Yu tink se di pɔsin we yu lɛk de mek lɛk se i sik we dɛn nɔ rili gɛt? Lɛ wi tɔk bɔt dis denja kɔndishɔn (Factitious Disorder Imposed on Another - FDIA)!

Yu dɔn ɛva yɛri bɔt pipul dɛn we de kia fɔ dɛn pikin, ol pɔsin, ɔ pɔsin we gɛt disabled we nɔ sik, de mek lɛk se dɛn sik ɛn kɛr dɛn go to dɔktɔ ɛn gi dɛn mɛrɛsin? Dis rili at fɔ imajin, bɔt i kin apin sɔntɛnde. Tide wi go tɔk bɔt dis kayn tin we rili kɔmpleks ɛn denja maynd.

Wetin na dis FDIA (Factitious Disorder we dɛn kin put pan ɔda pɔsin)?

Fɔ tɔk am simpul wan, `Factitious Disorder Imposed on Another` (FDIA) na mɛntɛl hεlth kɔndishɔn wae pɔrsin wae gɛt dis sik kin tray fɔ mek ɔda pipul dɛm, mɔr lɛk dɔktɔ dɛm, biliv se pɔrsin wae dɛn de kia fɔ (fɔ ɛgzampul, pikin we nɔ rich 6 ia yet, pɔsin we gɛt disabiliti, ɔ big pɔsin we dɔn pas 65 ia) sik we dɛn rili nɔ gɛt ɛni sik.

Dɛn bin de kɔl dis `Munchausen syndrome by proxy.` Da nem de kɔmɔt frɔm wan istri pɔsin we bin de ɛgzajarayt stori. Bɔt naw dɛn de yuz di wɔd `Factitious Disorder Imposed on Another` fɔ tɔk mɔ bɔt dis bihayvya.

Di tin we impɔtant pas ɔl na dat dis kayn lay lay we aw pɔsin de mek lɛk se i rili denja . Na bikɔs i kin mek di pɔsin we nɔ du natin, we de kia fɔ am, gɛt fɔ du dɔktɔ tɛst we nɔ nid fɔ du, ɛn sɔntɛnde i kin ivin du ɔpreshɔn we de mek i gɛt prɔblɛm. Dis na wetin kin apin we di mɛdikal tim dɛn de tray fɔ no wetin rili de apin.

Dɛn kin tek dis as mental sik ɛn wan kayn abiuz . Bɔt we dɛn de fɔ gɛt ɛp fɔ di pɔsin we gɛt FDIA ɛn di pɔsin we nɔ ebul fɔ ɛp insɛf.

Dis sik nɔr kin bɔrku na sosayti. Dɔn bak, no patikyula statystik nɔ de bɔt ɔmɔs pipul dɛn gɛt am. Bikɔs bɔku kes dɛn nɔ kin no if dɛn gɛt di sik.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis sik. Bɔt, risach dɔn sho se dɛn tin ya kin mek dis kayn we aw pɔsin de biev:

• Siriv trauma, abuse, or neglect trade: Sɔntɛm yu bin gɛt sɔntin lɛk dis we yu bin smɔl.
• We yu mama ɔ papa ɔ pɔsin we de kia fɔ yu lɔs: Dis sik kin kam bikɔs yu nɔ ebul fɔ bia wit da kayn lɔs de.
• Siv strɛs: We layf fil tu strɛs fɔ bia.
• Strɔng nid fɔ pe atɛnshɔn frɔm ɔda pipul dɛn: Di want fɔ mek ɔda pipul dɛn tɔk bɔt ɛn gladi fɔ dɛnsɛf ɛn di we aw dɛn de gi dɛn layf to Gɔd.

Dis na sɔm pan di men rizin dɛn we dɛn dɔn no.

Wetin na de kwaliti dɛm fɔ pɔrsin wae gɛt dis sik?

