Yu dɔn ɛva yɛri bɔt pɔsin we de mek lɛk se i sik ɔ mek lɛk se i sik? Yu go sɔprayz fɔ yɛri dis. Bɔt, dis na rili mental wɛlbɔdi prɔblɛm. Tide wi go tɔk bɔt dis kayn tin.
Wetin rili na dis? `Factitious Disorder we dɛn dɔn put pan dɛnsɛf`?
Fɔ tɔk am simpul wan, `Factitious Disorder Imposed on Self` na wan maynd sik wae yu kin mek lɛk se yu sik, ɔr kin mek lɛk se yu gɛt sɔm kayn sik, ɛn sɔmtɛm yu kin ivin tray fɔ mek yusɛf sik . Fɔs dɛn bin de kɔl dis `(Munchausen Syndrome)`.
Bɔrku tɛm, dɛn pipul ya kin sho sɔm kayn sik wae gɛt fɔ du wit dɛn bɔdi sik. Tink bɔt pen na yu chɛst, yu bɛlɛ de at, ɔ yu gɛt fiva. Bɔt pɔrsin wae gɛt dis sik kin gɛt sɔm kayn sayn dɛm bak na in maynd, lɛk wae i de fil lɛk fɔ si tin ɔr fɔ yɛri vɔys.
Dis na smɔl denja sityueshɔn, bikɔs tru dis bihayvya yu kin kɔz ``sεlf-harm'' .
Aw di nem `Munchausen Syndrome` kam?
Fɔs, dɛn bin de kɔl dis sik `Munchausen Syndrome` afta Baron Munchausen, we na bin wan Jaman ɔfisa we bin de insay di ia 1800. Dɛn bin no am fɔ di stori dɛn we i bin de tɔk bɔku bɔku tin bɔt in layf ɛn di tin dɛn we bin apin to am. So, insay dis kes, bak, dɛn kin ɛgzajarayt di sayn dɛm, na dat mek dɛn kɔl am so. Bɔt da nem de nɔ rili sho aw dis kin kɔmpleks as mental sik. Na dat mek dɔktɔ dɛn tide de yuz di nem `Factitious Disorder Imposed on Self`.
Aw dis sik kin kɔmɔn?
Factitious Disorder Imposed on Self na rili nɔr kɔmɔn so. I at fɔ tɔk klia wan ɔmɔs pipul dɛn gɛt am. Bikɔs bɔku pipul dɛn kin go to bɔku difrɛn dɔktɔ dɛn fɔ gɛt tritmɛnt, i nɔ pɔsibul fɔ gɛt kɔrɛkt statystik.
Us kayn we fɔ biev dis?
Bɔrku bihayvya de wae yu kin si pan dis kayn tin:
- Fɔ mek lɛk se yu gɛt bɔdi simptom (e.g., ed we de at, bɛlɛ we de at, chɛst pen) we nɔ rili de.
- Fɔ mek lɛk se yu gɛt mental simptom dɛm wae nɔr rili de (e.g., fɔ si tin dɛm wae nɔr de, fɔ yɛri pɔrsin de tɔk).
- Fɔ mek yusɛf sik ɔ fɔ mek yu gɛt sɔm sayn dɛm na yu bɔdi (e.g., fɔ pwɛl wund bay we yu nɔ de alaw am fɔ wɛl, vɔmit, ɔ it sɔntin we gɛt pɔyzin).
Us kwaliti dɛn yu si pan dis?
If yu gɛt `Factitious Disorder Imposed on Self`, yu kin mek fek ɔ ɛgzajarayt di simptom dɛm. Yu kin:
- Yu kin lay ɛn se yu gɛt sayn dɛm wae yu nɔr gɛt.
- Nyu simptom kin kam afta di tɛst rizɔlt kam ɔ afta di tritmɛnt bigin.
- Di sayn dɛm kin apin nɔmɔ we yu de yu wan .
- di diagnostik tεst dεm kin chenj (e.g., ad כda tin to urine sεmpl).
- Dɛn kin mek lɛk se dɛn de tek di mɛrɛsin, ayd am, ɔ lɛf am na do.
- Yu kin du bad to yusɛf ɔltɛm .
