Yu pikin kin vɛks ɔltɛm? Yu tink se i de bɔn? Dis kin bi wan kɔndishɔn we dɛn kɔl (DMDD)!

Yu smɔl pikin kin vɛks ɔltɛm? Yu tink se i kin bɔm pan di smɔl smɔl tin dɛn? Sɔntɛnde yu kin tink se, ‘O mi Gɔd, wetin bad wit dis pikin, i kin vɛks ɔltɛm?’ Infakt, sɔm pikin dɛn kin gɛt dis kayn bad bad wamat, we kin kɔntinyu fɔ vɛks ɛn dɛn kin vɛks ɔltɛm. Tide wi de tɔk bɔt dis kayn tin, we na Disruptive Mood Dysregulation Disorder (DMDD) .

Wetin na dis disrɔptiv mud disɔda (DMDD)?

Fɔ tɔk am simpul wan, dis disruptive mood disorder, ɔr DMDD fɔ shɔt, na wan mɛntɛl hεlth kɔndishɔn wae kin afɛkt pikin dɛm. Insay dis, di pikin kin vɛks fɔ lɔng tɛm, i kin vɛks bad bad wan ɛn i kin vɛks bad bad wan . Dɛn kin vɛks ɔltɛm bak, ɔ dɛn kin vɛks .

Bɔku tɛm, yɔŋ pikin dɛn kin gɛt sɔm tɛm dɛn we dɛn kin trangayes smɔl ɛn vɛks. Dat na nɔmal tin. Bɔt ``(DMDD)`` na bɔku mɔr siriɔs, kɔntinyu kɔndishɔn . Dɛn vɛks ya kin rili tranga ɛn nɔ kin gri wit di tin we bin de apin da tɛm de. Dat min se dɛn kin vɛks bad bad wan fɔ ivin di smɔl smɔl tin dɛn, sɔntɛnde dɛn kin ala, trowe tin dɛn na grɔn, ɔ nak ɔda pipul dɛn.

Di tin we impɔtant pas ɔl na dat, dis sik kin rili ambɔg di pikin in ɛvride layf, in skul wok, in rilayshɔn wit in famili ɛn padi dɛn . Fɔ mek dɛn no se yu gɛt dis sik, di sayn dɛm fɔ dɔn bigin bifo yu ol 10 ia .

(DMDD) na di sem wit (ODD) ɔr (Bipolar Disorder)? Wetin na di difrɛns?

Naw yu kin de wɔnda, dis ``(DMDD)`` na di sem wit di oppositional defiant disorder we wi dɔn yɛri bɔt, lɛk ``(Oppositional Defiant Disorder - ODD)``, ɔ ``(Bipolar Disorder)``? Pan ɔl we sɔm tin dɛn de we fiba bitwin dɛn tin ya, klia wan difrɛns de. Lɛ wi si wetin dɛn bi.

Oposishɔnal Defiant Disɔda (ODD) ɛn (DMDD) .

`(ODD)` na kɔndishɔn we pikin kin kɔntinyu fɔ sho wan patɛn fɔ biev we nɔ de obe, we nɔ de obe, ɛn sɔm tɛm dɛn kin ivin et pipul dɛn we gɛt pawa (e.g., mama ɛn papa, ticha) . Sɔm pan di sayn dɛm fɔ `(ODD)` kin tan lɛk `(DMDD)`. כltu, dεn kin tek `(DMDD)` as mכr siriכs kכndyushכn . Bikɔs, insay `(DMDD)`, na wan big big mud disɔda de mɔ .

Imajin, if pikin gɛt simptom dɛm fɔ ɔl tu di `(ODD)` ɛn `(DMDD)`, dɔktɔ dɛn go ɔltɛm no se dɛn gɛt `(DMDD)`. Dat min se, `(DMDD)` na mɔ dominant pas `(ODD)`.

Bipolar Disɔda ɛn (DMDD) .

Bipolar Disorder (BD) na wan sik wae de kam wae pɔrsin de fil fɔ yu layf , wae pɔrsin de fil bad bad wan, aw pɔrsin gɛt ɛnaji, aw pɔrsin de tink, ɛn aw pɔrsin de biev.Dɛn chenj ya kin las fɔ sɔm dez, wik, ɔ ivin sɔm mɔnt. Dɛn kin afɛkt bak aw yu ebul fɔ du tin dɛn we yu kin du ɛvride.

Naw, luk, sɔm tin dɛn we fiba kin de bitwin `(BD)` ɛn `(DMDD)`. כltu, di simptom dεm fכ `(BD)` kin kam insay episod dεm, dat na, insay di fכm fכ `(DMDD)`. כltu, di simptom dεm fכ `(BD)` de k כntinyu εn nכ de stכp .

