Yu de sɔfa wit pwɛl hat? Ivin afta yu go to dɔktɔ ɛn tek di mɛrɛsin we dɛn gi yu di rayt we, yu stil fil se yu nɔ go ebul fɔ du bɛtɛ ɔ chenj? Yu ful-ɔp wit kwɛstyɔn dɛn lɛk, "Wetin mek dis de apin to mi wan? Di mɛrɛsin nɔ de wok? Dis sik nɔto fɔ mi nɔmɔ?" If na so i bi, nɔto yu wangren de. Dis na wan sik wae kin afɛkt bɔrku pipul dɛm. Tide wi go tok abaut dis. Fɔ tɔk bɔt mɛrɛsin, dɛn kin kɔl dis Tritmɛnt-Resistant Depression .
Lɛ wi tray fɔ ɔndastand dis stori tru di ɛkspiriɛns we wan yɔŋ uman we nem Imade gɛt. Imade na yɔŋ uman we gɛt sɛns ɛn we lan buk. Afta i gradyuet frɔm wan big yunivasiti, i bin wok tranga wan fɔ fɛn gud wok. Bɔt i nɔ bin izi fɔ am. We i kɔntinyu fɔ tray bɔt i nɔ bin ebul fɔ fɛn wok, i bigin fɔ fil se i de mɔna am ɛn i bin bigin fɔ fil bad. I bin tɔk se: “Di we aw a nɔ bin gɛt wok, di we aw a bin de fil se a nɔ ebul fɔ du natin na layf, bin mek a gɛt mɔ prɔblɛm dɛn na mi maynd.” Bikɔs i nɔ bin ebul fɔ bia dis prɛshɔn, i bin ivin tray fɔ kil insɛf. Na da tɛm de dɔktɔ dɛn bin kam fɔ no se i gɛt wan sik we dɛn kɔl Major Depressive Disorder .
Imade se: “Na afta a tray fɔ kil misɛf nɔmɔ a kam fɔ no se nɔbɔdi pan di tri mɛrɛsin dɛn we a bin de tek nɔ bin de wok.” Yu dɔn gɛt dis kayn ɛkspiriɛns? So lɛ wi si wetin go de mek dis apin.
Wetin rili na pwɛl hat sik wae nɔr kin gɛt tritmɛnt?
Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, i rili simpul fɔ ɔndastand.
Fɔ tɔk am simpul wan, Tritmɛnt-Rɛsistant Dipreshɔn (TRD) na wae pɔrsin wae gɛt Major Depressive Disorder nɔr kin gɛt satisfay rilif pan in sik pan ɔl wae i tek at le tu difrɛn kayn antidipreshan, di kɔrɛkt doz ɛn fɔ di kɔrɛkt tɛm.
Tink bɔt am dis we. Wi bren tan lɛk kɔmpleks ilɛktronik sɔrkwit dɛn. Dipreshɔn na wan stet usay dɛn dɔn ɔf sɔm pan di switch dɛn na da sɛrkyut de. Di mɛrɛsin dɛn we di dɔktɔ gi dɛn tan lɛk ki dɛn we de tɔn dɛn switch dɛn de bak. Sɔntɛnde yu nɔ kin ebul fɔ opin domɔt wit wan ki, yu fɔ tray ɔda wan. TRD na so i bi. Sɔntɛm wan mɛrɛsin nɔ go wok. Sɔntɛm tu mɛrɛsin dɛn nɔ go wok. Nɔto yu fɔlt. Na jɔs wan bayolojikal rispɔns we di bɔdi de gi.
Mɛmba se nɔto yu fɔlt ɔ yu wik we di mɛrɛsin nɔ de wok. Dis na wan sik we pɔsin kin gɛt we i de mɛn pipul dɛn.
Lɛ wi luk dis tebul fɔ ɛksplen dis smɔl mɔ.
| Pozishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Major Dipreshɔn Disɔda | Filin fɔ fil bad fɔ lɔng tɛm, nɔr de intres pan ɛnitin, chenj pan slip ɛn it, ɛn bore wit layf. |
| Diprɛshɔn we nɔ de tek tritmɛnt (TRD) . | Di kɔndishɔn we wi dɔn tɔk bɔt nɔ dɔn wɛl pan ɔl we dɛn gi am at le tu difrɛn kayn antidipreshan, insay di kɔrɛkt doz ɛn fɔ di rayt tɛm. |
| Wetin na di rizin fɔ dis? | Ɔlman in bɔdi ɛn in bren difrɛn. Di sem mɛrɛsin nɔ de wok di sem fɔ ɔlman. Sɔmtɛm ɔda mɛrɛsin wae dɛn nɔr no bɔt ɔr mɛntɛl hεlth prɔblɛm kin ɛp fɔ mek dis apin. |
Nɔto jɔs pwɛl hat... ɔda mental prɔblɛm dɛnsɛf kin afɛkt am?
Yɛs. Dis na pɔynt we rili impɔtant. Sɔmtɛm de rizin wae mek mɛrɛsin fɔ pwɛl hat nɔr kin woke na bikɔs ɔda tin kin de wae de mɛk pɔrsin fil bad.
