Yu kin fil bak se yu nɔto yusɛf? Lɛ wi tɔk bɔt dɛn tin ya (Dissociative Disorders)!

Yu dɔn ɛva fil lɛk se di wɔl we yu de liv insay nɔto rial tin? Ɔ lɛk se yu de wach yusɛf frɔm ɔdasay na yu yon bɔdi? Sɔntɛnde, yu kin fɔgɛt ivin impɔtant tin dɛn? If yu kin gɛt dɛn tin ya ɔltɛm, yu kin gɛt dissociative disorder . Nɔ wɔri, wi go tɔk bɔt dis simpul we we yu go ɔndastand.

Wetin na dɛn dissociative disorder ya?

Fɔ tɔk am simpul wan, dissociation disorder na wan kayn prɔblɛm wit in maynd. Na we yu fil se yu nɔ gɛt ɛnitin fɔ du wit yu rial layf, yu yon bɔdi, ɔ yu mɛmori. Di wɔd "dissociation" rili min "separation." I min se yu kin fil se yu nɔ gɛt ɛnitin fɔ du wit ɔda pipul dɛn, di wɔl we de arawnd yu, ɔ ivin yusɛf.

Bɔku tɛm dɛn kayn tin ya kin apin bikɔs ɔf wan shɔt tɛm ɔ lɔng tɛm siriɔs shɔk (`trauma`) we dɛn dɔn gɛt sɔm tɛm na layf. Tink bɔt am lɛk we fɔ protɛkt di maynd. Dat min se, we wan shɔk we pɔsin nɔ go ebul fɔ bia apin, di maynd kin ‘diskɔnekt’ fɔ sɔm tɛm fɔ pul di pen. Bɔt i kin bi prɔblɛm if dis kɔntinyu.

Wetin na di men kayn dissociative disorder?

Tri men kayn dissociative disorder de. Lɛ wi tek wan luk pan wetin dɛn bi.

1. Dissosiativ Aydentiti Disɔda (DID) .

Dis na wetin sɔm pipul dɛn kin kɔl "multiple personalities." Wetin kin apin ya na dat di sem pɔsin gɛt tu ɔ mɔ difrɛn aydentiti dɛn . Wi kin kɔl dɛn aydentiti ya ``alters.' ' εvri ``alta'' de kכntro di pכsin in bihayvya difrεn tεm dεm. Tink bɔt am lɛk se nɔto di sem pɔsin wan tɛm, bɔt na ɔda tɛm. Ɛni ``alta'' kin gɛt in yon spɛshal istri, kwaliti dɛn, wetin i lɛk ɛn wetin i nɔ lɛk. I tan lɛk se yu gɛt bɔku pipul dɛn insay wan bɔdi.

2. Dissosiativ Amnɛsia

Insai dis kondishon , yu nor de trak impɔtant tin bɔt yu layf. Dis fɔgɛt kin jɔs bi fɔ wan patikyula tin we apin na yu layf. Ɔ yu kin fɔgɛt bɔku pat pan yu layf stori, sɔntɛm ivin udat yu bi.

3. Dipɔsɔnalayzeshɔn/Dɛrialayzeshɔn Disɔda

Yu kin gɛt ɔl tu di ɛkspiriɛns dɛn pan dis, ɔ yu kin jɔs gɛt wan.

• Depersonalization: Dis na wae yu fil se yu nɔr de wit yu maynd, filin, ɛn bɔdi. I tan lɛk se yu de wach yu layf frɔm do, lɛk se yu de wach fim.
• Derealization: Dis na wae yu fil se di envairoment, pipul, en tin wae de arawnd yu nor rial. Ɔltin kin tan lɛk drim, i nɔ klia.

Apat frɔm dis , dissociative fugueWan sayn de bak we dɛn kɔl "delusion." I min se yu nɔ go mɛmba fɔ sɔm tɛm ɛn yu go de na say we yu nɔ go ebul fɔ imajin ɛn yu nɔ go tink bɔt ɛnitin.

