Sɔntɛnde, i nɔ kin izi fɔ yu fɔ kɔntrol di we aw yu de fil? Yu kin fil bad fɔ ivin di smɔl smɔl tin dɛn, ɔ yu kin fil lɛk se yu de vɛks pas aw yu tink? Fɔ liv wit dɛn kayn bad bad filin dɛn de nɔ kin izi. Bɔt gud nyus de. Wan spɛshal tritmɛnt de wae kin ɛp fɔ gɛt dɛn kayn tin ya. Tide wi go tok abaut am. Dɛn kɔl am DBT, ɔ Dayalɛktik Biɛvhɔ Tɛrapi.
Fɔ tɔk am simpul wan, wetin na DBT?
DBT, ɔ Dialectical Behavior Therapy, na wan kayn saykotɛrapi we dɛn kin gi tru tɔk. I rili bi bays pan ɔda pɔpul tritmɛnt, Cognitive Behavioral Therapy (CBT) , ɛn dɛn mek am spɛshal fɔ pipul dɛn we kin gɛt bad bad filin.
Di wɔd "Dialectical" insay dis min "briŋ tu aydyɔ dɛm we nɔ gri wit dɛnsɛf." Imajin, dis tritmɛnt we de ɛp yu, na wan say, fɔ aksept di tru tin bɔt yu layf ɛn yu bihayvya lɛk aw dɛn de (validation/acceptance). Ɛn, na di ɔda say, i de ɛp yu fɔ chenj de bihayvya wae de kɔz yu prɔblɛm ɛn impɔtant yu layf (chenj). Fɔ kip balans bitwin dɛn tu aidia ya fɔ aksept ɛn chenj na di men tin fɔ DBT.
Dis tritmɛnt we ya na wan Amɛrikin sayɛnsman we nem Masha Linehan bin mek am insay di 1970 dɛm.
Udat DBT tɛrapi de ɛp pas ɔlman?
Ɛnibɔdi we gɛt prɔblɛm fɔ manej ɛn kɔntrol dɛn filin kin bɛnifit bɔku frɔm DBT. Risach dɔn sho se dis tritmɛnt we dɛn kin yuz kin rili wok fɔ bɔku bɔku prɔblɛm dɛn we gɛt fɔ du wit dɛn maynd.
- Bɔdalayn Pɔsin Disɔda (BPD) .
- Di we aw pɔsin de biev we i de du bad to insɛf
- Tin dɛn we pɔsin kin tink ɔ tray fɔ kil insɛf (Suicidal behavior) .
- Pɔst-Traumatik Strɛs Disɔda (PTSD) .
- Disɔda fɔ yuz sɔbstans
- Di prɔblɛm dɛn we pɔsin kin gɛt we i de it, mɔ we i de it pasmak ɛn we i kin gɛt bulimia
- Pwɛl at
- Wɔri
Di impɔtant tin na dat, fɔ sɔpɔt ɔl dɛn kayn tin ya, na fɔ tray fɔ kɔntrol di bad bad, bad bad filin dɛn we nɔ de wok fayn ɛn we nɔ fayn. DBT de tich yu wɛl bɔdi, bɛtɛ we fɔ dil wit aw yu de fil, pas di we dɛn we de mek yu gɛt dɛn prɔblɛm dɛn de.
Aw DBT tɛrapi de wok?
Insay DBT tritmɛnt, yu thɛrapist in men gol na fɔ mek balans bitwin fɔ aksept yu ɛn yu chalenj dɛm lɛk aw dɛn de (validation) ɛn ɛnkɔrej yu fɔ mek fayn chenj (chenj). Dis tritmɛnt we dɛn kin yuz kin gɛt 4 men pat dɛn.
1. DBT Pri-Assessment: Bifo yu bigin fɔ trit yu, di thɛrapist go tɔk to yu fɔ si if DBT fit yu fayn. Afta dɛn dɔn ɛksplen ɔltin, ɛn if yu gri, dɛn go aks yu fɔ kɔmit to dis tritmɛnt fɔ wan patikyula tɛm.
2. Wan wan tritmɛnt: Insay dis, yu go mit wit yu tritmɛnt wan tɛm insay di wik fɔ lɛk 40-60 minit nɔmɔ. Dɛn kin aks yu bak fɔ rayt aw yu de fil ɛn aw yu de biev. Dis go ɛp una ɔl tu fɔ no di we aw una gɛt prɔblɛm.
3. Skil trenin na grup: Dis nɔto grup tɛrapi. Jɔs lɛk aw i kin bi na klasrum, di pɔsin we de mɛn pipul dɛn kin tich wan grup 4 impɔtant tin dɛn. Bifo yu tɔk bɔt yu prɔblɛm dɛn, di tin we yu fɔ pe atɛnshɔn pan ya na fɔ lan dɛn tin ya.
4. Telefon kraysis coaching: Dis na wan pat we rili impɔtant. If yu gɛt sɔntin we de mɔna yu wantɛm wantɛm, lɛk fɔ du bad to yusɛf, we yu de du tritmɛnt, yu kin kɔl yu tritmɛnt pɔsin ɛn gɛt ɛp wantɛm wantɛm. Bɔt sɔm tɛm dɛn de ɛn sɔm tɛm dɛn de we dɛn nɔ fɔ du dis.
