Yu kin wɔri bak ɔltɛm bɔt tin dɛn we nɔ impɔtant? Dis na bɔt Jɛnɛralized Anxiety Disorder (GAD)!

Sɔntɛnde, yu kin fil bad ɛn wɔri bɔt ivin di smɔl smɔl tin dɛn? Sɔntɛm i nɔto jɔs smɔl wɔri. We yu de tink tumɔs bɔt di wok dɛn we yu de du ɛvride ɛn wɔri bɔt dɛn, dat kin rili afɛkt yu maynd wɛlbɔdi. Tide wi de tɔk bɔt wan kɔndishɔn lɛk dis, we dɛn kɔl ‘Jɛnɛralized Anxiety Disorder’ ɔ ``(Generalized Anxiety Disorder - GAD)``.

Wetin na dis sik we de it ɔltin? Na Jɛnɛral Anxiety Disorder (GAD) we pɔsin kin wɔri?

Bɔku tɛm yu kin wɔri bɔt ivin di smɔl smɔl tin dɛn? Yu kin wɔri pasmak ɛn nɔ ebul fɔ kɔntrol yusɛf bɔt tin dɛn we yu kin du ɛvride, lɛk wok na os, ɔfis wok, yu pikin dɛn skul wok, mɔni prɔblɛm, ɔ yu ɔ yu famili in wɛlbɔdi? Imajin, frɔm di tɛm we yu wek na mɔnin te yu go slip na nɛt, yu kin fil lɛk se yu gɛt bɔku tin dɛn we de wɔri we de swirl rawnd yu ed? Na dat wi kin jɔs kɔl `(Jɛnɛralized Anxiety Disorder - GAD)`.

Naw yu go de tink se, ‘Udat nɔ de wɔri? Ɔlman kin wɔri bɔt sɔntin.’ Na tru. Na nɔmal tin fɔ mek yu wɔri ɛn fred smɔl we big prɔblɛm kam na yu layf, we ɛgzam de kam, ɔ we yu gɛt fɔ bigin nyu wok. Bɔt fɔ pɔsin we gɛt GAD, dis wɔri, dis fred, kin apin ɔltɛm, ivin fɔ natin . Fɔ tɔk di kɔrɛkt tin, i kin mek yu wɔri bɔku fɔ natin, ɛn fɔ smɔl tin dɛn. Na laik se yu maind get ‘worry switch’ we de on ol taim.

We yu de kɔntinyu fɔ wɔri lɛk dis, i nɔ jɔs de afɛkt yu maynd. I kin afɛkt yu bɔdi bak . Yu kin gɛt ed pen, yu bɔdi kin at, ɛn jɔs fil bad bad wan. Infakt, i kin at fɔ mek wi ebul fɔ pas di de. Dɛn se lɛk 3% pan di big pipul dɛm na Amɛrika kin sɔfa wit dis sik, ɛn i kin afɛkt lɛk 5% pan pipul dɛm sɔm tɛm na dɛn layf. Bɔt na 43% pan di wan dɛn we gɛt di sik kin go fɔ tritmɛnt. So, if yu de gɛt dis kayn tin, i rili impɔtant fɔ go to dɔktɔ fɔ ɛp yu.

Yu de wɔnda bak if yu gɛt GAD? Lɛ wi tek wan luk pan dɛn sayn ya.

Tu men sayn dɛm de wae yu kin si pan GAD:

• Fɔ wɔri pasmak ɛn fɔ kɔntinyu fɔ wɔri bɔt ɔdinari tin dɛn we yu kin du ɛvride.
• I rili at fɔ kɔntrol dɛn tin ya we de mek wi at pwɛl.

