Yu gɛt prɔblɛm fɔ kɔntrol di wamat we yu kin vɛks wantɛm wantɛm? Lɛ wi tɔk bɔt Intermittent Explosive Disorder (IED)!

Sɔntɛnde, yu kin vɛks pan sɔntin we so smɔl dat yu nɔ kin ivin imajin am? Yu kin ala, trowe sɔntin na grɔn, ɔ ivin pan pɔsin? Dis kin bi sɔntin we dip pas jɔs "bad abit" ɔ "pɔsin we kin vɛks kwik." Tide wi go tɔk bɔt dis kayn we we pɔsin kin vɛks wantɛm wantɛm, we na wan sik we dɛn kɔl `(Intermittent Explosive Disorder - IED)`.

Wetin na ``Intermittent Explosive Disorder - IED''?

Fɔ tɔk am simpul wan, Intermittent Explosive Disorder (IED) na wan mɛntɛl hεlth kכndyushכn wae kin bi wae pɔrsin kin biev kwik kwik wan, wae nɔr kin ebul fɔ kɔntrol am, wae pɔrsin kin vɛks ɔr kin vɛks kwik. De tin wae impɔtant pas ɔl na wae dɛn pipul ya kin biev wae dɛn vɛks pan di kayn we wae nɔr kin gri wit di tin wae de apun. Ivin smɔl tin kin rili at fɔ dɛn fɔ du. Imajin, if pɔsin jomp bifo yu na layn, ɛn yu vɛks sote yu kɔmɔt na yu motoka ɛn kil yusɛf wit am, dat nɔto nɔmal fɔ vɛks.

Bɔt di wɔndaful tin na dat, we dɛn nɔ vɛks, pipul dɛn we gɛt ``IED`` kin biev rili nɔmal ɛn fayn. dis na kכndishכn we de insay di kεtכgrεf ``Impulse control disorders``, dat na sik dεm we i at fכ kכntrכl di impuls dεm we de kכmכt na di maynd.

Risach dɔn sho se te to 80% pan di pipul dɛm wae gɛt IED kin gɛt ɔda mɛntɛl hεlth kכndyushכn. De wan wae kin bɔrku pan dis na wae pɔrsin de wɔri, wae de mɛk pɔrsin fil bad, wae pɔrsin gɛt ɔtizm, ɛn wae pɔrsin nɔr de tink fayn.

Udat dɛn kin afɛkt mɔ pan dis `(IED)` sityueshɔn?

Dis sik kin afɛkt pikin dɛm wae ol lɛk 6 ia ɔr big pipul dɛm. Bɔt dɛn kin no am pan yɔŋ pipul dɛn we nɔ rich 40 ia yet.Dɛn kin tɔk bak se i kin apin mɔ pan man dɛn .

Risach pipul dɛm se bitwin 1.4% ɛn 7% pan di pipul dɛm na di wɔl kin gɛt Intermittent Explosive Disorder. Dis min se pan ɔl we i nɔ kin rili kɔmɔn, bɔku pipul dɛn kin sɔfa wit dis sik.

Wetin na di sayn dɛm fɔ `(Intermittent Explosive Disorder - IED)`?

De men tin wae de sho dis kayn sik na wae de vɛks kin kam wan wan wae nɔr fayn, wae nɔr kin du am, ɛn wae nɔr kin gri wit di tin wae de apun. Dɛn pipul ya no se dɛn bihayvya nɔr fayn ɛn nɔr fayn, bɔt da tɛm de i nɔ kin izi fɔ dɛn fɔ kɔntrol dɛnsɛf.

Na dis na di kayn we aw dɛn pipul ya kin vɛks bad bad wan:

• Nɔto sɔntin we dɛn kin du bay wilful, na sɔntin we kin apin wantɛm wantɛm ɛn we kin apin wantɛm wantɛm. I nɔto sɔntin we dɛn dɔn plan bifo tɛm.
• Dis vɛks kin bigin insay sɔm minit afta sɔmtin apin (a provocation).
• Dis vɛks nɔr kin te pas 30 minit.
• Dis tin wae kin apun kin mek di pɔrsin wae de tɔk bɔt kin gɛt bɔrku mental strɛs ɛn sɔri.
• Dis bihayvya kin mek prɔblɛm na skul, na wokples, ɛn na os.

