Wi ɔl want mek sɔmbɔdi nɔ gri wit wi na wi layf, nɔto so? I kin bi we dɛn lɛk dɛnsɛf, padi biznɛs, ɔ ivin na wokples. We dat apin, i nɔmal fɔ lɛ pɔsin fil bad, vɛks, ɔ fil bad. Bɔt bɔku tɛm wi kin ebul fɔ kɔntrol ɛn kɔntrol dɛn filin dɛn de fɔ sɔm tɛm ɛn kam bak to nɔmal.
Bɔt imajin, wetin yu go du if pɔsin we dɛn nɔ gri fɔ tek yu, mek yu fil pen so dat yu nɔ ebul fɔ ivin bia, so dat yu nɔ ebul fɔ ivin tink bɔt fɔ kɔntrol dɛn filin dɛn de? Yu kin gɛt wetin dɔktɔ dɛn kɔl " rejection sensitive dysphoria" (RSD) . Risach dɔn sho se if yu gɛt Attention Deficit Hyperactivity Disorder (ADHD) , yu go gɛt RSD.
Wetin na dis RSD rili?
RSD nɔto ɔfishal wan we dɛn dɔn no wit wan list fɔ di sayn dɛm. Dat min se, dɛn nɔ kin tek am as sɛpret mɛdikal kɔndishɔn. Bɔt, dɔktɔ ɛn sayɛnsman dɛn kin yuz dis wɔd fɔ tɔk bɔt di ɛgzajarayt imɔshɔnal rispɔns we pɔsin kin gɛt we dɛn nɔ gri fɔ tek am we bɔku tɛm kin gɛt fɔ du wit di kayn we aw pɔsin de biev we ɔfishal no se lɛk ADHD.
Di wɔd "dysphoria" kɔmɔt frɔm di Grik langwej. I min "bɔku pen ɔr nɔr de fil fayn." Pipul wae gɛt RSD kin si am bad bad wan fɔ bia wit di rijekshɔn. Infakt, i nɔ kin izi fɔ dɛn fɔ tɔk bɔt di we aw dɛn de fil. Bɔku tɛm dɛn kin yuz wɔd dɛn lɛk "unbearable" ɛn "devastating." Bikɔs ɔf dis, sɔm pipul dɛn kin avɔyd fɔ de wit ɔda pipul dɛn bikɔs dɛn kin fred se dɛn nɔ go gri wit dɛn.
Wetin na di kɔnekshɔn bitwin dis sik ɛn ADHD?
Risach stil nɔ klia bɔt udat gɛt RSD ɛn aw i gɛt fɔ du wit ADHD, bikɔs i nɔ izi fɔ mɛzhɔ di rijɛkt. Bɔt masta sabi bukman dɛn biliv se pipul dɛn we gɛt ADHD kin sho se dɛn gɛt RSD bikɔs sɔm chenj dɛn kin apin na dɛn bren.
Pɔsin we gɛt ADHD gɛt smɔl difrɛn frɔntal lob na in bren, we de kɔntrol tin dɛn lɛk aw fɔ pe atɛnshɔn, langwej, aw fɔ liv wit ɔda pipul dɛn, aw fɔ kɔntrol wetin i want fɔ du, aw fɔ jɔj, ɛn aw fɔ sɔlv prɔblɛm. Dis kin mek yu mis sɔm soshal cues, yu kin gɛt prɔblɛm fɔ wok wit wan grup, ɔ yu nɔ kin ebul fɔ pe atɛnshɔn to di ditel dɛn.
Bikɔs ɔf dis, we ɔda pipul dɛn tɔk sɔntin bɔt yu bihayvya , ɔ tɔk sɔntin we nɔ klia, yu kin mistek ɛksplen am as pɔsin we de kɔndɛm yu, provok yu, ɔ nɔ gri wit yu .
Dis misɔndastandin kin mek yu fil bad bad wan, yu de fil pen, yu at pwɛl, ɛn yu de kɔmɔt biɛn yu. Yu kin gɛt prɔblɛm fɔ kɔntrol dɛn filin ya kwik kwik wan lɛk pɔsin we nɔ gɛt ADHD.