Apat frɔm dɛn tin ya, dis wɔri we yu de wɔri ɔltɛm na yu maynd kin mek yu gɛt sɔm sayn dɛn bak na yu bɔdi . Si if yu gɛt ɛni wan pan dɛn tin ya:

• I nɔ izi fɔ slip ɔ nɔ ebul fɔ slip fayn ivin afta yu dɔn slip, we yu de wek ɔltɛm.
• Ɔltɛm a kin fil taya ɛn taya .
• Wan rɛstlɛs we yu nɔ ebul fɔ kɔntrol , we yu de fil bad bad wan, vɛks pan ivin di smɔl smɔl tin dɛn.
• Di ed we kin at bɔku tɛm .
• Fɔ fil lɛk se yu at de bit fast fast (at de bit) .
• Mi mɔsul dɛn tayt ɛn i kin mek a fil pen.Di filin na `(Muscle tension)`.
• We pɔsin nɔ de rɛst .
• I kin tan lɛk se i at fɔ blo, lɛk se yu de swɛla .
• Swet fɔ natin.
• I at fɔ pe atɛnshɔn pan di wok we yu de du.
• Bɔdi pen we dɛn nɔ ɛksplen (fɔ ɛgzampul, mɔsul dɛn we de at, bɛlɛ we de at).

Sɔntɛnde, dɛn sik ya kin kam ɛn go, ɛn sɔntɛnde dɛn kin wɔs we yu fil strɛs ɔ wɔri .

Wetin mek wi kin gɛt GAD? Wetin na di tin dɛn we kin mek i apin?

Pan ɔl we i nɔ pɔsibul fɔ tɔk di rayt tin we kin mek pɔsin gɛt GAD, di wan dɛn we de stɔdi bɔt dis biliv se na bɔku tin dɛn we dɛn jɔyn togɛda.

• Di we aw yu bren de wok: Sɔm chenj kin kam pan di we aw yu bren de sɔlv prɔblɛm ɛn strɛs.
• Jɛnɛtiks: GAD kin rɔn na famili. Dis min se if pɔsin na yu famili gɛt dis sik, yu go gɛt dis sik. di chenj dεm we de apin na di jεnεtiks kin mek chenj dεm na di imכtant kεmikכl mεsenja dεm na di bren, lεk sεrotonin, dopamin, εn GABA, we kin afekt di we aw yu de tink.
• Laif εkspiriεns: Strεs, chεlεnj εkspiriεns wae yu bin de gεt ova tεm (e.g., prכblεm na woke, famili disput, aksidεnt) kin chenj di we aw yu de ansa to εvride tin dεm bak.

Udat kin gɛt mɔ chans fɔ gɛt GAD? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

GAD kin afɛkt pikin ɛn big pipul dɛn. Bɔku tɛm, i kin bigin we i smɔl ɔ we i yɔŋ, bɔt i kin bigin pan ɛni ej.

Yu kin gɛt mɔ risk fɔ gɛt GAD fɔ dɛn rizin ya:

• If yu na uman .
• If dɛn dɔn no se pɔsin na yu famili gɛt GAD .
• If yu dɔn gɛt wan bad bad tin ɔr big mental strɛs na yu layf.
• If dɛn bin de trit yu bad we yu bin smɔl .
• If yu sɔfa wit ɔda mɛntɛl hεlth kɔndishɔn, fɔ ɛgzampul, ``Panic Attacks`` (we yu de fred wantɛm wantɛm), ``Diprɛshɔn`` (diprɛshɔn), ɔ ``Phobia`` (we yu de fred bad bad wan fɔ sɔntin) .
• If yu de sɔfa wit wan sik wae de mɛdikal sik fɔ lɔng tɛm (e.g. dayabitis, at sik).
• If yu de yuz drɔgs ɔltɛm lɛk tabak, rɔm, ɔ marijuana.

GAD kin mek ɔda prɔblɛm dɛn?

Yɛs, GAD kin gɛt fɔ du wit ɔda prɔblɛm dɛn we kin apin to pɔsin in maynd . Fɔ ɛgzampul, sɔbstans yuse disɔda ɛn pwɛl hat kin apin togɛda wit GAD. Yu kin gɛt bak yu maynd kin chenj , yu kin chenj yu bihayvya, ɛn yu kin chenj yu ɛnaji.

De tin wae impɔtant pas ɔl na dat, sɔmtɛm GAD kin mek yu gɛt maynd fɔ bost wit layf, tink fɔ du bad to yusɛf. If yu ɛva fil lɛk se yu de na dis kayn ples we nɔ izi fɔ yu, nɔ shem fɔ aks fɔ ɛp. Insay Sri Lanka, ɔganayzeshɔn dɛn de lɛk Sumithrayo (0112692909 ɔ 0112682535) we yu kin tɔk to ɛn gɛt ɛp. Ɔ yu kin kɔl di Nashɔnal Mental Ɛlth Ɛplayn na 1926. Mɛmba se nɔto yu wan de.

