Bɔku tɛm yu kin gɛt strenj we aw yu de fil? (Mood Disorders) Lɛ wi tɔk bɔt dis!

Na nɔmal tin fɔ mek wi ɔl gɛt filin lɛk gladi-at, sɔri-at, ɛn vɛks. Sɔm dez wi kin rili gladi, ɛn ɔda de dɛn wi kin fil bad fɔ ivin di smɔl smɔl tin dɛn. Bɔt, yu nɔ tink se sɔntɛnde, dɛn filin ya kin so tranga dat dɛn kin de fɔ sɔm dez, wik, ɔ ivin sɔm mɔnt? Ɔ yu kin fil gladi wantɛm wantɛm fɔ natin, dɔn yu kin fil bad sote yu nɔ want fɔ du ɛnitin igen? We dat apin, i nɔ kin jɔs chenj di we aw pɔsin de fil. Wi kin kɔl dɛn mud disɔda ya `(Mood Disorders)` .

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

Fɔ tɔk am simpul wan, di kayn we aw wi de fil na wan sik we de ambɔg wi maynd mɔ ɛn mɔ, dat na di we aw wi de fil. Insay dis, yu kin fil gladi pasmak ɔ yu kin fil bad fɔ lɔng tɛm we yu nɔ go ebul fɔ bia. Insay sɔm kayn pwɛl hat sik, dɛn tu filin ya, dat na fɔ gladi pasmak ɛn fɔ fil bad pasmak, kin chenj chenj. Sɔmtɛm, filin lɛk fɔ vɛks ɛn fɔ vɛks kin de bak.

Naw yu kin de tink se, "Wi mud kin chenj wan wan tɛm, dat na nɔmal tin." Yɛs, na tru. Na nɔmal tin fɔ mek wi maynd chenj dipen pan di envayrɔmɛnt ɛn ɔda tin dɛn we de apin rawnd wi. Bɔt fɔ mek dɛn no se yu gɛt prɔblɛm wit yu maynd, dɛn sayn ya fɔ de fɔ sɔm wiks ɔ ivin lɔng pas dat . Dɛn tin ya kin mek i nɔ izi fɔ yu fɔ du di wok we yu de du ɛvride, wok, ɔ skul wok fayn fayn wan.

De tu kayn wae wae kin mɛk pɔrsin fil bad na pwɛl hat ɛn bipola muud disɔda.

Wetin na dɛn kayn tin ya we kin mek pɔsin fil bad?

Bɔku men kayn tin dɛn de we kin mek pɔsin nɔ fil fayn. Lɛ wi tek wan luk pan wetin dɛn bi:

• Diprɛshɔn ɛn in sɔbtayp dɛm.
• Bipolar Disorder ɛn in sɔbtayp dɛm.
• Prɛmɛnshɔnal Disfɔrik Disɔda (PMDD).
• Disruptiv Mud Disrɛgyuleshɔn Disɔda (DMDD).

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

Wetin na Dipreshɔn?

Pwɛl hat, wae dɛn kin kɔl bak ``Major Depression'' ɔr ``Klinikal Diprɛshɔn'', na wan mɛntɛl hεlth kכndyushכn wae kin afɛkt bɔrku pipul dɛm. I kin bi se pɔsin kin fil bad ɛn nɔ gɛt op . I kin mek bak i nɔ izi fɔ tink, i kin mek i nɔ ebul fɔ mɛmba, i kin chenj di we aw i want fɔ it, ɛn i kin mek i nɔ ebul fɔ slip fayn. Fɔ no se yu gɛt ``Klinikal Diprɛshɔn'', dɛn sayn ya fɔ de fɔ at le tu wiks .

Difrɛn sɔm kayn pwɛl hat sik dɛn de bak:

