Sɔntɛnde, yu kin fil bad we yu nɔ go ebul fɔ bia, yu kin ebi, ɛn yu nɔ kin want fɔ du ɛnitin? Bɔt we yu padi kɔl yu ɛn tɛl yu gud nyus, ɔ we yu wach fim we yu lɛk, yu tink se da sɔri-at de dɔn fɔ sɔm tɛm ɛn smɔl gladi at kin kam na yu maynd? Ɛn afta dat, yu kin fil di sem kayn sɔri-at ɛn wet bak? Bɔrku pipul dɛn kin tink se pwɛl hat na tin wae pɔrsin kin gɛt ɔltɛm ɛn nɔr kin gladi. Bɔt dis ‘difrɛn kayn pwɛl hat sik’ wae wi de tɔk bɔt tide nɔr tan lɛk dat. I difrɛn smɔl.
Wetin na dis ‘atypical depression’?
Fɔ tɔk am simpul wan, atypical depression na sɔm kayn pwɛl hat sik. Bɔt di sayn dɛm wae de kam pan am difrɛn smɔl frɔm de sayn dɛm fɔ de sik wae wi kin kɔl pwɛl hat.
Naw yu kin tink se di wɔd ‘atypical’ min sɔntin we ‘unusual’ ɔ ‘rarely seen’. Bɔt nɔto dat i min ya. E min, "sho de sayn dɛm wae difrɛn frɔm de sayn dɛm wae wi kin si."
Di men ɛn difrɛn tin bɔt dis na dat we sɔntin we fayn apin to yu, di sɔri-at ɛn nɔ gɛt op we yu kin fil kin dɔn fɔ sɔm tɛm. Fɔ tɔk di kɔrɛkt tin, di we aw yu de fil kin ‘riakt’ we gud tin dɛn apin. Wi kin kɔl dis na mɛrɛsin (mood reactivity) . Dis na de men tin wae de mek dis sik difrɛn frɔm ɔda pwɛl hat sik.
Wetin na di difrɛns bitwin ‘nɔmal’ pwɛl hat sik ɛn dis ‘difrɛn’ pwɛl hat?
Dɛn tu tin ya na mental wɛlbɔdi kɔndishɔn. Dɛn tu tin ya gɛt fɔ du wit fɔ fil bad fɔ lɔng tɛm ɛn nɔ gɛt op. Bɔt sɔm klia difrɛns de bitwin dɛn tu. Lɛ wi si wetin dɛn bi. Tek wan luk pan dis chɔt.
| Di kwaliti we pɔsin gɛt | Tipik Dipreshɔn we pɔsin kin gɛt | Atypical Diprɛshɔn |
|---|---|---|
| Aw yu fil | Ivin if gud tin apin, di sad ɛn ɛmti tin kin stil de. Di we aw pɔsin kin fil nɔ kin chenj. | We sɔmtin gud apin (e.g. pati, gud nyus), sɔri-at kin dɔn fɔ sɔm tɛm ɛn dɛn kin fil gladi at. |
| Apɛtit ɛn wet | Bɔku tɛm, di we aw pɔsin kin want fɔ it kin go dɔŋ, ɛn dis kin mek i nɔ gɛt bɔku bɔku bɔdi. | Bɔku tɛm, di we aw pɔsin kin want fɔ it kin bɔku pasmak, ɛn dis kin mek i gɛt mɔ wet. |
| Slip | Nɔ slip ɔ we yu wek pasmak. | I nɔ mata aw yu slip, yu stil de fil lɛk se yu nɔ de slip. Yu kin slip pasmak (hypersomnia). |
| Di ej fɔ bigin | I kin apin pan ɛni ej. | Bɔrku tɛm e kin bigin wae pɔrsin dɔn pas 20 ia. |
We yu si dɛn difrɛns ya, yu go dɔn ɔndastand se Atypical Depression nɔto "less depression," na "difrɛn kayn pwɛl hat."
Udat kin gɛt dis sik pas ɔlman? Aw i kɔmɔn?
Dis sik kin bɔku pan uman dɛn tu tɛm pas man dɛn. Dɔn bak, bɔku tɛm i kin bigin we dɛn yɔŋ, bitwin 15-16 ia ɛn di fɔs 20 ia.
Pan ɔl di nem ‘Atypical’, dis nɔto so ɔnusual. Infakt, bitwin 15% ɛn 36% pan di pipul dɛm wae dɛn kin no se gɛt dis kayn pwɛl hat sik. Dis min se na wan sik wae kin pasmak pas aw wi kin tink.
Wetin rili na di sayn dɛn we de sho se pɔsin gɛt dis sik?
Apat frɔm di mud riaktiviti we wi bin dɔn tɔk bɔt, we na we yu mud kin bɛtɛ we sɔntin gud apin, yu nid fɔ gɛt at le tu pan dɛn kayn tin ya fɔ no dis kɔndishɔn.
- Fɔ it pasmak ɛn/ɔ fɔ gɛt bɔku bɔku bɔdi: Yu kin fil lɛk fɔ it sɔntin ɔltɛm. Yu kin want it mɔ we gɛt bɔku kabɔhaydrɛt (rays, bred, swit). Dis kin mek yu gɛt bɔku bɔku wet.