Wan ɔda tin na dat `(Bipolar Disorder)` nɔ kin bɔku pan yɔŋ pikin ɛn yɔŋ pipul dɛm. כlso, `(BD)` kin bi wan kכndyushכn we de fכ yu layf. כltu, pikin we gεt `(DMDD)` kin gεt kכndyushכn lεk `(Major Depressive Disorder)` כ `(Generalized Anxiety Disorder)` leta in layf, dat na, we i big.

Infakt, bifo dɛn ɔfishal wan no DMDD as diagnosis insay 2013, dɛn nɔ bin no se bɔku pikin dɛn we gɛt DMDD gɛt Bipolar Disorder.

Udat kin gɛt DMDD? Aw i kɔmɔn?

Di sayn dɛm fɔ DMDD kin bigin bifo dɛn ol 10. So, dɔktɔ dɛn nɔ kin no se pikin dɛn we nɔ rich 6 ia ɔ yɔŋ pipul dɛn we dɔn pas 18 ia gɛt DMDD.

Bikɔs DMDD na nyu tin we dɛn kin no bɔt, nɔto inɔf risach de fɔ tɔk klia wan aw i rili kɔmɔn. Bɔt di fɔs risach we dɛn dɔn du sho se dis sik kin afɛkt bitwin 2% ɛn 5% pan di pikin dɛn na Amɛrika. Pikin dɛn kin de we gɛt dis sik na Sri Lanka bak, bɔt i nɔ kin izi fɔ tɔk di rayt nɔmba.

Wetin na di sayn dɛm fɔ dis sik (DMDD)?

As wi bin dɔn tɔk bɔt smɔl bifo, di sayn dɛm fɔ `(DMDD)` kin bigin bifo i ol 10. Pikin we gɛt `(DMDD)` kin gɛt tin dɛm lɛk:

• Fɔ vɛks ɔ fɔ vɛks bɔku pan di de, ɔlmost ɔltɛm. Imajin wan pikin we kin vɛks ɛn nɔ gladi ɔltɛm frɔm di tɛm we dɛn wek na mɔnin te dɛn go slip na nɛt.
• Bɔrku vɛks (we na wɔd ɔr bihayvya) wae nɔr fayn fɔ de sityueshɔn atɔl. Dɛn tin ya kin apin tri ɔ mɔ tɛm insay di wik. Fɔ ɛgzampul, pikin kin ala, kray, rol, ɛn trowe tin pan ɔda pipul dɛn, ivin pan sɔntin we smɔl lɛk tɔys we dɔn brok. Dɛn kin bit dɛnsɛf bak, bit dɛnsɛf, ɔ bit ɔda pipul dɛn.
• Dis we aw pɔsin kin vɛks kin mek i nɔ izi fɔ wok na mɔ pas wan say, ilɛksɛf na os, na skul, ɔ wit padi dɛn. Dis vɛks nɔ kin jɔs de na di os. I kin mek prɔblɛm bak na skul, wit ticha dɛn, ɛn wit padi dɛn.

Di tin we impɔtant pas ɔl na dat if yu tink se yu pikin gɛt DMDD, i impɔtant fɔ mek i go to pɔsin we de gi advays bɔt in maynd ɛn go to tritmɛnt.I rili impɔtant. Bikɔs, `(DMDD)` kɔndishɔn kin gɛt big impak pan pikin in kwaliti layf, skul wok. I kin afɛkt bak di padi biznɛs wit dɛn fambul ɛn padi dɛn bad bad wan.

Wetin kin mek pɔsin gɛt DMDD?

Bikɔs DMDD na nyu tin we dɛn kin no bɔt, di wan dɛn we de stɔdi bɔt dis stil nɔ ɔndastand gud gud wan wetin kin mek i gɛt am. lεk ODD εn BD, i go bi se DMDD kin kכz bay wan kכmpleks kכmbaynshכn fכ bayolojikal, jεnεtik, εn envayroment fכktכr dεm .

• We wi de tɔk bɔt tin dɛn we gɛt layf , sɔntɛm di chenj dɛn we de apin na sɔm kemikal dɛn na di bren (nyurotransmita dɛn), ɔ chenj dɛn we de apin na di we aw sɔm pat dɛn na di bren de wok, kin apin.
• Speaking of genetic factors , if sɔmbɔdi na di famili dɔn gɛt dɛn kayn mental wɛlbɔdi prɔblɛm ya, smɔl risk kin de fɔ mek di pikin sɛf gɛt dɛn.
• Di tin dɛn we de apin na di envayrɔmɛnt kin bi di say we di pikin de gro, di strɛs na di famili, ɛn di prɔblɛm dɛn we di pikin kin gɛt tranga wan.

