Yu pikin de akt? Na wan sik we de mek pɔsin nɔ ebul fɔ du sɔntin? Lɛ wi tɔk bɔt dis!

Yu fil lɛk se yu pikin de akt ɔltɛm, ɛn i nɔ de tink bɔt ɔda pipul dɛn? Sɔntɛnde, i kin vɛks pan smɔl smɔl tin dɛn? Ɔ i kin gɛt big trɔbul bikɔs i nɔ ebul fɔ stɔp sɔm bad abit dɛn? As mama ɔ papa, i nɔmal fɔ mek yu fil bad bad wan, ɛn sɔntɛm yu kin ivin fred, we yu si tin dɛn lɛk dis. Tide wi go tɔk bɔt dɛn kayn bihayvya ya, we insay mεdikal tεm dεn kכl am ``Impulse Control Disorders'' כ impulse control disorders.

Wetin na dɛn impuls control disorder ya?

Fɔ tɔk am simpul wan, ``Impulse Control Disorders'' na wan grup wae de kam pan pɔrsin in maynd ɛn bihayvya wae de mek i nɔr izi fɔ kɔntrol in impuls, ɔr filin, ɛn di akshɔn dɛm wae de fala dɛm. Bɔku tɛm, dɛn kayn we ya kin ambɔg insɛf ɔ ɔda pipul dɛn. Sɔntɛnde, dɛn kayn we ya kin mek prɔblɛm wit di lɔ bak.

Imajin, we yu vɛks wantɛm wantɛm we de mek yu ala, trowe tin, ɔ yu want fɔ tek sɔntin we na ɔda pɔsin in yon we yu nɔ ebul fɔ kɔntrol. Dis na jɔs sɔm ɛgzampul dɛn.

Sɔm pan dɛn prɔblɛm ya we kin mek pɔsin biev na:

• Fɔ vɛks wantɛm wantɛm, wit fɛt-fɛt ɛn di tin dɛn we pɔsin kin du wit am.
• Fɔ agyu ɛn fɛt wit ɔda pipul dɛn ɔltɛm.
• Fɔ pwɛl ɔda pipul dɛn tin ɛn pɔblik prɔpati.
• Nɔ fɔ obe ɛlda ɛn bigman dɛn, fɔ nɔ pe atɛnshɔn to dɛn advays.
• Fɔ tif.
• Fɔ brok di lɔ dɛn.

di simptom dεm fכ dεn ``Impulse Control Disorders'' kin bigin na pikin , εn sכmtεm, if dεn nכ trit dεm, dεn kכndyushכn ya kin de te i big.

Wetin na di men kayn prɔblɛm wae de mek pɔrsin nɔr de fil fayn?

Akɔdin to di American Psychiatric Association (American Psychiatric Association) gayd fɔ klas mɛntɛl sik dɛm, di DSM-5, dɛn dɔn no sɔm men kayn ``Impulse Control Disorders''. Lɛ wi tek wan luk pan wetin dɛn bi.

1. Oposishɔnal Defiant Disɔda (ODD) .

Wetin kin apin pan dis na dat di pikin kin kɔntinyu fɔ du am, dat na fɔ sɔm mɔnt, i nɔ kin obe di wan dɛn we gɛt pawa (lɛk in mama ɛn papa, in ticha dɛn), i kin agyu wit dɛn ɔltɛm, ɛn i kin biev di we we kin mek dɛn vɛks. Dɛn kin mek ɔda pipul dɛn vɛks ɛn vɛks bay wilful. Bɔt dis nɔto jɔs fɔ du sɔntin bay wilful, na prɔblɛm we dip pas dat.

2. Kɔndɔkt Disɔda

Dis kɔndishɔn na smɔl mɔ siriɔs pas ``ODD''. Na ya, di pikin ɔ di yɔŋ pɔsin kin kɔntinyu fɔ biev bad to ɔda pipul dɛn, de trit animal dɛn bad, lay, tif, slip kɔmɔt na os, ɛn pwɛl di lɔ dɛn na di skul bad bad wan . Dɛn nɔ de tink bɔt di soshal norm ɔ di rayt we ɔda pipul dɛn gɛt.