• Pɔstpartum Dipreshɔn / Pɛripartum Dipreshɔn:Dis na kɔmɔn tin we nyu mama dɛn kin gɛt bɔku tɛm. I kin apin we di pikin gɛt bɛlɛ ɔ afta dɛn bɔn di pikin. Imajin, wan nyu mama gɛt bɔku bɔku wok fɔ du wantɛm wantɛm. Di chenj we di ɔmon dɛn de chenj na di bɔdi, di we aw i de wok tranga wan, di strɛs we i de fil, di prɔblɛm dɛn we i gɛt pan mɔni biznɛs, ɛn di chenj we i de chenj na in layf, ɔl dis kin mek i gɛt dis sik. Nɔto jɔs i sɔri, bɔt sɔm mama dɛn kin lɛf fɔ bisin bɔt dɛn pikin ɛn dɛn kin ivin fred fɔ du bad to di pikin.
• Persistent Depressive Disorder: Dis na wan sik wae de mɛk pɔrsin fil bad wae kin teik tu ia . Sɔntɛnde, de sik kin waks ɛn stɔp. Pan ɔl wae e nɔr kin tranga lɛk Major Depression Disorder, e kin de ɔltɛm ɛn e kin gɛt bɔrku impak pan yu layf.
• Sizinal Afɛktiv Disɔda (SAD): Dis na wan sik we rili strenj. Dis pwɛl hat kin apin nɔmɔ pan sɔm tɛm dɛn insay di ia. Fɔ ɛgzampul, sɔm pipul dɛn kin fil bad, dɛn at kin pwɛl, ɛn dɛn kin taya insay ren ɛn kol sizin. Bɔt we di san ɛn spring sizin kam, dis kɔndishɔn kin bɛtɛ. Bɔku tɛm, i kin bigin let ɔtom ɔ ali winta. Bɔt i kin apin bak insay di sɔmma.
• Pwɛl hat wit Saykosis: Dis na wan sik wae rili siriɔs. Along wit pwɛl hat, de hallucinations de tu – si ɔr yɛri tin wae nɔr de – ɔr de fil bad – biliv tin dɛm wae na lay ɛn nɔr tru. Pipul wae gɛt dis sik kin gɛt maynd fɔ kil dɛnsɛf .

Wetin na Bipolar Disorder?

Bipola muud disɔda na wan sik wae de kam pan pɔrsin in maynd fɔ ɔl yu layf wae kin mek pɔrsin de fil bad bad wan , aw pɔrsin gɛt pawa, aw pɔrsin de tink, ɛn aw pɔrsin de biev. I kin gɛt fɔ du wit ɔltɛm di tɛm dɛn we pɔsin kin gɛt bɔku bɔku mania (dɛn kɔl am manik ɔ haypomanik ɛpisod) ɛn di tɛm dɛn we pɔsin kin gɛt bad bad pwɛl hat (we dɛn kɔl dipreshɔn ɛpisod).

Fo men kayn sik de wae de mɛk pɔrsin fil bad:

• Bipolar I Disorder: Dɛn pipul ya dɔn gɛt at le wan ``Manic'' episɔd. Bɔrku pipul kin gɛt ɔl tu di ``Manic'' ɛn ``Depressive'' episɔd dɛm. Bɔt, i nɔ nid fɔ gɛt ``Dipreshɔn'' ɛpisod fɔ no if pɔsin gɛt di sik. Insai ``Manic'' episod, pɔrsin kin gɛt ɔva aktiviti, slip smɔl, nɔr kin kɔntrol aw i de spɛnd, gɛt big big aydia, ɛn tɔk kwik kwik wan.
• Bipolar II Disɔda:Dis kin bi bak wit diprɛshɔn episɔd, jɔs lɛk na Bipolar I. Bɔt instead fɔ manik ɛpisod, wan episod we nɔr kin siriɔs we dɛn kɔl hypomanic episɔd kin apin. Hypomanic episod nɔr kin siriɔs ɔr kin ambɔg ɛvride layf lɛk manic episod. Bɔrku tɛm, pɔrsin wae gɛt dis sik kin du in woke wae dɛn kin du ɛvride.
• Cyclothymic Disorder / Cyclothymia: Dɛn pipul ya kin gɛt nɔr stebul mud fɔ lɔng tɛm, at le tu ia. Dɛn kin chenj bitwin di hypomanic ɛn mild dipreshɔn simptom dɛm.
• Ɔda bipola muud ɛn ɔda kayn sik dɛm wae dɛn kin tɔk bɔt ɛn wae dɛn nɔr kin tɔk bɔt: Na dis kayn sik, de sik nɔr kin rili fit di ɔda kayn dɛm, bɔt sɔm kayn sik kin de wae pɔrsin de fil, wae nɔr kin kɔmɔn.

