Na sik bak fɔ imajin sik we nɔ de? Lɛ wi tɔk bɔt Factitious Disorders

Yu dɔn ɛva wɔnda wetin mek pɔsin go mek lɛk se i sik we i nɔ sik? Sɔntɛm na fɔ mek ɔda pipul dɛn pe atɛnshɔn to am, ɔ fɔ rɔnawe pan sɔm kayn prɛshɔn. I nɔ simpul lɛk aw i tan lɛk. Tide wi go tɔk bɔt wan maynd sik wae dɛn kɔl Factitious Disorders , wae kin kɔmplikt smɔl, bɔt i rili impɔtant fɔ no bɔt.

Wetin na dɛn tin ya we dɛn kɔl Factitious Disorders?

Fɔ tɔk am simpul wan, factitious disorders na wan grup wae de mɛk pɔrsin gɛt mɛntɛl hεlth. Wetin kin apin ya na wae pɔrsin kin mek lɛk se i sik, ɔr kin mek lɛk se i sik to ɔda pɔsin, ɔr kin mek lɛk se i gɛt sik, ɔl dis fɔ mek i go gɛt mɛrɛsin. Mɛmba se, dɛn kin du dɛn tin ya fɔ insɛf ɛn fɔ in maynd. Dis kin bi bikɔs dɛn rili nid fɔ pe atɛnshɔn to dɛn , dɛn nɔ ebul fɔ bia wit strɛs, ɔ dɛn want fɔ ful di wan dɛn we de wok na di wɛlbɔdi biznɛs.

Dis kin bi wan tin we rili denja . Bikɔs, we yu mek lay lay simptom lɛk dis, yu kin du bad to yusɛf, du tɛst, tritmɛnt, ɛn ivin ɔpreshɔn we nɔ nid. Yu kin du bad bak to di wan dɛn we yu de kia fɔ dis we. If yu ɔ pɔsin we yu sabi de gɛt dɛn kayn tin ya fɔ du bad to dɛnsɛf ɔ ɔda pipul dɛn, mek shɔ se yu go to dɔktɔ ɔ pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs .

Wetin na di men kayn Factitious Disorders?

Tu men kayn dis sik de. Lɛ wi si wetin dɛn bi.

1. Factitious disorder we dɛn kin put pan insɛf

Fɔs, dɛn bin de kɔl dis Munchausen syndrome . Dis kin min fɔ mek lɛk se yu gɛt sayn dɛn na yu maynd ɔ yu bɔdi we nɔ rili afɛkt di pɔsin. Fɔ ɛgzampul, pɔsin kin tɔk se i gɛt wan sik we de na in maynd lɛk skizofrenia , ɛn i kin se i yɛri pɔsin de tɔk to am. Ɔ dɛn kin mek lɛk se yu gɛt bɔdi prɔblɛm lɛk we yu bɛlɛ de at ɔ yu chɛst de pen.

Imajin aw fa sɔm pipul dɛn go go na dis kayn tin, dɛn go tek mɛrɛsin fɔ ridyus fiva, fɔ mek dɛn nɔ gɛt wund dɛn bay wilful, ɔl dis fɔ mek dɔktɔ dɛn biliv se dɛn rili sik.

2. Factitious disorder we dɛn kin put pan ɔda pɔsin

Dis na di ɔda kayn. Wetin kin apin ya na dat sɔmbɔdi we dɛn de kia fɔ (fɔ ɛgzampul, mama we de lay fɔ ripɔt se in pikin gɛt di sik) de ripɔt se dɛn gɛt di sik. Bɔku tɛm, dɛn kin du dis bay we dɛn kin du bad to di ɔda pɔsin bay wilful ɛn sɛn dɛn to dɔktɔ. Dis diagnosis nɔr de gi to di pɔrsin wae de du bad, bɔt na to di pɔrsin wae de du bad . Dɛn kin tek dis sityueshɔn as wan we fɔ trit pipul dɛn bad . Dis kin rili sɔri, nɔto so?

Wetin na de sayn ɛn sayn dɛm fɔ dis sik?

If yu gɛt Factitious Disorder, yu kin du tin lɛk:

• Lay bɔt di sayn dɛn ɔ fɔ mek lɛk se dɛn de.
• Dɛn kin du bad to dɛnsɛf ɔr ɔda pipul dɛn fɔ mek dɛn gɛt di sik.
• Fɔ chenj di rizɔlt fɔ di tɛst we dɛn kin du fɔ no di sik bay wilful (fɔ ɛgzampul, bay we dɛn miks ɔda tin insay wan urine sampul) ɔ mek di wund pwɛl pas fɔ wɛl.
• Wi rili nid sɔri-at ɛn spɛshal atɛnshɔn.