Aw dis vɛks kin kɔmɔt?

Dis wamat kin sho insɛf bɔku we dɛn. Na sɔm ɛgzampul dɛn ya:

• Fɔ vɛks bad bad wan: Biev lɛk fɔ rɔl na grɔn, kray, ɛn ala lɛk smɔl pikin.
• Thretin wit wɔd: ala, trɛtin ɔda pipul, swɛ.
• Fɔ atak pipul ɔ animal dɛn bɔdi: fɔ push, bit, panch, ɛn sɔntɛnde ivin yuz wɛpɔn fɔ mek pɔsin fil bad.
• Damej to prɔpati: trowe tin dɛn we yu want, kik, brok fɔnicha, slam domɔt.
• Vaylɛns na os: Dɛn de trit pipul dɛn na di famili bad.
• Rod rage: Imajin se yu vɛks sote yu want fɔ kil pɔsin bikɔs i jɔs pas yu na trafik.

Dɛn tin ya we kin apin we pɔsin vɛks kin bi smɔl smɔl, ɛn sɔntɛnde dɛn kin so bad dat pɔsin kin wund bad bad wan, ɔ ivin kil am.

Us kayn tin yu kin fil bifo yu vɛks?

Bifo vaylɛnt bɔm lɛk dis, yu kin gɛt sɔm pan dɛn sayn ya:

• Vɛks, na filin fɔ vɛks we nɔ go ebul fɔ de insay di maynd.
• Di we aw pɔsin kin vɛks.
• A kin fil bɔku prɛshɔn ɛn tɛnsiɔn na mi at.
• I tan lɛk se di tin dɛn we de insay yu ed de rɔn ɔltɛm wit ay spid.
• A nɔ ebul fɔ tɔk fayn wit ɔda pipul dɛn.
• I tan lɛk se mi bɔdi gɛt mɔ ɛnaji wantɛm wantɛm.
• Di we aw pɔsin kin shek shek.
• Di hat rit de go ɔp wantɛm wantɛm (palpitations).
• Chɛst tayt.

Afta dis vɛks dɔn kɔmɔt, pɔsin kin fil fri fɔ smɔl tɛm, bɔt afta dat, pɔsin kin fil bad, rigrɛt, ɛn shem . Yu de wɔnda, "Wetin a dɔn du?"

Wetin mek Intermittent Explosive Disorder (IED) kin apin?

Risach pipul dɛn stil de tray fɔ no di rayt tin we kin mek dis sik, bɔt dɛn tink se na bikɔs ɔf tri men tin dɛn:

1. Jɛnɛtik tin dɛn: Dis kin rɔn na famili. Dis min se if pɔsin na yu famili gɛt dis sik, yusɛf go gɛt dis sik. stכdi dεn sho se 44% to 72% jεnεtik inflכεns de pan di divεlכpmεnt fכ dεn kayn impulsiv, agresiv bihayvya dεm ya.

2. Bayolojikal tin dεm: di chenj dεm we de na di strכkchכ εn di wok we wi bren de du kin kכntribyut to dis. Fɔ ɛgzampul, MRI (Magnetic Resonance Imaging) skan dɔn sho se di pat na di bren we dɛn kɔl amigdala, we de kɔntrol di we aw wi de fil, de afɛkt. Dɛn bin si bak se di lɛvɛl dɛn na di nyurotransmitta sɛrotonin (wan kemikal we de kɛr mɛsej bitwin di nɛv dɛn ɛn we de wok bak lɛk ɔmon) kin smɔl pas aw i kin bi pan pipul dɛn we gɛt IED.

