Yu pikin kin fred ɔltɛm? Lɛ wi tɔk bɔt di wɔri we pɔsin kin wɔri we i bin smɔl!

Mama, Papa, sɔntɛm yu smɔl pikin kin fred smɔl smɔl tin dɛn sɔntɛnde, nɔto so? Dat na nɔmal tin. Bɔt sɔm pikin dɛn de, ɛn dɛn de fred ɛn wɔri mɔ ɛn mɔ te i afɛkt di tin dɛn we dɛn de du ɛvride. Tide wi go tɔk bɔt dis kɔndishɔn wae dɛn kɔl childhood anxiety, ɔr ``Anxiety''. If wi ɔndastand dis fayn, i go izi fɔ ɛp wi pikin dɛn.

Yu tink se fɔ fred ɛn wɔri na di sem tin? Wetin na di difrɛns bitwin nɔmal frayd ɛn wɔri wae de na di lɛvɛl fɔ wan sik?

Fɔs, lɛ wi ɔndastand wetin na fɔ fred ɛn wɔri. Fɔ fred na di we aw wi kin biev we wi gɛt rial denja. Imajin se wan dɔg jomp pan yu wantɛm wantɛm we yu de waka na strit, ɛn na da tɛm de yu kin fred. Dat na fred. Wae pɔrsin de wɔri na wae pɔrsin nɔr kin fil fayn ɛn wae pɔrsin kin fil fɔ de pan denja ɔr sɔmtin wae nɔr kin no. Fɔ fred smɔl fɔ nyu tin na nɔmal tin we yu smɔl. I de sho se pikin dɛn de lan fɔ sɔlv prɔblɛm dɛn fɔ dɛnsɛf. As mama ɛn papa, wi kin ɛp pikin dɛn fɔ ɔndastand dis fred ɛn wɔri ɛn win dɛn.

Bɔt sɔm pikin dɛn kin gɛt wɔri we pas aw dɛn kin wɔri. Dɔktɔ dɛn se lɛk wan pan ɛvri fayv pikin dɛn kin gɛt wan sik we de mek dɛn wɔri . We pikin gɛt wan sik we de mek i wɔri, dɛn kin avɔyd tin dɛn, dɛn kin vɛks bad bad wan fɔ smɔl smɔl tin dɛn, kray, ɔ dɛn kin vɛks. Sɔntɛnde, dɛn kin wɔri ɔltɛm se sɔntin go apin. Dɛn kin gɛt sɔm sayn dɛm bak na dɛn bɔdi lɛk bɛlɛ at, ed at, vɔmit, at fɔ blo, ɛn nɔr kin slip.

Difrɛn kayn tin dɛn de we pikin dɛn kin wɔri?

Yɛs, bɔku kayn tin dɛn de we kin mek pikin dɛn wɔri. Lɛ wi tek tɛm luk di men wan dɛn:

1. Separeshɔn Anxiety Disɔda

Dis na sɔntin we bɔku mama dɛn sabi. כltεm arawnd 8-12 mכnt, di pikin dεm kin fred fכ lεf dεn mama כ di wan we de kia fכ dεn. Dɛn kin bigin fɔ fred strenja dɛn. Dis na nɔmal pat pan di pikin in divɛlɔpmɛnt. Dis kin shɔt as dɛn bigin fɔ go bifo skul.

Bɔt, `(Separation Anxiety Disorder)` na wan sik wae de mɔna smɔl. If yu pikin sho se i de fred ɛn wɔri pasmak fɔ lɛf in mama ɔ papa, fɔ go skul, fɔ de fa frɔm os, ɔ fɔ nɔ want fɔ slip in wan, dis kin bi di sik. If i tan lɛk se yu pikin de wɔri ɔ wɔri bɔt dɛn tin ya pas ɔda pikin dɛn, i go fayn fɔ mek yu tɔk to dɔktɔ.

Imajin, Nilu in gyal pikin, Senuri. Naw i ol siks ia. I stil de kray bɔku we i lɛf in mama na di skul get ɛn go na klas. I fayn as lɔng as i de kol te i si in mama. We in mama go, i kin kray ɔl di de ɛn i nɔ kin it. Dis kin bi wan sayn fɔ `(Separation Anxiety Disorder)`.