RSD kin gɛt fɔ du bak wit ɔda mɛntɛl sik ɛn pwɛl hat, bɔt dɛn nid fɔ du mɔ risach fɔ ɔndastand dis gud gud wan.
Wetin na di kɔmɔn kwaliti dɛm fɔ RSD?
Pan ɔl we RSD nɔto ɔfishal sik, pipul dɛn we gɛt dis sik kin gɛt dɛn kayn sik ya. Lɛ wi si if dɛn tin ya tan lɛk se yu sabi yu.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Tray fɔ mek ɔda pipul dɛn gladi (People-pleasing) . | Fɔ tray fɔ mek ɔda pipul dɛn gladi tumɔs fɔ mek dɛn nɔ gri fɔ tek dɛn. |
| Nɔ gɛt bɛtɛ ɔnɔ fɔ yusɛf | Nɔ gɛt kɔnfidɛns pan yusɛf, fɔ dawt yusɛf ɔltɛm ɛn shem. |
| Fɔ fil bad wantɛm wantɛm | Di filin dɛn we pɔsin kin ivin sho na in bɔdi, lɛk fɔ vɛks wantɛm wantɛm, kray wata, ɛn fɔ fil bad we pɔsin nɔ ebul fɔ bia. |
| Negativ sɛlf-tɔk | Ɔltɛm, yu fɔ blem yusɛf we sɔntin nɔ apin ɔ we dɛn nɔ gri fɔ tek am. |
| Soshal ayzolayshɔn | Fɔ avɔyd sɔshal chans, wok, ɛn rispɔnsibiliti bikɔs yu de fred se dɛn nɔ go gri fɔ tek yu. |
| Fɔ want fɔ du ɔltin pafɛkt | Tray fɔ du ɔltin pafɛkt wan fɔ mek yu nɔ gɛt say fɔ kɔndɛm ɔ fɔ mek yu nɔ ebul fɔ du am. |
Sɔntɛnde, fɔ fred se ɔda pipul nɔ go gri wit yu ɔ nɔ gri wit yu, dat kin mek yu avɔyd sɔm wok ɛn rispɔnsibiliti dɛn ɔ yu kin pul yusɛf kɔmɔt nia ɔda pipul dɛn ɔltogɛda. Dis kin gɛt bɔku impak pan yu kwaliti fɔ liv.
Wetin kin mek pɔsin gɛt RSD?
Masta sabi bukman dɛn stil nɔ ɔndastand gud gud wan wetin kin mek dis apin, bɔt sɔm pipul dɛn biliv se di we aw yu bren tan lɛk sɔntin fɔ du wit am.
di amigdala εn di prεfrכnt kכtεks na di pat dεm na di bren we de proכses di rijekshכn, fεil, fכ no di imכshכn, εn nεgεtiv mεsej dεm. Dɛn de na di fɔs pat pan di bren. Bɔku tɛm, as wi de ol, dɛn pat ya kin bɛtɛ fɔ kɔntrol ɛn ɔganayz di filin dɛn.
Bɔt pan pipul dɛm wae gɛt sɔm kayn maynd ɔr bihayvya, di bren nɔr kin ebul fɔ rigul dɛn signal ya fayn fayn wan. Bifo dat, di bren kin ɛksplen bad bad tin dɛn we pɔsin kin fil as sɔntin we kin mek pɔsin fil pen tumɔs ɛn we kin mek i nɔ ebul fɔ sɔlv am. Dis na wetin masta sabi pipul dɛn kɔl " emotional dysregulation ."
Apat frɔm di we aw di bren de mek, sɔm masta sabi pipul dɛn biliv se i kin gɛt sɔntin fɔ du wit di jɛnɛtiks, mɔ bikɔs ADHD, we na di sik we gɛt fɔ du wit RSD, kin pas frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn.
Aw dɛn kin no ɛn trit dis sik?
Bikɔs RSD nɔto ɔfishal mɛdikal kɔndishɔn ɛn risach bɔt am nɔr bɔku, yu dɔktɔ ɔr kɔstɔma nɔr kin no bɔrku bɔt am, ɔr kin kɔnfyus am wit ɔda maynd sik.