Bɔt dɛn tin ya stil de na di risach stej. I stil tu ali fɔ tɔk wetin na di rayt rizin.

Aw dɛn kin no se pɔsin gɛt DMDD?

Di wan dɛn we sabi bɔt mɛntɛl wɛlbɔdi biznɛs kin no se i gɛt DMDD if yu pikin mit di tin dɛn we dɛn rayt na di Diagnostic and Statistical Manual of Mental Disorders (DSM-5), we na di standad manyual fɔ mental dizayd we di American Psychiatric Association , dɔn pul, fɔ at le 12 mɔnt .

If yu pikin de sho sayn dɛn fɔ DMDD, i go mɔs bi se dɛn go nid fɔ go to dɔktɔ we de stɔdi bɔt pikin ɛn yɔŋ pipul dɛn ɔ dɔktɔ we de mɛn dɛn maynd . Dɛn mɛntɛl hεlth pɔrsin ya gɛt spɛshal intavyu ɛn asɛsmɛnt tul dɛm. Dɛn kin yuz dɛn tin ya fɔ no if pikin gɛt prɔblɛm wit in maynd.

Bɔku tɛm, saykiatrist ɛn sayɛnsman dɛn kin gɛt infɔmeshɔn frɔm di pikin in mama ɛn papa, in brɔda ɛn sista dɛn, in padi dɛn, ɛn in ticha dɛn fɔ mek dɛn ɔndastand di pikin in bihayvya gud gud wan.

DMDD kin apin sɔmtɛm wit ɔda kɔndishɔn dɛm wae gɛt fɔ du wit iritabiliti. Fɔ ɛgzampul, e kin apun wit Attention-Deficit/Hyperactivity Disorder (ADHD) ɔr wɔri hat sik . So, yu pikin in saikɔlɔjis ɔ saykayatrist go evalyu yu pikin gud gud wan ɛn gi yu kɔrɛkt diagnosis.

Wetin na di tritmɛnt dɛm fɔ DMDD?

Bikɔs DMDD na nyu sik we dɛn dɔn no, dɛn nɔ dɔn du bɔku risach yet bɔt aw fɔ trit am. Di tritmɛnt dɛm wae de naw kin bi pan risach wae dɛn dɔn du pan ɔda tin dɛm wae kin apun wae pɔrsin kin vɛks, lɛk wae pɔrsin kin wɔri ɛn ADHD.Di gud nyus na dat bɔku pan dɛn tritmɛnt ya kin wok fayn bak fɔ DMDD.

Di tu men tritmɛnt opshɔn fɔ DMDD na saykotɛrapi ɔ tɔk tɛrapi ɛn mɛrɛsin . Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ tek saykotɛrapi bifo yu yuz mɛrɛsin.

Saykotɛrapi

Saykotɛrapi, ɔr tɔk tɛrapi, na wan kɔlekɛshɔn fɔ difrɛn tritmɛnt tɛknik dɛm wae de ɛp pɔrsin fɔ no ɛn chenj di filin, tink, ɛn bihayvya wae nɔr fayn.

Dis saykotɛrapi na pɔrsin wae gɛt trenin, wae gɛt laysens fɔ mɛn pipul dɛm wae gɛt mɛntɛl hεlth , lɛk pɔrsin wae sabi bɔt sayɛns ɔr saykayatrist. I de gi yu pikin ɛn/ɔ yu famili di sɔpɔt, ɛdyukeshɔn, ɛn gayd we dɛn nid fɔ bia wit DMDD.

Bɔku kayn saykotɛrapi de wae kin ɛp fɔ gɛt DMDD:

• Cognitive Behavioral Therapy (CBT): Dis na wan pan di kayn tritmɛnt wae dɛn kin yuse pasmak. Insay CBT fɔ DMDD, pɔsin we sabi bɔt mɛntɛl hεlth kin ɛp pikin fɔ luk dip wan pan aw i de tink ɛn fil. Di pikin kin lan aw di tin dɛn we dɛn de tink bɔt kin afɛkt di tin dɛn we dɛn de du. Tru CBT, di pikin kin lan fɔ lɛf fɔ tink ɛn biev bad, ɛn gɛt wɛlbɔdi fɔ tink ɛn abit dɛn . Di pɔsin we sabi bɔt mental wɛlbɔdi biznɛs kin ɛp di pikin fɔ lan fɔ bia wit tin dɛn we kin mek i fil bad ɛn nɔ trowe di we aw i de vɛks.
• Dayalɛktik Biɛvhɔ Tɛrapi (DBT): DBT de bays bak pan CBT, bɔt dɛn mek am spɛshal fɔ pipul dɛn we de fil bad bad wan . DBT kin ɛp yu pikin fɔ lan fɔ kɔntrol aw i de fil ɛn avɔyd fɔ vɛks pasmak ɔ fɔ lɔng tɛm.
• Fɔ tren mama ɛn papa: Yu pikin in dɔktɔ kin tɛl yu pikin fɔ tren yu pikin wit di tritmɛnt we yu go gɛt. Dis tritmɛnt de tich mama ɛn papa ɔ di wan dɛn we de kia fɔ dɛn aw fɔ ansa mɔ we dɛn de biev we dɛn vɛks . Fɔ ɛgzampul, bay we yu no ɛn avɔyd tin dɛn we go mek yu pikin vɛks. I de ɛksplen bak di impɔtant tin fɔ bi kɔnsistɛns ɛn kɔnsistɛns wit yu pikin, ɛn yuz fayn riinfɔsmɛnt fɔ ridyus di bihayvya we i nɔ want ɛn fɔ mek i biev fayn.

Mɛrɛsin we dɛn kin gi

Naw, di US Food and Drug Administration (FDA) nɔ dɔn gri fɔ ɛni mɛrɛsin we dɛn go yuz fɔ trit DMDD. Bɔt dɔktɔ dɛn kin gi sɔm mɛrɛsin dɛn fɔ ɛp fɔ kɔntrol di sayn dɛn we de sho se pɔsin gɛt DMDD. Dɛn tin ya na:

• Stimulants: Dɔktɔ dɛn kin gi yu mɛrɛsin fɔ trit ADHD. Risach dɔn sho se tin dɛn we de mek pikin dɛn we gɛt ADHD nɔ vɛks kin ɛp bak fɔ mek pikin dɛn we gɛt ADHD nɔ vɛks.
• Antidipreshan: Sɔntɛnde, dɔktɔ dɛn kin gi dɛn mɛrɛsin fɔ trit di iritabiliti ɛn mud prɔblɛm dɛn we pikin dɛn we gɛt DMDD kin gɛt. Wan stɔdi sho se di mɛrɛsin we dɛn kɔl citalopram, we dɛn jɔyn am wit mɛtilfenidate (wan tin we de mek pɔsin fil fayn), i kin mek pikin dɛn we gɛt DMDD nɔ vɛks bad bad wan.
• Sɔm atypical antipsychotic / neuroleptic mɛrɛsin dɛm: Sɔntɛnde, dɔktɔ dɛn kin gi dɛn mɛrɛsin ya fɔ trit pikin dɛm wae gɛt iritabiliti, wae kin vɛks bad bad wan, ɔr wae de fɛt. Bɔt, dɔktɔ dɛn kin jɔs gi dɛn mɛrɛsin ya fɔ DMDD if ɔl di ɔda tritmɛnt dɛn nɔ wok.

Impɔtant: Ɔl di mɛrɛsin dɛn gɛt sayd ɛfɛkt. I rili impɔtant fɔ wach yu pikin gud gud wan fɔ si if i gɛt ɛni bad bad tin ɛn fɔ tɛl yu pikin in dɔktɔ if ɛni bad bad tin apin.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt DMDD?

Sɔntɛm dɛn nɔ go ebul fɔ avɔyd DMDD ɔltogɛda. Bɔt fɔ no ɛn ansa to di sayn dɛn jɔs afta dɛn dɔn sho, dat kin ɛp fɔ mek yu pikin ɛn in famili nɔ strɛs. E kin ɛp bak fɔ mek yu nɔr gɛt bɔrku pan de prɔblɛm wae gɛt fɔ du wit dis sik. Dis min se fɔ ɛp yu kwik kwik wan impɔtant .

Aw di tumara bambay go tan lɛk fɔ pikin we gɛt DMDD?

Pikin dɛm wae gɛt DMDD kin gɛt bɔrku prɔblɛm na skul, na os, ɛn na soshal rileshɔnship.

If dɛn nɔ trit pikin dɛn we gɛt DMDD kin gɛt mɔ prɔblɛm fɔ gɛt pwɛl hat ɛn/ɔ wɔri prɔblɛm we dɛn dɔn big. So, if yu pikin de sho sayn dɛm fɔ DMDD, i impɔtant fɔ go to ɛp kwik kwik wan .

Aw a go ɛp mi pikin?

