Yu kin fil bak se yu nɔto yusɛf? I tan lɛk se di envayrɔmɛnt nɔ klia? Lɛ wi tɔk bɔt (Depersonalization-Derealization Disorder).

Yu dɔn ɛva fil dis kayn we? I tan lɛk se yu de na do na yu bɔdi ɛn de luk yusɛf. Ɔ di tin dɛn we de arawnd yu nɔ de fil rial, lɛk se na drim. Dɛn ɛkspiriɛns ya kin strenj smɔl, sɔntɛm dɛn kin ivin mek pɔsin fred, nɔto so? Tide wi de tok bɔt de mental stet wae kin apun wae yu gɛt dis kayn ɛkspiriɛns ɔltɛm.

Wetin na dis filin we pɔsin kin fil we i nɔ de nia insɛf ɛn di say we i de?

Fɔ tɔk am simpul wan, insay dis kɔndishɔn we dɛn kɔl ``Depersonalization-Derealization Disorder'', yu kin fil se yu nɔ de nia yusɛf (dɛn kɔl am ``Depersonalization'') ɛn yu kin fil se yu nɔ de nia yu ɛn di say we yu de (dɛn kɔl am ``Derealization'').

Imajin se yu de go na wan stɔ fɔ bay sɔntin. Bɔt yu fil se nɔto yu, bɔt ɔda pɔsin sidɔm insay yu bɔdi, de push di troli, de pik di guds, de pe fɔ am. I tan lɛk se yu de wach frɔm di sayd. Sɔntɛm if yu si yu pikchɔ na wan stɔ winda, yu go fil se yu nɔ de nia ɔda pipul dɛn so dat yu nɔ go ivin ebul fɔ no am. Dis na wetin wi kin kɔl ``(Depersonalization)`` ɔ fɔ fil se yu nɔ de nia yusɛf . Dis na wae yu fil se yu tinkin, filin, ivin yu bodi nor bi yu yone.

Di ɔda say na `(Derealization)`. Dat min se, di tin dɛn we de arawnd yu, di say we yu de, fil lɛk se dɛn nɔto rial tin to yu . I kin fil lɛk se yu de luk di wɔl tru wan winda we gɛt fɔg, ɔ lɛk se yu de wach blak ɛn wayt fim. Sɔntɛnde, i kin tan lɛk se di tin dɛn shep ɛn saiz de chenj. Yu kin ivin fil lɛk se dɛn de chenj as yu de luk dɛn. Imajin se we yu de waka na strit, ɔl di os ɛn tik dɛn kin tan lɛk se dɛn mek dɛn wit kadbɔd, lɛk tɔys. Dat na di stet we dɛn kɔl `(Derealization)`.

Pɔrsin wae gɛt Depersonalization-Derealization Disorder kin gɛt dɛn tu tin ya, ɔr na wan nɔmɔ. Di impɔtant tin na fɔ no se dɛn tin ya nɔto rial tin . Yu nɔ dɔn lɔs yu maynd. Bɔt we yu no se dɛn tin ya we kin apin nɔto rial tin ɛn we yu nɔ ebul fɔ rɔnawe pan dɛn, dat kin mek yu strɛs ɛn wɔri bad bad wan.

Dכkta dεm kin klas dis kכndyushכn as ``Dissociative Disorder'' insay di ``DSM-V'' klasification fכ mental sik dεm. di kכndishכn dεm lεk ``Dissociative Identity Disorder'' (dat na di kכndyushכn we pכsin gεt mכtalman pכsin) εn ``Dissociative Amnesia'' (we na kכndishכn we dεn de lכs mεmכri) dεn tu de insay dis kεtכgrεf.

Aw dis sik kin kɔmɔn?