Ɔda sayn dɛn kin bi:
- Mɛdikal istri dɛn we nɔ gri wit dɛnsɛf.
- Fɔ chenj pɔsin in aydentiti ɔ fɔ prɛzɛnt lay lay aydentiti.
- Fɔ go na bɔku difrɛn ɔspitul ɛn mɛdikal sɛnta dɛn fɔ gɛt tritmɛnt.
- Nɔ want fɔ mek dɔktɔ dɛn si dɛn famili, ɔ fɔ tɔk to dɔktɔ dɛn we dɔn trit dɛn bifo.
- Fɔ rɛdi fɔ du tɛst ɔ tritmɛnt dɛn we de mek pɔsin fil pen.
Wetin mek dis de apin? Wetin na di rizin dɛn?
Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt Factitious Disorder. Bɔt stɔdi dɛn dɔn sho se i kin bi bikɔs ɔf ɔl tu di tin dɛn we de apin to yu maynd (pat dɛn pan yu pɔsin we de afɛkt di we aw yu de tink ɛn du tin) ɛn di tin dɛn we de apin to yu bɔdi (di kemikal dɛn we de na yu bren ɛn di we aw yu de mek yu jɛnɛtiks).
Risach dɔn sho se dɛn tin ya kin mek yu lɛk fɔ ful dɔktɔ dɛn:
- Di rɛdi fɔ ɔda pɔsin fɔ kia fɔ yu bɔdi ɔ maynd nid dɛn.
- Fɔ tray fɔ gɛt pawa ɔ fɔ mek pɔsin bɛtɛ pas ɔda pipul dɛn.
- Ridyus di wɔri we yu de wɔri we dɛn lɛf yu.
- Krio nyu pɔsin in aydentiti.
Bɔt dis sik kin apin we nɔ gɛt ɛni klia rizin fɔ no .
Wetin na di tin we mek dɛn de biev dis kayn we?
Pipul wae gɛt dis sik kin no se dɛn de du tin. Bɔt dɛn nɔ de ɛkspɛkt ɛni bɛnifit we klia (e.g., fɔ kɔmɔt na wokples, fɔ gɛt disabiliti bɛnifit) we dɛn mek lɛk ɔ ɛgzajarayt dɛn tin ya. Bɔku tɛm, dɛn bɛnifit ya kin apin we pɔsin nɔ no natin, we i kin fil . Sɔntɛm dɛn nɔ kin ivin no di bɛnifit dɛn we dɛn de gɛt.
Dis na sɔntin we kɔmɔt frɔm jɛnɛreshɔn?
nכ link de bitwin `Factitious Disorder Imposed on Self` εn di jin dεm. Dɛn de du mɔ risach fɔ no wetin mek i apin.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Pan ɔl we Factitious Disorder na wan sik wae nɔr kin bɔrku, yu kin gɛt bɔrku prɔblɛm if yu dɔn gɛt dɛn tin ya:
- Fɔ bi we dɛn bin de trit am bad ɔ we dɛn nɔ bin de kia fɔ am we i bin smɔl.
- Fɔ gɛt siriɔs trauma.
- Sik dɛm wae kin ambɔg yu ɔr pɔrsin wae yu lɛk bɔrku tɛm.
- Di prɛzɛns fɔ tin dɛn we nɔ de apin ɔltɛm na di famili.
- Bikɔs i dɔn spɛn bɔku tɛm na ples we gɛt mɛrɛsin.
Aw dɔktɔ dɛn kin no bɔt dis?
`Factitious Disorder Imposed on Self` na tin we at smɔl fɔ dɔktɔ dɛn fɔ no. Dɔktɔ kin fɔs pul ɔda tin dɛn we kin apin to pɔsin in bɔdi ɛn in maynd ɛn i kin mek di tin dɛn we dɛn fɔ no bɔt di sik. Klin pruf fɔ de fɔ se yu de mek lɛk se yu de mek di sik ɔ yu de mek di sayn dɛn. Dɛn kin no di sik afta sɔm tɛst ɛn tritmɛnt dɛn. Na difrɛn dɔktɔ dɛn we de wok togɛda kin mek di sik.
Yu tink se spɛshal tɛst de fɔ dis?
