Yu gɛt prɔblɛm wit yu maynd ɛn yu kin yuz drɔgs bak? Mek wi lan bɔt Dual Diagnosis!

Sɔntɛnde, yu kin fil lɛk se yu nɔ no se yu dɔn tɔn to rɔm ɔ ɔda drɔgs fɔ mek yu nɔ strɛs ɛn wɔri? Ɔ yu kin fil lɛk se sɔm pan yu abit dɛn de afɛkt yu maynd? Dɛn tin ya kin rili apin to wi. Tide, wi go tɔk bɔt aw fɔ no dɛn tu prɔblɛm ya we gɛt fɔ du wit dɛnsɛf ɛn wetin yu kin du bɔt dɛn.

Wetin na Dual Diagnosis? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, fɔ du tu diagnosis min se yu gɛt ɔl tu wan mɛntɛl hεlth kɔndishɔn (lɛk pwɛl hat ɔr wɔri) ɛn wan sɔbstans yuse disɔda di sem tɛm. Sɔntɛnde dɛn kin kɔl dis sik we kin apin togɛda . De impɔtant tin na dat, dual diagnosis nɔto nyu kɔndishɔn, na tu kɔndishɔn we dɔn de.

Imajin, sɔmbɔdi gɛt bad bad wɔri. Bikɔs dɛn nɔ ebul fɔ bia wit am, dɛn kin bigin fɔ drink rɔm fɔ gɛt sɔm kayn fridɔm. As tɛm de go, dɛn kin gɛt adikshɔn to rɔm. Dɔn dɛn kin gɛt prɔblɛm dɛn we kin mek dɛn wɔri ɛn fɔ drink rɔm. Na dat wi kin kɔl dual diagnosis.

Wetin kin apin ya na dat wan kɔndishɔn kin afɛkt ɔda wan. I tan lɛk wan bad bad saykl. Pɔrsin wae gɛt mɛntɛl hεlth prɔblɛm wae nɔr trit kin mek pɔrsin wae yu de tek sɔm kayn mɛrɛsin wɔs, ɛn as pɔrsin de tek drɔgs, mɛntɛl hεlth prɔblɛm kin bɔku bak.

Aw kɔmɔn dis sik (Dual Diagnosis)?

Dis sik kin bɔrku na sosayti pas aw yu kin tink. Risach dɔn sho se lɛk 50% pan pipul dɛm wae gɛt sɔbstans yuse disɔda kin gɛt mɛntɛl hεlth kɔndishɔn bak sɔm tɛm na dɛn layf. Semweso, 50% pan pipul dɛm wae gɛt mɛntɛl hεlth sik kin gɛt sɔbstans yuse disɔda bak. Jɔs tink bɔt dat, insay 2020 nɔmɔ, 17 milyɔn big pipul dɛn na Amɛrika bin gɛt wan sik we dɛn kɔl mental health condition ɛn wan sik we dɛn kɔl substance use disorder. Wi kin si dis sityueshɔn to big ɔ smɔl pat na Sri Lanka.

Wetin na di sayn dɛm fɔ wan (Dual Diagnosis)?

Dis kin kɔmplikt smɔl, bikɔs yu simptom dɛm wae gɛt fɔ du wit yu sɔbstans yus prɔblɛm difrɛn frɔm yu simptom dɛm wae gɛt fɔ du wit yu mɛntɛl hεlth prɔblɛm. So, de simptom wae yu sho na dual diagnosis dipen pan de kayn tin wae yu de yuse ɛn de mental hεlth kɔndishɔn wae yu gɛt. Difrɛn kɔmbaynshɔn kin de, so de sik kin rili difrɛn.

Sɔm kɔmɔn sayn dɛm wae de sho se pɔrsin gɛt sɔm kayn sik wae de mɛk pɔrsin de yuz sɔm kayn mɛrɛsin:

• Fɔ tray fɔ de fa frɔm yu fambul ɛn padi dɛn.
• Pan sɔntinI nɔ kin izi fɔ mek yu pe atɛnshɔn to yu.
• Fɔ sho big chenj dɛn we kin apin wantɛm wantɛm na di we aw pɔsin de biev .
• Fɔ du tin dɛn we gɛt prɔblɛm bɔku tɛm (e.g., fɔ drayv we yu dɔn chak).
• Divεlכp hεy tכlerεns to di drog (we min se di כmכnt we yu bin tek bifo nכ de fil lεk inof igen) εn/כ fכ gεt di simptom dεm fכ dכn we yu stכp fכ tek di drog.
• Fɔ fil lɛk drɔgs impɔtant fɔ liv ɛn wok.