Aw dɔktɔ kin no di kɔrɛkt we aw pɔsin gɛt GAD?

If yu sɔspɛkt se yu gɛt GAD, yu kin go to yu famili dɔktɔ, ɔ yu kin go dairekt to mɛntɛl hεlth spɛshal, lɛk ``Saikɔlɔjis`` ɔ ``Saykayatri``.

Dɛn go aks yu kwɛstyɔn bɔt yu maynd wɛl bɔdi ɛn yu famili in mɛdikal istri . Yu kin fil smɔl frayd ɛn fred dis tɛm. Bɔt i rili impɔtant fɔ tɛl bɔku tin dɛn . Bikɔs na da tɛm de nɔmɔ di dɔktɔ go ebul fɔ ɔndastand yu sik gud gud wan ɛn gi yu di tritmɛnt we fit yu pas ɔl.

Apat frɔm dat, dɔktɔ kin du tin dɛn bak lɛk:

• Fɔ du wan ɛgzam fɔ yu bɔdi .
• Aks yu fɔ fil wan kwɛshɔn (lɛk di ``GAD-7``) fɔ no infɔmeshɔn bɔt yu mud.
• Fɔ wach tin dɛn lɛk aw yu de sho yu fes ɛn di we aw yu de tɔk.
• Du sɔm tɛst fɔ si if ɔda tin de we mek yu gɛt di sik. Fɔ ɛgzampul:
• Blɔd tɛst: `(Tayroyd fכnshכn tεst)` (de chεk tayroyd fכnshכn), `(Blud glukכs tεst)` (chεk blכd shuga lεvεl), `(Drug tεst)` (chεk fכ yus drog).
• Echocardiogram (luk aw di at de wok).

Wetin na di krayteria fɔ no GAD?

Dɔktɔ dɛn kin yuz krayteria frɔm di Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR) fɔ no GAD. Fɔ mek dɛn no se yu gɛt GAD, yu fɔ wɔri pasmak fɔ at le siks mɔnt, bɔku pan di de dɛn insay di wik . Ɛn i go mɔs bi se i rili at fɔ kɔntrol di wɔri .

Apat frɔm dis wɔri we pɔsin kin wɔri ɔltɛm, big pɔsin kin gɛt at le tri pan dɛn sayn ya (pikin dɛn kin gɛt jɔs wan):

• Fɔ fil se yu nɔ de rɛst ɔ yu de wɔri ɔltɛm.
• Fɔ taya kwik kwik wan.
• Fɔ gɛt prɔblɛm fɔ pe atɛnshɔn, ɔ fɔ fil lɛk se yu maynd ɛmti.
• Fɔ vɛks pan smɔl smɔl tin dɛn.
• Mɔsul dɛn we stif, pen.
• I nɔ kin izi fɔ slip, fɔ de slip, ɔ nɔ fɔ slip fayn.

Dɛn sayn ya fɔ afɛkt di tin dɛn we yu de du ɛvride, di wok we yu de du, di padi biznɛs we yu gɛt na yu famili, ɛn ɔl yu wɛlbɔdi biznɛs .

Dɔn bak, dɔktɔ go kɔnfirm se yu de yuz dɛn sik ya.I kin kɔnfirm bak se di sik nɔ kin kɔmɔt frɔm drɔgs ɔ ɔda mɛrɛsin . I kin kɔnfyus bak se di sayn dɛm nɔr kin bɛtɛ fɔ ɛksplen bay ɔda mɛntɛl hεlth kɔndishɔn (lɛk ``Panic Disorder'', ``Social Anxiety'', ``Obsessive-Compulsive Disorder (OCD)'', ɔ ``Post-Traumatic Stress Disorder (PTSD)'').

