Yu kin fil bad ɔltɛm? Lɛ wi tɔk bɔt de kayn pwɛl hat sik.

Na nɔmal tin fɔ fil bad ɛn fil dɔŋ smɔl sɔntɛnde na wi layf. I difrɛn fɔ ɔlman. Bɔt if dis pwɛl hat ɛn wɔri kin de ɔltɛm, if yu kin fil sɔri fɔ bɔku pan di de, ɛn if i kin afɛkt yu te yu nɔ ebul fɔ du di tin dɛn we yu kin du ɛvride, i kin bi sɔntin we pas jɔs nɔmal sɔri-at. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn Klinik Dipreshɔn. Dis na wan sik wae yu kin kɔntrol fayn fayn wan wit mɛrɛsin, saykotɛrapi, ɛn chenj na yu layf.

Difrɛn kayn pwɛl hat sik de. Sɔm kin kam bikɔs ɔf tin dɛn we kin apin na wi layf. Ɔda wan dɛn kin apin bikɔs di kemikal dɛn we de na wi bren kin chenj. Ilɛk wetin mek yu de fil, di fɔs tin we yu fɔ du if yu de fil dis kayn we na fɔ tɔk to yu dɔktɔ. I kin rifer yu to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs. Fɔ no uskayn kayn pwɛl hat sik yu gɛt impɔtant fɔ no di bɛst tritmɛnt fɔ yu.

Big Dipreshɔn

Dis na de kayn pwɛl hat sik wae kin pasmak ɛn wae kin kam pan pɔrsin. Yu go dɔn yɛri yu dɔktɔ kɔl am ‘Major Depressive Disorder’ ɔr ‘Klinikal Dipreshɔn.’ If yu fil sɔri ɔr wɔri bɔrku tɛm, bɔrku tɛm, bɔrku de, bɔrku tɛm, yu kin gɛt dis sik.

Dis na sɔm pan de kɔmɔn sayn dɛm wae dɛn kin si pan big big pwɛl hat sik.

If fayv ɔr mɔ pan dɛn sik ya nɔr de fɔ tu wiks ɔr mɔr, dɔktɔ kin se yu gɛt big pwɛl hat.

Sɔbtayp dɛm fɔ big big pwɛl hat sik

Di we aw ɔlman kin gɛt dis sik kin difrɛn, ɛn sɔm sɔbtayp dɛn de fɔ am:

• Distress wae yu de wɔri: Fɔ fil lɛk yu nɔr de rɛst ɛn wɔri bɔrku pan de de. Fɔ fred se bad tin go apin ɛn fil se yu nɔ ebul fɔ kɔntrol yu.
• Melancholy: Na sɔri-at we yu nɔ go ebul fɔ bia, wit filin fɔ want ɔltin we yu bin lɛk trade. Yu nɔ go ebul fɔ gladi ivin wit gud tin dɛn. Yu kin fil bad bad wan, mɔ na mɔnin. Yu kin lɔs yu wet ɛn yu nɔ kin want fɔ it igen.
• Miks tin dɛm: Apat frɔm sɔri-at, ay levul fɔ aktiviti de. Fɔ tɔk bɔku, fɔ muv rawnd, ɛn fɔ du sɔntin we yu nɔ want fɔ du.

Dɛn kin yuse saykotɛrapi ɛn antidipreshan as tritmɛnt. If yu jɔyn dɛn tu we ya, dat kin mek yu gɛt fayn fayn tin dɛn fɔ du. Sɔntɛnde, pan siriɔs kes dɛm we dɛn nɔ kin kɔntrol bay dɛn we ya, dɔktɔ dɛn kin rɛkɔmɛnd spɛshal tritmɛnt dɛm lɛk `Ilektrokɔnvulsiv tɛrapi (ECT)` ɛn `Transcranial magnetic stimulation (TMS)`.

Pɛrsistɛnt Dipreshɔn Disɔda (PDD) .