Sɔm kɔmɔn sayn dɛm wae de sho se pɔrsin gɛt dis maynia sik:

• Di chenj dɛn we pɔsin kin gɛt we i de fil bad bad wan .
• Fɔ fil se yu rili kɔnfyus .
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu .
• Nɔ ebul fɔ du wok fayn fayn wan na wokples ɔ skul.
• Fɔ avɔyd fɔ de wit ɔda pipul dɛn .
• Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf .

Impɔtant: If yu ɔ pɔsin we yu sabi gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ.

Uswan pan dɛn tu tin ya kin kam fɔs?

Dis na lek di kweshon of "Uswan kam fos, di chikin o di eg?" I rili at fɔ tɔk ustɛm pan dɛn tu tin ya kam fɔs . (Dual Diagnosis) Ivin if wan de togɛda, i nɔ min se na wan mek di ɔda wan.

Bɔt pan ɔl we di prɔblɛm dɛn we pɔsin kin gɛt we i de yuz sɔbstans nɔ kin mek pɔsin gɛt prɔblɛm wit in maynd (ɛn di ɔda we), klia link de bitwin dɛn tu tin ya. Rɔk ɛn drɔgs kin mek di sayn dɛm wae de kam pan pɔrsin in maynd wɔs. Ɛn, if yu kɔntinyu fɔ yuz dɛn tin ya, dat kin mek yu gɛt mɔ maynd sik.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Dual Diagnosis?

Risach pipul dɛm kin gi difrɛn tiori dɛm bɔt wetin mek yu de tek drɔgs ɛn prɔblɛm wit yu maynd kin apin togɛda.

Shared kɔmɔn risk factor dɛm

Sɔm tin dɛn de we kin mek pɔsin gɛt maynd sik ɛn fɔ yuz sɔm kayn mɛrɛsin.

• Jɛnɛtiks: Lɛk mɛntɛl sik, fɔ yuz sɔm kayn mɛrɛsin kin rɔn na famili. Dis min se if pɔrsin na yu famili dɔn gɛt dis sik, yu de pan denja smɔl. Risach dɔn sho se bɔku jin dɛn de we kin mek dɛn tu tin ya apin.
• Di tin dɛm we de apin na di envayrɔmɛnt: Sɔm tin dɛm na wi envayrɔmɛnt, lɛk strɛs ɛn trauma (lɛk trauma ɔ abuse we pikin bin gɛt), kin mek wi gɛt dɛn tu tin ya. Sɔmtɛm, dɛn traumatik ɛkspiriɛns ya kin gɛt impak akɔdin to jɛnɛreshɔn.

Drug abuse bikɔs ɔf mental sik

If yu gɛt maynd sik, yu kin tɛmpt fɔ "sɛf mɛrɛsin." Dis min se yu de yuz rɔm ɔ drɔgs fɔ mek yu nɔ fil pen, wɔri, ɔ pwɛl hat fɔ sɔm tɛm. Pan ɔl we dɛn tin ya kin mek yu nɔ gɛt di sik fɔ sɔm tɛm, dɛn kin rili mek dɛn wɔs as tɛm de go . Dɔn bak, sɔm kayn maynd sik kin chenj di wok we yu bren in "riwɔd sɛnta dɛm" de du. Dis kin mek yu gɛt mɔ adikshɔn to drɔgs.

Mental sik we pɔsin kin gɛt we i de tek drɔgs

We yu de yuz rɔm, drɔgs, ɛn ɔda tin dɛn we go mek yu gɛt adikshɔn, dɛn kin afɛkt di we aw yu bren de mek ɛn aw i de wok . Dɛn chenj ya kin mek yu gɛt mɔ prɔblɛm wit yu maynd. Fɔ ɛgzampul, sɔm drɔgs kin mek yu gɛt paranoia ɔr delusion, ɔr de fil bad ɔr de fil bad.

Aw fɔ no (Dual Diagnosis)?

As wi bin dɔn tɔk, tu diagnosis nɔto nyu diagnosis, na tu diagnosis we dɛn jɔyn. De sayn dɛm fɔ ɔl tu di sik kin fiba ɛn kin ɔvalap, fɔ mek yu no di sik kɔrɛkt wan kin bi prɔblɛm sɔmtɛm, ivin fɔ dɔktɔ.

Bɔt yu dɔktɔ go yuz spɛshal tin dɛn fɔ chɛk yu fɔ tɛst yu fɔ dɛn tu tin ya. I impɔtant fɔ bi ɔnɛs as yu ebul we yu de tɔk to yu dɔktɔ dis tɛm. Bay di ansa dɛm we yu gi, dɛn go ebul fɔ no us mɛrɛsin yu go gɛt ɛn us tritmɛnt we go fayn fɔ yu.

Wetin na di tritmɛnt dɛm fɔ Dual Diagnosis?