2. Spɛshal Fɔbia

Fɔ fred de protɛkt wi frɔm denja. So na nɔmal tin fɔ mek pikin dɛn fred sɔm tin dɛn. Sɔntɛm yu pikin de fred laytin, klawn, ɔ ɔda patikyula tin. Bɔt, `(Spɛsifi k Phobias)` na fɔ fred fɔ sɔntin we rili pasmak pas di rial denja. Fɔ ɛgzampul, pikin kin rɔnawe ɛn ayd we i si dɔg, ɔ i kin spɛn bɔku dez de tink bɔt am ɛn fred am.

3. Sɔshial Anxiety Disorder

Dis na we pipul dɛn kin fred pasmak fɔ mek dɛn jɔj yu ɔ nɔ gri fɔ tek yu bifo ɔda pipul dɛn, na sosayti. Sɔntɛm yu pikin nɔ go want fɔ gi tɔk ɔ tek pat pan kɔnsɛt. Ɔ dɛn kin fil bad fɔ tɔk to ɔda pipul dɛn na skul, na ɔda say dɛn we dɛn sabi, ɔ wit nyu pipul dɛn. Sɔm pikin dɛn kin ivin avɔyd fɔ de wit ɔda pipul dɛn atɔl.

4. Jɛnɛralized Anxiety Disɔda

If na so i bi, di pikin kin wɔri pasmak ɛn fred bɔt bɔku difrɛn tin dɛn we i kin du ɛvride. I kin wɔri bak bɔt tumara bambay pas ɔda pikin dɛn we in ej. I kin gɛt bɔku wɔri bɔt wan tin wan tɛm, ɔ dɛn wɔri dɛn de kin chenj wan wan tɛm. Bɔt i kin wɔri ɔltɛm bɔt sɔntin.

5. Panik Atak (Panik Disɔda) .

Pikin dɛn we gɛt dis sik kin fred ɛn wɔri wantɛm wantɛm, ɛn dɛn kin gɛt sɔm sayn dɛn na dɛn bɔdi . Tink bɔt am lɛk at we de rɔn (`Heart Palpitations`), diziz, ɛn i nɔ izi fɔ blo (`Dyspnea`). Dɛn ``Panic Attacks`` ya kin kam wantɛm wantɛm fɔ no rizin. Dɛn kin las frɔm sɔm minit to sɔm awa ɛn afta dat dɛn kin dɔnawe wit dɛn.

Aw dis wɔri kin apin to pikin dɛn?

Fɔ wɔri we yu smɔl, kin rili bɔku pas aw yu go tink. I kin afɛkt bitwin 15% ɛn 20% pan pikin ɛn yɔŋ pipul dɛm. Dɔn bak, lɛk wan pan ɛvri tri yɔŋ pipul dɛn we ol bitwin 13 ɛn 18 ia kin wɔri. I kin bɔku smɔl pan gyal pikin dɛn.

Aw a go no if mi pikin gɛt wɔri? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

As mama ɔ papa, i kin at fɔ no di rayt tin we de apin na yu pikin in maynd, nɔto so? Sɔm pikin dɛn go yuz wɔd dɛn fɔ sho aw dɛn de wɔri. Dɛn kin se sɔntin lɛk, "A de fred fɔ go skul bikɔs a nɔ tink se a go ɛva si yu igen." Bɔt sɔm pikin dɛn nɔ kin no aw fɔ tɔk bɔt aw dɛn de fil. Bɔt we pikin dɛn de wɔri, dɛn kin sho am tru di we aw dɛn de biev. Luk fɔ sayn dɛn lɛk dɛn tin ya na yu pikin:

• I kin wɔri ɛn kray pas ɔda pikin dɛn we in ej.
• Bɔku tɛm dɛn kin se, “A nɔ de fil fayn.” Dɛn kin tɔk tin lɛk, "Mi bɛlɛ de at," "Mi bɔdi de at," ɔ "Mi ed de at."
• A kin gɛt prɔblɛm fɔ slip, a kin wek we a de drim bad bad drim dɛn, ɛn a kin fred fɔ slip mi wan.
• I at fɔ de kol, fɔ de na wan ples (a restless state).
• I kin vɛks izi wan.
• I at fɔ pe atɛnshɔn.
• Dɛn kin se ‘a nɔ angri’, ɔ dɛn kin se ‘a angri’ ɔltɛm.
• Tremor.
• Dem se dem no fit go skul.
• Fɔ go na di was rum bɔku tɛm.