Bikɔs dissociative disorder na wan sik wae gɛt fɔ du wit trauma, bɔrku pipul dɛm wae gɛt dis sik kin gɛt ɔda mental wɛl bɔdi prɔblɛm bak. Fɔ ɛgzampul:

• Pɔst-traumatik Strɛs Disɔda (PTSD) .
• Bɔdalayn Pɔsin Disɔda (BPD) .
• Dizayd fɔ Yuz Sɔbstans
• Pwɛl at
• Dizayd dɛn we kin mek pɔsin wɔri

Udat dɛn tin ya kin afɛkt mɔ?

Dissociative disorder kin afɛkt pipul dɛm wae gɛt ɛni ej, rays, ɔr soshio-ikɔnomik stetɔs, bɔt dɛn ripɔt se i kin bɔku pan uman dɛm .

Pipul wae dɛn dɔn du bad bad tin to pan bɔdi ɔr mami ɛn dadi biznɛs we dɛn bin smɔl kin gɛt bɔrku risk fɔ gɛt dissociative identity disorder (DID). Na kɔntri dɛm lɛk Amɛrika, Kanada, ɛn Yurop, dɛn dɔn si se lɛk 90% pan di pipul dɛm wae gɛt DID, dɛn bin de trit dɛn bad ɛn nɔr de kia fɔ dɛn we dɛn bin smɔl.

Aw kɔmɔn tin fɔ gɛt dissociative disorder?

Dɛn tin ya kin rili shɔt. Fɔ ɛgzampul, lɛk 2% pan di pipul dɛm na Amɛrika gɛt dɛn sik ya.

Wetin na di sayn dɛm fɔ dissociative disorder?

Dɛn sayn ya kin difrɛn difrɛn wan fɔ di kayn sik wae de kam. Dɛn sayn ya kin bigin fɔ apia afta wan bad bad tin. Dɛn sayn ya kin wɔs wae pɔrsin gɛt strɛs ɛn kin ambɔg di tin dɛm wae yu kin du ɛvride.

Di simptom dɛm fɔ dissociativ aydentiti disɔda (`DID`):

Pɔsin we gɛt `DID` gɛt tu ɔ mɔ difrɛn aydentiti. Di `kɔr` aydentiti na di pɔsin in nɔmal pɔsin. `Alters` na di pɔsin in ɔltɛrnativ pɔsin.

Ɛni `(alter)` gɛt in yon spɛshal bihayvya, abit, wetin i want, mɛmori, ɛn we fɔ tink. Ɔda pipul dɛn kin ebul fɔ no di difrɛns bitwin dɛn `(alters)` ya, ɛn bak di difrɛns bitwin di pɔsin we gɛt `DID`. di transishכn frכm wan `(alter)` to כda wan de apin we yu nכ no εn wan wan.

Wan ɔda impɔtant sayn fɔ DID na wae pɔrsin nɔr de mɛmba ɔltɛm bɔt tin dɛm wae de apin ɛvride, pɔrsin in yone ditil dɛm, ɛn/ɔr tin dɛm wae kin mek pɔrsin fil bad frɔm trade . Pan ɔl we dɛn sayn ya nɔ kin tranga fɔ sɔm pipul dɛn, dɛn kin rili afɛkt ɔda pipul dɛn layf.

Di sayn dɛm fɔ dissociative Amnesia:

De men sayn na wae pɔrsin kin mɛmba ɔltɛm , wae kin te fɔ sɔm mɔnt ɔr ivin sɔm ia.

Tri men kayn tin dɛn de we kin mek pɔsin nɔ ebul fɔ mɛmba tin:

• Localized: Fɔgɛt wan patikyula tin ɔ sɔm tɛm (dis na di kayn we we dɛn kin kɔmɔn pas ɔl).
• Selektiv:Na sɔm tin dɛn nɔmɔ we apin insay wan patikyula tɛm, dɛn kin fɔgɛt.
• Jɛnɛral: Yu kin lɔs ɔl yu mɛmori bɔt yu aydentiti ɛn layf stori (dis na di kayn we we nɔ kin bɔku).