We yu de trit dual diagnosis, di bɛst we fɔ trit yu maynd wɛlbɔdi prɔblɛm ɛn yu sɔbstans yuse disɔda di sem tɛm . Yu ɛn yu dɔktɔ nid fɔ ɔndastand aw dɛn tu tin ya kin afɛkt dɛnsɛf. Na da tɛm de nɔmɔ yu go ebul fɔ pik di tritmɛnt plan we go wok fayn pas ɔl.

Fɔ mek yu wɛl ɔl we yu gɛt tu sik, yu nid fɔ stɔp fɔ yuz di drɔg we yu dɔn adikshɔn to kpatakpata . Fɔ bɔku pipul dɛn, dis kin bigin wit wan tin we dɛn kɔl ditɔksifikeshɔn . Insay rɛzidɛshɔnal ditɔksifikeshɔn, di wan dɛn we de kia fɔ wɛlbɔdi biznɛs de wach yu 24 awa ɛvride fɔ lɛk wan wik so. Dɛn kin ɛp yu fɔ lɛf di mɛrɛsin smɔl smɔl ɛn gi yu strateji fɔ ridyus di bad tin dɛn we kin apin we yu nɔ tek di mɛrɛsin.

Dipen pan yu situeshɔn, tritmɛnt fɔ Dual Diagnosis kin inklud bihayvya tɛrapi , mɛrɛsin , sɔpɔt grup, ɔrDɛn kin put di kia we dɛn de kia fɔ di wan dɛn we de na di sikman.

Bihayvya Tɛrapi

Bɔku bihayvya modifyeshɔn tritmɛnt dɛn de we dɔn sho se dɛn gɛt sakrifays fɔ trit dɛn kɔndishɔn ya we kin apin togɛda:

• Cognitive Behavioral Therapy (CBT): (CBT) na wan kayn tritmɛnt wae de tich yu fɔ no, dil wit, ɛn chenj di dysfunctional patterns na yu tinkin. Dis kin ɛp yu fɔ lan nyu we dɛn fɔ bia wit prɔblɛm dɛn.
• Dialectical Behavioral Therapy (DBT): DBT na tritmɛnt we de ɛp yu fɔ ridyus di bihayvya we de ambɔg yusɛf, mɔ di we aw yu de yuz sɔbstans, fɔ kɔt, ɛn fɔ tink ɔ du tin fɔ kil yusɛf. I kin ɛp yu fɔ lan aw fɔ kɔntrol aw yu de fil ɛn gɛt bɛtɛ padi biznɛs wit ɔda pipul dɛn.

Mɛrɛsin we dɛn kin gi

Yu dɔktɔ kin gi yu mɛrɛsin fɔ wan ɔ ɔl tu di sik dɛn we yu gɛt. Sɔm mɛrɛsin kin ɛp fɔ trit di sayn dɛm fɔ ɔl tu di sik dɛm wae dɛn kin gɛt tu kayn sik. Fɔ ɛgzampul, di mɛrɛsin we dɛn kɔl bupropion na di FDA dɔn gri fɔ trit pwɛl hat (as Wellbutrin®) ɛn dipɛnshɔn pan nikotin (as Zyban®).

Sɔpɔt Grup dɛn

Sɔpɔt grup na fayn ples fɔ gɛt di imɔshɔnal ɛn soshal sɔpɔt we yu nid fɔ de soba. Di pipul dɛn we de na dɛn grup ya na pipul dɛn we dɔn de na di sem tin lɛk yu. Yu kɔmpin dɛn kin tɛl yu bɔt dɛn ɛkspiriɛns ɛn ansa yu kwɛstyɔn dɛn. Dɛn kin gi yu advays bak bɔt aw fɔ dil wit di prɔblɛm dɛn we de mit yu ɛvride. Alcoholics Anonymous (AA) ɛn Narcotics Anonymous (NA) na sɔpɔt grup dɛn we bɔku pipul dɛn sabi.

Di kia we dɛn de kia fɔ di wan dɛn we sik

If yu gɛt siriɔs adikshɔn fɔ yuz sɔm kayn mɛrɛsin ɛn yu gɛt maynd sik, yu kin bɛnifit bɔku if yu gɛt tritmɛnt na say usay dɛn de mɛn pipul dɛn we gɛt tu sik dɛn . Na de, yu kin gɛt di mɛrɛsin ɛn mental wɛlbɔdi savis, mɛrɛsin, tritmɛnt, ɛn sɔpɔt we yu nid ɔl na wan ples.

Aw fɔ ridyus di risk fɔ (Dual Diagnosis)?