Ɔda kayn tin wae kin mek pɔrsin nɔr de fil fayn

Bɔku ɔda kayn tin dɛn de we kin mek pɔsin fil bad:

• Premenstrual Dysphoric Disorder (PMDD): Dis na wan sik we kin apin 7 to 10 dez bifo uman in prɛmεnstrual disfɔrik disɔda ɛn i kin go sɔm dez afta in prɛgnɛshɔn bigin. I kin tranga pas di kɔmɔn prɛmenstrual sindrom (PMS). Risach pipul dɛn biliv se na bikɔs ɔf di chenj dɛn we di ɔmon dɛn kin chenj we gɛt fɔ du wit di saykl we pɔsin kin gɛt we i de gɛt mɔnt. De sayn dɛm kin bi wae yu vɛks, yu kin vɛks, yu kin wɔri, yu gɛt pwɛl hat, ɛn yu nɔr kin ebul fɔ slip.
• Disruptive Mood Dysregulation Disorder (DMDD): Dis sik kin afɛkt pikin ɛn yɔŋ pipul dɛm. I kin bi se pɔsin kin vɛks ɛn vɛks ɔltɛm, we nɔ fayn. Dis vɛks ɛn vɛksteshɔn kin las fɔ bɔku pan di de. Di sayn dɛm kin bigin bifo i ol 10. I kin tranga pas Intermittent Explosive Disorder (IED).

Yu tink se fɔ wɔri bak na di kayn we aw pɔsin de fil?

Wan kwɛstyɔn wae bɔrku pipul kin aks na if Generalized Anxiety Disorder na bak wan mud disorder. Nɔ, wɔri na wan ɔda kayn sik wae de mek pɔrsin wɔri. Kɔndishɔn lɛk Panic Disorder ɛn Phobias dɛnsɛf kin fɔdɔm insay dis kategori. Bɔt di impɔtant tin na dat, bɔrku tɛm wae pɔrsin kin wɔri kin bifo ɔr kin de wit pɔrsin wae gɛt dis maynia sik.

Udat kin gɛt prɔblɛm wit in maynd?

Dɛn kayn pwɛl hat sik ya kin afɛkt ɛnibɔdi . Dɛn kin afɛkt pikin, yɔŋ pipul, big pipul, ɛnibɔdi. Bɔt di sik we dɛn kɔl ``Major Depression`` na tu tɛm pas dat pan uman dɛm.

Aw dɛn tin ya kɔmɔn?

Di prɔblɛm wae de mɛk pɔrsin de fil nɔr kin bɔrku pan big pipul dɛm. Pwɛl hat ɛn bipola muud disɔda na de sik wae kin kam pan pɔrsin. Dɛn tin ya kin apin bak to pikin ɛn yɔŋ pipul dɛn. Pan ɔl we i nɔ izi fɔ gɛt di rayt statystik na Sri Lanka, bɔku pipul dɛn ɔlsay na di wɔl de sɔfa wit dɛn tin ya.

Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de fil fayn?

Ɛni mud disɔda gɛt in yon sɛt fɔ simptom dɛm, ɛn di patɛn fɔ di sayn dɛm kin difrɛn.

Bɔrku tɛm, di kayn we aw yu de fil kin afɛkt yu maynd, slip, it, ɛnaji, ɛn aw yu de tink (fɔ ɛgzampul, fil lɛk se yu de tink se yu de rɔn, yu gɛt prɔblɛm fɔ pe atɛnshɔn).

Bɔrku tɛm, de pwɛl hat sik kin tan lɛk dis:

• Fɔ de sɔri bɔku pan di de, ɔ ɔlmost ɔltɛm.
• Fɔ fil se yu nɔ gɛt layf ɛn yu de bost na yu bɔdi.
• Fɔ fil se yu nɔ gɛt wan valyu ɛn yu nɔ gɛt op .
• Fɔ lɛf fɔ bisin bɔt tin dɛn we pipul dɛn bin de ɛnjɔy trade.
• Fɔ tink bɔt day ɔ kil yusɛf .
• I nɔ kin izi fɔ mek pɔsin kɔnsɛntret ɛn fɔ pe atɛnshɔn .
• Slip tumɔs ɔ nɔ slip fayn .
• I nɔ kin want fɔ it ɔ i nɔ kin it pasmak .