Wetin mek pikin dɛn kin gɛt dis kayn wɔri? Wetin na di tin dɛn we kin mek i apin?

Dɛn kin bɔn sɔm pikin dɛn wit di kayn we aw dɛn kin fil smɔl. I nɔ kin izi fɔ dɛn fɔ dil wit chenj ɛn strɔng filin. Dɛn pikin ya kin gɛt wan jenɛtik prɛdispɔzishɔn fɔ gɛt wɔri ɔr famili histri fɔ wɔri . Dis min se if di mama ɛn papa gɛt wɔri, smɔl chans de fɔ mek di pikin sɛf gɛt am.

Apat frɔm dat, pɔsin kin wɔri bak bikɔs ɔf tin dɛn we kin mek pɔsin strɛs na in layf . Sɔm pikin dɛn kin gɛt fɔ dil wit bɔku tin dɛn we kin mek dɛn strɛs frɔm we dɛn yɔŋ. Fɔ ɛgzampul:

• Day we pɔsin we de nia am day.
• Fɔ muf go na nyu os ɔ nyu skul, mɔ if i kin apin bɔku tɛm.
• Nɔ gɛt inof it ɛn drink.
• Nɔ ebul fɔ liv na say we sef.
• Nɔ ebul fɔ go skul fɔ ɔltɛm.
• Mama ɛn papa dɛn kin fɛt, separet, ɛn dayvɔs.
• Buling, abuse, ɛn neglect frɔm ɔda pipul dɛn.

Wetin na di men tin we kin mek pikin dɛn wɔri?

I at fɔ tɔk fɔ tru wetin na di men tin we kin mek pɔsin wɔri we i smɔl. Fɔ fred na nɔmal tin we pɔsin kin du we i de gro ɔp. Sɔm pikin dɛn kin manej am fayn fayn wan. Bɔt pan pikin dɛn we gɛt wɔri we kin afɛkt dɛn layf ɛvride, dɛn kin tink se di tin dɛn we dɛn kin du na dɛn bɔdi, di tin dɛn we kin apin to dɛn, ɛn di tin dɛn we dɛn kin du na dɛn famili kin ɛp dɛn.

Us kɔmplikɛshɔn kin kam if dɛn nɔr trit dis kayn wɔri sik?

If dɛn nɔ trit di pikin in wɔri fayn fayn wan, dɛn kin gɛt prɔblɛm wit pwɛl hat ɛn fɔ yuz sɔm tin dɛn tumara bambay. Sɔntɛm i nɔ kin izi fɔ dɛn fɔ du skul wok ɛn fɔ go skul. Dɛn kin gɛt mɔ prɔblɛm bak fɔ kil dɛnsɛf . Dɛn tin ya kin mek pɔsin fred fɔ yɛri, bɔt mɛmba se tritmɛnt dɛn de. Mek yu pikin in dɔktɔ chɛk yu pikin ɔltɛm. If yu tink se yu pikin de du bad to insɛf, go to dɔktɔ wantɛm wantɛm.

Aw dɔktɔ dɛn kin no if pikin gɛt wɔri?

Fɔ no fɔ tru if yu pikin gɛt wɔri, di dɔktɔ ɔ nɔs go tɔk to yu ɛn yu pikin togɛda. Dɛn go aks yu bɔt aw yu pikin de biev ɛn aw yu no se dɛn de wɔri. Dɛn go aks yu pikin bɔt di sayn dɛm wae i de gɛt ɛn ustɛm i de gɛt dɛm. Dɛn kin aks yu fɔ fil kwɛstyɔn dɛn (`sɔv`) . Di dɔktɔ kin tray bak fɔ gɛt mɔ infɔmeshɔn bɔt dɛn sik dɛn frɔm dɛn pikin in ticha dɛn.