Nɔ patikyula tɛst nɔ de fɔ no if pɔsin gɛt `Factitious Disorder Imposed on Self`. Dɛn kin du blɔd tɛst, urine tɛst, ɛn `(Imaging tests)` fɔ pul ɔda kɔndishɔn dɛn.
Yu dɔktɔ kin mek yu no if yu gɛt sik ɔr ɔda kayn sik ɛn wae yu de si aw yu de biev ɛn aw yu de biev.
Sɔntɛnde, yu dɔktɔ kin rifer yu to saykayatrist ɔ sayɛnsman (prɔfɛshɔnal dɛn we dɛn tren spɛshal fɔ no ɛn trit mental wɛlbɔdi prɔblɛm). Saykayatrist ɛn sayɛnsman dɛn kin du wan ɛvalueshɔn we dɛn de yuz kɔmplit mɛdikal istri, fizik istri, lɛbɔraytri ɛn/ɔ imej tɛst, ɛn saykilɔji asɛsmɛnt tul dɛn.
``Faktishכs Dizכrd we dεn Impכz pan Sεlf'' insay ``DSM-5''.
Yu dɔktɔ dɛn go yuz di Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) fɔ kɔmpia yu sik dɛn wit di krayteria fɔ dis sik. Di DSM-5 na di standad manual fɔ no bɔt mɛntɛl hεlth kɔndishɔn na Amɛrika.
Di krayteria fɔ diagnostik fɔ `Factitious Disorder Imposed on Self` inklud:
- Faking fyzikal ɔr saikɔlɔjik sayn ɛn simptom dɛm, we de mek pɔsin wund ɔr sik.
- Fɔ tan lɛk pɔsin we sik, we wik, ɔ we wund to ɔda pipul dɛn.
- Fɔ ful pipul dɛn we nɔ de ɛkspɛkt fɔ gɛt bɛnifit frɔm ɔda pipul dɛn .
- Dis bihayvya nɔr kin ebul fɔ ɛksplen fayn fayn wan bay ɔda mɛntɛl hεlth kɔndishɔn.
Aw fɔ trit am? (Tritmɛnt)
Di fɔs gol fɔ tritmɛnt fɔ `Factitious Disorder Imposed on Self` na fɔ chenj di bad bad bihayvya ɛn ridyus di misyuz ɔ ɔva yuz di mɛrɛsin risɔs. Wae yu dɔn rich dɛn gol ya, yu mɛdikal tim go pe atɛnshɔn pan di ɔndalayn kɔz dɛm fɔ yu bihayvya.
Di men tin we dɛn de pe atɛnshɔn pan na fɔ ridyus di bad tin dɛn we kin apin to pɔsin. Dɔktɔ dɛn kin wok togɛda fɔ mek shɔ se yu nɔ du mɛdikal tɛst ɔ tritmɛnt we nɔ nid fɔ du. Bɔrku mɛdikal tɛst ɛn tritmɛnt kin gɛt bad bad sayd ɛfɛkt if yu nɔr want dɛn. Yu dɔktɔ dɛn go wok tranga wan wit yu fɔ mek bad tin nɔ apin to yu bay wetin yu nid.
Cognitive Behavioral Therapy (CBT), na wan kayn saykotɛrapi wae de pe atɛnshɔn pan aw yu de tink ɛn aw yu de biev, kin ɛp fɔ trit dis sik. Famili tritmɛnt kin ɛp yu famili bak fɔ no mɔr bɔt de sik. Grup tɛrapi kin ɛp fɔ ridyus di filin fɔ de yu wan ɔr dɔn lɛf yu.
Tritmɛnt kin tranga bikɔs bɔrku pipul dɛm wae gɛt `Factitious Disorder Imposed on Self` kin dinay se dɛn gɛt dis sik. Bɔt if yu rɛdi, yu kin gɛt tritmɛnt.
Bɔrku tɛm yu go nid tritmɛnt frɔm wan dɔktɔ ɔr tu dɔktɔ dɛn we gɛt difrɛn spɛshal wok (fɔ ɛgzampul, saykayatrist ɛn famili dɔktɔ). Yu dɔktɔ dɛn go pe atɛnshɔn fɔ ridyus fɔ du bad to yusɛf ɛn fɔ tich yu aw fɔ kia fɔ yusɛf ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn.
