Lɛ wi lan ɛksaktɔli bɔt OCD: Aw fɔ pul di tin dɛn we yu de tink bɔt we yu de tink ɛn du tin dɛn we yu nɔ go ebul fɔ stɔp?

Yu kin si se yu de du di sem tin bak ɛn bak na yu layf ɛvride, ɔ na di sem tin de mɔna yu? Jɔs tink, fɔ chɛk di domɔt bɔku bɔku tɛm bifo yu kɔmɔt na di os fɔ mek shɔ se i lɔk, pul di ayɛn, pul di plɔg na di kɔmpyuta , ɔf di gas stov, ɔ was yu an smɔl mɔ, tin dɛn lɛk dat kin apin to wi sɔntɛnde. Dis na nɔmal chɛk ɛn prɛkoshɔn. Bɔt if dɛn tin ya kin bi pɔsin we yu nɔ ebul fɔ kɔntrol , we de mek yu vɛks, ɛn we de mek yu at pwɛl ɔl di de, ɛn we de ambɔg yu ɛvride? Dɔn i kin bi siriɔs sik we dɛn kɔl OCD (Obsessive-Compulsive Disorder), we kin afɛkt yu layf. Lɛ wi si wetin dis rili bi, wetin mek i kin apin, ɛn aw fɔ pul am kɔmɔt.

Wetin na OCD (Obsessive-Compulsive Disorder)? Tin dɛn we pɔsin kin tink bɔt ɔltɛm ɛn tin dɛn we pɔsin nɔ go ebul fɔ stɔp!

OCD na wan sik we de mek pɔsin in maynd gɛt wɛlbɔdi. Fɔ tɔk am simpul wan, i kin mek yu gɛt tin dɛn we yu nɔ ebul fɔ kɔntrol, we de ambɔg yu (we dɛn kɔl obsessions ) we kin mek yu fil bad bad wan . Dɔn yu kin fil se yu nid fɔ du sɔm tin dɛn (we dɛn kɔl kɔmpalshɔn ) fɔ mek yu nɔ wɔri ɔ bikɔs yu de fred se bad tin go apin to yu.

Obsessions (obsessive, disturbing tin dɛm):

Dis na tin dɛn we yu kin tink, pikchɔ, ɔ dawt we kin kam na yu maynd we yu nɔ gri fɔ du dat, we kin kam bɔku tɛm, we kin mɔna yu, we kin mek yu fred ɔ wɔri bad bad wan . Pan ɔl we yu nɔ want dɛn tin ya, i nɔ kin izi fɔ pul dɛn ɛn dɛn kin mɔna yu.

Sɔm ɛgzampul dɛn:

• Imajin, we Nimali kɔmɔt, i kin fil lɛk se i de ɔlsay.Germs , dat dɛn go sik. I nɔ ebul fɔ bia da tink de, i kin gɛt bɔku wɔri, i kin tink se, "A go sik, mi famili go sik bak."
• If Sameera dawt if i ɔf di gas stov, lɔk di domɔt, ɔ lɔk di winda bifo i kɔmɔt na di os, i nɔ go ebul fɔ pul da dawt de na in maynd. Tin dɛn we de mek pɔsin fred lɛk, ‘If a nɔ du am rayt, di os go kech faya, tifman dɛn go kam, ɔltin go pwɛl bikɔs ɔf mi fɔlt’ de kɔntinyu fɔ kam.
• Kasuni want fɔ arenj ɔltin we de na in tebul, ivin buk, pen, ɛn fayl dɛn, simɛtrik wan , lɛk string. If i muf smɔl, ɔ if sɔmbɔdi chenj di ɔda, i kin fil bad bad wan, i kin tink se, ‘Ɔltin dɔn rɔtin, sɔntin bad go apin naw, a nɔ ebul fɔ handle dis.’
• Sɔntɛnde, Ravi kin tink se i go du bad to pɔsin we i lɛk, ɔ i go se/du sɔntin we nɔ rayt, sɔntin we nɔ fayn, ɔ sɔntin we go mek pɔsin fil bad we i nɔ gɛt kɔntrol. We dɛn tin ya kin tink bɔt am, i kin rili shem, i kin fred, ɛn i kin fil bad bɔt insɛf.
• Chamari biliv se sɔm nɔmba dɛn (e.g. 13) ɛn kɔlɔ dɛn (e.g. blak) na ‘nɔ laki’. If dɛn si da nɔmba de, ɔ if dɛn fɔ wɛr klos we gɛt da kɔlɔ de, dɛn kin rili fred ɛn wɔri se sɔntin bad go apin to dɛn ɔ dɛn famili da de de.