Dɔn, dɛn kin luk fɔ ɔda tin dɛn we kin mek di pikin gɛt di sik.If no ɔda tin nɔ de we kin mek i wɔri, ɛn di we aw di pikin de wɔri dɔn de mek i fil bad ɛn afɛkt in layf ɛvride fɔ lɛk siks mɔnt so, dɛn kin no se i gɛt wan sik we de mek i wɔri.

Aw fɔ trit pikin dɛn we de wɔri?

Tu men we dɛn de fɔ trit pikin dɛn we de wɔri: Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) ɛn Mɛdikeshɔn Tɛrapi. Dɛn tu tritmɛnt ya kin wok fɔ dɛnsɛf, bɔt i tan lɛk se dɛn kin wok mɔ we dɛn yuz dɛn togɛda.

Kognitiv Bihayvya Tεrapi (`Kכgnitiv Bihayvכral Tεrapi` - `CBT`)

`(CBT)` na wan we fɔ tich pikin dɛn aw fɔ bia wit di prɔblɛm fɔ ɛp dɛn fɔ dil wit wɔri ɛn kɔntrol am . Fɔ tɔk am simpul wan, i min fɔ praktis smɔl smɔl tin dɛn fɔ mek di bɔdi nɔ fil fayn, fɔ tink difrɛn we, ɛn fɔ mek pɔsin fred. Pikin dεm kin lan dεn `(Coping skills)` ya wan wan (`Individual Therapy`) כ insay grup (`Group Therapies`). Mama ɛn papa dɛnsɛf kin lan bɔt dɛn we ya. Dɔn i kin izi fɔ ɛp pikin dɛn fɔ praktis dɛn tin ya na os.

Imajin se Senuri, we wi bin dɔn tɔk bɔt, dɔn bigin fɔ tek CBT tɛrapi. Di dɔktɔ de tich Senuri aw fɔ blo dip we i fil se i de fred ɛn aw fɔ ple gem fɔ mek i kol. Smɔl smɔl, i kin praktis fɔ mek i spɛn mɔ tɛm na klas we in mama nɔ de. Dɛn kin tich di mama bak dɛn we ya fɔ ɛnkɔrej Senuri na os.

Mɛrɛsin dɛn (drɔg dɛn) .

Yu pikin in dɔktɔ kin gi yu mɛrɛsin dɛn frɔm di Selective Serotonin Reuptake Inhibitor (SSRI) klas, lɛk:

• Fluoksɛtin (e.g. Prozac®) .
• Paroxetin (e.g., Paxil®, Pɛksɛva®) .
• Sɛtralin (ɛgz. Zoloft®) .

If dɛn tin ya nɔ wok ɔ nɔ wok fɔ yu pikin, yu dɔktɔ kin gi yu wan mɛrɛsin we dɛn kɔl Serotonin ɛn Norepinephrine Reuptake Inhibitor (SNRI):

• Duloxetin (e.g. Simbalta®, Drizalma®, Irenka®) we de sho se yu gɛt di sik.

Di sayd ɛfɛkt dɛm wae mɛrɛsin kin gɛt fɔ wɔri wae pikin dɛn kin wɔri

If yu pikin gɛt ɛni wan pan dɛn bad bad tin ya , yu fɔ tɛl di dɔktɔ wantɛm wantɛm:

• Alɛji riakshɔn ( e.g., ayv, i nɔ kin izi fɔ blo) .
• Blɔd we de na di stɔl.
• At bit fast ɔ i nɔ de bit ɔltɛm.
• Faint, diziz, chɛst pen, ɔr i nɔ kin izi fɔ blo.
• Ay fiva.
• Wantɛm we yu de si ɔ yu yay de pen.
• Tin fɔ tink bɔt fɔ kil yusɛf ɔ fɔ mek yu maynd wɔs.

