We di dɔktɔ tɛl yu se yu gɛt pwɛl hat, de nɛks big kwɛstyɔn wae kin kam na yu maynd na ‘mɛdikeshɔn’. Yu kin rili fred fɔ dis mɛrɛsin. "A go gɛt adikshɔn to dis?", "Dis go mek mi ɔda prɔblɛm?", "Dis mɛrɛsin rayt fɔ mi?", ɛn ɔda tin dɛn, go mɔs de rɔn na yu maynd. Infakt, i rili nɔmal fɔ tink bɔt dɛn tin ya. Tide, lɛ wi tɔk bɔt dis mɛrɛsin wae de kɔntrol pwɛl hat, ɛn fɛn ansa to ɔl de kwɛstyɔn wae de na yu maynd.
Wetin mek i kin tek mi lɔng tɛm fɔ fɛn di rayt mɛrɛsin?
Dis na di tin we impɔtant pas ɔl we wi fɔ ɔndastand fɔs. Pwɛl hat kin afɛkt ɔlman difrɛn we. Dɔn bak, di we aw di mɛrɛsin de wok fɔ am kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Jɔs lɛk aw yu kin go na stɔ fɔ pik wan klos, i kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin fɔ yu bɔdi ɛn yu sik.
Imajin, sɔm pipul dɛn kin fil bad bad wan we dɛn gi dɛn di fɔs mɛrɛsin. Bɔt bɔku pipul dɛn nɔ kin du dat. Wan big stɔdi we dɛn bin du na Amɛrika sho se na 30 pan 100 pipul dɛn nɔmɔ we kin bigin fɔ tek mɛrɛsin kin rili fil fri we dɛn tek di fɔs mɛrɛsin. Dis min se bɔku pipul dɛn go gɛt fɔ wok wit dɛn dɔktɔ fɔ sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di rayt doz. Bɔku rizin dɛn de fɔ dis:
- Ɔda mɛrɛsin: If yu gɛt ɔda mɛrɛsin, lɛk at sik, liva, ɔ kidni prɔblɛm, sɔm mɛrɛsin dɛn we de mek yu nɔ gɛt pwɛl hat nɔ go fayn fɔ yu.
- Di sayd ɛfɛkt dɛm we di mɛrɛsin kin gɛt: Sɔntɛnde, di mɛrɛsin we dɛn kin gi yu nɔ kin wok fɔ yu, ɔ di doz we dɛn kin gi yu nɔ kin du fɔ yu.
- Tɛm: I kin tek sɔm wiks, sɔntɛm tu mɔnt fɔ mek dɛn fil di ful ifɛkt we dɛn mɛrɛsin ya gɛt.
- Sayd ɛfɛkt: Sɔm pipul dɛn kin gɛt mɔ sayd ɛfɛkt, we kin mek i nɔ izi fɔ kɔntinyu fɔ gɛt tritmɛnt.
So, nɔ wɔri if di fɔs mɛrɛsin nɔ wok. Dat na nɔmal tin. Yu dɔktɔ go ɛp yu fɔ fɛn di bɛst sɔlv fɔ yu.
Wetin na dɛn mɛrɛsin ya we de mek pɔsin fil bad?
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya na mɛrɛsin dɛn we de balans di wok we sɔm kemikal dɛn (nyurotransmitta dɛn) de du na wi bren. If dɛn kemikal ya nɔ balans na di men tin we kin mek pɔsin gɛt pwɛl at. Speshal, di kεmikכl dεm we dεn kכl sεrotonin εn norepinephrine de involv. Wetin dɛn mɛrɛsin ya de du na fɔ ɛp fɔ mek dɛn kɔntinyu fɔ gɛt di rayt lɛvul fɔ dɛn kemikal ya.
Bɔrku tɛm, dɛn kin rεkomεnd fɔ gɛt saykotɛrapi ɔr kɔyl wit dɛn mɛrɛsin ya. Di tin dɛn we kin apin kin rili fayn we dɛn yuz dɛn tu tin ya togɛda.