3. Dizayd we de bɔn wan wan tɛm

Wetin de apin insay dis, .We pɔsin vɛks wantɛm wantɛm, ilɛksɛf na fɔ natin ɔ fɔ smɔl rizin, dat kin so bad dat i nɔ pɔsibul fɔ kɔntrol am. Wantɛm wantɛm, dɛn kin ala, swɛ, trowe tin dɛn na grɔn, ɛn atak ɔda pipul dɛn. Afta dis bɔm, dɛn kin fil bad fɔ rigrɛt. Bɔt da tɛm de, dɛn nɔ gɛt ɛni kɔntrol.

4. Klɛptomania we pɔsin kin gɛt

Dis na tin we difrɛn smɔl. Wetin de apin ya na dat yu gɛt wan strɔng we fɔ tif tin dɛn we nɔ gɛt wan valyu ɛn we yu nɔ ivin nid. Yu no se fɔ tif na bad tin ɛn dɛn go kech yu. Bɔt yu nɔ go ebul fɔ kɔntrol da tin de we yu want fɔ du ɛn tif. Yu kin fil bad bad wan afta yu dɔn tif, bɔt bifo dat yu kin fil bɔku prɛshɔn ɛn wɔri.

5. Piromania we dɛn kɔl Pyromania

Dis na tin we nɔ kin apin so ɔltɛm. Wetin kin apin pan dis na dat, wan strɔng tin de we pɔsin nɔ ebul fɔ kɔntrol, ɛn i kin want fɔ put faya bay wilful. Pan ɔl we dɛn no se if dɛn put faya, dat go mek bad tin apin, dɛn nɔ ebul fɔ kɔntrol da kayn we de ɛn bɔn am. Dɛn kin fil bɔku tɛnsiɔn ɛn wɔri bifo dɛn sɛt di faya, ɛn dɛn kin gɛt bɔku gladi at ɛn rilif afta dɛn dɔn sɛt di faya. Dɛn nɔ de sɛt faya fɔ ɛni ɔda rizin (lɛk revaŋg, mɔni), bɔt na bikɔs ɔf dis want.

Aw kכmכn dεn ``Impuls Control Disorder'' dεm ya?

Di prɛvalɛns fɔ ɛni wan pan dɛn ``Impulse Control Disorders'' ya na sosayti kin difrɛn. Fɔ ɛgzampul, akɔdin to sɔm statystik dɛn na Amɛrika:

• Oppositional Defiant Disorder (ODD): Na lɛk 3.3% pan di pikin dɛm ɛn yɔŋ pipul dɛm.
• Kɔndɔkt Disɔda: Na lɛk 4% pan di pikin dɛm ɛn yɔŋ pipul dɛm.
• Intermittent Explosive Disorder: Na lɛk 2.7% pan di jenɛral pipul dɛm.
• Kleptomania: Na lɛk 0.6% pan di jenɛral pipul dɛn.

Pyromania na di wan we nɔ bɔku pan dɛn tin ya. Wan stɔdi sho se na 3% nɔmɔ pan di pipul dɛn we de na prizin fɔ bɔn faya bin sho se dɛn gɛt sayn dɛn fɔ pyromania. Dɛn kin si di sem kayn tin dɛn bak na Sri Lanka, bɔt i nɔ kin izi fɔ fɛn kɔrɛkt statystik.

Wetin na di sayn dɛm fɔ `(Impulse Control Disorders)`?

Pan ɔl we ɛni ``Impulse Control Disorder`` gɛt in yon spɛshal sayn dɛm, di kɔmɔn tin fɔ ɔl dɛn wan ya na fɔ ridyus di ebul fɔ kɔntrol pɔsin in bihayvya. Bɔku tɛm, dis kin mek ɔda pipul dɛn gɛt prɔblɛm ɔ i kin mek dɛn gɛt prɔblɛm wit di lɔ.

Bɔrku tɛm, pipul dɛm wae gɛt ``Impulse Control Disorder'' no se dɛn bihayvya nɔr fayn ɛn nɔr fayn. Bɔt dɛn nɔ ebul fɔ stɔp am. Bifo dɛn pipul ya nɔr de biev fayn, dɛn kin fil bɔrku prɛshɔn ɛn wɔri de kam insay dɛn. Afta dɛn dɔn du da bad abit de, dɛn kin fil fri ɛn fridɔm.

