Yu taya bak fɔ fil bad, wɔri, ɛn nɔ ebul fɔ pe atɛnshɔn pan ɛnitin? Sɔntɛnde, e kin tan lɛk se na yu wan de fɛt dɛn filin ya. Bɔt nɔto yu wan de. Pwɛl hat sik na sik wae dɛn kin trit. Fɔ gɛt ɛp fɔ am nɔto wikɛd tin, na di big trɛnk we yu kin gi yusɛf. So lɛ wi si us tritmɛnt dɛn de fɔ am.
Aw yu kin pik de tritmɛnt wae fayn fɔ yu?
We yu de trit pwɛl hat, nɔr gɛt wan saiz tritmɛnt plan fɔ ɔlman. I tan lɛk se yu de tay sus, dɛn fɔ tay am fɔ fit yu. Yu dɔktɔ go disayd di bɛst tritmɛnt plan fɔ yu bay di kayn pwɛl hat sik we yu gɛt ɛn aw i siriɔs.
Bɔku tɛm, sɔm men pat dɛn de fɔ dis tritmɛnt plan:
- Saykotɛrapi: Dis kin min fɔ tɔk bɔt yu prɔblɛm wit pɔsin we tren fɔ advays yu bɔt yu maynd .
- Mɛrɛsin: Na mɛrɛsin wae dɛn kɔl antidipreshan.
- Ɛksesaiz: We yu de du tin wit yu bɔdi, dat kin rili afɛkt yu maynd.
Sɔntɛnde, dɛn tin ya nɔmɔ nɔ kin mek pɔsin fil fayn. Bɔt nɔ wɔri. If na so i bi, yu dɔktɔ kin tink bak bɔt tritmɛnt fɔ mek yu bren, lɛk `(Electroconvulsive Therapy - ECT)`.
Di tin we impɔtant pas ɔl na fɔ peshɛnt. I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu. Dɔn bak, tray fɔ fɛn dɔktɔ ɔ tritmɛnt we izi fɔ tɔk to ɛn we ɔndastand yu gud gud wan. If yu peshɛnt ɛn opin yu maynd as yu de go tru dis waka go ɛp yu fɔ wɛl kwik kwik wan.
Aw di mɛrɛsin dɛn we de mek pɔsin fil bad kin wok?
Wi kin kɔl dɛn kayn mɛrɛsin ya antidipreshan . Dɛn kin ɛp fɔ ridyus yu pwɛl hat, nɔr gɛt op, ɛn wɔri ɛn fɔ mek yu fil fayn.
Fɔ tɔk am simpul wan, i gɛt fɔ du wit di kemikal mɛsenja dɛn we de na wi bren. Tri men kemikal dɛn de we de ɛp fɔ mek wi nɔ fil fayn. Dɛn tin ya na sɛrotonin, norepinephrine, ɛn dopamine . Risach dɔn sho se na pɔsin we gɛt pwɛl at in bren, di sɔrkwit dɛn we de yuz dɛn kemikal ya nɔ de wok fayn. Di mɛrɛsin dɛn we de mek pɔsin fil bad kin wok bay we dɛn de chenj di we aw dɛn kemikal ya de wok te to sɔm mak ɛn mek dɛn sɛrkyut dɛn de wok fayn bak. Na dat de mek yu mud bɛtɛ.
Aw lɔng a nid fɔ tek dis mɛrɛsin?
Bɔku tɛm, yu dɔktɔ go advays yu fɔ kɔntinyu fɔ tek yu mɛrɛsin fɔ sɔm tɛm afta yu dɔn fil fayn. Dis na fɔ ridyus di risk fɔ mek yu simptom dɛn kam bak. Aw lɔng yu nid fɔ tek yu mɛrɛsin go dipen pan yu sik, aw dɛn dɔn bɛtɛ, ɛn if yu bin dɔn gɛt pwɛl hat bifo. So nɔ stɔp fɔ tek yu mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am.
Wetin na di men kayn mɛrɛsin wae de mek pɔrsin fil bad?
Bɔku kayn mɛrɛsin de fɔ mek pɔsin nɔ fil bad. If yu de tek ɛni ɔda mɛrɛsin, vaytamɛn, sɔpɔtmɛnt, ɔ ɛvbɔdi, yu fɔ rili tɛl yu dɔktɔ bɔt dɛn, bikɔs sɔm mɛrɛsin dɛn kin miks wit dɛnsɛf.
Lɛ wi ɔndastand dɛn men kayn mɛrɛsin ya frɔm di tebul we de dɔŋ ya.
| Tayp fɔ mɛrɛsin | Aw i de wok simpul wan | Ɛgzampul dɛn |
|---|---|---|
| SSRI dɛn we dɛn kin yuz (Sɛlektiv Sɛrotonin Riuptek Inhibitɔ dɛn) | Di kayn we we dɔktɔ dɛn kin tɔk mɔ bɔt. I de mek di yus fɔ wan kemikal we dɛn kɔl sɛrotonin na di bren bɛtɛ. | Fluoksɛtin, Sɛtralin, Sitalɔpram, Ɛssitalɔpram |
| SNRI dɛn (Serotonin ɛn Norepinephrine Riuptek Inhibitɔ dɛn) | I de afɛkt di wok we ɔl tu di kemikal dɛn we de na di bren we dɛn kɔl sɛrotonin ɛn norepinephrine de du. | Venlafaksin, Duloxetin, Dɛsvenlafaksin |
| Trisayklik Antidipreshɔn (TCA) . | Dis na wan kayn mɛrɛsin we dɔn ol smɔl. Pan ɔl we dɛn kin wok fayn lɛk SNRI, dɛn nɔ kin gi dɛn fɔs bikɔs dɛn gɛt smɔl mɔ sayd ɛfɛkt. | Amitriptilin, Imipramin, we dɛn kɔl Imipramin |
| MAOI dɛn (Monoamin Ɔksidayz Inhibitɔ dɛn) . | Dis na di fɔs mɛrɛsin wae dɛn kin yuz fɔ mɛn pwɛl hat. Dɛn kin jɔs gi dɛn if ɔda mɛrɛsin dɛn nɔ ɛp. We yu de tek dɛn mɛrɛsin ya, yu fɔ avɔyd sɔm it dɛn kpatakpata, lɛk chiz ɛn mit we dɔn ol, ɛn sɔm mɛrɛsin dɛn (lɛk tin dɛn we de mek yu fil pen). | Fɛnɛlzin, Isokarbɔksazid, Sɛlɛjilin (patch) . |
Saykotɛrapi na big trɛnk.