Apat frɔm dat, bɔku tɛm, di mɛrɛsin dɛn we dɛn kin yuz fɔ wɔri we dɛn smɔl nɔ kin nid dɔktɔ in prɛskrishɔn, .Sɔm smɔl sayd ɛfɛkt dɛn kin de we kin go insay sɔm wiks. Dɛn tin ya kin kam bak we dɛn chenj di doz fɔ di mɛrɛsin. Yu pikin in dɔktɔ go ɛksplen ɔl dis to yu ɛn ansa ɛni kwɛstyɔn we yu gɛt. Dɛn kayn smɔl smɔl sayd ɛfɛkt dɛn ya na:

• Di chenj dɛn we de apin na di we aw pɔsin want fɔ it.
• I nɔ izi fɔ slip ɔ fɔ slip.
• Dray mɔt.
• Ed de at.
• Di we aw pɔsin kin shek shek.
• Bɛlɛ kin at, nɔs, ɔ dayarɛa.

Aw kwik mi pikin go fil fayn afta i dɔn bigin fɔ trit am?

Bɔrku famili kin bigin wit CBT tɛrapi fɔs. Dɛn kin ad ɔda tritmɛnt if nid de. CBT tritmɛnt, ilɛksɛf dɛn du am dɛn wan (wit mama ɛn papa dɛn involv) ɔ na grup, kin ɛp pikin dɛn fɔ lan kwik kwik wan aw fɔ ridyus ɛn bia wit wɔri. Bikɔs pikin dɛn kin lan dɛn tin ya kwik kwik wan, dɛn kin bigin fɔ fil fayn ɛn gɛt kɔnfidɛns afta jɔs sɔm tɛm. Bɔt sɔmtɛm, ivin if CBT ɛp fɔ ridyus di sayn dɛm smɔl, dɛn nid mɔ ɛp fɔ kɔntrol di wɔri we pɔsin de wɔri gud gud wan. We dɛn kayn tin ya kin apin, i impɔtant fɔ tek mɛrɛsin.

Mεdikeshכn dεm lεk SSRI εn SNRI kin tek sכm tεm fכ bigin wok. Dɔn bak, nɔto ɔl di mɛrɛsin dɛn kin wok di sem we fɔ ɔlman. Yu pikin in dɔktɔ go tray wan mɛrɛsin fɔ shɔt tɛm (bɔku tɛm fɔ sɔm wik to sɔm mɔnt) fɔ si if i ɛp. If i nɔ ɛp, i kin tray fɔ tek ɔda mɛrɛsin.

If mi pikin gɛt wɔri, wetin a fɔ ɛkspɛkt?

If yu pikin gɛt wan sik we de mek i wɔri, i kin du tin we i nɔ ebul fɔ kɔntrol ɛn i kin vɛks. Dɛn kin ol yu ɛn tɛl yu se dɛn nɔ go ebul fɔ kɔmɔt na di os. Pan ɔl we di tritmɛnt fɔ di wɔri we pɔsin kin wɔri we i smɔl kin tek tɛm fɔ wok, bɔku tɛm di sayn dɛn kin bɛtɛ. We dɛn gɛt tritmɛnt, bɔku pikin dɛn we gɛt wɔri kin tek pat pan tin dɛn we dɛn kin ɛnjɔy, mek padi, dɔn skul wok, ɛn ɛnjɔy layf.

Bɔt sɔm tɛm dɛn na pikin in layf, dɛn kin wɔri bak. Da tɛm de, i kin nid fɔ chenj di doz fɔ dɛn mɛrɛsin ɔr gɛt mɔ tritmɛnt te dɛn kɔntrol di wɔri simptom dɛm fayn fayn wan.

Aw mi, as mama ɔ papa, go ɛp mi pikin wit wɔri?

As mama ɔ papa, yu nɔ go ebul fɔ kɔntrol di tin dɛn we kin mek yu pikin strɛs na in layf ɔltɛm. Bɔt yu kin ɛp fɔ mek dɛn gɛt bɛtɛ maynd bay we yu mek shɔ se dɛn tin ya:

• Ɛnkɔrej fɔ du ɛksɛsayz ɛvride .
• Mek say we sef, we go ɛp yu na os ɛn na skul.
• Gɛt inof slip .
• Gi gud balans it .