Yu nɔr kin no bɔt yu mɛmori lɔs, ɔr kin jɔs no bɔt am smɔl. Bɔt di wan dɛn we de nia yu kin no dis kayn we aw pɔsin kin mɛmba tin.

Di simptom dɛm fɔ Depersonalization/Derealization Disɔda:

Insay dis kɔndishɔn, wan ɔ ɔl tu pan dɛn tin ya kin apin we kin apin bak fɔ lɔng tɛm:

• Depersonalization: Na filin wae yu de fil se yu nɔr de wit yu maynd, bɔdi, ɔr yusɛf, ɛn yu nɔr de tɔch yu rial tin. I tan lɛk se yu de wach yu layf ɛn di tin dɛn we de apin frɔm fa, nɔ de tek pat tranga wan.
• Derealization: Na filin fɔ se yu nɔ de nia di tin dɛn we de arawnd yu ɛn ausayd di rial tin. Pipul ɛn tin dɛn kin tan lɛk se dɛn nɔ rial.

We dɛn tin ya kin apin, yu kin no di tin dɛn we de arawnd yu, ɛn yu no se wetin yu de gɛt nɔto nɔmal tin.

Sɔntɛnde, dɛn sayn ya kin bigin we dɛn smɔl. Di avrej ej fɔ bigin na arawnd 16 ia. Nɔr to 20% pan di pipul dɛm wae gɛt dis sik kin gɛt dɛn fɔs ɛpisod afta dɛn dɔn ol 20 ia.

Wetin na de tin wae kin mek pɔrsin gɛt dissociative disorder?

Bɔrku tɛm, dissociative disorder kin apun as we fɔ bia wit wan tin wae kin apun ɔr fɔ lɔng tɛm strɛs, abiuz, ɔr trauma .

Dis kin bi mɔ we dɛn tin ya kin apin we dɛn smɔl, we pikin dɛn smɔl. Dis na bikɔs da tɛm de, di pikin nɔ kin ebul fɔ ɔndastand wetin de apin. Dɔn bak, di we aw pɔsin kin ebul fɔ bia wit prɔblɛm nɔ kin dɔn ful-ɔp. Ɛp ɛn sɔpɔt de nɔmɔ if big pipul dɛn de we gɛt rɛspɔnsibiliti ɛn we sabi bɔku tin.

Fɔ ‘diskɔnekt’ na yu maynd frɔm wan traumatik sityueshɔn kin bi sɔm kayn difens mɛkanism fɔ shɔt tɛm wae de ɛp yu fɔ rɔnawe pan de pen. Bɔt if dis difens mɛkanism kɔntinyu fɔ separet yu frɔm rial tin, i de ɛras wan ol tɛm frɔm yu mɛmori, den i kin bi prɔblɛm.

Ɛgzampul dɛn bɔt tin dɛn we kin mek pɔsin fil bad:

• Fɔ du mami ɛn dadi biznɛs wit dɛn bɔdi, maynd, ɔ mami ɛn dadi biznɛs bɔku tɛm
• Wan aksidɛnt
• Wan natura disasta
• Wɔ kɔnflikt dɛn
• Fɔ bi pɔsin we dɛn dɔn du kraym

Dis biɛn tɛm, sayɛnsman dɛn dɔn de chɛk di patikyula strɔkchɔ ɛn wok we di bren de du we gɛt fɔ du wit dissociation. Wetin dεn fכnshכn na dat, we dεn de sכk di bren, di pat dεm na di bren we de dip insay di bren we de asai fכ mεmכri de sho sכm ritm aktiviti, we di kכnεkshכn wit כda pat dεm we de rispansabl fכ tink εn plan i tan lεk se dεn de lכs .

Aw fɔ no di dissociative disɔda?

Dɔktɔ dɛn kin no if yu gɛt dissociative disorder bay we dɛn tek tɛm luk yu sayn dɛm ɛn yu pasɔnal istri.