Bɔt if dɛn dɔn ɔlrɛdi no se yu gɛt ADHD ɔ ɔda mental sik, yu dɔktɔ kin ebul fɔ no dis rijekshɔn sɛnsitiviti bihayvya patɛn.
No patikyula mɛrɛsin ɔ tritmɛnt nɔ de fɔ RSD. Bɔt sɔm mɛrɛsin ɛn tritmɛnt dɛm wae dɛn kin yuse fɔ ADHD ɛn ɔda mɛntɛl sik dɛm kin ɛp fɔ kɔntrol dɛn kayn bad bad filin ya.
Tritmɛnt wit drɔgs
- di alfa-2 risεptor agonist dεm: dכg dεm lεk `guanfacine (Intuniv)` εn `clonidine (Kapvay)` de impruv di bren in abiliti fכ rεsכp εn prכsεs imyushכnal signal dεm.
- mεdikeshכn dεm we de mek yu fil fayn: Drug dεm lεk amfetamin (Adderall) εn methylphenidate (Ritalin) de mek di kεmikכl mεsenja dεm (nyurotransmitta dεm) we de kכri signal bitwin di bren sεl dεm. Dis kin ɛp di bren fɔ prosɛs di mɛsej dɛn we i de gɛt bɛtɛ.
- Monoamine oxidase inhibitors (MAOIs): Dɛn kin gi dɛn tin ya fɔ pwɛl hat. Dɛn dɔn si bak se dɛn kin ɛp fɔ ridyus di we aw pipul dɛn kin fil we dɛn nɔ gri fɔ tek dɛn. Bɔt dɛn nɔ fɔ tek dɛn mɛrɛsin ya wit ɔda ADHD mɛrɛsin ɔ wit sɔm it dɛn (e.g., chiz we dɔn ol, mit). If yu du dat, i kin mek yu gɛt ay blɔd prɛshɔn we denja.
Di tin we impɔtant pas ɔl: If yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɔk to yu dɔktɔ. Nɔ tek ɛni mɛrɛsin we yu dɔktɔ nɔ tɛl yu.
Tɛrapi we dɛn kin gi
Apat frɔm mɛrɛsin, tritmɛnt dɛn lɛk Kɔgnitiv Bihayvya Tɛrapi (CBT) ɛn tɔk tɛrapi kin rili ɛp. Dɛn tritmɛnt ya kin ɛp yu fɔ no aw yu de fil bɔt aw yu de fil.
Dis tritmɛnt kin ɛp yu bak fɔ gɛt gud abit, lɛk fɔ lisin to di ɔda pɔsin, fɔ aks fɔ mek i no klia wan we tin nɔ klia, ɛn fɔ tek tɛm tink bɔt instead fɔ du sɔntin wantɛm wantɛm. As tɛm de go, yu go ebul fɔ divɛlɔp di tul ɛn tɛknik dɛm we yu nid fɔ manej yu filin na difrɛn soshal sityueshɔn dɛm.
Speshal Notis: If yu ɔ pɔsin we yu sabi de tink fɔ du bad to insɛf, duya go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. I rili impɔtant fɔ go to dɔktɔ fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Rijekshכn Sεnsitiv Disforia (RSD) na wan kayn we we de mek yu fil bad bad wan, we nɔr de bia we yu nɔr de fil.
- Pan ɔl we dis nɔto sik we ɔfishal gri wit, i kɔmɔn, mɔ pan pipul dɛn we gɛt ADHD.
- Dɛn biliv se di chenj dɛn we de apin na di bren we de wok ɛn di tin dɛn we de na di bɔdi kin mek dis apin.
- Dis kכndyushכn kin mεnεj wit mεdikeshכn εn, spεshal, tritmεnt lεk kכgnitiv bihayvכral tεrapi (CBT).
- If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, i rili impɔtant fɔ aks fɔ advays frɔm dɔktɔ we sabi du am pas fɔ sɔfa yu wan.
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