If yu gɛt pwɛl hat sik wae nɔr de dɔn fɔ tu ia ɔr mɔr, wi kin kɔl am PDD. Fɔ tɔk am simpul wan, i tan lɛk we pɔsin de fil bad we nɔ de dɔn. Fɔs, dɛn bin de kɔl am `dysthymia.` Pan ɔl wae e nɔr kin tranga lɛk big pwɛl hat sik, e kin te fɔ lɔng tɛm ɛn kin pul yu ɛnjɔymɛnt na layf.

Pɔsin wae gɛt PDD kin gɛt sɔm kayn sik lɛk:

• Chenj we yu want fɔ it (we yu de it smɔl ɔ mɔ) .
• Slip chenj (slip tumɔs ɔ tu smɔl) .
• Nɔ gɛt trɛnk, yu kin taya ɔltɛm
• Nɔ gɛt bɛtɛ ɔnɔ fɔ yusɛf
• I nɔ izi fɔ pe atɛnshɔn, fɔ disayd fɔ du sɔntin
• Fɔ fil se yu nɔ gɛt op fɔ tumara bambay

Dɛn kin trit dis bak wit saykotɛrapi ɛn mɛrɛsin, togɛda ɔr wan wan.

Bipolar Disɔda

Sɔm pipul dɛn kin kɔl dis bak ‘Manic Depression’. Pɔsin wae gɛt dis sik kin gɛt difrɛn kayn maynd bitwin tu tin dɛm wae pasmak. Dat min se, wan tɛm dɛn kin gɛt ay stet fɔ mania wit ay ɛnaji ɛn gladi at, ɛn di nɛks tɛm dɛn kin fɔdɔm wantɛm wantɛm insay wan stet fɔ siriɔs pwɛl hat.

Na di tɛm we dɛn kin gɛt pwɛl hat, dat na di tɛm we dɛn kin gɛt pwɛl hat, dɛn kin gɛt di sem sayn dɛm fɔ di kayn pwɛl hat sik wae wi bin dɔn tɔk bɔt.

fכ kכntro dis stet fכ maynd, dεn de gi mεdikeshכn dεm we dεn kכl `mood stabilizers`. Bɔrku patikyula mɛrɛsin de fɔ trit pɔrsin wae gɛt pwɛl hat sik. pan dis situeshכn, dεn kin yuse jεnarכl antidipreshכn wit bכku kכt, biכs sכmtεm dεn kin wכs di `high' fεz na di maynd (mania).

Disruptiv Mud Disrɛgyuleshɔn Disɔda (DMDD) we dɛn smɔl ɛn we dɛn de yɔŋ

Dis na wan sik wae de mɛk pɔrsin fil bad wae kin apun wae pɔrsin smɔl (ej 6-18). Dɛn pikin ya kin vɛks ɔltɛm, we dɛn nɔ kin ebul fɔ kɔntrol. Dɛn kin vɛks bad bad wan bak ɛn nɔ kin rɛst ɔda tɛm dɛn. Dis kayn we aw pipul dɛn kin biev so bad dat i kin rili afɛkt dɛn os, skul, ɛn ivin padi biznɛs wit dɛn padi dɛn. Dɛn kin no DMDD we dɛn sik ya de fɔ 12 mɔnt ɔ mɔ. Di tritmɛnt fɔ dis inklud saykotɛrapi ɛn if nid de, mɛrɛsin.

Sizin Afɛktiv Disɔda (SAD) .

Dis na wan kayn kayn pwɛl hat sik bak. I kin apin wit di chenj we di wɛda kin chenj. Bɔku tɛm, i kin apin insay di kol sizin, we di de dɛn kin shɔt ɛn di san nɔ kin shayn bɛtɛ. I kin dɔn we di sɔmda kam bak, we di san brayt mɔ.

dεn biliv se dis na bikoz fכ chenj dεm na di כmon dεm `Serotonin` εn `Melatonin`, we de kכntro wi slip εn mכd. we di san layt dכn dכn, wi bכdi de mek mכr `Melatonin` εn i de ridyus `Serotonin`. Dis chenj na wae de mek pɔrsin fil bad, slip, ɛn chenj in bihayvya. Dɛn kin yuse mɛrɛsin wae de mek pɔrsin fil bad, saykotɛrapi, ɛn mɔr lɛk layt tritmɛnt as tritmɛnt fɔ dis.