3. 3. .Di tin dɛm we de apin na di envayrɔmɛnt: We dɛn de tɔk bad bɔt am ɔr de trit am bad we i smɔl, ɔr fɔ si se dɛn de trit am bad na os, kin ɛp fɔ mek dis sik go bifo. Dɔn bak, wan ɔ mɔ tin dɛn we kin mek pɔsin fil bad we i smɔl kin bi wan tin we kin mek i fil bad.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Intermittent Explosive Disorder (IED)?

If yu tink se yu ɔ pɔsin we yu sabi, mɔ yu pikin, kin gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ we sabi du di wok fɔs . I go mɔs bi se dɛn go rifer yu to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs we spɛshal fɔ no ɛn trit dɛn sik ya. Dis kin bi saykayatrist, sayɛnsman, ɔr klinik soshal woka.

Dɛn kin no bɔt IED bay we dɛn de yuz spɛshal krayteria frɔm di American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). Dɛn go tɔk to yu fayn fayn wan ɛn aks yu dip kwɛstyɔn dɛn bɔt aw yu de fil ɛn aw yu de biev. Dɛn go aks kwɛstyɔn dɛn bɔt tin dɛn lɛk:

• Yu ɛn yu famili in mɛdikal histri, mɔr lɛk aw pɔrsin gɛt mɛntɛl hεlth.
• Bɔt yu pasɔnal rilayshɔnship (Rilayshɔnship istri).
• Di ditel dɛn bɔt di skul ɛn di say we dɛn de wok.
• Bɔt aw yu ebul fɔ kɔntrol di tin dɛn we yu de du.

Yu kin ivin ebul fɔ gɛt infɔmeshɔn bɔt yu abit ɛn istri frɔm yu famili ɛn yu tayt padi dɛn.

Fɔ mek dɛn no se yu gɛt ``(IED)'', yu fɔ sho se yu nɔ ebul fɔ kɔntrol agresiv impuls dɛm, lɛk:

• Ɔ, tin dɛn we kin apin mɔ, bɔt we nɔ kin pwɛl bɔku tin: dat na, fɔ tɔk bad bɔt pɔsin (fɔ ala, trɛtin, agyu) ɔ fɔ du bad to prɔpati, animal, ɔ pipul dɛn (bɔt we nɔ gɛt siriɔs injuri ɔ pwɛl prɔpati) we kin apin tu tɛm insay di wik fɔ tri mɔnt .
• Ɔ, tin dɛn we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs: Tri tin dɛn we kin apin we pɔsin pwɛl prɔpati ɛn/ɔ atak animal ɔ pipul dɛn we kin mek pɔsin wund, insay 12 mɔnt (wan ia) .

Di tin we impɔtant pas ɔl na dat di lɛvɛl we pɔsin kin vɛks nɔ kin gri wit di tin we de apin ɛn i nɔ kin rili bad. Ɛn dɛn tin ya nɔto tin dɛn we dɛn dɔn plan fɔ du. Dɛn kin apin wantɛm wantɛm, bikɔs dɛn vɛks ɔ bikɔs dɛn nɔ kin tink kwik wan. Dɔn bak, di dɔktɔ go mek shɔ se dɛn sayn ya nɔ de bikɔs ɔf ɔda sik na in maynd, ɔda sik na in bɔdi, ɔ yuz drɔgs.

Di pɔsin fɔ dɔn ol lɛk 6 ia so fɔ mek dɛn no se i gɛt dis sik, bɔt i kin apin fɔs we i smɔl ɔ we i dɔn yɔŋ.

Wetin na di tritmɛnt dɛm fɔ ``Intermittent Explosive Disorder - IED''?

Tritmɛnt fɔ dis sik na mɔr saykotɛrapi (tɔk tɛrapi) ɛn sɔmtɛm na mɛrɛsin. Yu dɔktɔ go disayd bay yu ej, aw yu sik ɛn aw yu sik.

Di men gol fɔ tritmɛnt na fɔ mek dɛn nɔ gɛt di sik kɔmplit wan, ɔ at ɔl fɔ ridyus di siriɔs wan ɔ tu simptom dɛm. Pan ɔl we sɔm pipul dɛn nɔ go ebul fɔ wɛl ɔlsay, di gol na fɔ at least kip di pɔsin ɛn ɔda pipul dɛn sef ɛn ridyus di frɛkuɛns, di kayn we aw dɛn kin gɛt, ɛn di frɛkuɛns we dɛn kin gɛt.