Infakt, wi ɔl kin fil lɛk se wi nɔ de na dis wɔl sɔm tɛm na wi layf. Na nɔmal tin. Dɛn kɔl am ``transiɛnt dipɔsɔnalayzeshɔn''. I min fɔ fil fɔ sɔm tɛm . Bɔt wetin wi de tɔk bɔt na ``Depersonalization-Derealization Disorder''. Dis nɔto sik we kin de fɔ lɔng tɛm, ɔ sik we kin kam ɛn go . Dis kכndyushכn kin afekt wan כ tu pan εvri כndrεd (1%-2%). Bɔt i kin apin mɔ pan yɔŋ pipul dɛn ɛn pikin dɛn we dɔn rich yɔŋ pipul dɛn.Yu kin si dis smɔl mɔ.

Wetin na di sayn dɛm fɔ dis?

Pipul wae gɛt dis sik kin gɛt prɔblɛm fɔ tɔk bɔt aw dɛn de fil. Sɔm pipul dɛn gɛt di wɔd dɛn fɔ tɔk, bɔt ɔda pipul dɛn nɔ kin ɔndastand ɔ tink se dɛn nɔ bisin bɔt dɛn. Bɔt di men sayn fɔ Depersonalization-Derealization Disorder na dis filin fɔ detachment ɛn disconnection . Yu kin gɛt tin dɛn lɛk:

• Depersonalization na fɔ fil lɛk se yu dɔn separet frɔm yu tinkin, filin, ɛn bɔdi.
• Derealization na di filin wae yu de fil fɔ detach frɔm di tin dɛm wae de arawnd yu ɛn di envayrɔmɛnt.
• Fɔ fil lɛk rɔbɔt, ɔ di pipul dɛn we de rawnd yu de fil lɛk rɔbɔt.
• Fɔ fil se yu nɔr de fil fayn, lɛk se yu dɔn lɔs ɔl yu filin.
• I kin tan lɛk se yu de step kɔmɔt na yu bɔdi ɛn luk yusɛf.
• I kin tan lɛk se yu de liv na drim wɔl.
• Filin lɛk fɔ fil bad ɛn wɔri.

Dɛn sayn ya kin mek yu strɛs ɛn wɔri pasmak. Yu go bigin fɔ wɔnda, ‘A dɔn du sɔntin we nɔ rayt?’ Yu kin tɛmpt fɔ tink bɔt dɛn sik ya ɛn tray fɔ kɔntrol dɛn. Dis kin mek yu wɔri ɛn frayd mɔ ɛn mɔ, ɛn mek yu sik dɛn wɔs .

Wetin mek dis de apin? Wetin na di rizin dɛn?

Dɔktɔ dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt Depersonalization-Derealization Disorder, bɔt bɔku tɛm i kin gɛt fɔ du wit strɛs ɔ wan bad bad tin we kin apin . Fɔ ɛgzampul:

• Fɔ bi we dɛn de trit wi bad.
• Vaylɛns na os (we dɛn dɔn ɛkspiriɛns ɔ witnɛs).
• Fɔ gɛt aksidɛnt ɔ natura disasta.
• Denja tin dɛn we kin mek layf de pan denja.
• Wan pɔsin we yu lɛk day wantɛm wantɛm.
• Fɔ gro ɔp wit mama ɔ papa we gɛt siriɔs maynd sik.

Imajin, sɔm pipul dɛn kin gɛt wan bad bad tin we kin apin we dɛn smɔl. Sɔm pipul dɛn biliv se dis sɛns fɔ separet kin kam bak as we fɔ mek di maynd rɔnawe pan di saykilɔjik strɛs we nɔ kin bia we kin apin da tɛm de, fɔ protɛkt insɛf. Dat min se, di maynd de tray fɔ de ‘sɛparet’ frɔm da traumatik ɛkspiriɛns de.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Sɔm pipul kin gɛt bɔrku risk fɔ gɛt dissociative disorder, ɔr gɛt stet fɔ separet. Bɔku tin dɛn de we kin mek dis apin:

• Nɔr no aw pɔrsin de fil fɔ insɛf (i.e., nɔr ebul fɔ ɔndastand ɛksaktɔli wetin pɔrsin de fil).
• Wae yu gɛt ɔda kayn pɔrsin wae gɛt dis maynia sik ɔr ɔda kayn maynd wɛl bɔdi prɔblɛm.
• Fɔ gɛt prɔblɛm wit yu bɔdi lɛk wae yu gɛt sik wae de mɛk yu nɔr de fil fayn.