Kɔmpulshɔn (Rituals – akshɔn dɛn we yu fil se yu fɔ du ɛn we yu nɔ go ebul fɔ stɔp):

Dis na de akshɔn ɔr mental ritual wae yu kin du fɔ ridyus de wɔri wae de kam wit dɛn obsessive tinkin, frayd, ɔr fɔ mek de bad tin wae yu tink se de apun, pan ɔl wae sɔmtɛm yu kin tink se dɛn nɔr mek sɛns, bɔt yu kin fil fɔ du dɛm.

Sɔm ɛgzampul dɛn:

• Nimali , we de fred jem, kin was in an lɛk fayvtin tɛm insay di de fɔ ridyus da wɔri de , sɔntɛnde fɔ sɔm minit, te in an dray. If i nɔ du dat, i nɔ kin fil fri. We i kam bak frɔm do, i kin was in bɔdi bak, ɛn i kin was ɔl di klos dɛn we i dɔn wɛr.
• Sameera , we de saspek di gas stov ɛn di domɔt, kɔmɔt na di os ɛn go insay di bɔs, ɛn i de wɔnda se, "A ɔf di stov?" We i kam na os, i kin chɛk di stov, di domɔt dɛn, ɛn di winda dɛn. Sɔntɛnde, i kin let fɔ go wok ɔ fɔ wan impɔtant trip bikɔs ɔf dis.
• Kasuni nɔ de mek in dɛsk mɛs. I de arenj di buk dɛn bay di ayt, bay di kɔlɔ, bay di lɛta dɛn we dɛn rayt. Dis kin tek sɔm awa. I nɔ de fil fɔ du ɛni ɔda tin te i "rayt."
• We Ravi gɛt dɛn bad bad tin dɛn de, i kin ripit na in maynd se, "Nɔ du dat, a na gud pɔsin" lɛk wan ɔndrɛd tɛm ( mental ritual ). Ɔ, i de du gud tin we i de du as abit (e.g., fɔ chant di Itipiso vas) sɔm tɛm fɔ "neutralize" da tink de.
• If yu si di nɔmba we nɔ laki, yu go gɛt prɔblɛm., we i tink se i go ‘kansel’ am, na in maynd se di nɔmba we i tink se na in laki nɔmba sɛvin tɛm, ɔ di rod dɛn we gɛt da nɔmba de opin, ilɛksɛf i fa.

Insay OCD, dɛn tin ya ( obsessions ) ɛn akshɔn ( compulsions ) kin kam insay wan strɛs saykl we kin put bɔku prɛshɔn pan di maynd. Dis rili difrɛn frɔm di we aw dɛn kin chɛk ɔ klin. Bikɔs OCD kin mek bɔku prɔblɛm dɛn kin ambɔg pɔsin in ɛvride layf, in wok, ɛn in padi biznɛs, ɛn dɛn kin spɛn bɔku pan dɛn de fɔ pe atɛnshɔn pan dɛn tin ya.

Di gud nyus na dat tritmɛnt lɛk Cognitive Behavioral Therapy ( CBT ) kin ɛp fɔ brok dis saykl. Sɔm pipul dɛn kin nid fɔ yuz mɛrɛsin bak .

If yu fil lɛk se yu gɛt dɛn kayn sik ya, ɛn if yu layf de ambɔg bikɔs ɔf tin dɛn we de ambɔg yu, we yu nɔ ebul fɔ kɔntrol ɛn di tin dɛn we de mek yu want fɔ du tin, di fɔs tin we yu fɔ du na fɔ tɔk to yu mama ɔ papa ɔ big pɔsin we yu trɔst, dɔktɔ , ɔ pɔsin we de gi advays bɔt yu maynd, ɛn no bɔt am.

Kɔmɔn kayn tin dɛn we kin mek pɔsin fil bad

Obsession nɔr jɔs de tink bɔt, na tin wae de mɛk pɔrsin fil bad, wae de mek pɔrsin wɔri, ɛn at fɔ kɔntrol. OCD kin mek dɛn tin ya kin kɔntinyu fɔ kam na wi maynd. Dɛn kin bi bɔt ɛnitin, bɔt di tin dɛn we dɛn kin tink bɔt pas ɔl na:

• Fɔ fred pasmak fɔ gɛt jem , sik, fɔ wund yusɛf ɔ ɔda pipul dɛn, ɛn fɔ gɛt aksidɛnt.
• Fɔ tink bɔku tɛm bɔt tin dɛn we pipul dɛn kin tek as bad, bad, bad, ɔ sin frɔm rilijɔn ɔ gud abit.
• Fɔ wɔri pasmak if tin dɛn ivin , stret , insay wan patikyula ɔda , “ jɔs rayt .”
• Fɔ tink se sɔm kɔlɔ ɔ nɔmba dɛn bad ɔ nɔ laki, ɔ biliv se dɛn gɛt spɛshal minin we nɔ izi fɔ ɔndastand.
• Wan frayd wae yu nɔr kin kɔntrol se sɔmtin bad wae yu tink se go apin (e.g., pɔrsin wae gɛt bad bad tin) go rili apin.