In ɔda wɔd, pipul dɛm wae gɛt dis ``ICD'' kin vent dɛn vɛks, nɔr gladi, ɛn frustrashɔn tru ɔda pipul dɛm. Dat min se, dɛn de ``externalizing'' dɛn bihayvya.Bɔku tɛm, dis kin mek dɛn gɛt cham-mɔt wit ɔda pipul dɛn. Dis difrɛn frɔm tin dɛm lɛk wae pɔrsin de wɔri ɔr wae pɔrsin de fil, wae pɔrsin kin internalize in distres ɛn strɛs.

Bɔt na di impɔtant tin we wi fɔ mɛmba. Bɔku pikin dɛn, mɔ we dɛn smɔl ɛn we dɛn yɔŋ, kin biev traŋa smɔl, ɛn dɛn nɔ kin obe big pipul dɛn. Dɛn kin du dis fɔ no wetin na dɛn yon limit ɛn wetin ɔda pipul dɛn nɔ ebul fɔ du. Dat na nɔmal tin. Bɔt insay ``Impulse Control Disorders'', dɛn bihayvya ya kin apin bɔku tɛm, dɛn kin tranga, ɛn dɛn kin de fɔ lɔng tɛm. Ɛn dɛn kayn we ya kin afɛkt di pikin in tin dɛn we i de du ɛvride, di we aw i de stɔdi, aw i de biev wit in famili, ɛn aw i de biev wit in padi dɛn.

Wetin na di tin dɛm wae kin mek yu gɛt `(Impulse Control Disorders)`?

Risach pipul dεm stil de tray fכ no di εksakεt kכz fכ dεn ``Impulse Control Disorders.`` As fכ wi no, i go bi se na wan kכmbaynshכn fכ tin dεm.

• Jɛnɛtiks : Stɔdi dɔn sho se mama ɛn papa dɛn we gɛt pikin dɛn we gɛt ODD kin gɛt prɔblɛm wit dɛn maynd. Semweso, mama ɛn papa dɛn we gɛt pikin dɛn we gɛt Kɔndɔkt Disɔda kin gɛt tin dɛn lɛk skizofrenia , atɛnshɔn dɛfisit haypa aktiviti disɔda (ADHD), sɔbstans yus disɔda (SUD), ɔ antisocial personality disorder (ASPDs). Dis sho se sɔntɛm sɔntin de we gɛt fɔ du wit di jɛnɛtiks.
• Di tin dɛn we de apin na di envayrɔmɛnt : Stɔdi dɔn sho se di tin dɛn we de apin na di envayrɔmɛnt kin mek dɛn kayn tin ya kin apin to pikin dɛn we kɔmɔt na famili dɛn we nɔ gɛt bɔku mɔni, pikin dɛn we de gro ɔp na say we pipul dɛn kin gɛt fɛt-fɛt, pikin dɛn we nɔ bin gɛt di rayt atɛnshɔn ɛn kia frɔm dɛn mama ɛn papa we dɛn bin smɔl, pikin dɛn we dɛn bin dɔn du ɔ witnɛs abiuz na dɛn bɔdi ɔ maynd, ɛn pikin dɛn we gɛt padi dɛn wit bad padi biznɛs.
• Bayolojikal kɔz : Sɔm stɔdi dɔn sho se pipul dɛm wae gɛt ICD kin gɛt abnɔmal chenj na sɔm bren wok ɔr ɔmon lɛvɛl (fɔ ɛgzampul, di ɔmon kɔtisol).

Aw fɔ no `(Impulse Control Disorders)`?

Na pipul dɛm wae sabi bɔt mɛntɛl hεlth, lɛk saykayatrist ɔr sayɛnsman dɛm kin no bɔt dɛn kayn sik ya. Dɛn de yuz di krayteria we de na di DSM-5. Bɔrku tɛm, di sayn dɛm fɔ de fɔ at le 6 to 12 mɔnt. Dɛn fɔ mek bak pipul dɛn gɛt bɔku prɔblɛm ɔ ambɔg dɛn layf ɛvride.

If yu sɔspɛkt se yu ɔ yu pikin kin gɛt sayn dɛm fɔ ``Impulse Control Disorder,'' yu fɔ rili go to saykayatrist ɔr sayɛnsman. Dɛn kin yuz spɛshal intavyu ɛn asɛsmɛnt we dɛn mek fɔ no kɔrɛkt wan fɔ no dɛn maynd ɛn bihayvya kɔndishɔn ya.