- Hypersomnia: Fɔ fil lɛk se yu de slip ivin afta yu dɔn slip fɔ 10 ɔ 12 awa ɛvride. If pɔsin slip bɔku tɛm insay di de, dɛn kɔl am haypasomnia .
- Lid Paralayz: Di an ɛn leg dɛn kin fil se dɛn rili ebi ɛn dɛn nɔ gɛt layf. Dɛn kin fil lɛk se dɛn ebi lɛk lid. Dis kin mek i nɔ izi fɔ grap na bed ɔ waka. Dɛn kɔl dis lid paralayz insay mɛrɛsin.
- Di we aw pɔsin kin fil we pɔsin nɔ gri wit am: Ivin if pɔsin kɔrɛkt am smɔl ɔ if i nɔ gri wit am, i kin rili mek i fil pen. Dis kin mek pɔsin fred ɔ nɔ want fɔ de wit ɔda pipul dɛn ɔ du wok. Dis kin bi bikɔs dɛn rili nɔ gri wit am ɔ bikɔs dɛn tink se dɛn nɔ gri wit am.
Apat frɔm dɛn patikyula sayn ya, dɛn sayn ya wae dɛn kin si pan jɛnɛral pwɛl hat kin apin bak:
- Filin fɔ fil bad bad wan ɛn nɔ gɛt op.
- Fɔ lɔs ɔl di want fɔ du tin dɛn we pipul dɛn bin de ɛnjɔy trade.
- Wan abit fɔ vɛks kwik ɛn vɛks pan smɔl smɔl tin dɛn.
- I nɔ kin izi fɔ pe atɛnshɔn ɛn mɛmba tin dɛn.
Wetin mek dis tin kin apin?
Dɛn nɔ dɔn fɛn wan tin we kin mek dis apin, bɔt di wan dɛn we de stɔdi bɔt dis biliv se sɔm tin dɛn kin apin we kin mek i apin.
- di chenj dεm we de apin na di bren kεmεkal dεm: Fɔ tɔk am simpul wan, dis kin bi bikɔs ɔf di chenj dεm we di kεmikכl dεm na wi bren we de transmit mεsej (wi kכl dεn nyurotransmitta dεm ya ) εn di ples dεm we de rεsכp dεm ( neuroreceptors) .
- Jɛnɛtiks: If pɔrsin na yu famili dɔn gɛt dis sik lɛk pwɛl hat ɔr bipolar disorder , yu kin gɛt dis sik.
- Trauma: Sɔm kayn tin wae kin mek pɔrsin fil bad, mɔr di tin dɛm wae kin apin wae dɛn smɔl, lɛk fɔ trit pɔrsin bad, kin mek dɛn kayn tin ya kam leta na layf.
- Stress wae nɔr de dɔn: Stress wae de teik lɔng tɛm na woke ɛn na famili layf kin afɛkt dis bak.
Ɔda tin dɛn we kin mek pɔsin gɛt mɔ prɔblɛm
Apat frɔm di rizin dɛn we wi dɔn tɔk bɔt, dɛn tin ya kin mek yu gɛt Atypical Depression bak:
- Fɔ gɛt histri bɔt tin dɛm lɛk bipola muud disɔda ɔr wɔri .
- Bad bad tin dɛn we dɛn kin gɛt we dɛn bin smɔl.
- Fɔ bi pɔsin we dɛn de fil bad, pan bɔdi, ɔ we dɛn de du mami ɛn dadi biznɛs wit am.
- Wan siriɔs mɛrɛsin, lɛk aksidɛnt ɔ sik we dɔn te.
- Sɔri-at we pɔsin nɔ go ebul fɔ bia lɛk we pɔsin we yu lɛk day.
- Fɔ gɛt histri fɔ yuz drɔgs ɔ rɔm.
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, i go tɔk to yu gud gud wan bɔt yu sik, yu mɛdikal istri, ɛn yu maynd wɛlbɔdi istri.
Mɛmba se i rili impɔtant fɔ tɛl yu dɔktɔ wetin yu de fil ɛn di prɔblɛm dɛn we yu de gɛt ɛn nɔ ayd ɛnitin.
Sɔntɛnde, dɛn kin du blɔd tɛst fɔ chɛk fɔ ɔda tin dɛn we kin mek yu gɛt di sik. Fɔ ɛgzampul, sɔmtɛm, tayroyd prɔblɛm kin mek yu gɛt sayn dɛm fɔ pwɛl hat, so i impɔtant fɔ pul dɛn kayn tin ya.
Dɔn, if nid de, yu dɔktɔ kin sɛn yu to spɛshal dɔktɔ, lɛk dɔktɔ we de mɛn yu maynd.
Wetin na di tritmɛnt dɛm fɔ dis?
De gud nyus na dat atypical depression na wan sik wae dɛn kin trit fayn fayn wan . Di tritmɛnt we dɛn kin pik kin difrɛn fɔ di kayn sik we yu gɛt. Tu men kayn tritmɛnt de wae dɛn kin yuse.