Jɔs lɛk mental sik, di sik wae de kam pan pɔrsin wae de yuse sɔm kayn mɛrɛsin na bren sik bak . Pan ɔl we dɛn nɔ go ebul fɔ stɔp dɛn ɔl, yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Yu fɔ no bɔt yu famili istri we yu bɔn . Dat min se, fɔ no if ɛnibɔdi na yu famili dɔn gɛt dɛn kayn maynd sik ya ɔr prɔblɛm wit sɔm kayn mɛrɛsin.
• If yu de drink rɔm, nɔ fɔ drink rɔm .
• If yu gɛt ɛni prɔblɛm wit yu maynd ɔ prɔblɛm, tɔk to yu dɔktɔ bɔt am.If dɛn no am kwik, i kin izi fɔ trit.

Wetin yu go ɛkspɛkt if yu gɛt tu diagnosis?

If yu gɛt di rayt tritmɛnt, yu go gɛt bɛtɛ chans fɔ wɛl afta dɛn dɔn gɛt tu sik . Yu kin mek yu layf bɛtɛ ɛn yu kin op fɔ gɛt gud tin fɔ du. Bɔt fɔ mek yu kɔntinyu fɔ gɛt dis sik, yu nid fɔ kɔntinyu fɔ wok wit yu dɔktɔ dɛn ɛn/ɔ sɔpɔt grup dɛn . Nɔ ɛva fred fɔ aks fɔ ɛp.

Aw fɔ ɛp pɔsin we yu lɛk we gɛt tu sik?

Fɔ ɛp pɔrsin wae gɛt dis sik wae de kam togɛda kin rili tranga . Di pɔsin we yu lɛk kin dinay se dɛn gɛt prɔblɛm ɛn i nɔ go want fɔ go to tritmɛnt. Ivin if dɛn bigin fɔ gɛt tritmɛnt, di waka fɔ mek dɛn wɛl kin tek lɔng tɛm.

Ɔndastand wetin yu ebul fɔ du ɛn wetin yu nɔ go ebul fɔ du. Yu nɔ go ebul fɔ fos di pɔsin we yu lɛk fɔ lɛf fɔ tek drɔgs, tek mɛrɛsin, ɔ go to advays.

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Bɔt, yu kin disayd fɔ du gud tin fɔ yusɛf . Yu kin ɛnkɔrej di pɔsin we yu lɛk fɔ gɛt ɛp, yu kin gi dɛn yu lɔv ɛn sɔpɔt we nɔ gɛt wan kɔndishɔn. Lisin to dɛn, tray fɔ ɔndastand dɛn.

If yu de sɔfa wit tu diagnosis, yu kin fil lɛk se yu de “na di rɔng say na di rod.” Yu kin fil bak se na yusɛf de du am. Bɔt i impɔtant fɔ mɛmba se mental sik ɛn fɔ yuz sɔm kayn tin dɛn we dɔktɔ dɛn no . Jɔs bikɔs dɛn “nɔ de si” nɔ min se dɛn nɔto rial pipul dɛn. Nɔr frayd fɔ si yu dɔktɔ ɛn aks fɔ ɛp. Bi ɔnɛs ɛn tɔk to dɛn, ɛn dɛn go ebul fɔ ɛp yu fɔ fɛn di tritmɛnt we yu nid. Fɔ aks fɔ ɛp na di fɔs tin we yu fɔ du fɔ mek yu wɛl.

Sɔma (Mɛsej we dɛn kin tek go na os) .

• Dual diagnosis na di kɔndishɔn fɔ gɛt ɔl tu di mental wɛlbɔdi prɔblɛm ɛn wan sɔbstans yus disɔda di sem tɛm . Dis kin apin mɔ pas aw yu go tink.
• Dɛn tu tin ya kin afɛkt dɛnsɛf ɛn dɛn kin wok lɛk bad bad saykl .
• Dis kin bi bikɔs ɔf di jɛnɛtiks, di tin dɛn we de apin na di say we wi de, di we aw dɛn de yuz drɔgs fɔ pul strɛs, ɛn di we aw drɔgs kin afɛkt di bren.
• I rili impɔtant fɔ ɔndastand di sayn dɛm ɛn go to dɔktɔ .
• Di tritmɛnt opshɔn dɛm na di tritmɛnt fɔ chenj di we aw pɔsin de biev, mɛrɛsin, sɔpɔt grup, ɛn tritmɛnt na os . If yu jɔyn dɛn tu tin ya, dat kin wok fayn pas ɔl.
• If dɛn trit am fayn ɛn sɔpɔt am, if dɛn no di sik tu tɛm, dat kin mek i wɛl ful wan. Nɔ fred fɔ aks fɔ ɛp, na di impɔtant tin we yu fɔ du.

`Dual Diagnosis, mɛntɛl hεlth, sɔbstans abiuz, adikshɔn, mɛntɛl sik, tritmɛnt, kɔ-ɔkurring disɔda