Yu tink se di we aw yu de fil kin chenj bad bad wan? Lɛ wi tɔk bɔt dɛn kayn tin ya we kin mek pɔsin nɔ fil fayn.

Wi ɔl gɛt gladi at ɛn sɔri de dɛn na wi layf, nɔto so? Sɔm dez wi kin laf di smɔl smɔl tin dɛn, ɛn ɔda de dɛn wi kin fil se wi de bost wit di wan ol wɔl. Dat na rili nɔmal tin. Bɔt yu nɔ tink se sɔntɛnde, dɛn filin ya kin rich di say we yu nɔ kin ebul fɔ kɔntrol dɛn? Dat min se, we pɔsin kin gladi pasmak, i kin pas di say we i nɔ kin ebul fɔ du am, ɛn we pɔsin kin fil bad, i kin so dip dat i nɔ kin ebul fɔ bia. If dis afɛkt yu ɛvride wok, yu rilayshɔnship, ɔl dis, den wi nid fɔ wɔri smɔl bɔt dis. Tide wi de tɔk bɔt dis kɔndishɔn, dat na, ‘Mood Disorders’.

Fɔ tɔk am simpul wan, wetin na di prɔblɛm we pɔsin kin gɛt we i de fil?

Dis na mental hεlth kכndishכn. Wetin de apin ya na dat yu imɔshɔnal stet, ɔ ‘mud’, de afɛkt. Tink bɔt am lɛk swich we de kɔntrol di we aw wi de fil. Nɔmal wan, wi kin ebul fɔ tɔn di vɔlyum ɔp ɔ dɔŋ. Bɔt pan di mud disɔda, dis swich kin lɔs kɔntrol, ɛn ɔl tu di vɔlyum kin go ɔl di we ɔp (tu gladi/aktiv) ɔ ɔl di we dɔŋ (tu sad/pasiv).

Dis kכndyushכn nכ de divεlכp wan de. Fɔ mek dɔktɔ no se na mɛrɛsin, dɛn sayn ya fɔ de fɔ sɔm wiks ɔ pas dat. Dis kin mek i nɔ izi fɔ yu fɔ du di rayt tin dɛn we yu de du ɛvride, lɛk wok, skul wok, ɛn padi biznɛs wit yu famili.

Tu pan de prɔblɛm wae kin kam wit wi maynd na pwɛl hat ɛn bipola muud disɔda .

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

Bɔku big big mɛrɛsin dɛn kin de ɔnda dis kategori. Lɛ wi tek tɛm luk ɛni wan pan dɛn.

• Diprɛshɔn ɛn in sɔbtayp dɛm
• Bipolar Disorder ɛn in sɔbtayp dɛm
• Disfɔrik Disɔda we pɔsin kin gɛt bifo i gɛt bɛlɛ
• Disruptiv Mud Disrɛgyuleshɔn Disɔda

Naw lɛ wi tɔk bɔt ɛni wan pan dɛn kayn dɛn ya smɔl mɔ.

1. Diprɛshɔn - na ebi ebi lod pan di maynd

Pwɛl hat, ɔr wae wi kin kɔl ``Klinikal Diprɛshɔn'', na wan kayn mɛntɛl hεlth kכndyushכn wae kin rili kɔmɔn. I nɔ min jɔs sɔri-at. E kin bi wae pɔrsin fil bad pasmak, nɔr gɛt op, ɛn nɔr kin bisin bɔt ɛnitin. I kin afɛkt tin dɛn bak lɛk fɔ tink, fɔ mɛmba, fɔ it, ɛn fɔ slip. Fɔ mek dɔktɔ kɔnfirm se na pwɛl hat, di sayn dɛm fɔ de fɔ at le tu wiks insay wan row.