`(Saykotɛrapi)` fɔ `(IED)`

Saykotɛrapi na di men ɛn impɔtant tritmɛnt fɔ dis. In patikyula , dɛn kin yuz Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) fayn fayn wan fɔ dis.

>`(CBT)` na wan strכkchכ, gol-oriεntεd tritmεnt mεtכd. Insai dis, de terapist de ɛp yu fɔ luk dip wan insay yu tinkin ɛn filin. Yu kin ɔndastand aw di tin dɛn we yu de tink bɔt kin afɛkt di tin dɛn we yu de du. `(CBT)`, yu kin pul di rɔng, bad bad tin dɛm ɛn di bad we aw yu de biev na yu ed ɛn lan fɔ tink ɛn biev fayn fayn wan insted. `(IED)` kin ɛp pipul dɛm wae gɛt `(CBT)` fɔ manej chalenj situeshɔn dɛm na ɛvride layf ɛn kɔntrol di impuls dɛm wae kin mek pɔrsin vɛks.

Sɔm pan di patikyula we dɛn we dɛn kin yuz fɔ IED na CBT na:

• Cognitive restructuring: Dis involv fɔ no ɛn chenj di mistek ɛn bad tin wae yu gɛt bɔt tin dɛm wae kin mek yu vɛks ɔr tin dɛm wae yu kin si as trɛtin.
• Rilaks trenin: Fɔ brith dip ɛn rilaks mɔsul dɛn we de go bifo (na we we yu kin tɛns ɛn rilaks di mɔsul dɛn na yu bɔdi smɔl smɔl we yu de imajin tin dɛn we kin mek yu vɛks) kin ɛp yu fɔ ridyus di we aw yu de vɛks.
• Trenin fɔ no aw fɔ bia wit di prɔblɛm: Fɔ ple wit di pɔsin we de mɛn yu, tin dɛn we kin mek yu vɛks, ɛn fɔ praktis fɔ du tin dɛn we gɛt wɛlbɔdi, lɛk fɔ kɔmɔt na di say we yu de.
• Fɔ mek dɛn nɔ gɛt di sik bak: Dɛn kin tich pipul dɛn we gɛt IED se na nɔmal tin fɔ mek dɛn gɛt agresiv bihayvya, ɛn dɛn nɔ fɔ si am as sɔntin we nɔ ebul fɔ du, bɔt na smɔl ‘mistek’ ɔ ‘set bak’.

Medisin fɔ `(IED)`

Sɔm mɛrɛsin kin mek yu ``threshold'' bɔku, we min se yu nɔ kin vɛks pan ivin di smɔl smɔl tin dɛm.

Fluoxetine (a Selective Serotonin Reuptake Inhibitor - SSRI) na di mכst we dεn stכdi fכ trit IED. Ɔda drɔgs dɛn we dɛn dɔn stɔdi fɔ IED na Phenytoin, Lithium, Oxcarbazepine, ɛn Carbamazepine.

Dɔktɔ dɛn kin gi dɛn kayn mɛrɛsin ya fɔ IED:

• `(Antidipreshɔn)`
• `(Antipsychotics)` (mɛrɛsin fɔ mental sik)
• `(Anticonvulsants)` (mεdisin dεm we dεn kin gi fכ kכndyushכn lεk εpilepshכn)
• `(Mɛdikal dɛm fɔ antianxiety)` (Mɛdikal dɛm fɔ antianxiety)
• `(Mood regulators)` (drɔg dɛn we de mek di mud stebul)

Impɔtant: Dɛn fɔ tek dɛn mɛrɛsin ya ɔnda dɔktɔ in sɔpɔtishɔn nɔmɔ, di doz we dɛn tɛl dɛn fɔ tek, ɛn fɔ di tɛm we dɛn tɛl dɛn fɔ tek. If yu tek ɔ stɔp di mɛrɛsin dɛn we yu want, dat kin mek yu gɛt siriɔs sayd ɛfɛkt.