Mek wi go bak to Imade in stori. Afta we dɛn bin dɔn de trit am fɔ lɔng tɛm fɔ pwɛl at ɛn i nɔ bin gɛt ɛni rilif, dɔktɔ dɛn bin tɛst am mɔ. Na da tɛm de dɛn kam fɔ no se i gɛt wan sik bak we dɛn kɔl Borderline Personality Disorder (BPD) .
Wetin na bɔdalayn pɔsin disɔda (BPD)?
Wetin kin apin pan dis na wae pɔrsin in filin kin chenj kwik kwik wan ɛn tranga wan.
- Lɔs di mental stebiliti.
- Fɔ fred ɔltɛm fɔ lɛ ɔda pipul dɛn lɛf yu.
- Fɔ vɛks bad bad wan ɔ rili sɔri fɔ di smɔl tin.
- Fɔ wok we yu nɔ de tek tɛm ɛn we yu nɔ de tink.
We Imade bin lɔs in wok ɛn dɛn nɔ bin gri fɔ tek am, i bin gɛt dɛn BPD sayn ya. Dis min se ɔda strɔng rizin bin de biɛn di pwɛl at we i bin gɛt.
Apat frɔm dat, i dɔn gɛt siriɔs wɔri. I se: “We a kin bost wit layf, a nɔ kin gɛt tɛm fɔ tink se, ‘A kin wɔri?’” Leta, afta we i bin gɛt tritmɛnt fɔ di wɔri we i bin de wɔri, i bin gɛt bɔku kolat na in maynd.
Dis de mek wi ɔndastand se sɔntɛnde we wi de luk fɔ ansa to wan kwɛstyɔn, di rizin fɔ am kin bi ɔda kwɛstyɔn we ayd ɔnda. Jɔs lɛk anɔynt. We yu pul di layt we de ɔp, ɔda layt de. SoFɔ no di sik kɔrɛkt wan rili impɔtant.
If di mɛrɛsin nɔ wok, wetin a fɔ du?
Dis na di tin we impɔtant pas ɔl. If yu fil se yu nɔ de wɛl afta yu dɔn tek di mɛrɛsin, nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ yusɛf. Dis go jɔs mek di tin wɔs. Di fɔs ɛn bɛst tin we yu fɔ du na fɔ tɔk to yu dɔktɔ bɔt dis opin wan.
"Dɔkta, a dɔn de tek dis mɛrɛsin fɔ mɔnt naw, bɔt a nɔ de fil ɛni difrɛns," yu kin tɔk ɔnɛs wan. Dat na yu rayt.
Dɔn yu dɔktɔ kin tɔk bɔt sɔlv dɛn lɛk dɛn tin ya:
- Switching: Dɛn kin gi difrɛn kayn mɛrɛsin wae de mek pɔrsin fil bad instead ɔf di mɛrɛsin wae de naw.
- Augmentation: Apat frɔm di mɛrɛsin we dɛn de yuz naw, dɛn kin ad ɔda kayn mɛrɛsin we de mek i wok fayn.
- Ajɔstmɛnt fɔ di doz: Sɔntɛnde, di doz we yu nid nɔ kin du. So, dɛn kin chenj di doz.
- Ɔda tritmɛnt dɛn: Apat frɔm mɛrɛsin, dɛn kin yuz saykotɛrapi. Dialectical Behavioral Therapy (DBT) na wan pan dɛn kayn tritmɛnt ya we ɛp Imade fɔ wɛl.
- Fɔ chɛk fɔ ɔda mɛrɛsin: Sɔntɛnde, pɔrsin kin gɛt pwɛl hat bikɔs ɔf ɔda tin dɛm wae de apin na yu bɔdi, lɛk wae yu gɛt prɔblɛm wit yu tayroyd ɔmon. So di dɔktɔ go chɛk fɔ dɛn wan dɛn de bak.
Si? Bɔku we dɛn de fɔ ɛp yu. De tin wae impɔtant pas ɔl na fɔ nɔr giv ɔp ɛn woke wit yu dɔktɔ fɔ fɛn di tritmɛnt wae go woke fayn fɔ yu. No wan saiz-fit-ɔl sɔlv nɔ de. Di sɔlv de insay wan pɔrsin in tritmɛnt plan we spɛshal fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Diprɛshɔn wae nɔr kin gɛt tritmɛnt na rial sik wae dɛn kin no bɔt mɛrɛsin. I nɔto sɔntin we yu dɔn imajin.
- Nɔr to yu fɔlt ɔr wik wae yu antidipreshan nɔr de woke. Bayolojikal rizin dɛn de fɔ am.
- If yu nɔr de fil fayn wit yu mɛrɛsin, di impɔtant tin fɔ du na fɔ mek yu dɔktɔ no. Nɔ ɛva stɔp ɔ chenj yu mɛrɛsin fɔ yusɛf.
- Sɔmtɛm, pwɛl hat kin kam wit ɔda tin dɛm, lɛk wae yu de wɔri ɔr bɔdalayn pɔrsin in pasɔnaliti disɔda (BPD). I impɔtant fɔ no di sik fayn fayn wan.
- Nɔ giv ɔp op if di fɔs tu mɛrɛsin dɛn nɔ wok. Bɔrku difrɛn tritmɛnt dɛn de, lɛk saykotɛrapi ɛn ɔda mɛrɛsin dɛm.Fɔ tru, we de fɔ mek yu wɛl.
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