Wetin na dɛn mɛrɛsin ya?
Bɔrku men kayn mɛrɛsin de fɔ pwɛl hat. If wan kayn nɔ wok, yu dɔktɔ kin tray ɔda kayn. Lɛ wi luk di men kayn dɛn.
| Tayp fɔ mɛrɛsin | Aw i de wok ɛn di ditel dɛn insay simpul wɔd dɛn |
|---|---|
| Sεlektiv Sεrotonin Riuptek Inhibitor (SSRI) . | Dis na di kayn dɛn we dɛn kin yuz mɔ tide. Dɛn kin mek di sɛrotonin lɛvɛl na di bren go ɔp. Ɛgzampul dɛn: Fluoxetine, Sertraline, Citalopram. Kɔmɔn sayd ɛfɛkt dɛm: Nɔs, bɛlɛ at pwɛl, mami ɛn dadi biznɛs nɔ de wok fayn, taya, diziz, nɔ de slip, chenj yu wet, ed we de at. Dɛn kin gɛt dɛn tin ya fɔs, bɔt bɔku tɛm dɛn kin stɔp as tɛm de go. |
| Serotonin ɛn Norepinephrine Riuptek Inhibitɔ dɛn (SNRI) . | dis dεm de inkrεs di lεvεl dεm fכ כl tu di sεrotonin εn norepinephrine. Ɛgzampul dɛn: Venlafaxine, Duloxetine. Kɔmɔn sayd ɛfɛkt dɛm: Bɛlɛ we de pwɛl, nɔ de slip, prɔblɛm wit mami ɛn dadi biznɛs, wɔri, diziz, taya. |
| Trisayklik Antidipreshɔn (TCA) . | Dɛn mɛrɛsin ya na bin wan pan di fɔs mɛrɛsin dɛn we dɛn bin de yuz fɔ mek pɔsin gɛt pwɛl at. Dɛn nɔ kin yuz dɛn so tide. Ɛgzampul dɛn: Amitriptyline, Imipramine. Di kɔmɔn sayd ɛfɛkt dɛm: di mɔt we de dray, diziz, bɛlɛ we de at, chenj na di blɔd prɛshɔn ɛn di shuga lɛvɛl. |
| Monoamin ɔksaydayz inhibitɔ dɛn (MAOI) . | Dis na mɛrɛsin dɛn bak we rili pawaful we dɛn bin de yuz trade trade. Bɔt dɔktɔ dɛn kin tek tɛm gi dɛn dɛn bikɔs dɛn kin mek dɛn gɛt siriɔs intarakshɔn wit sɔm it dɛn (lɛk chiz dɛn we dɔn ol ɛn mit dɛn we dɛn dɔn kip) ɛn ɔda mɛrɛsin dɛn . |
| Ɔda (Atypical) kayn dɛn | Dɛn kin gɛt mɛrɛsin bak we kin woke ɔda we, lɛk Bupropion, Mirtazapine, ɛn Trazodone. Fɔ ɛgzampul, dɛn kin gi Mirtazapine na nɛt fɔ pipul dɛn we gɛt prɔblɛm wit slip bikɔs i kin mek dɛn slip. Dɛn tink se bupropion nɔ kin gɛt bɔku bad bad tin dɛn we kin apin to pɔsin we gɛt fɔ du wit mami ɛn dadi biznɛs. |
Impɔtant wɔnin: Sɔm mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat kin gɛt wɔnin wae kin mek pɔrsin fil fɔ kil insɛf smɔl , mɔr lɛk pikin dɛm, yɔŋ pipul dɛm, ɛn yɔŋ pipul dɛm wae nɔr rich 24. So if yu notis ɛni chenj na yu ɔ yu pikin in bihayvya ɔr tinkin kwik kwik wan, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin a fɔ du fɔ mek a gɛt di bɛst pan di tritmɛnt?
I nɔ go du fɔ jɔs tek mɛrɛsin. Yu kɔntribyushɔn bak rili impɔtant. Na sɔm tin dɛn we yu go ebul fɔ du.