Kɔmɔn we dɛn fɔ fos pɔsin

Kɔmplɔshɔn na bihayvya ɔr mental ritual dɛm wae pɔrsin wae gɛt OCD fil se i fɔ du, wae kin mek i gɛt strɔng fin fɔ du dɛm. Dɛn tin ya kin bi rial tin dɛn we pɔsin kin du ɔ tin dɛn we pɔsin kin du na in maynd.

Sɔm ɛgzampul dɛn:

• Ripit was (an, bɔdi, klos), klin.
• Ripit wetin yu rayt, rayt bak, bigin bak frɔm di biginin.
• Fɔ ripit wɔd, sɛntɛns, ɔ kwɛstyɔn dɛn wit yu maynd ɔ lawd wan.
• Fɔ chɛk ɔltɛm fɔ si if dɛn dɔn lɔk di domɔt, dɛn dɔn ɔf di layt dɛn, dɛn dɔn ɔf di gas stov, if sɔntin klin, ɛn dɛn dɔn dɔn wan wok fayn fayn wan.
• Fɔ tɔch, tap, ɔ step pan sɔntin wan patikyula we, ɔ wan patikyula nɔmba.
• Fɔ gɛt tin dɛn "jɔs rayt" insay wan patikyula ɔda, fɔ du ɔltin akɔdin to wan patikyula ritual.
• Fɔ avɔyd nɔmba, kɔlɔ, ples, ɛn pipul dɛn we dɛn kin tek as pipul dɛn we nɔ laki.

Aw dis kin fil fɔ pɔrsin wae gɛt OCD?

Bɔrku pipul dɛm wae gɛt OCD ɔndastand se dɛn tin ya wae dɛn kin tink bɔt ɛn de du tin wae dɛn kin du nɔr kin rili minin. Bɔt bikɔs ɔf OCD, dɛn kin fil bɔku dawt ɛn nɔ kin shɔ. Dɛn gɛt strɔng want fɔ du di akshɔn. Dɛn kin fil se bad tin go apin if dɛn nɔ du am. Pan ɔl we fɔs dɛn kin fil fri smɔl we dɛn de du di akshɔn, smɔl smɔl di akshɔn dɛn kin bɔku, di tɛm ɛn trɛnk we dɛn kin spɛn pan dɛn kin bɔku. Bɔt dɛn tin dɛn de we kin mek pɔsin wɔri kin kam bak bak ɛn bak. Dis na di strɛs saykl we OCD kin gɛt. Bifo yu stɔp di OCD fɔ mek i nɔ apin, i kin jɔs wɔs.

Pɔsin wae gɛt OCD kin sɔfa wit dɛn kayn tin ya wae de mɔna am ɛn du tin fɔ pas wan awa ɛvride. Dɛn kin chɛk , mek, dilit, kɔnt, ɛn bigin bak, te dɛn fil lɛk se “ɔltin nɔ fayn.” Dɛn nɔ kin rili want fɔ tink bɔt dɛn tin ya ɔ du dɛn tin ya. Bɔt OCD kin mek i rili at fɔ fɔgɛt dɛn tin ya ɛn nɔ du wetin dɛn se.

OCD kin afɛkt ɔlmost ɔltin na dɛn layf. Ivin simpul tin dɛn lɛk fɔ wɛr klos, fɔ it brɛf, ɛn fɔ du skul wok kin mek yu strɛs.I kin mek pɔsin nɔ ebul fɔ disayd fɔ du sɔntin. OCD kin mek yu tink se wan tin we yu disayd fɔ du go mek bad tin nɔ apin, ɔ ɔda tin we yu disayd fɔ du go mek bad tin apin.

Pɔrsin wae gɛt OCD nɔr kin ɔndastand wetin mek dɛn de tink, fil, ɔr akt lɛk aw dɛn de du. Dɛn kin tray fɔ ayd dɛn tin ya we dɛn kin fred ɛn du fɔ ɔda pipul dɛn. Dɛn kin fred wetin ɔda pipul dɛn go tink. Dɛn kin ivin fil lɛk se dɛn “de kray” – bɔt nɔto so. Ɔl dɛn tin ya na bikɔs ɔf OCD.