Bɔku tɛm, dɛn prɔfɛshɔnal ya kin gɛt infɔmeshɔn frɔm di wan dɛn we de nia di pɔsin (lɛk in mama ɛn papa, brɔda ɛn sista, padi, ticha) fɔ gɛt kɔmplit pikchɔ bɔt di pɔsin in bihayvya.

Aw dɛn kin trit `(Impulse Control Disorders)`?

Naw, nɔr mɛrɛsin nɔr de we di US Food and Drug Administration (FDA) dɔn gri fɔ fɔ trit dɛn ``Impulse Control Disorders'' ya. So, di men tritmɛnt dɛn na difrɛn tritmɛnt dɛn ɛn fɔ mek chenj dɛn we nid fɔ apin pan di we aw mama ɛn papa dɛn de trit dɛn pikin dɛn.

Na sɔm fayn fayn we dɛn we mama ɛn papa dɛn kin fala fɔ ɛp fɔ kɔntrol dɛn prɔblɛm ya we pikin dɛn kin biev:

• Fɔ ridyus di fayn fayn tin dɛn we pɔsin kin du to di we aw i de biev we i nɔ fayn (e.g., fɔ gi di pikin wetin i want we i de kray).
• Ɛnkɔrej sɔri-at ɛn kia bihayvya (prosocial behaviors) to ɔda pipul dɛm.
• Yuz di we dɛn fɔ kɔrɛkt pɔsin we nɔ gɛt fɛt-fɛt.
• Fɔ mek tin dɛn we nɔ de chenj, we yu go ebul fɔ no bifo tɛm we yu de kɔrɛkt pikin dɛn (nɔto wan we tide, ɔda we tumara).

Sɔm patikyula tritmɛnt wae de ɛp fɔ dis na:

• Parent Management Training (PMT) : Dis kin min fɔ tren mama ɛn papa ɔ di wan dɛn we de kia fɔ dɛn pikin fɔ du tin dɛn we go ɛp dɛn pikin fɔ mek i biev fayn ɛn lan nyu tin dɛn. Di gol fɔ dis tritmɛnt na fɔ gi kɔnsistɛns disiplin we dɛn de gi di rayt, fayn fayn fidbak fɔ di pikin in gud bihayvya.
• Multisystemic Therapy (MST) : Dis tritmɛnt de yuz di trɛnk we di famili gɛt fɔ ɛnkɔrej pɔsin fɔ bia wit di prɔblɛm fayn fayn wan. Wan laysens thɛrapist kin wok wit mama ɛn papa fɔ ɛp fɔ mek dɛn gɛt mɔ gud bihayvya ɛn fɔ ridyus bad bihayvya. Dɛn kin ɛp di famili bak fɔ gɛt rispɔnsibiliti ɛn fɔ no aw fɔ sɔlv prɔblɛm.
• Cognitive Behavioral Therapy (CBT) : CBT na wan strɔkchɔ, gol-oriɛnted fɔm fɔ saykotɛrapi. Bɔku tɛm dɛn kin yuz am fɔ tren fɔ mɛn pikin dɛn. Insay CBT, di pɔsin we de mɛn di pikin kin ɛp di pikin fɔ chɛk aw i de tink ɛn fil. Dɔn di pikin kin ɔndastand aw di tin dɛn we dɛn de tink bɔt kin afɛkt di tin dɛn we dɛn de du. Tru CBT, di pikin kin ebul fɔ chenj di bad, bad we aw i de tink ɛn biev ɛn lan di we aw i de tink ɛn biev we gɛt wɛlbɔdi.

Wetin na di prɔgnosis fɔ `(Impulse Control Disorders)`?

Di lukin-grɔn fɔ dɛn `(Impulse Control Disorders)` ya, dat na aw di kɔndishɔn go tan lɛk, kin difrɛn difrɛn wan bay di kɔndishɔn ɛn aw i siriɔs. כltu, in jεnarכl, dεn `(ICD)` dεm kin bi krεse kכndyushכn . Ɛn dɛn kin rili afɛkt di pɔsin we dɛn de tɔk bɔt ɛn di wan dɛn we dɛn lɛk in layf.