Difrɛn kayn pwɛl hat sik de bak:

• Diprɛshɔn afta dɛn bɔn pikin:Dis na kכndyushכn we kin apin to mama dεm we dεn bכn pikin כ afta dεn bכn pikin. Ɔmɔs ɔmon, bɔdi, filin, ikɔnomi, ɛn soshal chenj kin apin na mama in layf afta i bɔn pikin? Dis kכndyushכn kin apin we dεn nכ kin tכlerεt di prεshכn we de kam wit dεn chenj dεm ya.
• Persistent Depressive Disorder: Dis na wan sik wae de mɛk pɔrsin fil bad wae kin teik tu ia. De sayn dεm kin waks εn dεn kin dכn, bכt dεn stil de. Pan ɔl we i nɔ kin tranga lɛk di sik we de mek pɔsin fil bad, di prɔblɛm we de ya na dat i kin de fɔ lɔng tɛm.
• Sizinal Afɛktiv Disɔda (SAD): Dis na wan sik wae de mek pɔrsin fil bad wae kin apun sɔm tɛm nɔmɔ insay di ia. I kin apin na kɔntri dɛn we kol, ren, ɛn dak wɛda insay di kol sizin. Ivin na Sri Lanka, sɔm pipul dɛn kin fil se dɛn nɔ gɛt layf ɛn dɛn kin fil bad we ren kin kɔntinyu fɔ kam. Dis filin kin dɔn we di san shayn ɛn di wɛda kin fayn.
• Pwɛl hat wit Saykosis: Dis na siriɔs pwɛl hat episod wit saykotik simptom dɛm . Dis min se yu kin si tin dɛm wae ɔda pipul nɔr kin si (hallucinations) ɔr biliv tin dɛm wae nɔr tru (delusions). Pipul wae gɛt dis sik kin gɛt bɔrku risk fɔ tink bɔt fɔ kil dɛnsɛf.

2. Bipolar Disorder - Na di rola kɔsta fɔ di imɔshɔn dɛm

Dis na di kayn we aw pɔrsin de fil fɔ ɔl in layf, wae kin mek pɔrsin de fil, ɛnaji, aw pɔrsin de tink, ɛn aw pɔrsin de biev, chenj bad bad wan. Tink bɔt am lɛk klok an we de swing frɔm wan say to di ɔda say. Wetin kin apin na dis kayn tin na dat di maynd kin go wantɛm wantɛm insay wan stet we i kin du pasmak ɛn gladi (Mania ɔ Hypomania), dɔn wantɛm wantɛm i kin go na di ɔpɔzit dairekshɔn, we na dip pwɛl hat (Dipreshɔn).

Bɔku men kayn tin dɛn de fɔ dis bak:

• Bipolar I Disorder: Dɛn pipul ya dɔn gɛt at le wan siriɔs manik ɛpisod. Insay dis tɛm, dɛn kin du tin pasmak, dɛn nɔ kin slip, dɛn kin tɔk to dɛnsɛf, ɛn dɛn kin disayd fɔ du sɔntin wantɛm wantɛm. Bɔrku tɛm dis manik ɛpisod kin kam wit wan siriɔs pwɛl hat episod.
• Bipolar II Disorder: Dis na wan kayn we we nɔ kin rili bad, we dɛn kɔl hypomania. Insay dis tɛm, pipul dɛn kin gɛt bɔku ɛnaji ɛn dɛn kin ebul fɔ wok, bɔt i nɔ kin izi fɔ du am smɔl. Bɔt e nɔr kin ambɔg ɛvride layf ɔltogɛda lɛk na Bipolar I. Dis hypomania kin kam wit wan siriɔs pwɛl hat episod.
• Sayklɔtaymia Disɔda: Dɛn pipul ya kin gɛt pwɛl hat sik fɔ at le tu ia. Dat min se, bɔrku tɛm dɛn kin chenj bitwin smɔl smɔl hypomanic ɛn mild dipreshɔn simptom dɛm.