Di 4 men skil dɛm we dɛn de tich na DBT
DBT tɛrapi de pe atɛnshɔn pan 4 men skil dɛm wae de ɛp yu fɔ ebul fɔ manej yu ɛvride layf fayn fayn wan. Dis na di at fɔ di tritmɛnt.
| Di Skil we Yu Gɛt | Simply put... (Wetin i min) |
|---|---|
| Fɔ tink gud wan | Fɔ de ful-ɔp ɛn no wetin de apin na di tɛm we wi de naw, we nɔ fɔ rigrɛt di tin dɛn we dɔn pas ɔ fɔ fred di tumara bambay. Fɔ praktis fɔ wach aw pɔsin de tink ɛn fil ɛn nɔ jɔj am. |
| Distress Tolerance we pɔsin kin gɛt | Fɔ lan fɔ ɔndastand ɛn kɔntrol aw yu de fil we yu nɔ fil fayn, we yu de fil pen, ɔ we yu de strɛs, ɛn yu nɔ de yuz bad bad tin dɛn, tan lɛk we yu lan aw fɔ bia we yu vɛks wantɛm wantɛm. |
| Intapɔsɔnal Ɛfɛktiv | Lan fɔ tɔk klia wan bɔt wetin yu want ɛn wetin yu nɔ want (bɔda) di we we go rɛspɛkt yusɛf ɛn ɔda pipul dɛn. Dis inklud fɔ ebul fɔ se "A nɔ ebul" we yu nid fɔ se. |
| Rigyuleshɔn fɔ di Imɔshɔn | Fɔ no mɔ bɔt aw yu de fil, fɔ ɔndastand am, ɛn fɔ gɛt mɔ ebul fɔ kɔntrol am. Fɔ lan fɔ kɔntrol di we aw pɔsin de fil pas fɔ bi slev to am. |
Aw a go fɛn pɔsin we fit fɔ gɛt DBT tritmɛnt?
Dis kin tranga smɔl, bɔt nɔ giv ɔp. De bɛst we fɔ du dis na Sri Lanka na fɔ aks yu famili dɔktɔ ɔr dɔktɔ wae yu trɔst bɔt dis, dɔn yu fɔ rifer yu to wan kwalifay saykayatrist ɔr sayɛnsman.
Mek shɔ se di tritmɛnt we yu de go to na pɔsin we gɛt stet sɛtifiket ɛn laysens fɔ gi advays bɔt mental wɛlbɔdi biznɛs . Dɔn bak, si if i gɛt ɛkspiriɛns fɔ trit yu kɔndishɔn (e.g., BPD, it prɔblɛm).
Aw lɔng DBT tritmɛnt kin tek?
DBT tritmɛnt kin tek at le 6 mɔnt to wan ia . Bɔt mɛmba se ɔlman difrɛn, ɛn tin dɛn we gɛt fɔ du wit mental wɛlbɔdi biznɛs kin kɔmpleks. Sɔmtɛm, mɔ fɔ kɔndishɔn lɛk BPD, tritmɛnt kin tek sɔm ia.
De impɔtant tin nɔto aw lɔng de tritmɛnt kin tek, bɔt na dat yu dɔn aks fɔ ɛp ɛn bigin de waka. Ɛni smɔl impɔtant tin we dɛn mek na big win.
Ustɛm a fɔ go to di dɔktɔ?
Nɔ mis ɛni wan pan yu tritmɛnt sɛshɔn dɛn. I rili impɔtant fɔ atɛnd ɛni wan pan dɛn.
If yu gɛt siriɔs pwɛl at wantɛm wantɛm, lɛk fɔ tink bɔt fɔ kil yusɛf , tɔk to yu dɔktɔ if i pɔsibul. If yu nɔ ebul fɔ rich to am, nɔ de yu wan. Wantɛm wantɛm, tɔk to pɔsin we yu biliv, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
DBT na tritmɛnt we rili fayn fɔ di wan dɛn we de tray tranga wan fɔ fil bad. E kin tek sɔm tɛm fɔ tray fɔ fɛn dɔktɔ wae fayn fɔ yu, bɔt i fayn fɔ du am. Di kwik we yu bigin fɔ gɛt tritmɛnt ɛn kɔmit to am, na di mɔ yu go bigin fɔ liv bɛtɛ layf kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- DBT na spɛshal kayn saykotɛrapi we de ɛp fɔ kɔntrol di kayn we aw pɔsin de fil bad bad wan.
- Dis involv fɔ balans di tu aspek dɛm fɔ "aksept" yu sityueshɔn ɛn "chenj" am fɔ di bɛtɛ.
- Fo prɛktikal skil dɛm, lɛk fɔ tink gud wan ɛn fɔ bia wit pwɛl hat, yu kin lan tru dis.
- Kɔmitmɛnt ɛn peshɛnt rili impɔtant fɔ DBT tɛrapi. I kin tek sɔm tɛm fɔ si di tin dɛn we kin apin.
- If yu gɛt prɔblɛm lɛk dis, nɔ sɔfa yu wan. Tɔk to dɔktɔ we yu kin abop pan ɛn mek dɛn sɛn yu to pɔsin we sabi du di wok.
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