Stɔdi dɔn sho se pipul dɛn we gɛt ICD kin gɛt dɛn tin ya tumara bambay:

• Fɔ tɔn to fɔ yuz drɔgs.
• Pwɛl at.
• Risk fɔ lɛ yu lɔs yu wok.
• I nɔ kin izi fɔ mek pɔsin kɔntinyu fɔ gɛt padi biznɛs wit ɔda pɔsin.

Bɔt, intensiv tritmɛnt intavɛnshɔn kin go fa fɔ ɛp fɔ kɔntrol dɛn prɔblɛm bihayvya ya.

Yu tink se dɛn kin ebul fɔ protɛkt ``Impulse Control Disorders''?

Sɔntɛm dɛn nɔ go ebul fɔ avɔyd dɛn tin ya ɔltogɛda. Bɔt if yu no bɔt di sik ɛn trit am kwik kwik wan , yu go rili ridyus di strɛs ɛn prɔblɛm dɛn we yu pikin ɛn in famili go gɛt. Nɔto dat nɔmɔ, bɔt i kin ɛp bak fɔ mek dɛn nɔ gɛt ɔda prɔblɛm dɛn (lɛk fɔ ambɔg di edyukeshɔn ɛn ligal tin dɛn) we kin gɛt fɔ du wit dɛn ``ICD'' ya.

Pikin ɛn yɔŋ pipul dɛn we de biev bad ɛn we de brok di lɔ na big prɔblɛm fɔ mama ɛn papa dɛn. Pan ɔl we i nɔmal fɔ mek yɔŋ pikin ɛn yɔŋ pipul dɛn biev di kayn we aw dɛn de biev ɔltɛm, if dɛn de biev ɔltɛm ɛn di we we de ambɔg ɔda pipul dɛn, i kin bi sayn fɔ ``Impulse Control Disorder``.

I rili impɔtant fɔ bigin tritmɛnt fɔ dɛn `(Impulse Control Disorders)` ya kwik kwik wan. Di fɔs tin we yu fɔ du fɔ fɛn tritmɛnt na fɔ mit wit yu famili dɔktɔ, dɔktɔ we de mɛn yu maynd, ɔr pɔsin we de stɔdi bɔt pɔsin in maynd ɛn tɔk bɔt dis. Nɔ fred fɔ aks di kwɛstyɔn dɛn we de na yu maynd. Dɛn de de fɔ ɛp yu.

Sɔma ɛn Mɛsej we dɛn kin kɛr go na os

di ``Impulse Control Disorders'' wae wi bin de tכk bכt na impulsiv bihayvya wae jכs nכ kin kכntro. Dis nɔto jɔs di wok we "bad pikin" de du, dɛn kin bi dip kɔndishɔn we nid fɔ gɛt mɛdikal intavɛnshɔn.

Di tin we impɔtant pas ɔl na fɔ go to pɔsin we sabi du in wok if yu gɛt siriɔs wɔri bɔt aw yu pikin de biev, pas fɔ nɔ pe atɛnshɔn to am. Di kwik we dɛn no am, na di mɔ di tritmɛnt go bɛtɛ.

Mɛmba:

• Sɔm pan di bihayvya dɛm we dɛn kin si we dɛn smɔl na nɔmal tin, bɔt na ICD, dɛn bihayvya ya kin apin ɔltɛm, dɛn kin rili bad, ɛn dɛn kin te fɔ lɔng tɛm.
• Dɛn tin ya kin apin bikɔs ɔf di tin dɛn we de apin na di bɔdi, di tin dɛn we de apin na di say we dɛn de, ɛn di tin dɛn we de apin na di bɔdi.
• Di we aw dɛn kin mɛn pipul dɛn ɛn di we aw dɛn kin tren mama ɛn papa dɛn kin rili wok fayn as tritmɛnt.
• Nɔto yu wan de. Bɔku ɔda mama ɛn papa dɛn de we gɛt dis kayn prɔblɛm, ɛn pipul dɛn de we sabi du dɛn wok we go ɛp yu.

If yu tink se yu pikin gɛt prɔblɛm lɛk dis, duya go to dɔktɔ. If yu du sɔntin kwik kwik wan, dat kin mek di pikin ɛn di wan ol famili gɛt bɔku kɔrej.

` Impuls kɔntrol, bihayvya prɔblɛm, pikin mental wɛlbɔdi, ODD, Kɔndɔkt Disɔda, advays fɔ mɛn pikin, saykotɛrapi