Sɔntɛnde, yu kin fil wan strenj fred fɔ sɔntin? Sɔntɛm na ayt, spayda, ɔ krawd. Bikɔs ɔf dis fred, yu go mɔs avɔyd dɛn tin dɛn de, dɛn ples dɛn de, ɛn dɛn tin dɛn de. Pan ɔl we dis avɔyd kin fil lɛk se yu dɔn fil fri fɔ shɔt tɛm, wetin kin rili apin na dat yu de fred mɔ ɛn mɔ as tɛm de go. Aw i at fɔ liv yu layf we yu de avɔyd bɔku tin dɛn dis kayn we? Bɔt nɔ wɔri, wan tritmɛnt de we rili fayn we go ɛp yu fɔ win dis prɔblɛm. Na dat wi kin kɔl Exposure Therapy .
Fɔ tɔk am simpul wan, wetin na Ɛksplɔshɔn Tɛrapi?
Eksposhɔn Tɛrapi na wan kayn saykotɛrapi wae gɛt fɔ du wit fɔ de ɛksplɔz yusɛf smɔl smɔl to de tin wae yu de fred fɔ apin, sityueshɔn, ɔr tin wae de apin na say we sef ɛn kɔntrol . Na wan kayn tritmɛnt wae de ɔnda di kategori wae de kɔl Cognitive Behavioral Therapy.
Tink bɔt am dis we. Yu nɔ go tɛl pɔsin we de fred wata fɔ jomp insay di dip ɛnd wantɛm wantɛm, nɔto so? Fɔs, yu go mek dɛn put dɛn fut insay di wata. Dɔn dɛn go ɛp dɛn fɔ kam dɔŋ te dɛn wes. Na da tɛm de nɔmɔ dɛn go lan fɔ swim smɔl smɔl. Exposure Therapy na so i bi. Yu thɛrapist go ɛp yu fɔ fes yu frayd stɛp bay stɛp, insay wan we we yu go ebul fɔ sɔlv.
Di men gol fɔ dis na fɔ tich yu bren bak se wetin yu de fred nɔ rili denja lɛk aw yu de tink. We yu avɔyd di tin dɛm we yu de fred, yu bren kin tink se, "Okay, a sef bikɔs a avɔyd am. Dat fɔ min se i bin denja." Bɔt pan dis tritmɛnt, we yu de fes da tin de ɛn i nɔ du yu bad, yu bren kin lan smɔl smɔl se nɔ nid fɔ fred am.
Us kɔndishɔn dɛn dis tritmɛnt de ɛp fɔ du?
Ɛksposhɔn tɛrapi na tritmɛnt we rili fayn fɔ bɔku mental wɛlbɔdi prɔblɛm, mɔ di wan dɛn we gɛt fɔ du wit fred ɛn wɔri.
| Mental wɛlbɔdi stetmɛnt | Wan simpul ɛksplen |
|---|---|
| Sɔm patikyula tin dɛn we pɔsin kin fred (Fɔbia) . | Fɔ fred pasmak, we nɔ kɔmɔn fɔ wan patikyula tin, lɛk ayt, snek, spayda, blɔd, ɔ nidul. |
| Sɔshial Wɔri Disɔda | Fɔ avɔyd sɔshal sityueshɔn bikɔs ɔda pipul dɛn go kɔrɛkt yu, ɔ bikɔs yu tink se yu go mek mistek. Fɔ fred fɔ tɔk bifo pipul ɔ fɔ go pati. |
| Pɔst-traumatik strɛs disɔda (PTSD) . | Sivεr mental strεs wae kin kam wit mεmכri εn tinkin wae gɛt fɔ du wit wan traumatik tin (wɔ, aksidεnt, nεchכral disasta) afta dεn εkspiriεns am. |
| Tin dɛn we pɔsin kin tink ɛn du we i de du tin (OCD) . | Fɔ gɛt tin dɛm wae de mɔna yu, wae yu nɔr want (obsessions) ɛn fɔ du sɔm tin dɛm ɔltɛm fɔ ridyus de strɛs wae yu de tink bɔt (compulsions). |
| Panik Disɔda | Fɔ fred pasmak wantɛm wantɛm, we yu nɔ ebul fɔ ɛksplen we kin kam wit sɔm sayn dɛm na yu bɔdi lɛk we yu chɛst tayt ɛn i nɔ kin izi fɔ blo. |
| Jɛnɛral wɔri sik (GAD) . | Kɔntinyu fɔ wɔri bɔt ɔdinari tin dɛn we pɔsin kin du ɛvride, lɛk wok, famili, ɛn wɛlbɔdi biznɛs, we pɔsin nɔ kin ebul fɔ kɔntrol. |
Di impɔtant tin na dat fɔ sɔm pan dɛn kayn tin ya, di tritmɛnt fɔ ɛksposhɔn kin nid ɔda tritmɛnt, lɛk mɛrɛsin, apat frɔm di tritmɛnt. Yu fɔ tɔk bɔt dis wit yu dɔktɔ.