Kip wan jɔnal fɔ di we aw yu de fil.
Kip wan dayari fɔ aw yu de fil ɛn aw yu de fil de chenj ɔl di de. We yu luk am wan tɛm insay di wik, yu go no fɔ yusɛf if yu sik de bɛtɛ ɔr de wɔs. If yu gɛt ɛni prɔblɛm, yu kin sho am to yu dɔktɔ ɛn tɔk bɔt am.
Bring pipul dɛn we de ɛp yu nia yu.
I at fɔ go tru dis joyn yu wan. Tɔk to yu man/wɛf, fambul, bɛst padi, pɔsin we yu trɔst bɔt dis. We yu gɛt gud grup fɔ pipul dɛn we de sɔpɔt yu, dat kin mek yu gɛt bɔku trɛnk.
Fɔ fala di tritmɛnt ɛksaktɔli.
Tek di doz we dɛn tɛl yu fɔ tek di tɛm we dɛn tɛl yu, lɛk aw yu dɔktɔ tɛl yu. Nɔ skip yu mɛrɛsin. I kin tek lɛk 6-8 wiks fɔ mek dɛn mɛrɛsin ya tek ful ɛfɛkt. So, nɔ stɔp af-af, se, "I nɔ de wok yet." If yu nɔ tek di mɛrɛsin fayn, i tan lɛk se yu nɔ de gi am chans fɔ wok.
Gɛt gud abit dɛn.
Gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. I nɔ kin izi fɔ lɛ dɛn fɔgɛt am if yu miks am wit ɔda tin dɛn lɛk fɔ it brɛf ɔ bifo yu go slip na nɛt. I fayn bak fɔ yuz pil bɔks ɛvri wik fɔ kip yu mɛrɛsin insay.
Nɔ ignore di sayd ɛfɛkt dɛn
Di sayd ɛfɛkt na wan big rizin fɔ stɔp fɔ tek mɛrɛsin. If yu gɛt prɔblɛm wit ɛni sayd ɛfɛkt, nɔ kwayɛt bɔt am ɛn tɔk to yu dɔktɔ. Dɛn kin ebul fɔ fɛn we fɔ ridyus dɛn.
Mɛmba se, bɔku pan di sayd ɛfɛkt dɛn kin notis mɔ insay di fɔs wik dɛn we yu bigin fɔ tek di mɛrɛsin, bɔt dɛn kin stɔp smɔl smɔl as di bɔdi de yus to di mɛrɛsin.
Nɔ stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ gri fɔ tek am!
Dis rili impɔtant.Nɔ stɔp fɔ tek yu mɛrɛsin jɔs bikɔs yu fil fayn. If yu du dat, i kin mek yu pwɛl hat wɔs ɛn mek yu gɛt sayn dɛn fɔ lɛf fɔ drink. If yu fil se yu nid fɔ stɔp fɔ tek yu mɛrɛsin, tɔk to yu dɔktɔ bɔt am. I go ebul fɔ ridyus yu doz smɔl smɔl ɛn sho yu aw fɔ stɔp fɔ tek yu mɛrɛsin sef wan.
Mɛsej we dɛn kin kɛr go na os
- Na nɔmal tin fɔ tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn doz fɔ yu pwɛl hat. Nɔ wɔri bɔt am.
- I kin tek sɔm wiks fɔ mek dɛn fil di ful ifɛkt we di mɛrɛsin gɛt, so gɛt fet pan di tritmɛnt ɛn kɔntinyu fɔ du am.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni sayd ɛfɛkt we yu gɛt ɔ ɛni chenj na yu maynd.
- If yu de tek mɛrɛsin fɔ ɛni ɔda sik, mek shɔ se yu tɛl di dɔktɔ we de trit yu pwɛl hat.
- Nɔ ɛva bigin, chenj di doz, ɔ stɔp fɔ tek mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Nɔto yu wan de na dis waka. If yu gɛt di rayt tritmɛnt ɛn sɔpɔt, yu kin gɛt yu maynd wɛl bak.
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