Saykotik Dipreshɔn

Pipul wae gɛt dis sik kin sho bak "saykotik simptom dɛm" pan ɔl wae de simptom dɛm wae de kam wit big pwɛl hat sik.

• Hallucinations: Fɔ si ɔ yɛri tin dɛn we nɔ rili de.
• Delusions: Strɔng biliv bɔt tin dɛn we nɔto tru.
• Paranoia: Na di mistek we yu biliv se ɔda pipul dɛn de tray fɔ du yu bad.

Dis na wan sik we rili siriɔs. Fɔ dis, dɛn kin yuz mɛrɛsin fɔ mɛn diprɛshɔn ɛn antisaykotik togɛda.

Diprɛshɔn bifo dɛn bɔn pikin ɛn afta dɛn bɔn pikin

Diprɛshɔn bifo dɛn bɔn pikin

di chenj dεm we di כmon dεm de chenj we dεn bεlε kin mek sכm uman dεm kin fil bad εn wɔri we kin te pas fכ dez. Dis nɔto nɔmal tin ɛn i nid fɔ gɛt tritmɛnt. Dis risk kin pasmak pan uman dɛm wae gɛt histri fɔ gɛt maynd sik, wae dɔn gɛt strɛsful tin dɛm wae dɛn gɛt bɛlɛ, ɛn wae nɔr gɛt sɔpɔt frɔm dɛn patna ɔr famili.

Diprɛshɔn afta dɛn bɔn pikin (PPD) .

Dis na wetin bɔrku pipul kin kɔl "postpartum depression." Fɔ fil sɔri smɔl fɔ sɔm dez afta yu bɔn pikin (di pikin bluz) na nɔmal tin. Bɔt if yu gɛt siriɔs pwɛl hat, nɔr gɛt op, ɛn wɔri wae de teik pas tu wiks, e kin bi PPD. Dɛn filin ya kin so tranga dat i kin mek i nɔ izi fɔ mek di mama gɛt tayt padi biznɛs wit in pikin ɔ ivin fɔ wok na in layf ɛvride.

di kכndyushכn we siriכs εn we nכ kin apin na ‘Postpartum Psychosis’. If na so i bi, di mama kin fil bad ɛn tink bɔt fɔ du bad to insɛf ɔ di pikin. Dis na mɛdikal imejensi. Dɛn fɔ go to dɔktɔ wantɛm wantɛm na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).

Ɔda tin dɛn we kin mek pɔsin fil bad

• Premenstrual Dysphoric Disorder (PMDD): Dis na wan sik wae uman kin gɛt siriɔs pwɛl hat sik ɛn ɔda sayn dɛm (lɛk fɔ vɛks bad bad wan ɛn wɔri) insay di wik ɔ tu wik bifo dɛn mɔnt. I rili bad pas PMS we dɛn kin gɛt ɔltɛm.
• ‘Situational’ Diprɛshɔn: Dis nɔto ɔfishal mɛdikal wɔd. Bɔt dɛn kin yuz dis wɔd fɔ tɔk bɔt wan stet we wi kin fil bad we kin apin bikɔs ɔf sɔntin we kin mek wi strɛs na wi layf (e.g., day na di famili, we wi lɔs wok, dayvɔs, we wi nɔ ebul fɔ du ɛgzam). Fɔ advays wi kin bi fayn we fɔ ɛp wi fɔ wɛl frɔm dis kayn tin.
• Diprɛshɔn wae nɔr kin gɛt tritmɛnt: Sɔm pipul kin gɛt prɔblɛm fɔ kɔntrol dɛn pwɛl hat ivin afta dɛn dɔn tray fɔ gɛt sɔm tritmɛnt. Dis nɔ min se yu nɔ go ebul fɔ mɛn yu. I jɔs min se yu nid fɔ wok tranga wan smɔl wit yu dɔktɔ fɔ fɛn di tritmɛnt we go woke fayn fɔ yu.