If yu pikin gɛt DMDD, apat frɔm we yu de gi yu prɔfɛshɔnal tritmɛnt, bɔku we dɛn de we yu go ɛp yu ɛn yu pikin:

• Lan ɔl wetin yu ebul bɔt DMDD: Tɔk to yu pikin in dɔktɔ ɔ pɔsin we sabi bɔt mental wɛlbɔdi biznɛs. Aks kwɛstyɔn bɔt di tritmɛnt opshɔn dɛm ɛn nyu risach bɔt DMDD.
• Tɔk to yu pikin in dɔktɔ ɔltɛm: I rili impɔtant fɔ wok togɛda wit yu pikin in dɔktɔ fɔ mek yu disayd fɔ du di bɛst tritmɛnt fɔ yu pikin.
• Wok wit yu pikin in ticha ɔ skul advaysa: Tugeda, una kin mek strateji ɛn ples fɔ slip we go ɛp yu pikin fɔ gɛt sakrifays na skul.
• Tek ‘taym-aut’ ɔ brɛk if nid de:If yu fil se yu de mek di cham-mɔt wit yu pikin wɔs instead fɔ bɛtɛ, tek smɔl tɛm fɔ blo ɛn waka go. Dis de sɛt fayn ɛgzampul fɔ yu pikin. If yu pikin disayd fɔ blo fɔ mek bad tin nɔ go apin to am, sɔpɔt am.
• Tek kia ɔf yusɛf: Kɔntinyu fɔ du tin dɛn we yu lɛk fɔ du ɛn tin dɛn we yu lɛk, kɔntrol strɛs, ɛn wok wit ɔda big pipul dɛn we de dil wit yu pikin ɛn tray fɔ gɛt dɛn sɔpɔt.

Ustɛm pikin fɔ go to dɔktɔ?

If dɛn dɔn no se yu pikin gɛt DMDD, ɛn if yu pikin in bihayvya de wɔs ɔ i de ambɔg in famili ɔ skul layf, tɔk to yu pikin in dɔktɔ.

Pikin ɛn smɔl pikin dɛn we kin vɛks ɔltɛm kin bi big prɔblɛm fɔ mama ɛn papa dɛn. Pan ɔl we i nɔmal fɔ mek yɔŋ pikin ɛn yɔŋ pipul dɛn gɛt mud wan wan tɛm, we dɛn de kɔntinyu fɔ biev, we de ambɔg dɛn kin sho se dɛn gɛt wan kɔndishɔn we dɛn kɔl ‘(DMDD)’.

I impɔtant fɔ bigin fɔ trit DMDD kwik kwik wan . Di fɔs tin we yu fɔ du fɔ trit yu na fɔ tɔk to dɔktɔ ɔ pɔsin we de gi advays bɔt yu maynd . Nɔ fred fɔ aks yu pikin in dɔktɔ kwɛstyɔn dɛn. Dɛn de de fɔ ɛp yu.

So, wetin na di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori?

Okay, so a op se yu naw geht beta andastan fo di kondishon we dem kol ``(DMDD)`` we wi tok boht tide. Mɛmba se, pan ɔl we i nɔmal fɔ mek ɔl pikin vɛks, ``(DMDD)`` na dip tin we kin afɛkt di pikin in layf.

• If yu pikin in vɛks ɛn vɛks pasmak ɛn i de kɔntinyu fɔ vɛks , ɛn if i de afɛkt in skul wok, os layf, ɔr padi biznɛs wit in padi dɛn , wɔri.
• ``(DMDD)`` nɔto jɔs ``(ODD)`` ɔ ``(Bipolar Disorder),`` difrɛns de pas dat.
• I impɔtant fɔ aks fɔ ɛp frɔm wan kwalifay mental wɛlbɔdi advaysa fɔ no ɛn trit dis sik.
• Saykotɛrapi ɛn sɔmtɛm mɛrɛsin na fayn tritmɛnt fɔ dis.
• As mama ɛn papa, di sɔpɔt, ɔndastandin, ɛn peshɛnt we una de gi yu pikin rili impɔtant. I impɔtant bak fɔ mek yu tek kia ɔf yusɛf.
• If yu no dis sik kwik kwik wan ɛn bigin fɔ trit am, dat go ɛp di pikin fɔ gɛt wɛlbɔdi, gladi at tumara bambay.

Nɔ wɔri, we dɛn de fɔ ɛp pan tin dɛn lɛk dis. Di tin we impɔtant pas ɔl na fɔ no se nɔto yu wangren de ɛn gɛt di ɛp we yu nid.

` DMDD, pikin mental wɛlbɔdi, pikin vɛks, prɔblɛm wit in bihayvya, mud disɔda, pikin saykotɛrapi, advays fɔ mɛn pikin