Di sayn dɛm fɔ hypomanic ɔ manic episodes kin bi:

• Fɔ fil se yu strɔng pasmak ɛn gladi .
• Fɔ tɔk kwik kwik wan, fɔ muv rawnd kwik kwik wan .
• Nɔ rɛst, fɔ wɔri ɔltɛm, fɔ vɛks .
• Fɔ du tin dɛn we gɛt prɔblɛm (e.g., fɔ spɛn mɔ mɔni pas aw yu kin spɛn, fɔ drayv we yu nɔ tek tɛm ).
• Tin dɛn we yu kin tink bɔt fɔ rɔn na filin we yu de fil we yu de tink we de rɔn kwik kwik wan na yu maynd .
• Nɔ slip ɔ i nɔ kin izi fɔ slip .

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

Risach pipul dɛn biliv se difrɛn tin dɛn kin mek pɔsin gɛt prɔblɛm wit in maynd. Dɛn tin ya na:

• bayolojikal tin dεm: di men sεntr dεm na wi bren we de kכntro di imyushכn dεm na di amigdala εn di כbitofrכnt kכtεks. We dɛn de chɛk pipul dɛn we gɛt prɔblɛm wit dɛn maynd, dɛn dɔn si se dis pat pan di amigdala kin big. Dɔn bak, we di kemikal dɛn we dɛn kɔl nyurotransmitta na di bren nɔ balans, dat kin bi wan rizin fɔ dis.
• Di tin dɛn we kin mek yu gɛt jɛnɛtiks: If pɔsin na yu famili gɛt prɔblɛm wit in maynd, yusɛf kin gɛt dis prɔblɛm. dis min se dεn kin gεt dεn kכndyushכn ya to sכm tεm tru di jin dεm.
• Tin dɛm wae de kam wit di envayrɔmɛnt: Di tin dɛm wae kin apun na yu layf wae gɛt siriɔs, strɛsful layf (e.g., pɔrsin wae yu lɛk day), strɛs wae kin teik lɔng tɛm, tin wae kin mek pɔrsin fil bad, ɛn wae pɔrsin kin du bad to wae yu smɔl na big tin wae kin mek yu gɛt pwɛl hat sik leta, mɔr lɛk pwɛl hat. Dɛn dɔn tɔk bak se pwɛl hat kin gɛt fɔ du wit sik dɛn we nɔ de mɛn lɛk dayabitis, Pakinsin sik, ɛn at sik.

Aw fɔ no di prɔblɛm dɛn we pɔsin kin gɛt we i de fil?

If yu ɔ yu pikin de gɛt sayn dɛn we de sho se i gɛt prɔblɛm wit in maynd, dɔktɔ go fɔs du in bɔdi ɛgzam fɔ no ɔda tin dɛn we de mek i gɛt dis sik. Fɔ ɛgzampul, tayroyd sik, ɔda sik dɛn we pɔsin kin gɛt, ɔ we i nɔ gɛt bɛtɛ vaytamɛn kin mek pɔsin gɛt dɛn sik ya bak.

Dɔn di dɔktɔ go aks yu bɔt yu mɛrɛsin istri, di mɛrɛsin dɛn we yu de tek, ɛn if ɛnibɔdi na yu famili gɛt prɔblɛm wit yu maynd. Dɔn dɛn kin sɛn yu to pɔsin we sabi bɔt mɛntɛl hεlth, lɛk saykayatrist ɔr sayɛnsman.

Wan pɔsin we de gi advays bɔt yu maynd go tɔk to yu, sɔntɛm i go mek yu fil wan kwɛstyɔn, ɛn gɛda infɔmeshɔn bɔt yu sik, aw yu de slip ɛn it, ɛn ɔda tin dɛn we yu de du. Dɛn kin no if pɔsin gɛt prɔblɛm wit in maynd bay we dɛn de yuz di American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM).

Bɔrku tɛm, pɔrsin in sɔri, gladi pasmak, vɛks, ɔr ɔda kayn filin:

• If i tu tranga ɛn kɔntinyu , .
• If ɔda sayn dɛm de bak wae de sho aw pɔrsin de fil, lɛk wae yu de slip chenj ɛn wae yu de du tin wae de chenj, .
• Dɔn bak, if di sik rili ambɔg di tin dɛn we pɔsin kin du ɛvride , .

Na da tɛm de dɛn kin no se i gɛt prɔblɛm wit in maynd.

Aw dɛn kin trit di prɔblɛm dɛn we pɔsin kin gɛt we i de fil?