Dɔn bak, di we dɛn fɔ tink gud wan ɛn du ɛksesaiz fɔ dip briz fɔ ɛp di pikin fɔ kol.Yu kin tich bak. Ɛnkɔrej yu pikin fɔ du smɔl smɔl tin dɛn fɔ lɛ i nɔ fred ɛn wɔri we i kin wɔri. Fɔ ɛgzampul, fɔ aks dɛn fɔ go soshal say we yu de fa smɔl, ɔ fɔ ɔf di layt ɛn tray fɔ mek yu at kol fɔ sɔm minit. Dis kin mek pikin dɛn gɛt kɔnfidɛns ɛn mek dɛn ebul fɔ bia wit di prɔblɛm.

Ustɛm yu fɔ tɛl dɔktɔ bɔt aw yu pikin de wɔri?

If yu pikin de sho sayn dɛm fɔ wɔri, i nɔ de go, ɔ i nɔ de du tin dɛm we yu no se i kin du (e.g., fɔ go na bafa fɔ dɛnsɛf, fɔ kɔmɔt na os) , yu fɔ rili tɔk to dɔktɔ.

Di tin we impɔtant pas ɔl: If yu pikin de sho sayn dɛn fɔ kil insɛf, gɛt ɛp wantɛm wantɛm! Dat min se, if i tɔk tin dɛn lɛk ‘A fil lɛk fɔ day’, ‘No pɔynt nɔ de fɔ liv’, ɔ if i tan lɛk se i de tray fɔ du bad to insɛf, go to dɔktɔ wantɛm wantɛm. Insay Sri Lanka, yu kin kɔl bak di 1926 Nashɔnal Mental Ɛlth Ɛplayn.

I nɔ kin izi fɔ kia fɔ pikin we de wɔri. I kin tek mama ɔ papa/di pɔsin we de kia fɔ di pikin we gɛt peshɛnt, strɔng fɔ luk di tin dɛn we di pikin de aks fɔ ɛn aw i de vɛks ɛn ɔndastand se di tin we kin mek i biev na fɔ wɔri. Sɔntɛnde, i kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu pikin, bɔt dat nɔ bad, nɔ giv ɔp.

Tek tɛm tink bɔt yusɛf bak. Yu kin fil strɛs ɛn wɔri we yu nɔ ivin no. Jɔs lɛk aw yu de si aw yu pikin de wɔri, na so yu pikin de si aw yu de wɔri, ɛn i de afɛkt dɛnsɛf.

Faynal Mɛsej fɔ Tek-Hom

Okay, so a op se wetin wi tɔk bɔt tide dɔn ɛp yu fɔ mɛmba sɔm pan di impɔtant pɔynt dɛn.

• Di wɔri we pɔsin kin wɔri we i smɔl na rial tin we kin apin. Nɔto di pikin in fɔlt, ɛn nɔto yu fɔlt.
• Difrɛns de bitwin nɔmal frayd ɛn wan wɔri prɔblɛm. If i de afɛkt yu pikin in layf ɛvride, wɔri bɔt am.
• Yu fɔ no bɔt de difrɛn kayn ɛn sayn dɛm wae de sho se yu de wɔri.
• If yu gɛt di rayt tritmɛnt (CBT, mɛrɛsin if nid de), dɛn kin kɔntrol dis sik fayn fayn wan. Nɔ fred.
• As mama ɔ papa , di lɔv, sɔpɔt, ɛn peshɛnt we yu gɛt rili impɔtant to yu pikin.
• Nɔ delay fɔ go to dɔktɔ if nid de, mɔ if yu de wɔri se yu pikin go du bad to insɛf.
• Tek kia ɔf yu maynd wɛlbɔdi bak.

If yu pikin gɛt prɔblɛm lɛk dis, nɔto yu wangren de. Ples dɛn de fɔ gɛt ɛp. Di tin we impɔtant pas ɔl na fɔ du sɔntin kwik kwik wan.

` Pikin Wɔri, Wɔri, Pikin dɛn Frayd, Mental Ɛlth, Separeshɔn Wɔri, Sɔshial Wɔri, CBT