Apat frɔm mɛrɛsin, ɛn sɔmtɛm mɔr, tɔk tritmɛnt na tritmɛnt wae rili fayn fɔ pwɛl hat. Dɛn kin kɔl am bak ``Tɔk Tɛrapi.'' Dis kin min se yu kin mit wit saykayatrist, sayɛnsman, ɔr ɔda trenin mɛntɛl hεlth kɔyl fɔ tɔk bɔt aw yu de fil.
Di aim fɔ dis tritmɛnt na fɔ:
- Fɔ ɛp yu fɔ ɔndastand wetin de mek yu gɛt pwɛl hat.
- Fɔ tich yu aw fɔ kɔntrol di we aw yu de fil ɛn bia wit am.
- Fɔ tich nyu we dɛn fɔ bia wit prɔblɛm dɛn na layf.
Difrɛn we dɛn fɔ mɛn pipul dɛn we gɛt tɔk
Dɛn kin du dis tritmɛnt bak di kayn we we go fayn fɔ yu.
- Wan wan tritmɛnt: Na yu ɛn di tritmɛnt pɔsin nɔmɔ de tek pat.
- Grup tɛrapi: Fɔ tɔk to ɔda pipul dɛm wae de go tru di sem prɔblɛm lɛk yu na fayn we fɔ fil se yu gɛt pawa ɛn no se nɔto yu wan de.
- Couples therapy: I de ɛp yu patna fɔ ɔndastand yu sityueshɔn.
- Famili tritmɛnt: De tich yu aw yu famili kin sɔpɔt yu.
Pan di men tritmɛnt we dɛn kin yuz , na di wan dɛn we pipul dɛn lɛk pas ɔl na di Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) ɛn Intapɔsɔnal Tɛrapi . CBT de ɛp yu fɔ no di bad we aw yu de tink ɛn chenj dɛn.
Wetin na ɔda tritmɛnt dɛn we yu kin gɛt?
Apat frɔm mɛrɛsin ɛn tɔk tritmɛnt, bɔku ɔda tritmɛnt dɛn de we yu kin gɛt.
Ɛksasayz
Ɛksesaiz na fayn tritmɛnt fɔ sɔm kayn pwɛl hat sik. If yu du ɛksɛsayz fɔ 45-60 minit, 3-5 dez insay di wik, i kin ɛp fɔ ridyus di sayn dɛm. Bɔt mɛmba se yu kin nid mɛrɛsin ɔ tritmɛnt wit ɛksɛsayz.
Bren Stimulashɔn Tɛrapi dɛn
Dɛn kin yuse dɛn tin ya fɔ rili siriɔs pwɛl hat sik wae nɔr dɔn ansa ɛni ɔda tritmɛnt.
- Ilɛktrokɔnvulsiv Tɛrapi (ECT): Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred, dis na tritmɛnt we rili sef ɛn we dɔn go bifo. Dɛn kin du am we yu ful-ɔp fɔ mek yu fil fayn ɛn yu de slip. Dɔktɔ kin sɛn ilɛktrik shɔk we rili shɔt ɛn we nɔ de mek yu fil pen na yu bren. Dɛn kin yuse am fɔ gi kwik rizɔlt to pasɛnt dɛm wae de pan denja fɔ du bad to dɛnsɛf bikɔs ɔda tritmɛnt dɛn kin tek lɔng tɛm fɔ wok.
- Transcranial Magnetic Stimulation (TMS): Dis involv fכ put magnεtik kכyl oba di sכkul εn stimulate di pat dεm na di bren we de kכntro di mכd. I nɔ nid fɔ gɛt anestezi.
- Vagus Nerve Stimulation (VNS): Dɛn kin ɔpreshɔn wan smɔl tin ɔnda di skin na di chɛst, we kin mek di vagus nerve na di nɛk wok.
Dɛn kin du ɔl dɛn tritmɛnt ya ɔnda spɛshal dɔktɔ dɛn we de kia fɔ dɛn. Yu dɔktɔ go disayd if yu nid dɛn ɔ yu nɔ nid dɛn.
Mɛsej we dɛn kin kɛr go na os
- Pwɛl hat nɔto wikɛd tin, na sik wae dɛn kin trit.
- I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt (mɛrɛsin, tritmɛnt) fɔ yu, so peshɛnt.
- Nɔ ɛva bigin, stɔp, ɔ chenj di doz fɔ di mɛrɛsin we yu nɔ go to yu dɔktɔ.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin ɔ sɔpɔtmɛnt we yu de tek.
- Tɔk tritmɛnt ɛn ɛksɛsayz na impɔtant pat pan tritmɛnt jɔs lɛk aw mɛrɛsin.
- Fɔ aks fɔ ɛp kin mek pɔsin gɛt trɛnk. Pipul dɛn de we go ebul fɔ ɛp yu. Nɔto yu wan de.
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