If yu gɛt dis FDIA stetɔs, yu kin ebul fɔ du tin dɛn lɛk:

• Yu kin tɛl dɔktɔ se di pɔsin we yu de kia fɔ gɛt sɔm sayn dɛn we nɔ rili de.
• Sɔntɛnde, dɛn kin ambɔg di ɔda pɔsin in bɔdi fɔ mek i gɛt di sayn dɛm (fɔ ɛgzampul, bay we dɛn nɔ de it it fɔ stɔp in wet).
• Fɔ chenj di rizɔlt fɔ ɔda pɔsin in mɛdikal tɛst ripɔt (fɔ ɛgzampul, bay we yu miks ɔda tin insay urine sampul).
• Dɛn kin ambɔg di ɔda pɔsin in tritmɛnt plan ɛn mek dɛn nɔr de wɛl.

Wetin na di sayn dɛn we pɔsin kin si we de sho se pɔsin dɔn bi pɔsin we dɛn de du bad to?

If yu na viktim fɔ dis FDIA kɔndishɔn, yu kin si sayn dɛn lɛk dis na di pɔsin we de kia fɔ yu:

• Yu nɔ de ɛva lɛf am in wan , ɔ lɛf am fɔ mek i nɔ si am.
• I kin dɔn gɛt histri fɔ go na ɔspitul bɔku tɛm, dɛn kin du tɛst dɛn, ɛn dɛn kin du difrɛn mɛrɛsin dɛn .
• Sɔntɛm di mɛdikal ripɔt dɛn nɔ kin mach dɛnsɛf ɛn dɛn kin agens dɛnsɛf.
• Di sayn dɛm nɔr kin mach wan sik, ɔr e nɔr kin pɔsibul fɔ rich wan patikyula diagnosis .
• Di sayn dɛm kin de na os nɔmɔ , ɛn nɔr kin si am bifo dɔktɔ.
• Wi kin se di sik bin stɔp we yu bin de na ɔspitul, bɔt i bin bɔku bak we yu rich na os .
• Sɔntɛnde, di blɔd ɔ urine sɛmpul dɛn we dɛn tɛst na di lab nɔ kin mach di pɔsin in blɔd tayp ɔ urine , ɔ dɛn kin sho pruf fɔ se dɛn dɔn du mami ɛn dadi biznɛs wit am.

Imajin, wan smɔl pikin de, in mama kin kɛr am go na ɔspitul ɔltɛm, ɛn tɛl am bɔt wan sik afta di ɔda wan. Ivin afta di dɔktɔ dɛn dɔn du wan tɛst afta di ɔda wan, dɛn nɔ go ebul fɔ fɛn ɛni sik. Bɔt we i go na os, di mama tɔk bak se di pikin gɛt prɔblɛm. Sɔntɛm we dɔktɔ nɔ de, di mama kin mek lɛk se i sik bay we i de du sɔntin to di pikin. Dis na di denja we FDIA gɛt.

Yu tink se dis na frɔm dɛn gret gret granpa dɛn? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Dɛn nɔ dɔn fɛn wan jenɛtik kɔz fɔ FDIA yet, we min se i nɔto sik we pɔsin kin gɛt frɔm in mama ɛn papa .

Bɔt dis sik kin bɔku pan uman dɛn we de kia fɔ dɛn . I kin kɔmɔn bak pan pipul dɛm wae gɛt dis maynia sik .

Sɔm kɔmɔn sayn dɛm wae dɛn kin si pan pipul dɛm wae dɛn dɔn no se gɛt dis sik na:

• Yu gɛt bɔku no bɔt mɛrɛsin ɛn wɛlbɔdi infɔmeshɔn.
• Yu rili gɛt padi biznɛs wit ɔda pipul dɛn ɛn yu kin gri wit ɔda pipul dɛn izi wan .
• Yu rili gɛt zil ɛn yu de gi yu layf to Gɔd as pɔsin we de kia fɔ dɛn.

Bikɔs ɔf dɛn kwaliti ya, sɔntɛnde ɔda pipul dɛn nɔ kin ivin sɔprayz pan ɛnitin.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Infakt, i rili at fɔ mek dɔktɔ dɛn no dis FDIA kɔndishɔn. Bikɔs, di men tin bɔt dis kɔndishɔn na fɔ nɔ ɔnɛs ɛn fɔ ful pɔsin.Dɔktɔ go mek shɔ fɔs se di pɔsin we yu de kia fɔ nɔ gɛt ɛni ɔda sik we go gɛt fɔ du wit di sayn dɛn we i de gɛt. Na da tɛm de nɔmɔ dɛn go tink if yu gɛt FDIA kɔndishɔn. Dis kin tek sɔm tɛm .