Saykotɛrapi
Wi kin jɔs kɔl dis advays. Na ya, yu de tɔk bɔt yu prɔblɛm wit wan tren mental wɛlbɔdi kɔstɔma (kɔnsul, sayɛnsman).
- Cognitive Behavioral Therapy (CBT): Dis na tritmɛnt we dɛn kin yuz bɔku bɔku wan ɛn we kin wok fayn. I de ɛp yu fɔ no di bad tin dɛn we yu de tink ɛn fil we de kam na yu maynd ɛn ɔndastand aw dɛn kin afɛkt di tin dɛn we yu de du. Dis kin ɛp yu fɔ chenj dɛn bad bad tin dɛn de ɛn tren yu fɔ tink di rayt we.
Mɛrɛsin dɛn (Antidipreshɔn) .
Difrɛn kayn mɛrɛsin de wae dɛn kin yuse fɔ mɛn pwɛl hat. Dɛn mɛrɛsin ya kin wok mɔ bay we dɛn de balans di lɛvɛl dɛn we di nyurotransmitta dɛn de na di bren.
- Trade, wan klas ɔf drɔgs wae dɛn kɔl MAOIs bin de woke fayn fayn wan fɔ pipul dɛm wae gɛt atypical depression. Bɔt bɔku tin dɛn bin de we yu fɔ tek tɛm wit we yu de tek dɛn wit it ɛn drink, ɛn bɔku bad bad tin dɛn bin de apin. So naw, bɔku tɛm, dɔktɔ dɛn nɔ kin tɛl yu fɔ tek da klas de fɔ tek mɛrɛsin.
- Naw, bɔku mɛrɛsin dɛn de we sef, we nɔ kin gɛt sayd ɛfɛkt, ɛn we kin wok fayn, lɛk SSRI .
Yu dɔktɔ go disayd us mɛrɛsin fayn fɔ yu ɛn aw lɔng yu fɔ tek am. So, nɔ ɛva bigin ɔ stɔp fɔ tek mɛrɛsin we yu nɔ go to dɔktɔ.
Apat frɔm dɛn tritmɛnt ya, fɔ mek sɔm chenj dɛn na yu layf (ɛksɛsayz, fɔ avɔyd fɔ drink rɔm ɛn fɔ tek drɔgs) kin ɛp bak fɔ kɔntrol di sayn dɛm.
Wetin kin apin if dɛn nɔ trit am?
If dɛn nɔ trit dis, i kin gɛt siriɔs prɔblɛm dɛn.
- If pɔsin want fɔ it pasmak ɛn i kin mek i it pasmak ɛn i kin gɛt mɔ wet.
- Di kɔnflikt dɛn we de bɔku pan rilayshɔnship dɛn.
- Di risk fɔ gɛt adikshɔn to drɔgs kin bɔku.
- Ridyus efyushɔn ɛn avɔyd fɔ wok ɔ edyukeshɔn aktiviti dɛn.
- Fɔ mek ɔda tin dɛn we kin apin to pɔsin in bɔdi wɔs.
- Di risk fɔ kil insɛf kin bɔku.
Bɔt if dɛn trit dɛn fayn, 70% to 80% pan di pipul dɛm wae gɛt pwɛl hat kin gɛt bɔrku impɔtant improvement pan dɛn simptom dɛm. De fɔs tritmɛnt wae yu kin bigin wit nɔr kin woke fɔ yu. Bɔt nɔ giv ɔp. Tɔk to yu dɔktɔ fɔ fɛn tritmɛnt plan we go wok fɔ yu.
Ustɛm a fɔ go to dɔktɔ?
If yu fil se yu gɛt di sayn dɛm wae wi dɔn tɔk bɔt na dis atikul, duya nɔr tink se, "Dis na jɔs fɔ fil bad, i go bɛtɛ as tɛm de go," ɛn duya go to dɔktɔ witout delay. Dis na mɛrɛsin wae nid fɔ gɛt tritmɛnt, jɔs lɛk dayabitis ɛn ay blɔd prɛshɔn.
Di tin we impɔtant pas ɔl: If yu ɔ pɔsin we yu sabi de tink bɔt fɔ kil insɛf, duya go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ tɔk to big pɔsin we yu biliv bɔt am. Nɔ sɔfa yu wan.
Mɛsej we dɛn kin kɛr go na os
- Atypical Depression na ‘difrɛn’ kayn pwɛl hat sik. De men tin na dat, de pwɛl hat kin dɔn fɔ sɔm tɛm wae gud tin apin.
- Dis nɔto sɔntin we ‘nɔ kin apin so ɔltɛm’, i kin bɔku pas aw wi kin tink.
- Di men sayn dɛm na wae yu kin want fɔ it pasmak, yu kin slip pasmak, yu an ɛn yu fut kin ebi, ɛn yu kin fil bad pasmak fɔ lɛ yu nɔr want fɔ it.
- Dis nɔto wikɛd tin, bɔt na sik we dɛn kin mɛn fayn fayn wan wit tritmɛnt.
- If yu gɛt dɛn kayn sik ya, nɔr shem ɔr frayd fɔ go to dɔktɔ. Di kwik we yu gɛt ɛp, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.
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