Aw yu no dis?

If yu gɛt dɛn kayn sik ya, yu na pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs., we min se i bɛtɛ fɔ go to dɔktɔ we de mɛn pɔsin in maynd ɔ pɔsin we de gi advays. I go aks yu sɔm kwɛstyɔn dɛn bɔt di sayn dɛn we yu gɛt. Dɛn go luk bak fɔ ɔda mɛntɛl hεlth sik wae kin de kɔz yu sik. Fɔ ɛgzampul:

• Pwɛl at
• Wɔri
• Obsesiv-Kɔmpulsiv Disɔda (OCD) .
• Pɔst-Traumatik Strɛs Disɔda (PTSD) .
• Dizayd we pɔsin kin gɛt

If yu nɔr gɛt ɛni ɔda mɛrɛsin lɛk dis, if dɛn sik ya nɔr de afta yu dɔn stɔp fɔ tek ɛni mɛrɛsin, ɛn if dɛn tin ya nɔr de bikɔs yu de tek drɔgs ɔr rɔm, yu dɔktɔ kin no se yu gɛt Depersonalization-Derealization Disorder.

If yu aks us tɛst dɛn de du fɔ no dis, yu dɔktɔ go aks yu kwɛstyɔn fɔ no wetin na yu sik, aw ɔltɛm dɛn kin apin, ɛn aw dɛn kin afɛkt yu ɛvride layf. Dɛn kin gi yu sɔm asɛsmɛnt dɛn bak fɔ rayt ɔ du na kɔmpyuta. I kin at fɔ tɔk bɔt aw yu de fil, bɔt i impɔtant fɔ mek yu tɔk klia wan bɔt yu ɛkspiriɛns . Dis go mek am izi fɔ yu dɔktɔ fɔ ɛp yu.

Wetin na di tritmɛnt dɛm fɔ dis?

Infakt, pipul dɛm wae de stɔdi bɔt dis stil de tray fɔ no di bɛst tritmɛnt fɔ Depersonalization-Derealization Disorder. Bifo yu bigin fɔ trit yu, yu dɔktɔ go tɔk to yu bɔt yu mɛdikal histri, di sayn dɛm, ɛn wetin yu de ɛkspɛkt frɔm tritmɛnt. Bɔku tɛm, dɛn kin tɛl yu fɔ tek mɛrɛsin ɛn fɔ mɛn yu maynd . Dɛn tin ya kin inklud kɔgnitiv bihayvya tɛrapi (CBT) ɔ ay muvmɛnt dɛsensitayzeshɔn ɛn riprosɛsin (EMDR).

Tink bɔt am, `(CBT)` tɛrapi de tich yu aw fɔ dil wit dɛn strenj tin ya we yu de tink ɛn fil, aw fɔ fes dɛn. We yu fil se ``Mi nɔto mi'', dɛn de tich yu fɔ chalenj da tink de, fɔ si am difrɛn we. `(EMDR)` tεrapi kin rili yusful, εspεshali if dis kכndyushכn de riliyt to traumatik ivent dεm.

Di mɛrɛsin dɛn we dɛn kin yuz

Dɛn kin tek tɔk tɛrapi as di bɛst tritmɛnt fɔ dis. Bɔt yu dɔktɔ we de mɛn yu maynd kin tɛl yu bak fɔ tek wan ɔ mɔ mɛrɛsin as pat pan yu tritmɛnt. Fɔ ɛgzampul:

• `(Selective Serotonin Reuptake Inhibitors - SSRIs)` (Dis na wan kayn mɛrɛsin we dɛn kin gi fɔ pwɛl hat ɛn wɔri).
• Mɛrɛsin dɛn we de ɛp fɔ mek pɔsin wɔri.
• Mεdikeshכn dεm we de mek yu mכd stebul.
• Antisaykotik mɛrɛsin na mɛrɛsin wae dɛn kin gi fɔ sɔm kayn maynd sik dɛm.