Yu dɔktɔ kin ɔda fɔ mek dɛn du tɛst fɔ chɛk fɔ ɔda tin dɛn we kin apin na yu bɔdi we kin mek yu gɛt dɛn sik ya (e.g., yu nɔ kin mɛmba tin). Fɔ ɛgzampul:

• Di injury na di ed
• Tumɔs dɛn na di bren
• Di we aw pɔsin nɔ de slip fayn
• Fɔ yuz drɔgs ɛn/ɔ fɔ drink rɔm

Wae yu dɔn pul ɛnitin wae de mek yu gɛt dis sik, yu go mɔs sɛn yu to pɔrsin wae sabi bɔt yu maynd, lɛk saykayatrist ɔr saikɔlɔjis, we go mek yu no if yu gɛt di sik tru klinik intavyu ɛn ɔbshɔbishɔn.

Mental hεlth prכfεshכn dεm kin klas εn no di dissociative dizכrd dεm bay we dεn de yuz krayteria frכm di American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM).

Aw dɛn kin trit dissociative disorder?

Di men tritmɛnt fɔ dissociative disorder na saykotɛrapi, ɔr tɔk tɛrapi. Dis kin ɛp yu fɔ manej di dissociative prɔses ɛn di simptom dɛm.

Na pɔsin we tren ɛn we gɛt laysens fɔ mɛn pipul dɛn we gɛt maynd prɔblɛm , lɛk pɔsin we de mɛn pipul dɛn we gɛt sik ɔ pɔsin we de stɔdi bɔt pɔsin in maynd, de gi dɛn saykotɛrapi. I de gi yu ɛn/ɔ yu famili sɔpɔt, ɛdyukeshɔn, ɛn gayd fɔ ɛp yu fɔ bia wit ɛvride layf ɛn fɔ mek yu maynd bɛtɛ.

Na sɔm pan de saykotɛrapi we dɛn kin yuse fɔ dissociative disɔda:

• Kognitiv Bihayvya Tεrapi (CBT): Dis na wan strכkchכ, tכgεt fכm fכ saykothεrapi. Yu thɛrapist de ɛp yu fɔ luk dip wan insay yu tink ɛn filin. Tru CBT, yu kin lan fɔ lɛf fɔ tink ɛn biev we nɔ fayn ɛn gɛt wɛlbɔdi fɔ tink ɛn abit.
• Dayalɛktik Biɛvhɔ Tɛrapi (DBT): Dɛn mek DBT spɛshal fɔ pipul dɛn we de fil bad bad wan. Di men gol na fɔ balans validɛshɔn fɔ udat yu bi ɛn wetin yu chalenj dɛn de wit di bɛnifit dɛn we chenj de gi. Yu tritmɛnt pɔsin go ɛp yu fɔ lan nyu tin dɛn fɔ mek yu ebul fɔ kɔntrol aw yu de fil.

Di tritmɛnt prɔses kin tranga, bikɔs i kin min fɔ mɛmba di bad bad tin dɛn we bin dɔn apin trade ɛn lan fɔ bia wit dɛn. Bɔt as tɛm de go, i kin mek yu gɛt bɔku rilif frɔm yu sik dɛn .

Ɔda tritmɛnt dɛn we kin ɛp:

• Hipnosis (`Hipnosis` / `Hipnotεrapi`):Hipnosis na stet we yu de rilaks dip ɛn de pe atɛnshɔn bad bad wan. We yu de na trance, dis tranga fɔ pe atɛnshɔn kin mek yu nɔ pe atɛnshɔn to di nɔmal tin dɛn we kin ambɔg yu ɛn yu kin opin yu at fɔ advays dɛn we go gayd yu fɔ mek chenj fɔ mek yu gɛt wɛlbɔdi.
• Eye Movement Desensitization and Reprocessing (EMDR therapy): Dis involv fɔ muv yu yay insay sɔm patikyula we dɛn we yu de prosɛs traumatik mɛmori dɛm. Di gol fɔ EMDR na fɔ ɛp yu fɔ wɛl frɔm trauma ɔ ɔda strɛsful layf ɛkspiriɛns. We yu kɔmpia am wit ɔda tritmɛnt dɛn, EMDR na nyu we fɔ du tin.