Yu tink se tritmɛnt dɛn de fɔ mek pɔsin nɔ wɔri? (Tritmɛnt fɔ GAD)

Di gud nyus na dat GAD na wan sik we pɔsin kin mɛn . Dɛn kin trit am wit saykotɛrapi (tɔk tɛrapi) ɔr mɛrɛsin, ɔr dɛn ɔl tu kin trit am. Risach dɔn sho se di bɛst tin kin apin we dɛn put ɔl tu di we dɛn togɛda. Yu dɔktɔ go wok wit yu fɔ fɛn di tritmɛnt plan we go fayn fɔ yu, bay di sayn dɛm, wetin yu nid, ɛn ɔl yu wɛl bɔdi.

Hiling tru tok: Saykotɛrapi

Saykotɛrapi, fɔ tɔk am simpul wan, na ‘tɔk tɛrapi’ . I min fɔ tɔk to pɔsin dip wan bɔt aw yu de tink, aw yu de fil, ɛn aw yu de biev fɔ ɛp am fɔ ɔndastand am. Dɛn kin du dis wit wan kwalifay mɛntɛl hεlth kɔlnɔ na say we sef ɛn sɔpɔt.

Wit dis tritmɛnt, yu kin lan de tul ɛn tɛknik dɛm wae yu nid fɔ liv yu ɛvride layf fayn fayn wan ɛn impɔtant yu maynd wɛl bɔdi.

Wan pan di bɛst we fɔ trit GAD na tru di kɔgnitiv bihayvya tɛrapi (CBT). E kin ɛp yu fɔ no ɛn chenj de bad bad tin wae de mek yu wɔri pasmak ɛn mek yu biev sɔm kayn we. As tɛm de go, CBT kin ɛp yu fɔ ridyus yu wɔri pasmak ɛn bil di skil dɛm we yu nid fɔ bia wit prɔblɛm dɛn di we we go mek yu gɛt wɛlbɔdi.

Rilif frɔm mɛrɛsin: Mɛrɛsin fɔ GAD

Dɛn kin gi yu mɛrɛsin bak as pat pan yu GAD tritmɛnt plan. Na sɔm pan di mɛrɛsin dɛn we dɛn kin yuz mɔ:

• Selektiv Serotonin Riuptek Inhibitors (SSRI): Fɔ ɛgzampul, Escitalopram, Paroxetine, ɔ Sertraline.
• Serotonin-Norepinephrine Riupteke Inhibitors (SNRI): Sɔm ɛgzampul dɛn na Duloxetine ɛn Venlafaxine.
• Benzodiazepines (Dεn kin rεkomεnd fכ yuz dεm ya fכ sכt tεm).
• `(Buspirone)`.

If dɛn mɛrɛsin ya nɔ mek yu sik bɛtɛ, dɔktɔ kin tink bɔt ɔda mɛrɛsin dɛn lɛk:

• `(Trisaykli Antidipreshan)`: Fɔ ɛgzampul `(Amitriptyline)`.
• `(Sɛkɛn-jɛnɛreshɔn Antisaykotiks)`.
• `(Valproat)`.

Yu nid fɔ go to dɔktɔ?

If yu de tek mɛrɛsin fɔ GAD, i rili impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ si aw di mɛrɛsin de wok fayn ɛn fɔ ajɔst di doz if nid de.If yu gɛt ɛni sayd ɛfɛkt ɔ nyu sayn, tɛl yu dɔktɔ bɔt am.

If yu de du saykotɛrapi, tray fɔ atɛnd ɛvri sɛshɔn. If yu nɔ ebul, tray fɔ chenj di tɛm fɔ am. I kin tek tɛm fɔ rili wɛl frɔm di tritmɛnt. Bɔt fɔ de wit tritmɛnt na impɔtant pat pan yu wɛl bɔdi joyn.

If yu ɛva fil se yu at pwɛl ɔ yu de tink fɔ du bad to yusɛf, tɛl yu dɔktɔ wantɛm wantɛm. If yu gɛt imejensi, kɔl 1990 (Suvaseriya) na Sri Lanka, ɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu.

Wetin yu kin ɛkspɛkt we yu de liv wit GAD?