Wetin na di tin dɛm wae kin mek yu gɛt Intermittent Explosive Disorder (IED)?

Risach pipul dɛm dɔn no sɔm tin dɛm wae kin mek pɔrsin gɛt dis sik:

• Fɔ bi yɔŋ man.
• Nɔbɔdi we nɔ gɛt wok.
• Fɔ bi single (nɔ mared).
• Rili lɔw lɛvɛl fɔ ɛdyukeshɔn.
• Fɔ du mami ɛn dadi biznɛs wit pɔsin ɔ fɔ du mami ɛn dadi biznɛs wit am, mɔ we i smɔl.
• Fɔ gɛt tayt famili mɛmba wae gɛt Intermittent Explosive Disorder.

If yu gɛt ɛni fred ɔ dawt fɔ se yu pikin go gɛt dis sik, i go fayn fɔ mek yu tɔk to dɔktɔ bɔt am.

Wetin na de prɔgnosis fɔ pɔrsin wae gɛt Intermittent Explosive Disorder (IED)?

Stɔdi dɔn sho se pipul dɛn we gɛt IED nɔ kin satisfay wit dɛn layf ɛn dɛn nɔ kin gɛt bɛtɛ kwaliti layf. Dis kin gɛt bad bad impak pan yu ɔl yu wɛl bɔdi, ɛn i kin mek yu gɛt big prɔblɛm na yu pasɔnal layf, yu famili layf, yu wokples, ɛn aw yu de wit ɔda pipul dɛn.

Di gud nyus na dat dɛn kin ebul fɔ manej IED fayn fayn wan wit Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) ɛn if nid de, mɛrɛsin. Bɔt i impɔtant fɔ mɛmba se stɔdi dɛn dɔn sho se bɔku tɛm IED na tin we kin de fɔ lɔng tɛm, we kin te fɔ 12-20 ia, ɔ ivin fɔ ɔl in layf.

Apat frɔm dat, pipul dɛn we gɛt IED kin gɛt dɛn kayn tin ya:

• `(Dipreshɔn)` (Dipreshɔn)
• `(Wan wɔri)` (Wɔri) .
• `(Alcohol use disorder)` (Adikshɔn pan rɔm)
• `(Substance use disorder)` (Adikshɔn to ɔda drɔgs)

I rili impɔtant: Pipul dɛn we gɛt IED kin gɛt mɔ risk fɔ wund dɛnsɛf (e.g., fɔ kɔt, bɔn) ɛn fɔ kil dɛnsɛf. So, if yu tink se yu ɔ sɔmbɔdi na yu famili kin gɛt Intermittent Explosive Disorder, i impɔtant fɔ go to dɔktɔ kwik kwik wan.

Aw a go tek kia ɔf misɛf if a gɛt Intermittent Explosive Disorder (IED)?

If dɛn dɔn no se yu gɛt di sik we dɛn kɔl Intermittent Explosive Disorder, sɔm impɔtant tin dɛn de we yu kin du fɔ kia fɔ yusɛf. Di tin we impɔtant pas ɔl na fɔ go to pɔsin we sabi du in wok ɛn fɔ go to dɔktɔ ɛn fɔ stik to am. We yu de trit yu, yu kin lan bɔrku tin wae kin ɛp yu fɔ mek yu nɔr vɛks ɛn if i kam, yu kin kɔntrol am:

• Tɛknik fɔ rilaks: Tin dɛn lɛk fɔ du dip briz ɛn fɔ tink gud wan.
• Chenj di we aw yu de tink (Cognitive restructuring): Fɔ no ɛn chenj di tin dɛm wae de mek yu vɛks.
• Fɔ tɔk to ɔda pipul dɛn: Lan fɔ tɔk klia wan bɔt aw yu de fil ɛn wetin yu nid to ɔda pipul dɛn we yu nɔ vɛks.
• Chenj di say we yu de, ɛn lan fɔ kɔmɔt nia ples dɛn we de mek yu strɛs if i pɔsibul: Sɔntɛnde, fɔ jɔs kɔmɔt nia ples ɔ pɔsin fɔ sɔm tɛm, dat kin mek big difrɛns.