Wetin na di men we dɛn fɔ Ɛksposhɔn Tɛrapi?
Bɔku difrɛn we dɛn de fɔ du dis tritmɛnt. Di dɔktɔ we de mɛn yu go pik di we we go fayn fɔ yu bay aw yu de fil ɛn wetin yu want.
1. In Vivo Ɛksplɔshɔn
Dis na di we aw dɛn kin du am pas ɔl. 'In vivo' min "insay rial layf." Dis min se yu fɔ kɔfrɛnt di tin, di tin we apin, ɔ di ples we yu rili de fred.
- Fɔ ɛgzampul: If yu de fred dɔg, yu ɛn yu tritmɛnt pɔsin go fɔs luk wan pikin frɔm fa. Dɔn, muf go nia am smɔl. Insay di nɛks sɛshɔn, sɔntɛm yu go tray fɔ pet wan pikin. Dis kin go stɛp bay stɛp.
2. Imajinal Ɛksplɔshɔn
Sɔntɛnde, i kin rili at fɔ fes wetin yu de fred. Fɔ ɛgzampul, na PTSD, yu nɔr kin ebul fɔ rilayv de traumatik tin wae yu bin gɛt. Na da tɛm de dɛn kin yuz dis we.
- Example: Na ya, de terapist aks yu fɔ imajin di tin ɔr mɛmori wae yu de fred. Dɛn kin aks yu fɔ tɔk bɔt di tin we apin. Dɛn kin aks yu fɔ mɛmba di filin, smel, ɛn sawnd we yu bin de fil da tɛm de. Bikɔs dɛn kin du dis na say we sef, yu kin praktis fɔ fes di fred we kin kam wit da mɛmori de.
3. Virtual Riality Ɛksplɔshɔn
Dis na wan we we de yuz smɔl advans tɛknɔlɔji. Dɛn mek yu artificially fɔ fil frayd tru wan `Virtual Reality (VR)` ɛdsɛt.
- Fɔ ɛgzampul: Fɔ pɔsin we de fred fɔ flay (aerophobia), dɛn kin yuz VR teknɔlɔji fɔ gi dɛn di ɛkspiriɛns fɔ de insay plen ɛn tek ɔf, we nɔ rili nid fɔ go insay wan. Dis kin fil lɛk di rial tin, bɔt yu de na di say we sef na di pɔsin we de mɛn yu in rum.
4. Intaroseptiv Ɛksplɔshɔn
Dis na tin we difrɛn smɔl. Sɔm pipul dɛn nɔ kin fred ɛnitin we de na do, bɔt dɛn kin fred di tin dɛn we kin kɔmɔt insay dɛn bɔdi we dɛn fil se dɛn de fred. Dat min se dɛn at de bit fast, dɛn briz de fil se dɛn dɔn swɛla, dɛn de swet. Dɛn pipul ya de fred se dɛn go gɛt `Panic Attack` ɛn day.