Tritmɛnt fɔ di prɔblɛm dɛn we pɔsin kin gɛt we i de fil kin dipen pan di ɔndalayn kɔndishɔn ɛn di sayn dɛm. Bɔrku tɛm, tritmɛnt kin gɛt fɔ du wit mɛrɛsin ɛn saykotɛrapi (tɔk tɛrapi). Sɔntɛnde, dɛn kin yuz ɔda tritmɛnt dɛn bak lɛk we dɛn kin yuz fɔ mek pɔsin in bren wok.

Mɛrɛsin fɔ di Mud Dizayd

Bɔku kayn mɛrɛsin dɛn de we dɔktɔ dɛn kin gi fɔ mɛn pipul dɛn we de fil bad:

• Antidipreshan: Di klas wae dɛn kin gi mɛrɛsin fɔ pwɛl hat ɛn bipola muud disɔda na di Selective Serotonin Reuptake Inhibitors (SSRIs). Dɛn kin gi Serotonin ɛn Norepinephrine Reuptake Inhibitors (SNRI) bak ɛn dɛn kin wok di sem we lɛk di SSRI dɛn. Pan ɔl we stɔdi dɔn sho se difrɛn kayn mɛrɛsin dɛn we de mek pɔsin fil bad kin wok di sem we, sɔm mɛrɛsin dɛn kin wok fayn fɔ sɔm pipul dɛn. Bɔrku tɛm, i kin tek 4 to siks wik fɔ mek wan mɛrɛsin wae de mek pɔrsin fil bad fɔ woke. Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am ɛn fɔ kɔntinyu fɔ tek am ilɛksɛf yu fil fayn.
• Di tin dɛn we de mek pɔsin in maynd stebul:Dɛn mɛrɛsin ya kin ɛp fɔ kɔntrol di chenj wae de kam pan pɔrsin wae gɛt dis maynia sik ɔr ɔda kayn sik. Dɛn kin ridyus di abnɔmal bren aktiviti. Sɔntɛnde, dɔktɔ dɛn kin gi dɛn mɛrɛsin ya wit di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad. Di tin dɛm wae dɛn kin yuse fɔ mek yu fil fayn na lithium ɛn antikonvulsant drɔgs.
• Antisaykotik / Nyurolɛptik: Dɛn kin trit pipul dɛm wae gɛt bipola muud disɔda wae de gɛt mania ɔr miks ɛpisod wit wan atypical antipsychotic, lɛk Aripiprazole (Abilify®). Sɔntɛnde, dɔktɔ dɛn kin gi dɛn mɛrɛsin ya fɔ pwɛl hat if di mɛrɛsin dɛn nɔmɔ we de mek pɔsin fil bad nɔ ebul fɔ kɔntrol di sayn dɛn we pɔsin kin gɛt.

Saykotɛrapi fɔ di prɔblɛm dɛn we pɔsin kin gɛt we i de fil

Saykotɛrapi, ɔr tɔk tɛrapi, na wan kɔlekɛshɔn fɔ difrɛn tritmɛnt wae de ɛp pɔrsin fɔ no ɛn chenj in filin, tink, ɛn bihayvya wae nɔr fayn.

Na pɔsin we tren, we gɛt laysens fɔ mɛn pipul dɛn we gɛt sik dɛn we de ambɔg dɛn maynd, pɔsin we de stɔdi bɔt pɔsin in maynd, ɔ pɔsin we de gi advays bɔt mental wɛlbɔdi biznɛs de gi dis tritmɛnt . I de gi sɔpɔt, ɛdyukeshɔn, ɛn gayd to yu ɛn yu famili, we de ɛp yu fɔ wok fayn fayn wan na yu layf ɛvride ɛn fɔ mek yu gɛt mɔ wɛlbɔdi.

Sɔm pan de kayn saykotɛrapi wae dɛn kin yuse pas ɔl na:

• Cognitive Behavioral Therapy (CBT): Dis na wan sistamat, targeted fכm fכ saykothεrapi. Dɛn kin yuse am fɔ trit ɛn manej mɛntɛl hεlth kɔndishɔn ɛn filin prɔblɛm. Fɔ tɔk am simpul wan, i de ɛp wi fɔ no ɛn chenj di we aw wi de tink ɛn biev fayn.
• Dayalɛktik Bihayvya Tɛrapi (DBT): Dis na tɔk tɛrapi bak we de bays pan CBT, bɔt dɛn mek am spɛshal fɔ pipul dɛn we kin gɛt rili bad bad filin.
• Saykodaynamik Tεrapi: Dis kayn tεrapi de bays pan di aidia se wi bihayvya εn mental wεlth de infכmeshכn bay di εkspiriεns dεm we wi bin de si we wi bin de pikin εn di prכblεm we wi de tink כ filin we de kam bak we wi nכ no (dat na, we wi nכ no).