Ɔda tin dɛn we kin mek pɔsin nɔ fil fayn

• Prɛmɛnstrɔl Disfɔrik Disɔda (PMDD):dis na kכndyushכn we kin apin lεk 7-10 de bifo uman in pεriכd. I kin rili bad pas di nɔmal PMS. Di sayn dɛm na fɔ vɛks pasmak, wɔri, pwɛl hat, ɛn nɔr kin slip, we kin stɔp insay sɔm dez afta yu bigin fɔ gɛt mɔnt.
• Disruptive Mood Dysregulation Disorder (DMDD): Dis na wan sik wae kin afɛkt pikin ɛn yɔŋ pipul dɛm. I kin bi se i kin vɛks bad bad wan, i kin vɛks bɔku tɛm, ɛn i kin vɛks bad bad wan. Bɔku tɛm, di wamat nɔ kin fayn fɔ di tin we de apin. Bɔrku tɛm, di sayn dɛm kin bigin bifo i ol 10 ia.

Wetin na di sayn dɛm fɔ dɛn kayn sik ya?

Dɛn kin sheb di mud disɔda to tu men kayn sayn dɛm: diprɛshɔn simptom dɛm ɛn manik/haypomanic simptom dɛm. Lɛ wi luk dɛn tu tin ya wan bay wan.

Wetin mek tin dɛn lɛk dis kin apin?

No wan rizin nɔ de fɔ mek dis apin. Di wan dɛn we de stɔdi bɔt dis biliv se sɔm tin dɛn we dɛn kin du togɛda kin mek dɛn du dis.

• bayolojikal tin dεm: di pat dεm na di bren we dεn kכl di amigdala εn di כbitofrכnt kכtεks na dεn fכs rispansabl fכ kכntrכl wi filin dεm. Dɛn bren skan fɔ pipul dɛm wae gɛt dis maynia sik dɔn sho se dɛn pat ya kin chenj.
• Di tin dɛn we de mek yu gɛt dis sik: If pɔsin na yu famili, lɛk yu mama ɛn papa ɔ yu brɔda ɛn sista dɛn dɔn gɛt dis sik, yu go gɛt dis sik. Dis min se i gɛt sɔntin bak we pɔsin kin gɛt frɔm in mama ɛn papa .
• Di tin dɛm we de apin na di envayrɔmɛnt: Di tin dɛm we kin apin na layf we kin mek pɔsin fil bad kin ple big pat pan di divɛlɔpmɛnt fɔ dɛn kayn tin ya. Fɔ ɛgzampul, we pɔsin we dɛn lɛk day, we i lɔs in wok, we i de strɛs fɔ lɔng tɛm, ɛn we i de trit dɛn bad we i smɔl, na di men tin dɛn we kin mek i gɛt prɔblɛm. Pipul wae gɛt krɛse sik lɛk shuga, Pakinsin sik, ɛn at sik kin gɛt bɔrku prɔblɛm bak fɔ gɛt pwɛl hat.

Aw dɛn kin no ɛn trit dis sik?

De fɔs tin fɔ tɔk na dat, if yu gɛt dɛn kayn sik ya, nɔr jɔs tink se yu gɛt prɔblɛm wit yu maynd. Yu fɔ rili go to dɔktɔ ɔ dɔktɔ we sabi bɔt pɔsin in maynd.

Diagnosis we dɛn kin gɛt

We yu go to dɔktɔ, di fɔs tin we i go du na fɔ chɛk fɔ si if ɔda tin dɛn we de apin na yu bɔdi, lɛk we yu gɛt tayroyd prɔblɛm ɔ we yu nɔ gɛt bɛtɛ vaytamɛn. If nid de, dɛn kin ɔda fɔ mek dɛn du sɔm blɔd tɛst.

Dɔn, dɛn go tɔk to yu bɔt yu sik, aw yu de slip ɛn it, ɛn if ɛnibɔdi na yu famili dɔn gɛt dɛn kayn prɔblɛm ya na yu maynd. Dɛn kin yuz dis infɔmeshɔn fɔ no di kɔrɛkt tin bɔt di sik.