Wan ɔda tin we rili impɔtant na fɔ avɔyd fɔ drink rɔm ɛn ɔda drɔgs kpatakpata. Dɛn tin ya kin mek yu nɔ ebul fɔ kɔntrol di tin dɛn we yu de fil ɛn mek yu gɛt mɔ prɔblɛm wit fɛt-fɛt.

Ustɛm a fɔ si dɔktɔ bɔt `(Intermittent Explosive Disorder - IED)`?

If dɛn dɔn no se yu ɔ yu pikin gɛt Intermittent Explosive Disorder, yu fɔ mit wit yu mɛdikal tim (dɔktɔ, thɛrapist) ɔltɛm fɔ si if yu tritmɛnt (saykotɛrapi ɛn/ɔ mɛrɛsin) de wok ɛn if ɛni chenj nid fɔ mek.

If di we aw yu ɔ yu pikin de biev de mek ɔda pipul dɛn sɔfa ɔ denja (ɔda pipul dɛn, animal dɛn), go to dɔktɔ wantɛm wantɛm. Dɔn bak, if pɔsin we gɛt `(IED)` de tink fɔ du bad to insɛf ɔ tray fɔ kil insɛf, dɛn nid ɛp wantɛm wantɛm. Duya tɛl dɔktɔ ɔ pɔsin we yu kin trɔst wantɛm wantɛm, ɔ rifer to di mental wɛlbɔdi savis we de nia yu (e.g., saykayatrik yunit na pɔblik ɔspitul).

Mɛmba se, Intermittent Explosive Disorder (IED) na wan sik we de mek pɔsin in maynd gɛt wɛlbɔdi. I nɔto bad abit ɔ bad abit. Jɔs lɛk ɛni mɛntɛl sik, fɔ fɛn ɛp jɔs lɛk aw yu notis di sayn dɛm kin ɛp fɔ ridyus de disrɔpshɔn ɛn prɔblɛm dɛm na yu layf. Dɛn kin gi yu tritmɛnt plan we dɛn mek fɔ yu ɛn ɛp yu fɔ kɔntrol aw yu de tink ɛn biev.

Bɔrku tɛm, famili ɛn pipul dɛm wae dɛn lɛk fɔ pipul dɛm wae gɛt IED kin fil bad bad wan, dɛn at pwɛl, ɛn dɛn kin fil lɛk dɛn wangren. E fayn fɔ tek kia ɔf yu yone maynd wɛl bɔdi ɛn go to ɛp if yu gɛt dɛn sik ya. If yu gɛt rilayshɔn wit pɔsin we gɛt IED, tink bɔt fɔ tek tin dɛn fɔ protɛkt yusɛf ɛn yu pikin dɛn.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt.

• Intermittent Explosive Disorder (IED) na rial mental hεlth kכndyushכn. I nɔ jɔs bi "bad temper" ɔ "a bad temper."
• Dɛn kin ebul fɔ mɛn dis sik fayn fayn wan wit saykotɛrapi ɛn if nid de, mɛrɛsin.
• I bɛtɛ fɔ gɛt ɛp ɛn tritmɛnt kwik kwik wan so dat prɔblɛm go sɔlv bifo dɛn bi siriɔs.
• Nɔ shem fɔ aks fɔ ɛp pan tin lɛk dis. Nɔto yu wan de.
• Jɔs lɛk di pɔsin we gɛt IED, dɛn famili mɛmba dɛn nid sɔpɔt ɛn ɛp. Dɛnsɛf kin sɔfa wit dis.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, duya tɔk to dɔktɔ ɔ kwalifay mental wɛlbɔdi advaysa .

` Intermittent Explosive Disorder, IED, angri manejmɛnt, impulsiv bihayvya, mental wɛlbɔdi, CBT, tritmɛnt