Wetin go apin afta dɛn dɔn trit am? (Prɔgnosis) .
Yu wɛl bɔdi de dipen pan aw yu rɛdi fɔ gri fɔ tek tritmɛnt plan ɛn fala am. If yu gri fɔ mek yu gɛt di sik ɛn fala wetin yu dɔktɔ tɛl yu we yu de du tritmɛnt, i go mɔs bi se yu go gɛt gud tin fɔ du . If yu nɔ gri ɔ nɔ gri fɔ tek di tritmɛnt, di tin we go apin to yu nɔ go fayn, ɛn di we aw yu de biev go rili denja, ɛn i go ivin put yu layf pan denja.
Pan ɔl we sɔm pipul dɛn kin gɛt dis sik wan tɛm nɔmɔ, bɔku pipul dɛn kin gɛt am bɔku bɔku tɛm ɔlsay na dɛn layf, so i nid fɔ kɔntinyu fɔ gɛt tritmɛnt.
Yu tink se we de fɔ mek dis nɔ apin?
Nɔr we nɔr de fɔ mek dis sik nɔr kam, bɔt fɔ bigin tritmɛnt jɔs lɛk aw di sik dɔn sho, dat kin ɛp fɔ gɛt di bɛst rizɔlt.
Impɔtant: `Factitious Disorder Imposed on Self` na wan sik wae denja, ivin wae de mek pɔrsin in layf de pan denja. If yu de du bad to yusɛf ɔltɛm ɔr de tek mɛrɛsin fɔ sɔm kayn sik wae yu nɔr gɛt, yu kin gɛt siriɔs sayd ɛfɛkt wae kin afɛkt aw yu bɔdi de woke. If yu du tɛst ɔ tritmɛnt we nɔ nid fɔ du dat, i kin du mɔ bad to yu bɔdi pas gud.
Apat frɔm dat, bɔku pipul dɛm wae dɛn kin no se gɛt `Factitious Disorder Imposed on Self` kin de pan risk fɔ gɛt sɔbstans yus disɔda ɛn fɔ kil dɛnsɛf.
If yu ɔr pɔrsin wae yu lɛk de tink bɔt fɔ du bad to yusɛf ɔr de tink bɔt fɔ kil yusɛf, go to dɔktɔ kwik kwik wan ɔ kɔl 988 (di Suicide and Crisis Helpline). If yu ɔ pɔsin we yu lɛk fil lɛk se dɛn de pan denja wantɛm wantɛm, kɔl 911 ɔ yu lokal imejensi nɔmba.
Aw yu kin ɛp pɔsin lɛk dis?
Factitious Disorder Imposed on Self na siriɔs mɛntɛl hεlth kɔndishɔn. E kin tranga fɔ de pɔrsin wae gɛt am fɔ ɔndastand aw i de pwɛl. If di pɔsin we yu lɛk gɛt dis sik, i go tan lɛk se i izi fɔ sho am we dɛn de lay. Bɔt dis kin tan lɛk se na pɔsin in yon atak, ɛn dɛn kin riak to yu wɔd wit wamat, avɔyd, ɔ aggres.
Sɔm dɔktɔ dɛn kin se yu fɔ tɔk to di pɔsin dairekt wan bɔt dɛn kayn we ya ɛn aks am if i de fil strɛs, wɔri, wɔri, ɔ pwɛl hat. Ɔda pipul dɛn kin se dɛn fɔ tek wan we we nɔ de agens dɛnsɛf, we dɛn nɔ gi rizin, ɛn rifer dɛn to pɔsin we de stɔdi bɔt pɔsin in maynd.
If yu nɔ shɔ usay fɔ bigin, go to dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd .Dɛn kin tich yu, di pɔsin we yu lɛk, ɛn yu fambul ɛn padi dɛn bɔt dis sik. We una wok togɛda, una kin ɛp fɔ mek shɔ se di pɔsin we yu lɛk fala dɛn wan wan tritmɛnt plan. Tek dɛm fɔ go to saikɔlɔjis ɛn/ɔ tɛrapi apɔntinmɛnt. Fɔ sɔpɔt yu pɔrsin wae yu lɛk (nɔr fɔ gri wit dɛn bihayvya) na di bɛst we fɔ ɛp pɔrsin wae gɛt Factitious Disorder Imposed on Self.