Dɛn kin gi dɛn mɛrɛsin ya fɔ ɛp fɔ kɔntrol di sik, bɔt i impɔtant fɔ mɛmba se dɛn mɛrɛsin ya nɔmɔ nɔ go ebul fɔ mɛn di sik ɔltogɛda.

Ɛni bad tin de we di mɛrɛsin kin du?

Bikɔs dɛn kin yuz difrɛn mɛrɛsin fɔ Depersonalization-Derealization Disorder, di sayd ɛfɛkt kin difrɛn. Bɔt na sɔm pan di bad tin dɛn we kin apin to pɔsin:

• Banbɛlɛ.
• Diziz we pɔsin kin gɛt.
• Di we aw pɔsin kin slip.
• Dray mɔt.
• I de mek pɔsin want fɔ it mɔ ɛn mɔ.
• De possibiliti fɔ gɛt bad bad tin wit ɔda mɛrɛsin, drɔgs, ɔr rɔm we yu de tek.
• I at fɔ pis (Urinary retention).
• We yu de gɛt mɔ wet.

So, i rili impɔtant fɔ tɛl yu dɔktɔ if yu gɛt ɛni bad bad tin . Dɔn di dɔktɔ kin chenj di mɛrɛsin ɔ gi am difrɛn mɛrɛsin if nid de.

Aw lɔng dis tin go las?

Nɔto bɔku risach data de bɔt dis sɛf. Bɔt if dɛn nɔ trit am, Depersonalization-Derealization Disorder kin las fɔ lɔng lɔng tɛm . Sɔntɛnde, i kin ivin go fɔ insɛf. Bɔt i kin stil gɛt bad bad impak pan yu rilayshɔnship ɛn di wok we yu de du. Di bɛst pat na dat, wit tritmɛnt, di sayn dɛm kin bigin fɔ bɛtɛ insay sɔm mɔnt .

Aw yu de kia fɔ yusɛf?

If yu kɔntinyu fɔ gɛt sayn dɛm fɔ Depersonalization-Derealization Disorder, di fɔs tin we yu fɔ du na fɔ go to tritmɛnt frɔm pɔsin we de gi advays bɔt yu maynd . Yu kin nid fɔ si sɔm pipul dɛn fɔs, dɔn yu kin gɛt mitin ɔltɛm wit pɔsin we de stɔdi bɔt pɔsin in maynd ɛn wan wan tɛm yu kin mit wit dɔktɔ we de mɛn pɔsin in maynd. De saikɔlɔjis kin ɛp yu fɔ fɛn di rayt tritmɛnt fɔ yu ɛn ɛp yu fɔ kɔntrol di sayd ɛfɛkt dɛm wae mɛrɛsin kin gɛt. De kɔlnɔ kin tich yu aw fɔ dil wit yu sik dɛn tru tɔk tritmɛnt ɛn no wetin kin mek yu gɛt dis sik.

Insay da tɛm de, tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek di rayt tɛm . Bi gud to yusɛf. I nɔ bad if yu nɔ ebul fɔ put insay wɔd dɛn jɔs aw yu de fil. Na nɔmal tin fɔ mek yu wɔri bɔt yu wɛlbɔdi biznɛs, bɔt nɔ de tink bɔt am. Yu kin ridyus yu wɔri bay we yu du tin dɛn lɛk fɔ blo kwik kwik wan ɔ fɔ tink gud wan .

Ɛnitin de we nɔ fayn fɔ it ɔ drink?

If yu gɛt Depersonalization-Derealization Disorder, i go fayn fɔ mek yu nɔ yuz drɔgs ɛn rɔm . Drug ɛn rɔm kin mek yu gɛt sayn dɛm fɔ depersonalization ɛn derealization. Dɛn kin intarakt bak bad bad wan wit di mɛrɛsin dɛm wae yu de tek. If yu de yuz drɔgs ɔ rɔm, .Bi ɔnɛs wit yu mental wɛl bɔdi tim bɔt am so dat dɛn go gi yu di sɔpɔt we yu nid fɔ go tru am sef wan.

Ustɛm yu nid fɔ go to dɔktɔ?