Sɔntɛnde, ivin dɔktɔ dɛn kin ripɔt di sik dɛn we pɔsin nɔ ebul fɔ ɛksplen ɛn we kin mek pɔsin kɔnfyus. Insay dɛn kayn tin ya, dɛn kin tink se na lay lay disorder. Fɔ ɛgzampul:

• Di sayn dɛm kin chenj ɔr wɔs wae yu nɔr bin de ɛkspɛkt, afta dɛn dɔn trit yu ɔr afta yu dɔn kam bak na os frɔm ɔspitul.
• Di sayn dɛm kin apia wantɛm wantɛm ɛn dɔnawe bak. I kin apin di we we pɔsin nɔ go ebul fɔ no wetin go apin.
• Di simptom dεm de sho כnli we dεn wan de.
• Afta di dɔktɔ se, "Yu nɔ gɛt ɛni sik," nyu sayn dɛn kin kam.

Sɔm ɔda sayn dɛn kin bi:

• Dɛn kin go na difrɛn ɔspitul dɛn, klinik dɛn, ɛn dɔktɔ dɛn, ɛn sɔntɛnde dɛn kin ivin go na say dɛn we nɔ de na dɛn siti.
• We dɛn tɛl dɛn difrɛn tɛm ɔ to difrɛn dɔktɔ dɛn, di istri bɔt di mɛrɛsin kin bi tin we nɔ gri wit dɛnsɛf.
• We yu go to nyu dɔktɔ, yu kin chenj nem.
• Dɛn gɛt wɔndaful no bɔt ɔspitul, di wɔd dɛn we dɛn kin yuz fɔ mɛn pipul dɛn, ɛn di tin dɛn we dɛn kin tɔk bɔt na buk dɛn we de tɔk bɔt sik dɛn.
• Dɛn kin rili rɛdi ɛn want fɔ du mɛrɛsin tɛst ɔ ɔpreshɔn we go mek dɛn fil pen.
• Nɔ gri fɔ du saykilɔjik ɛvalueshɔn, ɔ nɔ gri fɔ mek dɔktɔ mit ɔ tɔk to yu fambul, padi, ɔ dɔktɔ dɛn we bin dɔn de bifo.

Wetin mek dis tin kin apin? Wetin na di rizin dɛn?

Infakt, dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt Factitious Disorder. Bɔt stɔdi dɛn dɔn sho se i kin bi bikɔs ɔf tin dɛn we de apin to yu maynd (dat na di pat dɛn na yu pɔsin we de afɛkt yu tink ɛn du) ɛn tin dɛn we de mek yu gɛt layf (dat na di kemistri na yu bren ɛn di we aw yu de mek yu jɛnɛtiks).

Risach dɔn sho bak se dɛn tin ya kin mek pɔsin want fɔ ful dɔktɔ dɛn dis kayn we:

• Di want fɔ mek ɔda pɔsin mit in bɔdi ɔ in maynd.
• Fɔ tray fɔ gɛt pawa ɛn fɔ bɛtɛ pas ɔda pipul dɛn.
• Ridyus di wɔri we pɔsin kin gɛt bikɔs i de fred se dɛn go lɛf am.
• Krio nyu pɔsin in aydentiti.

Bɔt i impɔtant fɔ mɛmba se dis lay lay prɔblɛm kin apin we nɔ gɛt ɛni rizin we mek i apin.

Wetin na de risk factor fɔ gɛt Factitious Disorders?

Dis tin we kin apin kin rili apin .Bɔt yu kin gɛt dis sik if yu dɔn gɛt ɛni wan pan dɛn tin ya:

• Fɔ bi we dɛn bin de trit am bad ɔ we dɛn nɔ bin de kia fɔ am we i bin smɔl.
• Sivεr traumatik εkspiriεns (Trauma).
• Yu ɔ pɔsin we de nia yu kin gɛt sik dɛn ɔltɛm.
• Tin dɛn we nɔ de apin ɔltɛm ɛn prɔblɛm dɛn de na di famili.
• Fɔ dɔn spɛn lɔng tɛm na wɛlbɔdi biznɛs (bikɔs ɔf sik, fɔ wok trenin, fɔ volontia wok, ɛn ɔda tin dɛn).

Aw dɔktɔ dɛn kin no bɔt dis sik?

Infakt, e kin tranga fɔ no se yu gɛt Factitious Disorder bikɔs ɔf dɛn kayn we ya fɔ ful pipul dɛn.

Dɔktɔ go no bɔt dis sik afta i dɔn chɛk yu mɔ. Dɛn tin ya go ɛp:

• Fɔ gɛt kɔmplit mɛdikal istri.
• Fɔ du wan kɔmplit ɛgzam fɔ yu bɔdi.
• Labɔrɔtɔri tɛst.
• Imej tɛst (e.g. X-ray, Skan).