Wetin mek OCD kin kam? Di kɔnekshɔn bitwin di bren ɛn di jin dɛn.

Jin ɛn inflɔɛns we pɔsin kin gɛt frɔm in mama ɛn papa

Lɛk bɔku mɛntɛl hεlth kכndyushכn dεm, i kin bi se na pɔrsin in jin dεm kin afɛkt OCD. Na dat mek sɔmtɛm OCD kin rɔn na famili. Di jin dɛn kin afɛkt di kemikal dɛn, di we aw dɛn mek am, ɛn di we aw difrɛn pat dɛn na wi bren de wok . Insay OCD, dɛn chenj ya kin mek di tin dɛn we wi nɔ want kin "stɔp" na wi maynd ɛn nɔ kin go.

Di chenj dɛn we de apin na di bren we de wok

Risach dɔn sho se sɔm pat dɛn na di bren kin chenj di we aw dɛn de wok pan pipul dɛn we gɛt OCD. fכ egzampl, dεn tink se di Orbitofrontal Cortex (OFC) , we de rispansabl fכ “ditarmin wetin rayt εn rכng,” di Anterior Cingulate Cortex (ACC) , we de rispansabl fכ “ signal we sכmtin nכ rayt,” εn di Striatum (patikul di Caudate Nucleus ), we de rispansabl fכ “habit fכmeshכn,” na dεn de involv insay OCD. Dɛn tink se dɛn tin ya togɛda, dɛn kin mek “wɔri sɛktri.”

Di ifekt we di nyurotransmitta dɛn gɛt

di nyurotransmitta sεrotonin de patikyula implεkt in OCD. di chenj dεm na di sεrotonin lεvεl kin kכntribyut to di kכndyushכn. di nyurotransmit dεm we dεn kכl dopamin εn glutamate kin involv bak pan di “obsessions” εn kompulshכn dεm .

Ritual dɛn de mek OCD strɔng mɔ

We wi de praktis sɔntin, we wi gɛt blɛsin fɔ am, wi bren kin yus fɔ du am mɔ ɛn mɔ. Insay OCD, we wi du di kɔmpalshɔn , wi kin gɛt rilif fɔ sɔm tɛm . Dis na di blɛsin . So di bren de tink se, “O, dis go fayn if wi du am.” So di bren de mek i du da akshɔn de mɔ ɛn mɔ. Dis kin mek di OCD strɔng mɔ ɛn mɔ.

Tritmɛnt fɔ OCD: Na we fɔ fri yu maynd!

Di men ɛn di bɛst tritmɛnt fɔ OCD na Kɔgnitiv Biɛvhɔral Tɛrapi (CBT). Sɔntɛnde, dɛn kin yuz mɛrɛsin bak apat frɔm dis.

Wetin kin apin na CBT?

CBT na tritmɛnt we yu kin tɔk to pɔsin we de mɛn yu ɛn lan bɔt aw yu de tink, aw yu de fil, ɛn aw yu de biev.

• OCD na "trik" na di bren, we min se i de mek yu fil lɛk se sɔntin bad go apin if yu nɔ du am, pan ɔl we natin bad nɔ go rili apin.
• Dɛn ɛksplen se we yu du dɛn akshɔn dɛn de ( kɔmpɛlshɔn ) i kin mek OCD strɔng, ɛn we yu yus fɔ nɔ du dɛn, dat kin mek OCD wik.
• Ivin afta yu dɔn lan dɛn tin ya, i nɔ kin izi fɔ stɔp dɛn abit dɛn de wan tɛm. Na dat mek CBT de tich skil dɛn lɛk dɛn wan ya:
  • Skil fɔ bia ɛn fɔ mek yu fil kol fɔ bia wit wɔri we i kam.
  • Aw fɔ dil wit tin dɛn we de mek pɔsin fil bad/wɔri .
  • Aw fɔ sef fɔ fes frayd (Exposure and Response Prevention – ERP). ERP na wan patikyula pat pan CBT fɔ OCD. Insai dis, wit di ɛp fɔ wan thɛrapist , yu de fes de obsession wae de frayd yu, bɔt lan fɔ nɔr akt pan dɛm ( compulsions ).
  • Aw fɔ tinap tranga wan fɔ du dɛn tin dɛn de ( kɔmpɛlshɔn ).