Ɔda tritmɛnt fɔ di prɔblɛm dɛn we pɔsin kin gɛt we i de fil

Ɔda tritmɛnt dɛn na:

• Ilɛktrokɔnvulsiv Tɛrapi (ECT): Dis na mɛrɛsin we dɛn kin du fɔ mɛn pipul dɛn. I involv fɔ sɛn wan rili smɔl ilɛktrik shɔk tru yu bren, we kin mek yu gɛt shɔt tɛm we tan lɛk se yu de sik. Dɛn dɔn sho se dis we fɔ du tin kin rili woke fɔ siriɔs, tritmɛnt-resistant mental wɛl bɔdi kɔndishɔn, mɔr lɛk pwɛl hat ɛn bipola disɔda. Dɛn (ECT) sɛshɔn ya kin bi pan ɔutpeshɛnt. Dɛn kin apin tu ɔ tri tɛm insay di wik, fɔ tu wiks ɔ mɔ. Bɔku tɛm, dɛn kin nid fɔ du 6 to 12 sɛshɔn dɛn.
• Transcranial Magnetic Stimulation (TMS): Dis na tritmɛnt fɔ pipul dɛm wae gɛt siriɔs pwɛl hat sik wae nɔr dɔn ansa at le wan antidipreshan. Dis na ɔda kayn we fɔ mek di bren wok fayn. Transcranial Magnetic Stimulation (TMS) de sɛn magnɛtik ɛnaji tru yu skel, we de chenj am to ilɛktrik kɔrɛnt, we de ɛp yu fɔ kɔntrol yu filin.
• Layt Tɛrapi: Dɛn dɔn de yuz dis we fɔ lɔng tɛm fɔ trit sizin afɛktiv disɔda (SAD). I kɔmɔt frɔm di aidia se brayt atifishal layt kin kɔmpɛns di nɔt natura san layt insay di fɔl ɛn winta sizin.

Yu tink se dɛn kin ebul fɔ avɔyd di prɔblɛm dɛn we kin mek pɔsin fil bad?

Naw, dɛn nɔr no we fɔ mek yu nɔr gɛt prɔblɛm wit yu maynd. Bɔt, tritmɛnt kin ɛp fɔ ridyus bɔku pan di prɔblɛm dɛn we kin kam wit dɛn. If yu go fɛn ɛp jɔs lɛk aw di sik dɔn sho, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm wit yu layf.

Wetin na di prɔgnosis fɔ di mud disɔda?

De luk fɔ wan mud disɔda, dat na di kayn we aw pɔsin kin wɛl, kin dipen pan sɔm tin dɛm:

• Di kayn mɛrɛsin sik ɛn aw i kin tranga.
• Aw dɛn bin no di sik kwik kwik wan.
• Ilɛksɛf dɛn bin gɛt di rayt tritmɛnt ɔ dɛn nɔ bin gɛt di rayt tritmɛnt.

Sɔntɛnde, pwɛl hat ɛn bipola muud disɔda kin kam bak afta dɛn dɔn trit am fɔs, ɔr kin bi tin wae nɔr de chenj. So, i kin nid fɔ gɛt tritmɛnt fɔ lɔng tɛm ɔ fɔ ɔl in layf.

Di tin we impɔtant pas ɔl na fɔ mɛmba se di prɔblɛm dɛn we pɔsin kin gɛt we i de fil na tin dɛn we pɔsin kin trit . Ilɛksɛf i tek sɔm tɛm fɔ fɛn tritmɛnt plan we go wok fɔ yu, mekɔp yu maynd fɔ wɛl.

Na lɛk wan pat pan tri pipul dɛm wae gɛt dis maynia sik kin gɛt saykotik disɔda, ɛn ɔda pat pan tri pipul dɛm kin gɛt wan sik wae de mek dɛn wɔri fɔ ɔl dɛn layf.