- Example: Na ya, de terapist de mek yu bɔdi fil bad bay wilful ɛn sef wan. Fɔ ɛgzampul, dɛn kin tɛl yu fɔ rɔn na wan patikyula say ɛn mek yu at bit mɔ ɛn mɔ. Ɔ dɛn kin mek yu fil lɛk se yu de swɛla bay we yu de blo tru tiub. Dɔn yu go lan se dɛn tin ya we yu kin fil na yu bɔdi, pan ɔl we yu nɔ kin fil fayn, dɛn nɔ kin denja.
Dɛn kin gɛt difrɛn kayn dɛn bak dipen pan aw dɛn plan fɔ gi di tritmɛnt.
Dis tritmɛnt kin sheb to sɔm pat dɛn dipen pan di spid ɛn ɔda we aw dɛn de impruv di we dɛn we wi dɔn tɔk bɔt.
- Graded Exposure: Dis na di wan we dɛn kin yuz mɔ. Na ya yu mek wan list fɔ tin dɛn we yu de fred, frɔm di wan dɛn we nɔ de mek yu fred to di wan dɛn we de mek yu fred pas ɔl. Mek wi kol dis "fear ladder." Dɔn, we yu bigin na di bɔt ɔf di lada, we na di tin we nɔ de mek yu fred, yu de go ɔp smɔl smɔl. Na afta yu dɔn win wan step nɔmɔ yu go go to di nɛks step.
- Flɔd: Dis min se yu fɔ mit di tin we yu de fred pas ɔl , di tin we yu de fred pas ɔl, wantɛm wantɛm. Pan ɔl we dis na we we de gi rizɔlt kwik kwik wan, i nɔ fayn fɔ ɔlman. Dis kin rili at fɔ du. Dis fɔ bi ɔnda di sɔpɔtishɔn fɔ wan ɛkspiriɛns tɛrapist.
- Fɔ bia wit di tɛknik dɛn fɔ mek pɔsin kol (Systematic Desensitization):Wetin kin apin ya na dat yu de praktis tɛknik dɛm wae de ɛp yu fɔ kol at wae yu de fes frayd. Fɔ ɛgzampul, dɛn go tich yu aw fɔ blo dip dip wan ɛn aw fɔ rilaks yu mɔsul dɛn. Dɔn, we yu fil se yu de fred, yu go lan fɔ yuz dɛn we dɛn de fɔ kɔntrol di wɔri we yu de wɔri.
Aw dis tritmɛnt prɔses kin apin?
Fɔs, yu ɛn yu thɛrapist go kam togɛda fɔ tɔk fayn bɔt aw yu de fred ɛn aw dɛn kin afɛkt yu layf. Di fɔs tin we yu fɔ du na fɔ mek yu gɛt trɔst ɛn mek yu fil sef.
Dɔn, una ɔl tu mek wan tritmɛnt plan. Dɛn kin mek sɔntin lɛk di "fear ladder" we wi bin dɔn tɔk bɔt bifo tɛm. Yu de rank yu frayd frɔm 1 to 10, ɛn rank am in ɔda frɔm di lɛst to di mɔs fred.
Na da tɛm de di rial tritmɛnt kin bigin. Yu bigin na di bɔt ɔf di lada. Dat min se yu de fes sɔntin we yu jɔs de fred. Da tɛm de, yu kin fred ɛn wɔri smɔl smɔl, i kin rich di mak, dɔn i kin stɔp smɔl smɔl. Yu de de te yu nɔ rɔnawe. Yu thɛrapist de ɛp yu fɔ kɔntrol yu maynd ɛn kol at da tɛm de.
We yu dɔn fil fayn fɔ du wan step, yu kin go to di nɛks step na di nɛks sɛshɔn. Dis we ya, yu go wok smɔl smɔl fɔ go ɔp di lada. Sɔntɛnde, di dɔktɔ kin gi yu homwok bak fɔ du na os.
Aw lɔng dis go tek?