Insay tɛrapi , yu kin praktis dɛn skil ya . Smɔl smɔl, yu de fes di tin dɛn we yu de fred wan bay wan we yu nɔ du dɛn. Fɔs, dis kin rili tranga, ɛn i kin tan lɛk se yu de wɔri mɔ ɛn mɔ . Bɔt we yu de praktis , i kin izi smɔl smɔl. Di mɔ yu yus fɔ nɔ du wetin dɛn se, na di mɔ dɛn tin dɛn de we de ambɔg yu nɔ go de igen smɔl smɔl. We yu de praktis dis we, di we aw yu bren de wok kin chenj bak fɔ bɛtɛ.

Di tritmɛnt kin tek tɛm. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔrku pipul dɛn kin mit wit dɔktɔ wan tɛm insay di wik fɔ sɔm mɔnt ɔr pas dat. Di dɔktɔ de tich yu, sɔpɔt yu, ɛn ɛnkɔrej yu. Bɔku tɛm, di dɔktɔ kin tɔk bak to di mama ɛn papa ɛn gi dɛn advays bɔt aw fɔ ɛp na os.

If a tink se a gɛt OCD, wetin a fɔ du?

Fɔs, tɛl yu mama ɔ papa ɔ ɔda big pɔsin we yu biliv bɔt aw yu de fil. Dɛn kin rifer yu to dɔktɔ ɔ mental wɛlbɔdi advaysa . E kin fayn fɔ no se yu gɛt OCD ɛn tritmɛnt de fɔ am.

If yu kam fɔ no se yu gɛt OCD:

• Go to tɛrapi lɛk aw dɛn tɛl yu fɔ du am. Lan bɔt OCD. Di mɔ we yu de lan bɔt am, na di mɔ i go izi fɔ yu fɔ ɔndastand am.
• Praktis di skil dɛm we yu lan pan tɛrapi . Di mɔ yu de praktis , na di mɔ yu go ebul fɔ win OCD kwik kwik wan.
• Gɛt sɔpɔt frɔm di wan dɛn we lɛk yu. Aks yu mama ɛn papa fɔ ɛp yu fɔ praktis wetin yu lan na tritmɛnt .
• Peshɛnt wit yusɛf. Fɔ dil wit OCD kin tranga ɛn i kin mek yu strɛs . Terapi tek tɛm ɛn praktis . Bɔt bɔku pipul dɛn, lɛk yu, dɔn win OCD. Yusɛf kin ebul fɔ du dat!
• Fɛn tɛm fɔ gud tin dɛn bak. Rilaks , du tin dɛn we yu lɛk, de wit pipul dɛn we de mek yu laf, ɛn mek yu fil fayn. Dɛn tin ya go gi yu trɛnk fɔ bia wit prɔblɛm dɛn ɛn fɔ win OCD.

Usay fɔ gɛt ɛp na Sri Lanka

Dɛn gɛt mental wɛlbɔdi klinik dɛn na gɔvmɛnt ɔspitul dɛn na Sri Lanka. NIMH (Angoda) na di men wan. Dɔktɔ ɛn advaysa dɛn de bak na di prayvet sɛktɔ. Sɔm savis dɛn de we gɔvmɛnt dɔn gri fɔ lɛk di “ 1926 ” ɛplayn fɔ ɛp we pɔsin gɛt imejensi (kɔntakt di institiushɔn dɛn we gɛt fɔ du wit di infɔmeshɔn we de naw – as of tide, May 10, 2025, di 1926 savis de wok). Dɔn bak, sɔm tɛm dɛn kin gɛt ɛp frɔm ɔganayzeshɔn dɛn we nɔto gɔvmɛnt we de wok fɔ mental wɛlbɔdi.

Impɔtant: Bifo yu go fɛn ɛp frɔm ɛnisay, chɛk if dɛn kwalifay ɛn if dɛn biliv am.

Fɔ dɔn... fridɔm fɔ tink!

OCD kin bi wan kɔmpleks kɔndishɔn, bɔt i nɔr pɔsibul fɔ ɔvakom. If yu trit yu di rayt tritmɛnt, sɔpɔt yu, ɛn tray fɔ du yu yone, yusɛf go ebul fɔ liv nɔmal, gladi layf we nɔ go gɛt dɛn tin dɛn de we de ambɔg yu ɛn we de mek yu want fɔ du sɔntin.

If yu si se dis infɔmeshɔn valyu, yusful, ɔ yusful to ɔda pipul dɛn, duya sheb am to ɔda pipul dɛn!

Dɔn bak, nɔ fɔgɛt fɔ tag yu tayt padi ɛn fambul dɛn we yu tink se fɔ no bɔt dis!