Sɔntɛm yu dɔn de sɔfa wit pwɛl hat fɔ lɔng tɛm. Yu kin ɛva fil lɛk se yu nɔr de gɛt ɛni rilif frɔm yu pwɛl hat, pan ɔl we yu de tek mɛrɛsin wae yu dɔktɔ dɔn tɛl yu fɔ no bɔt pwɛl hat? Yu kin ɛva fil lɛk se na yu wangren de na di wɔl? If na so i bi, nɔ wɔri. Nɔto yu wan de. Bɔrku pipul dɛm wae gɛt pwɛl hat sik dɔn gɛt dis kayn tin. Tide, wi go tɔk bɔt dis kayn sik, wae de mɛk pɔrsin fil bad wae nɔr kin gɛt tritmɛnt.
Wetin na Pwɛl hat sik wae nɔr kin gɛt tritmɛnt?
Fɔ tɔk am simpul wan, dis min se yu dɔn de tek at le tu difrɛn kayn mɛrɛsin fɔ pwɛl hat, pan di rayt dos, fɔ lɔng tɛm, bɔt yu sik nɔr dɔn bɛtɛ bɛtɛ. Risach dɔn sho se dis kin apin to bitwin 30% ɛn 70% pan pipul dɛm wae de tek mɛrɛsin fɔ pwɛl hat.
Bɔt na sɔntin we rili impɔtant fɔ ɔndastand. Dis nɔto yu fɔlt, ɛn nɔto sɔntin we yu nɔ go ɛva ebul fɔ wɛl frɔm. Di wan dɛn we de stɔdi bɔt dis nɔ dɔn fɛn wan tin yet we go mek i gɛt sɔntin fɔ du wit di prɔblɛm. Bɔt dɛn dɔn no sɔm tin dɛn we kin mek pɔsin gɛt dis sik.
Di big rizin na di kwik ‘han-ɔf’ fɔ mɛrɛsin!
Dis na di men prɔblɛm we wi de si. Imajin, yu dɔktɔ gi yu wan mɛrɛsin. Yu kin yuz am fɔ wan ɔ tu wiks. Bɔt yu nɔ de fil ɛni difrɛns. Yu tink se, "Dis mɛrɛsin nɔ gɛt yus, i nɔ de wok fɔ mi." Dɔn yu stɔp fɔ tek di mɛrɛsin.
Na dis na wetin wi nid fɔ ɔndastand. Antidipreshan nɔr na sɔmtin wae de woke kwik kwik wan lɛk pen kin. Dɛn kin afɛkt di kemistri na yu bren ɛn tek sɔm tɛm fɔ kɔntrol yu sik dɛn.
Infakt, "tru drɔg trayal" min se yu de tek di doz we dɛn dɔn prɛskrib fɔ di drɔg ɛvride, kɔntinyu, fɔ at le 4 to 6 wik . Sɔm pipul kin tek 8 wik ɔr lɔng fɔ si ful rizɔlt.
Wetin di dɔktɔ de du?
If yu dɔn de tek yu mɛrɛsin fɔ lɔng tɛm ɛn yu de tek di rayt doz, bɔt yu stil nɔ de fil fayn, yu dɔktɔ go chenj yu to ɔda mɛrɛsin. Bɔku tɛm dis go bi difrɛn klas fɔ mɛrɛsin pas di wan we yu bin de tek fɔs.
Fɔ ɛgzampul:
- Fɔs, dɛn kin dɔn gi yu wan mɛrɛsin we dɛn kɔl SSRI (Selective Serotonin Reuptake Inhibitor) , lɛk Fluoxetine (Prozac).
- If dat nɔ wok, den tray fɔ yuz SNRI (Serotonin-Norepinephrine Reuptake Inhibitor).I pɔsibul fɔ chenj to wan drɔg we de na di sem klas, lɛk `Venlafaxine` (Effexor) ɔ `Duloxetine` (Cymbalta).
Sɔm spɛshal pipul dɛm kin lɛk fɔ yuz di wɔd "difficult-to-treat depression" pas fɔ yuz di wɔd "Treatment-Resistant Depression." Dis na bikɔs di wɔd "resistant" de sho se dɛn nɔ go ɛva ebul fɔ mɛn am. Di tru tin na dat, ivin if wan mɛrɛsin nɔ wok, chans de fɔ mek ɔda tritmɛnt dɛn ɛp yu. Yu kin nid fɔ tray fɔ du sɔm tin dɛn te yu fɛn di tritmɛnt we go wok fɔ yu.
Ɔda tin dɛn de we kin mek di prɔblɛm bɔku?