Sɔntɛnde, yu dɔktɔ kin rifer yu fɔ mek saykayatrist ɔr saikɔlɔjis go ɛvaluet yu, bikɔs saykayatrist ɛn sayɛnsman na pipul dɛm wae dɛn dɔn tren spɛshal fɔ no ɛn trit mɛntɛl hεlth kɔndishɔn.

Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)

Di fɔs gol fɔ trit di sik we dɛn kɔl factitious disorder na fɔ chenj di bad we aw pipul dɛn de biev ɛn ridyus di rɔŋ we aw dɛn de yuz ɔ yus pasmak fɔ mɛn pipul dɛn. Wae yu dɔn rich dɛn gol ya, yu mɛdikal tim go pe atɛnshɔn fɔ no di ɔndalayn kɔz dɛm fɔ yu bihayvya ɛn ɛp yu fɔ fɛn sɔlv dɛm wae go mit yu nid dɛm.

Di men tin we dɛn kin pe atɛnshɔn pan fɔ manej dis kɔndishɔn na fɔ ridyus di bad tin dɛn we kin apin to pɔsin . Dɔktɔ dɛn kin wok togɛda fɔ mek shɔ se yu nɔ du mɛdikal tɛst ɔ tritmɛnt we nɔ nid fɔ du. Bɔku mɛdikal tɛst ɛn tritmɛnt kin gɛt bad bad tin dɛn (fɔ ɛgzampul, if yu gi yu antibayɔtik we yu nɔ nid kin mek yu gɛt sayd ɛfɛkt ɔ pwɛl yu ɔgan dɛn).

Sɔntɛnde, dɔktɔ dɛn kin tray fɔ mek yu nɔ du bad to yusɛf (fɔ ɛgzampul, fɔ mek yu nɔ gɛt di sik fɔ yusɛf, dɛn kin mek yu nɔ ebul fɔ gɛt tin dɛn lɛk kanula we dɛn put na yu blɔd vesel).

Dɔn bak, dɔktɔ kin trit di ɔndalayn saykolojik motiveshɔn wae kin mek dɛn gɛt dɛn kayn lay lay tin ya. Ɔlman in tritmɛnt plan difrɛn, we min se i spɛshal .

De men tritmɛnt fɔ Factitious Disorder na saykotɛrapi ( wan kayn kɔyl). Na ya, bɔku tɛm yu go pe atɛnshɔn fɔ chenj di we aw yu de tink ɛn di we aw yu de biev. Dɛn kɔl dis kɔgnitiv-bihayvya tɛrapi (CBT).Di we aw dɛn de du am kin rili ɛp. Dɔn bak, yu kin lan aw fɔ bia wit prɔblɛm dɛn we go mek yu gɛt wɛlbɔdi (we fɔ bia wit prɔblɛm). Tru famili tritmɛnt, yu kin tich yu pipul dɛm bak fɔ nɔr de du sɔm pan yu bihayvya ɔr nɔr fɔ ɛnkɔrej dɛm igen.

Naw, no patikyula mɛrɛsin nɔr de fɔ trit dis sik. Bɔt dɛn kin nid mɛrɛsin fɔ ɔda tin dɛn we kin apin wit dis sik, lɛk fɔ gɛt pwɛl hat ɔ wɔri .

Wetin na de lukin-grɔn fɔ dis sik? (Prɔgnosis) .

De luk fɔ ɔlman wae gɛt Factitious Disorder difrɛn. Sɔntɛnde, dis sik kin te fɔ lɔng lɔng tɛm ɔr ivin fɔ lɔng lɔng tɛm. Fɔ ɔda pipul dɛn, di sayn dɛn kin sho fɔs ɛn i kin bɛtɛ insay sɔm mɔnt. Stɔdi dɔn sho se dis sik kin stɔp bak wantɛm wantɛm, mɔ afta di wan dɛn we yu lɛk ɔ dɔktɔ dɔn no di rayt tin we de apin.

Bɔt, i sɔri fɔ no se bɔku pipul dɛm wae gɛt Factitious Disorder kin avɔyd fɔ go fɔ tritmɛnt fɔ am ɔr nɔr kin fala tritmɛnt plan.

Risk de fɔ gɛt prɔblɛm dɛn we go mek pɔsin in layf de pan denja , so di tɛm we pɔsin de liv kin afɛkt in layf wantɛm wantɛm.