Di tɛm we dis kin tek kin difrɛn frɔm wan pɔsin to ɔda pɔsin. E dipen pan tin dɛm lɛk aw yu sik tranga ɛn aw yu de kɔmit to de tritmɛnt. Sɔm pipul dɛn kin fil big difrɛns insay jɔs sɔm sɛshɔn dɛn. Ɔda wan dɛn kin tek sɔm mɔnt.
Nɔ pwɛl at bay di tɛm we i tek fɔ si di rizɔlt. Di impɔtant tin na fɔ aks fɔ ɛp ɛn kɔntinyu fɔ waka na di rayt rod. Ivin smɔl smɔl tin dɛn we dɛn kin du fɔ mek tin bɛtɛ na big win.
Yu tink se dis rili na tritmɛnt we go wok fayn?
Yɛs, i kin rili wok. Ɛspɛshali fɔ kɔndishɔn dɛn lɛk Phobias. Risach dɔn sho se dis we fɔ du tin kin wok fayn pan pas 90% pan di pipul dɛm we kin dɔn di tritmɛnt. Dat min se nayn pan tɛn pipul dɛn kin gɛt gud rizɔlt! Pan ɔl we mɔ kɔmpleks kɔndishɔn dɛn lɛk PTSD ɛn OCD kin nid ɔda tritmɛnt, Ɛksplɔshɔn Tɛrapi na rili impɔtant ɛn ifɛktiv pat pan da tritmɛnt plan de.
Ɛni risk de pan dis?
Na tru se yu nɔ kin fil fayn smɔl ɛn yu kin strɛs we yu bigin fɔ trit yu bikɔs yu de fred pas ɔl we yu dɔn de avɔyd yu wan ol layf. Dat na nɔmal tin.
Bɔt mɛmba se dis na tritmɛnt we rili sef ɛn we go wok fayn.Nɔto yu wan de du dis. Yu thɛrapist na pɔrsin wae dɛn dɔn tren spɛshal fɔ dis. I go de wit yu ɛvri step na di rod, sɔpɔt yu, ɛn protɛkt yu. So no rizin nɔ de fɔ mek wi fred.
Ustɛm a fɔ kɔl mi dɔktɔ?
Na nɔmal tin fɔ mek yu nɔ fil fayn we yu de trit yu. Bɔt if yu fil lɛk se yu sik de wɔs, ɔr if yu de fred ɔr de fred pasmak, mek yu mɛntɛl hεlth pɔrsin no wantɛm wantɛm.
If yu de tink bɔt fɔ kil yusɛf ɔ yu de tink fɔ du bad to yusɛf, duya go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm.
Fɔ aks fɔ ɛp fɔ wan mɛntɛl hεlth prɔblɛm kin tranga, bɔt na de bɛst tin wae yu kin du fɔ yusɛf. Exposure Therapy na wan valyu tin wae kin ɛp yu fɔ lɛf fɔ frayd wae de kɔntrol yu layf ɛn liv gladi layf.
Mɛsej we dɛn kin kɛr go na os
- Eksposhɔn Tɛrapi na wan saykotɛrapi tritmɛnt wae de ɛp yu fɔ fes yu frayd sef wan, stɛp bay stɛp.
- If yu avɔyd tin dɛn we de mek yu fred, dat kin mek yu fil fayn fɔ shɔt tɛm, bɔt as tɛm de go, de fred go jɔs bɔku.
- Dɛn kin du dis tritmɛnt ɔltɛm ɔnda di sɔpɔtishɔn fɔ wan sayɛnsman ɔ advaysa we dɔn gɛt spɛshal trenin fɔ di rizin.
- Di tritmɛnt kin tranga smɔl fɔs, bɔt i rili sef. Yu thɛrapist go sɔpɔt yu ɔltɛm.
- Yu nɔ nid fɔ fɛt fɔ fred ɛn wɔri yu wan. We yu aks fɔ ɛp, dat de sho se yu gɛt trɛnk.
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