Ustɛm a fɔ go to dɔktɔ?
If yu ɔr pɔrsin wae yu lɛk de sho di bihayvya wae de kam wit `Factitious Disorder Imposed on Self`, go to dɔktɔ. If yu trit dis sik kwik kwik wan, dat kin ɛp fɔ ridyus di prɔblɛm we go mit yu ɛn mek yu gɛt bɛtɛ wɛlbɔdi.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
- Us tritmɛnt we bɛtɛ fɔ mi?
- A gɛt ɔda tin we gɛt fɔ du wit mi maynd wɛlbɔdi prɔblɛm, lɛk pwɛl hat ɔr pɔrsin wae gɛt dis sik?
- Yu kin rɛkɔmɛnd to dɔktɔ we de mɛn pipul dɛn we gɛt sik ɔ we de mɛn pipul dɛn?
- Aw ɔltɛm a fɔ si yu fɔ tritmɛnt?
- Aw a kin tɔk to mi padi ɛn fambul dɛn bɔt dis tin we de apin?
Wetin na di difrɛns bitwin dis ɛn ``malingering''?
If yu de du `(Malingering)` bihayvya, yu de akt fɔ gɛt sɔntin we klia (e.g., fɔ mis wok ɔ skul, fɔ gɛt bɔnus). Pɔsin wae gɛt `Factitious Disorder Imposed on Self` nɔr kin no bɔt ɛnitin. Bifo dat, dɛn bihayvya ya kin gi yu sɔbkɔshɛns ɛmoshɔnal bɛnifit .
Wetin na di difrɛns bitwin fɔ imajin sik fɔ yusɛf ɛn fɔ imajin sik fɔ ɔda pɔsin (Munchausen Syndrome by Proxy)?
`Factitious Disorder Imposed on Self` (we dɛn bin de kɔl `Munchousen Syndrome`) ɛn `Factitious Disorder Imposed on Another` (dɛn bin de kɔl am `Munchousen Syndrome by Proxy`) na tu kayn `Factitious Disorders`.
- `Factitious Disorder Imposed on Self` min fɔ mek lɛk se yu gɛt sik.
- `Factitious Disorder Imposed on Another` na we yu de mek lɛk se pɔsin we yu de kia fɔ (e.g. pikin ɔ big pɔsin) gɛt sayn dɛm fɔ wan sik. Yu kin du bad to pɔrsin wae yu de kia fɔ ɛn mek dɛn sho sayn dɛm fɔ wan sik na yu bɔdi ɔr maynd wae dɛn nɔr rili gɛt. Dis na abiuz.
Faynal Mɛsej fɔ Tek-Hom
Factitious Disorder Imposed on Self na siriɔs mɛntɛl hεlth sik wae kin mek pɔrsin fil bad. I kin tranga fɔ no ɛn trit am. Bɔt, if yu rɛdi, tritmɛnt dɛn de fɔ ɛp yu.
Yu kin tɛl di wan dɛn we yu lɛk bɔt yu sik, so dat dɛn go ɛp fɔ mek yu ansa. Dɔn bak, i rili impɔtant fɔ tɔk di tru we yu si yu dɔktɔ, bikɔs dɛn want fɔ du wetin bɛtɛ fɔ yu ɛn ɛp yu "bi di rial yu."
If yu de tink bɔt fɔ du bad to yusɛf, go to dɔktɔ wantɛm wantɛm. If yu ɔ pɔsin we yu lɛk de pan denja wantɛm wantɛm, kɔl di imejensi savis wantɛm wantɛm. Mɛmba se fɔ aks fɔ ɛp nɔto sayn fɔ wikɛd, na sayn fɔ trɛnk.
` Factitious Disorder Imposed on Self, Munchausen Syndrome, Mental Wɛlbɔdi, Faking Simptom, Fɔ du bad to yusɛf, Mental Illness, Tritmɛnt
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