Dis kin rili difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm, GAD kin bi wan sik we go de fɔ lɔng tɛm we dɛn nid fɔ de manej ɔltɛm. Sɔm dez yu wɔri ɛn wɔri kin fil bad bad wan , mɔ di de dɛm wae yu kin gɛt bɔrku strɛs . Ɔda de dɛn, i kin fil lɛk se i izi fɔ kɔntrol smɔl.

Bɔt di bɛst tin na dat di tritmɛnt kin mek big difrɛns. If yu gɛt di rayt kɔmbaynshɔn fɔ saykotɛrapi, mɛrɛsin, ɛn aw fɔ bia wit di prɔblɛm, yu kin ebul fɔ kɔntrol yu sik dɛn ɛn fil se yu ebul fɔ kɔntrol yu layf mɔr . Yu wɛlbɔdi tim, we gɛt dɔktɔ, nɔs, ɛn ɔda pipul dɛn we sabi du dɛn wok, go wok togɛda wit yu fɔ fɛn wetin go wok fayn fɔ yu bɔdi, layf, ɛn gol dɛn. As yu nid de chenj as tɛm de go, dɛn kin ajɔst yu tritmɛnt plan fɔ du dat.

Wetin na sɔm tin dɛm we yu kin du fɔ yusɛf if yu gɛt GAD?

Apat frɔm di mɛrɛsin, sɔm tin dɛn de we yu kin du yusɛf fɔ kɔntrol di GAD simptom dɛm:

• Mek smɔl fayn chenj dɛn na yu layf: Nɔ it bɔku tin dɛn we gɛt kafinɛ lɛk kɔfi ɛn ti. Ridyus yu tɛm na soshal midia. Spend tɛm wit yu padi ɛn fambul dɛn. Gɛt inof slip . It tin dɛn we gɛt wɛlbɔdi . Bi fyzikal aktiv (eksayz).
• Tray fɔ rilaks: Ridyus strɛs bay we yu de du tin dɛn lɛk yoga, tink gud wan, ɔ fɔ tink gud wan.
• Nɔ tek tin dɛn we go mek yu gɛt adikshɔn: Rɔm ɛn ɔda drɔgs kin mek yu wɔri mɔ ɛn mɔ. Dɛn kin intarakt bak wit di mɛrɛsin dɛm wae yu de tek fɔ GAD.
• Gɛt sɔpɔt: Sɔpɔt grup dɛn de usay pipul dɛn we gɛt GAD lɛk yu kin kam togɛda. Dɛn kin ɛp yu fɔ sheb yu ɛkspiriɛns, lan frɔm ɔda pipul dɛn, ɛn gɛt di ɛnkɔrejmɛnt we yu nid as yu de liv wit GAD.
• Yuz mental wɛlbɔdi `Apps`:Difrɛn ap dɛn de we kin ɛp yu fɔ trak chenj dɛn na yu maynd ɛn praktis aw fɔ bia wit di prɔblɛm.

Fɔ dɔn, a fɔ se dis to una...

Generalized Anxiety Disorder (GAD) kin mek ivin simpul ɛvride wok, lɛk fɔ mek gadin ɔ fɔ kɔmɔt na os, fil se yu nɔr gɛt bɛtɛ trɛnk ɛn yu nɔr kin fil fayn. We di de dɔn, dis strɛs we yu de strɛs ɔltɛm kin mek yu taya ɛn taya.

Bɔt mɛmba se yu nɔ nid fɔ fɛt dɛn sik ya yu wan. Dɔktɔ kin ɛp yu fɔ fɛn we fɔ bia wit dis sik ɛn mek wan tritmɛnt plan we go fit yu nid. Yu kin gɛt fridɔm tru saykotɛrapi, mɛrɛsin, ɔr ɔl tu.

I kin tek tɛm fɔ mek i wɛl. Yu nid fɔ peshɛnt wit yusɛf. Sɔntɛm yu nɔ go notis big difrɛns wantɛm wantɛm. Bɔt, wit di rayt ɛp ɛn tritmɛnt, yu kin go bak smɔl smɔl to yu nɔmal layf, to yu tru tru sɛf. So, if yu de fil trɔbul, i nɔ kin ɛva let fɔ aks fɔ ɛp.

` Wɔri, mental wɛlbɔdi, GAD, wɔri, strɛs, tritmɛnt, saykotɛrapi