Pikin ɛn big pipul dɛn we gɛt prɔblɛm wit dɛn maynd kin gɛt mɔ prɔblɛm fɔ kil dɛnsɛf . If yu de tink fɔ du bad to yusɛf ɔ ɔda pipul dɛn, duya go to dɔktɔ wantɛm wantɛm ɔ tɔk to pɔsin we yu biliv. Insay Sri Lanka, yu kin gɛt fri ɛp frɔm ɔganayzeshɔn dɛn lɛk Sumithrayo (0112692909).

Pipul wae gɛt dis maynia sik kin gɛt bɔrku risk bak fɔ gɛt dɛn tin ya:

• Difrɛn digri dɛn de fɔ disabiliti, frɔm mild disability, to kɔmplit incapacity fɔ kia fɔ insɛf ɛn fɔ kip sɔshal rileshɔnship.
• Nɔ ebul fɔ go wok ɔ skul.
• Fɔ wɔri bad bad wan.
• Dizayd fɔ Yuz Alkol.
• Dizayd fɔ Yuz Sɔbstans.

Ustɛm a fɔ go to dɔktɔ bɔt wan prɔblɛm we gɛt fɔ du wit di we aw a de fil?

If yu tink se yu ɔ yu pikin kin gɛt sayn dɛn we de sho se yu nɔ de fil fayn, mek shɔ se yu tɔk to dɔktɔ.

If dɛn dɔn no se yu gɛt prɔblɛm wit yu maynd, yu go nid fɔ go to yu dɔktɔ ɛn/ɔ pɔsin we sabi bɔt yu maynd ɔltɛm fɔ mek shɔ se yu tritmɛnt plan de wok fayn fayn wan.

Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn we yu gɛt bɔt aw fɔ chenj ɔ stɔp yu mɛrɛsin. If di mɛrɛsin we yu de tek naw nɔ de wok ɔ de mek yu gɛt sayd ɛfɛkt, aks dɛn if yu fɔ tray ɔda mɛrɛsin ɔ chenj di doz.

Mɛmba se, pwɛl hat na tin wae de mek pɔrsin gɛt maynd wɛl bɔdi. Jɔs lɛk ɔl di mɛntɛl hεlth kכndyushכn dεm, fɔ go to εp as yu de sho aw yu de fil kin ɛp fɔ ridyus de disrupshכn na yu layf. Dɛn kin gi yu tritmɛnt plan fɔ ɛp yu fɔ kɔntrol yu sik dɛn.

So, wetin wi lan frɔm dis? (Mɛsej we dɛn kin tek go na os)

Okay, so afta dis lɔng tɔk, na sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba:

• Di kayn we aw pɔsin de fil nɔto jɔs fɔ fil bad ɔ fɔ gɛt gladi at. Dɛn na mɛntɛl hεlth kכndyushכn wae de afekt yu evride layf εn yu nid tritmεnt.
• Dɛn tin ya kin apin to ɛnibɔdi. Nɔto yu wan de.
• Pwɛl hat ɛn bipola muud disɔda na tu pan de kayn wae dɛn wae kin kam pan pɔrsin, bɔt ɔda kayn wae de.
• E fayn fɔ no di sayn dɛm wae de sho se yu gɛt dis sik. Yu fɔ no bɔt tin dɛm lɛk fɔ de fil bad ɔltɛm, fɔ gɛt gladi at pasmak, fɔ chenj yu slip, fɔ chenj yu want fɔ it, ɛn fɔ chenj yu trɛnk.
• Bɔku tin dɛn de we kin mek i apin. Dɛn tin ya na di jin, di chenj dɛn we di kemikal dɛn we de na di bren kin chenj, ɛn di tin dɛn we kin apin na layf.
• Tritmɛnt dɛn de we go wok fayn! Dɛn kin mɛn dɛn kayn tin ya wit difrɛn tritmɛnt dɛm, lɛk mɛrɛsin ɛn saykotɛrapi.
• I rili impɔtant fɔ go fɛn ɛp kwik kwik wan. If yu gɛt sɔm sayn dɛn, nɔ de te fɔ go to dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd .
• Yu nid sɔpɔt. Di sɔpɔt we yu famili, padi dɛn, ɛn dɔktɔ dɛn go gi yu go bi big trɛnk fɔ yu pan dis waka.

Mɛmba se, yu maynd wɛl bɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant, so tek kia ɔf yu maynd wɛl bɔdi bak.

` mud disɔda, pwɛl hat, bipola muud disɔda, mɛntɛl hεlth, pwɛl hat, tritmɛnt, simptom dɛm