Di dɔktɔ go aks yu fɔs bɔt di sayn dɛn we yu lɛk gɛt ɛn if nid de, i go du yu bɔdi ɛgzam ɛn ɔda tɛst dɛn. Dɛn go aks yu bɔt dɛn mɛdikal istri ɛn famili mɛdikal istri. Dis tɛm ya, di dɔktɔ go pe atɛnshɔn to di ditel dɛn lɛk:

• Yu kin go na difrɛn mɛdikal sɛnta dɛn bɔku tɛm fɔ gɛt tritmɛnt?
• Yu tink se di istri dɛn we dɛn rayt bɔt mɛrɛsin nɔ gri wit dɛnsɛf?
• Yu fil se yu nɔ want fɔ gi yu mɛdikal rɛkɔd bifo tɛm, ɔ fɔ tɔk bɔt dis wit yu padi ɛn fambul dɛn?
• Dɛn nɔ alaw dɔktɔ dɛn fɔ tɔk to di pɔsin we dɛn de kia fɔ in wan?

If yu saspek sɔmtin lɛk dis, di dɔktɔ go tɔk to yu bɔt dis bihayvya ɛn mek shɔ se yu ɛn di pɔsin we yu de kia fɔ ɔl tu sef.

Diagnostik krayteria fɔ FDIA na di `DSM-5`

Akɔdin to di American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, we na di fayv edishɔn (DSM-5), dɛn fɔ mit dɛn krayteria ya fɔ mek dɛn no se yu gɛt FDIA:

• Fɔ lay fɔ mek lɛk se yu gɛt sayn dɛn na yu bɔdi ɔ yu maynd, ɔ fɔ mek yu wund ɔ sik, wit di intenshɔn fɔ ful ɔda pipul dɛn.
• Wan pɔsin kin sho ɔda pɔsin (di pɔsin we dɛn du bad to) to ɔda pipul dɛn se i sik, wik, ɔ i dɔn wund .
• Dɛn nɔ kin du dis we aw pipul dɛn de ful pipul dɛn wit di we aw dɛn de op fɔ gɛt bɔku prɔfit we pɔsin kin si na do .
• Dis bihayvya nɔr kin kam wit ɔda mɛntɛl hεlth kכndyushכn .

Wetin na di tritmɛnt dɛm fɔ dis?

Di fɔs gol fɔ trit FDIA na fɔ chenj di bad we aw pipul dɛn de biev ɛn ridyus di misyuz ɔ ɔva yuz di mɛrɛsin risɔs . Neks, yu mɛdikal tim go luk fɔ di ɔndalayn kɔz dɛm fɔ yu bihayvya.

Dɔktɔ dɛn go wok togɛda fɔ mek shɔ se di pɔsin we yu de kia fɔ nɔ de pan denja ɛn dɛn nɔ de du mɛrɛsin tɛst ɔ tritmɛnt we nɔ nid. Di pɔsin we dɛn du bad to, dat na di pɔsin we yu de kia fɔ, kin nid ɛp bak wit:

• Fɔ pul am na di say we yu de kia fɔ am ɛn put am na ɔda pɔsin fɔ kia fɔ am.
• Fɔ trit ɛni injury ɔ sik we i go dɔn gɛt.
• Fɔ tɔk to mɛntɛl hεlth kɔstɔma , thεrapist, ɔr ɔda mεdikal pɔrsin bɔt kכndyushכn lεk `Post-Traumatic Stress Disorder (PTSD), `Depression,` εn `Anxiety` wae kin kכmכt frכm dis abiuz.

Fɔ trit di ɔndalayn kɔz dɛm fɔ yu bihayvya, yu dɔktɔ kin rifer yu to Cognitive Behavioral Therapy (CBT).Dɛn kin rifer yu to saykotɛrapi program lɛk. De gol fɔ dis tritmɛnt na fɔ no aw yu de tink ɛn fil de afɛkt yu bihayvya. I de tich yu bak se i impɔtant fɔ ɔnɛs . Wan pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs kin ɛp yu fɔ chenj di we aw yu de tink ɛn biev.