Di wan dɛn we dɛn dɔn du bad to kin sɔfa wit lɔng tɛm maynd wɛlbɔdi prɔblɛm, bɔt tritmɛnt de. If dɛn dɔn trit yu bad, mɛmba se nɔto yu wangren de.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Naw, dɛn nɔr no aw fɔ mek yu nɔr gɛt Facticious Disorder. Bɔt, tritmɛnt kwik kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn . Dɛn kayn prɔblɛm dɛn ya na:

• Dizayd fɔ yuz sɔbstans.
• Fɔ trit ɔda pɔsin bad.
• Amputation (dɛn nɔ nid fɔ pul di insay ɔgan dɛn, di limb dɛn, ɛn ɔda tin dɛn) .
• Ham ɔ sayd ɛfɛkt we kin kam bikɔs ɔf mɛdikal tɛst ɔ tritmɛnt we nɔ nid fɔ du.
• If yu tray fɔ mek lɛk se yu sik, dat kin ambɔg di bɔdi.
• Fɔ kil yusɛf.

If yu fil fɔ du bad to yusɛf ɔ ɔda pɔsin, ɔ if yu de tink bɔt fɔ kil yusɛf, duya go to dɔktɔ ɔ kɔl 1926 (Mɛntal Ɛlth Ɛplayn). If yu fil se yu ɔ pɔsin we de nia yu de pan denja wantɛm wantɛm, kɔl 119 (polis imejensi nɔmba) ɔ yu lokal imejensi savis nɔmba.

Wetin a fɔ du if pɔsin we de nia mi gɛt dis sik?

Factitious Disorder na wan kayn mɛntɛl hεlth sik wae nɔr kin izi fɔ no ɛn trit. Bɔrku pipul dɛm wae dɛn kin no se gɛt dis sik kin nɔr gri ɔr nɔr kin tek di ɔfishal diagnosis frɔm dɛn dɔktɔ bikɔs nɔto di diagnosis wae dɛn bin de ɛkspɛkt.

Yu kin ɛp di pɔsin we yu lɛk bay we yu lisin to wetin dɛn gɛt fɔ tɔk. Nɔ dismis ɔ put di we aw dɛn de ful pipul dɛn, nɔ tek am se natin. Bifo dat, ɛnkɔrej dɛn saful wan fɔ aks fɔ ɛp frɔm pɔsin we de advays dɛn bɔt mental wɛlbɔdi biznɛs . If yu nɔr shɔ aw fɔ ɛp yu pɔrsin wae yu lɛk, aks fɔ advays frɔm pɔrsin wae de gi advays bɔt yu maynd .

Ustɛm a fɔ go to dɔktɔ?

If yu fil se yu nid fɔ du bad to yusɛf ɔ ɔda pipul dɛn fɔ go fɛn tritmɛnt, go to dɔktɔ.

Bɔrku tɛm, pipul dɛm wae gɛt Factitious Disorder nɔr kin no aw dɛn bihayvya kin afɛkt dɛm ɛn de pipul dɛm wae de arawnd dɛm. So, if pɔsin we yu lɛk sho sayn dɛn fɔ Factitious Disorder, dat pɔsin we yu lɛk kin bi di pɔsin we go aks fɔ ɛp. If yu ɔ pɔsin we yu lɛk fil lɛk se dɛn de pan denja wantɛm wantɛm, kɔl di imejensi savis wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn tritmɛnt yu kin advays?
• Aw ɔltɛm a fɔ tɔk to pɔsin we de gi advays bɔt mental wɛlbɔdi biznɛs ?
• Yu tink se di wan dɛn we a lɛk kin tek pat pan tritmɛnt?

Fɔ dɔn, di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Factitious Disorders na wan kɔmpleks kɔndishɔn . Dɛn kin kam afta sɔm kayn bad bad tin wae kin apun, lɛk wae dɛn de trit dɛn bad ɔr nɔr de kia fɔ dɛn, ɛn dɛn kin apin bak nia ɔda mɛntɛl hεlth kɔndishɔn dɛm. Bɔt, nɔto so i bi fɔ ɔlman.

Pɔrsin wae gɛt dis sik kin no wetin dɛn de du, bɔt dɛn nɔr kin no wetin mek dɛn de du am, ɔr aw dɛn bihayvya de afɛkt insɛf ɛn ɔda pipul dɛm . Bɔku tɛm, ɔl wetin pɔsin we gɛt dis kayn tin nid na pɔsin we go lisin to am. Laki, tritmɛnt dɛn de fɔ ɛp yu ɔr pɔrsin wae yu lɛk fɔ wɛl ɛn nɔr du bad tin wae nɔr nid. So, nɔ fred fɔ aks fɔ ɛp.

` Factitious Disorders, Factitious Disorders, Mental Wɛlbɔdi, Munchausen Sindrom, Feigning Symptoms, Saykolojik Tritmɛnt