Yu dɔktɔ dɛn go mek arenjmɛnt fɔ fala yu ɔltɛm fɔ chɛk if yu wɛl, di sayn dɛm, ɛn di sayd ɛfɛkt dɛm we yu gɛt fɔ yu tritmɛnt. Bɔt sɔntɛnde, yu kin gɛt prɔblɛm ɔ yu nid sɔpɔt, bɔt yu kin mis apɔntinmɛnt. If yu sik dɛn de wɔs, nɔ shem fɔ go to yu dɔktɔ . If yu fil se yu go du bad to yusɛf ɔ ɔda pɔsin, gɛt ɛp wantɛm wantɛm . Insay Sri Lanka, go na di imejensi rum na di ɔspitul we de nia yu, ɔ kɔl wan nɔmba lɛk 1926 (di Nashɔnal Mental Ɛlth Ɛplayn). (Na di US, yu kin kɔl 988 fɔ ɛp fɔ kil yusɛf ɛn fɔ mek yu gɛt prɔblɛm ɔ 911 fɔ ɛp yu kwik kwik wan, bɔt na Sri Lanka, wi kin yuz di savis dɛn we de na wi kɔntri.)

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

Nɔ fred ɔ fred fɔ aks yu dɔktɔ kwɛstyɔn. Na yu rayt. Sɔntɛnde we di dɔktɔ aks se, "Yu gɛt ɛni kwɛstyɔn?", wi nɔ kin ebul fɔ tink bɔt ɛnitin wantɛm wantɛm. So, i go fayn fɔ rayt wan list fɔ di kwɛstyɔn dɛn we yu fɔ aks . Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw lɔng i go tek fɔ mek a fil lɛk misɛf bak?
• Us sayd ɛfɛkt a fɔ ɛkspɛkt frɔm di tritmɛnt?
• Aw lɔŋ a go gɛt fɔ tek mɛrɛsin ɛn/ɔ go to tɔk tɛrapi?
• If a gɛt kwɛstyɔn ɔ tin we de mɔna mi, aw a fɔ kɔntakt yu?
• Wetin a fɔ du if mi sik dɛn de wɔs? Wetin dɛn go du if dɛn wɛl afta dɛn dɔn wok ɔ na di wikɛnd?

I izi fɔ fil se yu nɔr de nia ɔda pipul dɛm wae yu gɛt Depersonalization-Derealization Disorder. Yu kin fil se yu nɔ de nia yusɛf ɔ di wɔl we de arawnd yu. Ɔ yu kin fil lɛk se yu de liv na drim, ɔ yu kin fil lɛk se yu de luk layf tru tik glas we gɛt fɔg. Dɛn filin ya kin mek yu fil se yu nɔ de nia ɔda pipul dɛn. Bɔt mɛmba se yu mental wɛlbɔdi tim de fɔ ɛp yu . Ɛn yu famili, yu padi dɛm... pan ɔl we i kin at fɔ ɔndastand yu rialiti, dɛn lɛk yu. Dɛn nɔ go stɔp fɔ ɛp yu bikɔs dɛn nɔ ebul fɔ ɔndastand yu. Tɛl dɛn wetin yu nid frɔm dɛn . Dɔn dɛn go no aw fɔ ɛp yu.

Fɔ dɔn, di tin we impɔtant pas ɔl

So, fɔ tɔk am simpul wan, Depersonalization-Derealization Disorder na wan mental kɔndishɔn wae de mek yu gɛt strenj, nɔr rial filin bɔt yusɛf ɛn di tin dɛm wae de arawnd yu. Dis nɔto yu fɔlt, ɛn i nɔto wikɛd tin . Dis na sik we pɔsin kin mɛn. Nɔto yu wan de . If yu gɛt dɛn sik ya, duya go to dɔktɔ. If yu gɛt di rayt tritmɛnt, yu kin liv yu layf nɔmal wan bak.Bi gud to yusɛf, peshɛnt, ɛn nɔ fred fɔ aks fɔ ɛp.

` Detachment frɔm yusɛf, detachment frɔm envayrɔmɛnt, Depersonalization-Derealization Disorder, mental wɛlbɔdi, dissociative disɔda, wɔri, strɛs