Tipikli, FDIA na wan sik we rili at fɔ trit, we nid fɔ tek lɔng tɛm tɛrapi ɛn sɔpɔt . Soshal savis, lɔ ɛnfɔsmɛnt, pikin protɛkshɔn savis, big pipul protɛkshɔn savis, ɛn dɔktɔ dɛn ɔl nid fɔ wok togɛda as tim fɔ stɔp dis bihayvya.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin? Wetin na di bad bad tin dɛn we kin apin?

Nɔr way nɔr de we dɛn no fɔ mek dis sik nɔr de. Bɔt fɔ go to tritmɛnt jɔs lɛk aw di sik bigin, dat kin ɛp fɔ ridyus di damej . Fɔ ɛgzampul, if yu pul di pɔsin we yu de kia fɔ, dat kin ɛp fɔ mek yu nɔ du bad tin we nɔ impɔtant.

Di FDIA sityueshɔn kin gɛt rili siriɔs kɔnsikuns. Sɔm pan dɛn na:

• Ligal tin dɛn (dis abiuz na kriminal ɔfens).
• Dɛn kin kɔntinyu fɔ trit di pɔsin we dɛn du bad to .
• We di pikin we dɛn du bad to big, i kin gɛt wan sik bak we i kin mek i gɛt sik fɔ insɛf (`Factitious Disorder Imposed on Self`) .
• Sɔntɛnde, di pɔsin we dɛn du bad to kin ivin day .

Dɛn kayn bad bad tin ya kin apin bay we dɛn mek shɔ se dis sik gɛt di rayt tritmɛnt kwik kwik wan.

Ustɛm yu fɔ aks fɔ ɛp? Udat yu fɔ aks?

If yu tink se pɔsin we de nia yu de sho dɛn FDIA bihayvya ya, kɔl dɔktɔ ɔ soshal woka wantɛm wantɛm . If yu si sayn dɛn fɔ se dɛn dɔn trit yu bad, ripɔt am to di rayt Adult Protective Services ɔ Child Protective Services. If pɔsin de pan denja wantɛm wantɛm, nɔ ɛva shem fɔ kɔl 911 ɔ yu lokal imejensi nɔmba.

Yu kin aks kwɛstyɔn dɛn lɛk dis fɔ gɛt infɔmeshɔn bɔt pɔsin we yu tink se gɛt FDIA:

• Aw ɔltɛm yu kin go to dɔktɔ?
• Yu kin go to di sem dɔktɔ, ɔ yu kin chenj chenj bitwin sɔm dɔktɔ dɛn?
• Aw di pɔsin we yu de kia fɔ de fil afta dɛn dɔn du bɔku tɛst dɛn?
• De pɔrsin wae yu de kia fɔ gɛt sɔm kayn sik ivin wae yu nɔr de nia yu?
• Yu kin fil bɔku strɛs as pɔsin we de kia fɔ dɛn?

Bɔt mɛmba se, bikɔs di FDIA sityueshɔn kin mek pɔsin ful, yu nɔ go gɛt klia ansa to dɛn kwɛstyɔn ya. We yu de tray fɔ gɛda infɔmeshɔn, nɔ aks kwɛstyɔn dɛn we go mek yu tɔk se yu de tɔk bɔt yu . Aproch di tɔk wit wan we we rili saful ɛn we yu want fɔ no mɔ.

Fɔ tɔk smɔl, tin dɛn we wi nid fɔ mɛmba

Factitious Disorder Imposed on Another (FDIA) na wan sik wae nɔr kin izi fɔ no, trit, ɛn wae kin rili denja. Dis kayn we aw pɔsin de ful pɔsin kin mek i gɛt prɔblɛm dɛn we i go gɛt fɔ ɔl in layf.

Bɔt, dɛn kin stɔp dis saykl fɔ abiuz . Nɔ shek fɔ tɔk ɔnɛs ɛn if nid de, kɔnɛkt wit risɔs dɛn na di nashɔnal ɛn lokal lɛvul. Ɔlman we gɛt fɔ du wit dis kin gɛt ɛp. Nɔto yu wan de .

Wi op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, duya tɔk to dɔktɔ we yu kin abop pan.

` Factitious Disorder Imposed on Another, FDIA, Munchausen syndrome by proxy, mental hεlth, pikin abiuz, fek sik, abiuz we de kia fɔ pikin