Nɔr patikyula mɛrɛsin nɔr de fɔ dissociative disorder. Bɔt yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin lɛk mɛrɛsin fɔ mɛn yu maynd fɔ mɛn ɔda sik dɛn we yu kin gɛt na yu maynd.

Wetin go apin tumara bambay fɔ pɔrsin wae gɛt dissociative disorder?

De prɔgnosis fɔ pɔrsin wae gɛt dissociative disorder kin difrɛn frɔm pɔrsin to ɔda pɔrsin.

Wit prɔfɛshɔnal tritmɛnt (bɔku tɛm na saykotɛrapi), bɔrku pipul dɛm wae gɛt dissociative disorder kin kɔntrol dɛn men simptom dɛm ɛn woke fayn fayn wan na dɛn ɛvride layf.

Bɔt fɔ sɔm pipul dɛn, mɔ di wan dɛn we gɛt dissociative identity disorder (DID), dis sik kin mek dɛn layf de pan denja. Fɔ tray fɔ kil dɛnsɛf ɛn fɔ du bad to dɛnsɛf na tin we kin apin to pipul dɛn we gɛt DID. Dɛn se pas 70% pan di pipul dɛm wae gɛt DID kin tray fɔ kil dɛnsɛf.

If yu ɔ pɔsin we de nia yu de tink bɔt fɔ kil insɛf, duya kɔl di Nashɔnal Mental Ɛlth Ɛplayn na 1926. Sɔmbɔdi de fɔ ɛp yu 24 awa ɛvride.

Ustɛm a fɔ go to dɔktɔ?

If yu fil lɛk yu gɛt sayn dɛm fɔ dissociative disorder, tɔk to dɔktɔ ɔr mɛntɛl hεlth kɔstɔma kwik kwik wan.

Jɔs lɛk ɛni mɛntɛl hεlth kכndyushכn, fɔ go to ɛp as yu de sho aw yu de fil kin ɛp fɔ ridyus de disrɔpshɔn na yu layf. If yu gɛt sayn dɛm fɔ dissociation, tɔk to dɔktɔ. Dɛn kin gi yu tritmɛnt plan fɔ ɛp yu fɔ kɔntrol yu sik.

Take-Home Message frɔm Wetin Wi Dɔn Tɔk

Okay, so lɛ wi mɛmba yu sɔm pan di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt.

• Dissociative disorder na wan mental kondishɔn wae kin apun wae pɔrsin gɛt siriɔs trauma .
• Di men sayn na dat yu kin fil se yu nɔ gɛt ɛnitin fɔ du wit yusɛf, yu mɛmori, ɔ di wɔl we yu de liv insay .
• Dissociative identity disorder (DID), dissociative amnesia, ɛn depersonalization/reality disorder na di men kayn dɛn.
• Dɛn tin ya nɔ kin apin so ɔltɛm, bɔt tritmɛnt dɛn de.
• Di men tritmɛnt na saykotɛrapi.
• If yu gɛt dɛn kayn sik ya, nɔr frayd ɔr shem fɔ go to dɔktɔ. I rili impɔtant fɔ gɛt ɛp kwik kwik wan.
• Nɔto yu wan de. Bɔku pipul dɛn de we de sɔfa wit dɛn kayn tin ya, ɛn sɔm pipul dɛn de we go ɛp yu.

Mɛmba se fɔ no bɔt dis sik, fɔ tɔk bɔt am, ɛn fɔ aks fɔ ɛp na big tin fɔ mek yu ebul fɔ kɔntrol yu layf bak.

` Dissosiativ Disɔda, Mental Ɛlth, Trauma, Mɛmori Lɔs, Saykotɛrapi, DID, Dipɔsɔnalayzeshɔn