Di we aw dɛn kin trit am

Bɔrku tɛm, dɛn kin yuse wan kɔmbayn mɛrɛsin ɛn saykotɛrapi (tɔk tɛrapi) as tritmɛnt.

1. Di mɛrɛsin dɛn we dɛn kin yuz

• Antidipreshan: Dɛn kin yuse dɛn tin ya fɔ trit pwɛl hat ɛn pwɛl hat episod dɛm wae gɛt bipola muud disɔda. Dɛn mɛrɛsin ya de wok bay we dɛn de balans di nyurotransmit dɛm lɛk sɛrotonin na di bren. Dɛn kin tek 4-6 wik fɔ wok. So, i impɔtant fɔ tek di mɛrɛsin fɔ di ful tɛm lɛk aw yu dɔktɔ tɛl yu fɔ tek am.
• Mood Stabilizers: Dis na mɛrɛsin wae dɛn kin gi mɔr fɔ kɔntrol di mud swing wae kin apun pan bipola disɔda.
• Antisaykotik: Dɛn kin yuse dɛn mɛrɛsin ya fɔ kɔntrol di manik ɛpisod dɛm fɔ bipola muud disɔda ɛn fɔ siriɔs pwɛl hat episod dɛm.

2. Saykotɛrapi

Wi kin jɔs kɔl dis ‘tɔk tɛrapi’. Dis kin min fɔ tɔk to pɔrsin wae gɛt trenin bɔt sayɛns ɔr saykayatrist fɔ no ɛn ɛp yu fɔ chenj yu prɔblɛm wae yu de tink, aw yu de fil, ɛn aw yu de biev.

• Cognitive Behavioral Therapy (CBT): Na targeted therapy wae de ɛp yu fɔ no yu bad bad tin wae yu de tink ɛn chenj am fɔ bɛtɛ.
• Dialectical Behavior Therapy (DBT): Na spɛshal tritmɛnt we de ɛp pipul dɛm wae gɛt bɔrku kayn filin fɔ kɔntrol dɛn filin.
• Saykodaynamik Tɛrapi: Na wan kayn tritmɛnt we de pe atɛnshɔn pan aw di tin dɛn we kin apin to pɔsin we i smɔl ɛn di tin dɛn we i nɔ kin no bɔt kin afɛkt di we aw pɔsin de biev naw.

3. Ɔda tritmɛnt dɛn

• Ilɛktrokɔnvulsiv Tɛrapi (ECT): De nem kin mek sɔm pipul dɛn fred, bɔt na tritmɛnt wae rili sef, wae kin woke fayn fɔ pɔrsin wae gɛt siriɔs pwɛl hat sik ɛn wae de mɛk pɔrsin fil bad.
• Layt Tɛrapi: Na tritmɛnt we de involv fɔ put pipul dɛn pan atifishal layt, mɔ fɔ di wan dɛn we gɛt sizin afɛktiv disɔda (SAD).

Wetin kin apin we yu de liv wit dɛn kayn tin ya?

If dɛn no di sik kwik ɛn kɔrɛkt wan ɛn trit dɛn fayn, dɛn kin ebul fɔ mɛn bɔku pan dɛn sik ya fayn fayn wan ɛn liv nɔmal layf. Sɔmtɛm, pwɛl hat ɛn bipolar disorder kin kam bak, ɛn dɛn kin nid fɔ gɛt tritmɛnt fɔ ɔl yu layf.

If dɛn nɔ trit am, i kin mek i gɛt siriɔs prɔblɛm lɛk we i nɔ ebul fɔ go wok/skul, i nɔ kin gɛt tayt padi biznɛs wit ɔda pipul dɛn, ɛn i kin gɛt adikshɔn to drɔgs ɛn rɔm.

So, if yu gɛt dɛn sik ya, duya go to dɔktɔ. I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt plan, bɔt yu fɔ dɔn mekɔp yu maynd fɔ wɛl.