Yɛs, bɔku ɔda tin dɛn de we kin afɛkt am. Mek wi luk dat.
| Risk Factor | Fɔ ɛksplen am simpul wan |
|---|---|
| Di kayn we aw yu at pwɛl | If yu simptom dɛm fɔ pwɛl hat fɔs bigin bifo yu ol 18 ia, dat na, we yu yɔŋ, i kin tek lɔng tɛm fɔ mek yu tek di kɔmɔn mɛrɛsin dɛm. Dis nɔ min se yu nɔ go ebul fɔ mɛn yu, bɔt i kin min se yu go nid mɔ spɛshal tritmɛnt. |
| Prɛzɛns fɔ ɔda sik dɛn na di bɔdi | Ɔda mɛrɛsin wae yu kin gɛt kin delay fɔ wɛl frɔm pwɛl hat. Fɔ ɛgzampul: tayroyd prɔblɛm (haypothyroidism), pen we nɔ de dɔn, at sik, dayabitis, vaytamɛn B12 ɔ vaytamɛn D we nɔ de. |
| Ɔda prɔblɛm dɛn we kin apin to pɔsin in maynd | If ɔda tin dɛn de we kin apin togɛda wit pwɛl hat, dat kin bi bak barɛri fɔ tritmɛnt. Ɛgzampul: Wae pɔrsin kin wɔri, Pɔst-Traumatik Strɛs Disɔda (PTSD), Yuz Drug ɔr Alkol. |
| Misdiagnosis we dɛn nɔ gɛt | Sɔntɛnde, yu nɔr kin gɛt pwɛl hat at ɔl. Fɔ ɛgzampul, bipola muud disɔda kin kam bak wit pwɛl hat sik fɔs. Di tritmɛnt fɔ dɛn tin ya difrɛn atɔl. Na dat mek i rili impɔtant fɔ gɛt kɔrɛkt diagnosis . |
So wetin a fɔ du?
A no se dis kwɛstyɔn de na yu maynd. Nɔ giv ɔp fɔ op. Bɔku tin dɛn de we yu kin du.
1. Tɔk opin wan wit di dɔktɔ.
Dis na di tin we impɔtant pas ɔl. Nɔ ayd ɛnitin frɔm yu dɔktɔ.
- Tɛl mi ustɛm yu de gɛt di sik.
- Tel mi bɔt di sayd ɛfɛkt dɛn we mɛrɛsin kin gɛt.
- Tɛl wi bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɔ ɛbul prɔdak we yu de tek.
- If yu de yuz rɔm ɔ ɔda drɔgs , tɔk tru bɔt dat bak.
Dis infɔmeshɔn go rili ɛp yu dɔktɔ fɔ pik di tritmɛnt we go fayn fɔ yu.
2. Bi peshɛnt.
As a bin se bifo, gi di mɛrɛsin tɛm fɔ wok. If no chenj nɔr de afta lɛk tu wiks, nɔr stɔp di mɛrɛsin ɛn tɔk to yu dɔktɔ. I kin disayd fɔ mek di mɛrɛsin bɔku ɔ du ɔda tin. Nɔ ɛva stɔp di mɛrɛsin ɔ chenj di doz we yu nɔ aks yu dɔktɔ.
3. Tink bɔt ɔda tritmɛnt dɛn
Nɔto mɛrɛsin nɔmɔ de mɛn pɔsin we gɛt pwɛl hat.
- Saykotɛrapi: Wi kin kɔl dis bak jɔs ‘kɔnsul’. Saykotɛrapi wit mɛrɛsin kin gi rili gud rizɔlt. Na patikyula, di tritmɛnt we dɛn kɔl `Cognitive Behavioral Therapy (CBT)` de rili saksesful.
- Di chenj na yu layf: Smɔl chenj na yu layf ɛvride kin mek big difrɛns. Tin dɛm lɛk fɔ du ɛksɛsayz ɔltɛm, fɔ it tin dɛm we gɛt fayn fayn tin dɛm, fɔ slip fayn fɔ 7-8 awa ɛvride, ɛn fɔ spɛn tɛm wit yu padi ɛn fambul dɛm we de sɔpɔt yu, ɔl na impɔtant tin.
Mɛmba se di rayt tritmɛnt fɔ yu nɔto jɔs wan mɛrɛsin. E kin bi wan kɔmbayn mɛrɛsin, saykotɛrapi, ɛn chenj dɛn layf.
Mɛsej we dɛn kin kɛr go na os
- Tritmɛnt-Resistant Diprɛshɔn na kɔmɔn tin. Nɔto yu wan de, so nɔ shem ɔ fred.
- Bifo yu disayd bɔt di mɛrɛsin we de mek yu nɔ gɛt pwɛl hat, yu fɔ yuz am fɔ at le 4-6 wiks pan di doz we dɛn gi yu.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ go to yu dɔktɔ. Tɔk wit am opin wan bɔt ɔl wetin yu de fil.
- Ɔda bɔdi ɔr maynd wɛl bɔdi prɔblɛm wae yu gɛt kin afɛkt aw yu de wɛl frɔm pwɛl hat, so e fayn fɔ gɛt ful mɛdikal chɛk-ap.
- If mɛrɛsin nɔmɔ nɔ de wok, bɔku ɔda tritmɛnt dɛn de we go ɛp yu, lɛk fɔ mɛn yu maynd. Nɔ giv ɔp fɔ op. If yu gɛt di rayt sɔpɔt, yu go mɔs ebul fɔ wɛl.
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