agoraphobia:

• Nɔ drink rɔm, kafinɛ (we de insay ti, kɔfi, ɛn sɔm sɔft drink dɛn), ɛn ɔda tin dɛn we de ambɔg yu. Dɛn tin ya kin mek pɔsin wɔri mɔ ɛn mɔ.
• It fayn it ɛn balans it . It mɔ frut, vɛjitebul, ɛn ɔl di tin dɛn we dɛn kin it.
• Ɛksesaiz ɔltɛm. I fayn if yu ebul fɔ du sɔntin lɛk fɔ waka, rɔn, ɔ swim fɔ at le 30 minit insay di de. We yu de du ɛksasaiz, dat kin mek yu maynd rilaks.
• Praktis fɔ ɛksesaiz fɔ blo ɛn fɔ tink gud wan . Dɛn tin ya kin ɛp fɔ mek yu maynd kol ɛn kɔntrol di wɔri we yu de wɔri.
• Gɛt inof slip . Tray fɔ slip at le 7-8 awa insay di de.

Aw fɔ liv fayn fayn wan wit Agoraphobia?

Fɔ liv wit agoraphobia kin bi prɔblɛm, bɔt if yu gɛt di rayt tritmɛnt ɛn sɔpɔt, yu kin ebul fɔ kɔntrol di sik ɛn liv gladi, layf we go mek yu gladi.

• Yu de tek kia ɔf yusɛf gud gud wan.
• Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am.
• Put wetin yu lan frɔm di pɔsin we de mɛn yu.
• Di tin we impɔtant pas ɔl na fɔ tray fɔ fes di ples ɛn tin dɛn we de mek yu fred smɔl smɔl, smɔl smɔl. Nɔ go fɔ big tin dɛn wan tɛm. Tek smɔl smɔl stɛp dɛn. If yu avɔyd dɛn, dat go jɔs mek yu fred mɔ ɛn mɔ.
• Tɔk to yu fambul ɛn padi dɛn bɔt dis. Di sɔpɔt we dɛn go gi yu, go mek yu gɛt bɔku trɛnk.
• If yu kin jɔyn sɔpɔt grup wit pipul dɛn we gɛt di sem ɛkspiriɛns, dat bak go rili ɛp yu.

Agoraphobia kin mek yu fil frayd, yu wan, ɛn nɔr ebul fɔ ɛp yu. Bɔt mɛmba se, wit tritmɛnt, yu kin kɔntrol dɛn sik ya ɛn du di tin dɛn we yu lɛk wit smɔl fred. If agoraphobia ɔ ɛni ɔda kayn wɔri sik de afɛkt yu layf, mek shɔ se yu tɔk to dɔktɔ. We yu tɔk to yu fri wan ɛn ɔnɛs, dat go ɛp yu fɔ gɛt di ɛp we yu nid.

Fɔ dɔn, mɛmba dis.

So, if yu saspek se yu ɔ pɔsin we yu sabi gɛt di kɔndishɔn we wi bin tɔk bɔt (Agoraphobia), nɔ panik. Dis na sɔmtin wae dɛn kin kɔntrol fayn fayn wan wit tritmɛnt. Di tin we impɔtant pas ɔl na fɔ gɛt di rayt advays we dɔktɔ gi yu ɛn fala da advays de kɔrɛkt wan. Nɔ sɔfa yu wan.

Nɔto yu wan de, ɛn nɔ fred fɔ aks fɔ ɛp. Mɛmba se, yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant! Yu kin rili kɔmɔt na dis sityueshɔn ɛn liv fri wan.

` Agoraphobia, wɔri, fred, panik atak, mental wɛlbɔdi, tritmɛnt, saykotɛrapi